NR 501 Week 3 Discussion-Steps of Concept Analysis
The third article focused on using Roy’s adaptation Model on the adaptation of older adults in end-of-life decisions. Zhang contrasts the preparation of advanced directives and its impact on end-of-life decisions and adaptations. Many other factors influenced the patient’s adaptability. These include age, gender, family relationships, and health issues. The end of life can be stressful to adapt to. According to Roy, patients mobilize in all ways possible to adapt to stressful situations[ CITATION Zha13 \l 1033 ]. Zhang concluded that patients who prepared a living will in advance displayed signs of better coping and adaptability to end-of-life decisions.
The fourth article focused on a newly diagnosed Hemodialysis patient and the development of a patient-specific care plan and patient-specific education to help adapt to the new diagnosis[ CITATION Afr13 \l 1033]. The ability of the patient to shift their behavior and actions specific to one’s illness is important. The article stressed nurses’ importance in individualizing the patient’s care plan. Roy’s adaptation model helped to individualize the care plan. Utilizing Roy’s adaptation model helps to bring theory to practice. Using the model helped the patient cope with their new illness.
The fifth article focused on the Relationship between family cohesion and adaptability and quality of life of caregivers of children with (ASD) Autism spectrum disorder. The article concluded that the family of patients with (ASD) had higher family support (Lei, 2018).
This support helped the patient and family manage the illness and balance properly. Family cohesion and adaptability had a positive outcome on Family Life. Lei further illustrated that illnesses may affect patients and family members [ CITATION Lei18 \l 1033 ]. In this scenario, role function mode in Roy’s adaptation model was the primary Concept used to examine the role of adaptation, and it rendered positive outcomes. The last article focused on Roy’s adaptation model related to Chronic Obstructive Pulmonary disorder[ CITATION Aky12 \l 1033 ]. Increased adaptation to the illness was noted with the utilization of Roy’s adaptation model to outline the plan of care.
Defining Attributes
Three attributes of adaptation are coping, education, and support. These three attributes help to promote adaptation in various clinical situations. Utilizing Roy’s Adaptation Model, a patient physiological, self-concept, role function interdependence mode, and role function mode are key in healing. When examining each mode, a care plan is derived to optimize patient care. The physiologic mode focuses on the immediate symptoms of an illness—and the self-concept mode focuses on developing a positive body image. The role function mode focused on self-love and relationships. The interdependence mode helps identify effective coping mechanisms related to family support. These modes help to formulate an individualized care plan with relevant interventions to aid patient recovery and adaptation to their new illness. Ursavas stressed the importance of using these modes[ CITATION Urs14 \l 1033 ]. Ursavas further stressed how essential theories are in nursing care and how nursing practice is enhanced[ CITATION Urs14 \l 1033 ].
Antecedent & Consequence
One antecedent would be a new diagnosis of a chronic illness. In this scenario, patients and nurses must adapt to have the correct coping mechanisms to deal with the situation. Consequently, these health-related changes will imbalance one’s previous quality of life. When patients can cope with illnesses, improved outcomes are reported. Patients are also able to understand their illnesses. This improves patient compliance and may decrease repeat hospitalizations. According to Rogers, adaptation is the primary Concept in Roy’s adaptation model [ CITATION Rog12 \l 1033 ]. Rogers further emphasizes that patients who reported adaptability and proper coping mechanisms had better outcomes in their disease process. This demonstrates that adaptation to illnesses improves patient quality of life.