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Preventive Primary Secondary Tertiary Restorative Continuing care settings
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3209 Theories-Health
3209 Theories-Health day 3 notes
| Question | Answer |
|---|---|
| caring profession, with a set of ethics, values & standards | nursing |
| Preventive Primary Secondary Tertiary Restorative Continuing care settings | types of settings that provide various health care services / levels of health care |
| safe & effective use of meds & equip -instruct for food-drug inter & counseling on diet -rehav tech for adaptation/independence -access to resources -when&how to further tx -pt's responsibilities in ongoing health care needs & knowledge to carry out | instructions needed before clients leave health care facilities |
| changes place greater emphasis on wellness, direct resources toward primary & preventive care. nurses are advocates to maintain continuity of care through all levels of care. Nurses-> leadership & address client needs to ensure success of improving system | implications that changes in the health care system have on nursing |
| competency -evidence-based practice -quality health care | issues in health care delivery |
| state of complete physical, mental and social well-being, not merely the absence of disease or infirmity | definition of health |
| relationship between a person's beliefs & behaviors. Provides way to understand & predict how clients behave in r/t their health & how they will comply with therapies. Helps nurses understand the factors that influence perceptions, beliefs & behaviors | health belief model |
| increases client's level of well-being. framework for integrating perspectives of nursing & behavioral science & the factors that influence health. 1 individual char & exp 2 behavior-knowledge & affect 3 behavioral outcomes | health promotion model |
| elements nec for survival & health - food, water, safety, love.(Maslow's Hier) Can provide a basis for nursing clients of all ages in all settings | basic human needs model |
| attempts to create conditions that promote optimal health. complementary/alternative medicine. based on comprehensive view of person as biopsycosocial & spiritual being. music, reminiscence, relaxation, therapeutic touch, guided imagery | holistic health model |
| developmental stage -intellectual background -perception of functioning -emotional factors -spiritual factors | internal variables influencing health beliefs and practices |
| family practices, socieconomic factors & cultural background | external variables influencing health beliefs and practices |
| wellness & illness prevention, maintain or enhance present levels of health | health promotion |
| teaches people how to care for themselves in a healthy way | wellness |
| protect from actual or potential threats to health, ex immunization | illness prevention |
| Primary - precedes disease or dysfunctionSecondary - directed at diagnosis & prompt interventionTeritiary - minimize effects of long term disease or disability | three levels of preventive care |
| Genetic & physiologic factorsAgeEnvironmentLifestyle | four types of risk factors |
| identify risk factors, emphasize wellness strategies, any program that attempts to change unhealthy lifestyle behaviors | risk factor modification |
| difficult, especially those behaviors that people ingrain in their lifestyle patterns | changing health behaviors |
| perceptions of symptoms & the nature of the illness | internal variables influencing illness behavior |
| visibility of symptoms social group cultural background economic variables accessibility of the health care system social support | external variables influencing illness behavior |
| short-term, non-lifethreatening illnesses evoke few behavioral changes in function vs severe illness can lead to more extensive emotional & behavioral changes (anxiety, shock, denial, anger, withdrawal) | impact of illness on the patient & family - behavioral & emotional changes |
| patient & family must move through the stages of change - shock, withdrawal, acknowledgement, acceptance, & rehabilitation | impact of illness on the patient & family - body image |
| mental self-image of strengths/weaknesses in all aspects of personality. could result in altered role within family | impact of illness on the patient & family - self-concept |
| role reversal may take place when an adult child takes care of parent. may be subtle & short term or drastic and long term. adjustment is generally easier for subtle, short term changes. | impact of illness on the patient & family - family roles |
| process by which the family functions, makes decisions, gives support to individual members, and copes with everyday changes & challenges. nurse must consider whole family as one when planning care. | impact of illness on the patient & family - family dynamics |
| to help individuals regain maximal functional status to enhance quality of life through promotion of independence & self-care | goal of restorative care |
| change involves movement through a series of 5 stages, important to understand which stage pt is in to match intervention | transtheoretical model of change |
| wound care, respiratory care, vital signs, elimination, nutrition, rehabilitation, medications, intravenous therapy, laboratory studies | examples of home care services |
| Minimum data set, Resident Assessment Protocols, utilization guidelines of each state -provides a natl database for nursing facilities so that policy makers will better understand the health care needs of the long-term care population | Components of the Resident Assessment Instrument (RAI) |
| 1 respect values, preferences & expressed needs 2 coordination & integration of care 3 info, communication & education 4 physical comfort 5 emotional support & relief of fear & anxiety 6 involvement of family & friends 7 transition & continuity | dimensions of the Picker/Commonwealth Program for Patient-Centered Care |
| directed the US Dept of HHS to create a new health care organization, the rural primary care hospital to provide 24-hr emergency care, with no more than 6 inpatient beds to provide temp care for 72 hrs or less to pts needing stabilization before transfer | Omnibus Budget Reconciliation Act (OBRA) 1989 |
| established by the American Nurses Credentialing Center to recognize health care organizations that achieve excellence in nursing practice | Magnet Recognition Program |
| incidence of hosp-acq pneumonia, deep vein thrombosis, uti's, pressure ulcers, falls, failure to rescue, 30-day mortality | examples of nursing-sensitive outcomes |
| 1 increase quality & years of healthy life 2 eliminate health disparities | 2 overarching goals for Healthy People 2010 |
| 1 promoting healthy behaviors 2 promoting healthy & safe communities 3 improving systems for personal & public health 4 preventing & reducing diseases & disorders | 4 focus areas of Healthy People 2010 |
| activities related to maintaining, attaining, or regaining good health & preventing illness. ex-immunizations, proper sleep patterns, adequate exercise, nutrition | positive health behaviors |
| practices actually or potentially harmful to health. ex-smoking, drug/alcohol abuse, poor diet, refusal to take necessary medications | negative health behaviors |
| 1 ind's perception of susceptibility to illness 2 perception of seriousness of the illness 3 likelihood that a person will take preventive action - results from perception of benefits & barriers to taking action | 3 components of the health belief model |
| 1 individual char & experiences 2 behavior-specific knowledge & affect 3 behavioral outcomes | 3 areas of focus for the health promotion model |
| health edu programs, immunizations, physical & nutritional fitness activities | primary prevention health activities |
| activities directed at diagnosis & prompt intervention, screen techniques & treating early stages of disease | secondary prevention health activities |
| rehabilition, preventing further disability | tertiary prevention health activities |
| no intention to change | pre-contemplation |
| considering a change within the next 6 months | contemplation |
| making small changes | preparation |
| actively engaging in strategies to change behavior | action |
| maintaining a changed behavior | maintenance stage |
Created by:
garzakd
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