Management of Bulimia Nervosa

Abstract

Bulimia nervosa is a crippling and chronic disorder, with individuals experiencing repeated binge-purge episodes. It is not widely understood by society. The use of the Roy adaptation model for the management of bulimia nervosa is examined in this article. Nursing models are utilized to provide a structure for planning and implementation of patient management. The Roy adaptation model focuses on the importance of individuals as able to adapt well to their changing surrounding environments. This model can be useful in managing patients with bulimia nervosa.

Nursing Approach Based on the Roy Adaptation Model in a Patient Undergoing Hemiglossectomy Surgery for Tongue Cancer

“…(17,29) According to RAM, a person is a biopsychosocial entity in constant interaction with a changing environment and which also has the ability to adapt to environmental stimuli, which can be categorized as focal, contextual and residual. (29,30) Focal derleme • review stimuli are those to which an individual immediately responds; they attract the attention of the individual and cause the development of an adaptive response. Contextual stimuli are all other stimuli that contribute to the effect of the focal stimulus but do not directly cause behaviors, affect events or arise from the internal or external environment of the individual.…”

“…The regulatory subsystem includes the individual's neural, chemical and endocrine physical responses, while the cognator subsystem includes the individual's perceptual/information process, learning, decisionmaking, and emotional reactions. (17,(29)(30)(31) Roy defines the responses of the individual into the four modes of adaptation in which an individual uses his/her own coping mechanisms to help them adapt. In the model, the four modes of adaptation are defined as the ''physiological mode, the ''self-concept'' mode, the ''role function'' mode and the ''interdependence'' mode.…”

“…In the model, the four modes of adaptation are defined as the ''physiological mode, the ''self-concept'' mode, the ''role function'' mode and the ''interdependence'' mode. (30)(31)(32) The physiological mode is related to an individual's physical responses to environmental stimuli and includes nine basic physiological requirements: oxygenation, nutrition, excretion, activity-rest, protection, the senses, fluid-electrolyte balance, and neurological and endocrine functions. The self-concept mode defines the mixture of beliefs and feelings an individual has about him/herself or others at a specific time.…”

“…The self-concept mode defines the mixture of beliefs and feelings an individual has about him/herself or others at a specific time. (17,24,(29)(30)(31)(32) The self-concept mode is defined in two dimensions, physical and personal. The physical self includes the body image and body sense of the individual while the personal self includes the thoughts, moral and ethical beliefs, and spirituality of the individual.…”

“…The interdependence mode includes the relationships the individual has with other individuals who are important to him/her and the support systems available. (17,24,(29)(30)(31)(32) RAM defines health as the process by which the individual adapts to changes and maintains physical, social and psychological integrity. (24,32) Roy describes nursing as the process of transferring theoretical scientific knowledge into nursing practice.…”