Chap 11/12- Health And Wellness; Healthcare in Community & Home Flashcards
This entity published the definition of health in 1948 and what did it reflect?
The WHO (World Health Org) definition reflect health and wellness as a holistic view, and considers physical, mental and social well being as aspects
this model just deals w/ pt’s illness; views the lack of disease or syx as perfect health
Clinical Model
this model represents the relationships between a person’s beliefs and how act towards their health
Health belief model
this model represents a framework that optimal health is an ongoing process towards a persons highest potential
High Level Wellness Model
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?
Holistic Health Model; Flo Night supported holism as a factor to self healing
What is illness prevention?
An aspect of wellness that focuses on the detection and prevention of disease
What are examples of primary prevention? Why/how?
Immunizations, educational programs, nutritional instruction; focus on health w/ a goal of PREVENTION to a GENERAL group
What are examples of secondary prevention? Why/how?
Annual evals and screenings; Its focus is on a population who are AT RISK for developing a certain health issues
What are examples of tertiary prevention? Why/how?
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)
What does the holistic framework focus on?
Mind, body and spirit
What is CAM and its focus?
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
type of health that is the combination of allopathic medicine+ wide range of CAM; which can include Chinese medicine, homeopathy, and functional medicine.
Integrative Health
the belief that people cannot be fully understood if examined solely in pieces apart from their environment
Holism
What is community based health/nursing?
care centered on individual and family healthcare needs in a non-hospital setting.
Who is responsible for ensuring the patient is prepared for facility discharge?
Nurse
Why is discharge planning important?
It links patients between discharging facility and their community
What is important when patients transition against different levels of care?
The continuity of care, ensuring quality patient outcomes
Care focused on relieving symptoms of a serious illness and improving quality of life, regardless of treatment plan or prognosis.
Palliative care
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.
Hospice Care
What focuses do palliative care and hospice care share?
Care, quality of life, comfort, caregiver support
What are typical Interventions for Palliative Care?
Lessing pain, controlling uncomfortable syx, providing spiritual and emotional support
What is the nurses role in PC/ Hospice?
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
What are the discharge planning elements?
Collaboration, Facilitation, and negotiation
SHould nurses inquire about patient’s uses of CAM therapies? If so, why?
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
Basic Discharge Plan
pt goes home w/ self care & illness teaching
Simple Referral
pt goes home w/ referral to community resources
Complex referral
pt referred to a discharge planner; out of scope for nurse; pt needs are more complex- may need DME, transfer to other fac; homecare
What is culturally competent nursing?
Patients have the right to receive individualized care that is culturally acceptable; POC should include culture if needed
How should nurses communicate when reporting info about a patient?
SBAR
Situation
Background
Assessment
Reccomendation
How does nurse show up as a patient advocate?
ensuring what pt wants; protect pt; ensuring treatments are understood; providing safe environment; help assert their legal rights
Ingredients of Therapeutic Communication?
Empathy, Positive Regard, Self Awareness, Ability to Diffuse situations, Assessment, Implementation
How to communicate during implementation?
Ask open ended questions, active listening, restatement, seeking clarification, encouraging elaboration, silence, summarizing