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3209 Theories-Health

3209 Theories-Health day 3 notes

QuestionAnswer
caring profession, with a set of ethics, values & standards nursing
Preventive Primary Secondary Tertiary Restorative Continuing care settings types of settings that provide various health care services / levels of health care
safe & effective use of meds & equip -instruct for food-drug inter & counseling on diet -rehav tech for adaptation/independence -access to resources -when&how to further tx -pt's responsibilities in ongoing health care needs & knowledge to carry out instructions needed before clients leave health care facilities
changes place greater emphasis on wellness, direct resources toward primary & preventive care. nurses are advocates to maintain continuity of care through all levels of care. Nurses-> leadership & address client needs to ensure success of improving system implications that changes in the health care system have on nursing
competency -evidence-based practice -quality health care issues in health care delivery
state of complete physical, mental and social well-being, not merely the absence of disease or infirmity definition of health
relationship between a person's beliefs & behaviors. Provides way to understand & predict how clients behave in r/t their health & how they will comply with therapies. Helps nurses understand the factors that influence perceptions, beliefs & behaviors health belief model
increases client's level of well-being. framework for integrating perspectives of nursing & behavioral science & the factors that influence health. 1 individual char & exp 2 behavior-knowledge & affect 3 behavioral outcomes health promotion model
elements nec for survival & health - food, water, safety, love.(Maslow's Hier) Can provide a basis for nursing clients of all ages in all settings basic human needs model
attempts to create conditions that promote optimal health. complementary/alternative medicine. based on comprehensive view of person as biopsycosocial & spiritual being. music, reminiscence, relaxation, therapeutic touch, guided imagery holistic health model
developmental stage -intellectual background -perception of functioning -emotional factors -spiritual factors internal variables influencing health beliefs and practices
family practices, socieconomic factors & cultural background external variables influencing health beliefs and practices
wellness & illness prevention, maintain or enhance present levels of health health promotion
teaches people how to care for themselves in a healthy way wellness
protect from actual or potential threats to health, ex immunization illness prevention
Primary - precedes disease or dysfunctionSecondary - directed at diagnosis & prompt interventionTeritiary - minimize effects of long term disease or disability three levels of preventive care
Genetic & physiologic factorsAgeEnvironmentLifestyle four types of risk factors
identify risk factors, emphasize wellness strategies, any program that attempts to change unhealthy lifestyle behaviors risk factor modification
difficult, especially those behaviors that people ingrain in their lifestyle patterns changing health behaviors
perceptions of symptoms & the nature of the illness internal variables influencing illness behavior
visibility of symptoms social group cultural background economic variables accessibility of the health care system social support external variables influencing illness behavior
short-term, non-lifethreatening illnesses evoke few behavioral changes in function vs severe illness can lead to more extensive emotional & behavioral changes (anxiety, shock, denial, anger, withdrawal) impact of illness on the patient & family - behavioral & emotional changes
patient & family must move through the stages of change - shock, withdrawal, acknowledgement, acceptance, & rehabilitation impact of illness on the patient & family - body image
mental self-image of strengths/weaknesses in all aspects of personality. could result in altered role within family impact of illness on the patient & family - self-concept
role reversal may take place when an adult child takes care of parent. may be subtle & short term or drastic and long term. adjustment is generally easier for subtle, short term changes. impact of illness on the patient & family - family roles
process by which the family functions, makes decisions, gives support to individual members, and copes with everyday changes & challenges. nurse must consider whole family as one when planning care. impact of illness on the patient & family - family dynamics
to help individuals regain maximal functional status to enhance quality of life through promotion of independence & self-care goal of restorative care
change involves movement through a series of 5 stages, important to understand which stage pt is in to match intervention transtheoretical model of change
wound care, respiratory care, vital signs, elimination, nutrition, rehabilitation, medications, intravenous therapy, laboratory studies examples of home care services
Minimum data set, Resident Assessment Protocols, utilization guidelines of each state -provides a natl database for nursing facilities so that policy makers will better understand the health care needs of the long-term care population Components of the Resident Assessment Instrument (RAI)
1 respect values, preferences & expressed needs 2 coordination & integration of care 3 info, communication & education 4 physical comfort 5 emotional support & relief of fear & anxiety 6 involvement of family & friends 7 transition & continuity dimensions of the Picker/Commonwealth Program for Patient-Centered Care
directed the US Dept of HHS to create a new health care organization, the rural primary care hospital to provide 24-hr emergency care, with no more than 6 inpatient beds to provide temp care for 72 hrs or less to pts needing stabilization before transfer Omnibus Budget Reconciliation Act (OBRA) 1989
established by the American Nurses Credentialing Center to recognize health care organizations that achieve excellence in nursing practice Magnet Recognition Program
incidence of hosp-acq pneumonia, deep vein thrombosis, uti's, pressure ulcers, falls, failure to rescue, 30-day mortality examples of nursing-sensitive outcomes
1 increase quality & years of healthy life 2 eliminate health disparities 2 overarching goals for Healthy People 2010
1 promoting healthy behaviors 2 promoting healthy & safe communities 3 improving systems for personal & public health 4 preventing & reducing diseases & disorders 4 focus areas of Healthy People 2010
activities related to maintaining, attaining, or regaining good health & preventing illness. ex-immunizations, proper sleep patterns, adequate exercise, nutrition positive health behaviors
practices actually or potentially harmful to health. ex-smoking, drug/alcohol abuse, poor diet, refusal to take necessary medications negative health behaviors
1 ind's perception of susceptibility to illness 2 perception of seriousness of the illness 3 likelihood that a person will take preventive action - results from perception of benefits & barriers to taking action 3 components of the health belief model
1 individual char & experiences 2 behavior-specific knowledge & affect 3 behavioral outcomes 3 areas of focus for the health promotion model
health edu programs, immunizations, physical & nutritional fitness activities primary prevention health activities
activities directed at diagnosis & prompt intervention, screen techniques & treating early stages of disease secondary prevention health activities
rehabilition, preventing further disability tertiary prevention health activities
no intention to change pre-contemplation
considering a change within the next 6 months contemplation
making small changes preparation
actively engaging in strategies to change behavior action
maintaining a changed behavior maintenance stage
Created by: garzakd
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