Exam (elaborations) NR 222 Exam 1 Outline Chamberlain College of Nursing (New)

Levels of Prevention  Primary –Prevention of disease, preceding symptoms o Immunizations, health promotion education  Secondary-To reduce progression of disease or dysfunction. Onset of symptoms o Screening, prompt intervention, dental exams  Tertiary- Return to optimal functioning. Prevent further disability. o Rehab services, Palliative Care. Internal Variables  Developmental stage-  Intellectual background- (knowledge/lack of knowledge shapes the way a person thinks)  Perception of functioning –  Emotional factors- stress, depression, or fear influence health benefits.  Spiritual factors- (jehovahs witness forbidding blood transfusions) External Variables  Family Practice- Does your family get annual check ups?  Psychosocial/ socioeconomic- economic status, and social/peer influence.  Cultural background- Nursing Process  Assessment- subjective & objective data  Diagnoses- signs & symptoms. Life processes / potential health problems. Problms that result from disease.  Planning: identifying patient goals. Short term & long term. Smart goals:  Implementation: Action of plan. Implementing services.  Evaluation follow up. Did it work? Evaluation of progress. Professional roles  Autonomy- Independence. Patient is allowed freedom of choice in treatment.  Accountability- responsibility for your actions  Caregiver- Help patients maintain & regain health to maximum level of function.  Advocate- acting on behalf of. Protection of human/ legal rights.  Educator- demonstrate procedures. Describe routine care activities.  Communicator- Relationship with patient. Learning their strengths, weaknesses, needs, & culture. Healthy People 2020  Eliminate disparities, improve health of all groups  Attain healthier, longer lives free of preventable disease.  Create social/physical environments that promote good health for all.  Promote quality of life, healthy development, and healthy behaviors across all life stages.  Focus areas: o Blood disorders, dementia/Alzheimer’s, early & middle childhood, genomics, global health, healthcare associated infections, health related quality of life. LGBT health, older adults, sleep health, social determinants of health.  2010 – eliminate health disparities, increase quality & years of healthy life