1. NUR 102 FUNDAMENTALS OF NURSING Chapter 1 Health and Wellness Andrea� G. Bowden-Evans, RN, MSN, CRNP Shelton State Community College

2. Learning Objectives Define key terms - health, illness, wellness�. Describe the variables that influence Health Beliefs/Practices Define terms related to health promotion, wellness and illness prevention

3. Objectives (contd) Describe the three levels of preventive care Identify risk factors that influence one�s health Describe the impact of illness on patients and family

4. Define Key Terms Health Illness State of wellness

5. Variables Influence Health Beliefs/Practices Internal Developmental, intellect, functional ability, emotional, and spiritual External Family Practices, Socioeconomic, and cultural background Give examplesGive examples

7. Concepts on: Health Promotion Active Strategies Passive Strategies Wellness Illness Prevention

8. Three Preventive Levels of Care Primary Level Secondary Level Tertiary Level Two categories of illness acute chronic

9. Risk Factors Influence Health Genetic and Physiology Age Environment Lifestyle

10. 1# Critical Thinking Exercise This is a 46 year old female who is moderately over weight, has high cholesterol, complaints of fatigue. She is married, Caucasian, housewife and has five children. She admits to not exercising and family history of coronary arterial diseases. She is diagnosed as D.M. � type 2. Discuss her risk factors. Risk factors and variables ( internal or external) Model of belief � Youngest child is 16 years old. Married young and had most children at young age. What is the level of care. Is she actively involved in health care.Risk factors and variables ( internal or external) Model of belief � Youngest child is 16 years old. Married young and had most children at young age. What is the level of care. Is she actively involved in health care.

12. 2# Critical Thinking Exercise This is a 46 year old female who is moderately over weight, has high cholesterol, complaints of fatigue. She is married, Caucasian, housewife and has five children. She admits to not exercising and family history of coronary arterial diseases. She is diagnosed as D.M. � type 2. What are the different internal and external variables?

13. Stages of Health Behavior ChangeNursing Implications Precontemplation Contemplation Preparation Action Maintenance

14. Illness Acute Illness and Chronic Illness acute/chronic Illness Behavior Variables Influencing Illness Behavior Internal-perception; coping skills External-social, economic, cultural

16. �Riddle Me This� What do you get when you cross poison ivy with a four leaf clover?

17. �Riddle Me This� What do you get when you cross poison ivy with a four leaf clover? A rash of good luck

18. Impact of Illness on Client and Family Behavioral and Emotional Changes Body Images Self-Concept Family Roles and dynamics

19. 3# Critical Thinking Exercise This is a 46 year old female who is moderately over weight, has high cholesterol, complaints of fatigue. She is married, Caucasian, housewife and has five children. She admits to not exercising and family history of coronary arterial diseases. She is diagnosed as D.M. � type 2. Describe the impact that the client�s illness may have on family/significant others.

20. �Riddle Me This� What did the man say when a picture fell on his head?

21. �Riddle Me This� What did the man say when a picture fell on his head? I�ve been framed.

22. Summary Health care consumer wants health promotion/wellness Insurance companies are changing from illness coverage to reimbursement of screening exams Acute Care to Community Setting