1. What is health
    • Presence or absense of a disease.  A state of complete physical, mental and social. 
    • Someone striving tword optimal functioning. 
    • Sense of WELLNESS
    • Persons perception.
  2. Disease
    • Medical term used by medicine
    • Nursing for a disorder in the body. 
    • It is physical
    • Somethin that can be diagnoised
    • Perhapsed cured but not always
  3. Illness
    • Individualized perseption: "I have a st or ha"; "I just dont feel well today".
    • Highly subjective
    • Can have a illness without a disease or can have a disease without illness.
    • A state of a perons physical, emotional, interlectual, socaial or spiritual is deminished or impaired.
  4. Well-being
    • Subjective
    • Individualized perseption "I want to dance"
    • Felling of wholeness and functioning at ones potential at all aspects.
    • Experence is measured
  5. Wellness
    • Decisions made everyday about health.
    • Ex did you choose to eat a breakfast knowing that it is the important meal of the day or excersise or set on the couch.
    • State of well being
    • Self Responsibility an ultimate goal, dynamic, growing process.
    • The whole being of the individual.
  6. Internal varibles
    With in a person, spiritual factor, intellegance delevemental stage, emotions that can influence on how healthy that person is.
  7. External varibles
    • Outside, what is the the enviroment-Is it healthy?
    • Are you far from a medical resource.  Finances? and social class?
    • Family dynamics-do they get routine exams? 
    • Culture?
    • Do they wait and go to the ER when sx's are bad?
    • How does their peer group deal with the illness.
    • Individual lifestyles-do they sit out in the sun??
  8. Human needs model (Maslow)
    • Lower level is the most important; it is the physiological state.
    • ************always remember ABC***************

    Always be open to what the client is feeling as well.
  9. Continumm models of health
    deals w/ concept of health as it truely exsists from high level wellness to death.
  10. Travis's illness-wellness continumm
    What is it and what does it say
    • One big arrow
    • Left-premature dealth (disability, symptoms, and signs) Right-up to high level of wellness.
    • Top of arrow all the way across-wellness
    • Middle is the neutral point
    • Bottom half way is the treatment arrow.
  11. What is the neutral point of the model
    • No discernible illness or well ness
    • (think of the Army girl that got hurt)
  12. What does the Travis illness-wellness continuum tell us
    • The patient could be ill and at the same time orient tword wellness
    • Physically healthy and at the sametime function from the illness mentality.
  13. Theories of health belief--what does it tell the nurse??
    Clients perceptions of the health and illness-nurses can provide more meaningfull assistance to help them maintain regain or attane a state of health
  14. Locus of control
    • What you believe about life usually influences health
    • Internal" Do you control your health"?
    • Enternal: "Do you believe that something else of a higher power controls your life"  Such as genes or "A God".

    Ex:  Im going to die at 40 because all my uncles died at 40 or I can't stop drinking because my mom did not stop drinking.
  15. Beckers health belief model 1974
    Why some people maintain health and treat illness while others fail to protect themselves mostly preventing a disease and illness.

    • Individual perception
    • Ex:  15 year old girl-sexual active does not believe that she can get a std.  You friend laughes at it.  She does not see the reason to use a condom or protection.
    • Modifing factors: peer pressure and age-will greatly influence how she feels about the illness and the seriousness.
    • Cues to action: Wake her up to the serious of things: mass media campaigns, advise from others, postcard from physicians, illness of friend, family, newspapers.
    • Likelihood of action: Percieved benifits prevenative action-barriors hard to get to office or embarressed.

    • Well she get the help or not????
  16. Penders health promotion model
    • Assumptions of people, their behaviors, nature of health, the goal of health promotion:
    • Health promotion al directing a clients well being
    • ************Promoting Wellness*************
    • * Individual characteristics and experiences
    • *Behavior specific congnitions and affect
    • *Behavioral outcomes
    • Ex:  50yr hyperlipid needs to start exerc.  Must concider
    • 1)Prior related behavior before, is this a pattern?
    • 2) personal factors: culture, family routine, psych, What will help him undertake this?
    • 3) Whole relm of influences will he do it or not?
    • Health promoting behavior
    • Nurse can collect data from the chart and intervene w/the client and help him change his life.
  17. Holistic health model of nursing
    • Clients are the ULTIMATE experts able to guide their own health: if they have the info from the nurse.
    • Nurses strive for this.
  18. Nurses interventions for holistic health
    • Dont ignor emotional factor with the physical
    • Dont ignor the spiritual in favor of the interletual
    • Conplementary: use nursing care with medical care to improve patients health
  19. Alternatives to Holistic health
    • Therapy: herbal, music, relaxation, touch
    • Its broad can be used in all stages of health and illness.
  20. Ok stands?  2009 united health foundation
    • 49th health practices
    • #1 health practices
    • 38% smoke but has come down
    • 31% obese
    • 40% ex. reg.
  21. what can nurses do
    • Nurses must be involved not only preventing disease but promoting health. 
    • Educate people.
    • Encourage people to be responsible for taking control of their health
    • Inc. concepts of wholeness, wellness, well-being, and lifestyle changes.
    • Program that modify enviroment and individual behaviors.
    • EX:  45yr old feels healthy but has high cholestrol and does not ex. needs health promotion.
  22. National health campaingns?
    • Healthy people
    • 1970's vision for nations health.
    • Goals are created on the fed level every decade and public health agencies at all levels of gov work to meet them.
    • State, city, and local to meet these goals.
  23. Ok's initive
    Eat better move more don't smoke
  24. Major goals for "healthy people 2000"
    • Increase quality and yrs of healthy life in indivi.
    • Eliminate health disparities
    • Ex:  Certain pop. lets give them equal access to medical care.
    • Increase vacciness, reduce obesity, low cancer death rates, and low htn.
  25. health promotion level 1
    • interventions aimed at decreasing probability of specific illness or dysfunction.
    • Aimed at healthy people!!!!!!
    • Ex:  prenatal pills, adult starts ex program, vacciness, exams.
  26. health promotion level 2
    • Secondary
    • Early dx and prompt treatment of illness
    • Persons who are experiencing or at risk of experencing health problems and are at risk of developing complication.
    • EX: per exp thrist and freq urination: pcp does a bs: dx w/dm.  EARLY TX:  Recognizing the disease and starting tx such as nutrition and demostrating bs test.
    • EX: family breast cancer: get a mammo. 
    • May have the disease but tx before it gets worse.
  27. Health promotion #3
    • Tertiary
    • Focused on minimizing the effects of permanent and irreversible disease or disability.
    • Ex: emphazyma-avoid worsening the disease.  No going out in the cold.  Stay away from crowds-worried about infecitons.
    • Ex: CHF- weight everyday and call nurse if any descripincies with weight.
  28. How does the nurse help client move twords wellness
    • Help client identify that there could be risk factors in their lifestyle even if they are not feeling unhealthy.
    • Were is the client at??
  29. Precontemplation
    Client is not thinking of changing their lifestyle in the next 6mo.
  30. Conteplation
    • Knowledge to the problem. 
    • Thinking about changing the in the next 6 mo
    • May not be ready to commit.
  31. Preparation
    • Immediate action w/in a month
    • Usually making small behavior changes
    • Buying self help books
  32. Action
    • Actively implements behavior and conginitive strategies of the action plan.  Adapt new behavior
    • Great Commitment
  33. Maintance
    • Strives to prevent relapse.
    • Adopting new behavior.
    • Stage last until no tempations usually 6mo to 5yrs.
  34. Chronic illness
    • Longer than 6mo
    • Disabilities
    • leading health problem for older adults and children
    • Physicial changed that affects functioning (maybe in more than one dimintion)
    • Btw mulitfunctioning or life threatening relapse.
    • Can not be cured.
  35. Acute illness
    • Short term problem
    • Can affect the patient life-emotional, spiritual, physical.
    • Sx's may be adrupt but then subside
    • Might be cured.
  36. Illness Behavior (Internal)
    • How a person thinks about illness and how that influences them or weather internally.
    • Is the sx's disrupting their routine? 
    • Sx's life threatening?
    • Do I believe I'm in control of my health
  37. External (behavior)
    • How do my peer group deal with my illness?
    • Do I accept this "sick role" or do I accept health care?
    • Sx's visible to others?
    • Culture recognize my sx's as a illness
    • Should I delay treatment b/c I can't afford it?
    • HC confusing?
Card Set
Exam #2