Week 3: Chapter 8 Health, Wellness, and Illness

Week 3: Chapter 8 Health, Wellness, and Illness Critical thinking Questions: - · What is health? · What influences how we understand health? · Why does this matter? Learning Outcomes: · differentiate between health, wellness, and illness, and how they are related n e e · Describe 8 different domains of wellness and explain their relatedness · Can explain the WHO definition of health · Can describe how diverse experiences of health and/or wellness may be influenced by social positioning · Subjective vs. Objective World Heath Organizations (WHO) definition of health: · “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity” · This definition evolved to include that to achieve full health, a person must have the capacity to “identify and to realize aspirations, to satisfy needs and to change or cope with the environment” Disease: the physiological deviation from normal - defined and measured objectively - diseases cause altered functioning that requires clients to adapt and move toward health Illness: the experience of living with a disease - subjective and based on the individuals experience Health: the state of someone being physiology well or unwell - objective - can be measured through external assessment and measures Wellness: the process of trying to reach optimal health - a subjective measure that is more challenging to assess 8/9 Dimensions of Wellness: Diverse Population Considerations: 2. Environmental disability and social models. These tend to focus on the 1. Emotional 3. Intellectual 4. Physical 5. Occupational 6. Spiritual 7. Social 8. Financial 9. Sexual · Disability: disability can be understood by medical, deficits of the individual/situation rather than letting the disabled person define what is wellness · Gender & Sexually Diverse Populations: this population has historically faced stigmatization & discrimination when accessing healthcare. This can contribute directly to feelings of wellness. · Indigenous Health: ideas of health and wellness are shaped by indigenous practices & culture. Indigenous health is based on holism, whereby “the balance of physical, spiritual and mental” aspects contribute to health. Determinants of health: any factors that impact health. This includes income, social status, social support networks, education and literacy, employment/working conditions, social environments, physical environments, personal health practices and coping skills, healthy child development, biology and genetic endowment, health services, gender, and culture. · determinants can affect an individual, a family, a community, or a larger population Key message: Ours & our patients understandings of these concepts are shaped by our personal experiences, values, and beliefs, these are subjective and therefore definitions may differ between individuals Questions from class: 1. What has the greatest influence on the subjective information the client provides during an assessment interview? a. The trust the client has in the nurse b. The clients life experiences ⑧ c. The assessment question being asked d. How the nurse presents the question to the client 2. A student nurse is attempting to determine the level of wellness for a client with a chronic disease. The student should primarily address which of the following variables? a. The relationship between the clients self-assessment and the nurses assessment b. The relationship between the clients mood and her physical status c. The clients health status in comparison with other adults of a similar age d. The clients individual experience of what it means to be healthy 0 3. A student nurse is performing an assessment of a hospitalized client. What component of the assessment will allow the student to document data related to a subjective way of knowing? a. Auscultation the clients abdomen using his stethoscope b. Asking the client to describe the character of her abdominal pain 0 c. Comparing the clients blood pressure in her left arm with that of her right arm d. Palpating the clients abdomen to determine whether is is firm 4. A nursing student is attempting to assess a new clients level of spiritual wellness. What principle should guide this component of the students assessment? a. It is beyond the scope of a nursing student or a recent nursing graduate b. Spiritual assessment is important for clients who adhere to a religion c. Each person understands and experiences spirituality in a unique way ⑧ d. Spiritual wellness is often indistinguishable from emotional wellness