Roper Logan

The model of nursing that I will use for this assignment was originally developed by Roper in 1976. It was then added and updated in 1980, 1981 and 1983 by Roper, Logan & Tierney. The Roper (1996) model offers a framework for nurses so they can check credit is taken into account when undertaking any nursing care plan.
There are four main stages of the nursing process as identified by Yaura & Walsh (1978) •

During any assessment the nurse’s goal is to determine what the patient can & can not do and link that to the activities of daily living (ADL). They will also take into consideration any environmental factors that might affect the individual and their ability to carry out ADLs.
The objective in this model of nursing is to be able to identify the patient’s individual needs & lifestyle, and to make a decision on any potential problems related to carrying out ADLs for that person. This model of nursing has been used in a number of different settings the 12 activities of daily living are related to basic human needs. The 12 activities are:
• Maintain a safe environment
• Communication
• Breathing
• Eating & drinking
• Mobilisation
• Working & playing
• Elimination
• Washing & Dressing
• Controlling Temperature
• Expressing sexuality
• Sleeping
• Dying
In order to maintain patient confidentiality and for the purpose of this assignment, certain personal details of the essay (Care Plan) have been omitted, such as patient name. This is done in accordance with nursing midwifery code of professional conduct (2007) guidelines so I shall use an alias name in the essay (Care Plan) and the patient shall be referred to as Mrs Cullan.
In this assignment I shall look at how I, as a student nurse, can make a care plan in relation to one of the 12 activities of daily living. I shall focus on communication for this assignment.
Mrs Cullan was a patient, coming into a day procedure unit for cataract extraction surgery, and I followed the patient from admission, into theatre and then into recovery. The patient involved is a 78 year old female; she is a widow and lives alone but has relatives who live near her. She has worn glasses since she was a young girl but lately she has noticed difficulty reading & watching TV, this was in despite of the fact that she had received a new lens prescription. Mrs Cullan also found that she had to stop driving at nig…