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NRS 125 > Intro (determinants, nursing, wellness, health promotion, client, health perception/management, and values & beliefs) > Flashcards

Intro (determinants, nursing, wellness, health promotion, client, health perception/management, and values & beliefs) Flashcards

1
Q

What are a UNB’s 5 abilities within the program

A
  1. Knowledge and its application
  2. Communication
  3. Critical thinking/skills of analysis
  4. Professional identity and ethics
  5. Social justice and effective citizenship
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2
Q

What are the 4 metaparadigms?

A
  1. Client and person
  2. Environment
  3. Health
  4. Nursing
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3
Q

What is a metaparadigm?

A

broadest concepts of collective body of knowledge that provide framework

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4
Q

How does WHO (1947) define health?

A

“A state of complete physical, mental, and social well-being, and not merely the absence of disease and infirmary.”

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5
Q

How does WHO revised definition of health look (1984)?

A

“Health is viewed as the extent to which an individual or group is able to on the one hand realize aspirations and satisfy needs, and on the other hand to change and cope with environment. Health is therefore seems as RESOURCE FOR EVERYDAY LIFE, NOT THE OBJECTIVE OF LIVING; it is a POSITIVE CONCEPT that emphasizes SOCIAL AND PERSONAL RESOURCES as well as PHYSICAL CAPACITY.”

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6
Q

What is the main change that the WHO does to their definition of health?

A

They add in the ENVIRONMENTAL aspects that effect health and SELF FULFILMENT

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7
Q

What is the difference between disease and illness?

A
  • Disease is objective
  • Illness is subjective
    (no single definition of health; some uses terms interchangeably and others differently)
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8
Q

What is the difference between wellness and health?

A
  • Health is objective
  • Wellness is subjective
    (can be used interchangeably)
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9
Q

Health promotion and disease prevention take _________ __ ______ into consideration.

A

determinants of health

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10
Q

What are the 12 determinants of health?

A
  1. Income/social status/food security
  2. Social support networks
  3. Education/literacy
  4. Employment/work conditions
  5. Physical environment/ housing
  6. Personal health practices and coping skills
  7. Healthy childhood development
  8. Biology and genetic endowment
  9. Health services
  10. Gender
  11. Culture
  12. Social environment
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11
Q

Expand on the determinant of health, income and social status.

A

income has the biggest impact because finances affect other determinants of health (lack of material, more stress, less time)

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12
Q

Expand on the determinant of health, social support networks.

A

social support affects health through practice, emotional, information and affirmational support

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13
Q

Expand on the determinant of health, education and literacy.

A

education affects other determinants (if unable to read labels instruction etc., or hire ability)

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14
Q

Expand of the determinants of health, employment and work conditions.

A

affect social, mental and physical health

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15
Q

Expand on the determinant of health, physical environment and housing.

A

housing, indoor air quality, and community planning are important (environmental factors)

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16
Q

Expand on the determinant of health, personal health practice and coping.

A

effective coping skills help people face challenges without resorting to risky behaviour

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17
Q

Expand on the determinant of health, healthy childhood development.

A

All determinants influence healthy childhood development however it is important because of its life long affect.

18
Q

Expand on the determinant of health, biological and genetic endowment.

A

heredity is strongly influenced by social and physical environment (prenatal care)

19
Q

Expand on the determinant of health, health services.

A

Quality and accessibility to primary health care, home care, longterm care, hospital care and public health services are important.

20
Q

Epand on the determinant of health gender.

A

gender is an array of societal determined roles. personality traits, attitudes, behaviour, values, relative power, and influence that society ascribes to two sexes on a differential basis

21
Q

Expand on the determinant of health, culture.

A

effects interaction with the health care system

22
Q

Expand on the determinant of health, social environment.

A

values and norms of a society and their effect on your health choices (policies, peers)

23
Q

What is health promotion?

A

directed toward increasing the level of wellbeing and self actualization

24
Q

What is disease prevention?

A

action to avoid illness

25
Q

Health promotion and disease prevention are _________.

A

interrelated

26
Q

What are health disparities?

A

differences in health

27
Q

What is Nutbeam’s 1998 definition of HEALTH PROMOTION (found in Potter and Perry)?

A

“Health promotion represents a comprehensive social and political process, it not only embraces actions directed at strengthening the skills and capabilities of individuals, but also action directed toward changing social, environmental and economic conditions so as to alleviate their impact on the public and individual health. Health promotion is the process of enabling people to take control over their determinants of health and thereby improve health. Participation is essential to sustain health promotion action.” p. 10

28
Q

What are the 3 levels of disease prevention?

A
  1. Primary level (protects before there are issues)
  2. Secondary prevention (early screening & prompt txt)
  3. Tertiary prevention (minimize residual disability from disease)
29
Q

What are the 3 approaches to health in Canada?

A

MEDICAL (medical intervention ‘we’ll fix it’)
BEHAVIOURAL (individual habits ‘your responsible’)
SOCIO-ENVIRONMENTAL (outside factors)

30
Q

What are the HEALTH PROMOTION STRATEGIES to promote health in a POPULATION (from ottawa charter)?

A
  1. Build healthy public policy
  2. Create supportive environment
  3. Strengthen community action
  4. Develop personal skills
  5. Reorient health services
31
Q

What is at the centre of the nursing process?

A

The person

32
Q

Nurses are aware of their potential to deliver care ______ the ________.

A

beyond the individual.

33
Q

What are 4 dimensions of all people?

A

biological
psychological
social
spiritual

34
Q

What are the 7 nursing roles to health promotion?

A
  1. advocate
  2. deliver serves/direct care
  3. educate
  4. research
  5. communicate
  6. community building
  7. policy formulator
35
Q

What are Gordon’s 11 functional health patterns?

A
  1. HEALTH PERCEPTION and MANAGEMENT**
  2. Nutritional-medibolic
  3. Activity and exercise
  4. Elimination
  5. cognitive perceptual
  6. Sleep and rest
  7. Self perception and self-concept
  8. Role-relationship
  9. Sexuality-Reproduction
  10. Coping & Stress tolerance
  11. VALUES and BELIEFS**
36
Q

What do you assess of the clients health perception?

A

PERCEIVED HEALTH
- view of personal health
- health practices
- level of commitment to maintaining health
- understanding of health health practices contribute to health status
(assess health status and usual behaviours)

37
Q

For Gordon’s functional pattern ‘HEALTH PERCEPTION-HEALTH MANAGEMENT’ what questions should be considered?

A
  • how does the person describe current or general state of health?
  • what does the person do to maintain or improve their health
  • what does the person know about healthy lifestyle choices and overall health?
  • are their risk factors present for illness or injury?
  • does the person generally follow advice of the health care provider
  • can the person report meds taken & purpose?
  • what does the person know about any health problems in the family?
  • does the person preform reg screening activity?
  • have their been any reports of illness, injury, hospitalization in the persons life?
38
Q

What impact do goals beliefs and values have on health?

A

they guide choices or decisions

39
Q

For Gordon’s function health pattern of VALUES AND BELIEFS what does you assess?

A
  • identification od valued people and possessions
  • source of support and strength
  • religious practices, spiritual values, belief and goals
40
Q

When assessing beliefs and goals what do you need to be successful?

A

base health promotion on individual values system

41
Q

What questions might you consider when assessing Gordon’s functional pattern of values and beliefs?

A
  • what values did the person learn as a child that are still important to her/him?
  • does the person identify with any culture, ethnic, religious community or other group?
  • what support system does the person currently have?

NRS 125 (6 decks)

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