Chap 11/12- Health And Wellness; Healthcare in Community & Home

Question 1

This entity published the definition of health in 1948 and what did it reflect?

Answer 1

The WHO (World Health Org) definition reflect health and wellness as a holistic view, and considers physical, mental and social well being as aspects

Question 2

this model just deals w/ pt’s illness; views the lack of disease or syx as perfect health

Answer 2

Clinical Model

Question 3

this model represents the relationships between a person’s beliefs and how act towards their health

Answer 3

Health belief model

Question 4

this model represents a framework that optimal health is an ongoing process towards a persons highest potential

Answer 4

High Level Wellness Model

Question 5

this model considers interactions of a persons mind, body and spirit in the environment. Who supported this in the development of the nurising field and how?

Answer 5

Holistic Health Model; Flo Night supported holism as a factor to self healing

Question 6

What is illness prevention?

Answer 6

An aspect of wellness that focuses on the detection and prevention of disease

Question 7

What are examples of primary prevention? Why/how?

Answer 7

Immunizations, educational programs, nutritional instruction; focus on health w/ a goal of PREVENTION to a GENERAL group

Question 8

What are examples of secondary prevention? Why/how?

Answer 8

Annual evals and screenings; Its focus is on a population who are AT RISK for developing a certain health issues

Question 9

What are examples of tertiary prevention? Why/how?

Answer 9

Long-term strategies like rehabilitation, LTC, PC and hospice care; administering medication; (focus is on a group w/ a dx of long term disease in place)

Question 10

What does the holistic framework focus on?

Answer 10

Mind, body and spirit

Question 11

What is CAM and its focus?

Answer 11

CAM- Complementary and Alternative Medicine ; based off of theory and practice; has a strong focus of nutrition, exercise and stress reduction; often integrated w/ allopathic medicine

Question 12

type of health that is the combination of allopathic medicine+ wide range of CAM; which can include Chinese medicine, homeopathy, and functional medicine.

Answer 12

Integrative Health

Question 13

the belief that people cannot be fully understood if examined solely in pieces apart from their environment

Answer 13

Holism

Question 14

What is community based health/nursing?

Answer 14

care centered on individual and family healthcare needs in a non-hospital setting.

Question 15

Who is responsible for ensuring the patient is prepared for facility discharge?

Answer 15

Nurse

Question 16

Why is discharge planning important?

Answer 16

It links patients between discharging facility and their community

Question 17

What is important when patients transition against different levels of care?

Answer 17

The continuity of care, ensuring quality patient outcomes

Question 18

Care focused on relieving symptoms of a serious illness and improving quality of life, regardless of treatment plan or prognosis.

Answer 18

Palliative care

Question 19

Care focused on patients with terminal disease progression with end-stage diagnoses like cancer, ESRD or heart disease. Typically instituted toward the end of life, when a person has less than 6 months to live.

Answer 19

Hospice Care

Question 20

What focuses do palliative care and hospice care share?

Answer 20

Care, quality of life, comfort, caregiver support

Question 21

What are typical Interventions for Palliative Care?

Answer 21

Lessing pain, controlling uncomfortable syx, providing spiritual and emotional support

Question 22

What is the nurses role in PC/ Hospice?

Answer 22

Nurses focus on managing pain, treating symptoms, and helping patients live life to the fullest until the end. Nurses can assist CGs w/ bereavement and reorganizing their lives. Palliative and hospice care may be provided in the home, in hospitals, and in the community at assisted living and nursing homes

Question 22

What are the discharge planning elements?

Answer 22

Collaboration, Facilitation, and negotiation

Question 23

SHould nurses inquire about patient’s uses of CAM therapies? If so, why?

Answer 23

Yes, CAM therapies should be identified. Nurses should be respectful and considerate of one’s potential belief of one’s use and to make sure it does not gravely interfere with the plan of care

Question 24

Basic Discharge Plan

Answer 24

pt goes home w/ self care & illness teaching

Question 25

Simple Referral

Answer 25

pt goes home w/ referral to community resources

Question 26

Complex referral

Answer 26

pt referred to a discharge planner; out of scope for nurse; pt needs are more complex- may need DME, transfer to other fac; homecare

Question 27

What is culturally competent nursing?

Answer 27

Patients have the right to receive individualized care that is culturally acceptable; POC should include culture if needed

Question 28

How should nurses communicate when reporting info about a patient?

Answer 28

SBAR
Situation
Background
Assessment
Reccomendation

Question 29

How does nurse show up as a patient advocate?

Answer 29

ensuring what pt wants; protect pt; ensuring treatments are understood; providing safe environment; help assert their legal rights

Question 30

Ingredients of Therapeutic Communication?

Answer 30

Empathy, Positive Regard, Self Awareness, Ability to Diffuse situations, Assessment, Implementation

Question 31

How to communicate during implementation?

Answer 31

Ask open ended questions, active listening, restatement, seeking clarification, encouraging elaboration, silence, summarizing