Roy Adaptation Model Application in Persons with Herniated Nucleus Pulposus: A Case Study


  • Benyapa prompuk Boromarajonani College of Nursing Buddhachinaraj
  • Wanchai Lertwatthanawilat
  • Jindawan Ngaoratsamee
  • Torphong Bunmaprasert


Roy Adaptation Model, Herniated Nucleus Pulposus, Case study, Sciatic pain


A major cause of sciatic pain in adults is Herniated Nucleus Pulposus (HNP), which impairs mobility and leads to disability, loss of income, burden cost of treatment, as well as stress or depression. As a result, patients need to adapt. The Roy Adaptation Model focuses on supporting the adaptation behavior of a person or group with ineffective behavior to survive and have an improved quality of life. This article aims to present an application of the Roy Adaptation Model in persons with HNP. The content of the article includes the Roy Adaptation Framework, a case study of a patient with HNP at the pre-operation phase, and the practice methodology of the Roy Adaptation Model Nursing Process. The practical steps consist of 1) assessment of behavior, 2) assessment of stimuli, 3) nursing diagnosis, 4) goal setting of supporting adaptation, 5) nursing intervention, and 6) evaluation. The application of the Roy Adaptation Model in this case study showed that the patient’s level of adaptation was on a compensatory level. The patients adapted to improve in the physiologic, self-concept, and role function modes. This exemplar can be used to guide nurses for using the Roy Adaptation Model to perform nursing care in persons with other diseases to promote adaptation, leading to a better quality of life.


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How to Cite

prompuk, B., Lertwatthanawilat, W. ., Ngaoratsamee, J. ., & Bunmaprasert, T. . (2021). Roy Adaptation Model Application in Persons with Herniated Nucleus Pulposus: A Case Study. NU Journal of Nursing and Health Sciences, 15(1), 14–27. Retrieved from