Chronic Illness & Health Promotion - Exam 1 Flashcards
Primary Prevention
A program of activities directed to improving general health also involving specific protection for selected diseases such as immunizations.
Secondary Prevention
A level of care that focuses on early diagnosis, referral and rapid initiation of treatment to stop progression of disease processes.
Tertiary Prevention
A level of care which deals with rehabilitation and return of a patient to a status of maximum usefulness with a minimum of risk
Coupling
A strategy for remembering a new life routine by attaching it to a well-established habit (ex. teaching a patient to take the morning and evening doses of a bid medicaiton with breakfast and dinner)
Contracting
Involves discussing and establishing mutually agreeable short-term and long-term goals, delineating what the responsibilites of the patient and nurse will be and committing this information and any renegotiations to wirting. The nurse who contracts with the patient is responsible to coordination with other staff
Surveillance
How closely the patient follows the prescribed regimen. Provides the health care team with valuable information but only if the patient is trusting enough to provide truthful, accurate information. Patients often tell health care providers what they think we want to hear because they want to avoid our disapproval.
Rehabilitation
Disability
Polypharmacy
Modifiable Risk Factors
Causes of chronic illness that can be controlled
Non-modifiable Risk Factors
Causes of chronic illness that can not be controlled (age, gender, genetic predisposition)
Chronic Illness
Illness that lasts longer than three months and is not self-limiting.
Precontemplation
No intention to change the behaviors in the forseeable future. Patients may be unaware that they have a problem, although those around them are all too aware.
What strategies are useful for discussing issues requiring change with those that are in the precontemplative stage?
Storytelling
Giving Information
Discussing the impact on family or community
Contemplation
The stage in which people are aware that a problem exists and are thinking about working on it but have not yet committed to taking actions. Can remain stuck in this stage for years, during which they weight the pros and cons.