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Nursing Health Promotion - Theories, Models
Terms in this set (64)
Neuman System Model
Open client system that interacts with environment
Natural disaster, war, economic depression
Low-income, education level
Address effects of stress, reaction to stress and maintenance of health
Client in the Neuman Model
Flexible line of defense
Lines of resistance
Belief that we should take actions incr well-being and self-actualization through perceptions and proactive behaviors
Belief in restoring pt self-care through nursing
Variables to Orem's Self-Care
Universal - meets basic needs
Developmental - helps pt grow
Health-Deviation - helps pt deal w/ declining wellness
Vaccinations, hand sanitizer, exercise
Skin cancer screening, PPD test, breast screening
Physical therapy, treatment, exercise advice
Client seeks meaning and purpose from God during a crisis. What type of universal factor?
City faces increased unemployment rates and increased crime. Citizens feel at risk. What type of universal factor?
Son of a divorced family is forced to get a job and take on more responsibilities at home. What type of universal factor?
Increased homelessness and violence in the community has increased the number of depressed and drug abused citizens in the community. What type of universal factor?
In an otherwise healthy/happy woman, she was recently diagnosed with breast cancer. What type of universal factor?
8 stages of family life cycle that everyone must accomplish in order to be effective as a unit
Jean Watson's Theory of Caring
Caring promotes health better than curing
Accept person as he is and look to what the person can become
Lack of clean water in a community. What type of deficiency is this according to Maslow?
5 Factors of Pender's Health Promotion Model
According to Pender, what should be the primary focus of health care?
How can a community be a client?
Community is the focus of nursing service
Community provides health services and promotes QOL
Healthy community factors
Can identify and achieve goals
Consensus on goals and implementation
Dimensions of a community as a client
Status - census data
Structure - education system, police, FD, parks
Process - functions effectively
What questions can help determine Boundary of community?
Where is the community located? What is its boundary? What smaller communities does it include?
What questions can help determine location of health services in a community?
Where are the major health institutions? Which are outside the community?
What questions can help determine geographic features in a community?
What geographical features pose a threat to the community? Which provide outlets for healthy activities?
What questions can help determine climate features in a community?
What are the average temps? Can the community cope with the extreme weather?
What questions can help determine flora and fauna in a community?
What plants and animals could be a threat?
What questions can help determine human-made environment features?
What are the major industries? What is the housing quality?
Goal: familiarize yourself with a new area. Observe physical spaces, economics, services, and social areas provided
When windshield survey isn't enough. Performed in response to a particular need.
Community subsystem assessment
Taking a look at a specific sub-community within the larger community to hear what their needs are.
Ex: Church, Restaurants
Discover all relevant community health info. Review all data, surveys, and interview key informants
Community Assets assessment
Reviews strengths and capacities of a community; NOT problems
Experts in education, health, religion, economics, etc
What does Community Nursing Diagnosis involve?
Reporting a community's ineffective coping ability and potential for enhancement; determining the expected outcomes
Steps of nursing process
Definition of Communication
Transferring meaning and enhancing understanding
What is the meaning of communication?
Transferring meaning/message via verbal or non-verbal
Honest, direct, open, congruent with internal feelings
Medical jargon, foreign language
Sender doesn't explain whole truth
What type of physical or emotional condition would interfere with nurse's ability to communicate effectively?
Physical: overworked, tired
2 main channels for sending msg
Verbal & non-verbal
Interpersonal nursing skills
Build trust and rapport, empathy, respect
Terminating the interview
Ask if they have any questions, encourage active participation in care
Watson's definition of Health
Complete mental, physical, and social well-being and functioning
WHO definition of Health
Complete physical, mental and social well-being and not merely the absence of disease or infirmity
Describe Reconstitution in Neuman's Model
Core structure penetrated. Stabilization of the basic system (client, family, community) and a move back towards the normal line of defense
In terms of health of a client, what can occur if the lines of resistance fail?
Illness and diseases develop, eventually leading to death
Orem's 5 methods of helping
Acting for others
Providing enviro to promote personal development
Art of Nursing
Ability to sense, feel, perceive needs of client
Science of Nursing
Generate and test existing theory
Alfaro-LeFevre Critical Thinking
Purposeful thinking that aims to make judgement based on evidence
Ennis Critical Thinking
Reflective & reasonable thinking that's focused on deciding why to believe or do
underlies independent & interdependent decision making
Characteristics of Contracting
Communication concerns with Children
Challenging because they're undergoing developmental changes
Communication concerns with Young Children
Will not understand meaning of new words
Communication concerns with Pre-teens/Teens
Embarrassment and preoccupation with body image
Communication concerns with Adults
Less adaptive to changes
Demonstrating pender's theory
Patient at risk for heart disease believes he can be pro-active about lowering his risks. He researches and implements heart healthy exercises and foods into his lifestyle. What is he demonstrating?
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