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

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


Assessing health

AssessingHealth

  • 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:


Health

Health

  • 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

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

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

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

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& 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

Physical

Developmental

Emotional

Intellectual

Environmental

Sociocultural

Spiritual

Influences on Health and Health Belief Practices


Effects of illness

Effects of Illness

  • Loss of independence

  • Lack of control

  • Dependent on others

  • Financial deprivation

  • Family hardship

  • Decreased self -esteem


Planning health promotion

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

Nursing Diagnosis

  • Knowledge deficit

  • Ineffective health maintenance

  • Readiness for enhanced therapeutic regimen management


Nursing interventions

Nursing Interventions

  • Health Promotion

  • Disease Prevention


Health promotion

Increase well-being

Maximize pt. strengths

Teach self-care activities

Increase awareness

Provide information and referrals

Factors effecting health

Genetics

Knowledge

Race

Culture

Age

Cognitive abilities

Health Promotion


Disease prevention

Disease Prevention

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

  • Purpose- decrease an individual’s risk to disease


Disease prevention1

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 prevention2

Disease Prevention

  • Tertiary prevention-focuses on restoring/rehabilitating patient

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


Summary health promotion

Summary-Health Promotion

  • Various models of health care/promotion

  • Health promotion based on needs of client

  • Focuses on nurses promoting health and disease prevention


Nursing management of clients with stressors that affect health promotion

???????????

  • 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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