Post on 09-Sep-2014
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SISTER CALISTA ROY’S: ADAPTATION THEORY
Mr Sanjay. M. Peerapur, Principal, KLES Institute of Nursing Sciences, Hubli
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INTRODUCTION
ENVIRONMENT/SOCIETY
HEALTH NURSING HUMAN OR INDIVIDUAL
INTERRELATIONSHIP OF CONCEPTS
NURSING THEORY
Mr Sanjay. M. Peerapur, Principal, KLES Institute of Nursing Sciences, Hubli
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SISTER CALISTA ROY: ADAPTATION THEORY
Sister Callista Roy is a bachelor of science in nursing from Mount Saint Mary’s College in Los Angeles California.
A master of science in nursing from University of California, Los Angeles
A master’s degree and doctorate in sociology from University of California, Los Angeles
She received many honors and awards for her scholarly and professional work.Presently working as Graduate Faculty Nurse Theorist at Boston
College, School of Nursing, USAMr Sanjay. M. Peerapur, Principal, KLES Institute of Nursing Sciences, Hubli
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ADAPTATION THEORY• Adaptation is the central feature of the model
• Adaptation model focuses on the responses of human adaptive system, to a constantly changing environment.
• Problems in adaptation arise when the adaptive system is unable to cope with or respond to constantly changing stimuli from the internal & external environments in a manner that maintains the integrity of the system. Mr Sanjay. M. Peerapur, Principal, KLES Institute of Nursing Sciences, Hubli
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ASSUMPTIONS • A person is Bio-psycho social being.• The person is in constant interaction with a changing
environment.• To cope with changing world the person uses both
innate & acquired mechanisms which are biologic, psycho logic & social in origin.
• Health & illness are one inevitable dimensions of person’s life.
• To respond positively to environmental changes, man must adapt.
• The person’s adaptation is a function of the stimulus he is exposed to & his adaptation level.
Mr Sanjay. M. Peerapur, Principal, KLES Institute of Nursing Sciences, Hubli
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ASSUMPTIONS CONTD….
• The person’s adaptation level is such that it comprises a zone indicating the range of stimulation that will lead to a positive response.
• There is a dynamic objective for human existence with the ultimate goal of achieving dignity & integrity.
• Nursing accepts the humanistic approach of valuing others, person’s opinions & view points. Interpersonal relations are an integral part of Nursing.
Mr Sanjay. M. Peerapur, Principal, KLES Institute of Nursing Sciences, Hubli
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EnvironmentalStimuli
Coping Process
Modes of Adaptation
Behaviors
• Focal• Contextual• Residual
• Regulator• Cognator
• Physiological- physical mode• Self-concept Identity mode• Role Function mode• Interdependence Mode
•Adaptive Or •Ineffective
ROY’S ADAPTATION MODEL
Mr Sanjay. M. Peerapur, Principal, KLES Institute of Nursing Sciences, Hubli
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MODES OF ADAPTATION1. PHYSIOLOGICAL-PHYSICAL MODE– It is behavior pertaining to the physical &
physiological aspects of human system• Oxygenation• Nutrition• Elimination• Activity & rest• Protection• Senses• Fluid, electrolyte & acid-balance• Neurologic • Endocrine.
Mr Sanjay. M. Peerapur, Principal, KLES Institute of Nursing Sciences, Hubli
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MODES OF ADAPTATION contd…….
2. SELF CONCEPT IDENTITY MODE
– Focuses on the psychological & spiritual aspects of the human system.
– 2 modes: Physical self & personal self• Physical self refers to the individuals appraisal
of this or her own physical being• Personal self refers to the individuals appraisal
of this or her own characteristics, expectations, values & worth like moral-ethical-spiritual self.
Mr Sanjay. M. Peerapur, Principal, KLES Institute of Nursing Sciences, Hubli
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3. ROLE FUNCTION MODE• Focuses on the roles that the individual
occupies in society.
• Set of expectations about how a person occupying one position behaves toward a person occupying another position.
• Basic need-social integrity, the need to know who one is in relation to others.
MODES OF ADAPTATION contd…….
Mr Sanjay. M. Peerapur, Principal, KLES Institute of Nursing Sciences, Hubli
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4. INTERDEPENDENCE MODE• Behavior pertaining to interdependent
relationships of individuals and groups
• Focus on the close relationships of people and their purpose.
• Focus on interactions related to the giving & receiving of love, respect &value and encompasses Affectional Adequacy, Developmental Adequacy, Resource Adequacy, Significant others & support system.
MODES OF ADAPTATION contd…….
Mr Sanjay. M. Peerapur, Principal, KLES Institute of Nursing Sciences, Hubli
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INTERDEPENDENCE MODE CONTD……
• Each relationship exists for some reason.
• Involves the willingness and ability to give to others and accept from others
• Balance results in feelings of being valued and supported by others
• Basic need-feeling of security in relationships.
Mr Sanjay. M. Peerapur, Principal, KLES Institute of Nursing Sciences, Hubli
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• Input, goes through processes of the regulator and the cognator and produces responses through the 4 adaptive modes.
• The four modes are interrelated. Responses in any one mode may have an effect on or act as a stimuls in one or all of the modes. Responses in each mode are judged as either:
– Adaptive : promote the goals of human adaptive system, including survival, growth, reproduction and mastery.
– Ineffective : those that do not contribute to the goals of the human adaptive system.
Mr Sanjay. M. Peerapur, Principal, KLES Institute of Nursing Sciences, Hubli
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APPLICATION OF ROY’S ADAPTATION THEORY TO NURSING PRACTICE
1. Assessment of Behavior2. Assessment of stimuli3. Nursing diagnosis4. Goal setting5. Nursing intervention6. Evaluation
Mr Sanjay. M. Peerapur, Principal, KLES Institute of Nursing Sciences, Hubli