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35 Cards in this Set
- Front
- Back
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What is HEALTH?
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a state of complete physical, mental, and social well being and not merely the absence of disease or infirmity
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HOLISM
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biological, psychological, social and spiritual components of the client have an impact on health and wellness
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What is perceives susceptibility?
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personal risk assessment regarding illness/disease
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What is perceived severity?
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the condition/disease & consequences
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What is perceived barriers?
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influences that may hinder change
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What is perceived benefits?
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recognizing positive results of changing behaviors
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In the stages of behavior what is precontemplative stage?
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-no change is being sought
-denial |
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In the stages of behavior what is contemplation stage?
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-considering change
-nurse helps client weight pros & cons |
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In the stages of behavior what is preparation stage?
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-prepared to take action
-no firm plan -help solve problem -set goals |
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In the stages of behavior what is action stage?
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-behavior is modified
-change efforts made -encourage praise |
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In the stages of behavior what is maintenance stage?
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-works to prevent relapse, behavior is modified and stabilized
-help plan ahead |
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Nursing objective in promoting change?
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to empower the client to attain/maintain an optimal level of health and wellness
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empowerment strategies
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-communicate and educate
-learning about the need to change through the client education -implement change gradually -participate and involve -motivate-recognize the value of new behavior -encourage decision-making problem solving -identify roles for everyone affected by change -build resources to support the change -family, friends, equipment |
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Definition of learning?
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a change in behavior that persists over time, is practiced repeatedly & reinforced
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the adult learner:
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-lifetime experiences
-goal oriented -needs to know why -practical -shown respect |
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What to assess:
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-understanding of problem
-perception of what illness means to client -motivation to change -perceived benefits of change -perceived barriers to change -developmental level -learning skill domains |
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what planning:
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-discuss learning needs and goals
-negotiate to produce a list of learning objectives |
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cognitive learning domain:
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ability to learn, think, process
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affective learning domain:
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attitude about needed changes
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psycho-motor learning domain:
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physical ability to learn tasks and procedures
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barriers to learning:
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-internal
-physical- pain, limited vision or mobility -social- lack of support or acceptance -psychological- fear, anxiety, depression -external -environment-noise, distraction -situation-poor timing or methods not agreeable to the client |
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interventions for wellness prevention
primary: |
prevent disease, promote health
ie:diet, exercise, rest |
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interventions for wellness prevention
secondary: |
screening, interventions to increase probability that disease will be diagnosed
ie: mammogram, colonoscopy |
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interventions for wellness prevention
tertiary: |
disease has occurred goal is to limit complications
ie: rehab |
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Complimentary & Alternative therapies
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-alternative system of medical practices (herbs, nutrition)
-mind body therapies (massage, touch) -manipulative and body based therapies -biologically based therapies (herbs, aromatherapy) -energy therapies (recki, therapeutic touch) |
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types of communities:
geographic |
ex: lancaster county
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types of communities:
common interests |
ex: amish, chinatown, support groups
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types of communities:
problem solving |
ex: MADD
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components of an assessment
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-people-demographics, health, social and cultural factors
-social system-education, political, legal, religion -environment-geography, location of health services, toxic substances, pollutants |
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tools for a community assessment:
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-windshield survey
-informant interviews -surveys -meet with community groups -comprehensive needs assessment |
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what is a windshield survey?
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taking a look at make up of population, buildings, children playing
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what is informant interviews?
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evaluate community by getting key people of community and discuss
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The environmental cycle four principles:
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1. everything is connected to everything else
2. everything has to go somewhere 3. the solution to pollution is dilution 4. today's solution may be tomorrows problem |
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environmental health hazards:
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*chemical
*physical- noise *biological- west nile *psychological- stress *mechanical-repetitive |
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Role of community health nurse:
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*identify risks
-evaluate home, lifestyle, work, environment *comprehensive exposure history - I prepare *communicate risk -empower citizen to address problems *referral -be a resource |
