week 1 pt 4

Stages of Illness Behavior

Stage 1: Symptom Experience

Stage 2: Assumption of sick role

Stage 3: Medical Care Contact

Stage 4: Dependent Client Care

Stage 5: Recovery and Rehabilitation

Stage 1: Symptom Experience

- feel some physical changes or limitations;

- perceive some signs and symptoms; and

- emotional response

Stage 2: Assumption of Sick Role

- excuse from normal duties and routine; and

- seek confirmation from parents and friends.

Stage 3: Medical Care Contact

- seek medical professional help/consultation to a doctor; and

- taking prescribed medication (if symptoms persist after taking medication please call or visit your physician).

Stage 4: Dependent Client Care

- rely on health giver for restoration of one's health;

- adjust to the change of daily action/ADLs; and

- relieving symptoms.

Stage 5: Recovery and Rehabilitation

- feeling fine or okay and confront the illness (maybe gone suddenly/adjustment;

- gradual/sudden recovery or prolonged rehabilitation stage (chronic illness may last to 6 months or more); and

- process of healing

Factors Affecting Health and Illness

- Physical Dimension

- Emotional Dimension

- Intellectual Dimension

- Environmental Dimension

- Socio-cultural

- Spiritual Dimension

Physical Dimension

age, sex, race (genetic make-up), health status of a person.

- ex. Toddler just learning to walk is prone to fall and injure himself/herself.

- Young woman with family history of Breast CA is at a higher risk of developing the condition.

Emotional Dimension

- how mind and body would interact, affect the body function and response to body conditions that would influence health.

- ex. Prior to an examination, a student always has diarrhea.

Intellectual Dimension

- cognitive abilities and educational background; past experiences.

- ex. An elderly woman who has only a 3rd grade education needs teaching about a complicated diagnostic test.

Environmental Dimension

- personal hygiene, sanitation, housing and climate.

- ex. Increased incidence of asthma and respiratory problems in large cities because of smog.

Socio-cultural

- health practices and belief which influences your lifestyle; culture of the family.

- ex. Low income family

Spiritual Dimension

- refers to the beliefs and as well as the values that are important components on how the person responds to health and illness.

- ex. Jehovah's Witness is opposed to blood transfusion.

Community Health Nursing

the synthesis of nursing practice and public health practice applied to promoting and preserving the health of populations (American Nurses Association)

Public Health Nursing

May be defined as a field of professional practice in nursing and in public health in which technical nursing, interpersonal, analytical, and organizational skills are applied to problems of health as they affect the community (Freeman)

Community-Based Nursing

Refers to the application of the nursing process in caring for individuals, families, and groups where they live, work, or go to school or they move through the healthcare system (McEwen and Pullis).

The Intervention Wheel

Elements:

1. It is population-based

2. It contains 3 levels of practice (community, systems, and individuals/family)

3. It identifies and defines 17 public health interventions

17 Public Health Intervention of the Intervention Wheel

1. SURVEILLANCE describes and monitors health events.

2. DISEASE AND OTHER HEALTH EVENT INVESTIGATION systematically gathers and analyzes data.

3. OUTREACH locates population of interest and at risk and provides information.

4. SCREENING identifies individuals.

5. CASE FINDING locates individuals and families.

17 Public Health Intervention of the Intervention Wheel

6. REFERRAL AND FOLLOW UP assists to identify and access resources.

7. CASE MANAGEMENT optimizes self-care management.

8. DELEGATED FUNCTIONS are direct care tasks.

9. HEALTH TEACHING communicates facts, ideas, and skills.

10. COUNSELING establishes an interpersonal relationship.

17 Public Health Intervention of the Intervention Wheel

11. CONSULTATION seeks information and generates optional solutions.

12. COLLABORATION commits two or more to achieve a common goal.

13. COALITION BUILDING promotes and develop alliances.

14. COMMUNITY ORGANIZING helps to identify problems, mobilize resources, develop and implement strategies.

15. ADVOCACY pleads someone's cause on someone's behalf.

17 Public Health Intervention of the Intervention Wheel

16. SOCIAL MARKETING utilizes commercial marketing principles and technologies.

17. POLICY DEVELOPMENT places issues on decision makers' agenda AND ENFORCEMENT compels others to comply with the law.