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Health And Wellness > Health Promotion And The Individual > Flashcards

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
Q

Self perception

A

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

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26
Q

Roles l relationship pattern

A

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
Q

Sexuality

A

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
Q

Sexuality assessment

A
  • consider continuum of sexual identity expression
  • assess knowledge of sexual functioning and health practices
    Ex: pap self testicular exam
29
Q

Sexuality parameters

A

Sexual self concepts
Sexual functioning
repro patterns
Level of satisfaction

30
Q

Coping

A

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
Q

Coping perception

A

Related to what the individual is currently going through

32
Q

What is coping

A

Individual behavioral response to stress
Problem solving ability

33
Q

Coping assessment and interventions

A

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
Q

Values

A

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
Q

Nursing process

A

Identity problem
Planning the care
Implementing plan
Evaluating effectiveness

36
Q

Enduring influence on health

A
  • individual and family
  • dieting, activity, hygiene, activity coping
  • fostering resilience
    -individualization with in family cohesiveness
37
Q

Comprehensive family assessment

A
  • 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
Q

Nurse role in comprehensive family assessment

A
  • colab w fam
    -provide info
  • decision making
  • problem solving
  • communicate for services
39
Q

Family system theory

A
  • 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
Q

Duvall and miller identify stages of family life cycle

A

Critical family developmental task

41
Q

Middle class homogeneity

A

Criticized for lack of diversity in family forms

42
Q

Overall family pattern

A

Each family performs tasks in a unique manner

43
Q

What happens it someone fails to accomplish developmental task

A

A negative consequences

44
Q

Family developmental stages Duvall and miller

A

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
Q

Family structure

A

Refers, to family composition including roles and relationships

46
Q

Family function

A

Consists of the process within systems from exchange of energy and info

47
Q

Where does info and energy exchange occur

A

between family and their environment

48
Q

Family risk factor categories

A

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
Q

. Epidemiology uses

A

Mortality and morbidity as indirect evidence of health

50
Q

Risk estimates

A

Calculates differences btw groups with risk and not

51
Q

Family assessment functional health patterns

A

Systems approach with emphasis on developmental stages and risk factors
Evaluation: of dysfunctional patterns in families
Risk factors :predict potential dysfunction

52
Q

Nursing process assessment of functional health patterns

A

Family assessment : history
Nursing diagnoses
Associated ecological factors and influencing factors
Interventions

53
Q

Gordon 2016

A

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
Q

Nutritional metabolic pattern

A

Family’s typical Food and fluid intake
-Growth development l eating patterns l risk factor ed l obesity l pregnancy diabetes

55
Q

Metabolic assessment parameters

A

Food diary
Shared meals
Types of food
Prep
Fam attitude toward food

56
Q

Age specific elimination pattern

A

Toilet training
Changes from usual pattern
Elderly: constipation incontinence: pee accidents

57
Q

Exercise pattern

A

Families attitudes beliefs abt exercise

58
Q

Exercise pattern assessment patterns

A

Types of daily activities
Fam members involvement
Amt of tv time
Frequency type of exercise
Fam fun activities

59
Q

Perceptual pattern assessment parameter

A

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
Q

Coping stress tolerance pattern

A

Ability to cope determines fam success
Relationships: support coping versus increased stress
Life events : provoke stress mobilize

61
Q

Eviromental factors l assessment parameters

A

Home neighborhood community -
Adequacy of rooms lighting l waterl sanitation/ sleeping arrangements
Presence of infestation

62
Q

Neighborhood enviro factors

A

-Crime
- industry pollution
Public transportation access

63
Q

Community environmental factors

A

Available resources
Available health facilities

Health And Wellness (2 decks)

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