Presentation 1 Dimension Class[1]

8/14/2019 Presentation 1 Dimension Class[1]

1/14

Sister Callista Roy

PHD, RN, FAAN


2/14

When push comes to a shove, wewill seldom disappoint ourselves. Weall harbour greater stores of strength

than we think. Adversity brings theopportunity to test our mettle anddiscover for ourselves the stuff ofwhich we are made. Sister Callista

Roy

Nursing Theories. Sister Callista Roy Adaptation Theory.18 July,2008.

22 Aug,2009.


3/14


4/14

4 Modes of Adaptation

Physiologic-physicalFive needs -oxygenation,nutrition, elimination,

activity and rest,protectionFour complexprocesses-senses;

fluid, electrolyte, andacid-base balance;neurologic function;endocrine function


5/14

Self-concept-group identity

Need is psychicand spiritualintegrity so that

one can be or existwith a sense ofunity, meaning,andpurposefulness inthe universe


6/14

Role function

Need is socialintegrity; knowingwho one is in

relation to othersso one can acct;role set is thecomplex of

positions individualholds; involves roledevelopment,instrumental andexpressive


7/14

Interdependence

Need is to achieverelational integrity

using process ofaffectionadequacy, i.e., thegiving and

receiving of love,respect, and valuethrough effectiverelations and

communication .


8/14

How should the nurse

prioritize the clients needs? 1. Physiological-Physical- nutritional,

elimination, activity and rest, senses,

fluid 2. Self Concept- pt expresses sadness

and inadequacy due to his disability.(spiritual integrity, meaning,purposefulness of life)

3. Role Function- lack of social andfunctional integrity

4. Interdependence Inadequate


9/14

Would the integration of

another theory benecessary? Hildegard Peplau To develop an

interpersonal interaction between

client and nurse. Virginia Henderson- To assist the

client in gaining independence as

rapidly as possible. Betty Neuman- to address the effects

if stress and reactions to it on thedevelopment and maintenance ofhealth.


10/14

Functional patterns- activity

levels

Activity / Exercise

Nutritional/ Metabolic Sleep/ Rest

Elimination


11/14

NIC

Activity Therapy

( 4310 )

Emotional

support( 5270)

Facilitate activity substitutionwhen patient has limitations intime, energy, And movement.

Refer to community centers oractivity Programs.

Assist patient to develop self motivation and self-reinforcement

Assist patient in recognizingfeelings such as anxiety, anger,or sadness.

Encourage the patient toexpress feelings of anxiety,anger, or sadness


12/14

Family InvolvementPromotion

Pain Management

Identify family members

capabilities for involvement incare of the patient

Determine the impact of the

pain experience on quality of life( e.g., sleep, appetite, activity,cognition, mood ,relationships,performance of job, and roleresponsibilities).

Provide information about thepain, such as causes of the pain,how long it will last, andanticipated discomforts fromprocedures.

Select and implement a varietyof measures(e.g., pharmacological,nonpharmacological,

interpersonal) to facilitate painrelief as a ro riate.


13/14

NOC

Family Coping Activity tolerance

Involves family members indecision making

Seeks family assistance whenappropriate.

Ease of performing activitiesof daily living ( ADL ).

Ability to speak with physicalactivity


14/14

Presented by:

Henry Rodriguez MedinaMalika JamesMelinda FontaineLatisha Weekes

Documents

Presentation 1 Dimension Class[1]