HEALTH AND WELLNESS

POTTER & PERRY,

CHAPTER 6

NUR501, Week 1

INTERNAL VARIABLES
Developmental stage
Intellectual background
Perception of functioning
Emotional factors
Spiritual factors

EXTERNAL VARIABLES
Family practices/habits/traditions
Socioeconomic factors
Cultural background

TERMS
Health promotion
Wellness
Disease prevention

LEVELS OF PREVENTION
Primary
Secondary
Tertiary

QUICK QUIZ!
2. After evaluating a patients external variables, the nurse
concludes that health beliefs and practices can be
influenced by
A. Emotional factors.
B. Intellectual background.
C. Developmental stage.
D. Socioeconomic factors.

RISK FACTORS
Age
Genetic factors
Environment
Lifestyle

TRANSTHEORETICAL
MODEL OF CHANGE
Precontemplation
Contemplation
Preparation
Action
Maintenance

NURSING ASSESSMENT
POTTER AND PERRY,
CHAPTER 16

METHOD OF
ASSESSMENT
Gordons functional health patterns
Problem-oriented
Systems Assessment (ROS)

METHODS OF DATA
COLLECTION
Patient-centered interview
Interview techniques

NURSING HEALTH
HISTORY

DATA VALIDATION

COMMUNICATION
POTTER & PERRY, CHAPTER 24

COMMUNICATION AND
ASSESSMENT
What communication skills do you use for assessment?
What types of patients prove more of a challenge in
communication?

LEVELS OF
COMMUNICATION
Intrapersonal
Interpersonal
Transpersonal
Small-group
Public

ELEMENTS OF
COMMUNICATION
Referent
Sender and receiver
Message
Channels
Feedback
Interpersonal variables
Environment

FORMS OF
COMMUNICATION
Verbal

Nonverbal

Includes 5 senses
Vocabulary
Personal appearance
Denotative meaning
Posture and gait
Connotative meaning
Facial expression
Pacing
Eye contact
Intonation
Gestures
Clarity and brevity
Sounds
Timing and relevance
Territoriality and personal space

PERSONAL SPACE
Enjoy this 2-minute Seinfeld video about personal
space.
(2009, Dec. 4). Social awareness-close talker.wmv.
SEINFELD S05E18 The Raincoats - Season 5 - Episode
18. Retrieved from
https://www.youtube.com/watch?v=NGVSIkEi3mM

SBAR
Situation what is happening right now
Background
Assessment
Recommendation tell doctor what you think you need
to do

COMMUNICATION
STRATEGIES
Active listening
Sharing observations
Sharing empathy

Focus

Sharing hope, humor

Paraphrase

Sharing feelings

Ask relevant questions

Using touch
Using silence
Provide information,
clarify

Summarize
Self-disclosure
Confrontation

COMMUNICATION
STRATEGIES TO AVOID
Ask personal questions
Give personal opinions
Change the subject
Automatic responses
False reassurance
Sympathy
Ask for explanations

Approval or disapproval
Defensive responses
Passive or aggressive responses
Arguing

COMMUNICATION
Block, P. (May 28, 2013). Gifts:
https://www.youtube.com/watch?v=I1pEPAJv8Eg
Block, P. (May 28, 2013). Are you the problem?
Retrieved from
https://www.youtube.com/watch?v=3ZcjLzWWAYY

INFECTION PREVENTION
AND CONTROL

Potter and
Perry,
Chapter 28

TERMS
Health care-associated infections
Iatrogenic infections
Exogenous infections
Endogenous infections

LABORATORY TESTS TO
SCREEN FOR INFECTION
Normal values

Indication of infection

White blood cells: 5,000-10,000/mm3

Erythrocyte sedimentation rate:
men, <20mm/hr women
Iron level: 60-90 g/100 ml

<15mm/hr for

WBC > 10,000/mm3

ESR > 15 mm/hr men,

> 20 mm/hr women

Iron level: < 60 g/100 ml

TIER ONE/STANDARD
PRECAUTIONS

TYPES OF PRECAUTIONS
Airborne
Droplet
Contact

ISOLATION ROOM
ABC News. (2015). Ebola infected aid workers to be
treated in Emory isolation room. Retrieved from
http://abcnews.go.com/GMA/video/ebola-infected-aid-w
orkers-treated-emory-isolation-room-24818578

INFECTION PREVENTION
Here is a link to the plan for the state of Ohio to
decrease Healthcare-associated infections.
Centers for Disease Control and Prevention. (2015).
State-based HAI prevention. Retrieved from http://
www.cdc.gov/HAI/stateplans/state-hai-plans/oh.html

REFERENCES
Potter, P. & Perry, A. (2013). Fundamentals of nursing:
Concepts, processes, and practice (8thed.). St. Louis:
C.V. Mosby.