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57 Cards in this Set

  • Front
  • Back
The World Health Organization defines health as:
"A state of complete physical, mental and social well-being and not merely the absence of disease or infirmaty."
Jean Watson proposes that health consists of three elements. What are these three elements?
1. High level of overall physical, mental and social functioning
2. general adaptive-maintenance level of daily functioning
3. the abence of illness or the presence of efforts that lead to its absence
Betty Neuman views health as:
An expression of living energy available to a humen.
Betty Neuman's health model views energy displayed as a continum with _____________ energy as wellness and _________ energy as illness.
High
Low
How does one maintain health according to Betty Neuman's health continuum?
By generating more energy than what is expended.
Myers, Sweeney and Witmer define wellness as:
"A way of live oriented toward optimal health and well-being in which body, mind and spirit are integrated by the individual to live more fully within the human and natural community."
What two components are included in Myers, Sweeney and Witmer's model that permits people who have been diagnosed with disease to be considered healthy?
Lifestyle and habits
What is health promotion?
Finding ways to help individuals develop a state of physical, spiritual, and mental well being.
Is health promotion only effective on sick people or does it benefit healthy people too?
It benefits everyone because it encourages optimal function.
What is the different between health promotion and health protection?
Health promotion is motivated by the desire to increase well-being, while health protection is motivated by the desire to avoid illness.
Leavell and Clark identified three levels of activities for health protection. Name the three levels.
Primary, secondary ad tertiary prevention
What are primary prevention activities designed to do?
Prevent or slow the onset of disease.
Give some examples of primary prevention activities.
eating healthy foods
exercising
wearing sunscreen
obeying seat belt laws
immunizations
What are secondary prevention activities designed to do?
screening activities and educatin for detecting illnesses in the early stages.
Give some examples of secondary prevention activities.
breast self-examination
testicular exams
regular physicals
blood pressure screenings
diabetes screenings
TB skin tests
What are tertiary prevention activities designed to do?
stop the disease from progressing and returning the individual to the pre-illness phase
What is the main intervention used in tertiary prevention?
Rehabilitation
Preliminary ata for the leading causes of death for 2001 identify seven causes of death that can be linked to lifestyle. What five lifestyle factors affect these causes?
diet
exercise
smoking
immunizations
substance abuse
What is Healthy People 2010?
A national initiative that addresses the effects of lifestyle by creating health improvement goals to reach by the year 2010.
What are the two goals of the Healthy People 2010 initiative?
To increase quality and years of healthy life and to eliminate health disparities
What are the top 5 areas of focus of Healthy People 2010?
1. Access to quality health services
2. Arthritis, osteoporosis, and chronic back conditions
3. Cancer
4. Chronic kidney disease
5. Diabetes
What three groups of variables affect health promotion according to Pender's Health Promotion Model?
1. Individual characteristics and experiences
2. Behavior-specific cognitions and affect
3. Behavioral outcome
Name the seven assumptions of Pender's Health Promotion Model?
1. Persons seek to create conditions of living through which they can express their unique human health potential.
2. Persons have the capacity for reflective self-awareness, including assessment of their own compotencies.
3. Persons value growth in directions viewed as positive and attempt to achieve a personally acceptable balance between change and stability
4. Individuals seek to actively regulate their own behavior.
5. Individuals in all their biopsychosocial complexity interact with the environment, progressively transforming the environment and being transformed over time.
6. Health professionals constitute a part of the interpersonal environment, which exerts influence on persons throughout their life span.
7. Self-initiated reconfiguration of person-environment interactive patterns is essential to behavior change
What are the six "spokes" of the wheel of wellness?
emotional
intellectual
physical
spiritual
social/family
occupational
What does the center of the wheel of wellness represent?
Least amount of wellness
What does the outer part of the wheel of wellness represent?
Optimal wellness
What happens to the wheel of wellness when one spoke is not functioning properly?
It won't "roll" properly
The transtheoretical model of change serves as a means to:
alter unhealthy behaviors
According to the model of change, health promotion and protection involve either:
changing the individual's response to the illness-producing stimuli OR changing the environment so the the person will be less likely to encounter illness-producing stimuli
In the model of change, what are the four stages of change?
1. Contemplation
2. Determination
3. Action Stage
4. Maintenance Stage
Prochaska and DiClemente found two additional stages to the model of change. What are these two stages and when do they occur?
Precontemplation stage-before contemplation (person does not realize he has a problem)
Termination stage-after maintenance (behavior changed and not in danger of relapse)
What does disseminating information mean?
Providing people the knowledge to recognize a problem and understand their options for change.
How can disseminating information be practiced on the individual level?
Working one-on-one with an individual
How can disseminating information be practiced on the group level?
Classes offered at the hospital, prenatal education programs and worksite programs
How can disseminating information be practiced on the community level?
Billboards, health columns in the newspaper, health fairs
What could be the focus of a group-level program for changing lifestyle and behavior?
Weight loss programs, smoking cessation, exercise, nutrition and stress management.
How do environmental control programs promote health?
By working to create a healthy environment
What things might be targeted with an environmental control program?
Air and water qualtiy, toxic wste, healthy homes and communities, infrastructure and surveillance, global environmental health and political advocacy
What is the focus of wellness assessment and health risk appraisal programs?
Identifying behaviors that promote health and create rsk for disease.
What does wellness assessment focus on?
What activities do wellness assessments support?
healthy behaviors

Positive change to improve health
What does a health risk appraisal identify?
Risky behavors that promote disease.
What are the three most common sites for health promotion programs to occur?
Health facilities
Worksites
Schools
Large companies employ healthcare providers to provide specific programs. What are some examples of these programs?
Smoking cessation
Stress management
Fitness training
Why may large companies implement health programs for their employees?
They decrease work-related injuries and sick leave.
Health promotion is important throughout the entire lifespan. What are some of the area of focus for people in this developmental stage: Conception to birth
Pregnancy education
Abstinence from tobacco, alcohol and drugs
Nutrition
Exercise
Parenting education
Health promotion is important throughout the entire lifespan. What are some of the area of focus for people in this developmental stage: Infancy
Nutrition
Introduction of solid foods
Proper sleeping position (SIDS)
Sensory stimulation
Safety
Motor vehicle safety
Oral health
Health promotion is important throughout the entire lifespan. What are some of the area of focus for people in this developmental stage: Toddler and preschool
Adequate supervision
Safety
Toilet training
Motor vehicle safety
Nutrition
Immunizations
Oral Health
Sleep and rest
Health promotion is important throughout the entire lifespan. What are some of the area of focus for people in this developmental stage: School age
Nutrition
Physical activity
Safety
Sexuality
Stranger danger
Oral health
Health promotion is important throughout the entire lifespan. What are some of the area of focus for people in this developmental stage: Adolescence
Peer pressure
Motor vehicle safety
Safety
Self-esteem
Physical activity
Suicide and depression
Firearm safety
Violence
Sexuality
Alcohol and tobacco use
Limiting sun exposure
Update of immunizations
Oral health
Health promotion is important throughout the entire lifespan. What are some of the area of focus for people in this developmental stage: Young adult
Physical activity
Motor vehicle safety
Safety
Violence
Sexuality
Alcohol and tobacco use
Limiting sun exposure
Update of immunizations
Oral health
Health promotion is important throughout the entire lifespan. What are some of the area of focus for people in this developmental stage: Middle adult
Physical activity
Safety
Obesity
Sexualit
Lifestyle
Update of immunizations
Oral health
Health promotion is important throughout the entire lifespan. What are some of the area of focus for people in this developmental stage: Older adults
Physical activity
Nutrition
Safety
Obesity
Sexuality
Lifestyle
Update of immunizations
Oral health
Changes associated with aging
Pender, Murdaugh and Parsons summarized the health promotion procsess as a series of nine steps that involve the nurse and the client. Name the steps.
1. Review and summarize data from assessment
2. Reinforce client's strengths and abilities.
3. Identify health goals and related behavioral change options.
4. Identify behavioral or health outcomes that will indicate that the plan has been successful from the client's perspective.
5. Develop a behavior change plan based on the client's preferences, on the stages of change, and on "state-of-the-science" knowledge about effective interventions.
6. Reiterate benefits of change, and identify incentives for change from the client's perspective.
7. Address environmental and interpersonal facilitators and barriers to behavioral change.
8. Determine a time frame for implementation.
9. Commit to behavior-change goals, and structure the support needed to accomplish them.
What are the components of a health promotion assessment?
Health history
Physical examination
Fitness assessment
Lifestyle and risk appraisal
Life stress review
Analysis of healthcare beliefs
Nutritional assessment
What type of data is included in a history and physical examination?
Subjective and objective
What is the best source for information needed for a health history?
The client
At a minimum, what information should be collected in a physical examination?
Vital signs
Weight
BMI
Auscultation and palpation of chest and abdomen
Inspection of the skin
Palpation of peripheral pulses