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Nursing Management of Clients with Stressors that Affect Health Promotion. NUR101 Fall 2008 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 2008Lecture # 25

K. Burger, MSEd, MSN, RN, CNE

PPP By: Sharon Niggemeier RN, MSRevised burgerk1007

assessing health
  • 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
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







Influences on Health and Health Belief Practices

Man Cold Video

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






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