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Roper Logan And Tierney Activities Of Daily Living Ppt To Pdf

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Report Download. The art of nursing has been characterised by a humanistic philosophy which values personal meaning, subjectivity and understanding. At the same time, in attempts to become scientific, there has been an acceptance of notions of science which are primarily based in a positivistic, empirico-analytical paradigm.

The model is widespread in the United Kingdom, especially in the public sector. The model is named after its developers: Nancy Roper , Winifred W.

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Roper-Logan-Tierney's Model for Nursing Based on a Model of Living

Background: Amyotrophic Lateral Sclerosis ALS is one of the chronic diseases that have an increasing prevalence, and ALS patients are dependent on others and nursed by their relatives at home rather than at a hospital.

The aim of this study was to determine the home-care needs and life quality of the patients with amyotrophic lateral sclerosis, the care-burden and quality of life of caregivers, and the efficacy of nursing education given to caregivers in line with their needs.

Methodology: Thirty patients and thirty caregivers participated in the study. This study employed a single-group, quasi-experimental, pretest—posttest design with repeated measures. The educational needs of caregivers were determined through the use of the cards prepared by the method of card sorting. Cluster analysis was done in order to evaluate the questions on the cards.

Results: The mean CBI scores of the caregivers participated in the study were found between The mean ADL scale scores of the patients and caregivers ranged from Conclusion : It was found that the training given on the subjects of patient care for which a need was felt by caretakers does not decrease the high burden of care.

It is of great importance to meet physical needs of the individuals with chronic diseases. Especially deterioration in daily living activities and limitation of physical activity cause these patients to feel most uncomfortable [ 1 ]. The individual or family with a chronic disease goes through personal and emotional loss owing to loss of self-reliance, self-respect, status in family and independence, rejection and despair [ 2 , 3 ].

Chronic diseases are the cases that require long-term monitoring, control, and care because of the fact that they may lead individuals to be dependent at varying rates in activities of daily living and may cause permanent impairment.

Since it is not possible to carry out monitoring and care in hospital environment, they should be carried out at home [ 4 ]. For this reason, there is a need for quality home care services. Home care is a part of comprehensive health care process that includes providing health services such as improving health, maintaining health, regaining health, minimizing the effects of a disease or impairment, maximizing the level of independence, providing end-of-life care in the places where the individuals and families live [ 5 ].

Amyotrophic Lateral Sclerosis ALS is one of the chronic diseases that have an increasing prevalence, and ALS patients are dependent on others and nursed by their relatives at home rather than at a hospital [ 6 ].

Amyotrophic Lateral Sclerosis ALS is a neurodegenerative disease of unknown etiology that affects the population of motor neurons located in motor cortex, brain stem, and spinal cord. The incidence of ALS in the society is 0. Epidemiological predictions show that the incidence of ALS is going to increase in the next ten years, and this increase is going to stem from disease-specific findings rather than economic conditions or health care services [ 4 , 10 ].

Even though ALS can be seen in both genders, it can be observed 1. Moreover, it is stated that there is a slight female preponderance in bulbar-onset ALS, yet there are not consistent data on gender in familial ALS cases [ 9 , 11 , 12 ].

The fact that ALS patients are looked after by their families causes physical, psychological , social and economic problems for patients and their families [ 12 , 13 ]. The fact that individuals are nursed by their relatives makes them feel physically and psychologically better. However, the studies done indicate that caregivers meet some problems [ 14 , 15 ]. It is highlighted that especially an old-aged caregiver, working life, and inadequate social support may increase the risk [ 13 ].

The aim of the present study was to explore the home-care needs and quality of life of the patients with Amyotrophic Lateral Sclerosis ALS , the care-burden and quality of life of caregivers, and the efficacy of nursing education given to caregivers in line with their needs.

This study employed a single-group, quasi-experimental, pretest— posttest design with repeated measures. A sampling selection was not made in the study. The patients and primary caretakers who met the criteria for participation in the study were accepted into our study that lasted from May to November The criteria for participating in the study were that both the patients and the caregivers should be over 18 years of age, that they voluntarily accepted participating in the study, that they did not have any cognitive and psychological problems and that they were patients who had been diagnosed with Amyotrophic Lateral Sclerosis ALS and were cared for by primary caretakers in their own homes.

The study was started by reaching the addresses and telephone information of the patients with ALS who were registered in the neurology clinics of two university hospitals and two research training hospitals in western Turkey.

The patients and caregivers were reached by telephone and told about the importance and purpose of the study. The patients and caregivers who agreed to take part in the study were visited in their homes at a time and on a day when they were available.

It was aimed in the first stage of the study to determine the participation of patients and caregivers in daily living activities ADL and their positions of receiving help, qualities of life and the burden of caregivers and the areas of training for which they felt a need. These forms were filled in by the patients and caregivers themselves or by the researchers in cases where the patient was illiterate or with motor skills disorder during face-to-face interview.

The caregivers were asked to determine the areas they needed to get education about through 16 cards that included important questions and were prepared by the method of card sorting in order to determine the needs of caregivers [ 20 - 22 ]. Moreover, they were asked to write another important problem to them which was different from the ones on the other cards on the sixteenth blank card Box 1. It took approximately 10 minutes for the caregivers to understand the questions included on their cards and to list them in order of importance.

A visual presentation was prepared for caretakers according to the training needs they determined by using the Power Point program. The training given lasted an average of 40 minutes. The answers are scored on a scale of 0 through 4.

Score interval is The Duke Health Profile is a item scale. It measures six functional areas including physical health , mental health, social health, general health, perceived health, and self-esteem; and five dysfunctions including anxiety, depression, anxiety-depression, pain, and disability.

The scale is scored from 0 to A high score indicates high quality of life; a low score indicates low quality of life [ 17 , 18 ].

Included in the booklet are the physical, social and mental problems experienced due to the ALS disease and the care suggestions for these problems. Caregiver burden inventory: It is used for determining the difficulties caregivers encounter while taking care of their patients and their state of having difficulty in providing care. Novak and Guest developed the Caregiver Burden Inventory that measures the five factors of burden time-dependence, developmental, physical, social, and emotional considering the idea that burden is multi-dimensional.

This inventory is a item Likert-type scale. Each factor can be scored from 0 to Scoring is done this way: never 0 point , rarely 1 point , sometimes 2 points , quite frequently 3 points , nearly always 4 points. The total score of each individual ranges from 0 to A high score indicates high level of burden; a low score indicates low level of burden [ 19 ]. Data were analyzed using the Statistical Package for the Social Sciences ver. Descriptive statistics, such as means, standard deviations SD , and percentages, were used to describe the demographic and clinical characteristics of the participants.

The study was approved by the Ethics Committee of School of Nursing,? Permissions were received from the hospitals where the research was carried out. Furthermore, in order to realize the study, written permissions were obtained from the scale authors and patients and caregivers accepting to participate in the study. Thirty patients were reached within the scope of the study.

Ninety percent of the caregivers within the scope of the study were female, The ALS diagnosis age of The patients also stated that they had endocrine-metabolic Sixty-three percent of the patients stated that their disease affected their economic situation; The caregivers were asked to determine the areas they primarily needed to get education about through 16 cards that included important questions and were prepared by the method of card sorting in order to determine the needs of caregivers [ 20 - 22 ] Questionnaire 1.

Therefore, they put the problems on each card in order of importance. My patient frequently suffers from constipation, what can I do to prevent it? My patient cannot cough and cannot expectorate phlegm. What is the harm of for this problem? What should I do if respiratory distress develops in my patient? The lowest and highest values, mean scores, standard deviation values of the responses given by the caregivers participating in the study to the CBI and its sub-dimensions were calculated.

According to this, the pretest and posttest application total mean scores of the scale ranged from Table 2: The distribution of the responses given by the patients and caregivers to the scales used in the study. According to this result, that the caregivers were given one-to-one education in parallel with their needs increased their quality of life and this also had an effect on the patients.

It can be said that the education had a positive effect on the quality of life of both the patients and caregivers. Questionnaire 1 The list for the problems the caregivers needed education about. According to these findings, it can be said that the more the patients participated in daily living activities, the higher their quality of life.

The pretest and posttest application total mean scores of the DUKE scale of the caregivers were found between The lowest and highest values mean scores, and standard deviation values of the responses given by the caregivers and patients to the ADL scale were calculated, and the total mean scores of the scale were found between As a result of the posttest application of the CBI, the relationship among all the items total mean scores was found significant.

The fact that the patients are cared for by their family members makes them feel physically and psychologically better. However, the studies done indicate that caregivers meet some problems while giving care. In a study realized by Navaie-Waliser et al. The findings of this study accord with the findings of ours.

The difficulties caregivers face makes them suffer from social, physical, mental and economic problems. Especially the restriction of freedom of the caregivers who give care at home affects their state of mind negatively and leads them to suffer from depression [ 3 , 14 ].

In a study on ALS patients and caregivers that was realized by Gaiuthier et al. It is determined by comprehensive clinical researches that this disease occurs more frequently in men than women.

This rate ranges from 2. It is stated in a study on the care-burden of caregivers of ALS patients that was realized by Chio et al. The results of these studies are consistent with the results of our study. Ninety percent of the caregivers who participated in the study were female and These data are consistent with the data of the research below. To illustrate, In a study done by Gaiuthier et al.

It was determined in a study realized by Dramal? It was determined in Altun et al. It was also stated that

Nursing Theories and Theorists

Background: Amyotrophic Lateral Sclerosis ALS is one of the chronic diseases that have an increasing prevalence, and ALS patients are dependent on others and nursed by their relatives at home rather than at a hospital. The aim of this study was to determine the home-care needs and life quality of the patients with amyotrophic lateral sclerosis, the care-burden and quality of life of caregivers, and the efficacy of nursing education given to caregivers in line with their needs. Methodology: Thirty patients and thirty caregivers participated in the study. This study employed a single-group, quasi-experimental, pretest—posttest design with repeated measures. The educational needs of caregivers were determined through the use of the cards prepared by the method of card sorting. Cluster analysis was done in order to evaluate the questions on the cards. Results: The mean CBI scores of the caregivers participated in the study were found between


Her mother was a nanny, and when Roper started her career after life-long plans is a theory of nursing care based on activities of daily living, which are often.


Home Care Needs of Patients with Amyotrophic Lateral Sclerosis and Care Burden of Caregivers

The Roper, Logan and Tierney model of nursing originally published in , and subsequently revised in , , and the latest edition in is a model of nursing care based on activities of living ALs. It is extremely prevalent in the United Kingdom, particularly in the public sector. Logan and Alison J. First developed in , [2] this model is based upon work by Nancy Roper in It is the most widely used nursing model in the United Kingdom.

He watched as she scooped a can of cat food out into a crevice beside the lighthouse walkway, out of sight of watchful seagulls but certainly in smelling distance of the tomcat if he cruised past later in the night. I think it was in coming to his defense they found themselves surrounding your wife, although they certainly did not realize they had a woman. But they raced off with her in their midst. A single knight galloped after them, but I do not know his name. One of their nobles by his garb.

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Conceptual Nursing in Practice

In this guide for nursing theories , we aim to help you understand what comprises a nursing theory and its importance, purpose, history, types, or classifications, and give you an overview through summaries of selected nursing theories. Nursing theories are organized bodies of knowledge to define what nursing is, what nurses do, and why they do it. Nursing theories provide a way to define nursing as a unique discipline that is separate from other disciplines e. It is a framework of concepts and purposes intended to guide nursing practice at a more concrete and specific level. Nursing, as a profession, is committed to recognizing its own unparalleled body of knowledge vital to nursing practice—nursing science. To distinguish this foundation of knowledge, nurses need to identify, develop, and understand concepts and theories in line with nursing. As a science, nursing is based on the theory of what nursing is, what nurses do, and why.

We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you! Published by Brittney Williamson Modified over 5 years ago. At the same time, in attempts to become scientific, there has been an acceptance of notions of science which are primarily based in a positivistic, empirico-analytical paradigm.


The Roper-Logan-Tierney Model for Nursing is a theory of nursing care based on activities of daily living, which are often abbreviated ADLs or ALs. The model is.


 Ты уверен, что его никто не купил. - Да вы все спятили. Это за четыреста-то баксов. Я сказал ей, что даю пятьдесят, но она хотела. Ей надо было выкупить билет на самолет - если найдется свободное место перед вылетом.

 Да уж конечно, - огрызнулся Хейл.  - Лживый негодяй. Вы промыли ей мозги. Вы рассказываете ей только то, что считаете нужным.

Сквозь строй - надежная система, но ведь АНБ - ненасытный пожиратель информации, высасывающий ее из разнообразнейших источников по всему миру. Поглощение огромных объемов информации сродни беспорядочным половым связям: какие меры предосторожности ни принимай, рано или поздно подхватишь какую-нибудь гадость. Чатрукьян просмотрел список и изумился еще .

Я должен поскорее выбраться отсюда. - сказал он. После множества поворотов и коротких рывков Беккер оказался на перекрестке трех улочек с табличкой Эскуина-де-лос-Рейес и понял, что уже был здесь минуту-другую. Притормозив, он задумался, в какую сторону повернуть, и в этот момент мотор его веспы кашлянул и заглох. Стрелка топливного индикатора указывала на ноль.

 - Вы его убили. Вы же сказали… - Мы к нему пальцем не притронулись, - успокоил ее Стратмор.  - Он умер от разрыва сердца. Сегодня утром звонили из КОМИНТа.

Roper–Logan–Tierney model of nursing

Наконец Стратмор заговорил. В его голосе слышалось скорее недоумение, чем шок: - Что ты имеешь в виду.

Беккер отлично знал, что в Испании только одна церковь - римско-католическая. Католицизм здесь посильнее, чем в самом Ватикане. - У нас, конечно, не все его тело, - добавил лейтенант.  - Solo el escroto.

Он улыбнулся, стараясь ее успокоить. - С Дэвидом все в порядке. Просто мне приходится быть крайне осторожным.

Беккер убрал блокнот и ручку. Игра в шарады закончилась. Дело принимает совсем дурной оборот.

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