ADAPTATION MODEL
In Adaptation Model, Sister Callista Roy defined nursing as a “health
care profession that focuses on human life processes and patterns and
emphasizes the promotion of health for individuals, families, groups, and
society as a whole.”
Views the individual as a set of interrelated systems that strives to
maintain a balance between various stimuli.
Inspired the development of many middle-range nursing theories and
adaptation instruments.
APPLICATION TO THE CASE
In applying Sister Calista Roy’s theory of Adaptation Model to patient J.M., diagnosed with T/C
ACS - NSTEMI; valvular heart disease, patient JM had symptoms of heartburn on and off along
with symptoms of epigastric pain, DOB and easily be fatigued. During interaction with the
patient, he was unable to speak comprehensively. His spouse verbalized that he experiences
chest pain making him fully aware of his condition. Due to patient’s condition, he experiences
body weakness and cannot do ADLs without support. Upon admission until further
hospitalization, he was accompanied by his relatives including his spouse, son, sister and brother.
Patient physiologic adaptation should modify his sedentary lifestyle such as smoking,
drinking and eating habits, providing information regarding his medication dose and time
and how the patient should be able to manage symptoms when having DOB, chest pain.
Self-concept adaptation involves providing the patient with clear information about the
diagnosis. This education helps the patient understand their condition, its implications,
and the necessary lifestyle changes, promoting a positive self-concept and empowering
them to manage their health effectively.
Role function adaptation is crucial for this patient. To prevent exacerbating his condition,
it is recommended that he modify his work schedule. When he recovers, he should
transition to lighter work that does not strain his heart, rather than returning to physically
demanding construction work. This adaptation will help prevent relapse and promote
long-term health and well-being. By making these changes, the patient can maintain his
independence and quality of life while managing his condition effectively.
Interdependence adaptation encouraging patient’s relative to participate in patient’s care
and to provide emotional support.
Goals:
Improved physiologic adaptation: Patient's physical symptoms are well-managed, and their
overall health has shown noticeable improvement.
Enhanced self-concept: Patient has a realistic and positive understanding of their condition, and
its impact on their life.
Effective role function: Patient is able to perform most daily activities with minimal assistance
and maintain their roles within the family and community.
Strong support network: Patient has a supportive network of relationships that promote their
emotional and physical well-being.