B233

State of physical, mental, spiritual, and social functioning that realizes a person's potential and experienced within a developmental context

Subjective, positive state which can be increased in the wellness-illness continuum

Failure of a person's adaptive mechanism to counteract stimuli and stress adequately, resulting in functional or structural disturbances.

A subjective experience of the individual and physcial manifestation of disease.

Can be ill without diagnosable disease

• -Defined by the absences and illness by the conspicaous presence of signs and symptoms of disease.
• -Conventional model in medicine
• -Objective

• -Defines health in term's of an individual's ability to perform their social roles.
• -Do what you are suppose to do, if you are "ill" you cant perform the role

• -People's ability to adjust positively to social, mental, and physiological change is the measure of their health.
• -Illness occurs when a person fails to adapt

• -Abstract
• -Looks at good stress
• -Well-being indicates optimal health
• - Interaction between physical, social, psychological and spiritual aspects of life
• -Illness is reflected by a lack of involvement in life
• -in this model a person with Cancer can be healthy

• 1. Increase quality and years of healthy life
• 2. Eliminate Health disparities

• -Mortality and Morbidity rates
• -Involvement and communication
• -Has about 40 topics and objectives
• -Has leading health indicators
• Examples: physical activity, obesity, tobacco use, substance abuse, responsible sexual behavior, mental health, injury & violence, environmental quality, immunization, and access to health care.
• -Important to keep communities healthy and to spend less money

• -Preceeds disease or dysfunction
• -Focuses on health promotion
• -Primary prevention interventions are considered health protection

• 1. A nurse providing sexuality education for middle school students
• 2. Immunizations
• 3. Any type of health education

• -Ranges from screening activities and treating early stages of the disease
• -Teaching has to be geared to life with disease
• -Screening is secondary because it's goal is to identify individuals in an early, detectable stage of the disease.

• -When the disease/defect/disablitiy is permanent and irreversible
• -Minimizing the effects of disease and disability

The likelyhood you will develop something

• Research
• -Adverse Childhood events study- childhood trauma leads to certain diseases
• -Youth risk behavior surveillance- teen risk
• -Framingham Heart study- Smoking is bad
• -Harvard Nurses' Health Study- Nurses' long term use of oral contraceptives.

• -Whether or not you will get something
• Examples: 1 out of 5 people

-Your personal risk of getting something

• -Act or speak for someone else
• -Help individuals obtain what they are entitled to receieve from the healthcare system

• -Managing care, overseeing care
• -Prevent duplication of services and try to reduce costs

• -Expect in the field
• -provide knowledge about health promotion and disease prevention in speciality areas

• -Care role
• -Delivery of direct services such as healht education, flu shots and health promotion

• -Teach about health education
• -The goal is to change behavior

• -Help individuals integrate and balance the various parts of their lives
• -Holistic Nursing

-Uses EBP, Research to make the best decision for health care

-Basic health care that emphasizes general health needs rather than specialized care

• -Primary Care Provider
• -Physician or APN who provides basic and routine health care service usually in an office or clinic

A health care plan that integrates the financing and delivery of health care services by using arrangements with selected health care providers to provide services for covered individuals.

• -Health Maintenance Organization
• -A prepaid health plan delivering comprehensive care to members through designated providers, having a fixed monthly payment for health care services and requiring memebers to be in a plan for a specified period of time

• -Tax supported
• -Deals with local, state, and federal level

• -Raise awareness
• -No supported by taxes
• Example: American Heart Association

No, the focus is not preventive care

• -Private
• -Tax supported
• Medicare- over 65
• Medicaid- 18-65
• SCHIP-Children under 18
• -Universal coverage- government or private, covers whole nation-Germany, Canada
• -uninsured- US has highest proportion of people with no health insurance of all developed countries

• -Demographics- by 2050 most people in US will not be white
• -There is an increase in ethnic/cultural diversity, this means a change in care given
• -Effects of lifestyle on health- Americans have a poor lifestyle
• -Personal responsibility for health
• -Access to health care