health promotion dr. wajed hatamleh nur 211 chapter16
TRANSCRIPT
![Page 1: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/1.jpg)
Health PromotionDr. Wajed Hatamleh
NUR 211
Chapter16
![Page 2: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/2.jpg)
Learning OutcomesLearning Outcomes
1. Explain the relationship of individuality and holism to nursing practice.
2. List four main characteristics of homeostatic mechanisms.
3. Identify theoretical frameworks used in individual health promotion.
4. Identify Maslow’s characteristics of the self-actualized person.
![Page 3: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/3.jpg)
Learning Outcomes (cont'd)Learning Outcomes (cont'd)
5. Describe the vision, mission, and goals of Healthy People 2020 and the development process for specific objectives to help improve the health of a community.
6. Differentiate health promotion from health protection or illness prevention.
7. Identify various types and sites of health promotion programs.
![Page 4: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/4.jpg)
Learning OutcomesLearning Outcomes
8. Discuss the Health Promotion Model.
9. Explain the stages of health behavior change.
10.Discuss the nurse’s role in health promotion.
11.Describe components of health assessment that pertain to health promotion.
![Page 5: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/5.jpg)
Learning Outcomes (cont'd)Learning Outcomes (cont'd)
12.Discuss nursing diagnosing, planning, implementing, and evaluating as they relate to health promotion.
![Page 6: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/6.jpg)
Assessing and Planning Health Assessing and Planning Health CareCare
• Enhanced when nurses understand:– Individuality– Holism– Homeostasis– Human needs
![Page 7: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/7.jpg)
Concept of IndividualityConcept of Individuality
• Each individual is a unique being • Focus on total care and individualized care
context• Total care context considers all the
principles that apply when taking care of any client
![Page 8: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/8.jpg)
Concept of Individuality (cont'd)Concept of Individuality (cont'd)
• Individualized care context means using the total care principles that apply to the person at this time
![Page 9: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/9.jpg)
Holism Holism
• Concerned with the individual as a whole, not as an assembly of parts
• Strive to understand how one area of concern relates to the whole person
• Consider the relationship of individuals to the environment and to others
• Interventions are directed toward restoring overall harmony
![Page 10: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/10.jpg)
Physiological HomeostasisPhysiological Homeostasis
• Homeostasis is the tendency of the body to maintain a state of balance or equilibrium while constantly changing. Homeostatic mechanisms have four main characteristics:
• Self-regulatory• Compensatory
![Page 11: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/11.jpg)
Psychological HomeostasisPsychological Homeostasis
• Emotional or psychological balance or a state of mental well-being
• A stable physical environment in which the person feels safe and secure
• A stable psychological environment where feelings of trust and love are developed
![Page 12: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/12.jpg)
Psychological Homeostasis (cont'd)Psychological Homeostasis (cont'd)
• A social environment includes adults who are healthy role models
• A life experiences the provides satisfactions
![Page 13: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/13.jpg)
Applying Theoretical FrameworksApplying Theoretical Frameworks
A variety of theoretical frameworks provide the nurse with a holistic overview of health promotion. – Needs Theories : Maslow– Developmental Stage Theories
![Page 14: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/14.jpg)
Figure 16-3 Maslow’s needs.From Psychology of Human Behavior, 5th ed., by R. A. Kalish, © 1983. Wadsworth, a part of Cengage Learning, Inc. Reproduced by permission, www.cengage.com/permissions.
![Page 15: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/15.jpg)
Needs TheoriesNeeds Theories
• Maslow’s five levels of human needs– Physiological needs– Safety and security needs– Love and belonging needs– Self-esteem needs– Self-actualization
![Page 16: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/16.jpg)
Needs TheoriesNeeds Theories
• Developmental stage theories– Describe typical behaviors within a certain age
group– Explain the significance of those behaviors– Predict behaviors that might occur in a given
situation– Provide rationale to control behavioral
manifestations– Can be used in parental and client education,
counseling, and anticipatory guidance
![Page 17: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/17.jpg)
Healthy People 2020Healthy People 2020
• Belief that individual health is closely linked to community health and the reverse
• Partnerships are important to improve individual and community health– Business, local government, and civic,
professional, and religious organizations can all participate
![Page 18: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/18.jpg)
Box 16-2Box 16-2 Healthy Healthy People People 2020 2020
FrameworkFramework
![Page 19: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/19.jpg)
Defining Health PromotionDefining Health Promotion
• Three levels of prevention– Primary focuses on health promotion,
protection against specific health problems– Secondary focuses on early identification of
health problems, prompt intervention to alleviate health problems
– Tertiary focuses on restoration and rehabilitation with the goal of returning the individual to an optimal level of functioning
![Page 20: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/20.jpg)
Defining Health PromotionDefining Health Promotion
• Health promotion is behavior motivated by the desire to increase well-being and actualize human health potential
• Disease prevention or health protection is behavior motivated by a desire to actively avoid illness, detect it early or maintain functioning with the constraints of illness
![Page 21: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/21.jpg)
Sites for Health Promotion Activities Sites for Health Promotion Activities
• Various settings for programs:– In home– Community setting– Schools– Hospitals– Worksites
![Page 22: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/22.jpg)
• Identify one health promotion behavior that you have attempted to change or would like to change.
• For example, has the student attempted to change this behavior before? If so, what happened and how might this prior attempt at behavior change influence this attempt to change the behavior?
![Page 23: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/23.jpg)
Health Promotion Model (HPM)Health Promotion Model (HPM)
• Competence or approach-oriented model • Motivational source for behavior changes
based on individual’s subjective value of the change
![Page 24: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/24.jpg)
Variables of HPMVariables of HPM
• Individual characteristics and experiences– Personal factors– Prior related behaviors
![Page 25: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/25.jpg)
Variables of HPM (cont'd)Variables of HPM (cont'd)
• Behavior-specific cognitions and affect– Perceived benefits of action– Perceived barriers to action– Perceived self-efficacy– Activity-related affect– Interpersonal influences– Situational influences
![Page 26: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/26.jpg)
Variables of HPM (cont'd)Variables of HPM (cont'd)
• Commitment to a plan of action• Immediate competing demands and
preferences• Behavioral outcome
![Page 27: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/27.jpg)
Figure 16-4 The Health Promotion Model (Revised).From Health Promotion in Nursing Practice, 6th ed. (p. 45), by N. J. Pender, C. L. Murdaugh, and M. A. Parsons, 2011, Upper Saddle River, NJ: Prentice Hall. Reprinted with permission.
![Page 28: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/28.jpg)
Figure 16-5 The stages of change are rarely linear. It is more common for people to recycle several times through the stages. The person who takes action and has a relapse (recycles through some or all of the stages again) is more apt to be successful the next time than the individual who never takes action.Diagram based on content from Changing for Good, by J. O. Prochaska, J. C. Norcross, and C. C. DiClemente, 1994. Copyright by J. O. Prochaska, J. C. Norcross, and C. C. DiClemente. Reprinted by permission of HarperCollins Publishers Inc.; and “The Transtheoretical Model and Stages of Change” by J. O. Prochaska, C. A. Redding, and K. E. Evers, in Health Behaviors and Health Education: Theory, Research, and Practice, 3rd ed., 2009, by K. Glanz, B. K. Rimer, and F. M. Lewis (Eds.). Copyright © 2009 by Jossey-Bass. Reproduced with permission from John Wiley & Sons, Inc.
![Page 29: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/29.jpg)
Nurse’s Role in Health Promotion Nurse’s Role in Health Promotion
• Model healthy lifestyle• Facilitate client involvement• Teach self-care strategies• Assist individuals, families, and
communities to increase levels of health• Educate clients to be effective health care
consumers
![Page 30: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/30.jpg)
Nurse’s Role in Health Promotion Nurse’s Role in Health Promotion
• Assist clients, families, and communities to develop and choose health-promoting options
• Guide development in effective problem solving and decision making
• Reinforce clients’ personal and family health-promoting behaviors
• Advocate in the community for changes that promote a healthy environment
![Page 31: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/31.jpg)
Assessment of HealthAssessment of Health
• Health history • Physical examination• Physical fitness assessment• Lifestyle assessment• Spiritual health assessment
![Page 32: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/32.jpg)
Assessment of Health (cont'd)Assessment of Health (cont'd)
• Social support system review• Health risk assessment• Health beliefs review• Life-stress review
![Page 33: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/33.jpg)
DiagnosingDiagnosing
• Wellness diagnoses can be applied at all levels of prevention
• Useful for healthy clients who require teaching for health promotion, disease prevention, and personal growth
• Provides a clear focus for planning interventions without indicating a problem exists
![Page 34: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/34.jpg)
PlanningPlanning
• Based on needs, desires, and priorities of the client
• Client decides on: – Goals– Activities or interventions to achieve these
goals– Frequency and duration of activities– Method of evaluation
![Page 35: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/35.jpg)
Implementing Health Promotion Implementing Health Promotion Plans Plans
• Involve both the nurse and the client• Nursing interventions include:
– Review and summarize data from assessment– Reinforce strengths and competencies– Identify health goals – Identify behavioral outcomes– Develop a behavior-change plan– Reiterate benefits of change
![Page 36: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/36.jpg)
Implementing Health Promotion Implementing Health Promotion Plans (cont'd)Plans (cont'd)
• Nursing interventions include:– Address environmental and interpersonal
facilitators and barriers– Determine a time frame– Formalize commitment– Implementing Health Promotion Plans– Exploring available resources– Implementing
![Page 37: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/37.jpg)
Implementing Health Promotion Implementing Health Promotion Plans (cont'd)Plans (cont'd)
• Nursing interventions include:– Providing and facilitating support– Individual counseling sessions– Telephone or computer counseling– Group support– Facilitating social support– Providing health education– Enhancing behavior changes– Modeling
![Page 38: Health Promotion Dr. Wajed Hatamleh NUR 211 Chapter16](https://reader031.vdocument.in/reader031/viewer/2022020320/5697bf821a28abf838c85d2e/html5/thumbnails/38.jpg)
Evaluating Evaluating
• Ongoing • Client actions may include:
– Continue the plan– Reorder priorities– Change strategies– Revise the contract
• Collaborative effort