MODEL DIAGRAM OF RESEARCH QUESTIONS USING ADAPTATION MODEL
 (ONTF..TTI Al. FOC L. COMPENSATORY ADAPTIVE
 STIMULI STIMULUS LIFE PRO(_ ESiar MOUDES





 DECREE OFIN PI
 /E / I _SPIRITUALITY


 TOTAL JOINT
 RACE / ARTHaOPLASTY
 FOR
 OSTFOARTHMlTIS
 AND CHRONIC
 PAIN











Figure 2-1. Model Diagram of Research Questions
 SELF-
 ASS3E9SMNE .-ANALESIC
 II I_ EALT H MEDICAW-nO USE *-
 STATUS
 COPING






Figure 2-1. Model Diagram of Research Questions

Roy Adaptation Model Gerontologic Research

 Roy describes the adaptive process as adjusting effectively to environmental

changes using cognitive interpretation and coping processes to maintain an integrated

life. In this model, compensatory life processes are spiritual coping and health self-

assessment. These regulatory processes provide an adaptive response for less pain.

 Roy's adaptation model has been used mainly with children and adults in a hospital

environment. One gerontologic study has used the Roy adaptation model to evaluate a

coping process and the concept of self-consistency. Roy believes the concept of personal

self is a combination of self-consistency, the moral-ethical spiritual self and the self-ideal

(Roy & Andrews, 1999). Zhan (2000) used the Roy Adaptation Model to study

adaptation and coping with severe hearing loss in 130 elderly adults. Health status and

coping data were analyzed for positive relationships between cognitive coping and self-