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CHAPTER 7 NURSING FUNDAMENTAL BURTON, MARTI. FUNDAMENTALS OF NURSING CARE- CONCEPTS, CONNECTIONS & SKILLS WITH DAVISEDGE, 3RD EDITION. F.A. DAVIS COMPANY, 11-2018. VITALBOOK FILE.
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Protected Poor Health - Occurs when the environment is favorable but health is not poor health - This occurs when both health and environment are not favorable. Emergent High-Level Wellness - This occurs when the environment is not favorable, but health is favorable. High-level wellness - This occurs when both the environment and health are favorable. Dunn's Theory of High-Level Wellness - Protected poor health, there are four quadrants to describe a person's condition based on the influences of wellness or illness and a favorable or unfavorable environment. Fitzpatrick's Rhythm Model - promotion of wellness practices, the attentive treatment of those who are acutely or chronically ill or dying, and the restorative care of people during convalescence and rehabilitation. Goals of Healthy People 2020 - Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death. Achieve health equity, eliminate disparities, and improve the health of all groups. Create social and physical environments that promote good health for all. Promote quality of life, healthy development, and healthy behaviors across all life stages. Health literacy definition - the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions acute - New, usually of rapid onset and of concern, opposite of chronic ,limited time chronic - 6 months or longer, Intensifying or improving symptoms, Periods of remissions, Periods of exacerbations prodromal period - Before a person develops symptoms of a specific illness, he or she may simply "not feel good," with generalized body aches and fatigue.
symptomatic - having to do with signs or symptoms, indicative Seeking help phase - The phase of illness in which an individual seeks help from a medical professional. In some cultures, an individual may seek help from a healer or other alternative practitioner. Dependency - person relies on others for help in diagnosis and treatment after seeking help phase. recovery phase - when the person is slowly able to resume independence and regain his or her health Hans Selye's Theory of Stress and Illness - Alarm phase- When we are stressed, our body responds with the fight-or-flight response described in the Anatomy and Physiology Connection. This is referred to as the alarm phase. If the stressor is removed in a relatively short period of time, our bodies return to normal. However, if the stressor continues in our life and we do not find positive ways of relieving it, our bodies get stuck in that fight-or-flight response, producing high levels of cortisol and other stress hormone. Resistance phase- The body works hard trying to resist the threats of stress and to keep working efficiently to prevent illness. Exhaustion phase- when the body's resources are depleted and we are most vulnerable to physical and psychological disease. General adaptation syndrome (G A S)- because it describes the body's attempts to adapt to the stressors we encounter. symptoms of stress - physiological, psychological, and behavioral, Frequent feelings of anger, helplessness, or hopelessness, Hurting loved ones with words or physical harm, Panic attacks with rapid heart rate, shortness of breath, and dizziness Stress - the process by which we perceive and respond to certain events, called stressors, that we appraise as threatening or challenging Adaptation - is the ability to positively adjust to changes that occur in an individual's world. Coping strategies for stress - ◦ Problem-focused: change or exit the situation ◦ Emotion- focused: regulate cognitions and emotions ◦ Social support: assistance and comfort ◦ Defensive coping: unconscious, distort or deny! ◦ Emotional insulation: unconscious, block emotions and pain ◦ Substance use: temporary escape, escalation of problems