Edelman Ch. 6 Health Promotion Throughout the Life Span - Passing Grades

Edelman Ch. 6 Health Promotion Throughout the Life Span

Edelman Ch. 6 Health Promotion Throughout the Life Span

07 May 2021

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adolescent health
blood disorders and blood safety
dementias, Alzheimer's
early and middle childhood
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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

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

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

nursing assessment determines __ __ of individuals

___ 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

___ 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

__ 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.

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.

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:

__ is the systematic technique for learning as much about people as possible

biographical, age, gender, purpose for visit

assessments may include:

__ is careful examination and analysis of the facts in an attempt to explain something

_ __ is defined as a dysfunctional pattern and that nursings major contribution to health care is in preventing and treating these patterns.

as problems are assessed, nurses propose several __.

refers to the wellness and optimal health

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

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 __ __.

__ 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

_ 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.

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:

health history- personal feelings, tastes or opinions, emotional

observations of the nurse, physical exam findings, information from health records, results of clinical testings, numbers, observable conditions

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