UNIVERSITY OF CEBU – BANILAD

College of Nursing

SEMI-FINAL: NCM 100 THEORETICAL FOUNDATIONS OF NURSING

ACTIVITY 1: SISTER CALLISTA ROY

GENERAL INSTRUCTIONS: Critical thinking exercises on Sister Callista Roy’s Adaptation Model Theory.
Read and analyze the given situation and answer the guide question given.

CASE HISTORY OF PATIENT M:

Mr. M is a 53 year old male, married, a bank teller and a Catholic. He had been suffering from
Diabetes Mellitus (a metabolic disease that causes high blood sugar) for the past 10 years. He developed
diabetic foot ulcer and he had to undergo amputation of the big toe and second toe of the left leg. The
surgical wound became non-healing, with pus formation and became black in color. The physician
suggested below the knee amputation. This made Mr. M’s life stressful. He was anxious about changes
in body image, financial burden and hospitalization.
As his nurse, you would like to assess, then address his needs according to Sister Callista Roy’s
Adaptation Model Theory.

1. Can you identify the stimuli affecting Mr. M?

FOCAL:
It deals on physiological stress, acute illness, chronic illness and those most immediately confronting the person such as:
Amputation of the big toe and second toe of the left leg. Non-healing wound and gradually increase in size with
pus formation on area and become black in color. Been suffering from DM. Anxious on changes of body image, financial
burden and hospitalization.

CONTEXTUAL:
All other stimuli present that are affecting the situation such as: Been on DM for the past 10 years.

RESIDUAL:
Those stimuli whose effect on the situation are unclear such as: AP's suggestion of below the knee amputation.

As a nurse, first address his needs on Physiological-Physical mode:

Oxygenation: Stable gas exchange. Normal RR. Chest normal in shape. Peripheral pulses felt-normal rate and rhythm.
Nutrition: On diabetic diet as per AP's order. No abnormal distention as per assessment. No difficulty in swallowing food.
Elimination: Normal bladder pattern as per assessment.
Activity and Rest: Taking adequate rest. Formulate a healthy sleeping pattern. Insure wearing of foot wear in house and
premises.Pt needs assistance for doing the activity.
Protection: Assessed severity of infection on wound.
Senses: Assessed all senses in normal condition especially sense of sight due to DM.
Fluid and electrolytes: Drinks approximately 2000ml of water. Stable intake-output ratio.
Neurological: Pt must be conscious and oriented. Noted anxious about the disease condition and showing signs of stress.
Endocrine function : Elevated blood sugar level. Taught importance of self insulin administration.

SELF CONCEPT MODE

Physical self:
 Anxious on changes in body image, but accepting treatment and coping with the situation.

Personal Self
  Self esteem disturbed of financial burden and hospitalization.

ROLE PERFORMANCE MODE:

 A father and a bread winners

INTERDEPENDENCE MODE:
 Active in local social activities