with complete
Concept of Individuality - ✔️✔️Total care: considers all the principle and areas that
apply when taking acre of any client of similar age and conditions
Individual care: consider them an individual and applies total care principles that apple
at this particular time
Holism - ✔️✔️consider the person as a whole , one area can affect the whole person
Ex: Who they know, religion, family,
--- patient loss of their spouse: must consider their sleep, religion, appetite, giving them
space, stress level, mental health.
homeotstasis - ✔️✔️internal equilibrium
Physiological - temperature, O2 stat, glucose levels.
Negative feedback mechanisms
Psychological - comes from lived experience
Must have stabe:
Physical environment
Psychological environment
Social environment
Life experience
Theoretical framework - ✔️✔️system of ideas used to explain something.
Nursing is an art and a science
Maslow's hierarchy of needs - 1970
5: self actualization
4: self esteem
3: love and belonging
2: safety and security
1: physiological needs
Kalish - needs theorist : added stimulation to maslow's hierarchy of needs.
Allows nurses to describe typical behaviors with age groups
Guides nurses in education of thers
Stages of Behavior change - ✔️✔️Precontemplation stage: does not think about
changing behavior
Contemplation: thinks about change
Preparation: intends to take action in the future
,Action: actively implementing behavior change
Maintenance: strives to prevent relapse
Termination: confident they won't relapse
Nurse role in health promotion
Model = show them you do it as well
Facilitate = make them do it
Teach = self care
Health defined - ✔️✔️Florence nightingale: state of well being
World health organization: state of complete well being, unrelated to having disease. A
holistic approach
Traditional: present/ absence of disease
Many people: being symptom or pain free, keeping up with daily activities, being in a
good spirit most of the time.
Impacted by past experience (page 262)
Health is a process
Wellness is a state of well being
health promotion - ✔️✔️behavior motivated to increase well being
Not disease priented
Motivated by personal positive "approach" to wellness
Exercising to look good in a bikini
Health protection - ✔️✔️fixing the problem
Illness or injury specific
Avoidance of illness
Walking 30 mins a day to prevent a heart attack
Levels of Prevention - ✔️✔️Primary: focus on health promotion = decrease risk for
exposure
Ex: vaccines, family planning services, sanitation
Well population
Secondary: focus on identification of problems
Ex: check ups, screening
Population that is at risk
Hertiary: restoration and rehabilitation
Physical therapy, support group, therapy
Unwell population
7 components of wellbeing - ✔️✔️Environmental
Social
Emotional
Physical
Spiritual
, Intellectual
Occupational
All have to be in check
Being well is a component of health
models of health and wellness - ✔️✔️Clinical model:
-Narrowest interpretation
-Defined by signs and symptoms
-Role performance model
-People who can fulfil their roles
Eudaimonistic model:
-Persons potential
Agent host environment factor
-Agent: any factor that can lead to disease
-Host: individual that ,ay or may not be at risk
-Environmental : all external factors
They all work together
Health care adherence - ✔️✔️Adherence: a person does their medical advise
When they don't listen a nurse should:
1st: establish why they should
Demonstrate caring
Encourage health behavior through positive reinforcement
Use aids to reinforce teaching
Establish a therapeutic relationship
" tell me more about your experience"
Factors that influence adherence - ✔️✔️Motivation
Degree of lifestyle change
Perceived severity
Ability to understand
Complexity
Conflicting with beliefs
Cost
Illness and disease - ✔️✔️Illness = can go away
Highly personal state
Disease = an alteration in body functions and reduction of capacities. Shortening of
lifespan
Etology - ✔️✔️cause of disease
acute illness - ✔️✔️symptoms short in duration