Health Promotion And The Individual Flashcards

1
Q

Nursing focus on wellness

A
  • Assisting to maintain obtain optimal newts
    -Accomplished through nursing process
  • nanda = nursing diagnosis
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2
Q

All donkeys oink perfect instruments energetically

A

Assessment
Diagnosis
Outcome criteria
Process criteria
Implementation
evaluation

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3
Q

Health promotion

A

Assegment of strengths not only deficits

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4
Q

Functional Health patterns Gordon’s (2016’) frame work for nanda

A
  • concept of functional patterns and pattern interaction
  • depicts individuals life style
  • holism and totality of person’s interaction w environment from foundation for health
  • person viewed as whole being using interrelated behavioral areas
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5
Q

Health promotion

A

Focus on nursing knowledge
Provides structure - holism = goal

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6
Q

Focus of patterns

A

_ Examine patterns overtime
- enviro influences on pattern
- age - developmental issues

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7
Q

Functional

A

Person performance of task

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8
Q

Cultural

A

Influences health pattern

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9
Q

Expression

A
  • Pattern / sequencing of behaviors
  • role of enviro
    Developmental influences
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10
Q

Assessment

A

_ status as functional (strength / wellness)
- dysfunctional actual nursing diagnosis
-Potentially dysfunctional risk
_ nurses determine cause and plan remedial actions

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11
Q

Individuals perceived health and wellbeing

A

Affect on lifestyle and ability to function
Gives clues to improve or maintain health

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12
Q

Assessment

A

Current health practices use of healthcare system healthcare access

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13
Q

Past health management

A

= predictor for
identify reasons failure of past interventions

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14
Q

5 stages of change

A

Precontemplation = not considering change
Contemplation = considering change
Planning and prep = planning change
Action = implementing
Maintenance = maintaining change

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15
Q

Nutritional metabolic pattern

A

24hr recall of consumption
Finances and impact on meals prep
Metabolic demand :
changes w each individual
Activity level stress

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16
Q

Objective indicators of nutritional metabolic patten

A

-Skin
Mucous membranes
Dentures
Hair
Weight

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17
Q

Elimination pattern

A

Regularity and efficiency of excretion of waste
- normal pattern varies from person to person
- changes in:
pain
skin integrity
Continence
Constipation
UTI
Wounds
Perceptions
Self treatment
- close to nutritional pattern assessment
Stage of life = relevant

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18
Q

Activity pattern

A

Individuals activity level exercise leisure
Activity level = significant impact on life
- affected by environment
_ assessment circulatory system neuromuscular posture muscle tone subjective complaints exercise and fatigue

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19
Q

Exercise assessment

A

-Type frequency duration intensity
-Barriers to exercise
Assess: infant I toddler development

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20
Q

Sleep pattern

A

Deficits: stress response/ decreased immune system response l unhealthy relationships
Assessment: subjective reports of fatigue l difficult time falling asleep sleep distribarces
Sleep quality. and quantity
Interventions; counseling l medical referral / bedtime routine relaxation techniques l lastly meds

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21
Q

Cognitive -preceptual function

A

Affects how to function independently
Must be assessed w context of environment
Cognitive deficits require increase environmental controls

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22
Q

Developmental stage impacts

A

Undeveloped in children
May decline w aging

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23
Q

Perceptual pattern

A

Ability to understand and follow directions l retain info make decisions solve problems use language appropriately

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24
Q

Assessing cognitive

A

Language capabilities
Sensory deficits hearing/ vision
Use of assistive devices
Pain scales
Education memory changes learning style
Dress hygiene
Attention span l behavior
Assessment tools: Folstein mini mental state examination

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25
Self perception
Sense of personal identity:goals emotional patterns feelings abt self bodyimage self worth Developmental level: delays in-selfesteem block progress towards subsequent tasks Assessment: comments believes nonverbal clues Posture eye contact restlessness twitch anxiety mumbled o rapid speech foot shuffling tapping
26
Roles l relationship pattern
Position assumed by individual Need for relationships w others is universal Assessment: individuals perception of satisfaction w relationship Describe pattern of relationships family works Structure task communication patterns decision making Affects person: Sexuality Sleep Appetite
27
Sexuality
Individuals sexual self concept methods of intimacy Related to self perception and relationship patterns Body image sex identity = linked to sexual identity Sexual expression influences: Environment Norms with society May affect expression
28
Sexuality assessment
- consider continuum of sexual identity expression - assess knowledge of sexual functioning and health practices Ex: pap self testicular exam
29
Sexuality parameters
Sexual self concepts Sexual functioning repro patterns Level of satisfaction
30
Coping
It is a learned behavior Depicts general coping and ability to effectively manage stress Stress = necessary part of life → growth Problem: poor tolerance l disruption of daily activities Not inheretient individuals perception of events
31
Coping perception
Related to what the individual is currently going through
32
What is coping
Individual behavioral response to stress Problem solving ability
33
Coping assessment and interventions
Assessment: determine stress tolerance and past coping behaviors Parameters: coping strategies l consider variety l health promotion valuel l effectiveness of the coping Interventions: replace unhealthy coping strategies/employ stress management techniques
34
Values
Spiritual values Perceptions of right VRs wrong Assessment: determines basis for health related decisions Techniques for assessment: summarizing verifying obtaining info Interventions: based on value system and health beliefs to be effective
35
Nursing process
Identity problem Planning the care Implementing plan Evaluating effectiveness
36
Enduring influence on health
- individual and family - dieting, activity, hygiene, activity coping - fostering resilience -individualization with in family cohesiveness
37
Comprehensive family assessment
- includes family as group interaction -Home is a natural enviro for health promotion - home. Is it’s give a ton of info - recognize patterns - assessing potential for active positive change
38
Nurse role in comprehensive family assessment
- colab w fam -provide info - decision making - problem solving - communicate for services
39
Family system theory
- Patterns of living among individuals - values provide means for interpreting events -System baurdories control info flow -Changes in 1 member affect whole family - family assessment = too to foster health promotion
40
Duvall and miller identify stages of family life cycle
Critical family developmental task
41
Middle class homogeneity
Criticized for lack of diversity in family forms
42
Overall family pattern
Each family performs tasks in a unique manner
43
What happens it someone fails to accomplish developmental task
A negative consequences
44
Family developmental stages Duvall and miller
Married couples - no children Childbearing fam's - birth to 30 months Families w preschool children 2.5 yrs - bars Family w school children - 6- 13 yrs Family w teens -13-20 Fam's launching young adults Middle aged parents Aging family members
45
Family structure
Refers, to family composition including roles and relationships
46
Family function
Consists of the process within systems from exchange of energy and info
47
Where does info and energy exchange occur
between family and their environment
48
Family risk factor categories
Life style ex: overeating/ drug dependence smoking Genetics Environmental : . stress polution Social physiological cultural spiritual : crowding isolation Health care system: overuse lack of access
49
. Epidemiology uses
Mortality and morbidity as indirect evidence of health
50
Risk estimates
Calculates differences btw groups with risk and not
51
Family assessment functional health patterns
Systems approach with emphasis on developmental stages and risk factors Evaluation: of dysfunctional patterns in families Risk factors :predict potential dysfunction
52
Nursing process assessment of functional health patterns
Family assessment : history Nursing diagnoses Associated ecological factors and influencing factors Interventions
53
Gordon 2016
Heath perception Nutritional - metabolic pattern Elimination pattern Activity exercise pattern Sleep-rest pattern Cognitive perceptual pattern Self perception Relationships pattern Sexuality reproductive pattern Coping Values
54
Nutritional metabolic pattern
Family's typical Food and fluid intake -Growth development l eating patterns l risk factor ed l obesity l pregnancy diabetes
55
Metabolic assessment parameters
Food diary Shared meals Types of food Prep Fam attitude toward food
56
Age specific elimination pattern
Toilet training Changes from usual pattern Elderly: constipation incontinence: pee accidents
57
Exercise pattern
Families attitudes beliefs abt exercise
58
Exercise pattern assessment patterns
Types of daily activities Fam members involvement Amt of tv time Frequency type of exercise Fam fun activities
59
Perceptual pattern assessment parameter
Family access interpretations abt health How decisions are made abt health in fam Choices about lifestyle Types of cure used whether traditional or nontraditional
60
Coping stress tolerance pattern
Ability to cope determines fam success Relationships: support coping versus increased stress Life events : provoke stress mobilize
61
Eviromental factors l assessment parameters
Home neighborhood community - Adequacy of rooms lighting l waterl sanitation/ sleeping arrangements Presence of infestation
62
Neighborhood enviro factors
-Crime - industry pollution Public transportation access
63
Community environmental factors
Available resources Available health facilities