Health Promotions Exam 1 Study Guide
WEEK 1 MATERIALS:
Health Promotion, Wellness & Healthy Lifestyles Readings Edelman
Health - is a state of physical, mental, spiritual, and social functioning that realizes a per
...
Health Promotions Exam 1 Study Guide
WEEK 1 MATERIALS:
Health Promotion, Wellness & Healthy Lifestyles Readings Edelman
Health - is a state of physical, mental, spiritual, and social functioning that realizes a person’s potential and is experienced within a developmental context. Although health is, in part, an individual’s responsibility, health also requires collective action to ensure a society and an environment in which people can act responsibly to support health.
• In the past Health was merely the absence of disease (physical part)
• 4 components – Person, Health, Environment & Nurse
Wellness - is a positive state in which incremental increases in health can be made beyond the midpoint
Illness - is composed of the subjective experience of the individual and the physical manifestation of disease
• Wellness-Illness Continuum – Depicts the relationship between
health and illness – Wellness is a positive state in which increases in health can be made. The opposite end of the continuum is illness, with the possibility of decreases in health beyond the midpoint
Smith’s 4 Models of Health
• Clinical Model – Absense of Disease, No signs or symptoms – Will not seek preventative health care – will only seek care when very ill - Conventional model
• Role Performance - individuals’ ability to perform social roles
including work, family, and social roles – illness would be a failure to perform the roles - model is the basis for occupational health evaluations, school physical examinations, and physician-excused absences (sick role)
• Adaptive Model - people’s ability to adjust positively to social,
mental, and physiological change is the measure of their health. Illness occurs when the person fails to adapt or becomes maladaptive to these changes
• Eudaimonistic - exuberant well-being indicates optimal health. This model emphasizes the interactions between physical, social, psychological, and spiritual aspects of life and the environment that contribute to goal attainment and create meaning. Illness is reflected by a denervation or languishing, a lack of involvement with life.
Health Promotion is a series of interventions targeted at improving the health of an individual, population or community.
• Behavior Motivated by the desire – to increase well being by
providing incentives
• Individual lifestyle strategies
• Influence over one’s health by education and community
Develop healthy behaviors by learning new information (knowledge), applying new things on a daily basis (techniques) and the availability of community support. It takes 21 DAYS to develop a new habit
The Transtheoretical Model (TTM) - six stages that people spiral through on a path toward making and sustaining a behavioral change to promote health. These stages are:
• Precontemplative - Not considering change
• Contemplative - Aware of but not considering change soon
• Preparation - Planning to act soon
• Action - Has begun to make behavioral change (recent)
• Maintenance - Continued commitment to behavior (long-term)
• Relapse - Reverted to old behavior
Tools of Prevention ( see info below for three levels)
• Healthy Lifestyle
• Vaccinations
• Screen Participation
• Preventative Drug Therapy
Types of Diagnoses
Wellness Diagnoses
• No obvious problems
• Positive Focus
• Hidden Needs
o Shows a client wanting to reach a higher level of wellness
o Positive Statements – Look at clients strengths and focus on the positive aspects of their condition, age, or situations – Identify where the nurse can intervene
NANDA
• Problems Exist
• Negative Focus
• Physical Needs
One –Part
• Client Response Only
• Unable to identify Conditions
• EXAMPLE: increased problem solving ability
Two-Part
• Able to identify condition(s)
• Long term care relates to the response
• EXAMPLE: Beginning maternal attachment related to initiation of breastfeeding
• EXAMPLE: attainment of health eating habits related to family’s
busy schedule
Qualifiers for Developing Diagnoses
• Attainment
• Continued
• Increased
• Sustained
• Completion
• Acceptance
View Permanent Healthy Lifestyle Changes (Video Clip):
• Ingrid Kelly – Nursing Student at UTA
• Dx with Breast Cancer and Fibermyaglia
• Weight gain in 30s – age 40 Rude awakening = Breast Cancer
• Self Education – What works for YOU
• Basis of food based off how it made her feel – Diet improved and felt wonderful = reward
• Obsessive with scale and numbers – let this go
• 3 years of achieving healthy eating – after that the weight just went off – ‘finally got it’
• Lift weights (2/week) – Swimming – Running
• Living like your dying after breast cancer
• Water is essential in weight loss – more efficient burning calories and clearing waster – 8 glasses or more
• Struggled with diet for 2-3 years – hit plateau – raise activity level –
burn more than what you are consuming
• Had young kids and a busy lifestyle – Change, incorporate activities with children – realize that you need to do things for you
• Managing stress and stress eating
• LOVE YOURSELF TO MAKE THE CHANGE
Healthy People View HP Website Vision
• A society in which all people live long, healthy lives.
Mission
Healthy People 2020 strives to:
• Identify nationwide health improvement priorities.
• Increase public awareness and understanding of the determinants of health, disease, and disability and the opportunities for progress.
• Provide measurable objectives and goals that are applicable at the
national, State, and local levels.
• Engage multiple sectors to take actions to strengthen policies and improve practices that are driven by the best available evidence and knowledge.
• Identify critical research, evaluation, and data collection needs.
Overarching Goals
• Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death.
• Achieve health equity, eliminate disparities, and improve the health
of all groups.
• Create social and physical environments that promote good health for all.
• Promote quality of life, healthy development, and healthy behaviors
across all life stages.
Prevention Levels
Prevention Levels Practice – Web link:
Health promotion activities are designed to protect and promote health, and to prevent illness.
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