Wellness and Illness Concepts
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A community health program aims to reduce the incidence of type 2 diabetes. Which intervention BEST exemplifies primordial prevention?

  • Providing regular blood glucose screenings and education on managing blood sugar levels to individuals diagnosed with pre-diabetes.
  • Implementing a workplace wellness program that includes healthy cooking classes and gym memberships for employees at risk for diabetes.
  • Advocating for policies that increase access to affordable, healthy foods and safe places for physical activity in urban planning. (correct)
  • Offering specialized diabetes management education and support groups for individuals newly diagnosed with type 2 diabetes.

A health educator is designing a program to promote physical activity among sedentary adults, using the Transtheoretical Model. Which strategy would be MOST appropriate for individuals in the 'Contemplation' stage?

  • Offering rewards and incentives for consistently meeting physical activity goals over several weeks.
  • Providing information about local walking trails and exercise facilities, and discussing the pros and cons of becoming more active. (correct)
  • Helping participants create a detailed action plan with specific goals and timelines for increasing their physical activity.
  • Teaching specific exercises and techniques for safe and effective workouts.

A public health campaign is launched to encourage flu vaccinations. According to the Health Belief Model, which belief would MOST likely motivate an individual to get vaccinated?

  • Believing that they have a high risk of contracting the flu and that the flu could lead to serious complications. (correct)
  • Being unaware of the availability of the flu vaccine or the recommendations for vaccination.
  • Thinking that the flu is not a serious illness and that most people recover quickly without complications.
  • Feeling that they lack the resources or time to get vaccinated, even if they wanted to.

A community is experiencing low rates of breastfeeding. Using 'Nudge Theory', which intervention would be MOST effective in subtly encouraging new mothers to breastfeed?

<p>Ensuring that the hospital's default feeding choice is breastfeeding, with formula feeding requiring an explicit request from the mother. (B)</p> Signup and view all the answers

A health promoter is tasked with developing an intervention for migrant workers. What should be the FIRST step in conducting a cultural assessment?

<p>Collaborating with community leaders and members of the migrant worker population to understand their needs and perspectives regarding their culture. (A)</p> Signup and view all the answers

Flashcards

8 Dimensions of Wellness

Interconnected dimensions impacting overall well-being: Physical, Emotional, Intellectual, Social, Spiritual, Environmental, Financial, and Occupational.

Levels of Prevention

Actions to reduce the negative impact of disease or health issues, categorized as: Primary (preventing disease before it occurs), Secondary (early detection), and Tertiary (managing existing disease).

Non-Modifiable Risk Factors

Traits that cannot be altered, increasing disease risk: Age, Gender, Genetics, and Race/Ethnicity.

Modifiable Risk Factors

Factors that can be changed to improve health: Diet, Exercise, Smoking, Alcohol, Stress management.

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Health Literacy

The ability to understand health information to make informed decisions.

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Study Notes

  • Wellness is a dynamic state of overall well-being, balancing physical, mental, and social health
  • Illness represents poor health marked by disease, dysfunction, or discomfort affecting the body or mind
  • The Wellness-Illness Continuum illustrates varying degrees of health, ranging from high-level wellness to severe illness
  • Health Promotion includes activities that improve overall health and well-being
  • Disease Prevention refers to taking action to prevent the occurrence of disease or lessen its impact
  • Upstream Thinking is a proactive health promotion approach that addresses the root causes of disease and risk factors

Eight Dimensions of Wellness

  • Physical Wellness: Maintaining a healthy body through nutrition, sleep, and regular exercise
  • Emotional Wellness: Recognizing feelings, managing stress with therapy or mindfulness
  • Social Wellness: Building meaningful relationships and a strong support network
  • Spiritual Wellness: Seeking purpose and meaning in life through meditation
  • Intellectual Wellness: Engaging in mentally stimulating activities such as reading
  • Occupational Wellness: Finding fulfillment and satisfaction from work or school with work-life balance
  • Environmental Wellness: Living in a healthy environment and minimizing harm to it by recycling
  • Financial Wellness: Managing resources for future financial stability through budgeting

Levels of Prevention

  • Primary Prevention aims to prevent disease before it occurs, like vaccinations
  • Secondary Prevention detects and intervenes early such as mammograms
  • Tertiary Prevention manages disease to reduce complications like stroke rehabilitation

Non-Modifiable and Modifiable Risk Factors for Non-Communicable Diseases

  • Non-Modifiable Risk Factors: Age, gender, genetics and family history
  • Modifiable Risk Factors: Tobacco use, weight, diet, and lifestyle

Health Behavior Guidelines

  • Physical Activity (Adults): 150 minutes per week of moderate aerobic exercise and muscle-strengthening activity 2 days a week
  • Sleep Recommendations: Newborns need 14-17 hours, older adults need 7-8 hours, and adults need 7-9 hours
  • Dietary Guidelines established by the USDA and HHS

Stress Management

  • Strategies for Coping with Stress and Anxiety: Mindfulness, exercise, deep breathing, time management, and social support

Domains of Learning

  • Cognitive: Knowledge and intellectual skills, such as lectures
  • Affective: Attitudes and feelings, like group discussions
  • Psychomotor: Physical skills and actions, such as hands-on practice

Bloom's Taxonomy

  • Remembering: Recalling facts like memorizing health guidelines
  • Understanding: Explaining concepts like describing a health condition
  • Applying: Using information in new situations, such as practicing a procedure
  • Analyzing: Breaking down information like comparing treatments
  • Evaluating: Making judgments such as assessing a diet plan
  • Creating: Producing new work, like designing a health plan

Characteristics of Adult Learners

  • Adult Learners: Self-directed, goal-oriented, practical, draws on life experiences, and needs relevance
  • Teaching-Learning Principles: Active participation, relevance to real life, and reinforcement
  • Client Readiness: Readiness is a client's psychological and emotional preparedness to engage in learning

Health Literacy

  • Health Literacy Definition: Understanding and using health information
  • At-risk populations include the elderly and low-income individuals
  • Nursing practices should use plain language

Readiness for Change

  • Readiness for Change: A person’s preparedness to adopt healthier behaviors

Transtheoretical Model & Stages of Change

  • Precontemplation: No intention to change like being unaware of smoking risks

  • Contemplation: Considering change, like thinking about quitting smoking

  • Preparation: Planning for change, like setting a quit date

  • Action: Actively making changes like using nicotine patches

  • Maintenance: Sustaining change like remaining smoke-free for six months

  • Relapse: Returning to previous behavior like recommencing smoking

  • Decisional balance weighs the pros and cons of changing behavior

  • Preparation: Occurs when pros outweigh the cons

  • Motivational Interviewing is effective in precontemplation and contemplation

Motivational Interviewing

  • Purpose: Guide clients through stages of change
  • Core Skills (OARS): Open-ended questions, affirmations, reflective listening, and summarizing
  • Essence/Spirit: Collaboration, acceptance, compassion, and evocation

Intrapersonal/Interpersonal Health Promotion Models

  • Intrapersonal focuses on individual factors like self-efficacy
  • Interpersonal emphasizes social interactions and support like peer influences

Operant Conditioning

  • Intrinsic rewards: Internal satisfaction like feeling good after exercise
  • Extrinsic rewards: External incentives like praise for quitting smoking

Health Belief Model Concepts

  • Perceived susceptibility: Belief in risk like feeling at risk for heart disease
  • Perceived severity: Belief in seriousness like fear of complications from diabetes

Common Threads in Health Behavior Change

  • Self-efficacy: Confidence in one's ability to succeed
  • Social support: Encouragement from others
  • Attitudes/Affect: Positive or negative feelings
  • Readiness: Willingness and preparedness to change
  • Struggle/Lapse: Challenges during behavior change

Strategies to Increase Self-Efficacy

  • Mastery experiences: Achieving small, achievable goals like a workout
  • Vicarious experiences: Seeing others succeed, like someone quit smoking
  • Verbal persuasion: Positive feedback
  • Emotional regulation: Managing stress

Nudge Theory

  • Reflective Processes: Subtle suggestions to reflect on choices
  • Role of Environment: Shapes behavior such as pacing healthy foods at eye level

Benefits of Using Health Promotion Frameworks

  • Systems Frameworks ensures comprehensive approaches by addressing multiple factors influencing health
  • SDOH: Conditions influencing health outcomes such as birth, growth, work, and age
  • SDOH affects health inequalities and opportunities like income and education

Ecological Frameworks

  • Ecological Frameworks focus on interactions between individuals and their environments
  • Health is shaped by layers like community, societal, and policy levels

Terminology

  • Ethnocentrism: Judging other cultures by standards of one's own
  • Ethnorelativism: Understanding and accepting different cultures on their own terms
  • Acculturation: Adapting to another culture
  • Transcultural Nursing: Providing culturally competent care
  • Cultural Diversity: Existence of various cultural groups within a society
  • Cultural Humility: Ongoing process of self-reflection in different cultures

Cultural Assessment

  • Purpose: To understand a patient's cultural background
  • Topics: Communication preferences, family roles, dietary restrictions, religious beliefs

Health Promotion

  • Health Promotion: Activities that improve health
  • Wellness: A state of complete physical, mental, and social well-being
  • Disease Prevention: Actions taken to prevent illness
  • Illness-Wellness Continuum: Spectrum representing wellness degrees
  • Health Education: Providing information for healthy behaviors

Other Information

  • Healthy People Initiative: A national effort to improve public health
  • Modifiable vs Non-Modifiable cardiovascular risk factors relate to lifestyle v genetics
  • SDOH are factors affecting health outcomes
  • Cultural beliefs encompass cultural beliefs for culturally competent care
  • Self-care encourages healthy behaviors and prevents burnout

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Description

Explore wellness and illness concepts, including the wellness-illness continuum and health promotion. Examine the eight dimensions of wellness, such as physical, emotional, and social.

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