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54     UNIT I  Evolution of Nursing Theories



                                               LIFESPAN



              FACTORS INFLUENCING         ACTIVITIES OF LIVING  DEPENDENCE-INDEPENDENCE CONTINUUM
              ACTIVITIES OF LIVING
                                       Maintaining a safe environment
                                       Communicating
                Biological
                                       Breathing
                Psychological          Eating and drinking
                                       Eliminating
                Sociocultural          Personal cleansing and dressing
                                       Controlling body temperature
                Environmental          Mobilizing
                                       Working and playing
                Politicoeconomic       Expressing sexuality
                                       Sleeping
                                       Dying



                                         INDIVIDUALIZING NURSING
                                                Assessing
                                                Planning
                                               Implementing
                                                Evaluating


                   FIGURE 5-10  ​Diagram​of​the​Model​for​Nursing.​(From Roper, N., Logan, W. W., & Tierney, A. J. [1996].
                   The​elements​of​nursing:​A​model​for​nursing​based​on​a​model​of​living​[4th ed., p. 34]. Edinburgh: Churchill
                   Livingstone.)





            TABLE 5-1   Comparison of the Main           individual’s place in the life span, on the dependence-
                        Concepts in the Model of         independence continuum, and as influenced by bio-
                        Living and the Model for         logical,  psychological,  sociocultural,  environmental,
                                                         and  politico-economic  factors.  The  five  components
                        Nursing                          can be used to describe the individual in relation to
            Model of Living       Model for Nursing      maintaining health, preventing disease, coping during
                                                         periods  of  sickness  and  rehabilitation,  coping  posi-
            12​ALs                12​ALs                 tively during periods of chronic ill health, and coping
            Life​span             Life​span              when dying. Individualizing nursing is accomplished
            Dependence-independence​  Dependence-independence​  by using the process of nursing, which involves four
             continuum             continuum             phases: (1) assessing, (2) planning, (3) implementing,
            Factors​influencing​the​ALs  Factors​influencing​the​ALs  and  (4)  evaluating.  Nursing  process  is  a  method  of
            Individuality​in​living  Individualizing​nursing  logical thinking that should be used with an explicit
                                                         nursing model, and the patient’s individuality in living
           From Roper, N., Logan, W. W., & Tierney, A. J. (1996). The elements of
           nursing: A model for nursing based on a model of living (4th ed., p. 33).   must be borne in mind during all four phases of the
           Edinburgh: Churchill Livingstone.             process. This model has been used as a guide for nurs-
                                                         ing practice, research, and education.
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