WEEK 7: TRANSHEALTH Flashcards
What influences nutritional health in elders?
Depressive symptoms, functional status, oral health, income
What is the Roy Adaptation Model (RAM)?
A framework viewing humans as biopsychosocial beings adapting to environmental stimuli
Key adaptive modes in RAM?
Physiological, self-concept, role function, interdependence
What is the role of advocacy in transhealth?
Advocate for standardized care and identify health inequities
Core focus of Roy Adaptation Model in transhealth?
Promoting holistic adaptation through physiological, self-concept, role function, and interdependence modes
What gaps exist in transhealth education?
Professionals receive only 1-2 days of training in program core
What are the key components of RAM?
Inputs (stimuli), coping processes, and outputs (responses/adaptive modes).
What are the three types of stimuli in RAM?
Focal stimuli: Direct and immediate stimulus confronting the individual.
Contextual stimuli: Environmental factors contributing to the situation.
Residual stimuli: Unknown or subconscious factors influencing adaptation.
What is the goal of RAM?
To promote adaptive responses that enhance health and well-being across four adaptive modes.
What does the physiological-physical mode address (RAM)?
Physical functioning and bodily processes.
Examples of responses in the physiological-physical mode (RAM)?
Oxygenation, nutrition, elimination, activity/rest, protection, sensory functions, fluid/electrolyte balance.
What is the focus of the self-concept mode? RAM
Psychological and spiritual aspects of the individual.
What are the key components of self-concept? RAM
Physical self: Body image, physical sensations.
Personal self: Self-identity, self-esteem, moral and spiritual well-being.
What does the role function mode encompass? RAM
Social roles and responsibilities individuals assume.
What types of roles are included? (ROLE FUNCTION MODE -RAM)
Ascribed roles (e.g., family member) and achieved roles (e.g., profession).
What is the interdependence mode about? RAM
Relationships and support systems, focusing on giving and receiving love and respect.
Examples of interdependence behaviors? RAM
Interpersonal relationships, reliance on support networks, affection exchange.
What are the two coping mechanisms in RAM?
Regulator subsystem: Physiological responses to stimuli (e.g., neural, chemical).
Cognator subsystem: Psychological responses involving learning, emotions, and decision-making.
Kolcaba’s Comfort Theory: Definition of comfort?
A state of ease or relief addressing physical, psychospiritual, environmental, and sociocultural needs
3 types of comfort in Kolcaba’s theory?
Relief, ease, transcendence
Propositions in Comfort Theory?
Effective interventions increase patient engagement in health-seeking behaviors
What is relief in comfort theory?
Relief is the state achieved when specific comfort needs are met.
Examples of relief interventions?
Administering pain medication, repositioning a patient for comfort, or providing a warm blanket.
What is ease in comfort theory?
Ease refers to a state of calmness and contentment, focusing on minimizing stressors or risks.
Examples of ease interventions?
Creating a peaceful environment, offering emotional support, or addressing anxiety.
How does ease differ from relief?
Ease is about long-term contentment rather than addressing acute needs.
What is transcendence in comfort theory?
Transcendence is the state in which patients rise above their challenges and feel empowered or motivated.
Examples of transcendence interventions?
Encouraging a sense of purpose, fostering hope, or supporting spiritual practices.
Healing vs. Transcendence
Healing: Restores balance
Transcendence: Moves beyond self, connecting to others and meaning
