Nursing management of clients with stressors that affect health promotion
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Nursing Management of Clients with Stressors that Affect Health Promotion. NUR101 Fall 2010 Lecture # 25 K. Burger, MSEd, MSN, RN, CNE PPP By: Sharon Niggemeier RN, MS Revised burgerk1007. Assessing Health. Health = State of optimal functioning or well-being

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Nursing Management of Clients with Stressors that Affect Health Promotion

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Nursing Management of Clients with Stressors that Affect Health Promotion

NUR101 Fall 2010

Lecture # 25

K. Burger, MSEd, MSN, RN, CNE

PPP By: Sharon Niggemeier RN, MSRevised burgerk1007


  • Health =State of optimal functioning or well-being

  • Wellness= an active process in which individuals are aware of choices they make to lead a better life

  • Illness = state in which function is impaired compared with previous function.

  • Health has many definitions:


  • Traditionally health and illness were viewed as two separate entities

  • 1946 W.H.O. (World Health Organization) “the state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity”

  • Several models of health and illness

Health - Illness Continuum

  • Measures a person’s perceivedlevel of health

  • Constantly changing state

  • Perception of HEALTH is influenced by individual’s self-concept, culture, environment, and many other internal & external variables

  • High level wellness at one end, normal health in the center and illness-death at the opposite end

Holistic Health Model

  • System that considers all components of health: promotion, maintenance, education, illness prevention,and restorative care

  • Holistic theory requires forces of nature be kept in balance therefore holistic health involves the total person

  • Clients assuming responsibility for health maintenance and Nurses working to promote optimal conditions to promote health.

Basic Human Needs Model

Maslow’s Hierarchy of Needs

  • all people share basic human needs

  • each person has unique needs

  • priority is usually given to physiological needs, but may fluctuate d/t individual perceptions

Health Promotion Model (HPM)

  • HPM- depicts the multidimensional nature of people interacting with their interpersonal and physical environments when they pursue health

  • This model stresses the importance of an individuals uniqueness, behavior -specific cognitions and affect, and behavioral outcomes

Homeostasis& Adaptation

  • Homeostasis-physiological and psychological mechanisms respond to changes in the internal and external environment to maintain a balanced state. To maintain health the body’s internal environment needs a balanced state

  • Adaptation- change that occurs due to a response from stressor. Adaptation occurs to maintain homeostasis








Influences on Health and Health Belief Practices

Effects of Illness

  • Loss of independence

  • Lack of control

  • Dependent on others

  • Financial deprivation

  • Family hardship

  • Decreased self -esteem

Planning Health Promotion

  • Based on patient needs

  • Needs are prioritized based on the nursing process, Maslow’s Hierarchy of Needs, & growth and developmental level

  • Acute Illness = short duration; severe

  • Chronic Illness = persists > 6 mos

Nursing Diagnosis

  • Knowledge deficit

  • Ineffective health maintenance

  • Readiness for enhanced therapeutic regimen management

Nursing Interventions

  • Health Promotion

  • Disease Prevention

Increase well-being

Maximize pt. strengths

Teach self-care activities

Increase awareness

Provide information and referrals

Factors effecting health






Cognitive abilities

Health Promotion

Disease Prevention

  • Primary prevention-focuses on health promotion and protection from specific diseases

  • Purpose- decrease an individual’s risk to disease

Disease Prevention

  • Secondary prevention- focuses on early detection and prompt interventions to alleviate health problems and prevent complications.

  • Purpose- identify patient at early stage and limit disability

Disease Prevention

  • Tertiary prevention-focuses on restoring/rehabilitating patient

  • Purpose-to allow patient to return to optimal level of functioning

Summary-Health Promotion

  • Various models of health care/promotion

  • Health promotion based on needs of client

  • Focuses on nurses promoting health and disease prevention


  • A student nurse is asked to teach parents of preschoolers about poison control in the home. What level of preventive care is this?

  • A. Lowest

  • B. Tertiary

  • C. Primary

  • D. Secondary

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