Adaptation model

los Angeles in 1963  Masters degree in pediatric nursing in 1966 and doctorate in sociology was conferred on her in 1977 in university of California. .Sister Callista Roy  Born on October 14. California  She was a Post-Doctoral Fellow and a Robert Wood Johnson Clinical Nurse scholar at university of California  Achieved BSN at Mount Saint Marry Collage.1939 in los Angeles.

 Person– Roy views a person as a biopsychosocial being in constant interaction with a changing environment.  Environment - Roy viewed environment as conditions.  Nursing - Roy viewed nursing as the science and practice that expands adaptive abilities and enhances person and environmental transformation.  Health - Roy wrote that health and illness are on a continuum with many different states or degrees possible. circumstances and influences that surround and affect the development and behavior of the person. .

ROY ADAPTATION MODEL  The Roy Adaptation Model or RAM was developed on 1964 in response to a challenge by her professor Dorothy E. Johnson  As roy develops her model she recognized the works of Von Bertalaffy’s general system theory and helson’s adaptation theory as a basis of scientific assumption for her model .

RAM Key Concepts The person is adapting in a stable interaction with the environment. either internal nor external  The environment serves as the source of a range of stimuli that will either threaten or promote the person’s unique wholeness  The person’s major task is to maintain integrity in face of these environmental stimuli  .

.CONTEXTUAL. As roy draws on the works of helson. or RESIDUAL. she categorized these stimuli as being FOCAL.Roy and andrews defined INTEGRITY as the degree of wholeness achieved by adapting to changes in needs.

.  CONTEXTUAL.those most immediately confronting the person. it attracts the most attention.those stimuli can affect the focal stimulus but the effects are unclear.all other stimuli that strengthens the effect of the focal stimulus.  RESIDUAL. FOCAL.

A person’s adaptation level may be described as integrated.ADAPTATION LEVEL  The three types of stimuli act together and influence the ADAPTATION LEVEL which is defined as the ability to respond positively in a situation. compensatory. or compromised The adaptation level is modulated by a person’s coping mechanism and control processes   .

.Coping process Coping has been defined in psychological terms by Susan Folkman and Richard Lazarus as 'constantly changing cognitive and behavioral efforts to manage specific external and/or internal demands that are appraised as taxing'.

chemical and endocrine processes like the increase in vital signs-sympathetic response to stress  COGNATOR SUBSYSTEM – occurs through cognitive-emotive processes . REGULATOR SUBSYSTEM – transpires though neutral.

Two control processes • • The STABILIZER SUBSYSTEM and THE INNOVATOR SUBSYSTEM. on the other hand. allows the person to change to higher levels of potential through cognitive and emotional strategies . The innovator subsystem. These two coincides with the regulator and cognator subsystems when a person responds to a stimulus.

the response of the two subsystems can be observed by any of the four adaptive modes  Physiological  Self-concept  Role function  Interdependence adaptive modes .The four adaptive modes Direct observation of the processes of the regulator and cognator subsystem is not possible.

elimination. nutrition. electrolytes. fluids. activity and rest.PHYSIOLOGICAL individual group • five physical needs – Oxygenation. capacities. and fiscal resources . and protection • Four complex processes – Sences. physical facilities. and acidbase • Operating resources: Participants.

and completeness of identification with the group group individual .Need is a psychic and spiritual integrity so that one can be or exist with a sense of unity. implies hones. goal. meaning. Need is group identity integrity through shared relation. soundness. and co-responsibility for goal achievement. values. and purposefulness in the universe.

knowing one who is in relation to others so one can act.INDIVIDUAL GROUP Need is social integrity. understanding and committing to fulfill expected tasks so group can achieve common goals. involves role development. role set is the complex of positions individual holds. instrumental and expressive behaviors. complementary roles are regulated . process of integrating roles in managing different roles and their expectations. and role taking process Need is role clarity.

Need is to achieve relational integrity using process of affectional adequacy Need is to achieve relational integrity using processes of developmental an resource adequacy individual group .

vital signs Non-observable behavior.feelings of a person • Step 2.assessment of stimuli a stimuli is defined as any change in the internal and external environment that includes a response in the adaptive system .assessment of behavior Data gathering about the behavior of the person as an adaptive system in each of the adaptive modes Observable behavior.NURSING PROCESS • Step 1.

including the behavioral and most relevant stimuli  Step 4 – goal setting Establishment of clear statements of the behavioral outcomes for nursing care which is realistic and attainable  .Step 3 – nursing diagnosis formulation of statements that interpret data about the adaptation status of the person.

 Step 5 – determination of how best to assist the person in attaining . 6 – judging the effectiveness of the nursing in relation to the behavior after it was performed in comparison with the goal established.  Step .

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