Roy Adaptation Model
- The model will assess Sgt. Johns status
- How he is coping with brain injury,
- Current living adjustments and changes in health
- How he is dealing with not going to work
How the Nurse Will Use the Model
- In discussing with patient’s mother regarding care
- In selecting evidence-based nursing goals
- The model will assist in nursing diagnosis
Planning the Continuation of Care
- Developing interventions based on patient’s goals (Diaz et al., 2018)
- It will guide in re-evaluating the patient
- The model will necessitate making of pertinent alterations
The Influence of Roy’s Theory
- The patient will express his feelings freely
- The nurse will understand john’s behavior
- The nurse will approach the patient in- person
- It will allow creation of personal-self (Smith, 2019)
Guiding the Nurse’s Actions
- In assessing patient’s adaptation to his environment
- In assessing patient’s physical self: self-ideal
- Assessing spiritual development; ability to focus on self
Adjusted Self-Concept
- In evaluating the patient in physiological mode
- Allow nurse to assess patient in self-concept mode
- Allow nurse to assess patient in role function mode
- Allow the nurse to provide holistic care
The perspective of the Roy Adaptation Model
- Listening is critical in evaluating the patient
- It allows the nurse to assess the patient’s behavior
- It allows the nurse to read patient’s feelings
- Allows the patient to weigh patient’s values
Information from Charts
- Information from charts and colleagues in not reliable
- Important details get lost during the documentation process (Smith, 2019)
- They oversimplify data which creates bias
- They providing a misleading view of the data.
Listening to Patient’s Story
- Listening helps nurse assess patient’s problem
- It integrate the process of care at all levels
- It helps enhance Sgt. Johns’ self-esteem
- It conveys respect for a patient’s self-knowledge
Neuman System’s Model
- It is based on the individual’s relationship to stress
- It is also based on reconstitution factors
- Used in defining intra-, inter- and extra-stressors
- It provides the nurse with a comprehensive assessment
Stressors
- Johns may not be able to go to work
- May not be able to visit his friend
- Inability to sleep at night after the accident
Explanation
- He had already been replaced at work
- His friend Joe live far away from him
- He was a victim of a roadside bomb
Plan of Care
- It entails assessment, diagnosis, interventions and evaluation (Zipkin et al., 2017)
- It includes actions for nursing diagnosis
- Planning on how the patient achieve their goals
Plan of Care for Stg. Johns
- Assessment to determine patient’s level of frustration
- Encourage the patient to develop coping skills
- The intervention involve attending counseling therapies
- Visit a psychologist with regard to PTSD and anger
References
Diaz, L. J. R., & da Cruz, D. A. L. M. (2018). Adaptation model in a controlled clinical trial involving family caregivers of chronic patients. Texto & Contexto-Enfermagem, 26. Web.
Smith, M. C. (2019). Nursing theories and nursing practice (4th ed). FA Davis.
Zipkin, R., Schrager, S. M., Nguyen, E., Mamey, M. R., Banuelos, I., & Wu, S. (2017). Association between pediatric home management plan of care compliance and asthma readmission. Journal of Asthma, 54(7), 761-767.