Background: The critical care management of patients with both perforated peptic ulcer and vocal cord tumor presents a complex clinical challenge that requires a comprehensive and individualized approach. This case study reported the application of Roy's Adaptation Model (RAM) in providing effective care for a 70-year-old patient with this dual diagnosis. The patient was confronted with the threat of a newly diagnosed cancer risk of upper airway obstruction and encountered the stress of critical illnesses, which prompted this case study. This care study aimed to demonstrate how to apply RAM in acute care settings to help patients and their caregivers cope with the disease process, optimize their functional health status, and provide holistic care.

Methods: This case study was guided by the theoretical framework of RAM, developed by Sister Callista Roy. It was conducted in a Hong Kong tertiary Hospital. The study systematically identified physiological, psychological, and social stimuli that impact patient adaptation. Based on the assessments, nursing interventions were tailor-made to promote patient adaptation. The study systematically illustrated how RAM enables individualized care addressing specific adaptive needs and why continuous evaluation and modification of interventions are vital to optimize patients' adaption process. The study highlighted collaboration among the healthcare team to ensure comprehensive and patient-centered care.

Conclusion: By applying RAM in care for older adults with complex healthcare conditions, healthcare professionals gain insight into patient adaptation and provide holistic care. The study illustrated RAM can facilitate effective assessment, intervention, and evaluation, ultimately improving patient outcomes and care quality.

Authors:
Chung Ming Timothy Wu, Hong Kong Metropolitan University, Hong Kong
Hiu Ying Ngai, Hong Kong Metropolitan University, Hong Kong

About the Presenter(s)
Mr. Timothy Wu is currently a Senior Lecturer and Associate Programme Director of the Bachelor of Nursing with Honours in General Health Care Programme at the School of Nursing and Health Studies, Hong Kong Metropolitan University (HKMU).

See this presentation on the full schedule – Wednesday Schedule

Bookmark