1. A) Roy’s Adaptation Model B) Callista Roy was a prominent nurse, theorist, writer, lecturer, researcher, and teacher. Roy’s first ideas appeared in a graduate paper written at UCLA in 1964. She published these ideas in “Nursing Outlook” in 1970. 2. Roy believes adaptation occurs in four different modes: physiologic mode, the self-concept, the role function mode, and the interdependence. There are three concepts to this model: the human being, adaptation, and nursing. Roy’s model of nursing sees an individual as a set of interrelated systems, biological, psychological, and social.
The individual tries to maintain a balance between each of these systems and the outside world. 3. A) Strengths: It is logically organized and draws on the nurses observational and interviewing skills. B) The four modes provide an opportunity for consideration of multiple aspects of the human adaptive system and support gaining an understanding of the whole system. A) Limitations: The need for consistent definitions of the concepts and terms within the Roy‘s Adaptation Model, as well as for more research based on such consistent definitions.
B) In a practice area that is increasingly challenged with time constraints, the amount of time required to fully implement the two areas of Roy’s Adaptation Model assessment may be viewed as not feasible. 4. This is a very hard question for me to answer as I do not currently work in the nursing field. I had decided that while waiting to be accepted into the nursing program at Ocean County College to become an RN that I would continue my path for my bachelors degree so that I utilized my time as best as possible.
Unfortunately, I am slowly learning that this may not have been the best decision because I do not have any experience in the nursing field and sometimes am like a fish out of water in these courses. That being said, I am going to do my best to answer this question. The first step would be to evaluate the patient. This should include obvious symptoms such as pain and physical appearance and not so obvious such as sleep habits and nutrition. This is considered Roy’s self-concept model. Assess the stimuli affecting the patient’s response to his environment. In Roy’s theory, stimuli are divided into three levels: immediate, contextual and esidual. Immediate stimuli means the wound or illness directly confronting the patient about what brought him to the nurse or hospital to begin with. Then the nurse should diagnose the patient at this point. The nurse should then discuss short term goals and long term goals with the patient about their condition. Depending on the type of environment your working in, you, as the nurse should meet with the patient at a follow-up appointment to go over their progress. This would not really work in a hospital setting, but maybe in an home health care setting it would.
Reed PG, The force of nursing theory guided- practice. Nurs Sci Q. 2006 Jul;19(3):225