The Roy Adaptation Model

The Roy Adaptation Model

1 The Roy Adaptation Model 2 The Adaptation Model of Nursing asks 3 central questions: 1. Who is the focus of nursing care?

2. What is the target of nursing care? 3. When is nursing care indicated? This model looks at the patient 3 Essential Parts of Nursing Model 1. 2.

3. 4. Person Environment Nursing Health 4 The Roy Adaptation Model

Sister Callista Roy Bachelor of Arts, Nursing Mount St. Marys College, Los Angeles, 1963 Masters, Pediatric Nursing UCLA, 1966 Masters & PhD, Sociology 1973, 1977 5 The Roy Adaptation Model Views person as an adaptive system Goal of patient is to help person adapt to

changes using 4 modes 6 The Roy Adaptation Model External and internal stimuli affect patient response (inputs) Stimuli Focal Contextual Residual

7 The Roy Adaptation Model Coping mechanisms are innate or acquired Regulator Cognator Adaptive or ineffective behaviors (output) Compensating

Compromised 8 Four Modes of the Roy Adaptation Model I. II. III. IV.

Physiological Mode Self-Concept Mode Role Function mode Interdependence Mode 9 Physiological Mode (Physical) Behavior pertaining to the physical aspect of the human system Physical and chemical processes

Associated with way person responds physically to stimuli from environment 10 Needs areas: 1. Oxygenation 2. Nutrition 3. Elimination (Fluid & Solid) 4. Rest & Activity

5. Protection 6. Fluid & Electrolytes 7. Neurosensory Maslows Hierarchy of Needs 11 Self-Concept Beliefs and feelings about oneself at a

given time. Two modes: Physical Self (and spiritual) Personal Self (self-consistency, self-ideal, moral-ethical self) 12 Role Function Mode Societal expectations about how a person occupying one position behaves toward a

person occupying another social position. Primary Secondary Tertiary 13 Interdependence Mode Focuses on close relationships of people Ability to balance acts of giving and receiving

Significant others Support systems 14 The Roy Adaptation Model The four modes are interrelated. Behavior in physiological mode may have an effect on or act as a stimulus for one or all of the other modes. In addition, a given stimulus may affect

more than one mode or a particular behavior may be indicative of adaptation (or lack of integrity) in more than one mode.

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