Health Promotion and Risk Reduction--Models and Info Flashcards
OREM’S theory
what is nursing?
what IWU nursing curriculum is built on
Nursing is “The act of assisting others in the provision and management of self-care to maintain or improve human functioning at the home level of effectiveness.”
USCR’s as posited by Orem
Air Water Food Elimination Activity/Rest Social Interaction Prevention of Hazards Promotion of Normalacy
USCR example: Air
no deficit: patient can breathe easily, no pallor or cyanosis
deficit: patient is SOB, pallor and cyanosis result
USCR example: Water
no deficit: fluid intake good, turgor normal, no edema
deficit: edema present, turgor slower than normal, dehydration
USCR example: Food
no deficit: intake good at meals, nutritious food consumed, healthy weight, food security.
deficit: poor intake, junk food consumed, unhealthy weight, food scarcity.
USCR example: Elimination
no deficit: bowel and bladder elimination without difficulty, normal BMs and voiding. No difficulty to void or pass stool.
deficit: constipation, incontinence, difficulty to void or pass stool, blood in urine/stool, abnormal excrements (C diff infection).
USCR example: Activity and Rest
no deficit: gets proper amount of activity per day, gets good/adequate sleep at night, can be active–no joint pain or other hindrances.
deficit: improper amount of activity per day, bad/inadequate sleep at night, cannot be active d/t joint pain or other hindrances.
USCR: Social Interaction
no deficit: has good support systems for family and friends, enjoys social outings and etc.
deficit: doesn’t have good support systems (family and friends), spends too much time either alone or with people, doesn’t enjoy social outings, etc.
USCR example: prevention of hazards
no deficit: can exhibit safe behaviors around home and other settings, takes proper precautions if hazards are present (in a job or etc.)
deficit: cannot exhibit safe behaviors around home and other settings, does NOT take proper precautions if hazards are present (in a job or etc.)
USCR example: promotion of normalcy
lol what is normal now that COVID’s here
but seriously,
no deficit: lives life in a similar pattern, routine maintained, stable and steady schedule and income.
deficit: lives life in a all over the place way, no routine, no stable schedule or steady income.
internal variables
developmental stage emotional factors intellectual background spiritual factors perception of functioning
internal variables: developmental stage
How do these five variables influence health and health care beliefs?
depending on what developmental stage a client is at, the client may be either more efficacious or less efficacious in making their own healthcare decisions. Furthermore, beliefs about healthcare change as a client develops.
However, in mental disabilities and disorders such as down syndrome or a psychiatric disorder, the client may be at a reduced level of functioning and this certainly will affect their own health and healthcare beliefs.
internal variables: emotional background
How do these five variables influence health and health care beliefs?
the emotional background someone has surrounding healthcare (whether for good or for bad) can either help them to be more efficacious in seeking healthcare or less efficacious in seeking healthcare. It can also impact their health care beliefs for better or worse.
internal variables: spiritual factors
How do these five variables influence health and health care beliefs?
spiritual health adds a whole nother layer to a person, if their perceived relationship with their deity is good, their health will be good. but if they’ve sinned or something, their health may suffer as they work through the emotional turmoil of that.
it also may influence their healthcare beliefs as they may not always trust healthcare (getting medicine from the village shaman or thinking God will heal them) and not put as much importance on getting good healthcare.
internal factors: perception of functioning
How do these five variables influence health and health care beliefs?
health: a person may have a greater or lesser perception of what they can do, leading to poor choices for their health (not pushing themselves too much or exerting themselves too much).
health care beliefs: a person may think that they don’t need healthcare d/t their greater perception of their health, or think they need more care than they actually do d/t a lesser perception of their health.
