Chulalongkorn Medical Journal


This article details an application of Roy’s Adaptation Model (RAM) in providing nursing care for patients with end stage renal disease (ESRD) experiencing changes associated with required haemodialysis (HD). RAM guides the assessment of the patients’ levels of adaptation and facilitates the management of stimuli to promote their adaptation. The nursing intervention focuses on issues surrounding the adverse effects of HD treatment including physical, psychological, and social changes.



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