Question

Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn't sure which was worse, the "morning after" headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn't know what that was and really didn't believe them anyway. He was still thinking just fine. His friend Joe wasn't so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him. It was a bummer that he couldn't work right now. He guessed it didn't matter much since he really didn't have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work. How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns? Describe the influence of Roy's Theory in guiding the nurse's actions in promoting Sgt. Johns adjusted self-concept. From the perspective of the Roy Adaptation Model, why is it important for the nurse to listen to Sgt. Johns' "story" in his own words and not just base her interactions on information from the chart, fellow colleagues, or his family?

Answer 1

According to roys adaptation model the aim of nursing is to increase life expectancy and it evaluates patient in four paradigms namely physiologic modes, self concept mode, role function mode and interdependence mode.

The roys adaptation model in care of patient named sgt. Eddie John's who had a traumatic brain injury. Patient data evaluated in four modes of roys adaptation theory.

The physiologic mode: this is associated with physical answers given by person to environment stimuli includes physical and chemical process. Sgt. John's suffers sleep deprivation, limited activity.

Self concept mode: it is defined as individual mixture of beliefs and feelings about himself or others at a certain time. Here sgt. John feel lucky over his friend Joe with amputated leg and he is coping with the physical problems by going to home town and meeting friends.

The role function mode: this covers the individual role in society for social integrity. John by meeting his girlfriend daily he meets his role in society. He also felt releived as he have no daily job to fulfill as he was replaced by other person till he get back to office.

The interdependence mode: this mode focuses on interactions related to love, respect giving and receiving value. John's meeting girlfriend and sharing love is a part of interdependence.

Nursing interventions including holistic care according to roys adaptation model were described with a leg injury patient who undergone a surgery. Being diagnosed that limited activity may lead to bio physical problems and expected that the development of interventions should be specific to the individual needs will yeild positive results in the adaptation of patient who are trying to cope with problems.