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Health Promotion

Health Promotion

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Health Promotion

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  1. Health Promotion Larry Santiago, MSN, RN

  2. Health Care Delivery and Nursing Practice • Nursing is defined as the “diagnosis and treatment of human responses to health and illness”.

  3. Health Care Delivery and Nursing Practice 2 • Health is defined as a “state of complete physical, mental, and social well-being”.

  4. Health Care Delivery and Nursing Practice 3 • Wellness “includes a conscious and deliberate approach to an advanced state of physical, psychological, and spiritual health”.

  5. Maslow’s Hierarchy of Needs

  6. Roles of the Nurse Practitioner Role Leadership Role

  7. Roles of the Nurse 2 • Research Role

  8. Health Education • Goal of patient education is to encourage people to adhere to therapeutic regimens

  9. Health Education 2 • Teaching techniques and methods enhance learning

  10. Health Education 3 • Learning readiness • Learning environment

  11. Health Education 4 • People with disabilities • Gerontologic considerations

  12. Health Promotion • Health Promotion encourages people to achieve as high a level of wellness as possible

  13. Health Promotion 2 • Health Promotion principles include: self-responsibility, nutrition,stress management and exercise

  14. Chronic Illness Larry Santiago, MSN, RN

  15. Chronic Conditions • Medical conditions or health problems with associated symptoms or disabilities that require long-term management

  16. Chronic Conditions 2 • Occur in every age group • Major and minor activity limitations • Expensive

  17. Phases of Chronic Illness • 1) Pretrajectory phase – person is at risk for developing a chronic condition because of genetic factors or lifestyle behaviors that increase susceptibility to chronic illness

  18. Phases of Chronic Illness 2 • 2) Trajectory phase – characterized by the onset of symptoms or disability associated with a chronic condition

  19. Phases of Chronic Illness 3 • 3) Stable phase – indicates that symptoms and disability are being managed adequately

  20. Phases of Chronic Illness 4 • 4) Unstable phase – characterized by exacerbation of illness symptoms, development of complications, or reactivation of an illness in remission

  21. Phases of Chronic Illness 5 • 5) Acute phase – characterized by sudden onset of severe or unrelieved symptoms that require hospitalization

  22. Phases of Chronic Illness 6 • Crisis phase – characterized by a critical or life-threatening situation that requires emergency treatment or care

  23. Phases of Chronic Illness 7 • Comeback phase – recovery after an acute period • Downward phase – marks the worsening of a condition • Dying phase – characterized by the gradual or rapid decline despite efforts to halt the disorder

  24. Nursing Management • Identify trajectory phase • - assess the patient to determine the specific phase

  25. Nursing Management 2 • Establish goals – should be a collaborative effort with the patient, family, and nurse working together

  26. Nursing Management 3 • 3) Establish a plan to achieve desired outcomes • 4) Identify factors that facilitate or hinder attainment of goals

  27. Nursing Management 4 • 5) Implementing Interventions • 6) Evaluating the Effectiveness of Interventions

  28. End-of-Life Care Larry Santiago, MSN, RN

  29. Death and Dying • Technology has prolonged life

  30. Death and Dying 2 • Sociocultural Context

  31. End of Life Care • Palliative Care

  32. End of Life Care 2 • Hospice Care

  33. Advance Directives • Written documents that allow the individual of sound mind to document preferences regarding end-of-life care • Most common types: • Living will • Durable power of attorney for health care

  34. Health Care of the Older Adult Larry Santiago, MSN, RN

  35. Health Care of the Older Adult • Gerontology is the study of the aging process

  36. Health Care of the Older Adult 2 • Demographics of Aging

  37. Health Care of the Older Adult 3 • Health Care Costs of Aging

  38. Health Care of the Older Adult 4 • Ageism is prejudice or discrimination against older adults

  39. Age Related Changes • Physical

  40. Age Related Changes 2 • Psychosocial

  41. Age Related Changes 3 • Cognitive

  42. Age Related Changes 4 • Environmental

  43. Age Related Changes 5 • Pharmacologic

  44. Living Arrangements • Own home • Family home • Continuing Care Retirement Communities • Long term care

  45. Geriatric Syndromes • Impaired Mobility • Urinary Incontinence • Immunodeficiency • Depression • Delirium • Dementia

  46. Perspectives in Transcultural Nursing Larry Santiago, MSN,RN

  47. Culture • Culture involves learned and transmitted knowledge about values, beliefs, rules of behavior, and lifestyle practices that guide groups in their thinking and actions

  48. Culture 2 • Subcultures and minorities

  49. Transcultural Nursing • Focus on cultural care values, beliefs, and practices of individuals from a particular culture (Giger & Davidhizar, 1999)