NURS 155 exam 2
focuses on health promotion/protection against specific health problems, applied to generally healthy
people, taking action to avoid issues - primary prevention
What is the purpose of primary prevention? - decrease risk/exposure of disease
focuses on early identification of health problems & prompt intervention - secondary prevention
What is the goal of secondary prevention? - identify individuals in early stage of disease & limit future
disability
focuses on restoration/rehabilitation with goal of returning individual to optimal level of functioning,
begins after illness, manages the illness. - tertiary
pt doesn't think about changing their behavior in next six months. They avoid talking about it, may be
uninformed/underinformed about consequences of risk behaviors, tried to change before was
unsuccessful and have no hope. - precontemplation stage
pt acknowledges having a problem, seriously considers changing behavior, actively gathers info, &
verbalizes plans to change behavior in near future (6 months), may not be ready to commit to action,
may take months/years for them to take action. - contemplation stage
pt intends to take action in immediate future (within next month), may have already started making
small behavioral changes such as buying self-help book, makes final specific plans to accomplish the
change. - preparation stage
person actively implements behavioral & cognitive strategies of plan to interrupt previous health risk
behaviors & adopt new ones, requires greatest commitment of time/energy - action stage
,person strives to prevent relapse by integrating new behaviors & lasts until person no longer tempted by
unhealthy behaviors can last 6 mo.- 5 yrs. - maintenance stage
ultimate goal, point pt has complete confidence that problem is no longer threat, as if pt never acquired
bad habit or new habit has become automatic. - termination stage
the nurses role in health promotion is to? (9) - model healthy lifestyle,
promote pt involvement,
teach self-care strategies,
help increase level of health,
educate pt to be effective health care consumers,
help choose health-promoting options,
guide pt development in effective decision making,
reinforce pts personal & family health-promoting behaviors,
advocate for changes to promote health
health promotion - behavior directed toward well-being
health prevention - behavior that prevents illness, early detection, maintains function
factors affecting wellness & well-being. - -environment: food, water, air
-social: opinions/belief
-emotional: ones limitations
-physical: positive lifestyle habits
-spiritual: morals, values, ethics
, -intellectual: dealing w/ new challenges
-occupational: balancing work & leisure
determine each model of health & wellness:
-state of not being "sick"?
-if person can perform roles then they're healthy, even if clinical illness present?
-extreme good health flexible adaptation to environment to max. advantage?
-highest aspiration is fulfilment/complete development?
-predicts illness rather promoting wellness?
-health to illness from illness back to health? - clinical model
role-performance model
adaptive model
eudaimonistic model
agent-host-environment model
health-illness continua
semi sitting, head raised 45-60 degrees - fowler's position
head raised 15-45 degrees, sometimes called low fowler's - semi-fowler's position
head raised 60-90 degrees, pt is sitting upright - high fowler's position
pt sits with overbed table across lap, this facilitates respiration by allowing max chest expansion, helps
with pt who have problems exhaling - orthopneic position
focuses on health promotion/protection against specific health problems, applied to generally healthy
people, taking action to avoid issues - primary prevention
What is the purpose of primary prevention? - decrease risk/exposure of disease
focuses on early identification of health problems & prompt intervention - secondary prevention
What is the goal of secondary prevention? - identify individuals in early stage of disease & limit future
disability
focuses on restoration/rehabilitation with goal of returning individual to optimal level of functioning,
begins after illness, manages the illness. - tertiary
pt doesn't think about changing their behavior in next six months. They avoid talking about it, may be
uninformed/underinformed about consequences of risk behaviors, tried to change before was
unsuccessful and have no hope. - precontemplation stage
pt acknowledges having a problem, seriously considers changing behavior, actively gathers info, &
verbalizes plans to change behavior in near future (6 months), may not be ready to commit to action,
may take months/years for them to take action. - contemplation stage
pt intends to take action in immediate future (within next month), may have already started making
small behavioral changes such as buying self-help book, makes final specific plans to accomplish the
change. - preparation stage
person actively implements behavioral & cognitive strategies of plan to interrupt previous health risk
behaviors & adopt new ones, requires greatest commitment of time/energy - action stage
,person strives to prevent relapse by integrating new behaviors & lasts until person no longer tempted by
unhealthy behaviors can last 6 mo.- 5 yrs. - maintenance stage
ultimate goal, point pt has complete confidence that problem is no longer threat, as if pt never acquired
bad habit or new habit has become automatic. - termination stage
the nurses role in health promotion is to? (9) - model healthy lifestyle,
promote pt involvement,
teach self-care strategies,
help increase level of health,
educate pt to be effective health care consumers,
help choose health-promoting options,
guide pt development in effective decision making,
reinforce pts personal & family health-promoting behaviors,
advocate for changes to promote health
health promotion - behavior directed toward well-being
health prevention - behavior that prevents illness, early detection, maintains function
factors affecting wellness & well-being. - -environment: food, water, air
-social: opinions/belief
-emotional: ones limitations
-physical: positive lifestyle habits
-spiritual: morals, values, ethics
, -intellectual: dealing w/ new challenges
-occupational: balancing work & leisure
determine each model of health & wellness:
-state of not being "sick"?
-if person can perform roles then they're healthy, even if clinical illness present?
-extreme good health flexible adaptation to environment to max. advantage?
-highest aspiration is fulfilment/complete development?
-predicts illness rather promoting wellness?
-health to illness from illness back to health? - clinical model
role-performance model
adaptive model
eudaimonistic model
agent-host-environment model
health-illness continua
semi sitting, head raised 45-60 degrees - fowler's position
head raised 15-45 degrees, sometimes called low fowler's - semi-fowler's position
head raised 60-90 degrees, pt is sitting upright - high fowler's position
pt sits with overbed table across lap, this facilitates respiration by allowing max chest expansion, helps
with pt who have problems exhaling - orthopneic position
