Concepts of man, health, and illness Flashcards
module 1
- Any real or perceived change that threatens identity, body image, or role performance can affect self-concept.
- Changes that occur in physical, spiritual, emotional, sexual, familial, and sociocultural health affect self-concept.
Factors Influencing Self-Concept
Components and Interrelated Terms of
Self-Concept
Identity
Body image
Role performance
Self-esteem
- internal sense of individuality, wholeness, and consistency of a person over time
Identity
- involves attitudes related to physical appearance, structure, or function
Body image
Stressors Affecting Self-Concept
Identity Stressors
Role Performance Stressors
Body Image Stressors
Self-Esteem Stressors
Stressor during adolescence
Identity Stressors
- role conflict
- role ambiguity
- role strain
- role overload
Role Performance Stressors
affect appearance, structure, or function or a
Body Image Stressors
body part vary by developmental stage
Self-Esteem Stressors
- prenatal and well-baby care
- nutrition counselling
- family planning
- exercise, yoga, and mediation classes
- Focuses on improved health outcomes
- Requires collaboration
Primary Care (Health Promotion)
- blood pressure and cancer screenings
- immunizations
- mental health counselling and crisis prevention
- Reduces and controls risk factors for disease
Preventive Care
5 levels of the US healthcare system
Disease prevention
Healthcare promotion
Primary healthcare
Secondary healthcare
Tertiary healthcare
- emergency care
- acute medical-surgical care
- radiological procedures for acute problems
- Focus: Diagnosis and treatment of disease
- Disease management is the most common and expensive service of the health care delivery svstem
- Postponement of care by uninsured contributes to high costs
- Hospitals
- Work redesign
- Discharge planning
- Intensive care
- Psychiatric facilities
- Rural hospitals
Secondary Acute Care
- intensive care
- subacute care
Tertiary Care
- cardiovascular and pulmonary rehabilitation
- orthopedic rehabilitation and home care
- sports medicine and spinal cord injury programs
- Serves patients recovering from an acute or chronic illness/disability
- Helps individuals regain maximal function and enhance quality of life
Restorative Care
- assisted living
- psychiatnc and older adult day care
- for people who are disabled, functionally dependent, or suffering a terminal disease
- Available within institutional settings or in the home
Pairing Token: 30c8-1a9d
Preventive and Primary Health Care
Preventive Care
Primary care
Health promotion programs lower overall costs
- Reduces incidence of disease
- Minimizes complications
- Reduces the need for more expensive resources
Health promotion programs lower overall costs
Types of Restorative Care
Restorative Care: Home Health Care
Restorative Care: Rehabilitation
Restorative Care: Extended Care
Types of Continuing Care
Nursing centers or facilities
Asdisted living
Respite Care
Adult day care centers
Hospice
- Provision of medically related services and equipment to patients and families in their homes for health maintenance, education, illness prevention, diagnosis and treatment of disease, palliation, and rehabilitation.
- Involves coordination of services.
- Focuses on patient and family independence.
- Usually reimbursed by the government (such as Medicare and Medicaid in the United States), private insurance, and private pay.
Restorative Care: Home Health Care
- Includes physical, occupational, and speech therapy, and social services
- Begins on admission
- Focuses on preventing complications
- Maximizes patient function and independence
Restorative Care: Rehabilitation
Provides intermediate medical, nursing, or custodial care for patients recovering from acute illness or disabilities
Extended care facility
Provides care for patients until they can return to their community or residential care location
Intermediate care/skilled nursing facility
- Provide 24-hour intermediate and custodial care
- Nursing, rehabilitation, diet, social, recreational, and religious services
- Residents of any age with chronic or debilitating illness
- Regulated by standards: Omnibus Budget Reconciliation Act of 1987
- Interdisciplinary functional assessment is the focus of clinical practice: MDS, RAIs
Nursing centers or facilities
- Long-term care setting
- Home environment
- Greater resident autonomy
- No fee caps
Assisted living
- provides short-term relief or “time off for people providing home care to an individual who is ill, disabled, or frail.
- Settings include home, day care, or health care institution with overnight care.
- Trained volunteers enable family caregivers to leave the home for errands or social time.
Respite care
- Provide a variety of health and social services to specific patient populations who live alone or with family in the community
- May be associated with a hospital or nursing home or may operate independently
Adult day care centers
- Family centered care that allows patients to live with comfort, independence, and dignity while easing the pains of terminal illness.
- Focuses on palliative (not curative) care
- Many hospice programs provide respite care, which is important in maintaining the health of the primary caregiver and family.
Hospice
