Adaptation Model
Adaptation Model
Metaparadigm in Nursing
PERSON
View person as a biopsychosocial being in constant interaction with a changing environment
*Open adaptive system who uses skills to deal with stressors
Four adaptive modes: physiologic-physical,self concept-group identity,role function and
interdependence
4 adaptive Modes
1. Physiologic-Physical
Physical and chemical processes involved in the function and activities of living organisms
2. Self concept ( Group identity mode)
Psychological and spiritual integrity
3. Role function
Roles that individuals occupy in society fulfilling the need for social integrity
4. Interdependence Mode
Close relationship of people and their purpose
ENVIRONMENT
Conditions , circumstances and influences that surround and affect the development and behavior of
the person
Describe stressors as stimuli
HEALTH
Health and illness are a continuum with many different states or degrees possible
Process of being and becoming an integrated and whole person
ADAPTATION-process and outcome whereby thinking and feeling use conscious awareness and choice
to create human and environmental integration
NURSING
Science and practice that expands adaptive abilities and enhances person and environment
transformation
About the decrease, enhancement, modification and alteration of the stimulus to achieve adaptation
Key Concepts
Types of stimuli
2 categories of coping mechanisms
Regulator subsystem
Transpires through neutral,chemical and endocrine processes like the increase in vital signs, Increase
production of gastric acid, Rise in blood sugar level
Cognator subsystem
Occurs through cognitive-emotive processes – perceptual and information processing, learning,
judgement, and emotion
Nursing process
Goal-oriented, problem solving approach to guide the provision of comprehensive, competent nursing
care to a person or group of persons
Assessment
Data gathering about the behavior of the person as an adaptive system in each of the adaptive models
ASSESSMENT DATA
OBSERVABLE
NON OBSERVABLE
NURSING DIAGNOSIS
Formulation of statements that interpret data about the adaptation status of the person, including the
behavior and most relevant stimuli
Goal setting
Establishment of clear statements of the behavioral outcomes for nursing care which is realistic
and attainable
Done together with the client
Intervention
Determination of how best to assist the person in attaining the established goals
Evaluation
Judging the effectiveness of the nursing intervention in relation to the behavior after it was performed
in comparison with the goal established