Roy adaptation theory

Roy sees the environment as "all conditions, circumstances and influences that surround and affect the development and behaviour of the person". Roy employs a six-step nursing process: In the first step, the person's behaviour in each of the four modes is observed. This behaviour is compared with norms and is deemed either adaptive or ineffective.

Roy adaptation theory

Older adults face many challenges in adaptation to aging and related physical function, emphasizing the importance of developing interventions to promote adaptation to aging such as increasing PA among older adults. A primary concern for the aging individual is the decline in physical function, compounded with the increased prevalence of sedentary behavior.

Further, they recommend that sedentary older adults begin with balance, flexibility and strength training to build endurance prior to participating in moderate to vigorous-intensity aerobic PA.

There is a growing body of research that indicates a wide range of potential health benefits from mind-body exercise. Health is a process of being and becoming integrated and whole and reflects environment and person mutually.

According to Roy, the overall goal of nursing is to focus on promoting health of the individual and group by promoting adaptation in each of four adaptive modes: The RAM has been used in studies of physical activity and cancer to promote adaptation and quality of life.

It is the dynamic process whereby people use conscious awareness and choice to create human and environmental integration. The RAM model depicts the individual as a biopsychosocial being who is able to adapt to environmental stimuli categorized as focal, contextual, or residual.

When assessing physical function, sedentary lifestyle is viewed as the focal stimulus, which leads to maladaptive responses for older adults disuse consequences and negative beliefs. Contextual stimuli are indirectly related to the focal stimuli such as PA and personal beliefs.

The residual are all other stimuli that affect the focal and contextual stimuli such as relationships with family and friends. Adaptation includes two processes called the regulator and cognator subsystems.

The physiologic mode measures all bodily function and specific to this intervention, Roy adaptation theory function. In the RAM, the psychosocial or mind and spirit modes are self-concept, role function, and interdependence.

In Roy adaptation theory older adult who is sedentary, self-concept is characterized by a decreased confidence in the ability to exercise and spirituality. Maladaptive responses occur when adaptive mechanisms are inadequate, resulting in activity intolerance and disuse consequences for sedentary aging adults.

An intervention needs to impact both of these modes. It is theorized that SCD will promote adaptation by enhancing the Regulator and Cognator subsystems, and influencing the focal and contextual stimuli through the mind, body, and spirit connections of deep breathing and meditation combined with purposeful movements to promote adaptation measured in the selected physiologic and self-concept modes.

The Regulator subsystem will enhance adaptation through the physical movements that foster spiritual connections, which will improve balance and physical function. The cognitive function of the Cognator allows humans to obtain knowledge and promote adaptation through increased self-efficacy measured in the self-concept mode.

In this intervention, a mind, body, and spiritual PA will be tested to promote adaptation to aging by improving the personal beliefs of community dwelling older adults and subsequent outcomes of improved physical function. The dose of the intervention is the primary critical input.

Increases in the regulator and cognator critical inputs will be achieved through one hour weekly sessions with groups of 15 participants each, over 12 weeks; the length was selected based on a review of previous TC programs.

Participants are encouraged to practice at least 10 minutes, 2 times between classes the first week, increasing the time to include up to the recommended 30 minutes at least 5 days per week.

Mediating Processes Mediating processes are conceptualized by Roy as the contextual stimuli. These activities are the regulator and cognator inputs for the intervention including: Spiritual and physical movement The regulator critical input for this intervention includes a mind-body-spiritual exercise called Sign-Chi-Do SCD Exercise.

SCD utilizes slow, continuous movements of the arms and legs, similar to TC. The meditative effect is achieved by concentrating on positive word phrases of prayer. Self efficacy and spirituality are enhanced through this intervention designed to ask participants to selecting their own picture of the words in their mind, and identifying how the word makes them feel during the intervention.

There is a growing body of knowledge to support the importance of spirituality among the aging population. Self-efficacy The intervention is anticipated to enhance the cognator mode by improving personal beliefs through increasing self-efficacy with a spiritual focus to improve the way participants feel about themselves.

SCD uses a three step technique to engage the mind, body and spirit in physical activity. This three step process also helps the individual remember the movements so they can be repeated, consistent with the learning principles of the RAM.

Roy Adaptation Model - Nursing Theory

Assessment of confidence to exercise would also evaluate personal beliefs at a given time. Levy and Meyers write that health problems are inevitable with aging and this contributes to an unwillingness to engage in PA and maladaptive adaptation.

Expected Outcomes The overarching outcome for this intervention is adaptation.

Roy’s Adaptation Model To Promote Physical Activity Among Sedentary Older Adults Humans use a system of adaptation, both innate and acquired, to respond to the environmental stimuli they experience.
Get Full Essay Get Full Essay Get access to this section to get all help you need with your essay and educational issues. I will discuss the basis of the theory which is to view the person as an adaptive system.

Adaptation is improved physical function and measured by the outcomes that relate to the physiologic mode including: Exogenous Variables According to the RAM, residual stimuli are environmental factors that have an unclear effect on the current situation and may include family relationships or a previous fall which may be extraneous variables related to adaptation.

Implementation Issues Implementation strategies are vital to the success of this theory-based intervention. SCD classes are to be taught by a trained facilitator and all course materials are available on a DVD to provide a consistent delivery of the information.

The SCD classes are taught in a classroom to provide privacy to the participants who are encouraged to ask questions at any time.The theory suggests the influence of multiple causes in a situation, which is strength when dealing with multi-faceted human beings.

The sequence of concepts in Roy’s model follows logically. In the presentation of each of the key concepts there is the recurring idea of adaptation to maintain integrity.

The sequence of concepts in Roy’s model follows logically. In the presentation of each of the key concepts there is the recurring idea of adaptation to maintain integrity.

Every concept was operationally defined. 11/16/12 kwb transfer students Roy Adaptation Model Assumptions • The person is a bio-psycho-social being.

The person is in constant interaction with . Roy explained that adaptation occurs when people respond positively to environmental changes, and it is the process and outcome of individuals and groups who use conscious awareness, self-reflection, and choice to create human and environmental integration.

A Message from RAA International. Welcome and thank you for your interest in the Roy Adaptation Association. We are a society of nursing scholars who seek to advance nursing practice by developing basic and clinical nursing knowledge based on the Roy Adaptation Model.

Sister Callista Roy’s Adaptation Theory Essay Sample.

Roy adaptation theory

Abstract. This is a paper on Sister Callista Roy’s Adaptation Model (RAM). I will discuss the basis of the theory which is to view the person as an adaptive system.

Roy’s Adaptation Model in Nursing Practice | Nurse Key