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Wellness
NURS 303
40
Nursing
Undergraduate 1
09/14/2013

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Term
Wellness-illness continuum
Definition
A dichotomized portrayal of health and illness ranging from high-level wellness at the positive end of depletion of health a the negative end.
Term
High-level wellness
Definition
-Conceptualized as a sense of well-being, life satisfaction, and quality of life.
Term
Health
Definition
A state of physical, mental, spiritual, and social functioning that realizes a person's potential and is experienced within a developmental context.
Term
Disease
Definition
-Failure of a person's adaptive mechanisms to counteract stimuli and stresses adequately, resulting in functional or structural disturbance.
Term
Wellness
Definition
A positive state in which incremental increases in health can be made beyond the midpoint. These increases involve improved physical and mental health states.
Term
Illness
Definition
-Subjective experience of the individual and the physical manifestation of the disease.
Term
Health Ecology
Definition
An evolving view of health recognizes the interconnection between people and their physical and social environments. It extends from the individual into the surrounding community, and including the context within which a person functions.
(Individual, Family, Community, Society)
Term
Functional health
Definition
Characterized as being present or absent, high level or low level, and influenced by neighborhood and society. There are physical, mental and social levels. Loss of function may be a sign or symptom of disease, a state of illness.
Term
Three levels of Prevention
Definition
Primary, Secondary, and Tertiary
Term
Prevention
Definition
Adverting the development of disease.
Term
Primary Prevention
Definition
Take action to eliminate precipitating causes of disease and injury before they happen. Outcome is no health event.
-Health Promotion
-Specific Protection
-precedes disease/dysfunction
-Interventions-health promotion (education) and specific protection (immunizations, reducing exposure to carcinogens, occupational hazards)
Term
Primary Prevention
Definition
Focus-Maintain/improve general individual/family/community health.
Passive-not personally involved
Example-Public health efforts-clean water
Active-personally involved
Example-Lifestyle changes(daily exercise or stress program).
Term
Secondary Prevention
Definition
Detect asymptomatic disease, or its predisposition, before it becomes symptomatic or does irreversible harm.
-Outcome is no symptomatic disease.
-Early diagnosis
-Prompt treatment
-Disability limitation
Term
Secondary Prevention
Definition
-Screening
Goal:Identify individuals in early, detectable stage of disease.
-Treating early stages of disease.
-Limiting disability.
-Interventions similar to primary preventions but applied to individuals/populations with disease.
Term
Tertiary Prevention
Definition
Minimize clinical deterioration once a disease is established. Outcome is no complication from disease.
-Restoration and Rehabilitation
-defect/disability permanent or irreversible (e.g. stroke)
-Minimizing effect to prevent complication/deterioration
-Objective:Return to useful place in society, maximize remaining capacity
-Surveillance, Maintenance, Rehabilitation.
Term
Healthy People 2010-What factors decide which goals to pursue?
Definition
1.) Ability to motivate Action.
2.) Availability of data to measure progress.
3.) Relevance as a broad public health issue.
-
Term
Healthy People 2020 is based on the accomplishments of 4 previous Healthy People initiatives:
Definition
-1979 Surgeon General’s Report, Healthy People: The Surgeon General’s Report on Health Promotion and Disease Prevention
-Healthy People 1990: Promoting Health/Preventing Disease: Objectives for the Nation
-Healthy People 2000: National Health Promotion and Disease Prevention Objectives
-Healthy People 2010: Objectives for Improving Health
Term
The goals of Healthy People 2010
Definition
-Goal 1: Increase quality and years of healthy life
-Goal 2: Eliminate health disparities
Term
Healthy People 2010
Definition
-Initiated in 1979
-Identifies a set of 10-year health objectives to achieve during the first decade of the 21st century. It has two overarching goals—to increase quality and years of healthy life and to eliminate health disparities. These goals are supported by specific objectives in 28 focus areas.
Term
Functioning
Definition
-Levels reflected in terms of performance or social expectations; loss indicator of need for nursing intervention.
Term
Nursing Roles
Definition
-Advocate
-Case Manager
-Consultant
-Educator
-Researcher
Term
Advocate Nursing Role
Definition
Helps individuals obtain what they are entitled to receive from the health care system, try to make the system more responsive to individual and community needs, and help persons develop the skills to advocate for themselves.
Term
Care Manager Nursing Role
Definition
The nurse acts to prevent duplication of services and to reduce costs.
Term
Consultant Nursing Role
Definition
Nurses may provide knowledge about health promotion and disease prevention to individuals and groups.
Term
Educator Nursing Role
Definition
-Based on a perception of desirable behavior, to structurally plan teaching according to individual needs.
Term
Nursing Process
Definition
-Assessment
-Nursing Diagnosis
-Outcome Identification
-Planning
-Implementation
-Evaluation
Term
Assessment
Definition
Collects client health data.
Term
Nursing Diagnosis
Definition
Analyzes assessment data to determine diagnoses.
Term
Outcome Identification
Definition
Identifies expected outcome of client for nursing diagnosis.
Term
Planning
Definition
Develops plan of care and prescribes interventions to attain expected outcomes.
Term
Implementation
Definition
Implements the interventions (action types) in the plan of care.
Term
Evaluation
Definition
Evaluates client's attainment of outcomes.
Term
Clinical Model
Definition
-Health id defined by the absence of disease.
-Illness is defined by the presence of signs and symptoms of disease.
Term
Role Performance Model
Definition
-Health is defined in terms of ability to perform social roles.
-Illness is defined as inability to perform social roles.
Term
Adaptive Model
Definition
-Heath is defined as ability to adjust positively to social, mental, and psychological change.
-Illness occurs when a person fails to adapt or becomes maladaptive to changes.
Term
Eudaimonistic Model
Definition
-Health is defined as exuberant well-being allowing a person to interact across physical, social, psychological, and spiritual aspects of life in order to reach goal attainment and obtain meaning.
-Illness is defined by the inability to be involved with life.
Term
Evidenced Based Practice
Definition
Term
Heath Promotion
Definition
(O'Donnell)"The science and art of helping people change their lifestyle to move toward a state of optimal health."
Term
5 Steps in the Levels of Prevention
Definition
1.) Health promotion and specific protection (primary prevention)
2.) Early diagnosis
3.) Prompt treatment
4.) Disability limitation (secondary prevention).
5.) Restoration and rehabilitation (tertiary prevention).
Term
Evidenced-Based Practice
Definition
-Conscientious, explicit, and judicious use of current best evidence in making decisions about the care of the individual patients.
-Integrating individual clinical expertise with the best available external clinical evidence from systemic research (ANA, 2004).
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