A 23-Year-Old Male Patient Admitted With C6 Fracture ✓ Solved
A 23 Year Old Male Patient Is Admitted With A Fracture Of C6 And C7 Th
Use Roy’s criteria to identify focal and contextual stimuli for each of the four adaptive modes. Consider what adaptations would be necessary in each of the following four adaptive modes: (1) physiological, (2) self-concept, (3) interdependence, and (4) role function. Create a nursing intervention for each of the adaptive modes to promote adaptation.
Sample Paper For Above instruction
Introduction
Functional health patterns and nursing theories like Roy’s Adaptation Model are essential in understanding patient responses and planning appropriate interventions, especially in complex cases such as traumatic spinal cord injuries. This paper explores the application of Roy’s criteria to identify stimuli and necessary adaptations across four key adaptive modes—physiological, self-concept, interdependence, and role function—in a young male patient with C6-C7 fracture resulting in quadriplegia. Additionally, nursing interventions are proposed to promote effective adaptation in each mode, ensuring holistic patient care.
Focal and Contextual Stimuli Based on Roy’s Criteria
Physiological Mode
Focal stimuli: The primary focal stimulus is the spinal cord injury leading to paralysis and loss of sensation below C7, impairing respiratory function and mobility.
Contextual stimuli: The patient’s age, his athletic background as a quarterback, and emotional response to injury serve as contextual stimuli influencing physiological adaptation. His expectations for an active sports career and current physical limitations impact his recovery process.
Self-Concept Mode
Focal stimuli: The sudden loss of physical independence and identity as an athlete threaten his self-concept, creating feelings of worthlessness and despair.
Contextual stimuli: The upcoming professional career negotiations and personal achievements contribute to his self-esteem and self-worth, which are challenged by his disability.
Interdependence Mode
Focal stimuli: Dependence on caregivers and medical staff for daily activities highlight interdependence challenges.
Contextual stimuli: His relationships with family, friends, and teammates influence his support system, affecting his adjustment and social interactions.
Role Function Mode
Focal stimuli: The inability to fulfill his role as a quarterback disrupts his sense of purpose and social identity.
Contextual stimuli: The societal perception of him as an athlete, along with his personal aspirations, influence his role adaptation within family and community.
Necessary Adaptations in Each Mod
Physiological
Adaptations include managing respiratory insufficiency, preventing pressure ulcers, and maintaining skin integrity, as well as promoting mobility through assistive devices and physical therapy.
Self-Concept
Enhancing coping strategies, fostering a positive self-image, and providing psychological support to address grief and identity loss are vital adaptations.
Interdependence
Facilitating social support and encouraging independence within the patient’s capabilities are necessary for healthy interdependence.
Role Function
Supporting the patient in discovering new roles, such as peer mentoring or advocacy, aids in assuming a functional and purposeful identity despite physical limitations.
Proposed Nursing Interventions
Physiological Mode
Implement respiratory exercises, skin care routines, and range-of-motion exercises to prevent secondary complications and promote physical health.
Self-Concept Mode
Provide psychological counseling, self-esteem enhancement activities, and involve family support to bolster mental resilience and self-worth.
Interdependence Mode
Develop a multidisciplinary support plan including social workers, therapists, and family to strengthen the patient’s support system and independence levels.
Role Function Mode
Encourage participation in adaptive sports, peer groups, or advocacy activities to foster new roles and social engagement, reinforcing a sense of purpose.
Conclusion
Applying Roy’s Adaptation Model in managing spinal cord injury emphasizes the importance of a holistic approach, addressing physical, psychological, social, and role-related needs. Tailored interventions across all four adaptive modes can significantly enhance the patient’s recovery, quality of life, and community reintegration.
References
- Roy, C. (2009). The Roy Adaptation Model. Pearson.
- Anderson, R. A., & McFarlane, J. (2005). Foundations of Nursing in the Community: Community-Oriented Practice. Saunders.
- Gilligan, R. (2011). The role of nursing theory in practice. Nursing Forum, 46(1), 14-24.
- Cherry, B., & Jacob, S. R. (2016). Contemporary Nursing: Issues, Trends, & Management. Elsevier.
- Sieloff, C. L. (2008). Model of Adaptive Learning as a Framework for Chronic Illness Management. Nursing Outlook, 56(1), 12-19.