N200 Lecture Ch. 07 Health & Wellness

Front 1

A state of complete physical, mental & social well-being, not merely the absence of disease or infirmity:

Back 1

Health (WHO 1947)

Front 2

Health is a state of being that people define in relation to:

Back 2

their own values, personality & lifestyle

Front 3

The ability to carry out daily tasks, achieve fitness, and eat well/ avoid drug abuse.

Back 3

Physical wellness:

Front 4

The ability to interact successfully with people and maintain intimacy with sig. others, develop respect and tolerance for those with different opinions.

Back 4

Social wellness

Front 5

The ability to manage stress and express emotions appropriately. The ability to recognize, accept, and express feelings.

Back 5

Emotional wellness

Front 6

The ability to learn and use information effectively for personal, family, or career development. Striving for continued growth and learning to deal with challenges effectively.

Back 6

Intellectual wellness

Front 7

THe belief in some force that serves to unite human beings and provide meaning and purpose to life. Includes morals, values, and ethics.

Back 7

Spiritual wellness

Front 8

The ability to achieve a balance between work and leisure time. Beliefs about education, employment, and home influence personal satisfaction and relationship with others.

Back 8

Occupational wellness

Front 9

The ability to promote health measures that improve the standard of living and quality of life in the community. Includes influences such as food, water, and air.

Back 9

Environmental wellness

Front 10

Model that defines health and wellness as the absence of signs and symptoms of disease or injury. Basically, the state of not being "sick."

Back 10

The Clinical model

Front 11

Model that defines health and wellness in terms of the individual's ability to fulfill societal roles; sickness is the inability to perform one's work role.

Back 11

The Role Performance Model

Front 12

Model that defines health and wellness as a creative process; disease is a failure in adaptation. Treatment is aimed at restoring the ability of the person to adapt or cope.

Back 12

The Adaptive model

Front 13

Model that defines health and wellness as a condition of actualization or realization of one's personal potential. Illness is seen as a condition that prevents actualization.

Back 13

The Eudemonistic model

Front 14

Model that defines health and wellness as an ever-changing state depending on the influences from the different variables involved. Health is when the variables are balanced.

Back 14

The Agent-Host-Environment model

Front 15

Model of health and wellness that can be used to measure a person's perceived level of wellness. Health and disease are seen as opposite ends of a health continuum.

Back 15

The Health-Illness Continua

Front 16

Internal variables influencing health have 3 dimensions:

Back 16

Biologic, Psychological, and Cognitive dimensions.

Front 17

The biological dimension includes:
The psychological dimension includes:
The cognitive dimensions includes:

Back 17

Genetics, age, sex.
Emotional factors.
Lifestyle choices and spiritual beliefs.

Front 18

What are some External variables influencing health:

Back 18

Environment
Standard of living
Family & cultural beliefs
Social support

Front 19

Health belief model from social learning theory that attempts to assess whether client believes that their health is under their control or someone else's.

Back 19

Health Locus of Control Model

Front 20

In the Health Locus of Control Model, people who believe that they have a major influence on their own health status - that health is largely self-determined, are called:

Back 20

Internals.

Front 21

In the Health Locus of Control Model, people who believe their health is largely controlled by outside forces
(ie.. chance or powerful others) are called:

Back 21

Externals.

Front 22

Health belief model that includes Individual perceptions, Modifying factors, and Likelihood of action which is based on a motivational theory.

Back 22

Rosenstock and Becker's Health Belief Model.

Front 23

The extent to which an individual's behavior coincides with medical or health advice.

Back 23

Adherence.

Front 24

A highly personal state in which the person's physical, emotional, intellectual, social, developmental, or spiritual functioning is thought to be diminished.

Back 24

Illness

Front 25

An alteration in body functions resulting in a reduction of capacities or a shortening of the normal life span.

Back 25

Disease.

Front 26

The causation of a disease or condition.

Back 26

Etiology

Front 27

Illness typically characterized by symptoms of relatively short duration.

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Acute illness

Front 28

Illness that lasts for an extended period, usually 6 months or longer. Commonly have a slow onset and periods of remission (when symptoms disappear) and exacerbation (when the symptoms reappear).

Back 28

Chronic illness.

Front 29

When the symptoms of a chronic illness reappear, after remission:

Back 29

Exacerbation.

Front 30

Concepts about health that an individual believes are true - they may or may not be factual.
ie.. "hot - cold" system of some Hispanics.

Back 30

Health beliefs.

Front 31

The actions people take to understand their health state, maintain an optimal state of health, prevent illness and injury, and reach their maximum physical and mental potential.

Back 31

Health behaviors

Front 32

Practices that have potentially negative effects on health are often referred to as:

Back 32

risk factors

Front 33

What are some factors that influencing adherence?

Back 33

Client motivation to become well.
Degree of lifestyle change necessary.
Perceived severity of problem.
Value placed on reducing the threat of illness.
Ability to understand & perform behaviors.
Degree of inconvenience.
Belief that the therapy will or will not help.
Cultural conflicts.
Relationship with healthcare providers.
Cost of treatment.

Front 34

When a nurse identifies non-adherence, they should follow these steps:

Back 34

1. Find out why the pt is not adhering.
2. Demonstrate caring.
3. Encourage healthy behaviors through pos. reinforcement.
4. Use aids to reinforce teaching.
5. Est. mutual understanding and mutual responsibility.

Front 35

What are the four aspects of Parson's Sick Role?

Back 35

1. Clients are NOT held responsible for their condition.
2. Clients are EXCUSED from certain social roles .
3. Clients are obligated to TRY to get well as quickly as
possible.
4. Clients or their families are obligated to SEEK help.

Front 36

What are Suchman's 5 stages of Illness?

Back 36

Stage 1: Symptom experience.
Stage 2: Assumption of the sick role.
Stage 3: Medical care contact.
Stage 4: Dependent client role.
Stage 5: Recovery or rehabilitation.

Front 37

What are the 3 levels of prevention?

Back 37

Primary, Secondary, & Tertiary.

Front 38

Primary prevention focuses on:

Back 38

True prevention that lowers the chances that a disease will develop, ie.. handwashing or immunizations.

Front 39

Secondary prevention focuses on:

Back 39

Focuses on those who have a disease or are at risk to develop a disease, ie.. colonascopies & mammograms at later age.

Front 40

Tertiary prevention occurs when:

Back 40

Occurs when a defect or disability is permanent or irreversible, ie.. physical therapy, occupational therapy.

Front 41

Risk factors include:

Back 41

Risk factors include:
Genetic & physiological factors
Age
Environment
Lifestyle