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Health and Physical Assessment In Nursing 3rd
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D’Amico Chapter 2
Concepts for Lecture
Resource Library
PEARSON NURSING STUDENT RESOURCES
KeyConcepts
ApplicationThroughCriticalThinkingCaseStudy
Documentation
NCLEX-RN® Review
MediaLinkApplication
MediaLinks
AudioGlossary
Toolbox
NYTimes
LEARNING OUTCOME 1
Describe the concepts of wellness and health promotion.
Concepts for Lecture
1. Wellness describes a state of life that is balanced, personally satisfying, and characterized by health-enhancing behaviors.
©2012 by Pearson Education, Inc
D’Amico/Barbarito, Instructor’ s Resource Manual for Health & Physical Assessment In Nursing, 2nd Edition
2. Health promotion refers to those actions used to increase health or well-being of individuals, families, and communities.
3. Individual health promotion includes identification of biologic, lifestyle, and environmental risks that influence wellness and promoting efforts to reduce risks.
©2012 by Pearson Education, Inc D’Amico/Barbarito, Instructor’ s Resource Manual for Health & Physical Assessment In Nursing, 2nd Edition
PowerPoint Slides
1. Wellness A State of Life That Is Balanced, Personally Satisfying, and Characterized by Health-Enhancing Behaviors
2. Health Promotion Actions to Increase Health and Well-Being of Individuals, Families, and Communities
3. Individual Health Promotion Biological, Lifestyle, and Environmental Risks
Suggestions for Classroom Activities
• Ask students to write and discuss their own definitions of wellness and health promotion.
Suggestions for Clinical Activities
• Have students ask another health professional to define wellness and health promotion.
LEARNING OUTCOME 2
Discuss the theories of wellness
Concepts for Lecture
1. Dunn defined wellness as an integrated method of functioning, oriented toward maximizing the potential of the individual. Dunn’s theory of wellness uses two intersecting axes: health and environment.
2. Leavell and Clark describe wellness in terms of primary, secondary, and tertiary levels of prevention. Primary prevention implies health and a high level of wellness for the individual. Secondary prevention involves earlydiagnosis of health problems and prompt treatment with restoration of health. Tertiary prevention is activity aimed to restore the individual to the highest possible level of health and functioning.
3. Travis and Ryan use a continuum to describe the state of health with high-level wellness and premature death at the ends of the continuum.
PowerPoint Slides
1. Dunn (Figure 2.1)
• Definition
• Health and environment
©2012 by Pearson Education, Inc
D’Amico/Barbarito, Instructor’ s Resource Manual for Health & Physical Assessment In Nursing, 2nd Edition
2. Levels of Prevention (Figure 2.2 and Table 2.1)
• Primary
• Secondary
• Tertiary
3. Travis Continuum
• High-level wellness
• Premature death
Suggestions for Classroom Activities
• Ask students to compare and contrast the theories of wellness.
LEARNING OUTCOME 3
Discuss the perspectives of health promotion for the individual, family, and community
Concepts for Lecture
1. A variety of models have been developed to explain health promotion behaviors, which include the health belief model, the theory of reasoned action/planned behavior, and the health promotion model. Health promotion models guide interventions.
2. The health belief model predicts which individuals will participate in health screenings or obtain vaccinations. It includes two constructs, which are cues to action and self-efficacy.
3. According to the theory of reasoned action/planned behavior, the intention to perform a behavior is a determinant in performance of the behavior. This intention is affected by subjective norms, attitudes, and self-efficacy
4. The health promotion model focuses on variables that impact motivation and behavioral outcomes. The aspects of the model include individual characteristics and behaviors, behavior-specific cognition and affect, perceived benefits of action, perceived barriers to action, activity-related affect, situational influences, commitment to a plan of action, and behavioral outcomes.
5. Personal factors that can influence behavior are biologic, psychologic, and sociologic.
6. Nursing interventions should focus on modifiable health risk factors as well as health assessment and screening.
©2012 by Pearson Education, Inc D’Amico/Barbarito, Instructor’ s Resource Manual for Health & Physical Assessment In Nursing, 2nd Edition
7. Environments that are safe, interesting, and promote comfort and acceptance versus alienation are factors that facilitate health promotion.
PowerPoint Slides
1. Models for Health Promotion Health Belief Model, Theory of Reasoned Action/Planned Behavior, Health Promotion Model
2. Health Belief Model (Figures 2.4 and 2.7)
• Cues to self-action
• Self-efficacy
3. Theory of Reasoned Action/Planned Behavior (Figures 2.5 and 2.8)
• Subjective norms
• Attitudes
• Self-efficacy
4. Health Promotion Model (Figures 2.6 and 2.9)
• Individual characteristics and behaviors
• Behavior-specific cognition and affect
• Perceived benefits of action
• Perceived barriers to action
• Activity-related affect
• Situational influences
• Commitment to a plan of action
• Behavioral outcomes
5. Personal Factors
• Biologic
• Psychologic
• Sociologic
6. Nursing Interventions
7. Environmental Factors Suggestions for Classroom Activities
©2012 by Pearson Education, Inc
D’Amico/Barbarito, Instructor’ s Resource Manual for Health & Physical Assessment In Nursing, 2nd Edition