NR 222 Exam 4
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development & health promotion ac... development & health promotion ac... IAHSS (full study gu
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A state of physical, mental, spiritual, and social functioning that
realizes a person's potential and is experienced within a
developmental context (Health Promotion); a state of complete
Health
physical, mental, and social well-being, not merely the absence
of disease (WHO); a state of being that people define in relation
to their own values, personality, and lifestyle (Fundamentals).
1) attain high-quality, longer lives free of preventable disease,
disability, injury and premature death.
2) achieve health equity eliminate disparities, and improve the
Healthy People 2020 Primary health of all groups.
Goals 3) create social and physical environments that promote good
health for all.
4) promote quality of life, healthy development, and health
behaviors across all life stages.
True prevention; precedes disease or dysfunction and is applied
to patients considered physically and emotionally healthy; aimed
at health promotion which includes health education programs,
nutritional programs, and physical fitness activities; also includes
Primary Level of Protection specific protection which includes immunizations; can also
include advocating for policies; passive strategies- involve the
individual as an inactive participant or recipients (maintaining
clean sewage systems); active strategies- the individual becomes
involved in the process (performing daily exercise program).
Focuses on individuals who are experiencing health problems or
illness and are at risk for developing complications or worsening
conditions; treating early stages of disease and limiting disability;
activities are directed at diagnosis and prompt intervention
Secondary Level of Protection
thereby reducing severity and enabling the patient to return to a
normal level of health; examples are screenings; preventative
measures are primarily therapeutic and are aimed at arresting the
disease and preventing further complications.
, Occurs when a defect or disability is permanent and irreversible;
minimizing the effects of long-term disease or disability by
surveillance and maintenance activities aimed at preventing
complications or deterioration; focus is on rehabilitation; care at
Tertiary Level of Prevention this level helps patients achieve as high a level of functioning as
possible, despite the limitations caused by illness or impairment;
responsibility of the nurse is to ensure that persons with
disabilities receive services that enable them to live and work
according to the resources that are still available to them.
Developmental stage: a persons thoughts and behavior patterns;
emotional development.
Intellectual background: knowledge, lack of knowledge, or
incorrect information about body functions, illness etc; shape the
way a person thinks.
Perception of functioning: the way people perceive their physical
Internal Variables on Health
functioning affects health beliefs and practices.
Beliefs
Emotional factors: patient's degree of stress, depression, or fear;
manner in which a person handles stress throughout each phase
of life; influences how one reacts to illness.
Spiritual factors: the values and beliefs exercised, the
relationships established with family and friends, and the ability
to find hope and meaning in life.
Family practices: the way the patient's family use health care
services; perceptions of the seriousness of disease; history of
External Variables on Health preventative care.
Beliefs Psychosocial and socioeconomic factors: stability of the person's
marital or intimate relationship, lifestyle habits, occupational
environment; how the health are system provides medical care.
Genetic and physiological factors: being overweight;
heredity/genetic predisposition.
Age: affects susceptibility; premature infants have a higher rate
Risk Factors
of infection; older age increases likelihood of heart disease.
Environment: where we live and the condition of the area.
Lifestyle: stress; poor eating habits; low levels of exercise.
Addresses the relationship between a person's beliefs and
behaviors; helps the nurse understand factors influencing
patient's perceptions, beliefs, and behavior to plan care that will
most effectively help patients maintain or restore health and
prevent illness; first component is the individuals perception;
second component is the patients value of health; third
component is the patients perceived susceptibility to an illness;
Health Belief Model
fourth component is an individuals perceived seriousness of the
illness (influenced by demographic and sociopsychological
variables and perceived threats of the illness); fifth component is
the risk factors that the disease has; sixth component is the
perceived benefits that a patient thinks will come of the change;
seventh component is the perceived barriers to make the
change.
Describes the multidimensional nature of people as they interact
within their environment to pursue health; three areas (1)
Health Promotion Model individual characteristics and experiences (2) behavior specific
knowledge and affect and (3) behavioral outcomes in which the
patient commits to or changes a behavior.