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Fundamentals of nursing practice, Summaries of Nursing

Concepts Of Man, Health And Illness; Factors And Issues Affecting The Health And Wellness & Healthcare Delivery System

Typology: Summaries

2022/2023

Uploaded on 02/16/2025

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Fundamental of Nursing Practice
LESSON 1: Concepts Of Man, Health And
Illness; Factors And Issues Affecting The Health And
Wellness & Healthcare Delivery System
Man: forms the foundation of nursing
Nursing Concepts of Man
-Biopsychosocial Being
-Open System
-Unified Whole
-Vital Reparative Process
-Man is a whole. Man is complete
Biopsychosocial Being
By Sister Calista Roy
Man interaction with the environment
-conceptualizes the person in a holistic perspective.
-individual aspects of parts act together to form a
unified being
-as living systems persons are in constant
interaction with their environment
Open System
By Martha Rogers
Man interacts with the environment
Exchanges matter with energy
Exchanges energy with environment
- Science of Unitary Human Beings
-individual and environment are continuously
exchanging matter and energy with each other
-The life processes of human beings evolve
irreversibly and unidirectionally along space
continuum
Unified Whole
By Martha Rogers
Man is composed of certain parts
Total of those parts is more than the sum of all
parts
This is because man has attributes
-The human being is a unified whole possessing
individual integrity and manifesting characteristics
that are more than and different from the sum of
parts.
Vital Reparative Process
By Florence Nightingale
Man is passive in influencing the nurse or the
environment
-Human beings are not defined by Nightingale
specifically.
-defined in relation to their environment and the
impact of the environment upon them.
Man is a whole. Man is complete
By Virginia Henderson
Man has fourteen (14) fundamental needs
-Need Theory
-emphasizes the importance of increasing patient's
independence and focusing on the basic human
needs so that progress after hospitalization would
not be delayed.
HUMAN NEEDS
-Needs are physiologic and psychologic.
-Both these needs must be met in order to
maintain well- being.
KEY CONCEPT
-Basic Human Needs are equivalent to COMMON
NEEDS
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Fundamental of Nursing Practice

LESSON 1 : Concepts Of Man, Health And

Illness; Factors And Issues Affecting The Health And Wellness & Healthcare Delivery System Man: forms the foundation of nursing Nursing Concepts of Man

  • Biopsychosocial Being
  • Open System
  • Unified Whole
  • Vital Reparative Process
  • Man is a whole. Man is complete Biopsychosocial Being ☆By Sister Calista Roy ☆Man interaction with the environment
  • conceptualizes the person in a holistic perspective.
  • individual aspects of parts act together to form a unified being
  • as living systems persons are in constant interaction with their environment Open System ☆ By Martha Rogers ☆Man interacts with the environment ☆Exchanges matter with energy ☆Exchanges energy with environment
  • Science of Unitary Human Beings
  • individual and environment are continuously exchanging matter and energy with each other
  • The life processes of human beings evolve irreversibly and unidirectionally along space continuum Unified Whole ☆By Martha Rogers ☆Man is composed of certain parts ☆Total of those parts is more than the sum of all parts ☆This is because man has attributes
    • The human being is a unified whole possessing individual integrity and manifesting characteristics that are more than and different from the sum of parts. Vital Reparative Process ☆By Florence Nightingale ☆Man is passive in influencing the nurse or the environment
    • Human beings are not defined by Nightingale specifically.
    • defined in relation to their environment and the impact of the environment upon them. Man is a whole. Man is complete ☆By Virginia Henderson ☆Man has fourteen (14) fundamental needs
    • Need Theory
    • emphasizes the importance of increasing patient's independence and focusing on the basic human needs so that progress after hospitalization would not be delayed. HUMAN NEEDS
    • Needs are physiologic and psychologic.
    • Both these needs must be met in order to maintain well- being. KEY CONCEPT
    • Basic Human Needs are equivalent to COMMON NEEDS

CHARACTERISTICS OF HUMAN NEEDS

  • Universal
  • Interrelated
  • One need is related to another need
  • May be stimulated by internal or external factors
  • May be deferred (but not indefinitely) ABRAHAM MASLOW'S HIERARCHY OF NEEDS Why do we study this?
  • In order to prioritize nursing actions Physiologic needs Food, Air, Drink, Shelter, Warmth, Sex, Sleep, Maintenance of homeostasis ABRAHAM MASLOW'S MODIFIED HIERARCHY OF EIGHT NEEDS (1990)
  • Need to know and understand or Cognitive needs is supported by Richard Kalish who says that:

Man needs stimulation Needs to explore Sex

  • Activity
  • Novelty
    • Stimulator
    • Desire to come up with something of your own Self-actualization:
  • Personal growth and fulfillment
  • Able to fulfill needs and ambitions
  • Maximizing one's full potential Transcendence :
  • Helping others to self- actualize CHARACTERISTICS OF SELF-ACTUALIZED PERSONS
  • Judges people correctly
    • Superior perception
    • Decisive
    • Capable of making decisions
    • Clear notion as to what is right and wrong CONCEPT
    • Self-Actualization is very difficult to attain
    • It is impossible to attain
    • New needs come after getting one need Self-Actualization: occurs when a person is able to take full advantage of his or her talents while being mindful of his or her limitations. HEALTH HEALTH was defined in terms of the presence or absence of disease. Florence Nightingale’s definition: A state of being well and using every power of the individual possesses to the fullest extent. According to AΝΑ: Is a dynamic state of being in which the developmental and behavior potential individual is realized to the fullest extent possible. According to WHO: a state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity. HEALTH is not something that an individual achieves suddenly at a specific time. It is an ongoing process- a way of life- through which an individual develops and encourages every aspect of the body, mind and feelings to interrelate harmoniously as much as possible.
  • Diet
  • activity
  • alcohol, cigarette, and other drug use
  • Hand washing DETERMINANTS OF HEALTH: BIOLOGY and GENETICS older adults biologically prone to being poor in health than adolescents due to physical cognitive effects of aging. sickle cell disease - common ex. of genetic determinant an inherited disorder that affects the shape of red blood cells (shape is like sickles or crescent moon, cells becomes rigid and sticky, which slow or block blood flow). CONTRIBUTING FACTORS OF HEALTH INEQUALITIES:
  • Poverty
  • unequal access to health care
  • lack of education
  • stigma and racism FACTORS AFFECTING HUMAN HEALTH
    1. Inherited influences
    2. environmental influence
    3. behavioral influences HEALTH BEHAVIORS
  • personal behavior patterns, actions, and habits that people perform to stay healthy, in order to restore health and improve health status. WELLNESS
  • a state of well- being. BASIC ASPECTS includes: ▪ self responsibility ▪ an ultimate goal ▪ a dynamic, growing process ▪ growing process ▪ daily decision making in areas of nutrition ▪ Stress management ▪ Physical fitness ▪ Preventive healthcare ▪ Emotional health ▪ Whole being of the individual WELL-BEING
  • a function of life opportunities and achievements Multidimensional, reflecting people’s functioning… such as consumption and personal security- and their capabilities– the objective conditions in which choices are made and that shape people’s ability to transform resources into given ends, such as health. (WHO, 2013, p 89.) COMPONENTS OF WELLNESS
  1. PHYSICAL Ability to carry out daily tasks Achieve fitness Maintain nutrition and proper body fat Avoid abusing drugs, alcohol, or using tobacco products Practices positive life style habits
  2. SOCIAL Ability to interact successfully with people and within the environment Develop and maintain intimacy with significant others Develop respect and tolerance for those with different opinions and beliefs
  3. EMOTIONAL
  4. INTELLECTUAL
  5. SPIRITUAL
  6. OCCUPATIONAL
  7. ENVIRONMENTAL MODELS OF HEALTH AND WELLNESS Because Health is a complex concept, various researchers develop models or paradigms that gives explanation s and relationship between health and illness or injury. Is helpful in assisting health professionals in meeting the health and wellness needs of individuals. CLINICAL MODEL (M.B. Belloc & L. Breslo, 1972) is the narrowest interpretation of health.

Individuals are viewed as physiologic systems with related functions, and health is identified by the absence of signs and symptoms of disease or injury. The state of not being sick The opposite of health is disease or injury ROLE PERFORMANCE MODEL (Parsons 1958) an individual's ability to fulfill societal roles, to perform his or her work. Individuals who can fulfill their roles are healthy even if they have health problems. Ex. A man works all day at his job as expected is healthy even though he has migraines.

  • Illness is seen as the inability to fulfill societal roles. ADAPTIVE MODEL is a creative process; disease is failure in adaptation, or maladaptation The aim of treatment is to restore the ability of the individual to adapt, that is to cope. According to this model, extreme good health is flexible adaptation to the environment and interaction with the environment to maximum advantage. Roy's Adaptation Model- views the individual as an adaptive system- focus is stability but with an element of growth and change. EUDEMONISTIC MODEL is the most comprehensive, holistic view of health. Health is the actualization or realization of one's potential ACTUALIZATION- is the apex of fully developed personality Illness is seen as the failure to actualize or realize one's potential AGENT-HOST ENVIRONMENT MODEL is the most comprehensive, holistic view of health. Health is the actualization or realization of one's potential ACTUALIZATION - is the apex of fully developed personality Illness is seen as the failure to actualize or realize one's potential VARIABLES INFLUENCING HEALTH STATUS, BELIEFS, & BEHAVIORS HEALTH STATUS : State of health of an individual at a given time. HEALTH BELIEFS : Concepts about health that an individual believes are true HEALTH BEHAVIOR : Actions individual take to understand their health status INTERNAL VARIABLES BIOLOGICAL DIMENSION : Genetic makeup, sex, age, and developmental level PSYCHOLOGICAL DIMENSION : Emotional factors which include mind-body interactions and self concept COGNITIVE DIMENSION : Intellectual factors which include lifestyle choices, spiritual and religious beliefs EXTERNAL VARIABLES Includes physical environment, standards of living, family and cultural beliefs, and social support networks. ENVIRONMENT Geographical location determines climate which affects health Environmental hazards- sulfur dioxides, nitrogen dioxides, radiation, pesticides, chemicals to control weeds and plant diseases STANDARDS OF LIVING Reflecting occupation, income, and education Hygiene, food habits and the ability to seek healthcare advice and follow health regimens vary by income level FAMILY AND CULTURAL BELIEFS Family passes on patterns of daily living of lifestyles to offspring’s. CULTURE Influences how the individual perceives, experiences, and copes with health and illness.

When symptoms persist, the individual is motivated to seek help. STAGE 3. MEDICAL CARE CONTACT

  • sick client seek the advice of a health professionals 3 TYPES OF INFORMATION BEING ASKED: Validation of real illness Explanation of the symptoms in understandable manner Reassurance that they will be alright or prediction of what the outcome will be. Client may accept or deny the diagnosis STAGE 4. DEPENDENT CLIENT ROLE Client becomes dependent on professional help Client accepts dependence on the primary care provider Other client have minimal dependence and do everything [possible to attain independence. Others may try to maintain independence to the detriment of their recovery. STAGE 4. DEPENDENT CLIENT ROLE The client is expected to relinquish the dependent role and resume former roles and responsibilities. Clients with acute illness- time of an ill client is short, recovery is rapid. Clients with long term illness, must adjust to their lifestyle and recovery is more difficult. With permanent disability, final stage may require therapy to learn major adjustments in functioning. EFFECTS OF ILLNESS
    1. IMPACT ON THE CLEINT
      • ill clients may experience behavioral and emotional changes, changes in self concept and body image, and lifestyle changes, diet, activity, exercise, rest and sleep patterns. Ill clients are also vulnerable to loss of autonomy, the state of being independent and self directed without outside constructs
    2. IMPACT OF THE FAMILY role changes Task reassignments and increase demands on time Increased stress due to anxiety about the outcome of the illness for the conflict and the unaccustomed responsibilities Financial problems Loneliness as a result of separation and pending loss change in social customs LESSON 2: Concept of Nursing; Basic Roles to Nursing Practice ENGAGE ART OF NURSING
  • is the caring, compassion, understanding, communicating, and loving for patients. SCIENCE OF NURSING
  • is the pathophysiology, disease process, and techniques learned during the education and applied during patient care. NURSE
  • applies the art and science of nursing when she is able to use the scientific knowledge learned from school. Nursing and caring are grounded in a relational understanding, unity, and connection between the professional nurse and the patient. The nurse maintains the concept, art, and act of caring as the moral center of nursing profession. keeping the care involves: the application of art and sciences , scientific research conscious commitment to the art of caring as an identity of nursing purposeful efforts to include caring behaviors during each nurse patient interaction. EXPLORE nowadays, nurse is no longer seen as a caregiver or mother figure. is no longer seen as subordinated to the doctor NOW, the nurse is seen as part of a collaborative, healthcare professional group that questions physician’s order and advocates for the patient when necessary. (Castledine 2010) “The art of nursing was known to care for the sick, bringing back to health, and the science of nursing was more related to the aspect of cleanliness and nourishment.”
  • has changed and has becoming more

medicine and evidenced based practice. Art of Nursing is unique to each nurse Roles of the Nurse Coordinator, Communicator, Teacher, Counselor, Manager, Leader, Team player, Motivator, Delegator, Critical thinker, Innovator, Researcher, Advocate Coordinator

  • Coordinates and plans care
  • Piece together fragmented care
  • Prepares pt. for discharge
  • Liaison in health care team Communicator
  • Establish rapport
  • Establish therapeutic (helping) relationship
  • Be aware of verbal & nonverbal communication
  • Assertive communicator Teacher
  • Educate pt. to develop self-care abilities
  • Provide knowledge to allow pt. to make informed decisions
  • Demonstrate needed skills
  • Promote health, prevent illness, restore health & facilitate coping Counselor
  • Assist and guide pt. in solving problems or making decisions
  • Utilize the interpersonal (helping) relationship
  • Nurse doesn’t tell pt how to solve the problem guide pt to decisions (self- determination)
  • Utilize the nursing process
  • "Could you just listen" Manager
  • Plans
    • Organizes
    • Directs
    • Controls
    • Delegates Leader
    • Have visions to energize others
    • Motivates others to achieve goals
    • Encourages others to do their best
    • Works collaboratively
    • Have wider variety of roles then managers Team Player
    • Nurses are part of a team
    • Don't work in isolation
    • Who are the other team members?
    • What does being a team player mean? Motivator
    • Motivation - Internal impulse that allows one to take action or change behaviors.
    • Nurses motivate patients to make changes by: having a positive attitude, listening to patient needs, encouraging, rewarding, and devoting time and energy to assist with changes. Critical Thinker
    • A way of looking at problems other than the obvious
    • "Thinking outside the box"
    • Looking at the big picture
    • Question why something is being done
    • Ask, "what if.....""
    • Open to new ideas Advocate
    • Protect and support the pt.
    • Patient representative for ALL pt.