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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
Assessing Health PromotionHealth

  • 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 Promotion

  • 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 Health Promotion

  • 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 Health Promotion

  • 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 Health Promotion

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 Health Promotion (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 Health Promotion& 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 Health Promotion







Influences on Health and Health Belief Practices

Effects of illness
Effects of Illness Health Promotion

  • Loss of independence

  • Lack of control

  • Dependent on others

  • Financial deprivation

  • Family hardship

  • Decreased self -esteem

Planning health promotion
Planning Health Promotion 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 Health Promotion

  • Knowledge deficit

  • Ineffective health maintenance

  • Readiness for enhanced therapeutic regimen management

Nursing interventions
Nursing Interventions Health Promotion

  • Health Promotion

  • Disease Prevention

Health promotion

Increase well-being Health Promotion

Maximize pt. strengths

Teach self-care activities

Increase awareness

Provide information and referrals

Factors effecting health






Cognitive abilities

Health Promotion

Disease prevention
Disease Prevention Health Promotion

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

  • Purpose- decrease an individual’s risk to disease

Disease prevention1
Disease Prevention Health Promotion

  • 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 Health Promotion

  • Tertiary prevention-focuses on restoring/rehabilitating patient

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

Summary health promotion
Summary-Health Promotion Health Promotion

  • Various models of health care/promotion

  • Health promotion based on needs of client

  • Focuses on nurses promoting health and disease prevention

??????????? 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