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Human Dimensions
Composing the whole person:
- Intellectual
- Environmental
- Spiritual
- Sociocultural
- emotional
- Physical
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Health
A state of complete physical, mental, and social well being not merely the absence of disease
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Illness
- The unique response of a person to a disease
- - disease medical term, pathlogic change to in structure/function of body or mind
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Wellness
- Active state oriented towards maximizing the potential of the individual
- health and wellness used interchangable
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Acute illness
Generally has a rapid onset of symptoms, last only a relatively short time
ex. appendicitis, pneumonia, diarrhea, common cold
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Chronic Illness
A broad term that encompasses many different physical and mental alterations
ex DM, lung disease, arthritis, lupus
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Characteristics of Chronic Illness
- - permanent change, slow onset
- -irreversible alterations in normal A&P
- - leading health problems in the world
- - requires special pt education/rehab
- - requires long period of care and support grieving
- - period of remissions (dx present no Sx)
- - roles changes for patient and family
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Stages of Illness
Experiencing symptoms
Assuming Sick role
Assuming dependent role
Achieving recovery and rehab
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Health Illness Comtinuum
- measure person's level of health
- views health as a constantly changing state with high level wellness to death on opposite ends
- illustrates the dynamic (ever-changing) state of health
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Factors affecting Health and Illness
Risk factors:
- - age children- menopause CV
- - genetic factors- family CV CA DM
- - physiologic factors- obesity and CV
- - Health habits- smoking and lung CA
- - Lifestyle- stress pt, accident, illness
- - Environment- poor sanitation- TB
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Human Dimensions Affecting Health
Physical- genetic inheritance, age, develop level, race and gender
Emotional- How the mind effects the body function and responds to body conditions
Intellectual- cognitive abilities, educational background, and past experience
Environmental- housing, sanitation, climate, air pollution, food, and water
sociocultural- economic level, lifestyle, family and culture
Spiritual- spiritual beliefs and values
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Meeting Basic Human Needs
The absence in basic human need results in illness
the presence helps prevent illness
meeting need restore health
one feels something is missing when needs are not met
one feels satisfaction when needs are met
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Physiologic
Includes, oxygen water food temp, elimination, sexuality, physical activity and rest
must be met to maintain
highest priority
oxygen most essential
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Safety and Security needs
physical and emotional components
security of body or employment, or resources, or morality of the family of health of property
security- protection from actual harm
nurse- allows decision making to be by patient
emotional safety and security
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Love and belonging needs
understanding and accepting of others, giving and receiving love
feeling of belonging to
friendship, family, and sexual intimacy
needs unmet- lonely, isolated, withdraw, overly demanding, critical
nurse- includes family and in care, esta. npr, support groups
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Self-Esteem
confidence, achievement respect of others, respect by others
need to feel good about self
positive- feels good about oneself
- change in body image can impact self esteem
- nurse- respect pt value beliefs, facilitate family support
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self- actualization
in order to be here u have to meet all th other other dimension
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