233 test 1

A complete sense of physical, mental, social and spiritual wellbeing

A subjective feeling. You can feel well but still have a disease.

Pathophysiology (cancer, heart disease, etc.)

A subjective feeling of not being well

• used in traditional medicine
• If there are no signs/symptoms then nothing must be wrong

• it asks if you are able to perform your role
• If unable to perform role then there is something wrong

• How well can you adapt to change (emotional)
• When you can't adapt you are considered not well

• When you have exuberance, then you are well.
• Good stress does not make you ill.

• Healthy people is a government program that sets goals for the nation in regards to health.
• two main goals are: increase quality and years of life and to eliminate health care disparities

• it tracks important health statistics
• involvement and communication
• topics and objectives
• leading health indicators

• preventing something from happening
• Examples: vaccines, health education

• When someone already has a disease but it is being prevented from worsening
• Eg. health screenings for early diagnosis and treatment

Rehabilitation of a person who has a disease

Is is the likelyhood that a person is going to develop a disease and it is determined through research

• Absolute risk - simple accounting of number with disease/number in population. THis does not take into account risk factors
• Relative risk - this takes into account factors like age, race, smoker etc.

• advocate
• care manager
• consultant
• deliverer of services
• educator
• healer
• researcher

• increase proportion of adults who get screenings
• reduce number of adults with HBP
• reduce number of antibiotics prescribed for common cold
• increase proportion of adults who get flu vaccine

• increase # of students that get health education to reduce common problems
• increase # of adults who are aware of signs of stroke

• reduce # of families who have difficulty getting health care
• increase proportion of adults with diabetes who are diagnosed.

Cardiovascular disease

• total cholesterol under 200
• HDL - over 60
• LDL - under 100
• Triglyceride - under 150

• Modifiable - inactivity, smoking, stress, obesity
• nonmodifiable - age, ethnicity, genetics, personal history

excess abdominal fat, increased b/p, HDL under 40, high triglycerides

• normal - under 120/80
• prehypertension - 120-139/80-89
• hypertensice - over 140/90

• essential - associated with cardiovascular disease
• secondary - has another cause (pregnancy, renal failure, diabetes)

• Dash diet (high in veg, low in carbs/meat)
• exercise (150min/week in 10min increments)
• stress management
• weight management

• participate in screenings
• recognize early warning signs

Cancer

angiogenesis

• Modifiable - smoking, diet, environmental carcinogens
• Nonmodifiable - ethnicity, age, genetics, gender, personal history

Type 2 diabetes

obesity, lack of exercise, high blood pressure, ethnicity

• Increase awareness
• maintain weight
• exercise

Participate in screenings

• Prediabetic - FPG - over 100, OGTT - over 140
• Diabetic - FPG - over 126, OGTT - over 200

• check contraindications
• screening
• administration
• reactions
• record keeping
• education

• Secondary disease prevention
• Interventions focused on populations at risk that will identify the high probability of diseases at early stages when their courses can be altered in important ways

• It affects length and quality of life
• it affects large numbers of people
• treating it is costly

• diagnostic criteria are well documented
• screening instruments are reliable and valid
• community resources are available for screening and follow up as needed

• adequate information is available on the natural history of the disease
• post screening referrals are available
• there will be compliabce with prescribed treatment regimen
• the treatment is safe

• Environmental
• age-developmental
• cultural
• disease state

can be used to determine longevity or a prognostic category involving life expectancy

• Actual: problem statement, etiology (r/t), evidence (aeb)
• Risk for: problem statement, etiology (r/t)
• health promotion: 3 part

• the most probable reason for the problem statement
• NOT medical diagnosis
• drives type of nursing interventions
• use for actual nursing problems

• documented from assessment
• supports problem statement

• client centered
• specific and measurable
• have a time frame
• address diagnosis

• carry out plan
• modify as needed
• document care given

• observation data - windshield survey
• interview data - verbal statements
• measurement data - instruments to quantify data

• spatial (setting)
• physiological (age, sex, diseases)
• social (family makeup and cohesiveness)
• psychological (coping, interpersonal skills and stresses)
• cultural (attitudes, values and beliefs)
• economic (income, job history and skills)
• political (government and legal influence)
• spiritual (church attendance and values)

It is a model of intentional change that focuses on the decision making of the individual. It involves emotions, cognitions and behavior

• Precontemplation
• contemplation
• preparation
• action
• maintenance

relative weighing of the pros and cons of changing a behavior

it reflects the intensity of urges to engage in a specific behavior when in the midst of difficult situations

it represents the situation specific confidence that people have that they can cope with high risk situations without relapsing to their unhealthy or high risk habit

• conciousness raising (increasing awareness)
• dramatic relief (emotional arousal)
• environmental reevaluation (social reappraisal)
• social liberation (environmental opportunities)
• self reevaluation(self reappraisal)

• stimulus control
• helping relationship
• counter conditioning
• reinforcement management
• self liberation

any combination of planned learning experiences based on sound theories that provide individuals, groups and communities the opportunities to acquire the information nad the skills needed to make quality health decisions

• school - middle through university age
• work - comprehensive health promotion programs
• community - culturally sensitive health departments, increase health promotion activities for older adults

• optimal states of health (increased length and quality of life)
• prevention or early detection of disease or disability
• personal empowerment

attempts to explain and predict health behaviors by focusing on the attitudes and beliefs of individuals.

A person's behavior changes in response to the immediate consequences, pleasurable consequences strengthen behavior and unpleasant consequences weaken the behavior

health behaviors are learned in families. We learn by modeling our parents