Sr Calista Roy

The Roy Adaptation Model

ASSUMPTIONS

Scientific

 Systems of matter and energy progress to higher levels of complex self-organization

 Consciousness and meaning are constitutive of person and environment integration

 Awareness of self and environment is rooted in thinking and feeling

 Humans by their decisions are accountable for the integration of creative processes

 Thinking and feeling mediate human action

 System relationships include acceptance, protection, and fostering of interdependence

 Persons and the earth have common patterns and integral relationships

 Persons and environment transformations are crated in human consciousness

 Integration of human and environment meanings results in adaptation

Philosophical

 Persons have mutual relationships with the world and God

 Human meaning is rooted in an omega point convergence of the universe

 God is intimately revealed in the diversity of creation and is the common destiny of creation

 Persons use human creative abilities of awareness, enlightenment, and faith

 Persons are accountable for the processes of deriving, sustaining, and transforming the universe

PERSONS AND RELATING PERSONS

 An adaptive system with coping processes

 Described as a whole comprised of parts

 Functions as a unity for some purpose

 Includes people as individuals or in groups (families, organizations, communities, nations, and society as a whole)

 An adaptive system with cognator and regulator subsystems acting to maintain adaptation in the four adaptive modes: physiologic-physical, self-concept-group identity, role function, and interdependence

Adaptive Modes Individual Group

Physiologic-physical Five needs - oxygenation, nutrition, elimination, activity and rest, protection

Four complex processes-senses; fluid, electrolyte, and acid-base balance; neurologic function; endocrine function Operating resources: participants, capacities, physical facilities, and fiscal resources

Self-concept-group identity Need is psychic and spiritual integrity so that one can be or exist with a sense of unity, meaning, and purposefulness in the universe Need is group identity integrity through shared relations, goals, values, and coresponsibility for goal achievement; implies honest, soundness, and completeness of identifications with the group

Role function Need is social integrity; knowing who one is in relation to others so one can acct; role set is the complex of positions individual holds; involves role development, instrumental and expressive behaviors, and role taking process Need is role clarity, understanding and committing to fulfill expected tasks so group can achieve common goals; process of integrating roles in managing different roles and their expectations; complementary roles are regulated

Interdependence Need is to achieve relational integrity using process of affectional adequacy, i.e., the giving and receiving of love, respect, and value through effective relations and communication Need is to achieve relational integrity using processes of developmental and resource adequacy, i.e., learning and maturing in relationships and achieving needs for food, shelter, health, and security through independence with others

ENVIRONMENT

 All conditions, circumstances, and influences surrounding and affecting the development and behavior of persons and groups with particular consideration of mutuality of person and earth resources

 Three kinds of stimuli: focal, contextual, and residual

 Significant stimuli in all human adaptation include stage of development, family, and culture

HEALTH