1 Florence Nightingale improved health promotion during the Crimean War.
Florence promoted sanitation
2 In the 20th century, advanced practice roles emerged.
Clinical Nurse Specialists
3 Factors relevant to healthcare during the 21st century.
Nursing shortages
4 Nursing, Health, Health promotion, & Disease definitions according to the American
Nurses Association.
Nursing- Nursing involves the diagnosis and treatment of human responses to health
and illness.
Health-
Health Promotion- the process of enabling people to increase control over, and to
improve their health
Disease-
5 Giving the care to ensure the high quality of care is what role?
Advocate – Nurses help clients improve their health
6 Definition of health.
► A state of complete physical, mental, and social well-being, not merely the absence
of disease or infirmity (WHO, 1947)
► A state of being that people define in relation to their own values, personality,
and lifestyle
7 Health promotion activities.
8 The client should be viewed as a human being reflects which theory of caring?
Jean Watson’s Theory for Human
Caring 9 What is true about wellness?
Maximize functional capabilities
10 List external variables that influence health beliefs. You have someone with hypertension,
and they are considering the external variables that influence health beliefs
Family Practice
Emotional Factors
Or spiritual factors
11 A person with an illness.
• Illness – the physical manifestation of disease and person’s subjective experience;
social constructs in which people are in an unbalanced relationship with their
environment which results in a failing in their ability to survive and create a
higher quality of life
• - illness has psychological, spiritual, and social components
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, ==Levels of prevention.
Primary- True prevention that lowers the chances that a disease will develop, or
adverse event will occur
Ie. Immunizations, use of seat belts, use of infant car seats
Education is a great example of primary prevention
Screening for risk factors rather than disease
13 Examples of secondary prevention
Secondary- Focuses on those who already have a disease or are at risk to develop a
disease
I.e., Screening for breast cancer (the actual disease). If the disease is detected during
a mammogram, the disease may be treated early and managed before it becomes
more serious or life-threatening.
14 Tertiary Prevention Examples
• Tertiary prevention – when a defect or disability is permanent and irreversible. Aimed
at minimizing the effects of long-term disease or disability by interventions.
• I.e., Paraplegic, HIV/AIDS, Grief support group,
15 HC costs in the United States.
Higher in the U.S.
16 Purpose of Healthy People 2020.
• The report outlined priority objectives for preventive services, health protection, and
health promotion that addressed improvements in health status, risk reduction,
public and professional awareness of prevention, health services, protective
measures, surveillance, and evaluation.
17 Goals of Healthy People 2020.
o Attain healthy, thriving lives and well-being free of preventable disease,
disability, injury, and premature death.
o Eliminate health disparities, achieve health equity, and attain health literacy
to improve the health and well-being of all.
o Create social, physical, and economic environments that promote attaining
the full potential for health and well-being for all.
o Promote healthy development, healthy behaviors, and well-being across all
life stages.
o Engage leadership, key constituents, and the public across multiple sectors to
act and design policies that improve the health and well-being of all.
18 Secondary preventative care according to Leading Health Indicators from Healthy
People 2030. Example of Secondary preventative care
Ranges from providing screening activities and treating early stages of the disease to
limiting disability by averting or delaying the consequences of advanced disease.
Goal: identify individuals in the early, detectable stage of the disease.
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