Roper Logan Tierney Model of Nursing for Discussing Biological, Psychological, Cultural and Spiritual Factors in Kristy's Case Study

Case Study

Roper Logan Tierney model of nursing for discussing biological, psychological, cultural and
spiritual factors that Kristy and her family may be experiencing by her incident
Nursing that is an important profession in healthcare, focuses on the care of families,
individuals and communities, so they can improve quality of life. The Roper Logan Tierney of
nursing and care that is based on activities of daily living. The main aim of using this model in
nursing is to identify consistency in the style of care that is received by patients and knowing
continuity of care patterns. By using this model to case of Kristy, changes can be known that
have been made after incident and injury. It can be used for knowing all aspects of Kristy such
as:
Biological: This factor addresses impact of overall health of current incident. In regard to
Kristy, it can be said that it has fractured her right pelvis in 2 places. Along with this, she has
right sided cerebral contusions. It means there is bruises in her brain and it may lead 20-30% of
head injury Bird, (2019). On the basis of this current injury, it can be said that Kristy may find
difficulties in attention, memory and problem solving skills. It is also found that she does not
remember the events that happen after her fall. So, on the basis of this, it can be said that this
injury has affected her emotions, memory and thinking capacity.
Cultural: This socio-cultural factors addresses impact of society and culture on patients
due to their incident and illness. it may include: status, value and expectations. In regard to
Kristy, it is found that she has 2 fractures in pelvis along with bruises in brain. Due to this
incident, she is facing problems in remembering things. She remembers everything that
happened with her before incident. But due to brain injury, there are possibilities that she will
become dependent on her husband in problem solving and thinking. This dependence may lead
frustration in both Kristy and her husband as well.
Spiritual: This factor discusses feeling of connectedness and meaning of life. Sometimes
patients lose hopes and meaning of their life when they meet with unforgettable incidents. In
regard to Kristy, it can be said that she has 2 fracture in her right pelvis along with bruises in
brain. She has supportive husband and luckily she remembers everything that has happened in
her life before incident. She is confused to some extent so, on this basis, it can be said that it does
not have much impact her spiritually as she can be treated and can see value of her life.
Psychological: Psychological factor addressed impact of emotion and ability to
understand. It is all about hoping and believing. Due to brain and pelvic injury, Kristy will have

to dependent on her husband for performing her daily routine work such as bathing, cooking and
others Peate, (2019). It will increase pressure on her husband as they have 3-year-old son. Taking
care of son and performing household chores lonely by her husband can make Kristy feel
helpless. It can make her feel hopeless sometime but there are possibilities to become fit and cure
in a timely manner.
Application of legal concepts of consent, the doctrine of necessity and enduring guardianship to
Kristy’s situation
There is a legal concept of consent according to which patients have right to give
permission to doctors regarding providing treatment. As after incident, Kristy became
unconscious so, in this case, it was not possible to give voluntary consent to patient. So, here as
per the situation, nurses can focus on informed consent in which patients and their relatives must
be given information about type of treatment and their consequences. It was being followed and
Kristy was ready and was waiting for surgery that is scheduled for tomorrow Viljoen, (2021).
The doctrine of necessity is a general principle under which patient may be treated without
consent as long as there is necessity to act when it is practically non-communicable. In regard to
Kristy, it can be said that as per her situation that happened after her incident, it was not possible
to ask for consent, so she was went for X-ray. After x-ray, she became conscious and in this
situation, she can be asked for consent about her treatment and health Keene & et.al. (2019).
Enduring guardian is the person that is being appointed by nurses and healthcare
professionals for making decision. As it is known that Kristy was not conscious so, her husband
here present as enduring guardian as he will be able to take decision about his wife’s treatment
and health.
Three preoperative nursing actions that are required in valid consent for surgery
After taking consent from patient regarding treatment and surgery, nurses need to perform some
roles and actions at the time of preoperative period. One of the main principle and action that
nurses need to perform is:
 To increase awareness among family and patients. Nurse can take opportunities of
patients' assessment as he/she can provide all those informations to Kristy that can
increase her familiarity with procedure Blomberg, Bisholt & Lindwall, (2018). This
action is being performed for decreasing anxiety that patients have when they know that
they are going for surgery.