Treating the whole person, biological, social, psychological & spiritual Holistic Care a state of complete physical, mental and social well-being, not merely the absence of disease or infirmity Health individual perception of balance and harmony Wellness a state in which a person feels unhealthy illness 1. presence of symptoms 2. perception of how one feels 3. ability to carry out daily activities Criteria used to determine illness medical term describing an alteration in body function &/or a shortening of the normal life span Disease a graduated scale or grid, all persons are on the grid at any point, points are not well defined due to varying definitions What is the Health Continuum *genetics *race *sex *age & developmental level *emotional status *life style *physical/geographical envmt. *standard of living *availability of healthcare *culture *family *self concept * support system What are 10 factors influencing heath/illness actions taken by individuals to either promote or detract from their health status What are heath behaviors How important health is to the person (yrly exams, exercise), Percieved control (more control, more preventive measures) health behaviors are influenced by: percieved threat of a specific disease, percieved susceptibility, percieved seriousness are all: influening health behaviors *age *sex *occupation *socioeconomic status *religion *personality *education *coping mechanisms illness behaviors are influenced by: 1. Anxiety 2. Shock 3. Denial 4. Anger 5. Withdrawal What are the emotional responses to illness? Rapid onset of symptoms, short duration, may/not be life threatening, may/not require med attention, self-treatment common What are the defining characteristics of an acute illness? slow onset with remission & exacerbation, normal A & P are altered, permanent changes result, often rehab, requires acceptance of illness What are the defining characteristics of a chronic illness? When symptoms reappear What does exacerbation mean? when no symptoms are present remission chronic illness Leading health problems in the world 1. Symptom experience stage 2.assumption of sick role 3. medical contact stage 4. dependent patient stage 5.Recovery or rehab stage What are the 5 stages of illness? physical symptoms, told "you look sick", may use home remedies, interprets own symptoms, fear and anxiety Describe the symptom experience stage of illness realizes they are sick, may give up some activities, may /not see physician, continue home remedies, still fear, either improvment or tx sought Describe the assumption of sick role stage of illness wants info & validation of illness, if not validated may seek 2nd opinion describe the medical contact stage of illness may accept or reject pro opinion, struggle w. surrendering roles, obligations and independence, wants to maintain some control, needs open communication describe the dependent patient stage of illness return to normal roles and functioning, stage dependent upon seriousness & length of illness &adjustments needed, physical functng may return b4 socail describe the recovery or rehab stage of illness clients can experience loss of privacy, autonomy & lifestyles, assist in mutual goal setting, assess what client can do byself, provide supportive/caring envmt. provide positve feedback for goals achieved Nursing implications during illness stages role changes, task & assignmt changes, increased stress, financial changes, loneliness, anticipatory grieving, changes in social customs What are some changes caused by an ill family member? Health promotion & specific protections against diseases (focuses on those not experiencing problems) Keeping people well What is PRIMARY preventive care? Early detection, prompt intervention & health maintenance for those with health problems What is SECONDARY preventive care? aimed at helping th rehabilitate clients & restore them to a max level of functioning What is TERTIARY preventive care?