Plan of Care within Adaptation Model of Nursing

Plan of Care within Adaptation Model of Nursing

Introduction

There have been a lot of contributions to the field of nursing. One such contribution is of Sister Callista Roy. She developed the Adaptation Model of Nursing and helped in analyzing the individuals in a different manner. According to this theory, the human being can be seen as a set of systems that are interrelated, which includes, social, psychological and biological. In accordance with this theory, the individual ensures that he is able to maintain balance in between the world and the systems; however, there is no proper level of balance. There are four modes that are included in this theory; self-concept, interdependence, physiological and role function. In this manner, the individuals ensure that they are able to cope up with the situation appropriately. This paper will discuss the case of Mr. Issler and will present a plan of care in accordance with the theory presented by Sister Callista Roy.

Discussion

Mr. Issler is an old aged patient who has been suffering from Congestive Heart Failure (CHF) and Deep Vein Thrombosis (DVT). This has caused many problems for Mr. Issler. Currently he is in the emergency room of a hospital because as he soon as he got out of the plan he was pale. He is taking thyroid medications since a number of years. He is suffering from a lot of problems and it can be said that all the diseases combined and the medications are causing serious problems for him (Chapman, 1983). According to the theory, the patient should be able to deal with the stressors and make sure that the environment around him is helping him to cope with the disease that he is suffering from. The plan of care for Mr. Issler is as follows:

Initially, the behaviour of the patient should be assessed. Mr. Issler's behaviour should be evaluated in each of the four modes mentioned above, i.e. self-concept, interdependence, physiological and role function. This will help in curing the patient in the right manner because the behavior of Mr. Issler will be evaluated. His behavior should then be compared with the norms and it should be concluded whether his behavior is ineffective or is adaptive. Next, the factors that influence Mr. Issler and his behavior should be studied. This will help in understanding the situation in a much better manner and in making sure that the patient recovers in the best possible manner. These factors are known as stimuli and are characterized as residual, focal or contextual (Tolson & McIntosh, 1996).

Nursing diagnosis is the next step that is included in the plan of care. The inappropriate behavior of Mr. Issler will be studied here and then the causes related to this behavior will also be mentioned and discussed. This will help in ensuring that the real causes behind his behavior and will help the nurse and the doctor in treating him in a manner that will help him. Goal setting is the next important thing ...