for your comprehensive review of Sister Callista Roy’s Adaptation Model. Although our group considered Watson’s Theory of Caring as the best approach to Elita’s care, the choic

for your comprehensive review of Sister Callista Roy’s Adaptation Model. Although our group considered Watson’s Theory of Caring as the best approach to Elita’s care, the choice of any framework, if supported with evidence/rationale, can strengthen its application and credibility. That being said, this group did an excellent job explaining Roy’s theory, known as the Roy Adaptation Model (RAM). Having no prior knowledge of this model, I now understand that it is grounded in the environment’s actual and potential influences on one’s behavior (Smith, 2025). Recall, Elita’s unresolved and current needs, past sexual childhood abuse, infertility, IVF pregnancy (2 rounds), poor labour experience, citing diminished pain reports, new role as mother, various physical/physiological effects that come with birth. The various factors present actual and/or imminent potential risks to health/safety for both Elita and her family. Roy (2009) explains that within RAM, the person, in this case, Elita, is viewed as an adaptive system who interacts with environmental stimuli and uses coping mechanisms to maintain balance across four modes: physiological, self-concept, role function, and interdependence. Given the sensitive nature of Elita’s case, I do think viewing a person as a system of sorts feels disjointed. That is not to take away from the various cases this actual model has been applied to, some of which are, in fact, very similar to Elita. Rather, to suggest this theory in conjunction with Watson’s, whose theory was based on “Human Caring,” or Peplau, who strongly believed in the development and maintenance of interpersonal relationships between nurse and patient. The latter theorists both placed great emphasis on the created/maintained relationship and the unique personhood of all individuals. Consider fixing a broken fax machine (system) compared to wrapping a child's broken limb. The former likely did not provoke any feelings of sympathy or empathy, but rather represented a task to be completed. Whereas, providing care for a child, for instance, would naturally result in modified behaviour and language, to foster/support understanding, reduce fear, calm anxiety, essentially building the nurse-client relationship.I used this example to illustrate the important concept of patient-centred care before environmental/adaptive considerations.According to the Registered Nutrses Assosciation of Ontario(2015),patient-centered care is an approach that goes beyonf treating illness to focus on the person including values,prwferences,life experiences,and family context-so that care is car Group 5 clearly explained the four adaptive modes, reinforcing understanding by grounding each in Elita’s case. I found it especially effective how they connected her emotional struggles to the self-concept mode, her transition to motherhood to the role function mode, and her relationship with Ron to the interdependence mode. Admitedly,at first I questioned the theorist choice however I see how it could in r . The first section of your response analyzed the adaptation variable, which significantly influences health outcomes through resilience—understood as the capacity of an individual to adjust to both internal and external stimuli (Terela, 2025). The Connor–Davidson Resilience Scale (CD-RISC) is a validated self-report questionnaire where individuals rate statements about their coping ability on a 5-point scale, with higher scores reflecting greater resilience (Connor & Davidson, 2003). Consequently, addressing the residual effects of past childhood trauma compounded by the multifaceted challenges of new motherhood becomes essential. Additionally, the CD-RISC could be used here to provide objective findings related to Elita’s coping capacity, offering a measurable way to evaluate whether interventions grounded in RAM are supporting healthier adaptation. Gilbert’s (1990) cohort study applied the Roy Adaptation Model (RAM) to girls aged 9–14 who had experienced sexual abuse. The intervention consisted of a Structured Group Nursing Intervention (SGNI), in which participants with lived experiences attended nurse-led group sessions, while others received standard/no treatment. Although the study did not yield curative conclusions, it revealed positive psychosocial adaptation over time, suggesting that the SGNI can be understood as a structured, nurse-led therapeutic tool designed to foster adaptation in individuals with a history of trauma. I included this study to demonstrate positive findings/outcomes with the use of the RAM in young survivors of sexual abuse, similar to Elita’s case. Although Elita is older, the abuse still occurred when she was a child, and if known, this then framework could have had a positive effect(s), when or if applied. Created smart goals, addressed all areas of current and potential risks with inclusion of some specific trauma-informed care to be maintained throughout interactions, making the plan of care patient-centred. As group 5 previously mentioned, according to Keles et al. (2024), Roy’s adaptation model is preferred for adaptation to the physiological and psychosocial changes in the postpartum period. Although this transitional period applies to Elita, her medical history must also be considered to appreciate/examine/and assess the actual and potential risks involved. Elita’s history of dismissed pain during labour, unresolved childhood trauma, compounds these adaptations, resulting in the noted physiological and psychological changes, and may/thus require additional support. This was done well. Research emphasizes that the therapeutic nurse–patient relationship is central to recovery, with empathy and perspective-taking fostering trust, shared goals, and collaboration throughout all phases of care (Moreno-Poyato et al., 2020). Lastly, Goldstein et al. (2024) highlight how a trauma-informed care approach, as your group suggested, bridges the gap between standard care and supportive care. The significant effects of the nurse–client relationship, modified through a trauma-informed lens, are patient-centred, thereby supporting Elita’s lived experiences and care. Overall, I feel your group’s application of RAM not only clarified the model but also expanded my perspective on its relevance in postpartum trauma cases. References Connor, K. M., & Davidson, J. R. T. (2003b). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18(2), 76–82. https://doi.org/10.1002/da.10113 Gilbert, C. M. (1990). A structured group nursing intervention for girls who have been sexually abused utilizing Roy’s theory of the person as an adaptive system. ProQuest Dissertations & Theses. Keles, M. N., & Eroğlu, K. (2024). The use of theory or model in studies on postpartum care: A narrative review. International Journal of Nursing Knowledge, 35(1), 21–31. Moreno‐Poyato, A. R., & Rodríguez‐Nogueira, Ó. (2021). The association between empathy and The nurse–patient therapeutic relationship in mental health units: a cross‐sectional study. Journal of Psychiatric and Mental Health Nursing, 28(3), 335–343. https://doi.org/10.1111/jpm.12675 Roy, C. (2009). The Roy adaptation model (3rd ed.) Pearson