Personal Health and Wholeness NSG-1410 Full Review (In Progress)

Set to "answer with Term"

social determinants of health

• Income and social status

• Employment and working conditions

• Education and literacy

• Childhood experiences

• Physical environments

• Social supports and coping skills

• Healthy behaviours

• Access to health service

• Biology and genetic endowment

• Gender

• Culture

• Race/racism

Reconciliation

• The process of establishing and maintaining respectful relationships

• Repair trust through apologies, amends and following through

• Recognizing rights, partnerships

• Ongoing process

• policy and system change

• engaging community

• maintaining indigenous safe and healthcare providers

• anti-racism and cultural safety education

• improving indigenous client care

What are the calls to action relating to health?

• maintenance of physiological functional norms

• medical interventions of curing diseases

• reactive healthcare

• less emphasis on health promotion and disease prevention

what is the medical approach?

• Lalonde report promoted individual responsibility for health

• Emphasis on health and disease prevention

• Development of food guides

• Determinants of health

what is the behavioural approach?

• Thinking about context

• Health is tied to social structures

• Led to Ottawa Charter for Health Promotion

what is the Socio-environmental approach?

what does the Ottawa Charter for Health Promotion outline as the prerequisites for health?

• Prerequisites for health:

  • Peace

  • Shelter

  • Education

  • Food

  • Income

  • A stable ecosystem

  • Sustainable resources

  • Social justice and equity

• Based on a holistic model of health

• Relationships and integrating culture

• Balance of physical, mental, emotional and spiritual health

 What is the Indigenous health model?

1. physiological

2. safety

3. love/belonging

4. esteem

5. self-actualization

what are the tiers to Maslow's Hierarchy? (#1 being at the bottom)

• The art and science of teaching children

• Teacher is central power role

• Learners are told what to know, word for word

• Dependent on instructor information

• Extrinsic motivation (grades)

pedagogy

• The art and science of helping adults learn

• Focuses on the learner and their needs

• Uses personal experiences in learning process

• Learners are responsible for knowledge

• Learning through application and questioning

andragogy

• Individuals take on the responsibility for their own learning process based on:

  • Personal needs

  • Goals

  • Resources

  • Strategies

self-directed learning

• Responsibility of learning is on the learner

• Instructors provide guidance, feedback, and resources

• Based on experience

self-determined learning

• Impacts judgement

• Impacts mental capacity

• Increases risk of mistake (impacts everything)

what are the impacts of being unfit to practice?

• Incapacitated

• Fatigue

• Substance use

• Disability

• Stress

what factors risk fitness to practice?

benefits of exercise

• Increases energy

• Reduces stress

• Stimulates endorphins

• Reduces risk of diseases

• Specific

• Measurable

• Attainable

• Realistic

• Timely

what are do the letters in SMART goal stand for?

emotional wellness

• Ability to express and manage feelings

• Ability to enjoy life

• Ability to adjust to challenges

• Ability to cope with stress and trauma (resilience)

Emotional Intelligence (EI)

the ability to understand, use and manage emotion in positive ways

social network and emotion wholeness

sense of purpose, belonging and safety

humour

laughter is the best medicine - enjoy and express feelings of joy and happiness- stimulates endorphins

intellectual health and wholeness

creativity, mental activities, learning, increased knowledge, problem solving , awareness

lifelong learning

the continuing development of knowledge and skills that people experience after formal education and throughout their lives

cognitive, affective, psychomotor

3 domains of learning

cognitive learning

knowledge (head/brain) -blooms taxonomy

affective learning

attitudes or heart - feelings, values, motivation, appreciation

psychomotor learning

skills or hands - 3 A's (accept, apply, adapt)

social health and wholeness

our ability to effectively express ourselves and interest with people around us - support system (family and friends)

loneliness

discrepancy between ones desired and actual level of social connection - satisfaction with quality of connections

social isolation

few social contacts, low meaningful interactions, lack of mutually rewarding relationships

healthy relationships

based on equality and respect, support, trust and belonging

environmental health

External physical, chemical, and biological factors impacting health, focusing on their assessment, control, disease prevention, and creation of health-supportive environments.

spiritual health and wholeness

The integration of body, mind, and spirit, fostering a sense of connection to self, others, and a higher power to achieve wholeness and well-being.

Income and Social Status

Maria works part-time at a grocery store and earns minimum wage. Her paycheck barely covers rent and utilities, so she often skips meals to ensure her children eat first. What SDoH is most at play?

education and literacy

Jason grew up in a low-income neighborhood with underfunded schools. His high school had limited science classes and no college counseling. What SDoH is most at play?

physical environments

Ahmed lives near a busy industrial area with poor air quality and no green spaces. The nearest grocery store is 10 miles away, but fast food is everywhere. What SDoH is most at play?

Social Supports and coping skills

Evelyn is an elderly widow living alone in a rural town. Her children live far away, and she has limited social interaction. What SDoH is most at play?

Access to Health Services

Luis doesn’t have health insurance because his job doesn’t offer benefits. When he experiences chest pain, he delays going to the doctor due to cost. What SDoH is most at play?

Gender

Anna, a 45-year-old woman, reports chronic chest pain. When she visits her local clinic, her symptoms are dismissed as “anxiety,” and she is not referred for further testing. Which SDoH is most at play?

Culture

Li is a recent immigrant who believes strongly in traditional herbal medicine. She avoids Western doctors because she fears being misunderstood or disrespected for her cultural practices. Which SDoH is most at play?

Race/Racism

Marcus, a Black man, visits multiple clinics for high blood pressure management. He notices shorter appointment times and fewer explanations than his White colleagues receive at the same practice. Which SDoH is most at play?

Biology and genetic endowment

Sara has a family history of breast cancer. Genetic testing reveals she carries the BRCA1 mutation. Which SDoH is most at play?

Childhood experiences

Jamal grew up in a home with domestic violence and neglect. As an adult, he experiences chronic anxiety and substance misuse. Which SDoH is most at play?

Healthy Behaviours

Sofia lives in a walkable community with parks, affordable gyms, and fresh produce markets. She exercises regularly, eats balanced meals, and avoids smoking. Which SDoH is most at play?

Employment and Working Conditions

Carlos works in a large warehouse where he lifts heavy boxes for 10-hour shifts, six days a week. The workplace has poor ventilation, limited breaks, and minimal safety training. His supervisor discourages workers from taking sick leave, warning that “absences affect job security.” Which SDoH is most at play?

• pure fresh air

• pure water

• effective draining

• cleanliness

• light

What are the 5 factors in Nightingale’s environmental theory of health?

We must first meet our physiological and biological needs to begin building up the ladder to our social and emotional needs

Describe how Maslow’s Hierarchy effects health outcomes

• social

• emotional

• intellectual

• physical

• occupational

• spiritual

what are the 6 dimensions of wellness?

Occupational

Rina feels constantly stressed and unmotivated at her job. She often brings work home and misses family time. What dimension of wellness is most affected?

Physical

Jordan works late shifts and relies heavily on caffeine to stay awake during the day and has begun to regularly skip breakfast. Which dimension of wellness is most affected?

social

Taylor recently moved to a new city and has felt very isolated since. what dimension of wellness is most affected?

Intellectual

Amir feels bored at work, watches TV all day outside of work, and avoids new challenges. what dimension of wellness is most affected?

Spiritual

Jade feels lost and unsure of her purpose in life and lacks a clear sense of values, morals, and inner peace. what dimension of wellness is most affected?

Emotional

Liam experiences frequent panic attacks and is uncomfortable expressing emotions resulting in impulsivity when he is upset. what dimension of wellness is most affected?

• Exercise

• mindfulness

• therapy

• social support

• adequate rest

What are some coping mechanisms for chronic stress?

It can disrupt physical, emotional, and social well-being, affecting the body’s ability to maintain homeostasis.

how does stress influence overall health?

A state of balance and integration of body, mind, and spirit.

What does wholeness mean in a health context?

By reducing stress, improving emotional regulation, and enhancing self-awareness.

How can mindfulness promote wholeness?

Emotional exhaustion, depersonalization, and reduced sense of accomplishment.

What are signs of nurse burnout?

It can impair judgment, concentration, communication, and patient safety.

How can stress affect nursing performance?

Emotional exhaustion from caring for others in distress, often linked to chronic occupational stress.

What is compassion fatigue?

Through self-care, peer and mentor support, healthy boundaries, mindfulness, emotional intelligence, spiritual reflection, ongoing education, and advocating for supportive workplace environments.

What are some ways that we can promote resiliency for nurses to combat burnout?

• decreased psychological distress

• self confidence

• reduce risk factors

• reduced GI symptoms

• pain management

• decreased headaches

What are some health benefits to Mindfulness Based Stress-Reduction (MBSR)?

freedom from any cognitive, physical, psychological or emotional condition and dependence on alcohol or drugs that impairs ones ability to practice nursing

What does it mean to be “fit to practice”?

S- Stop and take stock

T- Take a mindful breath or two

O- Open and Observe

P- Proceed with new possibilities

What does the STOP Acronym mean?

Income and Financial Stability

What is the most influential SDoH?

Financial aid

What is a resource at the Polytech that can help you with financial struggles?

Seeking to learn more

What is the key point of self-directed learning?

Self-directed learning

when we ask ourselves “what do I need or want to learn?” this an example of…

Nurses assess themselves

Who assesses nurses for fitness to practice?

Psychomotor learning

When you physically practice a new clinical skill, such as venipuncture, you are engaging in which learning domain?

Affective learning

Developing a professional attitude towards patient confidentiality is an example of growth in which learning domain?

cognitive learning

During a shift, a nurse encounters a patient presenting with sudden shortness of breath. The nurse assesses the patient's vital signs, reviews their medical history, and synthesizes this information to identify potential causes and determine the most appropriate immediate interventions. This process of critical thinking, data interpretation, and decision-making to plan care exemplifies cognitive learning in action.

Cognitive learning

Which domain of learning categorizes intellectual skills using Bloom's Taxonomy?

Remembering…

What are the levels of blooms taxonomy