Nursing Theorist Sister Callista Roy Presented by: Laura Parker Kathy Vietti

The Roy Adaptation Model Philosophy: A nurse works with the patient to help them adjust, adapt, and cope with changes in their environment.

Biography 1963 BSN Mount Saint Mary’s College 1966 MSN Pediatric Nursing UCLA 1977 Ph. D Sociology UCLA Honorary doctorate from 4 other institutions Member of the orders of Sisters St Joseph of Carondelet Professor and Nurse Theorist at the William F Connell School of Nursing Boston College

Biography Experience Staff Nurse Tucson AZ Administrative Position Lewiston Idaho 1966 Professor Pediatric and Maternity Nursing Mount Saint Mary’s College 1971 Chair of the Nursing Department

Publications Introduction to Nursing: An Adaption Model Essentials of the Roy Adaptation Model Theory construction in nursing: An Adaptation Model Roy Adaptation Model: The Definitive Statement

Motivation Holistic values Catholic faith Observations of environmental influences on the human body system

Philosophical Values Strongly rooted in her faith The human system handles changes in their environment with effective physiological adaptive responses Nursing assists the patient in achieving the goal of integration by teaching coping skills

Philosophy Diagram

Influences Influenced by Dorothy Johnson to develop a nursing conceptual model Influenced by Harry Helson’s adaptation theory Also influenced by Rapoport Lazarus Selye

Global Concepts Person Main recipient of nursing care Includes people as individuals or groups Contains two subsystems Cognator Regulator

Global Concepts Environment The adaptive system consists of the world within and around humans Changes in the environment cause the person to develop adaptive responses

Global Concepts Health Viewed as a reflection of adaptation Defines a coexistence of wellness and illness Excludes those individuals with chronic conditions or terminal illness

Global Concepts Nursing Profession that focuses on human life processes and patterns Commitment to promote health and wellness for individuals, families, groups, and the global society

Interpretation & Inference Coping mechanisms

Implications & Consequences Goal setting evaluated by behavior outcomes Changes in behavior are observed, measured, or subjectively reported Nurse evaluates the outcomes as desirable or undesirable

Evaluation Not a unique philosophy Influenced by a holistic approach Global concepts expanded with physiological and psychological coping skills Broad view that can be applied in many settings Abstract view can be applied to the global setting

Evaluation Practice situations? Hospice Nursing Home Health Care Military Setting Global Setting Disaster situations (Earthquake, Tsunami)

Case Study Bonnie 62 y/o female admitted w/ COPD exacerbation sp02 88% on RA SOB and DOE present Co morbidities: Emphysema, over 40 yrs. of tobacco abuse, GERD, anorexia Married lives in 2 story home Has Medicare Difficulty performing household activities due to SOB, poor appetite w/ weight loss d/t SOB w/eating Will require O2, duonebs q 4 hours, solumedrol, mucinex Key: First Level Assessment Physiological-Physical Mode Oxygenation: will require 2L ATC for home requires education r/t pursed lip breathing Nutrition: will require education about high calorie high protein small frequent meals Elimination: no concerns Activity and rest: requires education r/t allowing for rest periods between activities/ conserving energy Protection: smoking cessation, breathing action plan (nebulizer, inhaler, oxygen) Self Concept Mode Physical self: anxiety d/t SOB, husband is supportive but has own health issues Personal self: self esteem is disturbed d/t frequent hospitalizations and cost of medications Role performance mode: was the homemaker of the family enjoyed cooking and gardening unable to perform these activities r/t SOB Interdependence mode: good relationship w/ son and grandchildren wishes she could be more supportive with babysitting Adaptation/Discharge Planning: home health care services consisting of nursing for education r/t nebulizer use, home 02, energy conservation strategies, high calorie diet, Xanax PRN for anxiety, and emphysema support group information given

Scholarly Questions Which stimulus group does the patient’s smoking history fit into? A. Focal stimuli B. Contextual stimuli C. Residual stimuli Which mode does the patient’s frustration about the effects of her illness on her family relationships fit into? A. Physiologic-Physical Mode B. Self Concept-Group Identify Mode C. Role Function Mode D. Interdependence Mode Residual stimuli: are environmental factors within or outside human systems Interdependence Mode: Category of behavior focused on interactions r/t the giving and receiving of love, respect, and value.

References Barone, S., Roy, C., Fredrickson C. (2008). Instruments Used in Roy Adaptation-Based Research. Nursing Science Quarterly. 2008, 21: 353 DOI 10.1177/0894318408323491. Connell School of Nursing. (2011). Sr. Callista Roy, Ph. D., RN. FAAN. Retrieved from http://www.bc.edu/schools/son/faculty/featured/theorist.html on June 14, 2012. Fredrickson, K. (2011). Callista Roy’s Adaptation Model. Nursing Science Quarterly. 24:301. DOI 10.1177/0894318411419215. Images: Retrieved from: http://bing.com/images/search?q=images+Callista+Roy&form=IRRE on June 21, 2012.

References Jones & Bartlett Learning, LLC. (nd). Roy Adaptation Model: Sister Callista Roy. Chapter 10. Retrieved from: http://samples.jbpub.com/9781449626013/72376_CH10 _Masters.pdf Nurses.info.(2010). Callista Roy. Retrieved from: http://www.nurses .info/nursing- theory_person_roy_callista.htm on June 17, 2012. Nursing Theory.(2011). Roys Adaptation Model. Retrieved from http://nursing –theory.org/theories-and- models/roy-adaptation-model.php on May 30, 2012.

References Nursing Theories.(2012). Biography of Sister Callista Roy. Retrieved from http://nursing theories.info/biography-of- sister-callista-roy/on June 17, 2012 Roy, C. (1984). Introduction to nursing an adaptation model. (2 ed.). Englewood Cliffs, NJ: Prentice-Hall, Inc.