Glossary of fundamentals of nursing
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- each person defines health in termso fhis or her own values and beliefs.
Health integrates all dimensions---physical, emotional, intellectual, sociocultural, spiritual, and evironmental aspects.
- response of the person to a disease: it is an abnormal process in which the person's level of functioning is changed. Unique to each person.
- medical term meaning that there is a pathologic change in teh structure or function of the body or mind.
- acute illness
- rapid onset and short duration.
stage 1: experiencing symptoms
stage 2: assuming the sick role. seeks validation, gives up normal activities, focus on symptoms...
stage 3: assuming a dependent role. pt's decision to accept the diagnosis and follow trt plan.
stage 4: achieving recovery and rehabilitation.
- chronic illness
- one or more of following:
-causes or is caused by, irreversible alterations in normal anatomy and physiology.
-requires special pt ed for rehab.
-requires a long period of care or support.
Chronic illnesses: usually slow onset and have periods of remission and exacerbation
- Agent-host-environment model
- -useful for examining the causes of disease in an individual.
-the agent, host, and evironment interact in ways that create risk factors.
- Health-illness continuum
- -way to measure a person's level of health.
-views health as a constantly changing state, with high-level wellness and death being on opposite ends of a graduated scale.
- High-level wellness model
- -functioning ot one's max potential while maintaining balance and purposeful direction in the environment.
-differentiates "wellness" from "good health"
-good health: passive state.
-wellness: active state, regardless of state of health.
Dunn also defined processes that help a person know who and what he or she is:
-being (recognizing self as separate and individual)
-becoming (growing and developing)
-befitting (making personal choices to befit the self for the future)
- Health Belief Model
- -what people perceive to be true about themselves in relation to their health.
Based on 3 components of perceptions of threat of a disease:
2-perceived seriousness of a disease
3-perceived benefits of action.
- Health promotion model
- "multidimensional nature of persons interacting with their environment as they pursue health"
-Model incorporates individual characteristics and experiences and behavior specific knowledge and beliefs, to motivate health promoting behavior.
-the components of the model can be used to design and proved interventions to promote health for individuals, familes, and communities.
- risk factors for illness
- -something that increases a person's chance for illness or injury.
- Health dimensions
- factos influencing a peron's health-illness status, health beliefs, and health practices.
nursing assessments of strength and weaknesses in each dimension are used to develop a plan of care.
- physical dimension
- genetic, age, developmental level, race, adn gender
- emotional dimension
- how the mid affects the body function and responds to body conditions also influences health.
- health practices and beliefs are strongly influenced by economic level, lifestyle, family, and culture.
- spiritual dimension
- spiritual beliefs and values are important components of a persons health and illness behaviors.
- Basic human needs
- -physiologic needs
-safety and security
-love and belonging needs
- primary preventive care
- directed toward promoting health and preventing the development of disease processes.
-health risk assessments
Examples of activities:
-immunizations, family planning, teaching BSE, poison-control information, accident-prevention education.
- secondary preventive care
- focuses on early detection of desease, prompt intervention, and health maintenance for pts experiences health probs.
-goal is to reverse or reduce the severity of the disease or to provide a cure.
examples of activities:
-carrying out direct nursing actions
-assessing children for normal growth and dev.
-encouraging regular medical and dental screening and care.
- Tertiary preventive care
- begins after an illness is diagnosed and treated to reduce disability and to help rehabilitate pts to a max level of functioning.
-teaching a pt w/ diabetes how to recognize and prevent complications
-using physical therapy
-referring to support group.
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