Health Promotion and Concepts WKU Nursing[1].txt

  1. A resource for everyday life, not the objective of living. It is a positive concept emphasizing social and personal resources as well as physical capacities.
  2. Provides science based 10 year health objectives for all Americans.
    Healthy People Documents
  3. Person who stated that health was the prevention of disese through the use of fresh air, pure water, efficient drainage, cleanliness and light.
    Florence Nightingale
  4. Wellness approach that addresses the body, mind, and spirit. Or physical, Emotional, and spiritual aspects of a individual.
    Hollistic health
  5. What type of health's goal is to empower patient to engage in own healing process. Includes both complementary and alternative interventions. Allows you to achieve optimal wellbeing.
  6. This type of Health's interventions focus on the interactional needs of the body, mind, and spirit.
  7. Using a non-mainstream approach together with conventional medicine. Examples being biofeedback, massage therapy, music, humor. Type of holistic health approach.
  8. Using a non-mainstream medicine in place of conventional medicine. Examples being the same as complementary medicine. Type of holistic health approach.
  9. Active process of becoming aware of and making choices towards more successful existance. Closely linked to your lifestyle and choices you make. State of health or optimal balance between external and internal environments. Individually defined for each person
  10. Person's ideas and attitudes about health. Directly influence health practice wether evidence supports or not.
    Health beliefs
  11. Activities that individuals do in order to care for themselves. These can be beneficial or not. Smoking vs. Exercise
    Health practices
  12. Model of health and illness: Addresses the relationship between a person's beliefs and behaviors. Ex. Flu is prevalent but Mary feels she won't catch it, so she doesn't wash her hands often after interacting with others.
    Health belief model
  13. Models of Health and Illness: Directed at increasing a patient's level of well-being. Framework for integrating nursing and behavioral science and factors that influence health. Makes four assumptions on listed on later flashcard.
    Health promotion Model
  14. Models of Health and Illness: Makes four assumptions: Individuals seek health promoting behavior, individuals interact with the environment progressively, helps professionals constitute part of the interpersonal environment which exerts influence on people throught thier lifespan, have to make personal plan to change.
    Health promotion model
  15. Based on comphrensive view of the person as psychosocial and spiritual being. Participation of patients in improving thier health important. Also known as Complementary/Alternative Health Model.
    Holistic health Model
  16. Models of Health and Illness: List Maslows Hierarchy of Needs. (Stage, stage, stage format)
    Physiological, safety and security, love and belonging, self-esteem, self-actualization
  17. Variables Influencing Health Beliefs and Practices: Developmental stage, intellectual, perception of physical functioning, emotion, spiritual. These are examples of what type of variable?
  18. Variables affecting Health Beliefs and Practices: family practices, cultural background, socioeconomic status, environment, occupation, geographic location, support system. These variables are considered?
  19. What variable affects overall health status
  20. Personal choices that can have powerful influence over a person's health. They maintain or enhance the current health. Strategies such as physical activity, nutrition, drug use, violent behavior.
    Health practices
  21. These programs lower the overall cost of health care by reducing the incidence of disease, minimizing complications, reducing need of more expensive health care resources
    Health promotion
  22. Strategies relating to environment or regulatory behaviors that provide protection to the population. These strategies address unintentional injuries, environmental health, food and drug safety, and oral health.
    Health protection
  23. Examples of this strategy: air and water quality regulation, food and drug regulations. Done by all levels of government.
    Health protection
  24. Strategies to avoid or prevent a specific disease or condition, detect it early, or maintain function within that illness.
    Illness prevention
  25. Examples of this strategy: counseling, screening, immunization, and other interventions for individuals in clinical settings.
    Illness prevention
  26. Maternal and infant health, heart disease, stroke, cancer, diabetes, STD, and other infectious diseases.
    Priority areas for illness prevention
  27. Strategies to teach people how to care for themselves in a healthy manner.
    Wellness education
  28. Examples of this strategy: stress management, accident prevention, how to properly lift.
    Wellness education
  29. Health promotion or illness prevention? Not disease oriented, motivated by "personal positive approach", seeks to expand positive potential for health
    Health promotion
  30. Health promotion or illness prevention? Illness specific, motivated by "avoidance" , seeks to impede the occurence of insults to health
    Illness prevention
  31. Individuals gain from activites of others without acting themselves. Ex. Fortified Vitamin D milk
    Passive strategies of health promotion
  32. Individuals adopt specific health programs. Ex. Smoking cessation program
    Active strategies of health promotion
  33. List the three levels of prevention (level, level format)
    Primary prevention, secondary prevention, tertiary prevention
  34. First level of prevention where there is no disease or impairment present
    Primary prevention
  35. True prevention, the broadest sense of activities of health promotion. Focus on decreasing the vulnerability of individual or population to the illness. Both passive and active.
    Primary prevention
  36. Examples of settings of this level of prevention occurs: schools, physicians offices, occupational health clinics, nursing centers.
    Primary prevention
  37. Goal of this level of prevention is to prevent healthy people from getting a disease or injury in the first place.
    Primary prevention
  38. Examples of this level of prevention: Prenatal and well-baby check ups, nutritional counseling, family planning, importance of regular exercise, dangers of drug use, education/legizilation of seat belts and helmet use. Regular exams and screenings, risk factors tests, controlling potential hazards, and immunizations against infectious diseases.
    Primary prevention
  39. Focuses on early detection and prompt treatment. Persons who have illness or expierencing health problems. Activities are intended to reduce morbidity of the illness, reduce severity, and get patient back to a more normal level of health ASAP.
    Secondary prevention
  40. This example is of what level of prevention? A man goes to a diabetes screening because he is experiencing symptoms similar to the disease and feels he may have it. Then learning blood sugar is high so going for further treatment elsewhere.
    Secondary prevention
  41. Goal is to halt or slow progression of a disease in its earliest stages. For injury the goal is to limiting long term disability or stop reinjury.
    Secondary prevention
  42. Examples of this type of prevention: daily aspirin to prevent first or second heart attack, recommending screenings for people with known risk factors of an illness, teach self examinations, provide suitable work for injured workers, assessing for growth and development
    Secondary prevention
  43. Focusing on preventitive care. (Restoration and Rehabilitation) Trying to reduce further complications, loss of functions, or disability. Trying to contain or slow down the damage.
    Tertiary prevention
  44. Examples of this level of prevention: managing long term diseases such as CHF, diabetes, cancer, chronic pain by being in rehabilitation programs or support programs.
    Tertiary disease
  45. Restriction or lack of ability to perform within the range of a healthy human being.
  46. Disadvantage for certain individual due impairment or illness that limits thier ability to perform in the community that is normal for that individual
  47. Combined and coordinated supportive use of medical, social, educational, and vocational for training and retraining the individual to the highest possible level of functional mobility.
  48. List the stages of behavior change
    Precontemplation, contemplation, preparation, action, maintenance
  49. Stage of behavior change: In which stage is the patient not aware or underestimates problem.
  50. A learning process. This lessons can be reapplied to the next attempt to change
  51. Therapeutic Interventions for precontemplation stage
    Assess patient's readiness to learn pro's and con's of behavior, explain importance of learning more about healthy behavior, explain current negative and/or positve aspects associated with the behavior, help patient see importance of change, and PROVIDE INFORMATION IN NONTHREATENING CARING WAY.
  52. Type of listening essential to assisting patient advance to next stage, it also strengthens connection between patient and nurse
    Active listening
  53. Stage of behavior change: In what stage the patient gathers information, verbalizes the need to change within next 6 months.
    Contemplation (teeter-totter stage)
  54. Contemplation stage
    Assist with increased awareness of current behavior, ask if patient would like more information, determine which specific behaviors the patient wishes to change, help perform a self-evaluation of current self vs. Future self without that behavior, reflex on behavior: help them figure out why they have behavior, examine pros. Vs. Cons of the change
  55. Person actively implements behavioral cognitive strategies of the action plan to change health risk behaviors
    Action stage
  56. Stage of behavioral change: Person intends to make action within the immediate future in the next month. May have had unsucessful attempts before.
  57. Preperation stage therapeutic interventions
    Continue to discuss the pros and cons of the behavior change, provide support and guidance, establish date begin action, inform family and friends how they can be supportive, create plan of action, make the change a priority and reinforce past successes the patient has made.
  58. Action stage therapeutic interventions
    Continue to discuss the benefits the change will make. Continue to provide positive reinforcement. Encourage patient to make healthy substitution for behavior. modify environment so less stimuli to encourage past behavior, plan rewards
  59. How long can the action stage last till they don't want to go back to old behavior
    6 months
  60. Stage of behavioral change semi: strives to prevent relapse by integrating newly adopted behaviors into their lifestyle. Lasts until person no longer experiences temptation to return to risky behaviors
  61. Therapeutic interventions for maintenance stage.
    Continue with positive reinforcement for desires. remind patients of past successes and current. Teach patient about danger signs of stress and insufficient coping.
  62. A state in which any aspect of a person's functioning is diminished or impaired compared with that person's previous condition. It is the response of a person to the disease.
  63. Acute illness
    Characterized by severe symptoms of short duration. they appear abruptly and subsides quickly
  64. Chronic illness
    Last for an extended amount of time. usually more than 6 months. slow onset with often periods of remission and exacerbations
  65. Disease
    medical term meaning that there is a pathological change and the structural function of the body or mind.
  66. Exacerbations
    Where symptoms reappear or intensify
  67. Remission
    Symptoms disappear or are minimum for a period of time
  68. Which is life-threatening acute or chronic illness
  69. Illness behavior
    Involves how people monitor their bodies and define and interpret their symptoms. it is influenced by many variables and must be considered by the nurse when planning care.
  70. Two variables of illness behavior
    Internal which is the perception of illness and nature of illness. And external which is the visibility of symptoms, social group, cultural background, economics, and assessability to healthcare
  71. Impact of illness on patient and family
    Behavioral and emotional changes, the impact on body image, impact on self concept, impact on the family roles and dynamics
  72. Behavioral and emotional changes from illness
    Anxiety, stress, and/or illness
  73. Self concept
    Complex mixture of unconscious and conscious thoughts, attitudes, perceptions
  74. Give us a sense of meaning, wholeness, and consistency to a person
    Positive self-concept
  75. High degree of susceptibility and generates a positive feeling towards self
    Healthy self concept
  76. Mental image of how we see our body and is not always accurate of our body structure or physical appearance
    Body image
  77. All impact how a person views themselves
    Your ideal body weight and shape as well as ideas about body piercings and tattoos; youth and beauty and Western cultures ideas regarding body image
  78. Assessment of a patient's health promotion and health practices includes
    Health history ,physical examination, physical fitness assessment, lifestyle assessment, spiritual health assessment, health risk assessment, social support systems review, health beliefs review, life stress review
  79. Health promotion diagnoses
    Readiness for enhanced spiritual well-being, coping readiness for enhanced nutrition, readiness for enhanced knowledge, readiness for enhanced parenting, readiness for enhanced self concept, readiness for enhanced self care
  80. 2 cues that should be present for health promotion diagnoses
    the desire for increased wellness and it has to be something they can change
  81. When writing goals for health promotion it would start with
    The family will or the patient will
  82. 7 parts when planning health promotion
    Number 1- identify health goalsand related behavioral change options. number 2- identify behavioral or health outcomes. number 3- develop a behavioral change plan. number 4- reiterate benefits of change. number 5- address environmental and interpersonal facilitators and barriers to change. number 6- determine a time frame for implementation. number 7- commit to behavioral change goals
  83. When planning help out comes the nurse acts as and what person during the stage
  84. Interventions during the implementation phase the nurse will do
    Provide and facilitate support. Schedule individual counseling sessions. Arrange telephone counselling. Arrange group support. Facilitate social support, provide health education, enhance behavior change, mutually select a model
  85. During evaluation the patient may decide
    To continue with the plan or reorder priorities or change strategies or revise health contract
Card Set
Health Promotion and Concepts WKU Nursing[1].txt
pretty much all the power point and tegrity on here.