Calista Roy Case Study
A 23-year-old male patient is admitted with a fracture of C6 and C7 that has resulted in quadriplegia. He was injured during a football game at the university where he is currently a senior. His career as a quarterback had been very promising. At the time of the injury, contract negotiations were in progress with a leading professional football team.
1. Use Roy’s criteria to identify focal and contextual stimuli for each of the four adaptive modes. Calista Roy Case Study.
2. 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.
3. Create a nursing intervention for each of the adaptive modes to promote adaptation.
Mr. C is a patient being treated for ongoing cardiac problems. He is 6 feet tall and weighs 147 pounds. He was admitted to the emergency room because a loved-one was concerned that he was extremely pale and sweating profusely following a flight. He is on medication for thyroid problems as well. His Creatinine levels are high as is his systolic blood pressure and BUN test. His hemoglobin and hematocrit is low. INR is normal. Here, a plan is presented for care for the patient using Sister Callista Roy’s theory.
Her theory of nursing hinges upon adaptive systems analytics (Farid, 2008). Based on this holistic understanding of healthcare, the following measures are suggested to isolate causative factors in patient’s condition (Enriquez, 2008).
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- Investigate potentially dangerous drug interactions. If any are found, have more compatible drugs prescribed.
- Interview Mr. C about recent eating habits. If he has eaten a lot of red meat it may account for the high Creatinine levels. Give him adequate water.
- Monitor to see if conditions improve with time. A combination of medications and illness coupled with high altitudes in a pressurized chamber might cause a sort of vertigo effect. Calista Roy Case Study.
- If all of these measures are unsuccessful at bringing the out of range values within normal range, Mr. C is probably experiencing kidney related complications as a result of a multifactor causes such as medication, altitude, lifestyle, and illness.
The imperative is to bring his vitals into normal range. From there, the deeper complications should be addressed by the medical staff.
References
Farid, K. (2008). Total contact casting as part of an adaptive care approach: A case study. OWM. Retrieved from http://www.o-wm.com/article/8892
Enriquez, E. L. (2008). A nursing analysis of the causes of and approaches for urinary incontinence among elderly women in nursing homes. OWM. Retrieved from http://www.o-wm.com/article/2734?page=0,5&mobify=0Calista Roy Case Study.