Here it will be attempted to examine two majorly important, pressing issues within the Roy Adaptation Model of the Physical and Physiological processes: the theory (including a brief introduction and rationale); as well as the clinical problem (including a description of the clinical problem, how major concepts of the theory apply to the problem, how utilizing the theory will guide nursing practice, and how patient outcomes could improve upon applying the theory to clinical practice). II. The Theory A. Short Introduction of the Theory According to the Roy Adaptation Model (2011), adaptation is “the process and outcome whereby thinking and feeling persons, as individuals and in groups, use conscious awareness and choice to create human and environmental integration” (pgh. 6). The Roy Adaptation Model takes into account several important and concomitant factors—the ones being analyzed here to be the physical and physiological models. B. Rationale for the Theory Selection The rationale for utilizing this theory came from the idea that the Roy Adaptation Model might better assist the patient in being able to deal with his particular health issues. For example, not only should the patient’s hydration be taken into account with electrolyte levels, but the main focus here—maximizing the use of this theory—is to ensure that the patient: a) does not have a second stroke; b) utilizes preventative measures and techniques to reduce stress; and that c) the patient maintains a healthy lifestyle with regard to diet and exercise. Usually, transient ischaemia attacks are signs that the patient is at risk for having future strokes. Therefore, it is important that, since the patient already has had a stroke, that further damage is prevented by ensuring that all the physical and physiological needs of the patient are met—even if it is helping him manage his medications, which could save his life. Obviously, the patient is probably taking a complicated cocktail of medications—but even adding aspirin could reduce swelling or constricting of the blood vessels that would preclude a stroke. III. The Clinical Problem? A. Description of the Clinical Problem ? The patient in question was found to be suffering from what is called Transient Ischaemic attack (TIA). The patient also has a history of Type II Diabetes—which requires that he take insulin every day if his blood sugars cannot be controlled with medications, diet, and exercise. The patient also has elevated levels of lipids (fat) in his blood, also known as high cholesterol or hyperlipidemia. The patient also had suffered a stroke of some note. The patient was irritable and frustrated with being in the hospital. He stated that he wanted to go home and take care of his business. He wanted to be in his house with his grandchildren and pet. He constantly complained about noises, hospital food, distractions and services from the healthcare staff. ?The environment—both physical and physiological—could definitely affect how the patient progresses from illness to maintaining good health. A person’s environment can surely promote healing, reduce stress, and overall, influence their well-being. However, if a patient is not comfortable with healthcare services due to their environments, their health could be impacted negatively and might prolong the healing process. It will be attempted to address the physical-physiological aspect using the Roy Adaptation Model. B. Applying Major Concepts of the Theory to the Problem The major concepts of the theory include the following: focal stimuli, which immediately confront the individual; ?contextual stimuli, which are all other stimuli present that contribute to the effect of the focal stimulus; and residual ...
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Mary’s College and a doctorate from UCLA (Boston College, 2012). Roy was compelled to develop a new model of nursing practice and evaluation that recognized multiple variables of the human condition and tangible nursing activity in a way that had not been accomplished with previous nursing theories and models.
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