CASE STUDY
#1 CALLISTA
ROY
CASE SCENARIO:
A 23-year-old male patient is admitted with a fracture of C6 and C7
that has resulted in quadriplegia. He was injured during a football
game at the university where he is currently a senior. His career as a
quarterback had been very promising. At the time of the injury,
contract negotiations were in progress with a leading professional
football team.
QUADRIPLEGIA:
Quadriplegia is caused by damage to the brain or the spinal
cord at a high level at lower medulla, at level of crossing over
motor fibres or direct injury at cervical spine levels.
1. Use Roy's criteria to identify focal and
contextual stimuli for each of the four
adaptive modes.
• In Roy's case, which resulted in quadriplegia, it's really
difficult for him to accept the situation that his body is
not functioning normally, and this will cause him to have
lower self-esteem and may affect his confidence in all
aspects of his daily life routine, and for this sort of
psychological intervention, the most help he must have is
social support to adjust and cope up.
2. Consider what adaptations would be
necessary in each of the following four
adaptive modes:
(a) Physiological
Physical health or well-being actions are included. This application
of nursing assistance goes in excess of to ensure that the patient's
bodily demands are fulfilled and their overall health is maintained.
(b) Self-concept
Regardless of the patient's present medical state, the care and
encouragement of his loved ones is crucial for affirming his worth
and significance. This reassurance can raise his trust in himself and
sense of worthiness in addition to add it to his psychological well-
being.
(c) Interdependence
Patient desires extra support and affection from their loved ones
in order to feel valued.
(d) role function
The patient should learn how to accept and to
adapt to his situation for him to see and to
believe that he still has a purpose despite of it;
he can be a confident public speaker who
supports others to have a positive outlook in life.
3. Create a nursing intervention
for each of the adaptive modes
to promote adaptation.
• These trials assess nursing interventions that relieve
symptoms, improve functional status, and enhance
quality of life for patients with certain persistent illnesses.
• Physiological: Fundamental actions addressing the
patient's physical well-being encompass hands-on care,
which spans from assisting with feeding to providing
hygiene support.
• Self-concept: Nurses play a vital role in caring for
patients facing diverse health challenges that can
potentially impact their self-esteem and self-image.
Situations like a loss of bodily function, reduced exercise
capacity, or managing a chronic condition can
significantly influence a patient's self-perception. As a
nurse, you will be instrumental in helping patients adapt
to these changes in their self-concept and nurturing
crucial aspects of their self-image. This support is
essential for facilitating effective coping and achieving
favorable health results.
QUADRIPLEGIA
• Interdependence: The concept of interdependence
includes relationships with important people in a
PATIENT
person's life as well as a support system. This sort of
relationship focuses on encounters that are labeled by
love, respect, and mutual appreciation. Establishing a
foundation of trust through honesty and improvement in
relationships is the utmost important
• Role function: The three primary positions outlined
above include gender-specific roles (such as mother,
father, teacher), leadership roles, and the fundamental
requirement for role functioning mode is described as
social integrity.
Serqueña, Rane M.
Y1 - 38