Franco l.

razon, man, rn
Divine word college of legazpi
College of nursing
A STATE OF COMPLETE
PHYSICAL, MENTAL AND
SOCIAL WELL-BEING, NOT
MERELY THE ABSENCE OF
DISEASE OR INFIRMITY.
WHO (1947)
 15 y/o boy with diabetes, takes injectable
insulin each morning. He plays the school
soccer team and is the editor of the school
newspaper
32y/o male, paralyzed from the waist down

and needs wheelchair for mobility. He is

taking accounting in a nearby college and is a
call center agent
72 y/o grandmother, takes antihypertensive

medication to treat high blood pressure, plays

bowling once a week and makes handicraft
for a local charity
 Being free from symptoms of
disease and pain as much as
possible
Being able to be active and to do

what they want or must

Being in god spirit most of the

times
1. Symptoms Experience
-Client realizes there is a problem
(physical experience of symptoms such as pain,
rash cough, fever or bleeding)
-Cognitive aspect (interpretation of the symptoms
in terms that have some meaning to the person)
-Client responds emotionally
(ex. Fear, anxiety)
2. Sick Role Assumption
_ Communication to others
- Self-medication/Self-treatment
- Seek professional help
3. Medical Care Contact

- Validation of real illness

-Explanation of the symptoms in understandable
terms
- Reassurance that they will be alright or prediction
of what the outcome will be.
4. Assumes a Dependent Role
-Accepts the diagnosis
-Follows prescribed treatment

5. Achieving recovery and rehabilitation

_ Gives up the dependent role and
assumes normal activities and responsibilities
 Wellness is a state of well-being
Self-responsibility
Ultimate goal
Dynamic growing process
Daily decision making in the areas of:
Nutrition
Stress management
Physical fitness
Preventive health care
Emotional heath
Whole being of the individual
To realize optimal health and wellness,
people must deal with the factor with
each component
 The ability to carry out daily tasks,
achieve fitness, maintain adequate
nutrition and proper body fat,
avoid abusing drugs and alcohol
or using tobacco products, and
generally to practice positive
lifestyle habits.
 The ability to interact successfully
with people and within the
environment of which each person is a
part, to develop and maintain intimacy
with significant others, and to develop
respect and tolerance for those with
different opinion and beliefs.
 The ability to manage stress and to
express emotion appropriately.
Emotional wellness involves the ability
to recognize, accept, and express
feelings and to accept ones
limitations
 The ability to manage stress and to
express emotion appropriately.
Emotional wellness involves the ability
to recognize, accept, and express
feelings and to accept ones
limitations
 The ability to learn and use
information effectively for personal,
family and career development. It
involves striving for growth and
learning to deal with new challenges
effectively.
 The ability to promote health
measures that improve the standard
of living and quality of life in the
community. This includes influences
such as food, water and air
 The belief in some force (nature,
science, religion or a higher power)
that serves to unite human beings and
provide meaning and purpose to life.it
includes a persons own morals,
values, and ethics.
 Theoretical way of
understanding a
concept or idea
 Health-illness continuum
Health belief model
Health promotion model
Basic human needs model
Holistic health model
 Health Belief Model
Three components
Individuals perception of susceptibility to illness

Individuals perception of seriousness of illness

Likelihood that person will take preventive action

 Defines health as a positive, dynamic state
Describes multidimensional nature of persons

as they interact within their environment

Desired behavioral outcome is end point
Result: improved health, enhanced functional

ability, better quality of life

Provides a a basis for nursing clients of
all ages in all health settings
..certain human needs more basic than
others; some needs must be met before other
needs
ALWAYS: emergent physiological need takes
precedence over a higher-level need.
Considers emotional and spiritual
well-being, as well as other
dimensions of individual, as
important aspects of physical
wellness.
Involves clients in their healing
process
 Internal External
Developmental stage Family practices
Intellectual Socioeconomic
background factors
Perception of Cultural background
functioning
Emotional factors
Spiritual factors
the science and art of
helping people change their
lifestyle to move toward a
state of optimal health.
 Primary prevention
Precedes disease or
dysfunction
AKA wellness
activities
Focus on maintaining
or improving general
health
 Secondary
prevention
Directed at diagnosis
and prompt
intervention
Reducing severity
and enabling client to
return to normal level
of health ASAP
 Tertiary prevention
Minimizing effect of
long-term disease or
disability
Aimed at preventing
complications and
deterioration
Directed at
rehabilitation
 Genetic and physiological
factors
Age
Environment
Lifestyle

GOAL: modify or eliminate

A STATE IN WHICH A PERSONS
PHYSICAL, EMOTIONAL,
INTELLECTUAL, SOCIAL,
DEVELOPMENTAL, OR SPIRITUAL
FUNCTION IS DIMINISHED OR
IMPAIRED COMPARED WITH
PREVIOUS EXPERIENCE.
 Acute Chronic
Potentially life- Potentially life-
threatening threatening
Short duration Usually >6 months
Severe Similar to disability
Abrupt onset
A CHRONIC DISABLING DISEASE INTERFERES
WITH ONGOING LIFE ADAPTATIONS BY
MAKING THE PERFORMANCE OF ROUTINE
TASKS MORE CHALLENGING.
 Nurse: provide client education
Goal: reduce the occurrence of symptoms or

improve tolerance of symptoms

Normalization: client/family adapts to

disease
 Internal EXTERNAL

variables: VARIABLES:
Client Visibility of
symptoms
perceptions
Social group
Nature of illness
Culture & ethnic
Coping skills SocioEconomics
 Behavioral and emotional changes
Impact on body image
Impact on self-concept
Impact on family roles
Impact on family dynamics