NR 222-Health and Wellness-Exam 1 2023
Nursing process (ADPIE)
assessment
diagnosis
planning
implementation
evaluation
A-assessment
-Collect data about patient's physical, psychological, social, cultural, developmental, and
spiritual needs from patient, family, diagnostic tests, medical record, nursing history,
and literature
D-diagnosis
-Identify appropriate nursing diagnoses based on assessment findings
P-planning
-Develop an individualized care plan. Set diagnosis priorities based on patient's
immediate needs, expected outcomes, and patient-centered goals. Collaborate with
patient on care plan
I-implementation
-Perform nursing care therapies. Include patient as active participant in care. Involve
family/significant other in care as appropriate
E-evaluation
-Identify success in meeting desired outcomes and goals of nursing care. Alter
interventions as indicated when goals are not met
Evidence based practice
-when nurses or other clinicians use research findings and the best evidence possible to
make decisions
-is defined as the conscientious ,explicit and judicious use of current best evidence in
making decisions about the care of individual
-means integrating individual clinical expertise from systemic research
Health education components (3)
1. involves the use of teaching-learning strategies
2.learners maintain voluntary control over the decision to make changes in their actions
3.focuses on behavior changes that have been found to improve health status
Level of prevention (3)
Primary
secondary
tertiary
Primary prevention
-precedes disease/dysfunction
*interventions
--health promotion(ex:health edu about risk factors for heart disease)
--health protection( ex:immunizations, reducing exposure to carcinogens,occupational
hazards)
Purpose-to decrease vulnerability of the individual/pop to disease/dysfunction
focus-maintain/improve general/individual/family/community health
, Passive-not personally involved (public health efforts-clean water/sewer)
Active-personally involved-lifestyle changes
Secondary prevention
-ranges from providing screening activities and treating early stages of disease to
limiting disability by averting or delaying the consequences of advanced disease
Goal- identify individuals in early,detectable stages of disease
-treating early stages of disease
-limiting disability
-interventions similar to primary but applied to individuals / populations with disease
Tertiary prevention
-occurs when a defect or disability is permanent and irreversible
-involves minimizing the effects of disease and disability by surveillance and
maintenance activities aimed at preventing complications and deterioration
-focuses on rehabilitation to help people attain and retain an optimal level of functioning
regardless of their disabling condition
Objective- is to return the affected individual to a useful place in society , maximize
remaing capacities or both
Transtheoretical model of change (TTM)
-is useful for determining where a person is in relation to making a behavior
chanage;readiness for change
-is useful in determining the persons readiness for learning in relation to changing
behavior so that health education or behavior change interventions can be matched to
the stage
-self efficacy is a key construct in this model
6 stages
6 stages of TTM
1.Pre contemplation
2.Contemplation
3.Planning/prep
4.Action
5.Maintenance
6.Relapse
Pre contemplation
-the person is NOT thinking about or considering quiting or adapting a behavior change
within the next 6 months (not intending to make changes)
Contemplation
-the person is seriously considering making a specific behavior change within the next 6
months (considering change)
Planning/prep
Nursing process (ADPIE)
assessment
diagnosis
planning
implementation
evaluation
A-assessment
-Collect data about patient's physical, psychological, social, cultural, developmental, and
spiritual needs from patient, family, diagnostic tests, medical record, nursing history,
and literature
D-diagnosis
-Identify appropriate nursing diagnoses based on assessment findings
P-planning
-Develop an individualized care plan. Set diagnosis priorities based on patient's
immediate needs, expected outcomes, and patient-centered goals. Collaborate with
patient on care plan
I-implementation
-Perform nursing care therapies. Include patient as active participant in care. Involve
family/significant other in care as appropriate
E-evaluation
-Identify success in meeting desired outcomes and goals of nursing care. Alter
interventions as indicated when goals are not met
Evidence based practice
-when nurses or other clinicians use research findings and the best evidence possible to
make decisions
-is defined as the conscientious ,explicit and judicious use of current best evidence in
making decisions about the care of individual
-means integrating individual clinical expertise from systemic research
Health education components (3)
1. involves the use of teaching-learning strategies
2.learners maintain voluntary control over the decision to make changes in their actions
3.focuses on behavior changes that have been found to improve health status
Level of prevention (3)
Primary
secondary
tertiary
Primary prevention
-precedes disease/dysfunction
*interventions
--health promotion(ex:health edu about risk factors for heart disease)
--health protection( ex:immunizations, reducing exposure to carcinogens,occupational
hazards)
Purpose-to decrease vulnerability of the individual/pop to disease/dysfunction
focus-maintain/improve general/individual/family/community health
, Passive-not personally involved (public health efforts-clean water/sewer)
Active-personally involved-lifestyle changes
Secondary prevention
-ranges from providing screening activities and treating early stages of disease to
limiting disability by averting or delaying the consequences of advanced disease
Goal- identify individuals in early,detectable stages of disease
-treating early stages of disease
-limiting disability
-interventions similar to primary but applied to individuals / populations with disease
Tertiary prevention
-occurs when a defect or disability is permanent and irreversible
-involves minimizing the effects of disease and disability by surveillance and
maintenance activities aimed at preventing complications and deterioration
-focuses on rehabilitation to help people attain and retain an optimal level of functioning
regardless of their disabling condition
Objective- is to return the affected individual to a useful place in society , maximize
remaing capacities or both
Transtheoretical model of change (TTM)
-is useful for determining where a person is in relation to making a behavior
chanage;readiness for change
-is useful in determining the persons readiness for learning in relation to changing
behavior so that health education or behavior change interventions can be matched to
the stage
-self efficacy is a key construct in this model
6 stages
6 stages of TTM
1.Pre contemplation
2.Contemplation
3.Planning/prep
4.Action
5.Maintenance
6.Relapse
Pre contemplation
-the person is NOT thinking about or considering quiting or adapting a behavior change
within the next 6 months (not intending to make changes)
Contemplation
-the person is seriously considering making a specific behavior change within the next 6
months (considering change)
Planning/prep
