- It is a reflection of adaptation that is the
interaction of the person & the environment
- Adaptation is defined as the process and outcome
whereby thinking and feeling, as individuals and
groups, use conscious awareness and choice to
create human and environmental integration.
- Nursing is the science and practice that expands
Roy’s goal of nursing is the promotio
adaptation in each of the 4 modes thus contributing
to health, quality of life and dying with dignity.
- Nursing is about the increase, enhancement,
modification and alteration of the stimulus to
The Roy Adaptation Model (RAM)
THE KEY CONCEPTS:
The person is adapting in a stable interaction with
the environment, either internal or external.
The environment serves as the source of a range
of a stimuli that will either threaten or promote
the person’s unique wholeness.
s major task is to maintain integrity in
face of these stimuli.
the degree of wholeness achieves by
adapting to changes in needs.
is a set of parts connected to a function
as a whole for some purpose & that does so by
virtue of the interdependence of its parts
- Roy considers the recipient of care to be an open
- React & interact with other systems in the
- Have boundaries that are flexible & open to permit
- Employ a feedback cycle of
input, throughout &
defined as stimuli which can come
from the environment or from within a
makes use of a person’s
processes & effectors
mechanisms that a person uses as an
function, self-concept & role function
involves in adaptation
is the outcome of the system,
when the system is a person, the output
refers to the person’s behaviors
Categories of Output:
those that promote integrity
in terms of the goals of the human system
those that contribute to
integrity in terms of the human system
Types of Stimuli (
the internal or external stimulus most
immediately confronting the person, it attracts the