Roper Hospital

Roper Hospital

Roper Hospital at Charleston, South Carolina, a part of Roper St. Francis Healthcare system, is the first community hospital in the Carolinas.Established in 1829 by the Medical Society of South Carolina, today's 453-bed acute facility is recognized for its high-quality health care services.As a trusted health care facility in the Lowcountry, Roper Hospital offers such medical specialties as cancer care, cardiology, gynecology, pediatrics, orthopedics, neuroscience, and sleep disorders. A full continuum of rehabilitation and emergency services also is provided.In addition, the hospital offers spiritual devotional services. Various community outreach programs are conducted to benefit the public.Other facilities include a gift shop, ATM, and cafeteria.

Photo, Print, Drawing [Charleston, S.C. Roper's Hospital a closer view]

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Roper-Logan-Tierney Model of Nursing Based on Activities of Living

The Roper, Logan, and Tierney (2000) Model of Nursing based on Activities of Living “is an attempt to identify only the main features of . . . the nature of living . . . [taking into account] knowledge from the natural sciences, the social sciences and the humanities” (Roper, Logan, & Tierney, 2000, p. 13).

Activities of Living (ALs) – The ALs are what constitute “everyday living activities” (Roper, Logan, & Tierney, 2000, p. 14) . Roper et al. (2000) indicated that the ALs are more commonly referred to as the Activities of Daily Living (ADLs) in the United States. They identified 12 ALs.

  1. Maintaining a safe environment
  2. Communicating
  3. Breathing
  4. Eating food and drinking fluids
  5. Eliminating body wastes
  6. Personal cleansing and dressing
  7. Controlling body temperature
  8. Mobilizing
  9. Working and playing
  10. Expressing sexuality
  11. Sleeping
  12. Dying

Lifespan — “[L]iving is concerned with the whole of a person’s life . . from birth to death” (Roper et al. 2000, p, 55)

Dependence/Independence Continuum — The continuum ranges from total dependence to total independence, exists for each AL throughout the lifespan, and changes as the person ages as well as if some event or health condition or other circumstance requires a temporary or permanent change.

Influences on ALs – factors that affect the performance of ALs at any time during the lifespan. Each influence on one or more ALs. can be a positive influence, which is a facilitator that supports and enhances the AL(s), or can be a negative influence, which is a barrier that may be a potential or actual health hazard. Roper et al. (2000) identified five interrelated influences on ALs.

  1. Biological
  2. Psychological
  3. Sociocultural
  4. Environmental
  5. Politico-Economic

Individuality in Living – Emphasizes how the ALs, Dependence/Independence Continuum, and Influences on ALs are “experienced by each individual” (Roper et al., 2000, p. 75)

Primary Source
Other Sources

Holland, K., & Jenkins, J. (Eds.). (2019). Applying the Roper-Logan-Tierney model in practice (3 rd ed.). Elsevier.


Nancy Roper, RN, MPhii (1918-2004)

Nancy Roper’s “initial training was as a registered sick children’s nurse (gaining a gold medal at Booth Hall Hospital, Manchester). [She then] trained as a state registered (adult) nurse in 1943, winning student nurse medals at Leeds General Infirmary. Roper was called up to the Territorial Army as a nurse teacher, in World War II, although teaching was a reserved occupation. Her next role was as a teaching staff nurse, and then senior tutor at Cumberland Infirmary, Carlisle, following completing a sister tutor diploma from London University in 1950” (

Nancy Roper served for 15 years as Principal Tutor in a school of nursing in England circa late 1940s through the 1950s. She turned to writing and editing full-time in the 1960s. In the early 1970s, she studied for a MPhil degree at the University of Edinburgh in Scotland. She went on to become first Nursing Research Officer at the Scottish Home and Health Department (1974-1978). Her MPhil research became the basis for her collaboration with Winifred Logan and Alison Tierney, which resulted in writing the book, The Elements of Nursing, published in 1980. Further development of the ideas in that book became the 2000 book, The Roper-Logan-Tierney Model of Nursing Based on Activities of Living. (Roper, Logan, & Tierney, 2000

Winifred Logan, RN: Master’s Degree (May 9, 1931- 2010)

Winifred Logan holds a master’s degree from the University of Edinburgh, where she also initially trained as a nurse, and another master’s degree from Columbia University in New York City (1966) .For 12 years (1960-1970s) she held a senior faculty position in the Department Nursing Studies at the University of Edinburgh, then held positions as Nurse Education Officer in the Scottish Office, Executive Director of the International Council of Nursing (1978-1980), and Head of the Department of Health and Nursing at Glasgow Caledonian University. Her honors include honorary degrees from two universities and University of Edinburgh Honorary Fellow (1996). (Roper, Logan, Tierney, 2000

Alison J. Tierney, RN, PhD (May 4, 1948 – )

Alison Tierney ”was one of the first graduates (1971) of the Integrated Degree/Nursing programme at The University of Edinburgh [with] a Bachelor of Science [degree in] (Social Sciences – Nursing). [She is one of the first nurses in the United Kingdom to hold] a PhD degree in nursing .. . . She “first joined the staff of the Department of Nursing Studies at The University of Edinburgh as a lecturer and eventually received a Personal Chair in Nursing Research in October 1997. For a 10-year period in the middle she was Director of the government-funded Nursing Research Unit that was based there. After a final period as Head of Nursing Studies, [she] left in 2002 to join the University of Adelaide in South Australia as Professor and Head of the Department of Clinical Nursing, and as Director of the South Australian Center of The Joanna Briggs Institute at the Royal Adelaide Hospital. She remains affiliated [with] to the University of Adelaide as an adjunct professor. . . . She has held Visiting professor appointments at various universities, including King’s College London and the Fudan University in Shanghai, China. For five years (2006-2011) she was a Non-Executive Director of NHS Lothian. She has undertaken consultancies for UK Nursing Schools’ preparations for the 2014 and now the 2021 Research Excellence Framework” (

Alisson Tierney (Source)

Class action lawsuit filed against Roper St. Francis Healthcare over data breach

CHARLESTON, S.C. (WCBD) – A lawsuit has been filed against Roper St. Francis alleging a breach of private patient data, including financial and medical information, was compromised.

The lawsuit states the data breach happened last year between October 14 th and 29 th it alleges that “negligent acts and omissions” led to a breach of private patient data, including financial and medical information.

It also states Roper St. Francis Healthcare has had a history of data breaches dating back to 2019.

“At all relevant times, Roper knew the data it stored was vulnerable to cyberattack based upon these repeated and ongoing data breaches,” the lawsuit claims. “Specifically, Roper St. Francis had three previous hacking incidents before the one complained of herein: (a) The first reported on January 29, 2019 that effected 35,253 people (b) The second reported on September 3, 2020 that affected 6,000 people and (c) The third reported on September 8, 2020 that effected 92,963 people.”

The two incidents noted on September 3 rd and September 8 th stemmed from a data breach involving Blackbaud.

The company informed Roper St. Francis Healthcare that an unauthorized party had gained access to Blackbaud’s systems between Feb. 7 and May 20.

“We merely seek to hold Roper accountable for its continued negligent actions in allowing these preventable data breaches from happening and to compensate current and former patients for the harm inflicted,” said Attorney Brent Halversen. “We seek to provide all patients whose private data was compromised credit monitoring services as partial compensation for the harm each has suffered, not just the hand full that Roper thinks are the worst cases.”

The Richter Firm, The Solomon Law Group, Slotchiver & Slotchiver, LLC and Brent Souther Halversen, LLC are part of the class action lawsuit, which was filed March 24 th in the ninth judicial circuit for Charleston County.

1. Plaintiff and Class members be awarded economic and non-economic damages

2. Plaintiff and the Class members compensatory, consequential and actual damages in an amount to be proven at trial

3. Plaintiff and the Class members statutory and injunctive relief

4. Plaintiff and the Class members seek punitive damages in an amount to be proven at trial

5. Plaintiff and the Class members prejudgment interest, costs, and reasonable attorneys’ fees.

News 2 reached out to Roper St. Francis Healthcare for a statement. We are waiting to hear back.

Copyright 2021 Nexstar Media Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

CMHS History

Comprehensive Mental Health Service began as a satellite service provider of Western Missouri Mental Health Center. It was originally incorporated on April 18, 1969 as the Independence Area Health Center under the general Not-For-Profit Corporation Act. The first location was in space leased from the Independence Sanitarium and Hospital located at 1505 West Truman Road. John Macek was the first director.

In 1972, the name was changed to Northeastern Jackson County Mental Health Center. Federal grants, grass roots donation and local memberships were pursued as viable financial resources to begin and maintain services. In 1973, the agency was able to serve 400 customers in a year and began to make a positive impact in the city of Independence, Missouri.

1974 was the first year the young mental health center was awarded a federal staffing grant which allowed basic services to be implemented. The Community Mental Health Services Act set the foundation for the young center to successfully gain an eight year federal grant from the Department of Health, Education and Welfare. This grant allowed the center to expand its service base by reaching 120 new customers a month. In addition, an outpatient office was opened at Chapel Hill Presbyterian Church in Blue Springs.

Dr. James McKee

In July, 1978, Dr. James. L. McKee became the Executive Director. This year also marked that the Missouri Division of Alcoholism and Drug Abuse certified the center’s alcohol and drug abuse service program which allowed more services to be offered to the community. William H. Kyles joined the organization as Associate Director.

In 1979, the main center opened at 10901 Winner Road in the Englewood area of Independence.

In 1981, the Board of Directors adopted the current name, Comprehensive Mental Health Services, Inc., and our logo to signify our commitment to quality mental health services.

In 1981, voters in Jackson County, Missouri passed the first Mental Health Levy. This levy replaced the eight year federal funded grant and allowed local tax payers to play a role in funding the mental health needs in their respective community. Also in this year, the Missouri State Mental Health Purchase of Service Contracts began with Comprehensive Mental Health Services. This allowed the state to underwrite the fees for services to those customers who could not afford them.

In 1982, Dr. James McKee resigned as executive director and Bill Kyles assumed the director’s responsibilities.

CMHS was accredited by the Joint Commission on Accreditation of Healthcare Organizations in 1986.

In 1987, the Turning Point group home was opened at 1730 N. Swope Drive. The purpose of the residential care facility was to provide housing and 24 hour support and care for individuals with serious mental illness.

The Jackson County Community Backed Anti-Drug Tax (COMBAT) began in 1989. Gateway, a transitional home for substance abusers to gain treatment in a safe environment was opened at that time. In the same year, Spring House opened as a nine-bed facility to help those with a serious mental illness needing a stress-free environment on a short-term basis while they deal with psychiatric crises.

Two innovative home-based programs were implemented in 1991 – Families First and Targeted Case Management. These programs were established for youth and their families to help provide support and education as well as assistance with linking the youth and families with appropriate community resources. The first CSTAR (Comprehensive Substance Treatment and Rehabilitation) contract also began in 1991 and the Wingspan program began at Cler-Mont Elementary School, sponsored by CMHS, Neighborhood Councils and the schools through a $40,000 grant from the Children’s Trust Fund.

In 1993, CMHS formed the Comprehensive Mental Health Services Foundation to begin raising private funding to support its programs and services.

Renaissance West was incorporated as a not-for-profit corporation in August of 1970 by a five-member board of directors. It operated a program for the education and rehabilitation of persons addicted to narcotic drugs. For over 35 years, Renaissance West had provided substance abuse treatment services for persons in residential, outpatient and aftercare programs. Renaissance West is one of Kansas City’s longest standing and most successful treatment programs. In 1998, Comprehensive Mental Health Services purchased Renaissance West and operated it as a subsidiary corporation until 2001 when it became a program within the Addiction Recovery department.

In 2002, Sunrise House was opened by the Community Housing Network. Sunrise House is a 19-unit semi-independent housing complex located at 17830 E. 23rd St.

William H. Kyles

In 2004, the Vaughn Building, where adult Community Support services are housed ,was dedicated to Carol Roper Park Vaughn, a former Missouri House of Representative who worked extensively in the mental health community.

In 2010, Comprehensive Mental Health Services moved its Addiction Recovery Program to it’s current location at the Parkway Addiction Center at 17421 Medical Center Parkway.

In February 2011, Comprehensive Mental Health Services was moved into its new main center located at 17844 on East 23rd Street. The building was dedicated to William H. Kyles in celebration of his 35 plus years of service to CMHS. In August of 2011, Joy Copeland became the Interim CEO and President due to the untimely death of William H. Kyles. In May of 2012, Joy Copeland was officially name to the role of President/CEO of Comprehensive Mental Health Services, Inc.

In 2012, CMHS implemented the Healthcare Home as part of an integrated health initiative supported by the Department of Mental Health.

In 2013, CMHS began important Trauma Informed Care and Cultural Competency initiatives.


This collection is comprised of 15 photographs documenting the destruction Charleston, South Carolina, suffered as a result of the August 1886 earthquake. Locations in the photos include King Street, Market Street, and Hibernian Hall. The massive earthquake occurred on August 31, 1886.

Please, also visit the online exhibit, "Faults and &hellip

C. Wayne Weart Apothecary Trade Cards, 1870-1920

The C. Wayne Weart Apothecary Trade Cards collection includes late-19th century advertising cards from the private collection of Dr. C. Wayne Weart. The cards advertise pharmaceutical products, and typically feature colorful artwork on the front. The back of the cards usually had information about the product advertised and where it &hellip

C. Wayne Weart Pharmacy History Collection

The C. Wayne Weart Pharmacy History Collection features photographs of show globes, also known as carboys, as well as late-19th and early-20th century pharmacy catalogs and apothecary trade cards. These items are from the private collection of Dr. C. Wayne Weart, Distinguished Professor Emeritus of the MUSC College of Pharmacy.

Charleston County Health Department Photographs

The Charleston County Health Department Photographs, circa 1930 to 1950, document the activities of the department and staff. Images include a combination of candid and staged photographs about activities such as maternal and child health programs, health education, treatment clinics, midwifery instruction, environmental sanitation and &hellip

Colleton County Hospital Photographs

The Colleton County Hospital Photographs, 1955-1975, consist of 168 photos of the hospital, its staff, and programs at the hospital located at S. Lemacks Street in Walterboro, South Carolina. The photographs were from the morgue of the Walterboro Press and Standard. The photographs are arranged in five series: bloodmobiles and clinics, &hellip

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. So Welcome to &emsp&emsp. Meeting. &emsp&emsp&emsp&emsp. Remembering. &emsp&emsp&emsp&emsp&emsp&emsp. Getting to Know. &emsp&emsp&emsp&emsp&emsp&emsp&emsp&emsp&emspthe Gilbreth Family!

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  • The first is to be the premier online source of information about the Gilbreth family —as correct, complete and interesting as possible—and all the various communities, eras and events which connect them across more than a century. Besides just a collection of facts and stories, I hope to make this site a nexus for all the communities that share an interest in any aspects of this unusual family.

1958-1976 – Expansion and Role of Bud Roper

The expansion of data holdings increased at a rapid rate. By 1963, there were about 2,800 studies in the collection – by 1967, 7,000. Regular reports offered updates on newly available data to the academic libraries and other organizations that formed the membership base for the Center. Academic papers began to appear in journals outlining the Roper Center holdings and the significance of the data for various fields of inquiry, including population data, sociology of religion, and trend studies. Technological changes had come to the field. Punch cards had widely been replaced by magnetic tapes, which made accessing and analyzing the data easier. Users no longer had to physically visit the Center or have boxes of punched cards shipped to them. Magnetic tapes containing copies of pertinent dataset files along with paper copies of documentation could be mailed to researchers for them to run analyses locally.

The Roper family continued to play an important role in the expansion of the Center. Elder son, Burns "Bud" Roper began working with The Roper Organization in the 1940s and eventually succeeded his father as head of the company after Elmo’s retirement. Over his career, Bud contributed to the field of polling as a professor of graduate course work at the University of Connecticut, as a member of the Board of Directors for the Roper Organization, as the chair the Roper Center Board of Directors, and served as president of the American Association for Public Opinion Research in 1982-83. He received the AAPOR Award, the organization’s highest honor, in 1988. Receiving the AAPOR Exceptionally Distinguished Achievement Award, presenter Eleanor Singer said he was "an institution-builder and worthy son of a founding father[] he has provided steady leadership to The Roper Organization and fostered the evolution of The Roper Center for Public Opinion Research as a leading repository of historical public opinion data."


Although my affiliated institution is not following Roper-Logan-Tierney theory, I realized that what I have been doing in the Surgical Unit are in accordance to the provisions of the said theory. Upon admission, patients for surgery are being assessed using the institution’s assessment tool. There’s a portion on that tool that assesses patient’s level of independence in performing different activities of living like, eating, communicating, mobilizing, eliminating, hygiene and etc. This will serve as a baseline, preoperatively, to determine the extent of impact of the surgery on the patient’s independence, postoperatively, considering the factors mentioned by the said theory and consequently the basis for providing nursing care. This determines the activities of living patients need most assistance.

  • MEDICAL ORIENTED MODEL - The Roper, Logan and Tierney model has received substantive criticism for being medically oriented and for its focus on activities of living. Tierney (1998) accepts that the model does little to ‘loosen nursing from the medical model’. However, Tierney (1998) proceeds to suggest that this may well be a particular strength of the model as it allows nursing to work hand in hand with medicine, rather than trying to separate the two. Tierney (1998) describes this as ‘reframing nursing’s relationship with medicine’.
  • · Fraser (1990) was UNABLE TO FIND RESEARCH TO SUPPORT THE MODEL’S VALIDITY . A lack of ‘testing’ is another criticism of the model by Fraser. Tierney (1998) acknowledges this fact, but asserts that the model has ‘research-generating potential’.
  • · Girot (1990), has accused Roper, Logan and Tierney of SIMPLICITY . This simplicity has contributed to the popularity of the model. It is widely used in the UK and Europe, has recently been included in American texts and is translated into eight other languages (Tierney, 1998), emphasizing its cultural and geographical portability.

Upon proper understanding of the different concepts of the model and its purpose, we would like to recommend the use of this theory for a holistic approach of system care to the patient not only as an assessment tool but as a means to create a plan for the care that the patient should receive in the course of the nursing care. We, group A has managed to study this model created by Roper, Logan and Tierney and because this model has limited validity tests, we also recommend that further study be done in order to expand the great potential of this model in having a effective holistic care to patients not only in United Kingdom but also to other parts of the world.


Watch the video: Roper St. Francis Healthcare