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Roy Adaptation Model

       Chapter 2
Discuss the relationship of
systems theory to Roy Model.
Based on assumptions of von Bertalanffy’s
General Systems Theory
Based on assumptions of Helson’s
Adaptation-Level theory
Humanism
Humanism

Philosophy and psychology that recognizes
the person and subjective dimensions of the
human experience as central to knowing
and valuing.
Discuss the relationship of
systems theory to Roy Model.
Based on assumptions of von Bertalanffy’s
General Systems Theory
Based on assumptions of Helson’s
Adaptation-Level theory
Humanism
Veritivity
Veritivity

Principle of human nature that affirms a
common purposefulness of human
existence, activity and reactivity for the
common good and value and meaning of
life.
Discuss the concepts of
adaptation model.
 Adaptive: Human system has the capacity
 to adjust effectively to changes in the
 environment and affects the environment.
 Promote survival, growth, reproduction &
 mastery.
System

 Set of parts connected to function as a
 whole for some purpose and through the
 interdependence of the parts.
  Input--Through put--Output--Feedback
Adaptive Level


Changing Point influenced by the demands
of the situation and the person’s internal
resources, including capabilities hopes,
dreams, aspirations, motivations.
Represents the persons ability to respond.
Adaptive Level

The response (output) or behavior is a
function of the input stimuli and the
adaptation level.
It is adaptive or ineffective.
Identify the environment as a
    significant concept of
           adaptation.
Stimuli are environmental influences.
3 type: focal contextual, or residual.
Focal Stimuli

Internal or external stimulus most
immediately confronting the person
Contextual Stimuli

All other stimuli present that contribute to
the focal stimuli.
Influence how the person can deal with the
focal stimulus.
Contextual Stimuli
Residual Stimuli

Factors whose effect in the current situation
is unclear.
No clear data.
Based on theory or experience of the nurse.
Residual Stimuli

?                      ?
     ?
                  ?
?                          ?
Coping Mechanisms

Innate or acquired ways of responding to
the changing environment.
Innate are genetically determined or
common to the species and automatic
processes.
Acquired are developed through learning
and other process.
Coping Mechanisms

Regulator
Regulator Subsystem

Automatic responses through neural,
chemical and endocrine coping processes.
Coping Mechanisms

Regulator
Cognator
Cognator Subsystem

Perceptual/information processing, learning,
judgment, and emotion
Perceptual/information
     Processing Examples:
Selective Attention
Coding
Memory
Learning

Imitation
Reinforcement
Insight
Emotion

Defenses are used to seek relief from
anxiety
Emotion

Make affective appraisal and attachments.
Identify the modes & submodes
 of the Roy Adaptation Model
Adaptive Modes--Behaviors
– Physiological
– Self-concept
– Role function
– Interdependence
Physiological-Physical Mode
 Needs of physiological integrity
Oxygenation
Nutrition
Elimination
Activity & Rest
Protection
Senses
Fluid, electrolyte, and Acid-Base Balance
Neurologic Function
Endocrine Function
Self-Concept Mode

Psychological and spiritual aspects of the
person.
Need for psychic integrity
Self-concept

Composite of beliefs and feelings that a
person holds about him or herself at a given
time.
Self Concept

Physical Self
– Body Sensations
– Body Image
Self Concept

Personal Self
– Self-consistency
– Self-ideal
– Moral-ethical-spiritual self
Role Function Mode

Role is a set of expectations about another
Need for social integrity
Role classification: Primary, Secondary,
Tertiary
Role Function Behaviors

  Instrumental (task)

  Expressive (emotional)
Interdependence Mode

Interactions related to the giving and
receiving of love, respect, and value.
Need is for affectional adequacy.
Interdependence Behaviors

Receptive
Contributive
Behaviors

Adaptive
Ineffective
Identify the goal of nursing
      according to Roy
Promote ADAPTATION in each of the
four modes.
Discuss the nursing activities in
  the Roy Adaptation Model
What affects adaptation behavior?
Stimuli
If you want to change behavior,
change stimuli.

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