24 Questions
What is the primary goal of health promotion in the context of patient adherence to treatment plans?
To prevent illnesses from occurring
What is the main objective of patient education in the context of health promotion?
To promote healthy behaviors and prevent illnesses
What is the recommended daily physical activity for older adults to achieve health benefits?
30-60 minutes daily
What is a significant factor affecting nutrition in elderly patients?
All of the above
What is the primary benefit of weight-bearing physical activity for older adults?
Bone benefits and increased strength
What is the recommended nutritional intake for elderly patients?
Increased intake of calcium, Vitamin D, C, and A
What is the primary goal of illness prevention strategies in health promotion?
To reduce the risk of illnesses occurring
What is the recommended vaccination for preventing herpes zoster (shingles) in adults 50+?
Shingrix (RZV)
What percentage of deaths in the US are attributed to chronic disease?
70%
What is a key challenge in managing chronic illness?
Coping with psychosocial effects
What is a primary goal of optimal health and wellness?
Optimizing individual potential
What is a characteristic of chronic illness?
Persistent and progressive
What is a key aspect of health literacy in chronic illness management?
Developing health literacy skills
Why is lifestyle modification crucial in chronic illness management?
To prevent disease progression
What is a key challenge in promoting health and wellness in older adults?
Addressing geriatric syndromes
What is a key role of nurses in chronic illness management?
Adapting to patient needs and challenges
What is the purpose of assessing the learner's needs and characteristics in patient teaching?
To tailor the teaching approach to the learner's abilities and motivation
Which of the following is a key principle of motivational interviewing in patient teaching?
Encouraging the patient to set goals and priorities
What is the primary goal of patient education in chronic illness management?
To promote lifestyle modification
Which of the following is a cognitive domain of learning in patient education?
Understanding the importance of exercise in chronic illness management
What is the purpose of the 'teach back' method in patient education?
To assess the patient's understanding of disease management
Which of the following is a key aspect of effective communication in patient education?
Asking open-ended questions
What is the primary focus of patient education in chronic illness management?
Lifestyle modification and health promotion
Which of the following is a key consideration in adapting interventions for patients with chronic illness?
The patient's cognitive deficits and learning style
Study Notes
Factors Influencing Patient Adherence to Treatment Plans
- Physical factors: medication effects, side effects, and ability to identify, access, and correctly dose and time medications
- Psychological factors: individual's motivation, ability, and readiness to learn
- Social factors: support system, community resources, and access to healthcare
- Cultural factors: individual's beliefs, values, and cultural background
- Financial factors: cost of treatment, availability, and accessibility of resources
Health Promotion and Prevention
- Health promotion: primary prevention, true prevention, and focus on maintaining optimal health
- Illness prevention: secondary prevention, screenings, and risk factor identification
- Health restoration: tertiary prevention, rehabilitation, and recovery
Patient Education
- Goals of patient education: promoting optimal health, preventing illness, and restoring health
- Examples of patient education: diabetic foot care, wound care, home safety, breast self-examinations, and exercise programs after knee surgery
Health Promotion Strategies
- Immunizations: see 2024 CDC Guidelines for Adult Immunization, including Pneumovac, Prevnar, Influenza, Tdap, Herpes Zoster, and Covid
- Activity and Exercise Guidelines: many health benefits, including weight-bearing exercise, walking, and community resources
- Nutrition Guidelines: need for increased intake of calcium, Vitamin D, C, and A, and managing dehydration and constipation risks
Facilitating Patient Adherence
- Communication: central nursing role, handoff procedure, clarification of questions, and therapeutic communication techniques
- Adapting interventions: considering visual, hearing, cognitive, and mobility deficits
Teaching and Learning
- Domains of learning: cognitive, affective, and psychomotor
- Teaching in chronic illness: assessing learner needs, considering motivation, ability, and readiness, and using active learning strategies
- Teaching/learning principles: lifestyle modification, motivational interviewing, and "teach back" method
Nursing Role in Chronic Illness
- NUR 141: focusing on promoting optimal health, managing chronic illness, and determining priorities of care
- Human flourishing: TLO 1.0, focusing on health, wellness, and quality of life
Aging and Chronic Illness
- Physical changes of aging: middle adult (40-65) and older adult (young-old, middle-old, old-old, elite-old)
- Common health problems: obesity, HTN, CV disease, cancer, DM, substance abuse, stress, and chronic, multisystem disease
- Acute vs. chronic illness: rapid onset, self-limiting, and persistent, progressive, and requiring long-term management.
This quiz assesses the factors that affect patient adherence to treatment plans, including physical, psychological, social, cultural, and financial factors. It also explores health promotion and prevention strategies.
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