Sister Callista Roy

PHD, RN, FAAN

 “When push comes to a shove, we will
seldom disappoint ourselves. We all harbour
greater stores of strength than we think.
Adversity brings the opportunity to test our
mettle and discover for ourselves the stuff of
which we are made.” Sister Callista Roy

Nursing Theories. Sister Callista Roy Adaptation Theory.18 July,2008. 22 Aug,

2009.<http://nursingtheoriesblogspot.com/2008/07/sistercallista-roy-adaptation-

theory.html> .
 4 Modes of Adaptation
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
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
 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
 Interdependence

Need is to achieve
relational integrity
using process of
affection adequacy,
i.e., the giving and
receiving of love,
respect, and value
through effective
relations and
communication .
 How should the nurse
prioritize the client’s
needs?
1. Physiological-Physical- nutritional, elimination,
activity and rest, senses, fluid
 2. Self Concept- pt expresses sadness and
inadequacy due to his disability. (spiritual integrity,
meaning, purposefulness of life)
 3. Role Function- lack of social and functional
integrity
 4. Interdependence – Inadequate emotional support
and inter relationship
Would the integration of
another theory be
necessary?
 Hildegard Peplau – To develop an
interpersonal interaction between client
and nurse.
 Virginia Henderson- To assist the client
in gaining independence as rapidly as
possible.
 Betty Neuman- to address the effects if
stress and reactions to it on the
development and maintenance of
health.
 Functional
patterns- activity
levels
 Activity / Exercise
 Nutritional/ Metabolic
 Sleep/ Rest
 Elimination
 NIC
Activity Therapy Emotional
( 4310 ) support( 5270)

•Facilitate activity substitution •Assist patient in recognizing

when patient has limitations in feelings such as anxiety, anger,
time, energy, And movement. or sadness.

•Refer to community centers or •Encourage the patient to

activity Programs. express feelings of anxiety,
anger, or sadness
•Assist patient to develop self –
motivation and self-reinforcement
Family Involvement Pain Management
Promotion
•Identify family members’ •Determine the impact of the
capabilities for involvement in pain experience on quality of life
care of the patient ( e.g., sleep, appetite, activity,
cognition, mood ,relationships,
performance of job, and role
responsibilities).

•Provide information about the

pain, such as causes of the pain,
how long it will last, and
anticipated discomforts from
procedures.

•Select and implement a variety

of measures
(e.g., pharmacological,
nonpharmacological,
interpersonal) to facilitate pain
relief, as appropriate.
 NOC
Family Coping Activity tolerance

•Involves family members in •Ease of performing activities

decision making of daily living ( ADL ).

•Ability to speak with physical

•Seeks family assistance when activity
appropriate.
 Presented by:

Henry Rodriguez Medina

Malika James
Melinda Fontaine
Latisha Weekes