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Edelman Ch. 6 Health Promotion Throughout the Life Span

Edelman Ch. 6 Health Promotion Throughout the Life Span

Edelman Ch. 6 Health Promotion Throughout the Life Span

Last updated 07 August 2024

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adolescent health
blood disorders and blood safety
dementias, Alzheimer's
early and middle childhood
genomics
global health
health care-associated infections
health related quality of life and well-being
lesbian, gay, bisexual, transgender
older adults
preparedness
sleep health
social determinants of health
Healthy People Topics 2020, that were not in the 2010 plan:
 
florence Nightingale
expressed the believe that laws of both health and nursing are similar and pertinent to both sick and well individuals
 
nursing
The international council of nurses defines __ as the autonomous and collaborative care of individuals of all ages, families, groups, and communities, sick or well and in all settings
 
nursing diagnosis
includes life processes as well as actual or potential
health problems
 
strength-based
mental health, social work, and nursing embrace __-___ approach to assess within the health-promotion content
 
functional health pattern
__ __ ___ assessment provides foundation for the construction of the NANDA-1 nursing diagnosis nomenclature
 
Gordon's Function Health Patterns
this will provide the framework of assessment and diagnosis
 
health status
nursing assessment determines __ __ of individuals
 
assessment
___ refers to collection of data that culminates in
 
 
 
problem identification or a diagnostic setting
 
functional health patterns
holism and totality of a person's interactions with the environment form the philosophical foundations of __ __ __.
 
health perception-health management patterns
individuals perceived health and well being and how health is managed
 
nutritional-metabolic pattern
food and fluid consumption relative to metabolic needs and indicators of local nutrient supply
 
 
elimination pattern
excretory functions
 
activity-exercise pattern
exercise, activity, leisure, and recreation
 
sleep-rest pattern
sleep, rest, and relaxation
 
cognitive-perceptual pattern
sensory, perceptual, and cognitive patterns
 
self-perception-self-concept pattern
self concept pattern and perception of self (body comfit, body image and feeling state), self-conception, and self-esteem
 
roles-relationship pattern
role engagements and relationships
 
sexuality-reproductive pattern
persons satisfaction and disatisfaction with sexuality and reproduction
 
coping-stress tolerance pattern
general coping pattern and effectiveness in stress tolerance
 
values belief pattern
values, beliefs, or goals that guide choices or decisions
 
pattern
individual-environment
age-development
functional
cultural
Gordon's five areas of focus
 
 
individual-environmental
food intake examples illustrate __ __ focus:

(role relationships, societal norms, personal preference, knowledge of food prep)
 
age-development
individuals will develop their sense of autonomy in early childhood and will struggle with thee sense of shame and doubt, but will move on in future experiences is an __ __ focus
 
functional
___ focus refers to an individuals performance level
 
cultural competent care
__ __ __ is delivered with knowledge of sensitivity to cultural factors influencing health behavior
 
(1) consistent nursing language
(2) flexibility to tailor patient needs
(3) suits diverse practice areas- individuals, families, etc.
(4) supports theoretical nursing- education, research
(5) incorporates medical science data
Advantages of functional health pattern framework:
 
functional (strength/wellness)
dysfunctional (actual)
potentially dysfunctional (risk)
The functional health patterns indicate:
 
health perception-health management
involves individual health status and practices used to reach current levels of health
 
perception, management, preventative health practices
assessment of health perception-health management includes:
 
pre contemplation
contemplation
planning/preparation
action
maintenance
Transtheoretical Model five stages of an individuals readiness to change
 
nutritional-metabolic pattern
center on nutrient intake relative to metabolic need, including individual description of food and fluid consumption, and evidence of adequate nutrition
 
 
temperature, height, weight, skin, bony prominences, dentition, hair, and mucous membrane
assessment of physical nutritional-metabolic pattern includes:
 
elimination pattern
includes bowel, bladder, and skin function
 
quantity, quality, frequency of stool, urine, and perspiration
assessment of elimination pattern includes
 
activity-exercise pattern
centers on activity level, exercise program, and leisure activities
 
obesity
__ is second to cigarette smoking in mortality from preventable diseases in the US and Australia
 
energy-expidenture (daily activity, leisure, exercise, dyspnea, circulatory, respiratory, neuromuscular )
assessment of the activity-exercise pattern includes everything involving:
 
sleep-rest pattern
the perception and adequacy of sleep and relaxation
 
sleep quality and quantity, rest
assessment of the sleep-rest pattern includes
 
cognitive-perceptual pattern
include the ability of the individual to understand and follow directions, retain information, make decisions, solve problems, and use language appropriately
 
cognitive-perceptual pattern
auditory, visual, olfactory, gustatory, tactile, kinesthetic patterns, pain
 
 
environmental control
increased levels of __ __ produce decreased levels of cognition
 
general appearance, hygiene, clothing, speech, attention span, problem solving abilities, language, vocabulary, posture, facial expressions
assessment of the cognitive-perceptual pattern includes:
 
self-perception-self concept pattern
encompasses the individuals sense of personal identity goals, emotional patterns, self image and worth, appearance, competencies, limitations, etc.
 
I, we
achieving an individuals sense of ___ vs. ___ is vital
 
1. infancy (trust vs. basic mistrust)
2. early childhood (autonomy vs. shame and doubt)
3. late childhood (initiative vs. guilt)
4. early adolescence (industry vs. inferiority)
5. adolescence (identity vs. role confusion)
6. early adult (intimacy vs. isolation)
7. middle adulthood (generatively vs. stagnation)
8. maturity (ego integrity vs. dispair)
Erikson's Eight Life Stages: (page 139)
 
role-relationship pattern
describes the position assumed and the associations engaged in by the individual that are connected to that position and individuals level of satisfaction with those roles
 
family, work, community relationships
assessment of the role-relationship pattern encompases:
 
sexuality-reproductive pattern
describes the individuals sexual self-concept, sexual functioning, methods of intimacy and reproductive areas, and confidence in these areas
 
prevention, papsmear, breast-testicular exams, cancer screenings, contraceptives, menstruation, menopause, inappropriate sexual performance, intimacy patterns (holding hands)
assessment of the sexuality-reproductive pattern includes
 
coping-stress tolerance pattern
a depiction of general coping and the individuals ability to effectively mange stress.
 
 
learned
the ability to manage stress is a __ behavior
 
coping task, physical, psychological, and socioeconomic stimuli, coping style, avoidance oriented, nonspecific, strategies, coping effectiveness
assessment of coping-stress tolerance pattern includes:
 
values-belief pattern
descibes the values, including the individuals spiritual, beliefs and goals- what is right, good, and conflicts the beliefs or values impart
 
values, goals, purpose of life, source of strength, higher being, relgion
assessment of values-belief pattern includes:
 
assessment
__ is the systematic technique for learning as much about people as possible
 
biographical, age, gender, purpose for visit
assessments may include:
 
diagnosis
__ is careful examination and analysis of the facts in an attempt to explain something
 
health problem
_ __ is defined as a dysfunctional pattern and that nursings major contribution to health care is in preventing and treating these patterns.
 
hypotheses
as problems are assessed, nurses propose several __.
 
functional
refers to the wellness and optimal health
 
dysfunctional
indicates some health problems may be present in the absence of disease, that is, nursing care may be needed for health promotion and health maintenance, not health restoration
 
risk factors
are present to indicate that a pattern dysfunction will likely occur if interventions are not made
 
clinical knowledge
the ability to arrive at an accurate diagnosis even when comprehensive data is not available is based on the nurses __ __.
 
planning
__ is the proposal of diagnosis-specific treatment to assist the individual toward the goal, or expected outcome, of optimal health.

(needs clear goals and diagnoses)
 
expected outcomes
the nursing care plans blueprint for action
 
implementation
_ is the completion of the actions necessary to fulfill the goals for optimal health; the enactment of the nursing care plan to elicit the behaviors described in the proposed individual outcomes.
 
evaluation
the process of analyzing changes experienced by the individual occurs in the __ phase of the nursing process.
 
(ADPIE)

assess
diagnose
plan
implement
evaluate
the five steps of the nursing process are:
 
subjective
health history- personal feelings, tastes or opinions, emotional
 
objective
observations of the nurse, physical exam findings, information from health records, results of clinical testings, numbers, observable conditions
 
 

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