Exam #1 Flashcards
Define phenomenology (UFV definition)
The understanding of the nature and meaning of lived experiences.
(ie. how a situation has influenced a persons view and outlook on health)
Why do nurses require phenomenology in their practice?
In order that we can strive to understand a persons perspective in their situation so we can help support their journey in health competently and ethically.
Who is the expert on an individuals personal health?
The individual themselves. We can never measure how much pain or discomfort an individual feels.
Name a few factors which can influence a person’s definition of health
- income - #1 influence
- family values
- culture
- education
- their past experiences with health
- accesibility
Why should nurses strive to find out whats important to the patient? Give an example.
So we can help assist them with an open mind.
Example: to help a patient quite smoking. If the reason for their smoking is anxiety driven, possibly we can help find healthier choices to deal with the anxiety.
Define phenomenology (Potter & Perry)
Lived experience of a specific phenomenon from the perspective of the people who are in the situation.
What does phenomonology support in terms of a nusring/patient relationship?
Promotes partnerships for health care.
How can health be understood?
In positive or negative terms.
How is the nature of health understood? (3 factors)
- disease - objective state of illness
- illness - subjective experience of wellness
- wellness - subjective process (ie. achieving your personal potential)
Describe the WHO definition of health (1946)
The Constitution of WHO (1946) states that good health is a state of complete physical, social and mental well-being, and not merely the absence of disease or infirmity.
Name some factors in terms of what health looks like?
- happy
- optimistic
- no pain
- energy
- satisfying relationships
6, maximized potential - sense of meaning / purpose
Name 3 approaches to health that have evolved over the past years.
- Medical approach
- Behavioural approach
- Socioenvironmental approach
When was the medial approach dominant?
During the early 20th century up until the 1970’s.
Describe what the medical approach was.
- Looking at the individual rather than community.
- Medicine intervenes to restore health and heal disease.
- Disease focused.
What happened post WW II in terms of funding?
National health removed financial barriers and medical treatments were funded.
How was the medical approach defined?
Defined by absence of disease.
When was the medical approach model challenged and by whom?
The WHO 1948.
A report was released in 1974 that changed the approach again. Who released this report and what was the focus of the report?
Lalonde released this report and it was focused on a behavioural approach.
Describe what the behavioural approach focuses on.
Lifestyle choices:
persons decisions
habits
environments
Person responsible for their health.
What was flawed about the behavioural approach?
It only worked well for people in the higher income brackets. People who could afford gym memberships, the healthier choices in food, etc.
Around what time frame was it noticed that the people with higher incoming were succeeding in the behavioural approach?
During the mid 1980’s
What negative impact did the behavioural approach have on an individual?
It led to “victim blaming”.
Describe socioenvironmental approach
This approach was aimed more at a society rather than an individual.
What approach must the socioenvironmental model have so that everyone can maintain access?
A structural approach
Describe how the responsibility shifted during the socioenvironmental approach.
It shifted from the individual to society as a whole.
Give an example in todays society of medical approach.
Emergency Room / Hospitals
Give an example of behavioural approach in todays society
School programs
Social marketing / bus stops
Education
Give an example of socioenvironmental approach in todays society
Public health services
Population health approach
Mobile services
What was the WHOs conception of health in 1984?
Health viewed as the extent to which an individual or group is able on one hand realize aspirations and satisfy needs; and on the other hand to change or cope with the environment.
Health is seen as a resource to everyday living; but not as an object of living.
Health is a positive concept emphasizing social and personal resources as well as physical capacities.
Define life expectancy
average lifespan of people
Define morbidity rates
incidence/prevalence of disease
Define mortality rates
the number of deaths divided by total population in a given time
Define causes of death
reflects disease, safety, etc. in a given time
What is the life expectancy in Canada for men and women
Women: 83 years old
Men: 79 years old
What is the life expectancy in BC for men and women?
Women: 84 years old
Men: 80 years old
Why are women’s life expectancies typically longer then mens?
women are more proactive then men in expressing emotion, seeking help, etc.
What are the 4 most prevalent diseases?
- diabetes
- cancer
- cardiovascular disease
- respiriatory disease
Describe what is meant by “upstream” vs. “downstream”
Upstream: finding the root of the problem
Downstream: band-aid effect
Why is it important for nurses to study life span development?
Understanding others will be a part of our everyday lives as nurses and the more we learn about people and understand the different stages of life they are in, the better prepared we will be to help them. It will also promote stronger more rewarding relationships with our patients.
Define “development”
A pattern of movement or change that begins at conception and continues through the human life span.
What does a traditional approach on development encompass?
It states that childhood is a unique time of development that lays the foundation for adult years.
Name the 3 traditional approaches, their time frame and the belief that follows them.
- Original Sin (500’s - 1400’s) - children inherently bad, born as evil beings
- Tabula Rasa (1600’s) - children born as blank slates (neither good or bad)
- Innate Goodness (1700’s) - children inherently good
Name the more contemporary approach to develoopment
Life-Span approach
Describe the life span approach (2 points)
- recognizes that childhood lays foundation for adulthood and is different from adulthood (ie. development occurs through the life span and not just as children
- different skills/tasks mastered at different times
Name the 7 characteristics of lifespan development
- lifelong
- multidimensional
- multidirectional
- plastic
- multidisciplinary
- involves growth, maintenance and regulation
- contextual
Describe the characteristic lifelong in lifespan development
development continues throughout the lifespan; no particular age dominates development
Describe the characteristic multidimensional in lifespan development
biological, cognitive, socio-emtional
each dimension influences development and each dimension is intertwined
Describe the characteristic multidirectional in lifespan development
grow and decline at all periods of development (i.e. a 3 year old has the ability to learn a second language but may forget to look both ways before crossing the street)
Describe the characteristic plastic in lifespan development
the ability to change (ie do you have the ability to retain a new skill at 80 years of age?)
in most cases development becomes less plastic with increased age.
Describe the characteristic multidisciplinary in lifespan development
many disciplines involved in studying lifespan development
Describe the characteristic “involves growth, maintenance and regulation in lifespan development
dominant characteristic depends on individuals’ stage in overall lifespan
Describe the characteristic contextual in lifespan development
circumstances of a situation (ie. environment = context of your life)
Name the 3 contextual characteristics/influences.
- Normative Age
- Non-normative age
- Normative history-graded influences
Give an example of normative age-graded influence
- puberty, school, marriage, etc.
Give an example of non-normative life events
child dies before a parent, divorce, floods in Haiti (not just affecting one generation but will impact many generations)
Give an example of normative history-graded influence
historical fact that influences a generation (ie. beatlemania, 9/11, etc)
What is median age?
point where half of the age is older and half of the age is younger