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Roy Model Nursing Process

Roy Model Nursing Process. Nutrition. Roy, C. & Andrews, H.A. The Roy Adaptation Model: The Definitive Statement. (1991). Norwalk, Conn: Appleton & Lange. Chapter 5. Nutrition. Part of Physiological Mode Need is for Physiological Integrity.

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Roy Model Nursing Process

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  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 client’s 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. Alter Increase Decrease Remove Maintain Stimuli Interventions

  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)

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