Calista Roy - Adaptation Model Flashcards
A set of units so related or connected as to form a unity or whole and characterized by inputs, outputs, and control and feedback processes
System
A constantly changing point, made up of focal, contextual and residual stimuli, which represent the person’s own standard of the range of stimuli to which one can respond with ordinary adaptive responses
Adaptation Model
What are the 3 Levels of Adaptation
Integrated Process
Compensatory Process
Compromised Process
The various modes and subsystems meet the needs of the environment. These are usually stable processes (e.g., breathing, spiritual realization, successful relationship)
Integrated Process
The cognator and regulator are challenged by the environment’s needs but are working to meet the needs (e.g., grief, starting with a new job, compensatory breathing)
Compensatory Process
The modes and subsystems are not adequately meeting the environmental challenge (e.g., hypoxia, unresolved loss, abusive relationships)
Compromised Process
What are the 3 Stimulis
Focal Stimulus
Contextual Stimuli
Residual Stimuli
the degree of change or stimulus most immediately confronting the person and the one to which the person must make an adaptive response, that is, the factor that precipitates behavior
Focal Stimulus
all other stimuli present that contribute to the behavior caused or precipitated by the focal stimuli
Contextual Stimuli
factors that may be affecting behavior but whose efforts are not validated
Residual Stimuli
What are the 2 Subsystems
Regulator
Cognator
subsystem coping mechanism which responds automatically through neural- chemical-endocrine processes.
Regulator
subsystem coping mechanism which responds to complex processes of perception and information processing, judgment, and emotion.
Cognator
What are the 2 Reponses
Adaptive
Ineffective
responses that promote integrity of the person in terms of goals of survival, growth, reproduction, and mastery
Adaptive Responses
responses that do not contribute to adaptive goals, that is, survival, growth, reproduction, and mastery
Ineffective Responses
What are the 4 Adaptive Modes
Physiological
Self-Concept
Role Performance
Interdependence
involve the body’s basic needs and ways of dealing with adaptation in regard to fluid and electrolytes; exercise and rest; elimination; nutrition; circulation and oxygen; and regulation, which includes the senses, temperature and endocrine regulation
Physiological Mode
the composite of beliefs and feelings that one holds about oneself at a given time. It is formed from perceptions, particularly of other’s reactions, and directs one’s behavior. (physical self and personal self)
Self-Concept Mode
role function is the performance of duties based on given positions in society
Role-Performance Mode
involves one’s relations with significant others and support systems. In this mode one maintains psychic integrity by meeting needs for nurturance and affection
Interdependence Mode
A nurse’s role in the Adaptation Mode is to
manipulate stimuli by removing, decreasing, increasing, or altering stimuli so that the patient
What is the Six-Step Nursing Process (A A M S I E)
- Assess the behaviors manifested from the four adaptive modes.
- Assess the stimuli, categorize them as focal, contextual, or residual.
- Make a statement or nursing
diagnosis of the person’s adaptive state. - Set a goal to promote adaptation.
- Implement interventions aimed at managing the stimuli.
- Evaluate whether the adaptive goal has been met.
