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1. ENTRY INTO PROFESSIONAL NURSING HEALTH AND WELLNESS
CARING IN NURSING PRACTICE
CULTURE AND ETHNICITY
ETHICS AND VALUES
2. HEALTH AND WELLNES IS IT THE ABSENSE OF DISEASE?
MULTIDIMENSIONAL CONCEPT
CONCEPTS OF:
WELLNESS
ILLNESS
HEALTH
3. HEALTH AND WELLNESS ILLNESS BEHAVIORREACTION TO ILLNESS
HEALTHY PEOPLE 2000 FOCUS ON HEALTH PROMOTION AND DISEASE PREVENTION
HEALTHY PEOPLE 2010 INCREASE QUALITY AND YEARSS OF LIFE, ELIMINATE DISPARITIES IN HEALTH
HOW DO YOU DEFINE HEALTH?
4. HEALTH AND WELLNESS WORLD HEALTH ORGANIZATION DEFINES HEALTH O AS A STATE OF COMPLETE PHYSICAL, MENTAL, AND SOCIAL WELL BEING
VARIABLES DEFINE HEALTH IN RELATION TO VALUES, LIFESTYLE, PERSONALITY, MENTAL, SOCIAL, AND SPIRITUAL WELL BEING
5. VIEWS OF HEALTH VIEWS OF HEALTH DEPENDENT ON:
AGE
GENDER
RACE
CULTURE
CONDITIONS OF LIFE HAVE NEGATIVE OR POSITIVE EFFECTS ON HEALTH
6. VIEWS OF HEALTH PHYSIOLOGICAL
PSYCHOLOGICAL
SOCIOECONOMIC
LIFESTYLE CHOICES
HEALTH DEFINED IN TERMS OF INDIVIDUAL
NOT EVERY ILLNESS/DISEASE AFFECTS EVERYONE IN THE SAME WAYWHY?
7. HEALTH BELIEF BEHAVIORS HEALTH BELIEF BEHAVIORS
ATTITUDES ABOUT HEALTH
FACTS/MYTHS
FALSE EXPECTATIONS/REALITY
POSITIVE/NEGATIVE HEALTH BEHAVIORS
8. HEALTH MODELS HEALTH BELIEF MODEL--PREDICTS PTS BEHAVIOR IN RELATION TO HEALTH COMPLIANCE WITH HEALTH CARE THERAPIES
HEALTH PROMOTION MODEL--DEFINES HEALTH AS NOT JUST ABSENSE OF DISEASE BUT AS A POSITIVE DYNAMIC STATE
HEALTH PROMOTING BEHAVIOR
MODIFIED THROUGH NURSING ACTIONS
9. HEALTH MODELS BASIC HUMAN NEEDS MODEL (MASLOW)
HIERARCHY OF NEEDS
INTERRELATIONSHIP OF BASIC HUMAN NEEDS
PEOPLE SHARE BASIC HUMAN NEEDS
EXTENT TO WHICH NEEDS ARE MET DETERMINES PERSONS LEVEL OF HEALTH
CAN BE USED FOR ALL PTS IN ALL HEALTH CARE SETTINGS
10. MASLOW BASIC NEEDS MODEL PHYSIOLOGICAL
OXYGEN
FLUIDS
NUTRITION
BODY TEMP
ELIMINATION
SHELTER
SEX
11. MASLOWS BASIC NEED MODEL EMERGENT PHYSIOLOGICAL NEED ALWAYS TAKES PRECEDENT OVER A HIGHER LEVEL NEED
FOCUS ON PT NEEDS INSTEAD OF ADHERING TO HIERARCHY OF NEEDS
MUST PRIORITIZERELATIONSHIP OF DIFFERENT NEEDS AND REASONS DETERMINE PRIORITY
12. MASLOWS BASIC NEED MODEL SAFETY AND SECURITYPHYSIOLOGICAL AND PSYCHOLOGICAL
LOVE AND BELONGING
SELF ESTEEM
SELF ACTUALIZATION
13. VARIABLES INTERNAL VARIABLES AFFECTING/INFLUENCING HEALTH AND HEALTH BEHAVIOR
DEVELOPMENTAL STAGE
INTELLECT
PERCEPTION OF FUNCTIONING
EMOTIONAL FACTORS
SPIRITUAL FACTORS
14. VARIABLES EXTERNAL VARIABLES AFFECTING/INFLUENCING HEALTH AND HEALTH BEHAVIORS
FAMILY PRACTICES
SOCIOECONOMIC
CULTURE
15. LEVELS OF PREVENTATIVE CARE PRIMARY PREVENTION
AIMED AT PREVENTING DISEASE
PRECEDES DISEASE
HEALTH PROMOTION
IMMUNIZATIONS
PERSONAL HYGIENE
ALLERGENS
NUTRITION
STRESS
16. LEVELS OF PREVENTATIVE CARE SECONDARY PREVENTION
FOCUS ON PT WHO IS EXPERIENCING DISEASE OR AT RISK OF DISEASE
DIAGNOSISPROMPT INTERVENTION
REDUCE SEVERITY
DELAY CONSEQUENCES OF ADVANCING DISEASE
SCREENING, TREATING EARLY DISEASE EVALUATE OUTCOMES
17. LEVELS OF PREVENTATIVE CARE TERTIARY
DISEASE IS PERMANENT/IRREVERSIBLE
MINIMIZE EFFECTS OF LONG TERM DISEASE, DETERIORATION
REHABILITATION
PREVENT FURTHER DISABILITY
ACHIEVE AS HIGH A LEVEL OF FUNCTIONING AS POSSIBLE
18. RISK FACTORS ASSOCIATED WITH ILLNESS RISK FACTORHABITS, CONDITIONS, SITUATIONS THAT PREDISPOSE A PERSON TO ILLNESS/ACCIDENT
PRESENCE OF RISK FACTORS DOES NOT MEAN PERSON WILL GET DISEASE
19. RISK FACTORS GENETIC AND PHYSIOLOGICAL FACTORS
AGE
ENVIRONMENT
LIFESTYLE
IDENTIFY, MODIFY, AND CHANGE RISK FACTORS
DO THEY WANT TO CHANGE BEHAVIORS?
20. CHANGING BEHAVIORS MANY FIND CHANGE DIFFICULT
MUST MOVE THROUGH DIFFERENT STAGES TO ACCOMPLISH CHANGE
NURSE ASSISTS PT WITH CHANGE
ASSESSEMENT
INTERVENTION
EVALUATION (OUTCOMES)
21. STAGES OF HEALTH BEHAVIOR CHANGE PRECONTEMPLATION
CONTEMPLATION
PREPARATION
ACTION
MAINTENANCE STAGE
22. ACUTE/CHRONIC ILLNESS ACUTE ILLNESSSEVERE, USUALLY SHORT DURATION
CHRONICUSUALLY LONGER THAN SIX MONTH
COPING USUALLY MORE COMPLEX
NURSES HELP PT TO MANAGE ILLNESS
23. ACUTE/CHRONIC ILLNESS INTERNAL VARIABLES
PERCEPTION OF ILLNESS
SEEK HEALTH CARE IF SYMPTOMS DISRUPT/AFFECT DAILY ROUTINE
THOSE WITH CHRONIC PAIN MAY NOT SEEK TREATMENT AFTER NO SUCCESS IN PREVIOUS TREATMENTS
TYPES OF SYMPTOMS
SHARP, SUDDEN, INTENSE VS ACHE
24. ACUTE/CHRONIC ILLNESS EXTERNAL VARIABLES
CULTURE
FAMILY DYNAMICS
SOCIAL GROUP
DIETARY PRACTICES
ECONOMICS
25. IMPACT OF ILLNESS ON PT/FAMILY BEHAVIOR/EMOTIONAL CHANGES
BODY IMAGE/ SELF CONCEPT
FAMILY ROLE CHANGES
ROLE STRAIN
ROLE CONFUSION
ROLE REVERSAL
26. CARING IN NURSING NURSING AND CARING
RECENT GALLUP POLLS
CARING (BENNER, 2000)MEANS THAT PERSONS, EVENTS, PROJECTS, AND THINGS MATTER TO PEOPLE
ESSENTIAL HUMAN NEED, ESSENTIAL TO POSITIVE PT OUTCOMES
ALLOWS NURSE TO DETERMINE WHICH INTERVENTIONS SUCCESSFUL
ABILITY TO KNOW CLIENT
27. CARING IN NURSING TAKES EXPERIENCE
EXPRESSION OF CARING WILL DIFFER WITH EACH PT
DOES EVERYONE WHO ENTERS A NURSING PROGRAM HAVE THE CARING COMPONENT?
MANY THEORIES ON NURSINGMUTUAL GIVE AND TAKE WILL NOT HAPPEN IF NURSE IS NOT CARING
28. CARING IN NURSING DIFFICULT TO SHOW CARING IF YOU DONT UNDERSTAND WHO THE PT IS AND THEIR PERCEPTIONS OF ILLNESS
PRESENCE
BEING THERE, EYE CONTACT, BODY LANGUAGE
TOUCH
TASK ORIENTED, CARING, PROTECTIVE
KNOWING THE CLIENT
AVOID ASSUMPTIONS
INCLUDING THE FAMILY
ILLNESS AFFECTS THE FAMILY AS WELL AS THE PT
29. CARING IN NURSING LISTENING
SILENCE
DONT INTERRUPT
DONT FINISH SENTENCES
SPIRITUALITYVERY IMPORTANT, INTERGRAL PART OF WELLNESS TO SOME PTS
30. CULTURE CULTUREGUIDES BEHAVIOR AND THOUGHTS THROUGH:
KNOWLEDGE OF VALUES
BELIEFS
NORMS
LIFEWAYS
DEALING WITH SIMILAR SURVIVAL ISSUES WITHIN THEIR ENVIRONMENT
31. CULTURE SUBCULTURES
ETHNICITY
EMIC WORLDVIEW
ETIC WORLDVIEW
ENCULTURATION
32. CULTURE ACCULTURATION
ASSIMILATION
CULTURALLY CONGRUENT CARE
CULTURALLY COMPETENT CARE
ETHOCENTRICISM
33. CULTURE CULTURAL IMPOSITION
CULTURAL HEALING COMPARATIVE CULTURAL CONTENTS OF HEALTH AND ILLNESS TABLE IN POTTER & PERRY
CULTURAL PAIN
CULTURAL GRIEF AND LOSS
34. CULTURE CULTURAL ASSESSMENT GUIDE
ESTABLISH RELATIONSHIP
ASKING QUESTIONS
KNOWING ETHNIC HERITAGE AND HISTORY
BIOCULTURAL HISTORY
SOCIAL
COMMUNICATION
TIME ORIENTATION
CARING PRACTICES
35. ETHICS AND VALUES AUTONOMY
BENEFICIENCE
NONMALEFICIENCE
JUSTICE
36. ETHICS AND VALUES FIDELITY
ACCOUNTABILITY, RESPONSIBILITY
CONFIDENTIALITY
VERACITY
37. ETHICS AND VALUES VALUEPERSONAL BELIEF
GIVEN ATTITUDE, IDEA
CUSTOM
OBJECT
REFLECTS CULTURE, RELATIONSHIPS, PERSONAL NEEDS, SOCIAL INFLUENCES
38. ETHICS AND VALUES VALUE FORMATIONHOW DID YOU FORM VALUES IN YOR LIFE?
VALUES CLARIFICATION
CULTURAL VALUES
BIOETHICS
39. ETHICS AND VALUES CULTURAL VALUES EXERCISE
ETHICAL DILEMMAS
STEP 1IS THIS AN ETHICAL DILEMMS?
STEP 2GATHER INFO
STEP 3EXAMINE YOUR OWN VALUES
STEP 4VERBALIZE PROBLEM
STEP 5CONSIDER COURSE OF ACTION
STEP 6NEGOTIATE OUTCOME
STEP 7EVALUATE THE ACTION