Nursing Rationale and Care: Using Roper-Logan-Tierney Model

Running head: NURSING RATIONALE AND CARE 1
Nursing Rationale and Care
Student’s Name
Institutional Affiliation

NURSING RATIONALE AND CARE 2
Nursing Rationale and Care
The following care discussion utilizes the Roper-Logan-Tierney model to evaluate a
specific patient, Ms Marley, who has several health concerns. They include osteoporosis, hearing
deficit and hypertension. The paper analyses three particular activities: sleeping, mobilizing and
maintaining a secure environment.
1. Maintaining a secure environment.
Tierney, Logan and Roper developed a very crucial model for the health practice. It aids
in implementing clinical procedures in relation to various activities of livings (AOL) (Alligood,
2017). Additionally, utilization of this model makes it possible for healthcare professionals to
discover AOL, activities of living, which can be mitigated so as to establish relevant care plans
which are patient-specific to enhance well-being and health.
Information is fundamental in the health profession. Obtaining appropriate information is
key in availing relevant support to probable patients. Information acquired is related to
psychological, economic, environmental, socio-cultural, political and biological factors (Greene,
2015). The most appropriate primary information entails a person's health history, age and vital
signs. The second information I would require to develop Ms Marley's care plan includes her
responsibilities, beliefs and values.
Vital signs reveal the measurements of fundamental body functions. I would conduct a
physical examination to obtain my patient's vital signs. These comprise of blood pressure, body
temperature as well as pulse and respiration rates (Dibona, 2013). The patient's age information
would be obtained by asking Ms Marley or her daughter. It is important in prescribing the
appropriate medication for her (Cosman et al., 2014). Knowing a patient's past medical history is
paramount as it makes a nurse conscious of the person's medical conditions. Such information

NURSING RATIONALE AND CARE 3
can be obtained from nursing notes or patient records. Precisely, it is essential to know Ms
Marley's other medical conditions like hypertension, hearing deficit and osteoporosis.
It is important that various actions are undertaken to sustain a secure environment when
carrying out activities of living. The actions may comprise activities like washing hands.
Specifically, in Ms Marley's case, such actions include driving carefully and preventing accidents
while at home. Traditionally, the environment affects human beings. It is the responsibility of
every person to take care of the environment because people also affect the environment (Millis
and Levine, 2014). Secondary information like responsibilities, beliefs and values of Ms Marley
will help in influencing various decisions as regards to developing her care plan.
Maintaining a safe environment is imperative in achieving patient care. In the case study,
it is vital that both the external and internal environment be considered. Marley has a
considerable hearing deficit. Therefore, it is important that the nurse taking care of her ensures
that there is minimal noise as this makes her fail to sleep. It is vital that the environment in which
a patient is in be maintained. In the same vein, this ensures that there is a reduction in the risk of
further infections. A patient's psychological, mental and physical wellbeing are also maintained.
Therefore, the Roper-Logan-Tierney model assists in making sure that diverse patient
requirements are considered (Williams, 2015). The model also comprises of significant care
especially for the internal or interior environment that is on a cellular level. Therefore, this
element forms an essential component of the entire recovery process precisely for Ms Marley’s
case study.
There are various assessments which are vital and have to be done to maintain a secure
environment. First, conducting a falls evaluation would be important. It is paramount to find out
from Ms Marley if she experiences frequent falls. Additionally, this would be important in