Test #1 lecture 2 Flashcards
What is the Health Belief Model:
Perception of susceptibility to illness
perception of seriousness of illness
likelihood that patient will take preventive action
What is the health promotion model?
Positive dynamic state
directed at increasing level of well-being
Focuses on: Individual characteristics/ experiences, Behavior-specific knowledge and affect, Behavioral outcomes
What is the Holistic Health Model?
more focused on holistic needs
promote the patient’s optimal level of health
nurses consider patients to be the ultimate experts in regards to their own health
What is Maslow’s hierarchy of needs?
Basic human needs are elements necessary for survival and health
extent to which basic needs are met determines level of health
What is the definition of internal needs?
disrupt normal routine
more likely to seek care
What is the definition of external needs?
A patient with visible symptoms is more likely to seek care than someone with no visible symptoms.
What are internal variables?
developmental stage- fear, anxiety
intellectual background- knowledge, cognitive skills
perception of functioning- fatigue, pain
What are external variables?
Family practices- How family uses health care services
socioeconomic factors- stability, lifestyle habits
cultural background- influences- beliefs, customs, beliefs about causes of illness
What is health promotion?
Helps individuals maintain or enhance their present health.
What is health education?
Helps people develop a greater understanding of their health and how to better manage their health risks.
What are socioeconomic factors that influence health and health beliefs?
stability of key relationship
lifestyle habits
occupational environment
social networks/desire for approval & support
economic variables influence when the patient accesses care and whether he complies with care
may try to decrease costs by taking meds every other day, or water down infant formula
What is caring?
The essence of excellent nursing practice
What does caring look like in nursing practice?
Providing presence touch listening knowing the patient spiritual caring relieving pain and suffering family-centered care
What does providing presence mean?
conveying closeness & sense of caring
being there
eye contact, body language, voice tone, listening and positive attitude contribute to development of trust
important during stressful events
What does touch mean?
provides comfort
creates connection
non-contact touch: eye contact
contact touch: touching shoulder
What are the 3 types of touch?
Task-oriented touch: skillful, gentle care
Caring touch: enhances comfort, security, self-esteem, mental well-being
protective touch: prevents injury
What is listening?
essential for meaningful interactions with patients
engages patient in nonjudgmental way, accepting manner
What is knowing the patient?
understanding of the patient and the individualized nursing plan of care
avoids assumptions, focus on patient, engage in caring relationship
Which caring element is foundational to patient-centered care?
knowing the patient
What is spiritual caring?
spiritual health- balance between life values, goals & belief systems of self/others
beliefs and expectations impact physical well-being
What is relieving pain and suffering?
encompasses caring actions that: promote comfort, dignity, respect, peace, maintain patient care environment that is clean, pleasant, comfortable and soothes/heals mind, body, spirit, assess/ treat pain
What is family durability?
system of support and structure within a family that extend beyond the walls of the househould
What is family resiliency?
ability to cope with expected and unexpected stressors
What is family diversity?
uniqueness of each family
A family does not have to be blood relatives
What is a family?
What an individual believes the family to be.
What are factors influencing family forms?
Changing economic status homelessness domestic violence presence of acute or chronic illnesses family caregivers
What is family structure?
based on the ongoing membership of the family and the pattern of relationships
What is family function?
involves the processes used by a family to achieve its goals.
What is the most important part of family centered care?
Include the family in assessment, planning and implementation of care
What are the elements of the discharge plan?
Evaluation discussion planning determining referrals arranging
