The Roy Adaptation Model: Kleinman's Explanatory Model

The term ‘stress’ was generally thought to have been a concept created by Robert Hooke in the 17th century. He worked on the design of physical structures, such as bridges; his concept of stress came from how much pressure a structure could withstand. However, Lazarus (1993) pointed out that the term ‘stress’ has been used as far back as the 14th century, when it meant hardship or adversity. Back then it referred to the external stressor, such as the death of a spouse or financial worry; in the 20th century, there are many different schools of thought on this area. Hans Selye (1956), brought together the work of Cannon and Bernard and devised a comprehensive system of physiological stress; which he termed the ‘General Adaptation Syndrome’,

Mishel’s Uncertainty of Illness Theory is a middle-range theory (Black, 2014). This means the theory is not overly broad or narrow. The theory was developed from studying men with prostate cancer who were watchfully waiting for the advancing signs of their disease (Black, 2014). The theory has three main components, which incorporate: the antecedents of uncertainty, impaired cognitive appraisal, and coping with uncertainty in illness (Neville, 2003). The antecedents of Mishel’s theory are the stimulus frame, cognitive capacities and event congruence (Neville, 2003). The stimulus frame concerns three parts including: symptom pattern, event familiarity and event congruency (Neville, 2003). Symptom pattern may be when symptoms of

They also each place little emphasis on diagnosis within the medical model. Within narrative therapy, Michael White argues that diagnoses are “totalizing techniques” that actually maintain rather than solve the problems of living (Carr, 1998, p. 486). When looking at family systems and The Family Crucible the client is the family, not the individual, so a medical diagnosis would not make sense.

Nursing practice has revolutionized itself throughout the years. Today we realize the causes of current illnesses as complex and multifaceted (source). In past models, for instance the medical model, the approach was straightforward and neglected the patients active involvement in their care; the patient was viewed as the passive recipient and the doctor, an active agent that “fixed” their patients. ( source). New developed models since then, such as the biopsychosocial model, show us that care focuses on many factors. The model demonstrates understanding of how suffering, disease, and illness can be associated by many factors seen at the different levels in society and the medical sciences (source). Caring for each component is

Story Theory is a middle-range theory put forward by Mary Jane Smith and Patricia Liehr in 1999. They believe that stories are an essential part of nursing practice. They believe that stories are just as important to diagnose and treat as the physiologic bodily responses of the patient. In fact, often it is the stories that clarify and give meaning to the measurements of physiologic response. Smith and Liehr posit that all nursing encounters take place within the framework of a story.

Acknowledging how the patient perceives illness and health, helps in understanding the beliefs and how they relate with preventing

Arthur Kelinman developed the explanatory model of illness which incorporates a series of questions that is unique to a patient’s illness to develop a treatment plan. This model assesses how patient illnesses are associated with the environment and the culture around them, while also “seeking the how, why, what, when, where, and what next of illness, disease, and health experience” (“Explanatory Model”). Asking the patient what is their opinion on what caused their illness and how they believe it should be treated will help identify their beliefs and help when planning an intervention.

It focuses on the diagnosis and treatment of the illness, however, in its most narrow form can sometimes fail to address some other important influences on health and wellbeing. The medical model is concerned with the pursuit of cures for the disease.

suffering from some type of illnesses. I will explore these two researchers’ theories and discuss

In order to understand health, different models or frameworks for thinking have been developed which have been useful. The Biomedical model which evolved since the 19th century from Galen’s (Greek physician 200AD) concept of pathogen, focused on removing the disease/disability and not on prevention or general well-being [9]. The Biopsychosocial model however, doesn’t merely focus on the physical state of

Roy’s adaptation model is described as promoting a person’s adaptation in the four adaptive models which include physiologic needs, self-concept, role function, and interdependent relations (Hood, 2014, p. 135). Roy uses the approach of adaptation in the response to external stimulus. A stimulus can elicit a response, but it is the way that a person can adapt to the stimulus that will allow the person to cope (Roy, 2014, p.135). For example, a person may encounter an illness but how the person deals with it and the resources at hand will make the difference in their coping. Roy describes that there are two coping mechanisms that can affect our mind and also our body systems (Hood, 2014, p.134).

The phenomenology of illness and disease explains on how it is like to have a disease or illness. Getting diagnosed with a disorder or disease can be very confusing and stressful. Getting all the information needed to be able to understand your diagnosis can help overcome stress and clear all confusion from your mind. Maintaining a healthy diet and healthy mind will help understanding your body and keep it from illnesses.

It is the trial examination of how and why individuals make through the range of their life his field breaks down change over a vast extent of subjects including motor aptitudes, scholarly headway, official limits, moral perception, social change, personality, eager change, and self-thought and character plan.

This essay demonstrates my understanding of the psychological theories and concepts which were discussed in lectures as I have applied this knowledge to the case example. I have employed two psychological topics such as the Humanistic perspective of personality and Stress and Coping theory.

investigate how my personal ability to manage change has shaped my leadership of educational change. This discussion will be blended with examples of change in my personal life, my own leadership experience and references to the literature in the field of leading educational change.