Free Essay

Roy Model

In: Science

Submitted By mountainbabyblue
Words 1904
Pages 8
Nurse strategies that enhance students’ criticaltothinking, educators are continually challenged develop teaching problem-solving, and decision-making skills. Medicalsurgical nursing courses often require students to learn a large amount of material in a short time. Students frequently are overwhelmed with the amount and complexity of the material that is covered during each class meeting. Consequently, they may resort to memorizing facts instead of comprehending, applying, and transferring knowledge to practice. In addition, students rely on teachers to provide lecture notes and may not be adequately prepared to participate in class discussions. Case studies, which are an effective way of connecting critical thinking, problem solving, and decision-making to practice (Baumberger-Henry, 2003; Campbell, 2004), enhance students’ participation in class discussions. Conceptual models of nursing provide a unique body of knowledge that can be used to guide construction of case studies and enhance application of didactic course content to nursing practice. Students tend to undervalue the contributions of a nursing conceptual model to guide practice. By integrating a nursing conceptual model into the organization of course content and construction of case studies, students are exposed to how conceptual models can guide nursing practice. The purpose of this column is to explore the use of case studies for a senior level medical-surgical nursing course constructed within the context of the Roy adaptation model. Roy Adaptation Model The Roy adaptation model is a conceptual model of nursing that provides a solid foundation for nursing practice (Roy & Andrews, 1999). The philosophical and scientific assumptions of Roy’s model assert that the person is a holistic
Nursing Science Quarterly, Vol. 20 No. 4, October 2007, 324-326 DOI: 10.1177/0894318407307159 © 2007 Sage Publications

adaptive system in constant interaction with the environment. Roy and Andrews (1999) described people as biopsychosocial beings who adapt to environmental stimuli. Adaptation is defined as “the process and outcome whereby thinking and feeling persons, as individuals or in groups, use conscious awareness and choice to create human and environmental integration” (p. 30). The environment is the source of focal, contextual, and residual stimuli. The focal stimuli are the internal and external factors that immediately confront the person, family, or other group. Contextual stimuli are other internal and external factors that influence how people deal with or respond to the focal stimulus. Residual stimuli are factors, the effects of which in the current situation cannot be determined or are unclear. The classification of stimuli as focal, contextual, or residual depends on their influence on adaptation in a particular situation (Fawcett, 2005). All stimuli serve as inputs that provoke a response. Within the context of Roy’s adaptation model, responses to stimuli are channeled through regulator and cognator coping mechanisms in the process of coping to promote adaptation. The regulator coping mechanism responds to stimuli automatically through neural, chemical, and endocrine coping processes. The cognator coping mechanism responds to stimuli through four cognitive-emotive pathways: perceptual/information processing, learning, judgment, and emotions. Observable responses are called behaviors and are manifested in four modes of adaptation: physiological, selfconcept, role function, and interdependence. The physiological mode of adaptation emphasizes maintenance of the physiological integrity of the adaptive system and encompasses five basic needs: oxygenation, nutrition, elimination, activity and rest, and protection (immune processes); and four physiological adaptation processes: the senses, fluids and electrolytes, acid base, and neurologic/endocrine

Keywords: case studies, Roy adaptation model, teachinglearning

Teaching-Learning Processes function. The self-concept mode focuses on psychic integrity and deals with perception of the physical self in terms of body image and body sensation, as well as perception of the personal self, including self-consistency, self-ideal, and the moral-ethical-spiritual self. The role function mode deals with social integrity by focusing on performance of activities associated with the various roles that one enacts throughout life. The interdependence mode also deals with social integrity, by emphasizing behaviors underlying the development and maintenance of satisfying, affectionate, and supportive relationships with significant others, as well as the provision and receipt of social support (Roy & Andrews, 1999). Responses in each mode are classified as adaptive or ineffective (Roy & Andrews, 1999). Adaptive responses are those that promote the integrity of the person in terms of the goals of adaptation, which are survival, growth, reproduction, mastery, and person and environment transformation. Ineffective responses are those that neither promote integrity nor contribute to the goals of adaptation. Roy and Andrews (1999) defined nursing as “a theoretical system of knowledge which prescribes a process of analysis and action related to the care of the ill or potentially ill person” (p. 3). The nurse needs to intervene when unusually strong stimuli or weakened coping mechanisms are present and are affecting the individual’s adaptive responses. The goal of nursing is to promote adaptation in each of the four modes, by increasing adaptive responses and decreasing ineffective responses, thereby contributing to the person’s health and quality of life (Roy & Andrews). The Roy adaptation model includes a detailed nursing process, defined as “a problem-solving approach for gathering data, identifying the person’s needs, selecting and implementing approaches for nursing care, and evaluating the outcomes of care being given” (Roy & Andrews, 1999, p. 27). The nursing process consists of six steps: assessment of behaviors or responses, assessment of stimuli that influence the responses, nursing diagnosis based on behaviors and stimuli, patient and nurse mutual goal setting, interventions focused on management of stimuli, and evaluation. Case Studies A senior level medical-surgical course was designed using the Roy adaptation model as the framework for the presentation of course content. Each week’s class content is organized within the four modes of adaptation and the management of stimuli that influence patient and family adaptive responses. In addition, the Roy adaptation model was used to guide the construction of the faculty-designed case studies, which provide in-depth descriptions of realistic clinical situations. Each week a different case study of a fictitious patient with a health condition requiring medical and/or surgical treatment, as well as the patient’s family, is discussed. This happens through the examination of focal, contextual, and residual stimuli

325

experienced by the patient and family with their responses to the stimuli as manifested in the four modes of adaptation, adaptive and ineffective responses within each mode of adaptation, and identification of nursing interventions that promote patient and family adaptation. In preparation for each class, students are required to complete the case study that corresponds to the class content. In keeping with the Roy adaptation model’s focus on holistic care, the case studies place equal emphasis on physiological and psychosocial responses to health and illness using the four modes of adaptation. The students are presented with information related to the disease pathophysiology and physical findings (physiological mode), emotions and feelings about self (self-concept mode), occupation and performance of daily activities (role function mode), and relationships and social support (interdependence mode). The Roy adaptation model nursing process is used to guide development of the student’s plan of care for the patient and family based on the case study content. Figure 1 presents the format for the weekly case studies. Using the case study as the source of data, students identify the focal, contextual, and residual stimuli. They then develop a nursing diagnosis for each mode of adaptation (physiologic, self-concept, role function, and interdependence). The nursing diagnoses have to be supported by the data found in the case study. Goals are stated in terms of outcomes that would be formulated after mutual agreement by the patient, family, and nurse. The students identify interventions for each nursing diagnosis that would resolve the problem and enable identified goals to be reached. A rationale for each intervention is required. The students then evaluate if the goals are met through the identification of an adaptive or ineffective response. The case study approach to learning facilitates further development and use of critical thinking by defining problems through discussion of relevant data and issues, and verifying facts so that decisions can be made (Baumberger-Henry, 2003). Specifying the reasons for choices with references helps the students to understand the material. The case study approach also facilitates synthesis of content knowledge and application to a patient and family care scenario. Each week students submit a written paper using the case study format. Students receive written feedback from the course instructor regarding identification of stimuli, and connection of nursing diagnoses and interventions to the modes of adaptation and relevant stimuli. In addition, each week a group of students presents the case study to the entire class. The presenters assist their classmates to identify stimuli and generate discussion of the most relevant nursing diagnoses, goals, and nursing interventions based on the stimuli confronting the patient and family described in the case study. Students frequently have differing views on identifying stimuli, as well as formulating appropriate nursing diagnoses within the modes of adaptation. Differing opinions stimulate

Downloaded from nsq.sagepub.com at NATIONAL UNIV SINGAPORE on August 22, 2014

326

Nursing Science Quarterly, 20:4, October 2007

Case Study Name _______________________________________ Date ________________

Care of a Patient with/undergoing: ______________________________________________ 1. Identify the focal stimulus affecting the patient (internal/external stimulus immediately in the awareness of the patient): 2. Contextual Stimuli (all other stimuli present in the situation that contribute to the effect of the focal stimulus): 3. Residual Stimuli (environmental factors within/without, the effects of which are unclear in the current situation): 4. Identify one nursing diagnosis for each of the modes of adaptation as relevant to the case study (support with findings from the case study). • • • • Physiologic mode Self-concept mode Role mode Interdependence mode

5. Identify an expected outcome for the nursing diagnosis most relevant to the case study. 6. Provide individualized, research based interventions with detailed rationales that assist in meeting the identified outcome. 7. Relevant collaborative care (please refer to each case study for specifics) with rationale.
Figure 1. Case Study Format

the students to re-evaluate the case study from other perspectives, similar to real-life patient situations encountered in nursing practice. The role of the course instructor is to facilitate critical thinking by asking questions, guiding the discussion, and refocusing the students to the case study. Sample Case Study Brad is a 28-year-old construction worker who sustained a T6 spinal cord injury while riding a motorcycle. Due to his level of injury, he is paraplegic with complete motor and sensory loss below the level of injury. He is being followed by the clinical nurse specialist in the spinal cord injury clinic. Using the Roy adaptation model as a framework, the students were provided with the following assessment of his behavior and responses.

Adaptation Modes Physiological T6 complete spinal cord injury. Lower extremities are spastically paralyzed, with clasp-knife response. Loss of proprioception, pain, temperature, touch and pressure sensation below level of mid-chest (T6 dermatome). No bowel and bladder control. No sensations of distention, urge to void, bowel control, or urge to defecate. Catheterizes self every 6 hours for clear yellow urine, approximately 1500 ml/day. Regular diet. He shared,
I know I should be eating more protein and such. Nothing really tastes good to me except sweet things. I feel like I have to stay awake all of the time. I’m afraid that if I fall asleep, I will wake up totally paralyzed. If I do fall asleep, I wake up with a real start at least once per night. I used to…...

Similar Documents

Premium Essay

Callista Roy

...Theorists’ Grading Criteria” document, located on the Materials page of the student Web site. Name: Steve Early Theorist Selected: Sr. Callista Roy Description of Theory: Sister Callista Roy believed that “Humans are bio-psycho-social beings existing within an environment. Needs are created within interrelated adaptive modes: physiological, self-concept, role function, and interdependence” (Taylor 74). Sr. Roy believed that the patient’s modes of adaption were partly innate and partly acquired behaviors; if the behaviors are appropriately applied there is an increase in health restoration. According to "Nursing Theory" (2011), The nursing theory was named “The Adaptation Model,” and includes a “six step nursing process: 1) The first level of assessment, which addresses the patient's behavior, 2)The second level of assessment, which addresses the patient's stimuli, 3)Diagnosis of the patient, 4)Setting goals for the patient's health, 5)Intervention to take actions in order to meet those goals, and 6)Evaluation of the result to determine if goals were met.” Theory’s Historical background: Sister Callista Roy is considered a living legend as she has been awarded various acknowledgements for her contributions to nursing. Sr. Roy developed the Adaptation Model in 1976, and for the past 36 years, she has been researching and updating her work, literally adapting to the ever-changing world and social needs. She has based her......

Words: 2098 - Pages: 9

Premium Essay

Callista Roy-1

...Callista Roy’s Adaptation Model Callista Roy’s Adaptation Model describes the individual as an “adaptive system,” always adjusting and adapting to the ever changing environment, internally and externally. The goal of nursing is to assist the individual or group to integrate the internal and external environments, to adapt successfully, thereby making the individual or group whole and healthy (Masters, 2009). Descriptive, mixed methods were used in the studies. In one study, over 200 women across the US were surveyed and assessed to see what the needs and concerns were in the first two weeks after caesarean birth (Weiss, Fawcett, Aber, 2009). In another similar study, over 400 women from three different countries were surveyed and assessed to see what their perceptions and responses were in regards to caesarean birth (Fawcett et al, 2011). Women were more prepared and more positive in their responses if the caesarean birth was planned, scheduled, due to the fact that they knew it ahead of time. As oppose to the unplanned, unscheduled, caesarean birth where the women were not anticipating it and therefore not prepared for it and requires more health teaching about the process and plan of care (Weiss, Fawcett, Aber, 2009). Both studies involved the whole model. The person, environment, health, nursing aspect were discussed. The assessment and survey involved the person’s knowledge base about caesarean birth, previous experiences in regards to caesarean birth, the...

Words: 515 - Pages: 3

Premium Essay

Roy Peter Clark's Writing Tools

...Most writers have gotten the feeling that their paper is not good enough and begin to attack their own piece of work, well before they are even finished. In Roy Peter Clark’s Writing Tools: 50 Essential Strategies for Every Writer, he communicates that silencing this criticism in the beginning can get more done compared to having the criticism take over in the beginning. I agree with Clark on this technique when approaching papers because criticism taken in a negative way can impact a writer’s overall work. Along with self-criticism, learning how to take criticism from others and using it to improve a written work can bring better results. Criticism will always be there but it is up to the writer to be able to hush the voice that critiques the work. Writing freely can help the writer concentrate on what he or she is trying to convey on their paper. It may seem odd but just writing freely can get more accomplished than just reviewing everything that has been written so far. Preventing to look back at the work a writer has so far can be difficult since he or she will want to know if what they wrote so far is good enough. Is it good enough? The question that constantly comes up when writing an essay or anything in general. This question can either make you, or break you. As a writer progresses in their work, the inner critic can begin to get louder and louder. If the inner critic cannot be silenced, it can help to just stop what you are doing and take......

Words: 962 - Pages: 4

Premium Essay

Sista Callista Roy

...Sister Callista Roy Adaptation Model (RAM) is defined as helping a person respond positively to changes, either physical or social environment. People have mutual relationships with the world and God. People use human creative abilities of awareness, enlightenment, and faith, according to Masters RN, DNS (2010), (Chapter 10). Roy’s theory provides a systematic approach to nursing practice known as the nursing process. Ram utilizes a bi-level assessment to problem solve the nursing process in everyday patient care. Assessment of Behavior * The first step of the nursing process, which involves gathering data about the behavior of the person as an adaptive system in each of the adaptive modes("Nursing Theories", 2012). Assessment of Stimuli * The second step of the nursing process involves the identification of internal and external stimuli that are influencing the person’s adaptive behaviors. * Stimuli are classified as: 1. Focal- those most immediately affecting the person, 2. Contextual-all other stimuli present that are affecting the situation 3. Residual- other stimuli whose effect on the situation are unclear. ("Nursing Theories", 2012). Nursing Diagnosis * Step three of the nursing process involves the formulation of statements that interpret data about the adaptation status of the person, including the behavior and most relevant stimuli ("Nursing Theories", 2012). Goal Setting * The forth step of the nursing process......

Words: 407 - Pages: 2

Free Essay

Personality of Arundhati Roy

...Personality Traits of Suzanna Arundhati Roy A prominent social leader Submitted to Prof. Rajesh Kumar Submitted by GROUP-7 Kumar Priyank(60020) Kunal Pahuja(60022) Laloo Prasad(60023) Mobashir Ahmad(60024) Sonia (60037) Surabhi Maheshwari (60040) Chandragupt Institute of Management Patna Group 7 Page 1 ACKNOWLEDGEMENT We take this opportunity to express our profound gratitude and deep regards to our guide Prof. Rajesh Kumar for his exemplary guidance, monitoring and constant encouragement throughout the course of this project. The blessing, help and guidance given by him from time to time shall carry us a long way in the journey of life on which we are about to embark. Last but not the least; we would appreciate the guidance given by all the other groups which have helped us in the successful completion of this project. Group-7 Group 7 Page 2 OBJECTIVE Through this project we would like to throw light on different personality attribute of Arundhati Roy which shaped her life as a social change maker and we will also focus on the patterns of thoughts, feelings, behaviors and experiences that make her unique and socially relevant to the society. The above quote aptly depicts the thought process of Arundhati Roy, her fearless and dauntless attitude, her spirit to fight, and above all her love for nature and people. Group 7 Page 3 INTRODUCTION “TO LOVE. TO BE LOVED. TO NEVER FORGET YOUR OWN INSIGNIFICANCE. TO NEVER GET USED TO THE......

Words: 4075 - Pages: 17

Free Essay

Roy Coates

...Archive, and Replication [Question Attachment Not Shown An application uses ten, 15 GB devices. A pointer-based full volume replica of the application is required. The replica will be kept for 24 hours and the data changes by 10% every 24 hours. How much storage should be allocated for the replication? Which EMC product is a VNX array-based local replication software that creates a full volume mirror of the source? What must be done before LVM-based replication can take place between a source and remote volume? Which migration technique moves the active state of a virtual machine (VM) without powering off the VM? What describes the state of the remote device during the data migration process? In which cloud service model does the consumer have control over deployed applications but NOT over databases and operating systems? A careful analysis of financial benefits provides a clear picture about the cost savings in cloud adoption. Which two factors should the analysis compare? What is a challenge to consumers in adopting a public cloud? What are the three primary goals of information security? How can an organization reduce vulnerabilities in their environment? What is an example of corrective control? What is recommended for a SAN security architecture? Which security feature is available in a Microsoft Windows file sharing environment using Network Attached Storage? In a NAS environment, what is a role of the Kerberos......

Words: 722 - Pages: 3

Premium Essay

Roy and Johnson Comparison of Nursing Theory

...The purpose of this essay is to compare and contrast nursing metaparadigms formulated by Sister Callista Roy’s Adaptation Model and Dorothy Johnson: The Behavioral System Model. These two theorist are identified as grand theorist of the post-positivist era (1950’s-1990’s). The contrast and comparison is structured as Roy’s and Johnson definition of person, health, environment and nursing. Roy defines persons as an adaptive systems with cognation and regulatory subsystems working together to continue adaptation. Roy uses four modes of adaptation (physiological, self-concept, role function, and interdependence) that has to stay balance in order for the person to function at an optimal level. Johnson defines persons as behavioral systems with seven substructures (security, recognition, basic body supply, waste evacuation, sexual needs, defense, and fulfillment) needs to balance to prevent illness. Roy’s model is adaptive and Johnson’s theory of person is reactive to internal/external impulses. Roy defines environment as all conditions and all states of affairs in one’s life that affect development and behavior. Johnson explains environment as internal and external surrounding. Both theorist environments are influenced by one’s current situations that are fixed and those surrounding that are self-restrained. Johnson’s explains health as an adequate and capable function system. Johnson also defines health as observable system balance and security. Roy’s health is the......

Words: 501 - Pages: 3

Premium Essay

Roy Jennkins

...Roy Jenkins The son of a Welsh coal miner, Roy Jenkins later became a union official and Labour MP. He also served with distinction in World War II. Elected to Parliament as a Labour member in 1948, he served in several major posts in Harold Wilson's First Government. As Home Secretary from 1965–1967, he sought to build what he described as "a civilised society", with measures such as the effective abolition in Britain of capital punishment and theatre censorship, the decriminalisation of homosexuality, relaxing of divorce law, suspension of birching and the legalisation of abortion. As Chancellor of the Exchequer from 1967–1970, he pursued a tight fiscal policy. On 8 July 1970, he was elected Deputy Leader of the Labour Party, but resigned in 1972 because he supported entry to the Common Market, while the party opposed it. He was elected to the House of Commons in a 1948 by-election as the Member of Parliament for Southwark Central. His constituency was abolished in boundary changes for the 1950 general election, when he stood instead in the new Birmingham Stechford constituency. He won the seat and represented the constituency until 1977. Once Jenkins took office as Home Sectary – the youngest Home Secretary since Churchill – he immediately set about reforming the operation and organisation of the Home Office. From 1967 to 1970 Jenkins served as Chancellor of the Exchequer, replacing James Callaghan following the devaluation crisis of November 1967. He quickly gained a......

Words: 1197 - Pages: 5

Free Essay

Roy Cohn Charactersation

...Charcerisation Roy Cohn In the play Tony Kushner-Angels in America_ A Gay Fantasia on Nationthe character Ron Cohn is presented at as a homosexual lawyer. Rohn Cohn also creates the impression that he is a man of great influence. He owns an office and impressive furniture. He highly values the father- son relationship whereas he points out that he considers that the mother-son relationship is not of great importance for a grown man. He listens to chaotic music , usually speaks in a load voice and feels rather confident of himself. He had many different male sexual partners but does not describe himself as homosexual. However, he lies about the fact that he is infected with AIDS and states that the has a liver disorder . This is one example why his character is demonstrated ambiguous. Another example is that Ron is not religious and does not believe that the world is a good place, yet he says that he loves god and that god loves him. Moreover he hates communism but admires the relationship of Marx and Engels He is also characterized by his impudent attitude towards his doctor Henry whom he threatens because due to Ron’s illnesses he considers Ron to be homosexual. His ambiguity is also presented in his private life. One the one hand he only visits selected restaurants but on the other hand he borrows money from a client. He is aware of the fact that this was illegal but does not really care about it. During the play is character gets more and more besotted by this power......

Words: 573 - Pages: 3

Free Essay

Roy Adaptation Theory

...Based on the Roy Adaptation Model:  Last 25 Years Nursing Science Quarterly 24(4) 312­–320 © The Author(s) 2011 Reprints and permission: sagepub.com/journalsPermissions.nav DOI: 10.1177/0894318411419218 http://nsq.sagepub.com Callista Roy, PhD; RN; FAAN1 Abstract Two key events lead to the prominence of links among Roy’s grand theory, derived middle-range theories and the design of research. The author in this column describes this work in two formats. Essential details of two areas of research are presented in episodic form—the first is work on secondary analysis of Roy model-based research over 40 years and the author’s study of persons’ cognitive recovery from mild head injury.The second is a project on re-conceptualizing coping and adaptation processing in sequential detail within the context of work in the field and the significance of on-going work for nursing practice. Keywords adaptation, coping, middle-range theory, research, Roy adaptation model The story of research based on the Roy adaptation model (RAM) can be told in many ways. When asked to write about research based on the RAM in the past 25 years I considered the major events of those years and also how to organize a description of the resulting research. First, I considered that it was 20 years ago that the first group presented a synthesis and critique of studies based on the RAM by five different investigators (Pollock et al., 1991). This was the beginning of the Roy......

Words: 6607 - Pages: 27

Premium Essay

Roy Adaptation Theory

...head: ROY’S ADAPTATION MODEL Nursing theory is an organized framework of concepts that are designed to guide nursing practice and provide a foundation for clinical decision-making. There are many different types of nursing theories. This present paper will focus on one of the Grand theories, the Roy Adaptation model (RAM). The paper is divided into four main sections focusing on the importance of the RAM; summary of key concepts; view of RAM on specialization; and conclusion. There has been an evolution of nursing practice from when Florence Nightingale started. Nurses used to take direct medical direction to an evolution of independence. Today, advanced practice nurses are PHD, DNP, researchers, nurse practitioners, leadership positions in health care organizations, and education . The independence of the nursing profession has occurred in part due to an evolution of nursing theories. The importance of the nursing theories is that they provide framework for nursing practice. There are more than thirty different theorists who have helped contribute to the process. Broadly, these thirty theories can be divided into three major categories Grand theory, Middle theory, and practice. The present paper focuses on the Roy Adaptation Model (RAM) of the Grand Theory. This was chosen as it approaches the care of the patient using a scientific and holistic approach, which aligns with my personal practice as a nurse and belief system. Initially, this model was considered a......

Words: 1714 - Pages: 7

Free Essay

Reverie by Roy Lichtenstein

...Reverie by Roy Lichtenstein Roy Lichtenstein was an American artist who was an influential part of the Pop Art movement in the 1960s. Roy Lichtenstein was born in New York in 1923 and he has created some of the most well-known Pop Art paintings and artworks. An example of his artwork is “Reverie”, it is a screen print by Roy Lichtenstein in 1965 in his iconic comic strip art style. “Reverie” by Roy Lichtenstein shows social commentary of mass production through the art movement it’s in, the technique used, the subject matter. “Reverie” is an example of an artworks that is part of the Pop Art movement. Pop Art developed in the early 1960s as a response to abstract expressionism. It was originally a British movement in the mid 1950s but it became a movement that became a social commentary on the mass-production and unoriginality of the culture in America. Artists in the movement used images or production techniques of everyday consumer life in America. In Lichtenstein ‘s case, he mimicked the style of comics in a way in which it seems to be made by a machine and not by hand, such technique is presented in “Reverie”. Pop Art glorified the everyday, making everyday objects and subjects into high art. It used commercial art as subject matters in painting. Pop art called attention to consumer projects as it mimicked the increasing advertisements, but it also served to glorify them as idealized images of contemporary culture. Pop art, according to Lichtenstein, was art that......

Words: 1262 - Pages: 6

Premium Essay

Comparison and Difference Between Johnson and Roys Adaptation Model

...IDENTIFICATION DATA: Name: Ruby Age: 42 year Sex: Female IPD No: 1992116 Religion: Hindu Educational Status: BSC Address: Saharanpur Occupation: Housewife Marital status: Married Reason for Consultation: Repetitive acts of washing clothes and checking the washable items Provisional Diagnosis: Obsessive compulsive disorder Differential Diagnosis: Obsessive compulsive disorder GENERAL APPEARANCE: Client possess obese body built with sad facial expressions and was in tensed posture but maintained proper eye contact .She was well dressed according to the season along with cooperative attitude and maintained good personal hygiene. MOTOR DISTURBANCE: Clients do not reveal any sign of of hyperactivity and compulsive movements, neither shows motor retardation nor compulsions. SPEECH PATTERNS Intensity of voice of client was moderate, was speaking at the usual rate and was responding to questions without asking also, answered in relaxed manner. She was using less reaction time to answer questions .Data about vocabulary was non significant. DISORDER OF THOUGHT PROCESS There are two aspects of disorder: * Disorder of form of thought * Disorder of content of thought THOUGHT FORM The patient reveals the significant data related to flight of ideas ,but associative looseness and Circumstantiality was not present. Ability to concentrate was also not good . THOUGHT CONTENT The patient was not......

Words: 713 - Pages: 3

Premium Essay

Sr. Calista Roy Nursing Theorist

...Nursing Philosophy and Comparison Paper A Comparison of Personal Philosophy and Sr. Callista Roy’s Adaptation Model September 14, 2011 Nursing Philosophy and Comparison Paper A Comparison of Personal Philosophy and Sr. Callista Roy’s Adaptation Model A personal philosophy is what one values for themselves as human beings. It reflects the many faceted realities of their self-concept and is influenced by: culture, spirituality, morals, values, and belief concepts. The relevance of one’s personal philosophy to nursing is significant. One’s philosophy directly affects the interpersonal relationship and care given to patients. For the purpose of this paper, the author will reflect and incorporate her nursing philosophy with the four nursing metaparadigms: person, environment, health and nursing, with the Roy Adaptation Model (RAM) and compare similarities’ and differences. Personal Philosophy The author’s personal philosophy is seeded in spirituality and seeing the world as interconnected with a divine source where all things are possible. She attempts to integrate the core concepts of her philosophy: intuition, altruism, holism, empathy, knowledge, compassion and advocacy into the nursing process. The author will define and demonstrate her nursing philosophy as applied to the metaparadigms. The person is viewed as a unique individual and energetic being (spirit) within a physical and integrated body system connected to a higher supreme source;......

Words: 1638 - Pages: 7

Free Essay

Roy Analysis in Blade Runner

...Chancellor Instructor Hubbard Liba 102 “Multifaceted” Hampton Fincher and David Webb Peoples’ complex screenplay and Ridley Scott’s use of film noir combine together to produce Roy Batty, a character out of Blade Runner, whose diverse personality reflects Jesus Christ, Adam, and Lucifer. As a result, Roy Batty, is much more multifaceted than the heartless, man killing machine that is seen at first glance by an audience. Because Roy reflects Jesus Christ, Adam, and Lucifer, three religious icons, there is an unlimited amount of religious subtext in the film Blade Runner. Hampton Fincher and David Webb Peoples use these religious allegories to hinder a direct and understandable message from the film’s narrative. Therefore, Fincher and Peoples took their complex writing to a deeper level than most screen writers by denying the audience a straightforward interpretation of Roy Batty. One example is the allegory of the creation story and the fall of man. Parallels from the creation story are seen time and time again throughout the film, which is one way Roy’s character relates to the Biblical character, Adam (Gravett, pg. 38). In the Bible, Adam and Eve were forbidden to eat from the tree of knowledge of good and evil as it is stated in Genesis 2: 16-17: “And the LORD God commanded the man, ‘You are free to eat from any tree in the garden; but you must not eat from the tree of the knowledge of good and evil, for when you eat of it you will surely die.’"...

Words: 2898 - Pages: 12