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Health Promotion Ch1

Health Promotion Chapter 1: Health Defined: Promotion and Prevention

Wellness- illness continuum A dichotomy (separate in two parts) of health and illness ranging from high level wellness at the positive end to depletion of health at the negative end
Unitary Patterning of person- environment (1970s & 1980s) Developmental; Conceptualized as expanding consciousness, pattern or meaning recognition; Health is an outcome of ongoing patterns of person and environment interaction thru out the lifespan; Each person is a part of a complex and interconnected system
Ecological Model of Health Useful for promoting health at individual, family, community, and societal levels
Perspective of Health before 1940 Health= absence of health. Government: just starting addressing public health and welfare issues
Perspective of Health 1940s- 1950s Health= a person's ability to fulfill a role in society. Government: increased federal role, funding for hospital expansion and establishing federal programs
Perspective of Health 1960s- Present Health= adaptation and reaction to the environment. Growing disease prevention and health promotion. Government: control spending/ rising health care cost
Clinical Model of Health Health= the absence of signs and symptoms of disease. Ppl may not seek preventive health services
Role Performance Model of Health Health= individuals' ability to perform social roles. "Sick Role": excuses people from performing their social functions
Adaptive Model of Health Health= people's ability to adjust positively to social, mental, and physiological change
Eudaimonistic Model of Health Health= exuberant well-being indicates optimal health. Interactions b/w physical, social, psychological, and spiritual aspects of life. Ppl may seek a practitioner of alternative medicine/ method
Health A state of physical, mental, spiritual, and social functioning within a developmental context
Disease The failure of a person's adaptive mechanisms to counteract stimuli and stresses adequately resulting in functional or structural disturbances
Illness Subjective experience of the individual and the physical manifestation of disease
Prevention- 5 steps within 3 levels Primary:1. Health promotion and specific protection; Secondary:2. Early diagnosis 3. Prompt treatment 4. Disability limitation; Tertiary:5. Restoration and rehabilitation
Primary Prevention Precedes disease or dysfunction. Focus: Maintaining or improving the general health of individuals, families, and communities. 2 strategies: Passive or active
Passive Strategies Involve the individual as an inactive participant or recipient. Ex: public health efforts to maintain clean water and sanitary sewage systems
Active Strategies Depend on the individual becoming personally involved in adopting a proposed program. Ex: Lifestyle change- daily exercise as part of a physical fitness plan and a stress- management program
Stages of change Precontemplative, Contemplative, Preparation, Action, Maintenance, and Relapse
Precontemplative Not considering change
Contemplative Aware of but not considering change soon
Preparation Planning to act soon
Action Has begun to make behavioral change (recent)
Maintenance Continued commitment to behavior (long-term)
Relapse Reverted to old behavior
Secondary Prevention Screening. Goal: identify individuals in an early, detectable stage of the disease process
Tertiary Prevention A defect or disability is permanent and irreversible. Minimize the effects to prevent complications and deterioration. Objective: return to useful place in society, maximize remaining capability by surveillance, maintenance and rehabilitation
Advocate Helps individuals obtain what they are entitled to receive, try to make the system more responsive to ppl's needs, and help ppl learn to advocate for themselves.
Care Manager Prevent duplication of services and to reduce costs
Consultant Provide knowledge about health promotion and disease prevention to individuals and groups
Deliverer of Services The delivery of direct services such as health education, flu shots, and counseling in health promotion
Educator To teach effectively, must know essential facts about how people learn and the teaching-learning process
Healer Help individuals integrate and balance the various parts of their lives
Researcher Striving to understand and interpret research findings that will enhance the quality and value of individual care.
Quantitative Studies Describe situations, correlate different variables related to care, or test causal relationships b/w variables related to care
Qualitative Studies Define the historical nature, cultural relevance, or philosophical basis of aspects of nursing care
Created by: Futuredoctor09