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Activities of Living Model
|
Nancy
Roper 1918
- 2004 |
Winifred
W. Logan
Honorary
Fellowship
University of Edinburgh
|
Professor Alison Tierney
BSc(Soc Sc-Nurs),
PhD, RGN, FRCN, CBE
Faculty of Health Sciences
Department of Clinical Nursing
The University of Adelaide
Editor-in-Chief of the Journal of Advanced Nursing |
|
Human physiological and psychosocial
behaviour essential to maintain life underpins Roper
et al's activities of living model. Originating in
Britain, the model stresses continual patient
assessment, facilitation of the patient's normal
activities of living and individualised care.
This model incorporates a life span approach, wherein
the characteristics of the person are considered with
respect to prior development, current level of
development, and likely future development (Safarino,
1990). In conjunction with the life span approach an
independence/dependence continuum is used. The model
then incorporates a set of twelve activities of living
(AL's), which represent those activities engaged in by
individuals whether sick or well. Together these
elements are referred to as "a model of living". When
using the model of living in conjunction with the
nursing process a model of nursing is utilised. The
AL's are as follows:
- Maintaining a safe
environment
- Breathing
- Communication
- Mobilising
- Eating and Drinking
- Eliminating
- Personal cleansing
and dressing
- Maintaining body
temperature
- Working and playing
- Sleeping
- Expressing sexuality
- Dying
Assessment of the
patient/client is made within each AL and taking into
account the lifespan / independence/dependence
continuum a plan of care is formulated.
(Extract
from: RCN Chapter Three Transcultural Nursing Care Of
Adults Section Three:
Application Of Transcultural Nursing Models)
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Website:
-
The Nursing Process - This is a very brief
outline of the model of nursing, only touching on
the fundamental basics and anyone looking for more
indepth coverage would be advised to acquire or
access the Elements of Nursing. Author: Clodagh Gray
RGN (www.nursesnetwork.co.uk)
Theory in Practice
Below
are two examples of care facilities using the Scottish
theorists Roper, Logan and Tierney's Model of Nursing:
-
Ward 33.
Year 2003. This is a 20-bedded general medical ward
caring for babies and children from 0 to 10 years.
The care given is based on an adaptation
of Roper, Logan and Tierney’s
model of nursing.
-
Hulton Care
is a homely but purpose built 30 bed Nursing and
Residential Home situated in a quiet residential
area of Middleton, UK.
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Books Available HERE from Amazon
Selected Publications:
-
Roper, N. (1973,1982).
Principles of Nursing. Churchill Livingstone,
Edinburgh.
-
Roper, N. (1976).
Clinical Experience in Nurse Education. Churchill
Livingstone, Edinburgh.
-
Roper, N. Logan, W.
Tierney, A. (1980,1985). Elements of Nursing.
Churchill Livingstone, Edinburgh.
-
Roper, N. Logan, W.
Tierney, A. (1981). Learning to Use the Process of
Nursing. Churchill Livingstone, Edinburgh.
-
Roper, N. Logan, W.
Tierney, A. ed (1983). Using a Model for Nursing.
Churchill Livingstone, Edinburgh.
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