For example, in an exam situation:
 focal - fear or anxiety related to failure
 contextual- noise, people talking ( these things will affect focal stimuli because it
affects focal
 residual - previous failure affects your belief on how you are going to do on this
exam
For example, a client going to an operation
Roy Adaptation Model 2012
Overview Roy Adaptation Model
Stimulae
Focal
Contextual
Residual
= Adaptation level
Integrated
Compensatory
Compromised
Input
Coping Mechanisms:
Regulator Subsystem
Cognator Subsystem
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 focal- fear of pain, fear of dying
 contextual- not understanding the situation
 residual - person in family had a similar situation
Regulator - receives stimuli
Cognator - encompasses psychosocial pathways and apparatus for
- perceptual processing
- learning
- judgement
Perception links cognator and regulator mechanisms.
Adaptive responses- promote integrity of person, in terms og foinf back and maintaining growth and
reproduction
ineffective responses - do no contribute to integrity and goals
Adaptation level - very subjective to an indivudal
1) integrated level - everything works well to meets the needs.
2) Compensatory level
3) Compromised level
FOUR MODES
Physiological
Self concept -
Role function- primary role - 19 years old
secondary role - student
tertiary role - member of ____
Interdependent mode - being in a relationship with others where you feel that a relationship is secure.
Having good relationships with husband and children
HEALTH -reflection of an adaptive system, we're always growing and integration represents soundness,
being complete, and unity
NURSING - promote adaptation of in each of the four modes. For example if the focal stimulus is pain, as
a nurse you should modify, reduce, or eliminate the stimulus. Focal stimulus can be taken away.