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46 Cards in this Set

  • Front
  • Back
Management of Therapeutic regimen
an ineffective way of treating disease is in effect, client verbalizes desire to manage treatment or prevention better
ineffective health maintenance
inability to identify, manage, or seek out help to maintain health
health seeking behavior
an individual wants to improve health or alter habits to achieve higher health
Spiritual distress
impaired ability to experience and integrate meaning and purpose in life through a connectedness with art music, god or whatever
decisional conflict
inability to make a choice when competing actions may have negative consequences
what maintains homeostasis?
the body through negative feedback mechanisms
clinical model of health and wellness
narrowest interpretation of health and wellness, people are viewed as physiological systems, health equals absence of disease.
role performance model of health and wellness
sickness is an inability to fulfill one's roles in society. people are believed to be healthy as long as roles are fulfilled, even if they are clinically ill. sickness is the inability to perform a role.
adaptive model of health and wellness
disease is a failure of adaptation, people in good health are able to adapt to the environment. the focus of the adaptive health model is stability.
Eudemonistic model of health and wellness
comprehensive view of health, wellness is when a person realizes their own potential, sickness is what keeps people from self actualization
agent-host model of health and wellness
each factor interacts with the other, constantly. when in balance, person is healthy.
health-illness continuum of health and wellness
measures a persons perceived level of wellness. people move back and forth on this continuum daily.
how many models of health do we need to know?
6:
clinical, eudemonistic, role performance, adaptive, agent-host, and health illness models
what are the aspects of wellness?
self responsibility, having an ultimate goal, a dynamic, growing process, needs daily decision making in health areas, involves the whole being of the individual.
what are internal variable sof individual health?
biological, psychological and cognitive dimensions
describe what a systems theory is used for
used to evaluate human systems. allows a nurse to evaluate a community, as well as the individual, and the relationship between them.
characteristics of systems
-perform as a unified whole
-goal directed
-require adaptation
-living systems are open to the environment
-
define system
a unit whose parts work together toward a goal
define input
matter, energy, and information that enters into a system
define subsystem
subparts within a system that uses input
define throughput
the process by which the subsystem utilizes or processes input and releases it as output.
define output
the byproduct of throughput: matter, energy and info that leaves a system
define feedback
output that is returned to the system and allows a system to monitor itself over time in an effort to reach a steady state or homeostasis
define boundary
borders of a system that separate the system from the environment. the boundary also determines the elements that can enter or leave the system
define suprasystem
the next larger grouping of which the system is a part of.
what are the two major goals of healthy people 2010?
to increase quality and years of healthy life, and to eliminate health disparities.
describe healthy people 2010
organized around 28 areas of health improvement. established health indicators to judge health by and to develop plans to improve health. vision is healthy people healthy communities.
name 2 approaches to managing health
health promotion, and illness prevention (health protection)
describe the primary level of prevention?
protection against specific health
describe the secondary level of prevention>
early identification of health problems and prompt intervention
describe the tertiary level of prevention?
focuses on rehabilitation and restoration
define health
the absence of disease
describe the Health Locus Control model
looks at whether patients believe that their health us under control or not
decribe rosenstock and beckers health belief model
suggest that patients motivation to change is dependent on the benefits they perceive, the seriousness of the threat, and the barriers they see to changing.
describe Nola Penders health promotion model
builds upon the health belief model but adds clients health promoting behaviors
according to the rosenstock health model, benefits must outweigh what for an individual to adjust their behavior?
benefits must outweigh barriers for the client to change their behavior.
what are the 6 steps of Prochoskas model of change?
precontemplation, contemplation, preparation, action, maintenance, termination
describe pre contemplation
denies having a problem, may fell hopeless, no intention of taking action within 6 months
describe contemplation
acknowledges having a problem, researches causes and possible solutions, not ready to commit to action, intends to take action with in next 6 months
describe preparation
plans to take action, makes adjustments before beginning action, takes action within next 30 days and may have taken some action toward that intent
describe action
modified behavior and surroundings, has changed overt behaviors for more than 6 months
describe maintenance
integrates new behavior into lifestyle, overt behavior changes for more than 6 months
describe termination
copes without fear of relapse, confidence that overt behavior will never return
describe the characteristics of disease
alteration in body functions, a reduction of capacities or shortening of normal life span, has etiology
describe acute illness
severe symptoms of relatively short duration, symptoms often appear abruptly, may or may not require intervention, most people return to normal level of wellness.
describe chronic illness
lasts for an extended period, usually has a slow onset, often has periods of remission and exacerbation, care includes promoting wellness