Application of Roper Logan Tierney model in nursing: A case study analysis

This case study explores the application of Roper Logan Tierney model in nursing and discusses the biological, psychosocial, spiritual and cultural factors that Kristy and her family may experience following her accident and injury. It also explains the legal concepts of consent, doctrine of necessity and enduring guardianship/NOK and how they may or may not apply to Kristy's situation. Additionally, it outlines three preoperative nursing actions required for Kristy's surgery and identifies three abnormal cues in Kristy's post-operative nursing assessment, discussing the pathophysiological or pharmacological factors that have resulted in these abnormal findings.

Assessment Task 1 Case study

Table of Contents
CASE STUDY 1........................................................................................................................3
Question 1: Using the Roper Logan Tierney (RLT) model of nursing discuss the
biological, psychosocial, spiritual and cultural factors Kristy and her family may be
experiencing following her accident and injury................................................................3
Question 2: Explain the legal concepts of consent, the doctrine of necessity and
enduring guardianship/NOK. Discuss how these legal considerations may or may not
apply to Kristy’s situation...................................................................................................4
Question 3 Kristy now has a valid consent for her surgery tomorrow. In preparing
Kristy for surgery, outline three (3) preoperative nursing actions that are required
and explain why they are required as part of her care.....................................................5
Identify three (3) abnormal cues in Kristy’s post-operative nursing assessment. For
each of these cues, discuss the pathophysiological or pharmacological factors that has
resulted in these abnormal findings....................................................................................5
REFRENCES.............................................................................................................................6
Books and Journal..................................................................................................................6

CASE STUDY 1
Question 1: Application of the Roper Logan Tierney (RLT) treatment method
discussion on organic, non-physical and traditional aspects Kristy and their household
may experience after mishap and damage
The degree to which a patient relies on the everyday tasks (ADL) as well as a
recommendation which can be used by staff during doing a broad physical examination and
designing operative tending interventions is analysed in The Roper-Logan-Tierney (RLT).
Biological, psychological, and external variables, among others, all have an influence on a
activities of daily living of a healthcare user across their lifespan, as per the real Logan
Tierney method. According to the outcome, some these reasons play a key role in the
participant's health status, that can be life threatening for the client. As a result, it is critical
for nurse practitioners to recognise such variables in order to start investigating any issues
which are faced by the patient so that treatment can be imitated quickly. There are various
aspects in this case study which may affect kristy and her family following the operation,
such as Ted's intact stoma bag, which may effect his cleanliness, causing difficulty washing
and clothing. On the basis of Roper Model there are 12 activities of daily living that should
be considered as a cognitive approach towards a care of the patient and in context of the list
of boxes that are required by the nurses should learn more about the model and also identify
that how to apply it (Chen, Zhou and Hei, 2021). During the admission time the patient
should require to evaluated and her or his reliance and independence must be monitored all
across the care plan and evaluation. There is different kind of factors that great influence on
the activities of daily living.
The Roper Logan model also takes into account the five criteria stated below, which
Roper argues render the model comprehensive. Roper thinks that failing to examine these
elements leads to an evaluation that is both complete and erroneous. As a result, caregivers
are encouraged to apply the model by encouraging an appreciation of these aspects as part of
the model.
Biological: The biological component takes into account the participant's well being,
present injury or disease, and the complexity of his or her physiology.
Physiological: The psychological factor considers the effects of emotion, intellect,
religious views, and comprehension. This is about "learning, believing, hoping, experiencing,
and trusting," according to Roper.

Socio-cultural: The sociocultural component relates to the effects of culture and society
on an individuals patient's perception. This comprises views and values on the basis of level
in social hierarchy in terms of the psychological-social factors which are related to the
principles, ideals, behaviours along with of other individuals in context of their autonomy in
able to complete daily life activities.
Environmental: The model suggests that not only the effect of the surroundings on everyday
routines, as well as the effect of a person's ALs on the ecosystem, be taken into account.
Politico-economic: The impact of politics, politics, and the economy on ALs is referred to as
the sociopolitical impact. This component considers funding, government policies and
programmes, the status of war or violent conflict, the ease of access of entitlements,
democratic changes and political aims, borrowing costs, and the provision of basic and
private financing (Gilder, Parke, McGuinness, S. and Jull, 2019)
kristy faces different kind of factors like the biological factors create impact on their
health because of the current injury is she fall from the horse in fact their body and some
fractures. Apart from this is the psychological factors address the impact of emotions
cognition and many spiritual believes is how family is very depressed as well as concerned
about her because she has a fractured and on her head the city scan that represent some right
sided cerebral contusion.
Question 2: Explanation of legislative ideas consensual accord, doctrine of necessity and
enduring guardianship/NOK. Discussion on the legalities which are relevant to the case
of Kristy
The goal of medical practise was to establish patient-centered services, but this goal was
swiftly undermined by patriarchy and a culture of autocracy or supremacy in order to get
speedy and results for the organization. Patients were left out of the loop and discouraged
from asking inquiries as a result of this. One can believe that a patient-client service model is
based on the market forces in a capitalist market. True, patients' desires for high-quality,
tailored care will fuel the system, which will necessitate giving these people more personal
options. However, one must keep in mind that if the system is left to its own devices until one
individual needs to reduce corners, a capitalism marketplace can quickly become a dictatorial
dictatorship or worse, display characteristics of cronyism, necessitating the necessity for
appropriate legal protection. Consent by Proxy: As an agency, the parent or parents or
guardians offer information and understanding.

Informed Assent is a children's acceptance to surgical treatments when he or she is not
constitutionally capable of giving informed permission.
Implied Consent: When people go to a doctor for help with their attitude and overreact in
order to get help.
Question 3 A consensual accord for completing surgery with validity has been acquired
by Kristy. Description of activities (3) as healthcare staff which need be completed
before operation with explanation of their requirement
As Kristy has a valid consent for her surgery tomorrow and in order to prepare Christie for
surgery they’re different kind of actions that are required by the nurses in order to take
effective action so that they can developing and consent and improve her health, The
procedure whereby a healthcare professional informs a client about the dangers, advantages,
and options to a particular operation or treatment is known as informed consent. The
individual is required to have ability to make sound selection related to going forward with
the operation or not. Ensuring that medical actions are based on informed consensual
agreements is a legal necessity in USA for healthcare professionals. This is because of the
right of healthcare user to control their future health. An evaluation of the participant's
knowledge, making a specific recommendation, and documenting the process are all part of
providing informed consent.
(1) The patient is incompetent,
(2) life-threatening crises with insufficient time to get agreement, and
(3) willingly relinquished permission are all exemptions to the necessity for informed
consent Weather the ability of decision making of the contributor is certain or ineffective.
The situations in which the healthcare user are not able to deliver effective decision making
on their personal level and have not determined individuals for decision making. Such
situations there is requirement for legally substituted decision making by utilizing the series
of decision making laws as per the governing establishment of state. If this path leads to
ineffective results, a legal guardian or parent is established.
Identification of (3) signals present in the assessment done by Kristy at role of nurse
after the operation. Discussion on the pathophysiological or pharmacological which lead
to atypical results in each of the signals.

REFRENCES
Books and Journal
Chen, C., Li, X., Luo, G., Zhou, S. and Hei, Z., 2021. Realising the full potential of
anaesthesiology to promote enhanced recovery after surgery programmes in
China. British Journal of Anaesthesia, 126(5), pp.e157-e159.
Gilder, E., Parke, R.L., McGuinness, S. and Jull, A., 2019. Study protocol: a randomized
controlled trial assessing the avoidance of endotracheal suction in cardiac surgical
patients ventilated for≤ 12 hr. Journal of Advanced Nursing, 75(9), pp.2006-2014.

Kasa, A.S. and Gedamu, H., 2019. Predictors of adult patient satisfaction with nursing care in
public hospitals of Amhara region, Northwest Ethiopia. BMC health services
research, 19(1), pp.1-9.
Alemdar, D.K. and Aktas, Y.Y., 2018. Perceptions of Turkish nurses and patients regarding
individualized care: a comparison study. Nurs Health Care, 4, p.098.
Kearns, A.J., 2020. “Ought implies can” & missed care. Nursing Philosophy, 21(1),
p.e12272.

Mitura, K., 2020. Improving the safety of healthcare workers during endotracheal intubation
in patients in critical care during the COVID-19 pandemic. Critical Care
Innovations, 3(3), pp.31-36.
AliSher, A.N., Atta, S., Yasin, I. and Sohail, M.A., 2019. Clinical Application of
Nightingale’s Theory. International Journal of Nursing Care, 7(1), pp.13-16.
Garrido, M.C.C., Muñoz, R.G., Castro, I.P. and Moncusi, M.S., 2018. Incidence of cross
infection in liver transplant patients. Risk factors and role of nursing. Enfermería Clínica
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