Exam (elaborations) NR 222 Health and Wellness Test 1 Chamberlain College of Nursing

Health Defined Models of health  Wellness- illness continuum o Health as dichotomy o High-level wellness  Sense of well being, life satisfaction, and quality of life o Negative end  Adaptation to disease/ disability Social determinant of health  Factors in a society that have an influence on health and the options available to people to improve or maintain their health Models of Health  Clinical o Health is defined as Absence of signs or symptoms of disease or illness ; prevention not emphasized  Role performance o Health based on whether person can perform societal roles  Adaptive o Abilities to adapt positively to social, mental, and physiological change  Eudaimonistic model o Exuberant well-being: interaction and inter relationships in multiple aspects of life *compare and contrast different type of models High-level wellness  Wellness is positive state with increases in health beyond midpoint of continuum  Dunn (1961) expanded concept of health to include favorability of environment  Progressions toward a higher level of functioning  Emphasizes interrelationship between environment and health on personal and societal level Eudaimonistic model  Aspects predate clinical model  Congruent with integrative modes of therapy  Address more comprehensive health needs  Compatible with complementary and alternative medicine (CAM)  Health is more broadly defined and can encompass more individuals and more diverse life circumstances NR 222 Health and Wellness Test 1 Chamberlain College of Nursing Key Health Concepts  Functioning- levels reflected in terms of performance/ social expectations; loss indicator of need for nursing intervention  Health- state of physical, mental, spiritual and social functioning within developmental context, both individual and societal responsibility  Disease- failure of adaptive mechanisms, results in functional or structural disturbances  Illness- subjective experience of individual and physical manifestation of diseasepsychological, spiritual and social components What is nursing?  Nursing is the protection, promotion, and optimization of health and abilities; prevention of illness and injury; treating medical response to treatment and diagnosis; advocacy in the care of individuals Nursing interventions  Care for patients and follow the nursing process  Any task that a nurse does to or for a patient  Making a plan and setting goals for the patient  Nursing process- the essential core of practice for the registered nurse to deliver holistic, patient- focused care Planning for health  Previous focus was just on disease prevention  We need to promote health  healthy people iniative started in 1979 by US department of Health, Education, and welfare  call to action to set goals for every 10 years  interest waned during the 1980s  healthy people 2020- renewed interest- became landmark document (initiated 1990) Health model- Potter and Perry Healthy People Iniative  healthy people 2000 o goal- increase span of healthy life, reduce health disparities, create access to preventive services for all o set 22 areas of achievement but by 1995, 30% of goals lacked progress  healthy people 2010  healthy people 2020 o health promotion and disease prevention efforts