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health
state of complete physical, mental, and social wellbeing
health promotion
health care directed toward increasing optimal level of wellness
health restoration
tertiary disease prevention; rehabilitating and restoring person
malnutrition
poor dietary practice from lack of essential nutrients or failure to use available foods
general adaption syndrome (GAS)
alarm, resistance, exhaustion
fight-or-flight response
state of readiness
Change in lifestyle or personal habits is necessary to
promote maximal health.
Health maintenance focuses on
prevention and then need for early diagnosis and treatment.
An important goal on the national level is to
expand health care opportunities and eliminate disparities.
Health restoration begins after
the disease process is stabilized.
Health restoration aims to
restore function or help person compensate for losses.
Healthy lifestyle includes
nutrition, exercise, mental health, avoiding substance abuse, and disease prevention.
Factors that influence a person's health include
family, role models, social pressures, and self concept.
Disease prevention is composed of 3 levels:
primary, secondary and tertiary
The roles of practial nurses in health promotion are
caregiver, teacher, advocate, collaborator, and role model.
culture
learned patterns of behavior passed down through generations
values
deeply embedded feelings that determine what is good, bad, right, or wrong
norms
socially acepted rules and behaviors that guide behavior and interactions
folkways
customs in a culture that determine greetings
laws
written policies supported and enforced by the government
mores
moral issues strongly believed by a culture
sanctions
social remedies for violating norms
symbols
language, gestures, or objects that people in a culture use to communicate with each other
race
people who share similar physical characteristics
ethnicity
stable cultural patterns shared by families with the same historical roots
transcultural nursing
viewing patients as belonging to a world with many cultures
Culture is learned in
the home and community.
All groups have
beliefs and practices they maintain.
Cultural beliefs and patterns
distinguish culture groups.
Race and ethnicity determine
socioeconomic status.
The primary elements of culture are
beliefs, values, norms, sanctions, and symbols.
Ethnicity means that
people have shared cultural heritage, race, and geographical area, language.
cultural awareness
learning the history of a patient's ancestry and appreciating cultural differences, to understand how patients cope with problems.
cultural sensitivity
being correct in language and interaction to avoid offending beliefs and practices
Transcultural nursing was developed to
bring client satisfaction, early recovery, and meaningful death experience.
Hispanic Americans are the
largest and most rapidly growing ethnic group in the USA.
Hispanics are from
Puerto Rico, Mexico, Dominican Republic, Cuba, S and C America.
Native Americans are the
4th major ethnic group and made up of 200+ tribes.
Native American families have
strong bonds.
Native American tribes are organized
matriarchially but gender roles are flexible in large extended families.
African Americans include
slave and immigrant history from Africa.
African American history is similar to that of
the Caribbean.
European Americans make up
the largest cultural group int eh USA.
European Americans believe that
individuals are responsible for their own health.
Asian Americans are from
Korea, Japan, Philippines, and China.
Asian Americans see health as
balance between ying and yang/good and evil.
Asian Americans believe that good health is
a gift from ancestors.
Arab Americans/ME people come from
Saudi Arabia, Egypt, Palestine, Turkey, Pakistan, and Syria.
Cultural assessments are completed to
provide and optimal level of health care.
religion
specific belief and worship system
Religion is closed integrated with
culture ethnicity.
Health care workers can best meet patients' needs by
exercising tolerance and understanding religious beliefs and practices that influence their health.
dysfunctional family
family unable to offer its members stable structure and results in poor interpersonal skills
family
2+ people who have chosen to live together and share their interests, roles, and resources
Families are bound by
attachment and commitment
All families are ____ but all share __.
unique; goals of survival and personal fulfillment of family members.
Basic functions of the family are
physical maintenance of family members, protection, nurturance, socialization, education, reproduction, and recreation.
Families go through stages of development:
couple stage, childbearing stage, grown child stage, and older family stage.
Birth order may influence
the child's development.
Families can be classified as
autocratic, democratic, or laissez-faire depending on how the family members relate to each other.
message
expression of thoughts or feelings in words, symbols, or body language
sender
deliverer of message by initiating conversation
receiver
person to whom the message is sent
feedback
response to a message
verbal communication
communication transmitting attitudes, thoughts, and feelings using spoken or written words
nonverbal communication
body language
communication
interaction between 2+ people; exchange of information, ideas, feelings, and emotions
Communication consists of
message, sender, method, receiver, and feedback
Two basic types of communication:
verbal and nonverbal
8 modes of nonverbal communication:
physical appearance and dress, body movement and posture, facial expression, gestures, eye contact, tone and volume of voice, touch, and silence
Passive or unassertive people are unable to
share feelings or needs.
Aggressive people use
angry vocalization to dominate and harm others.
Assertive people are
empowered and comfortable expressing their feelings.
Two styles of communication:
social and therapeutic.
6 components of therapeutic communication:
listening and observing, warmth, genuineness, attentiveness, empathy, and positive regard.
Three phases of therapeutic communication:
orientation phase, working phase, and termination.
Factors influencing communication:
congruence, time and setting, proxemics, biases, physical handicaps.
Blocks to communication are
words and actions people use that tend to obscure their messages.
Techniques used to enhance communication:
validating, clarifying, reflecting, paraphrasing, restating, broad questions, general leads, making observations offering self, focusing, and using humor.
growth
increase in physical size
development
progressive acquisition of skills and capacity to function
maturation
process in which skills and potential that are independent of practice or training emerge
cephalocaudal
growth and development beginning at the head and progressing towards the feet
proximodistal
growth and development starting from center and spreading to extremities
heredity
genetics
personality
behavior patterns that distinguish people from each other
id
body's basic primitive urges
libido
pleasure principle; driving force behind most human behavior
ego
part of mind closest to reality
superego
further development that judges, controls, and punishes
Oedipus complex
boy's unconcious sexual attraction to his mom
Electra complex
young girl attracted to father and wants to get rid of mother
autonomy
acquisition of basic skills
generativity
process in which a middle aged person focuses on leadership, productivity, and concern for future generations
stagnation
person is unconcerned with welfare of others and is preoccupied with themselves
ego integrity
achieved when person is able to accept past choices
Growth and development occur and are ___.
simultaneously; interdependent
Two major influences on growth and development are
hereditary and environment
All nonhereditary factors are
environmental.
5 basic assumptions about growth and development:
progress orderly from simple to complex, continuous processes, occur at highly individualized rate, affect all body systems and stages, and form a total process together