Health, Wellness, Illness, Teaching and Learning
Health, Wellness & Illness
Health Definitions
Health: A state of complete physical, mental, and social well-being; not merely the absence of disease.
Wellness: Living a lifestyle that promotes good physical, mental, and emotional health.
Disease: Pathological changes in the structure or function of the body or mind.
Morbidity: Refers to health issues.
Mortality: Refers to death rates.
Illness Types
Illness: Rapid onset with abilities to return to previous functioning levels.
Acute Illness: Sudden onset with a short duration.
Chronic Illness: Long-term health conditions.
Exacerbation: Periods when symptoms worsen.
Remission: Periods of improvement or absence of symptoms.
Causes of Disease or Illness
Genetic Factors: Inherited defects.
Developmental Factors: Issues due to prenatal exposures (viruses, chemicals).
Biologic Agents: Toxins and pathogens.
Physical Agents: Environmental factors such as temperature change and radiation.
Physiologic Reactions: Responses to stress affecting health.
Secretory Issues: Problems with hormone or enzyme production.
Risk Factors Affecting Wellness
Genetic & Physiologic Factors: Inherited traits affecting health.
Age: Different age groups have different health risks.
Environment: Surroundings influencing health outcomes.
Lifestyle: Choices impacting overall wellness.
Internal and External Variables
Internal Variables:
Perception of illness (acute vs. chronic).
Nature of the illness.
External Variables:
Visibility of symptoms.
Support from social groups.
Cultural background and economic variables.
Access to healthcare.
Health Beliefs Influences
Internal Variables:
Developmental stage.
Intellectual background and perception.
Emotional and spiritual factors.
External Variables:
Family practices.
Socioeconomic status and cultural background.
Vulnerable Populations
Groups at greatest risk for poor health outcomes:
Low socioeconomic status individuals.
Ethnic and racial minorities.
Individuals discriminated against socially or politically.
Health Promotion & Illness Prevention
Health Promotion: Focuses on:
Self-responsibility.
Nutritional awareness.
Stress management.
Physical fitness.
Goals: To optimize health through evidence-based practices aimed at communities and populations.
Risk Factor Modifications
Assessment: Identify risks, discuss health hazards, and educate patients on wellness strategies.
Communication in Health Promotion
Key aspects of Motivational Interviewing:
Listen instead of telling.
Adjust to patient resistance.
Reflective listening shows empathy.
Focus on positive aspects.
Models of Health Promotion
Health Belief Model: Predicts preventive behaviors.
Health Promotion Model: Influences of prior behaviors and experiences.
Transtheoretical Model: Stages of behavior change.
Health-Illness Continuum: Ranges from death to high-level wellness.
Agent-Host-Environment Model: Interactions affecting health status.
Types of Prevention
Primary Prevention: Health education, fitness activities, and immunizations.
Secondary Prevention: Screenings and follow-up care.
Tertiary Prevention: Rehabilitation, medication management, and dietary counseling.
Teaching & Learning Process
Teaching & Communication: Promotes learning through an interactive process focused on the patient's needs.
Nurses as Teachers: Facilitate health maintenance, illness prevention, and coping strategies.
Barriers to Learning
Factors that hinder effective learning:
Poor teaching environment.
Cultural differences.
Financial concerns.
Patient’s readiness and motivation to learn.
Readiness and Ability to Learn
Readiness to Learn: Mental state and motivation affecting learning capacity.
Ability to Learn: Cognitive development, prior knowledge, and physical health considerations.
Learning Styles
Visual: Charts, graphs, and PowerPoints.
Auditory: Listening centers, discussions.
Read/Write: Note taking and textbooks.
Kinesthetic: Hands-on activities.
Learning Environment Factors
Conditions that promote learning:
Comfortable, well-lit spaces.
Quiet and private.
Ready state for learning.
Integrating Nursing and Teaching Processes
Comparison of nursing and teaching processes: focuses on patient care needs vs. learning needs.
Effective teaching includes assessing learning needs and developing customized strategies.
Nursing Process in Patient Education
Assessment: Understanding learner's condition and needs.
Diagnosis: Identifying knowledge deficiencies.
Planning: Establishing tailored teaching goals.
Implementation: Executing teaching strategies effectively.
Evaluation: Continuous assessment of learning outcomes.
Common Teaching Mistakes
Failing to consider patient circumstances, using jargon, and neglecting evaluation of learning.