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Wellness-illness continuum |
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Definition
A dichotomized portrayal of health and illness ranging from high-level wellness at the positive end of depletion of health a the negative end. |
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-Conceptualized as a sense of well-being, life satisfaction, and quality of life. |
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A state of physical, mental, spiritual, and social functioning that realizes a person's potential and is experienced within a developmental context. |
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-Failure of a person's adaptive mechanisms to counteract stimuli and stresses adequately, resulting in functional or structural disturbance. |
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A positive state in which incremental increases in health can be made beyond the midpoint. These increases involve improved physical and mental health states. |
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-Subjective experience of the individual and the physical manifestation of the disease. |
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An evolving view of health recognizes the interconnection between people and their physical and social environments. It extends from the individual into the surrounding community, and including the context within which a person functions. (Individual, Family, Community, Society) |
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Characterized as being present or absent, high level or low level, and influenced by neighborhood and society. There are physical, mental and social levels. Loss of function may be a sign or symptom of disease, a state of illness. |
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Three levels of Prevention |
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Definition
Primary, Secondary, and Tertiary |
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Adverting the development of disease. |
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Take action to eliminate precipitating causes of disease and injury before they happen. Outcome is no health event. -Health Promotion -Specific Protection -precedes disease/dysfunction -Interventions-health promotion (education) and specific protection (immunizations, reducing exposure to carcinogens, occupational hazards) |
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Focus-Maintain/improve general individual/family/community health. Passive-not personally involved Example-Public health efforts-clean water Active-personally involved Example-Lifestyle changes(daily exercise or stress program). |
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Detect asymptomatic disease, or its predisposition, before it becomes symptomatic or does irreversible harm. -Outcome is no symptomatic disease. -Early diagnosis -Prompt treatment -Disability limitation |
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-Screening Goal:Identify individuals in early, detectable stage of disease. -Treating early stages of disease. -Limiting disability. -Interventions similar to primary preventions but applied to individuals/populations with disease. |
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Minimize clinical deterioration once a disease is established. Outcome is no complication from disease. -Restoration and Rehabilitation -defect/disability permanent or irreversible (e.g. stroke) -Minimizing effect to prevent complication/deterioration -Objective:Return to useful place in society, maximize remaining capacity -Surveillance, Maintenance, Rehabilitation. |
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Healthy People 2010-What factors decide which goals to pursue? |
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Definition
1.) Ability to motivate Action. 2.) Availability of data to measure progress. 3.) Relevance as a broad public health issue. - |
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Healthy People 2020 is based on the accomplishments of 4 previous Healthy People initiatives: |
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Definition
-1979 Surgeon General’s Report, Healthy People: The Surgeon General’s Report on Health Promotion and Disease Prevention -Healthy People 1990: Promoting Health/Preventing Disease: Objectives for the Nation -Healthy People 2000: National Health Promotion and Disease Prevention Objectives -Healthy People 2010: Objectives for Improving Health |
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The goals of Healthy People 2010 |
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Definition
-Goal 1: Increase quality and years of healthy life -Goal 2: Eliminate health disparities |
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-Initiated in 1979 -Identifies a set of 10-year health objectives to achieve during the first decade of the 21st century. It has two overarching goals—to increase quality and years of healthy life and to eliminate health disparities. These goals are supported by specific objectives in 28 focus areas. |
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-Levels reflected in terms of performance or social expectations; loss indicator of need for nursing intervention. |
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-Advocate -Case Manager -Consultant -Educator -Researcher |
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Helps individuals obtain what they are entitled to receive from the health care system, try to make the system more responsive to individual and community needs, and help persons develop the skills to advocate for themselves. |
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Care Manager Nursing Role |
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Definition
The nurse acts to prevent duplication of services and to reduce costs. |
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Nurses may provide knowledge about health promotion and disease prevention to individuals and groups. |
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-Based on a perception of desirable behavior, to structurally plan teaching according to individual needs. |
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-Assessment -Nursing Diagnosis -Outcome Identification -Planning -Implementation -Evaluation |
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Collects client health data. |
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Analyzes assessment data to determine diagnoses. |
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Identifies expected outcome of client for nursing diagnosis. |
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Develops plan of care and prescribes interventions to attain expected outcomes. |
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Implements the interventions (action types) in the plan of care. |
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Evaluates client's attainment of outcomes. |
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-Health id defined by the absence of disease. -Illness is defined by the presence of signs and symptoms of disease. |
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-Health is defined in terms of ability to perform social roles. -Illness is defined as inability to perform social roles. |
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-Heath is defined as ability to adjust positively to social, mental, and psychological change. -Illness occurs when a person fails to adapt or becomes maladaptive to changes. |
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-Health is defined as exuberant well-being allowing a person to interact across physical, social, psychological, and spiritual aspects of life in order to reach goal attainment and obtain meaning. -Illness is defined by the inability to be involved with life. |
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(O'Donnell)"The science and art of helping people change their lifestyle to move toward a state of optimal health." |
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5 Steps in the Levels of Prevention |
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Definition
1.) Health promotion and specific protection (primary prevention) 2.) Early diagnosis 3.) Prompt treatment 4.) Disability limitation (secondary prevention). 5.) Restoration and rehabilitation (tertiary prevention). |
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Term
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Definition
-Conscientious, explicit, and judicious use of current best evidence in making decisions about the care of the individual patients. -Integrating individual clinical expertise with the best available external clinical evidence from systemic research (ANA, 2004). |
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