______ defines health as: State of well-being and using every power the individual possesses to the fullest extent.
World Health Organization (WHO)
_______defines health as: a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.
American Nurses Association (ANA)
dynamic state of being in which the development and behavioral potential of an individual is realized to the fullest extent possible. (similar to Maslow's Heirarchy of needs).
personal definitions of health
individual perception, free of symtomps, being active, good spirits, and etc.
Factors influencing one's definition of health:
-Developmental status, -Social and cultural influences, -Previous experiences, -Expectations of self, -Perceptions of self
Seven components of wellness & well-being
environmental, occupational, intellectual, spiritual, physical, emotional, and social
Basic aspects of wellness:
self-responsibility, ultimate goal, dynamic growing process, daily decision making, whole being of the individual
blood urea nitrogen (BUN)
normal= 17-18 mg/dL; - INCREASED: starvation, high protein intake, severe dehydration; -DECREASED: malnutrition, overhydration
total lymphocyte count
reflects an individual's immune status. This is directly caused by impaired nutritional status. (means immune deficiency is caused by poor nutrition)
normal= 0.4 - 1.5 mg/dL; -INCREASED: dehydration; -DECREASED: reduction in total muscle mass, severe malnutrition
normal= 3.5 - 5.5 g/dL; -DECREASED: malnutrition (prolonged protein depletion), malabsorption
most abundant serum protein; makes up 50% of our body's circulating proteins. However, protein albumin is one of those things that other conditions besides malnutrition can cause it to decrease. The person may have an infection, liver disease, cancer, and etc.
normal ranges- FEMALES: 36 - 48; -MALES: 42 - 54; Is 3 x hemoglobin; -DECREASED: anemia; -INCREASED: dehydration
additional calorie requirements:
-Age/growth, -Activity, -Gender, -Physiologic state, -Lean body mass, -Body temperature, -Emotional state
individuals who choose to live together for a variety of reasons. -relationships, financial need, or changing values.
do not live with others, but they are part of a family of origin. May regard pet as family
nuclear family (traditional family)
composed of two parents and their children. Parents may be heterosexual or homosexual, are often married or in committed relationship. All members live in same house until the children leave home as young adults.
is also a traditional family, formed when parents bring unrelated children from previous relationships together to form a new family.
Functions of the Family: Physically
______ the family provides a safe, comfortable environment necessary for growth, development, and rest or recuperation
Functions of the Family: Economically
_______the family provides financial aid to family members and also helps meet monetary needs of society
Functions of the Family: Socialization
Through ______, the family teaches, transmits beliefs, values, attitudes, and coping mechanisms; provides feedback; and guides problem solving
Functions of the Family: Affective and coping
The ____ ____ ____ function of the family involves providing emotional comfort to family members.
Meal time for clients:
-Assess level of consciousness, -Elevate HOB, -Call button available, -Set up food as needed, -Assess how client tolerated: amt. eaten, dyspnea, nausea, vomiting, etc.
Providing client meals
-Check chart for diet order, -Assist w/personal needs, -Offer to help wash hands, -Comfortable position, -Clear overbed table, -Check tray for completeness, -Assist with feeding if needed, -For blind, identify placement of food, -If client is not eating notify nurse in charge.
ordered to meet the dietary needs related to a disease. Usually it's a chronic disease such as: Cardiac, and diabetes.
diet as tolerated
ordered when the client can tolerate certain foods; the nurse in conjunction with client can make the decision
foods that are soft and have reduced fiber content, because those things require less energy for digestion. (for people who difficulty chewing)
full liquid diet
all clear liquids and fluids that become liquid at room temperature. (ice cream, yogurt, sherbet)
clear liquid diet
liquids that lack residue; any liquid that is see-through. Ex: apple juice, cranberry juice, grape juice, tea, broth, coffee w/no milk, jello, soft drinks
How to identify clients at risk for poor nutrition:
-Diet hx, -Medication, -Medical hx, -Those with increased demands to meet metabolic needs, -NPO
Ways to assess nutritional status:
-Anthropometric measurements, -Biochemical Data: (hemoglobin, hematocrit, serum proteins, total lymphocyte count), -24 hour urine test: Creatinine & BUN, -Observation of nutritional assessment, -Diet hx
-body performs to its potential, -Look and feel better, -Ability to do daily tasks vigorously, with energy left over, -Involves performance of heart, lungs, and muscles, -Influences mental alertness
-PHYSIOLOGIC: air, food, water, shelter, rest & sleep, activity, and temp., -SAFETY & SECURITY: protection from injury and promote feeling of safety, -LOVE & BELONGING: protect from isolation, need to feel as part of a group, -SELF-ESTEEM: independent, competent, in control, -SELF ACTUALIZATION: reached full potential
alteration in body functions that results in reduction of capacities, or shortening of normal life span
highly personal state, person's physical emotional, intellectual, social, development, and spirital functioning is diminished.
Benefits of exercise: Cognitivie function
-Possitive effect, -Athletic older adults have denser brains, -Brain gym: improves mood, learning, problem solving, -Contralateral movements help those with: ADD, ADHD, learning disorders, mood disorders