The Roy Adaptation Model and Neuman System’s Model

1. The assistance of the Roy Adaptation Model in planning the continuation of care: assessment of behavior
   • The description of the patient’s behavior
   • The comparison of the behavior with norms
   • The behavioral assessment: adaptive or ineffective
2. The assistance of the Roy Adaptation Model in planning the continuation of care: assessment of focal stimulus
   • The analysis of limited mobility’s influence (Alidoost et al., 2021)
   • The major concerns of the patient
   • Perception of a bump on the head
3. The assistance of the Roy Adaptation Model in planning the continuation of care: assessment of contextual stimulus
   • Standing in the outpatient orthopedic clinic
   • Drinking alcohol the previous evening (beers)
   • The influence of other possible external elements
4. The assistance of the Roy Adaptation Model in planning the continuation of care: assessment of residual stimulus
   • Considering the patient’s gratitude to his destiny
   • Considering his thoughts regarding his friend
   • Considering additional personal values through the conversation
5. The assistance of the Roy Adaptation Model in planning the continuation of care: goals
   • The nursing diagnosis of the patient
   • The nurse’s collaboration with the patient
   • Setting long-term goals for his health
   • Setting short-term goals for his health
6. The influence of Roy’s Theory in guiding the nurse’s actions in promoting Johns adjusted self-concept
   • Analyzing the patient’s self-concept regarding self-independence
   • Analyzing the patient’s self-concept regarding guilt
   • Analyzing self-concept regarding his ability to help
7. The importance of listening to Sgt. Johns’ “story” in his own words
   • The importance of interpersonal interaction for adaptation
   • Conversations as a part of environmental interactions
   • Respect for the patient’s values, its influence
   • Respect for the patient’s opinion, its influence
8. A telephone follow-up intervention’s proved influence (Selma and Zeynep, 2019)
   • The study’s background, the importance of interventions
   • Methods that were implemented within the study
   • Results and the importance of telephone interventions
9. Neuman System’s Model
   • The central idea of energy resources
   • The lines of resistance (the internal factors)
   • The normal line of defense (equilibrium)
   • The flexible line of defense (dynamic factor)
   • The role of the nurse’s help
10. The first stressor – headache
    • Intrapersonal (related to the clinical conditions) (Horbach da Rosa et al., 2018)
    • Attempt to find the cause of headache
    • Additional stress from previous alcohol consumption
11. The second stressor – a broken leg
    1. Intrapersonal (related to the clinical conditions) (Horbach da Rosa et al., 2018)
    2. Clarification of circumstances that led to this
    3. Clarification of the attitude to mobility loss
12. The third stressor – guilt
    • Interpersonal (resulting from the relationship with friends) (Horbach da Rosa et al., 2018)
    • Clarification of the closeness of the relationship
    • The patient guilt regarding a friend’s situation
13. The fourth stressor – memories of Afghanistan
    • The need for more information regarding Afghanistan
    • Presence or absence of post-traumatic syndrome
    • The patient’s attitude to what happened
14. A plan of care based on Neuman Systems Model for Sgt. Johns
    • Involving psychiatrists’ methods regarding the post-traumatic syndrome
    • Coping with stressors from clinical conditions
    • Work on eradicating feelings of guilt
    • Tertiary prevention (stabilizing the well-being after treatment)

References

Alidoost, N., Naseri, O., Jahanban, A., Hemmati Maslakpak, M., Maghsoudi, B., & Maghsoodi, E. (2021). The effects of a care plan based on the roy adaptation model on depression among nursing home residents. Nursing and Midwifery Studies, 10(2), 86–91.

Horbach da Rosa, P., Eliane, M. B., Benetti, R. R., Bruinsma, J. L., &Venturini, L. (2018). Stressors factors experienced by hospitalized elderly from the perspective of the Neuman Systems Model. SciFLO Brazil, 22(4), 1–9. Web.

Selma, T. K., & Zeynep, C. Ö. (2019). The effect of education and telephone follow‐up intervention based on the Roy Adaptation Model after myocardial infarction: randomised controlled trial. Scandinavian Journal of Caring Sciences, 34(1), 247 – 260.