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Essay / Research Paper Abstract
A 4 pages research paper that examines Calista Roy's Adaptation Model, which is an example of the totality paradigm, and Betty Neuman's Health Care Systems Model, which is an example of the simultaneity paradigm in regards to the changing life expectations involved in a diabetes prognosis. Bibliography lists 5 sources.
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4 pages (~225 words per page)
File: D0_khtotsim.rtf
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aid the patient in coping with the prognosis. For example, millions of adults face living with the changing expectations that result from a diagnosis of type 2 diabetes mellitus. Without
successful intervention, this disease can cause complications such as blindness, heart disease, stroke, renal failure, amputation and nerve damage. However, strict metabolic control of blood glucose levels can significantly reduce
the rates of diabetic complications. Nursing practice can facilitate the life changes necessary for the diabetic individual to live with this condition. Nursing theory can be instrumental in obtaining positive
outcomes for these clients. Calista Roys Adaptation Model, which is an example of the totality paradigm, and Betty Neumans Health Care Systems Model, which is an example of the
simultaneity paradigm are two examples of nursing theory that have proved instrumental in aiding patients in coping with changed expectations. However, before examining these nursing models more closely, it is
instructive to look at what is meant by totality and simultaneity paradigms. The totality paradigm refers to nursing frameworks or theories that as associated with the medical model tradition
(Oberle and Allen, 2002). In other words, this perspective focuses on the "promotion and maintenance of health and prevention of illness" (Oberle and Allen, 2002). To accomplish these goals, specific
regimes and goals are instituted to bring about change that is viewed to be best for the people involved (Oberle and Allen, 2002). In contrast, the principal focus of the
simultaneity paradigm is on the clients perspectives of their own health situations and their desire to change. Therefore, Oberle and Allen (2002) state that "no specific regimes and goals (are)
established to meet societal norms." Roys Adaptation Model sees the person as a "bio-psychosocial being forming a unified system that seeks equilibrium" (Elmore, 2003). Roy sees health in terms
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