REFERENCES FOR ROPER, LOGAN & TIERNEY'S THEORY OF NURSING Books Roper, N. (1973,1982). Principles of Nursing. Churchill Livingstone, Edinburgh. Roper, N. (1976). Clinical Experience in Nurse Education. Churchill Livingstone, Edinburgh. Roper, N. Logan, W. Tierney, A. (1980,1985). Elements of Nursing. Churchill Livingstone, Edinburgh. Roper, N. Logan, W. Tierney, A. (1981). Learning to Use the Process of Nursing. Churchill Livingstone, Edinburgh. Roper, N. Logan, W. Tierney, A. ed (1983). Using a Model for Nursing. Churchill Livingstone, Edinburgh. Journal Articles Roper, N. (1976). A Model for Nursing and Nursology. Journal of Advanced Nursing, Vol 1 :219-227. Roper, N. (1976). An Image of Nursing fot the 1970's, Nursing Times 29 Apr (Occasional Paper) Roper, N. (1976). An Image of Nursing fot the 1970's, Nursing Times 6 May (Occasional Paper) Roper, N. Logan, W. Tierney, A. (1983). Nursing Process 1, A Nursing Model. Nursing Mirror May 25 :17-19. Roper, N. Logan, W. Tierney, A. (1983). Nursing Process 2, Is There a Danger of 'Processing' Patients. Nursing Mirror, Jun 1 :32-33. Roper, N. Logan, W. Tierney, A. (1983). Nursing Process 3, Problems or Needs? Nursing Mirror, Jun 8 :43-44. Roper, N. Logan, W. Tierney, A. (1983). Nursing Process 4 Identifying the Goals. Nursing Mirror, 15 Jun :22-23. Roper, N. Logan, W. Tierney, A. (1983). Nursing Process 5, Endless Paperwork? Nursing Mirror, Jun 22 :34-35. Roper, N. Logan, W. Tierney, A. (1983). Nursing Process 6, Unity - With Diversity. Nursing Mirror, Jun 29 :35 Roper, N. (1983). A Model for Nursing. Nursing Mirror, Nov 30 :21-23. Punton, S. (1983). Activities of Living: a Model for Nursing. Nursing Times, Mar 2 :24-27. Stewart, A. (1983). Putting Theory into Practice. Nursing Mirror, Jul 27 :53. Aggleton, P. Chalmers, H. (1985). Roper's Activities of Living Model Nursing Times 81(7) :59-61 Chavasse, J.M. (1987) A Comparison of Three Models of Nursing. Nurse Education Today 7(4) : 177-186. MacNeil, M. (1987). Models and the Curriculum. Senior Nurse, 6(6) :22 Chapters on Roper's Model in other texts Roper, N. (1979). Nursing Based on a Model of Living. In Colledge, C. Jones, C. eds. Churchill Livingstone, Edinburgh. Roper, N. Logan, W. Tierney, A. (1986). Nursing Models a Process J. eds. Models for Nursing. John Wiley & Sons, Chichester. Aggleton, P. Chalmers, H. (1986). Nursing Models and the Nursing Process. MacMillan Education Publications, Basingstoke Fraser, M. (1990, 1995)Using conceptual nursing in practice. Harper and Row, London. Chapter 2 Kershaw, B. Salvage, J. (1986). Models For Nursing John Wiley & Sons, Chichester. Ch 4. Pearson, A. Vaughan, B. (1986). Nursing Models for Practice. Heinemann Nursing, London. Ch 5. Collister, B. ed (1988) Psychiatric Nursing: Person to Person.(Using Nursing Models Series) Edward Arnold, London. Ch 5. Webb, C. ed (1986). Womens health, Midwifery, and Gynaecological Nursing. (Using Nursing Models series) Hodder & Stoughton, London. Webb, A. (1986). Care Plan for a Woman Having a Vaginal Hysterectomy Based on Roper's Activities of Living Model. In Webb, C. ed, Womens Health, Hodder & Stoughton, London.  .op Mr Paul Jones, aged 36, from 16 Park street, Mullingar, has i retired from the Irish Navy for health reasons. While at sea he i suffered severe headaches, which upon medical investigations i revealed a brain tumour. This has been operated on twice but i recently investigations reveal that the glioma has regrown to the i extent that further surgical intervention would be useless. Mr i Jones is terminally ill. Initially Mr Jones, a devout catholic, was determined to fight i this illness. In this regard he had strong support from his wife i Edna and son Robert. Mr Jones was getting no support from any i services in the community and Dr Wall, his G.P. referred him to a i Neurologist in the Mater who suggested admission to the Hospice. i However as the tumour began to infiltrate more and more of his i brain Mr Jones became very confused and unruly. It was decided to i transfer him to the County Hospital for close observation and i intensive nursing care. Mr Jones was admitted by staff nurse Smyth on 5th May 1994 at i 2pm. Nurse Smyth was immediately struck by the devotion of his i wife and son and by the tragedy of such a young man being i afflicted by cancer. Observations on admission were height 5'9, i weight 44 Kgs, temperature 36.5, pulse 98, Blood pressure 120/70 i and urinalysis n.a.d. He had no dentures or any physical or i sensory aids and his speech although confused on occasions was i good. There were no allergies known and medications were i prescribed on admission by Dr O'Hara Dorbanex 20 mls B.D. and i Dexamethazone 2mg nocte. Shortly after admission Mr Jones became very confused. He would i not remain in bed and it was extremely difficult to understand i what he wanted. This disorientation affected not only his i previously good sleeping pattern but mobility which was unsteady i and unpredictable. Mr Jones appetite was also affected and due to i his confused state he required to be fed. This necessitated twice i weekly weighings to assess any weight loss. To encourage i attachment to reality it was decided that he should be dressed in i his own clothes everyday. This became problematic because he felt i he was being attacked when it came to taking his clothes off for i bed. Mr Jones family were having great difficulty accepting that he i was going to die. They prayed that he would recover and even made i plans for his return home! Dr O' Hara knew that this was i impossible and asked the staff to begin two hourly observations i and be on the guard for any signs of raised intercranial i pressure.  .op  David McKeown is 51 years old and has a moderate mental handicap. i He has lived in a hospital for people with a mental handicap for i 26 years and is currently being trained for a life in the i community. As a child David's milestones of development were i delayed and he attended a school for the educationally subnormal. i As an adult David entered an institution where he was described i as being 'feeble-minded'. David's surviving relative is his i sister, who visits him every two months. The pre-community unit where David currently lives consists of i several self-contained bungalows, each shared by three residents. i Supervision is supportive but minimal as the unit provides a i transitional stage between hospital and community. David is competent in his eating habits and can cook simple i meals. He sleep on average of eight hours per night. He i communicates well, can use a telephone and is willing to talk i about himself. His appearance is usually immaculate and maintains i a good level of personal hygiene, unprompted; this would suggest i a good sense of self-image. He says he has one girlfriend but i prefers to live alone. Obviously David's 26 years in hospital has made him dependent and i could be a barrier to effective rehabilitation. . He likes living i in the training unit and states that if he left the hospital he i would be 'lost'. He sometimes talks of fear of the 'outside i world' and is worried that if he moves outside the hospital he i might deteriorate and there may not be help available. David tends to succumb to annual chest infections which are i prolonged over several weeks. This is probably the only type of i physical ill health he gets. On occasions David is late or indeed i fails to attend the industrial therapy unit for reasons other i than physical ill health. He will work hard for a period but he i then looses interest in the job he is undertaken and wanders out. i He also has problems recognising money especially relating to i large coins and notes. Although he can go into town on public i transport some staff are concerned about David's lack of road i sense and his ability to use some electrical appliances such as a i kettle. Using Roper, Logan and Tierney's model as a template please i assess David's problems, set resident centred goals, implement i actions to meet the goals and evaluate progress. It would be i useful to comment on how suitable you felt the model was for i David's care.