Roy Adaptation Model

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PHILIPPINE WOMEN’S UNIVERSITY
SCHOOL OF DISTANCE EDUCATION
MASTER OF ARTS IN NURSING

SISTER. CALLISTA ROY’S
“ADAPTATION MODEL”
IN
SAN LAZARO HOSPITAL
NURSING SERVICE

BY
RONALD T. REYES, RN

ADAPTATION MODEL IN NURSING SERVICE

Assessing patients knowledge to her condition and to what a patient can do to cooperate and the availability of the resources, a nurse can have the all needed idea to what may be necessary intervention that is adequate to be implemented the patients care, not only that the nurse can maximized what intervention is necessary and can avoid unnecessary intervention, hence minimizing nurse efforts thus saving time, energy and resources. Sr. C. Roy approach when it comes to decision making and prioritizing needs is based on hierarchal bases perhaps same with Maslow’s but with the emphasis on how far did the patient already have cope-up with its condition, as human behavior was studied; when patient already finds meaning to its experience, as patients thinks (input process), he/she has the sensation and perception towards his/her condition, then he/she attempts to regain mastery over the event(central process) where there would be a concept formation, coding, memory of the event, he/she now have the idea on how to cope(output process), planning and motor response, a positive outcome by the effort to restore self-esteem through self-enhancing evaluation.

ADAPTATION MODEL IN NURSING SERVICE

Name of Hospital: SAN LAZARO HOSPITALHospital Code: A-5906 Address: Quiricada St. Sta. Cruz, ManilaHospital Number: 0690552

Patient’s Name: MONFERO, DANIEL ALIMAGNOWard: Adult Dept. Room 3-B 24/Adult

Address: 681 Baging Pook Balayhangin, Calauan, Laguna Sex: Male Status: M

Birthdate: 01/03/1948 Age: 64y/o Birth Place: Calauan, Laguna

Spouse Name: Florencia Monfero Nationality: Filipino Religion: CatholicAdmission Date:07/29/2012 Time: 11:15AM. Type of Admission: ‘D’

Admitting Physician: JOSEPH M. MANESE, MD Admitting Clerk: Raul F. Baldonido

Admission Diagnosis: TETANUS STAGE III

ADAPTATION MODEL IN NURSING SERVICE

ADMITTING HISTORY

CHIEF COMPLAINT:Inability to open mouth

HISTORY OF PRESENT ILLNESS:

1Week PTA > wound Right hand no consult done
4 days PTA > (+) Fever associated with chills, no consult done.
1 day PTA > (+) lock jaw, fever, rigidity of abdomen and upper extremity
Few Hours PTA > (+) lock jaw (+) abdominal rigidity low
appetite hence consult to San Lazaro Hospital.

Pertinent-Past Medical /Family History:

Patient conscious, coherent, afebrile
VS: Temp: 37.5C CR: 102 RR: 28 BP: 130/80
HEENT: pink palp. Conjunctiva, anecteric sclerae (-) NAD (+) trismus
Chest: SLE, clear BS
Abd: flat, (+) abdominal rigidity (-) tenderness
Heart: AP, NRRR, (-) murmur
Ext: forearm rigidity both

IMPRESSION:TETANUS STAGE III

PLAN:ADMIT TO PAVILION – 6

PHYSICIAN’S ORDER| LABORATORY |
7/29/1211:15am.>Admit to PAV. 6>Secure consent for admission & mgmt.>NPO temp.>Hook to o2 5-6 LMP via facemask>V/S q 4H>I/O q Shift>IVF: PNSS X12H>MEDS: ATS 20U IM ATS 20U IV Pen G 3Mil. Q 4H IV ANST( ) Metronidazole 500mg IV q8H ANST ( )>Refer>Addendum: Diazepam 1amp. Now then IM>Refer JOSEPH M. MANESE, MD Admitting Physician| >CBC w/ APC>U/A| 7/29/121:15pm.>NPO>IVF: D5LR 1L X 10HTX:>ATT 0.5mg IM-HOLD>ATS 20,000u IV ANST ( )>ATS 20,000u IM ANST ( )>Metronidazole 750mg IV once available then q6H ANST ( )>Diazepam 10mg IV now then q 4H>Diazepam 60mg+D5W200cc q 6H>Meropenem 500mg IV now then q 8H >V/S q...
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