Roy Model Nursing Process

1
Roy Model Nursing Process

• Nutrition

2

• Roy, C. Andrews, H.A. The Roy Adaptation Model
  The Definitive Statement. (1991). Norwalk, Conn
  Appleton Lange.
• Chapter 5

3
Nutrition

• Part of Physiological Mode
• Need is for Physiological Integrity

4
Four Complex Process related to Physiological
Adaptation

• Senses
• Fluids and electrolytes
• Neurological function
• Endocrine Function

5
Assessment of Behavior

• Appetite and Thirst
• Height and Weight
• Eating Patterns

6
Assessment of Behavior

• Food Allergies
• Condition of Oral Cavities
• Altered Ingestion
• Sense of Taste and Smell

7
Assessment of Stimuli

• Integrity of the physiological mode
• Cognator Effectiveness
• Medication
• Caloric Requirements

8
Assessment of Stimuli

• Conditions of the Oral Cavity
• Availability of food
• Conditions of Eating

9
Assessment of Stimuli

• Culture
• Cues for Eating
• Weight Consciousness

10
Nursing Diagnoses Examples

• Weight 49 above average related to diet
  exceeding the body requirements and high in fat
  content

11
Nursing Diagnoses Examples

• Altered nutrition More than body requirement
  due to excessive intake of food during stressful
  situations

12
Nursing Diagnoses Examples

• Anorexia related to peer pressure and low
  self-esteem

13
Nursing Diagnoses Examples

• Altered nutrition, less than body requirements

14
Nursing Diagnoses Examples

• Nausea and vomiting, related to radiation therapy

15
Nursing Diagnoses Examples

• Difficulty in adjusting to dietary restrictions

16
Nursing Diagnoses Examples

• Impaired swallowing

17
Nursing Diagnoses Examples

• Nutritional deficiency in __________ related to
  low intake _______ foods

18
Goals

• Measurable
• Observable
• Written for patient not nurse

19
Goals

• Weight gain or loss
• Change in foods eaten to meet nutritional needs

20
Goals Example

• The clients diet will contain no more than 30
  fat.
• The incidence of nausea and vomiting will
  decrease to once per_____ (day, week).

21
Goals Example

• The client will express that he is able to cope
  with the feeling of nausea.

22
Interventions

• Alter
• Increase
• Decrease

• Remove
• Maintain Stimuli

23
Interventions

• Select stimuli to change based on highest
  probability and value to meet goal.Consequence,
  Probability, Value

24
Interventions

• Select strategies for nutrition such as
• Exercise
• Stress reduction

25

• Substitute other activities if eating due to
  boredom, anxiety or loneliness
• Eat Slower

26

• For N V behavior, change environment if orders,
  tastes or sights are stimuli
• For N V, bland foods, crackers (no salt may be
  important), ice chips

27

• If pain is the stimuli, relieve pain

28
Evaluation

• Measurable
• Based on goals (One for each goal)