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Nursing Management of Clients with Stressors that Affect Health Promotion

Nursing Management of Clients with Stressors that Affect Health Promotion. NUR101 Fall 2010 Lecture # 25 K. Burger, MSEd, MSN, RN, CNE PPP By: Sharon Niggemeier RN, MS Revised burgerk1007. Assessing Health. Health = State of optimal functioning or well-being

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Nursing Management of Clients with Stressors that Affect Health Promotion

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  1. Nursing Management of Clients with Stressors that Affect Health Promotion NUR101 Fall 2010 Lecture # 25 K. Burger, MSEd, MSN, RN, CNE PPP By: Sharon Niggemeier RN, MSRevised burgerk1007

  2. AssessingHealth • Health =State of optimal functioning or well-being • Wellness= an active process in which individuals are aware of choices they make to lead a better life • Illness = state in which function is impaired compared with previous function. • Health has many definitions:

  3. Health • Traditionally health and illness were viewed as two separate entities • 1946 W.H.O. (World Health Organization) “the state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity” • Several models of health and illness

  4. Health - Illness Continuum • Measures a person’s perceivedlevel of health • Constantly changing state • Perception of HEALTH is influenced by individual’s self-concept, culture, environment, and many other internal & external variables • High level wellness at one end, normal health in the center and illness-death at the opposite end

  5. Holistic Health Model • System that considers all components of health: promotion, maintenance, education, illness prevention,and restorative care • Holistic theory requires forces of nature be kept in balance therefore holistic health involves the total person • Clients assuming responsibility for health maintenance and Nurses working to promote optimal conditions to promote health.

  6. Basic Human Needs Model Maslow’s Hierarchy of Needs • all people share basic human needs • each person has unique needs • priority is usually given to physiological needs, but may fluctuate d/t individual perceptions

  7. Health Promotion Model (HPM) • HPM- depicts the multidimensional nature of people interacting with their interpersonal and physical environments when they pursue health • This model stresses the importance of an individuals uniqueness, behavior -specific cognitions and affect, and behavioral outcomes

  8. Homeostasis& Adaptation • Homeostasis-physiological and psychological mechanisms respond to changes in the internal and external environment to maintain a balanced state. To maintain health the body’s internal environment needs a balanced state • Adaptation- change that occurs due to a response from stressor. Adaptation occurs to maintain homeostasis

  9. Physical Developmental Emotional Intellectual Environmental Sociocultural Spiritual Influences on Health and Health Belief Practices

  10. Effects of Illness • Loss of independence • Lack of control • Dependent on others • Financial deprivation • Family hardship • Decreased self -esteem

  11. Planning Health Promotion • Based on patient needs • Needs are prioritized based on the nursing process, Maslow’s Hierarchy of Needs, & growth and developmental level • Acute Illness = short duration; severe • Chronic Illness = persists > 6 mos

  12. Nursing Diagnosis • Knowledge deficit • Ineffective health maintenance • Readiness for enhanced therapeutic regimen management

  13. Nursing Interventions • Health Promotion • Disease Prevention

  14. Increase well-being Maximize pt. strengths Teach self-care activities Increase awareness Provide information and referrals Factors effecting health Genetics Knowledge Race Culture Age Cognitive abilities Health Promotion

  15. Disease Prevention • Primary prevention-focuses on health promotion and protection from specific diseases • Purpose- decrease an individual’s risk to disease

  16. Disease Prevention • Secondary prevention- focuses on early detection and prompt interventions to alleviate health problems and prevent complications. • Purpose- identify patient at early stage and limit disability

  17. Disease Prevention • Tertiary prevention-focuses on restoring/rehabilitating patient • Purpose-to allow patient to return to optimal level of functioning

  18. Summary-Health Promotion • Various models of health care/promotion • Health promotion based on needs of client • Focuses on nurses promoting health and disease prevention

  19. ??????????? • A student nurse is asked to teach parents of preschoolers about poison control in the home. What level of preventive care is this? • A. Lowest • B. Tertiary • C. Primary • D. Secondary

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