Roy Adaptation Model of Nursing (RAM) – Flashcards
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RAM Definition of Nursing
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Nursing is defined as a health care profession that focuses on the life processes and patterns of people with a commitment to promote health and full life-potential for individuals, families, groups, and the global society.
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RAM Elements
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Adaptation Person Environment Health Goal of Nursing
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RAM Nursing Process
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Assessment of Behavior Assessment of Stimuli Nursing Diagnosis Goal Setting Intervention Evaluation
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The Four Modes in RAM by the Individual
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Physiologic Mode Self-Concept Mode Role-Function Mode Interdependence Mode
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Adaptation
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RAM element. The process and outcome whereby the thinking and feeling person as individuals or groups use conscious awareness and choice to create human and environmental integration.
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Person
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RAM element. An adaptive system described as a whole comprised of parts. Functions as a unity for some purpose. Includes people as individuals or in groups (families, organizations, communities, and society as a whole).
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Environment
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RAM element. All conditions, circumstances, and influences surrounding and affecting the development and behavior of persons or groups with particular consideration of mutuality of person and earth resources including focal, contextual, and residual stimuli.
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Health
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RAM element. A state and process of being and becoming integrated and whole.
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Goal of Nursing
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RAM element. To promote adaptation for individuals in the four adaptive modes, thus contributing to health, quality of life, and dying with dignity by assessing behaviors and factors that influence adaptive abilities and by intervening to enhance environmental interactions.
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Assessment of Behavior
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First of the RAM Nursing Process.The indicator of how a human adaptive system manages to cope with, or adapt to, changes in health status is behavior. Involves gathering data about the behavior of the human adaptive system and the current state of adaptation.
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Assessment of Stimuli
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Second of the RAM Nursing Process. Involves the identification of internal and external stimuli that are influencing the behaviors.
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Nursing Diagnosis
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Third of the RAM Nursing Process. Statements that interpret the collected data.
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Goal Setting
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Fourth of the RAM Nursing Process. The establishment of clear statements of behavioral outcomes of nursing care. The general goal of nursing intervention is to maintain and enhance adaptive behavior and to change ineffective behavior to adaptive.
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Intervention
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Fifth of the RAM Nursing Process. The selection of nursing approaches to promote adaptation by changing stimuli or strengthening adaptive processes.
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Evaluation
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Sixth of the RAM Nursing Process. Involves judging the effectiveness of the nursing intervention in relation to the behavior of the individual or group.
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Physiologic Mode
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First of the Four Modes in RAM for the individual. Includes oxygenation, nutrition, elimination, activity and rest, protection, senses, fluid, electrolyte, and acid-base balance, neurologic function, and endocrine function.
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Self-Concept Mode
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Second of the Four Modes in RAM for the individual. Includes things such as body image, sexual function, coping strategies for loss, and self-esteem.
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Role-Function Mode
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Third of the Four Modes in RAM for the individual. Includes things such as role clarity, role transition, role performance, coping with role change, role integration and role mastery.
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Interdependence Mode
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Fourth of the Four Modes in RAM for the individual. Includes things such as dependency and independency, relationships, relations and communication, learning and maturing in relationships, and giving and receiving love, respect, and value.
