Roy's Adaptation Model
These are the three types of stimuli noted in Roy’s Adaptation Model.
What are focal, contextual, and residual stimuli?
Name two physical warning signs of an eating disorder that may indicate medical instability.
What is... bradycardia, hypotension, dizziness, fainting, electrolyte imbalances, weakness, lethargy, etc.
Student-athletes like Isabelle may experience increased stress when trying to balance these two major commitments.
What are academics and athletics?
Rachel ensures Isabelle's concerns about academics and wrestling are included in discussions about her treatment. This demonstrates which nursing responsibility?
What is patient advocacy?
Nurses monitor these three vital signs to identify complications of eating disorders.
What are heart rate, blood pressure, and temperature?
These are the two main coping mechanisms used by individuals in Roy’s Adaptation Model.
What are the regulator subsystems and cognator subsystems?
This potentially life-threatening complication can occur when nutrition is reintroduced too quickly after prolonged malnutrition.
What is refeeding syndrome?
This psychological phenomenon involves feeling mentally and physically exhausted due to prolonged academic and athletic stress.
What is burnout?
Nurses use encouragement, empathy, and respect to build this type of relationship with patients.
What is a therapeutic relationship?
Name TWO sport-related factors that may increase a student-athlete’s risk of developing an eating disorder.
What are pressure to maintain a certain weight, frequent weigh-ins, comments from coaches or teammates about weight, or pressure to improve athletic performance?
This type of stimulus is the main, immediate factor confronting a person that requires adaptation.
What is focal stimulus?
This electrolyte is particularly important to monitor during nutritional rehabilitation because a significant decline can indicate refeeding syndrome.
What is phosphate?
This vital sign may be unusually low in well-trained athletes, but should not automatically be considered normal when accompanied by dizziness and electrolyte abnormalities.
What is heart rate?
Name TWO nursing interventions that support patients with anorexia nervosa during treatment!
What are patient education, encouragement, monitoring treatment adherence, or role modelling?
This eating disorder screening tool consists of five yes-or-no questions.
What is SCOFF?
S - Do you make yourself vomit (Sick) because you feel uncomfortably full?
C - Do you worry that you have lost Control over how much you eat?
3. O - Have you recently lost more than 15 pounds (One stone) in a 3-month period?
4. F - Do you believe you are Fat when others say you are too thin?
5. F - Would you say that Food dominates your life?
In the anorexia nervosa application of the model, autonomy/sense of control represents this adaptive mode from the general model.
What is role function?
This healthcare professional works with the team to develop an individualized nutritional rehabilitation plan for patients like Isabelle.
Who is a registered dietitian?
As a university wrestler, Isabelle competes in a sport where athletes are divided into categories based on this physical measurement to ensure fair competition.
What are weight classes?
Isabelle’s nurse listens to her concerns and builds trust with her. Which CNO Entry-to-Practice Competency role is this?
What is the Communicator role?
What does the NDEIC stand for?
What is National Eating Disorder Information Centre
Out of the three levels of adaptation, Isabelle is currently experiencing this level.
What is the compromised level?
This eating disorder is characterized by significantly restricted food intake, an intense fear of gaining weight, and a distorted perception of body weight or shape.
What is anorexia nervosa?
This condition can occur when an athlete's energy intake is insufficient to support both exercise demands and normal physiological functioning
What is Relative Energy Deficiency in Sport (RED-S)?
Rachel uses research findings and critically appraises scientific evidence to determine whether a nursing intervention is appropriate for Isabelle. Which CNO Entry-to-Practice Competency role is she demonstrating?
What is the Scholar role?
Isabelle is 17 years old and wants to make her own treatment decisions. Under Ontario's Health Care Consent Act, a patient must demonstrate these TWO abilities to be considered capable of consenting to treatment.
What are the ability to understand relevant information and the ability to appreciate the consequences of a decision?