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Essay / Research Paper Abstract
A 6 page research paper that analyzes Callista Roy's Adaptation Model as an example of the totality paradigm and Betty Neuman's Health Care Systems Model as an example of the simultaneity paradigm. The writer uses the nursing concept of living with changing expectations in regards to the treatment of diabetes mellitus in evaluating these two models and perspectives. Bibliography lists 6 sources.
Page Count:
6 pages (~225 words per page)
File: D0_khroyneu.rtf
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Unformatted sample text from the term paper:
fact that they might have to endure pain or discomfort, or live with a condition for the rest of their lives. For example, strict metabolic control has been proven to
significantly reduce rates of diabetic complications, such as blindness, heart disease, stroke, renal failure, amputation and nerve damage. However, such strict control requires extensive lifestyle changes. For clients facing this
diagnosis, their expectations have changed dramatically and they must learn to live with this illness. Nursing practice has been shown to be instrumental in helping clients cope with this situation.
The following examination of this aspect of advanced nursing practice is explored from two perspectives: Callista Roys Adaptation Model as an example of the totality paradigm and Betty Neumans Health
Care Systems Model as an example of the simultaneity paradigm. However, before exploring both models, it is instructive to clarify what is meant by the totality and simultaneity paradigms.
Oberle and Allen (2002) state that the totality paradigm refers to frameworks or theories that are closely associated with the medical model tradition, that is, this perspective is concerned with
"promotion and maintenance of health and prevention of illness." To accomplish these goals, specific regimes an goals are instituted to bring about change that is viewed to be best for
the people involved (Oberle and Allen, 2002). 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." Furthermore, they stipulate that there is a strong theme prevalent in literature pertaining
to the simultaneity paradigm that indicates that the "nurse as expert" concept is a "paternalistic" anachronism carried over from the totality paradigm that is no longer consistent with nursing thought
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