The Roy Adaptation Model / Edition 2

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Overview

A thoroughly revised and updated text, this definitive new edition reflects the latest advances in the popular Roy Adaptation Model, one of the most widely implemented nursing theories. Compact and consistent, the second edition of THE ROY ADAPTATION MODEL focuses on the essentials of nursing practice and theory while integrating the conceptual framework of the Model into contemporary practice.

FEATURES:

  • Standardized, NANDA nursing diagnoses used consistently
  • Relates developments in the Roy Model to recent changes in health care delivery
  • Includes new case studies in all adaptive mode chapters
  • Highlights methods of incorporating nursing theory into patient care
  • Applies the Roy Model to both groups and individuals.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Mary Ellen Wurzbach, RN, MSN, PhD (University of Wisconsin-Oshkosh)
Description: This text is an introduction to the Roy Adaptation Model for nursing education and clinical nursing practice based on the model developed by Sister Callista Roy. The previous edition was published in 1991.
Purpose: This updated second edition, according to the editors, maintains the essential concepts of the model while reflecting new developments and enhanced interpretation of the model elements. It is designed to focus on socially and culturally sensitive healthcare delivery, expansion of the theoretical basis for Roy's adaptive modes, and application to both individuals and groups.
Audience: It is intended for agencies and educational institutions currently using the Roy Adaptation Model as the basis for practice and education. According to the editors, essential content is provided for beginning nursing students, new nursing service personnel, and faculty. I believe it would also be of great assistance in graduate theory courses.
Features: There have been several changes in content and organization from the first edition. These include the addition of three levels of adaptive processes/integrated life processes, compensatory processes and compromised processes, and the inclusion of adaptive processes of groups as well as individuals with application of nursing care planning to both. In addition, Roy's typology of positive indicators of adaptation and adaptation problems is compared to NANDA's nursing diagnoses. Roy's definition of adaptation for the 21st century is introduced.
Assessment: There have been substantive changes from the previous edition which justified replacing it. The current edition, with its application of Roy's Adaptation Model to nursing assessment, planning, intervention, and evaluation provides a comprehensive guide for both students and practitioners. The integration of the nursing process, Roy's typology, and nursing diagnosis for individuals and groups makes it essential reading for both scholars and clinicians. This text is a welcome addition to both the theoretical and clinical nursing literature. Seldom have nursing conceptual structures been this well developed.
Mary Ellen Wurzbach
This text is an introduction to the Roy Adaptation Model for nursing education and clinical nursing practice based on the model developed by Sister Callista Roy. The previous edition was published in 1991. This updated second edition, according to the editors, maintains the essential concepts of the model while reflecting new developments and enhanced interpretation of the model elements. It is designed to focus on socially and culturally sensitive healthcare delivery, expansion of the theoretical basis for Roy's adaptive modes, and application to both individuals and groups. It is intended for agencies and educational institutions currently using the Roy Adaptation Model as the basis for practice and education. According to the editors, essential content is provided for beginning nursing students, new nursing service personnel, and faculty. I believe it would also be of great assistance in graduate theory courses. There have been several changes in content and organization from the first edition. These include the addition of three levels of adaptive processes/integrated life processes, compensatory processes and compromised processes, and the inclusion of adaptive processes of groups as well as individuals with application of nursing care planning to both. In addition, Roy's typology of positive indicators of adaptation and adaptation problems is compared to NANDA's nursing diagnoses. Roy's definition of adaptation for the 21st century is introduced. There have been substantive changes from the previous edition which justified replacing it. The current edition, with its application of Roy's Adaptation Model to nursing assessment, planning, intervention, and evaluation provides acomprehensive guide for both students and practitioners. The integration of the nursing process, Roy's typology, and nursing diagnosis for individuals and groups makes it essential reading for both scholars and clinicians. This text is a welcome addition to both the theoretical and clinical nursing literature. Seldom have nursing conceptual structures been this well developed.

5 Stars! from Doody
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Product Details

  • ISBN-13: 9780838582480
  • Publisher: Prentice Hall
  • Publication date: 12/15/1998
  • Edition description: Subsequent
  • Edition number: 2
  • Pages: 574
  • Product dimensions: 6.96 (w) x 9.16 (h) x 1.24 (d)

Table of Contents

Contributors
Contributors     xv
Preface     xvii


PART I  Introduction to the Roy Adaptation Model     1
Chapter 1 Development of Nursing Models     3
            Objectives     3
            Key Concepts Defined     4
            Nature of Nursing     4
            Nursing Models  10
             Summary  22
             Exercises for Application  23
             Assessment of Understanding  23
             References  25
Chapter 2  Essentials of the Roy Adaptation Model  29
             Objectives  30
             Key Concepts Defined  30
             Overview of the Roy Adaptation Model  32
             Humans as Adaptive Systems  35
             Coping Processes  45
             The Adaptive Modes  48
             Environment  51
             Health  52
             Coal of Nursing  54
              Summary  55
              Exercises for Application  56
             Assessment of Understanding  57
             References  59
             Additional References  61
Chapter 3 The Nursing Process According to the Roy
                 Adaptation Model
 63
             Objectives    65
             Key Concepts Defined    65
             Step 1: Assessment of Behavior   66
             Step 2: Assessment of Stimuli   71
             Step 3: Nursing Diagnosis    77
             Step 4: Coal Setting    81
             Step 5: Intervention    86
             Step 6: Evaluation    89
             Summary    91
             Exercises for Application     91
             Assessment of Understanding    92
             References    96
             Additional References      96
            
PART II The Adaptive Modes     97
Chapter 4 Overview of the Adaptive Modes     99
             Objectives     99
             Key Concepts Defined   100
             Expansion of the Modes   101
            Physiologic-Physical Mode  102
            Self-Concept-Group Identity Mode   107
            Role Function Mode   109
            Interdependence Mode   111
            Application of the Nursing Process  114
            Summary   118
            Exercises for Application   119
            Assessment of Understanding  119
            References   121
Chapter 5 Oxygenation   125
            Objectives   125
            Key Concepts Defined   126
            Basic Life Process of Oxygenation   127
            Ventilation: Process and Assessment   127
           Exchange of Gases: Process and
             Assessment  
129
           Transport of Gases: Process and
             Assessment  
131
           Compensatory Adaptive Processes  134
          Compromised Processes of Oxygenation   136
           Planning Nursing Care   138
          Summary   142
          Exercises for Application   143
          Assessment of Understanding   143
         References  146
         Additional References   146
Chapter 6  Nutrition   147
         Objectives  148
        Key Concepts Defined  148
        Basic Life Process of Nutrition   149
        Digestion: Process and Assessment   149
        Metabolism: Process and Assessment   153
        Compensatory Adaptive Processes   157
        Compromised Processes of Nutrition  158
        Planning Nursing Care   160
        Summary   164
       Exercises for Application  165
       Assessment of Understanding   165
       References   167
       Additional References  168
Chapter 7    Elimination    169
      Objectives    169
      Key Concepts Defined    170
      Basic Life Processes of Elimination    171
      Intestinal Elimination: Process and
      Assessment   
171
      Urinary Elimination: Process and Assessment    176
      Compensatory Adaptive Responses    181
      Compromised Processes of Elimination    182
      Planning Nursing Care    183
      Summary    188
      Exercises for Application    188
      Assessment of Understanding    188
      References    190
      Additional References    190
Chapter 8 Activity and Rest    . 191
      Objectives   191
      Key Concepts Defined    192
      Basic Life Processes of Activity and Rest    193
      Mobility: Process and Assessment    193
      Sleep: Process and Assessment    200
      Compensatory Adaptive Processes    206
      Compromised Processes of Activity and Rest    209
      Planning Nursing Care    213
      Summary    225
      Exercises for Application    225
      Assessment of Understanding    226
      References 228
      Additional References    230
Chapter 9    Protection 231
     Objectives 231
    Key Concepts Defined 232
    Basic Life Processes of Protection 233
    Nonspecific Defenses: Processes and Assessment 233
    Specific Defenses: Processes and Assessment 240
    Compensatory Adaptive Processes 244
    Compromised Processes of Protection 245
    Planning Nursing Care 246
    Summary 252
    Exercises for Application 252
    Assessment of Understanding 253
    References 255
    Additional References 256
Chapter 10    Senses 257
    Objectives 257
    Key Concepts Defined 258
    Basic Life Processes of Protection 259
    Vision: Process and Assessment 260
   Hearing: Process and Assessment 263
   Feeling: Process and Assessment 265
   Compensatory Adaptive Processes 269
   Compromised Processes of the Senses 269
   Planning Nursing Care 277
   Summary    288
   Exercises for Application    288
  Assessment of Understanding    289
  References    291
Chapter 11    Fluid, Electrolyte, and Acid-Base Balance     293
   Objectives    293
    Key Concepts Defined    294
    Complex Processes of fluid, Electrolyte,
    and Acid-Base Balance    
295
    Fluid Balance    296
    Electrolyte Balance    297
    Acid-Base Balance    298
    Compensatory Adaptive Processes    302
    Compromised Processes Related to fluid,
    Electrolyte and Acid-Base Balance
303
    Planning Nursing Care    304
    Summary    308
    Exercises for Application    309
    Assessment of Understanding    309
    References    311
    Additional References    311
Chapter 12    Neurologic Function    313
    Objectives    313
    Key Concepts Defined     314
    Complex Processes of Neurologic Function    315
    Cognition: Process and Assessment    318
    Consciousness: Process and Assessment    329
    Compensatory Adaptive Processes    335
    Compromised Processes of Neurologic Function    336
    Planning Nursing Care    338
    Summary    347
    Exercises for Application    348
    Assessment of Understanding    348
    References  351
    Additional References    353
Chapter 13    Endocrine Function    355
    Objectives    356
    Key Concepts Defined    356
    Complex Processes of Endocrine Function    357
    Compensatory Adaptive Responses    367
    Compromised Processes of Endocrine Function    368
    Planning Nursing Care    370
    Summary        374
    Exercises for Application        375
    Assessment of Understanding        375
    References        378
Chapter 14 Self-Concept -Group Identity Mode    379
     Objectives 380
    Key Concepts Defined    381
    Self-Concept-Group Identity Processes   382
    Developing Self: Process and Assessment    385
    Focusing Self: Process and Assessment    394
    Shared Identity: Process and Assessment    400
    Compensatory Adaptive Processes    406
    Compromised Processes of Self-Concept-Group
    Identity   
411
    Planning Nursing Care    414
    Summary    419
    Exercises for Application    419
    Assessment of Understanding    420
    References    424
    Additional References    426
Chapter 15 The Role Function Mode    429
    Objectives        430
    Key Concepts Defined        430
    Role Function Processes        432
    Developing Roles: Process and Assessment        434
    Role-taking: Process and Assessment         442
    Integrating Roles: Process and Assessment         448
    Compensatory Adaptive Processes         452
    Compromised Processes of Role Function         456
    Planning Nursing Care        459
    Summary        465
    Exercises for Application       465
    Assessment of Understanding        465
    References         469
Chapter 16 Interdependence Mode    473
   Objectives    473
    Key Concepts Defined    474
    Interdependence Processes    475
    Affectional Adequacy: Process and Assessment    480
    Developmental Adequacy: Process and Assessment    484
    Resource Adequacy: Process and Assessment    489
    Compensatory Adaptive Processes    492
    Compromised Processes of Interdependence    493
    Planning Nursing Care    500
    Summary    506
    Exercises for Application    506
    Assessment of Understanding    507
    References    509
    Additional References      511
         
PART III  The Roy Adaptation Model in Practice and Research     513
Chapter 17    The Roy Model in Nursing Practice
  Kathleen Connerley, Susanna Ristau, Coralee Lindberg & 
  Mary McFarland
   
515
    Objectives    516
    Key Concepts Defined    516
    Nursing Models in Practice    517
    Model Implementation: Theory and Process    517
    Description of the Project    520
    Summary    531
    Exercises for Application    532
    Assessment of Understanding    532
    References    534
Chapter 18    The Roy Adaptation Model in Nursing Research     535
    Objectives    535
    Key Concepts Defined    536
    Perspective for Nursing Research    536
    Strategies for Knowledge Development    539
    Model-based Research by Roy    542
    Model-based Research Synthesis Project    546
    Issues Related to Research Based on the Roy Model    550
    Recommendations for Future Research Based
    on the Model   
553
    Summary    553
    Exercises for Application    554
    Assessment of Understanding    554
    References     555
   Additional References    559
Index        561
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