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Sana Sultan
Feb. 09, 2017 • 87 likes • 42,666 views
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complete introduction of theorist , model &

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 Roy's Adaptation Model

1. 02/09/17 ROY'S ADAPTATION MODEL 1
2. GROUND RULES Be attentive Please switch o! your
laptops Don’t talk & leave the room during presentation
Ask questions without any hesitation at the end of
presentation 02/09/17 ROY'S ADAPTATION MODEL 2
3. ROY’S ADAPTAION MODEL Presented By: N/C Sana Sultan
Faculty: Maj. Shagu"a Parveen 02/09/17 ROY'S ADAPTATION
MODEL 3
4. Objectives At the end of this presentation learner will be
able to: Introduction Describe biographical sketch of
Callista Roy Explain evolution of theory Explain
assumptions of the theory Describe Roy’s Adaptation Model
(RAM) Explain metaparadigm of RAM Describe types of
stimuli 02/09/17 ROY'S ADAPTATION MODEL 4
5. Objectives Contd… Explain coping mechanism Describe
adaptive modes of RAM Elaborate application of RAM
Identify strength & weaknesses of RAM Describe application
of theory in practice / education & research Elaborate the
implementation of RAM in Rheumatoid Artritis 02/09/17 ROY'S
ADAPTATION MODEL 5
6. Introduction Nursing is establishing itself as a scientific
discipline The nursing models provide the basis for
selecting knowledge to be transmitted in nursing education
It is the framework for nursing practice and the direction for
nursing research 02/09/17 ROY'S ADAPTATION MODEL 6
7. Biographical Sketch Of Callista Roy Born on 14th Oct
,1939 Bachelors of arts in nursing Masters of science in
nursing from University of California, LosAngeles1966
Masters of arts(M.A) in sociology Associate professor and
chairperson of the department of nursing at mount Saint
Mary’s college until 1982 02/09/17 ROY'S ADAPTATION MODEL
7
8. Biographical Sketch Of Callista Roy Cont… 1983-1985 she
was Post Doctoral fellow at Robert Wood Johnson at
University of California, as a clinical nurse scholar in
neuroscience. 02/09/17 ROY'S ADAPTATION MODEL 8
9. Evolution Of Theory Concept of the theory was developed
when Roy was graduate student Challenged by another
nurse theorist Dorothy E.Johnson to develop a theory of
nursing Operationalizing in 1968 Literature debut in 1970
Model presentation in 1977 02/09/17 ROY'S ADAPTATION
MODEL 9
10. Assumptions Scientific assumptions Philosophical
assumptions Assumptions from humanism Assumptions
based on veritivity 02/09/17 ROY'S ADAPTATION MODEL 10
11. Assumptions Contd… Scientific assumptions: Systems of
matter and energy Self and environmental awareness
Human decisions Thinking and feeling System
relationships Persons and the earth relationships. Person
and environment transformations Integration of human and
environment 02/09/17 ROY'S ADAPTATION MODEL 11
12. Assumptions Contd… Philosophical assumptions:
Mutual relationships Human meaning God is intimately
revealed in the diversity of creation Persons use human
creative abilities Persons are accountable for sustaining and
transforming the universe 02/09/17 ROY'S ADAPTATION
MODEL 12
13. Assumptions Contd… Assumptions from humanism:
Creativity Purposefulness Holism Interpersonal process
02/09/17 ROY'S ADAPTATION MODEL 13
14. Assumptions Contd… Assumptions based on veritivity:
Purposefulness of human existence Unity of purpose of
humankind Activity & creativity for common goods Values
& meaning of life 02/09/17 ROY'S ADAPTATION MODEL 14
15. Roy’s Adaptation Model (RAM) “Nursing is to help the
person adapt to change in physiological needs, self-concepts,
role function and interdependent relations during health and
illness” 02/09/17 ROY'S ADAPTATION MODEL 15
17. Metaparadigm Of RAM Human being Environment
Health Nursing 02/09/17 ROY'S ADAPTATION MODEL 17
18. Metaparadigm Of RAM Contd… Human being: The
Person viewed as a adaptive system, their health, and their
environment Interchanging with the environment Person
also refers to families, groups, communities and the whole
society 02/09/17 ROY'S ADAPTATION MODEL 18
19. Metaparadigm Of RAM Contd… Environment: All
conditions, circumstances and influences that surround and
a!ect the development and behavior of the person A
change acts as a stimulating and causes adaptive responses.
20. Metaparadigm Of RAM Contd… Health: It is a process
where he or she is striving to achieve their maximum potential
Nursing: Nursing acts to enhance the interaction of the
person with the environment to promote adaptation.
21. Types Of Stimuli Focal Stimuli: Immediately confront the
individual in a particular situation. Focal stimuli for a family
include needs and changes within the family members,
among the environment. Contextual Stimuli: Are those other
stimuli that influence the situation 02/09/17 ROY'S
ADAPTATION MODEL 21
22. Types Of Stimuli Contd… Residual Stimuli: Include the
individual’s beliefs or attitudes that may influence the
situation. Contextual and residual stimuli for a family system
include nurturance, socialization, and support. 02/09/17
ROY'S ADAPTATION MODEL 22
23. Types Of Stimuli Contd… Example: Smoking Focal:
Nicotine addiction Contextual: Belief that smoking is
enjoyable, relaxing, part of routine Residual stimuli: Beliefs
about body image, and weight gain with smoking cessation
24. Coping Machanism Regulator: Primarily used as a
mechanism to cope with physiological stimuli Cognator: used
mainly as mechanism to cope with psychological stimuli
dealing primarily in area of cognition, judgment and emotion
25. Adaptive Modes Of RAM Physiological Mode Self
concept mode Role function mode Interdependent mode
26. Adaptive Modes Of RAM Contd… Physiological:
Oxygenation, nutrition, elimination, activity, rest, and
protection Self Concept: Psychological and spiritual elements
Role Function: primary, secondary, and tertiary roles the
person performs in society 02/09/17 ROY'S ADAPTATION
MODEL 26
27. Adaptive Modes Of RAM Contd… Interdependence: coping
mechanisms arising from close relationships 02/09/17 ROY'S
ADAPTATION MODEL 27
30. Application Of RAM To Promote Behavior: Served as a
guide to assess each member's level of adaptation Identify
actual or potential adaptation problems examining the
stimuli that influence those problems management of
stimuli to promote adaptation 02/09/17 ROY'S ADAPTATION
MODEL 30
31. Application Of RAM Contd... In Education: Nursing
education Geriatric Nurse-Practitioner Program University
of Ottawa School of Nursing Mount Saint Mary’s College, Los
Angeles 02/09/17 ROY'S ADAPTATION MODEL 31
32. Application Of RAM Contd... In Administration: A Nursing
Philosophy Mission Statements Standards of Practice
Job Descriptions Planning and Appraisal Quality
Monitoring 02/09/17 ROY'S ADAPTATION MODEL 32
33. Strength Of RAM Use to analyze diverse health care
related issues Analyzes the individual from a broad
perspective Identify the factors a!ecting the individual and
his community Provide opportunity to understand whole
human being Includes the spiritual aspect of nursing
assessment 02/09/17 ROY'S ADAPTATION MODEL 33
34. Weaknesses Of RAM Inadequate definition of concepts
and terms Complete implementation of the model is
perceived as time consuming 02/09/17 ROY'S ADAPTATION
MODEL 34
35. Areas Of Practice In Term Of Medical Condition Cancer
patients Amputations AIDS management Alzheimer
disease Anxiety Chronic pain Cardiomyopathy
Chronic sorrow Critical care 02/09/17 ROY'S ADAPTATION
MODEL 35
36. Areas Of Practice In Term Of Medical Condition Contd…
Hypernatremia Intensive care Postpartum Leukemia
Osteoporosis Pediatric Preoperative Polio survivor
37. Areas Of Practice In Term Of Human Development
Adolescents Caregiver stress Cesarean section
Emergency Gerontology Mental health Neonates
Nursing administration 02/09/17 ROY'S ADAPTATION MODEL
37
38. Areas Of Practice In Term Of Human Development Contd…
Nursing children Nursing community Nursing families
Nursing infants Palliative care Pregnancy Rehabilitation
39. Areas Of Practice In Term Of Nursing Intervention Condt…
Breastfeeding Group therapy Nutrition Parenting
Spiritual intervention 02/09/17 ROY'S ADAPTATION MODEL 39
40. Implementation of RAM in Rheumatoid Arthritis Ms. F was
a patient su!ering from Rheumatoid arthritis for the past six
years. Nursing assessment using RAM based assessment tool ,
began during her first visit to Rheumatology polyclinic of
sultan Qaboos Hospital , Salalah Omans. 02/09/17 ROY'S
ADAPTATION MODEL 40
41. Implementation of RAM in Rheumatoid Arthritis Cont…
Initial Assessment Of Physiological Response Mode: Pain
Poor appetite Di!iculty in swallowing Di!icult to arise in
the morning due to joint pain that lasts for 30 minutes
42. Implementation of RAM in Rheumatoid Arthritis Contd…
Initial Assessment Of Physiological Response Mode: Felt
extremely tired a"er daily activity Rated her pain on 10
point pain scale as 9 Feel depressed and helpless sometime
Di!icult to carryout daily routine 02/09/17 ROY'S
ADAPTATION MODEL 42
Assessment of role function mode behavior: She was
working in an insurance o!ice In beginning changed her
shi" morning to evening Resigned because of activity
intolerance Currently unemployed 02/09/17 ROY'S
ADAPTATION MODEL 43
Assessment of interdependence mode behavior: Good
relationships with family and friends initially Later she felt
her self as burden on her family 02/09/17 ROY'S ADAPTATION
MODEL 44
Initial assessment of self-concept response mode: Limited
activity Bothered about her loss and upper extremity
deformities Think that other people took him a stranger
Do not want to marry 02/09/17 ROY'S ADAPTATION MODEL 45
Assessment of stimuli: Focal: disease it self (Rheumatoid
Arthritis) Contextual: Di!iculty in swallowing , fatigue , in
ability to do daily work Residual: Personal belief , current
health status 02/09/17 ROY'S ADAPTATION MODEL 46
47. Modes Nursing Diagnosis Physiological Response Chronic
pain r/t joint inflammation as evidenced by facial expression
and verbalization Self-care Body image disturbance r/t chronic
disease , long term treatment & dependency as evidenced by
social isolation Role function Altered role performance r/t
fatigue , pain as evidenced by resigned to her jod
interdependence Social withdrawal & isolation r/t altered
body image as evidenced by unemployed status 02/09/17
ROY'S ADAPTATION MODEL 47
48. Conclusion RAM identifies essential concepts relevant to
the nursing profession. The human adaptive system is
constantly interacting with internal and external stimuli which
a!ect individual’s health. It is the responsibilities of nurses to
manipulate specific stimuli so as to help patient achieve
optimal health. it is useful in analyzing groups, individuals and
societies. It is the responsibility of nurses to facilitate
adaptation of groups and persons so as to enhance their
welfare wand well being. • 02/09/17 ROY'S ADAPTATION
MODEL 48
51. Refrences Retrieved from
https://sites.google.com/site/roysadaptationmodel/ho on
25th Jan, 2017 Retrieved from
https://sites.google.com/site/culpepperram/ on 25th Jan ,
2017 Retrieved from http://www.bc.edu/sites/nurse-
theorist/the_roy_adapt on 28th jan 2017 02/09/17 ROY'S
ADAPTATION MODEL 51
52. Refrences Contd… Retrieved from
https://en.wikipedia.org/wiki/Adaptation_model_of_nu on
30th Jan , 2017 Retrieved from
http://customwritingtips.com/component/k2/item/2118 on
30th Jan , 2017 Radhamaniamma Jayasree. Nursing care of
patient with rheumatoid Arthritis – An application of Roy’s
Adaptation model. journal of 02/09/17 ROY'S ADAPTATION
MODEL 52
53. Refrences Contd… Pharmaceutical & Biomedical sciences
(J. pharma biomed sci.)2013,27(27): 482-492. Article No. 11
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Health and Family Service

Feb. 09, 2017 • 87 likes • 42,666 views

complete introduction of theorist , model &

Roy adaptation model

Nursing Roy's adaptation

Sister Callista Roy’s

More Related Content

Virginia henderson's theory

Roy's Adaptation Theory

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Sister Calista Roy Adaptation

Roy's Adaptation Model

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 Roy's Adaptation Model

Copyright Cookie Preferences

Do not sell or share

© 2023 SlideShare from Scribd  

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