Menu Expand
Health Promotion Throughout the Life Span - E-Book

Health Promotion Throughout the Life Span - E-Book

Carole Lium Edelman | Carol Lynn Mandle | Elizabeth C. Kudzma

(2017)

Additional Information

Book Details

Abstract

Promote health and wellness for all ages and population groups! Health Promotion Throughout the Life Span, 9th Edition provides a comprehensive guide to leading health promotion concepts, from assessment to interventions to application. Its lifespan approach addresses patients’ unique needs with case studies and care plans, with an assessment framework based on Gordon’s Functional Health Patterns. New to this edition is expanded coverage of genomics and QSEN competencies. Written by nursing experts Carole Edelman and Elizabeth Kudzma, this bestselling text covers all the latest research and trends in health promotion and disease prevention.

  • Separate chapters on population groups — the individual, family, and community — highlight the unique aspects of assessment and health promotion for each group.
  • Coverage of growth and development helps you apply health promotion concepts to each age and each stage of development through the lifespan.
  • Case studies present realistic situations with questions asking you to apply key concepts, and care plans include nursing diagnoses, defining characteristics, related factors, expected outcomes, and interventions.
  • Quality and Safety Scenario boxes focus on QSEN-related competencies with examples of health promotion.
  • Innovative Practice boxes outline unique and creative health promotion programs and projects currently being implemented.
  • Healthy People 2020 boxes present goals and objectives relating to national health issues and priorities. 
  • Research for Evidence-Based Practice boxes summarize current health-promotion studies showing the links between research, theory, and practice. 
  • Diversity Awareness boxes address cultural perspectives relating to planning care.
  • Hot Topics boxes introduce significant issues, trends, and controversies in health promotion. 
  • Think About It clinical scenarios open each chapter, and include questions to encourage critical thinking.
  • NEW! An increased focus on genomics reflects scientific evidence supporting the use of genetic tests and family health history to guide public health interventions.
  • NEW! Expanded discussion of QSEN competencies is included, as related to health promotion.
  • NEW! Guidelines and recommendations are included from the latest Guide to Clinical Preventive Services from the U.S. Preventive Services Task Force.
  • NEW! The latest information about the Affordable Care Act is included.
  • NEW! Updated photos reflect the latest in health promotion and disease prevention.

Table of Contents

Section Title Page Action Price
Front Cover cover
Inside Front Cover ifc1
Health Promotion Throughout the Life Span i
Copyright page_RENTAL iv
Dedication v
Contributors vi
Reviewers vii
Previous Contributors viii
Preface ix
Purpose of the Book ix
Approach and Organization x
Key Features x
New Features xi
Evolve Resources xi
For Students xi
For Instructors xi
Acknowledgments xii
Table Of Contents xiii
Unit 1 Foundations for Health Promotion 1
1 Health Defined 1
Objectives 1
Key Terms 1
Exploring Concepts of Health 2
Models of Health 3
Clinical Model 3
Role Performance Model 3
Adaptive Model 3
Eudaimonistic Model 3
Wellness-Illness Continuum 4
High-Level Wellness 4
Health Ecology 5
Functioning 5
Health 5
Illness, Disease, and Health 6
Planning for Health 6
Healthy People 2020 7
Goals 7
Levels of Prevention 9
Primordial Prevention 9
Primary Prevention 11
Health Protection 11
Health Promotion 11
The theoretical basis of health promotion. 11
The social nature of health promotion. 11
The active and passive nature of health promotion. 11
An application of theory to the practice of health promotion. 12
Specific Protection 13
Examples. 13
Secondary Prevention 13
Tertiary Prevention 13
The Nurse’s Role 13
Nursing Roles in Health Promotion and Protection 13
Advocate 13
Care Manager 14
Consultant 14
Deliverer of Services 14
Educator 14
Healer 14
Researcher 14
Improving Prospects for Health 15
Population Effects 15
Shifting Problems 15
Moving Toward Solutions 16
Tying It All Together Using the Nursing Process 16
Problem Identification 16
Planning Interventions 17
What Was the Actual Cause of Frank’s Problem? 18
Evaluation of the Situation 18
Summary 20
Evolve Chapter Features 20
References 20
2 Emerging Populations and Health 23
Objectives 23
Key Terms 23
Health Disparities and Health Equality 23
Emerging Populations in the United States 24
Ethnicity, Ethnic Group, Minority Group, and Race 25
Culture, Values, and Value Orientation 25
Cultural Competency 26
Folk Healing and Nursing Care Systems 27
Arab Americans 28
Health Care Issues of Arab Americans 28
Selected Health-Related Cultural Aspects 29
Asian Americans/Pacific Islanders 29
Health Care Issues of Asian Americans/ Pacific Islanders 30
Selected Health-Related Cultural Aspects 30
Latino/Hispanic Americans 31
Health Issues of Latino/Hispanic Americans 32
Selected Health-Related Cultural Aspects 33
Black/African Americans 33
Health Issues of Black/African Americans 34
Selected Health-Related Cultural Aspects 34
American Indians/Alaska Natives 35
Health Care Issues of Native Americans 35
Selected Health-Related Cultural Aspects 36
The Emerging Rural and Urban Populations: Homeless Persons 36
Homelessness: A Continuing Saga 36
Why Families and People Become Homeless 37
Health Issues of Homeless People and Families 37
Strategies to Address Homelessness 38
The Nation’s Response to the Health Challenge 39
Healthy People 2020 39
Office of Minority Health 39
Nursing’s Response to Emerging Populations and Health 40
Summary 43
Evolve Chapter Features 43
References 43
3 Health Policy and the Delivery System 47
Objectives 47
Key Terms 47
The Health of the Nation 49
Healthy People 2020 49
Health Indicators of a Nation 50
Historical Role of Women in Health Promotion 52
A Safer System 53
Global Health 54
Historical Perspectives 54
History of Health Care 55
Early Influences 55
Industrial Influences 55
Socioeconomic Influences 55
Public Health Influences 55
Scientific Influences 55
Special Population Influences 57
Political and Economic Influences 57
Split Between Preventive and Curative Measures 57
Organization of the Delivery System 58
Private Sector 58
Independent Practice 58
Move to Managed Care 59
Health Maintenance Organizations 59
Medicare Advantage Plans 60
Independent Practice Associations 61
Accountable Care Organizations 61
Concierge Medical Practices (Retainer Medicine) 61
Hospitalist Movement 62
Point-of-Service Plans 62
High-Deductible Health Insurance Plans 62
Preferred Provider Organizations 62
Public Sector 63
Source of Power 63
Influence of Political Philosophy 63
Current Health Policy 64
Future Health Policy 64
Nursing’s Role in Leading Change—2010 Recommendations of the Institute of Medicine 65
Report on the future of nursing. 65
Official Agencies 66
Local level. 66
State level. 66
Federal level. 66
Chief nursing officer. 67
Federal emergency management agency. 67
Military health systems at the federal level. 67
Wounded warrior care. 68
Americans with disabilities. 68
Federal health information privacy law. 68
International level. 68
Voluntary Agencies 68
The American Red Cross. 69
Financing Health Care 69
Costs 69
Sources 69
Employer Health Benefits 70
Mechanisms 73
Payment 73
Cost Containment 73
Care management. 74
Managed Care Issues 74
Health Insurance 74
Private Health Insurance 75
Public Health Insurance and Assistance 75
Medicare. 75
Medicaid 77
Pharmaceutical Costs 79
The Uninsured: Who are They? 79
Unauthorized Immigrants 80
Health Care Systems of Other Countries 80
Canadian Health Care System 80
Summary 81
Evolve Chapter Features 82
References 82
4 The Therapeutic Relationship 84
Objectives 84
Key Terms 84
Values Clarification 85
Definition 85
Values and Therapeutic Use of Self 86
The Communication Process 87
Function and Process 88
Types of Communication 90
Verbal Communication 90
Nonverbal Communication 91
Importance of nonverbal communication. 91
Metacommunication 91
Group Process 91
Effectiveness of Communication 91
Interprofessional Communication and Teamwork 92
Factors in Effective Communication 93
Listening 93
Flexibility 93
Silence 93
Humor 93
Touch 93
Space 94
Health Literacy 95
The Helping or Therapeutic Relationship 95
Characteristics of the Therapeutic Relationship 96
Purposeful Communication 96
Rapport 96
Trust 96
Empathy 96
Goal Direction 96
Ethics in Communicating and Relating 96
Therapeutic Techniques 97
Focus on the Individual 97
Help the Individual to Describe and Clarify Content and Meaning 98
Use Reflection 98
Use Constructive Confrontation 99
Use Nouns and Pronouns Correctly 99
Use Silence 99
Motivational Interviewing 99
Barriers to Effective Communication 99
Anxiety 100
Attitudes 100
Gaps Between the Nurse and the Individual 100
Resistance 100
Transference and Countertransference or Distorting 100
Sensory Barriers 101
Failure to Address Concerns or Needs 102
Setting 102
Stages 102
Orientation or Introductory Phase 102
Working Phase 103
Termination Phase 103
Brief Interactions 103
Summary 105
Evolve Chapter Features 105
References 106
5 Ethical Issues Related to Health Promotion 108
Objectives 108
Key Terms 108
Health Promotion as a Moral Endeavor 109
Health Care Ethics 110
Origins of Applied Ethics in Moral Philosophy 110
Types of Normative Ethical Theories 110
Consequentialist Theories 110
Duty-Based Theories 110
Character-Based Theories 111
Limitations of Moral Theory 111
Feminist Ethics and Caring 113
Feminist Ethics 113
The Ethics of Care 114
Limits of the Ethic of Care 114
Professional Responsibility 114
Accountability to Individuals and Society 115
Professions 115
Trust 115
Codes of Ethics 115
Advocacy 115
Problem-Solving: Issues, Dilemmas, Risks, and Moral Distress 116
Preventive Ethics 116
Ethical Principles in Health Promotion 117
Autonomy as Civil Liberty 117
Autonomy as Self-Determination 118
Informed Consent 119
Exceptions to Autonomous Decision-Making 120
Confidentiality 121
The Privacy Rule 122
Adolescents: Special Considerations of Confidentiality 122
Veracity 123
Nonmaleficence 123
Beneficence 124
Beneficence: Conflict With Autonomy 125
Justice 125
Strategies for Ethical Decision-Making 126
Locating the Source and Levels of Ethical Problems 126
Values Clarification and Reflection 126
Examine Beliefs and Values 126
The Influence of Personal Beliefs and Values 126
Reflection on Practice 127
Decision-Making Considerations 127
Identify the Main Problem or Issue 127
Determine on Whom the Resolution Will Have an Impact 127
Determine the Prevalent Values 127
Identify Information Gaps 127
Formulate Possible Courses of Action and Probable Consequences 127
Initiate the Selected Course of Action and Evaluate the Outcome 127
Engage in Self-Reflection and Peer or Expert Group Reflection 127
Ethics of Health Promotion: Cases 128
Case 1: Addressing Health Care System Problems—Elissa Needs Help 128
Case 2: She’s My Client!—Lilly and “Jake” (a.k.a. Paul) 128
Case 3: Don’t Touch My Things! Ms. Smyth and Autonomy 128
Summary 128
Evolve Chapter Features 130
References 130
Unit 2 Assessment for Health Promotion 132
6 Health Promotion and the Individual 132
Objectives 132
Key Terms 132
Gordon’s Functional Health Patterns: Assessment of the Individual 134
Functional Health Pattern Framework 135
Definition 135
Characteristics 135
The Patterns 138
Health Perception–Health Management Pattern 138
Nutritional-Metabolic Pattern 140
Elimination Pattern 140
Activity-Exercise Pattern 141
Sleep-Rest Pattern 143
Cognitive-Perceptual Pattern 144
Self-Perception–Self-Concept Pattern 145
Roles-Relationships Pattern 146
Sexuality-Reproductive Pattern 146
Coping–Stress Tolerance Pattern 147
Values-Beliefs Pattern 148
Individual Health Promotion Through the Nursing Process 149
Collection and Analysis of Data 149
Problem Identification 149
Contributing Etiological Factors 150
Diagnostic Variables 150
Planning the Care 150
Implementing the Plan 150
Evaluating the Plan 151
Summary 152
Evolve Chapter Features 152
References 152
7 Health Promotion and the Family 154
Objectives 154
Key Terms 154
The Nursing Process and the Family 156
The Nurse’s Role 156
Family Theories and Frameworks 156
The Family From a Developmental Perspective 158
The Family From a Structural-Functional Perspective 159
The Family From a Risk-Factor Perspective 159
Gordon’s Functional Health Patterns: Assessment of the Family 159
Health Perception–Health Management Pattern 161
Nutritional-Metabolic Pattern 162
Elimination Pattern 162
Activity-Exercise Pattern 162
Sleep-Rest Pattern 162
Cognitive-Perceptual Pattern 163
Self-Perception–Self-Concept Pattern 163
Roles-Relationships Pattern 164
Genogram 165
Ecomap 166
Sexuality-Reproductive Pattern 166
Coping–Stress Tolerance Pattern 169
Values-Beliefs Pattern 169
Environmental Factors 171
Analysis and Nursing Diagnosis 172
Analyzing Data 172
Couple Family 172
Childbearing Family 172
Family With Toddlers/Preschool Children 173
Family With School-Age Children 174
Family With Adolescents 174
Family With Young Adults 175
Family With Middle-Aged Adults 175
Family With Older Adults 175
Sexuality. 176
Formulating Family Nursing Diagnoses 176
Planning With the Family 177
Goals 177
Implementation With the Family 177
Evaluation With the Family 179
Summary 180
Evolve Chapter Features 180
References 180
8 Health Promotion and the Community 183
Objectives 183
Key Terms 183
The Nursing Process and the Community 186
The Nurse’s Role 186
Influencing Health Policy 187
Methods of Data Collection 189
Sources of Community Information 189
Community From a Systems Perspective 190
Structure 190
Function 190
Interaction 192
Community From a Developmental Perspective 192
Community From a Risk-Factor Perspective 192
Gordon’s Functional Health Patterns: Assessment of the Community 192
Health Perception–Health Management Pattern 192
Nutritional-Metabolic Pattern 194
Elimination Pattern 194
Activity-Exercise Pattern 194
Sleep-Rest Pattern 194
Cognitive-Perceptual Pattern 195
Self-Perception–Self-Concept Pattern 195
Roles-Relationships Pattern 195
Sexuality-Reproductive Pattern 195
Coping–Stress Tolerance Pattern 196
Values-Beliefs Pattern 196
Analysis and Diagnosis With the Community 196
Organization of Data 196
Guidelines for Data Analysis 196
Check for Missing Data 196
Identify Patterns 197
Apply Theories, Models, Norms, and Standards 197
Identify Strengths and Health Concerns 197
Identify Causes and Risk Factors 198
Community Diagnosis 198
Planning With the Community 200
Purposes 200
Planned Change 200
Implementation With the Community 201
Evaluation With the Community 201
Summary 203
Evolve Chapter Features 203
References 204
Unit 3 Interventions for Health Promotion 206
9 Screening 206
Objectives 206
Key Terms 206
Advantages and Disadvantages of Screening 208
Advantages 208
Disadvantages 209
Selection of a Screened Disease 209
Significance of the Disease for Screening 209
Detection 210
Diagnostic Criteria 210
Screening Measures 210
Primary Care and Community Screening Resources 212
Should Screening for the Disease Be Done? 213
Ethical Considerations 214
Borderline Cases and Cutoff Points 214
Economic Costs and Ethics 214
Cost-Benefit Ratio 215
Cost-Effectiveness 215
Cost-Efficiency 215
Selection of Screenable Populations 215
Person-Dependent Factors 215
Environment-Dependent Factors 217
National Guidance and Health Care Reform 217
Healthy People 2020 217
Recommended Screenings of the US Preventive Services Task Force 217
The Affordable Care Act and Prevention Incentives 218
National Prevention Strategy 218
The Nurse’s Role 219
Racial and Ethnic Approaches to Community Health 220
Summary 220
Evolve Chapter Features 220
References 222
10 Health Education 224
Objectives 224
Key Terms 224
Nursing and Health Education 225
Definition 226
Goals 226
Learning Assumptions 228
Family Health Teaching 228
Health Behavior Change 229
Health Belief Model 229
Social Cognitive Theory 229
Transtheoretical Model of Change 229
Ethics 230
Genomics and Health Education 230
Diversity and Health Teaching 230
Community and Group Health Education 231
Teaching Plan 232
Assessment 232
Determining Expected Learning Outcomes 233
Program Goals 233
Learning Goals 233
Learning Objectives 233
Selecting Content 233
Three Domains of Learning 233
Examples of Learning Objectives 233
Designing Learning Strategies 234
Teaching Strategies 234
Considerations for Selecting Methods 234
Learning Climate 235
Teaching for Each Learning Domain 235
Evaluating the Teaching-Learning Process 235
Referring Individuals to Other Resources 235
Teaching and Organizing Skills 235
Summary 236
References 237
11 Nutrition Counseling for Health Promotion 239
Objectives 239
Key Terms 239
Nutrition in the United States: Looking Forward From the Past 240
Classic Vitamin-Deficiency Diseases 240
Dietary Inadequacy 240
Dietary Excesses 240
Healthy People 2020: Nutrition Objectives 241
Nutrition-Related Health Status 243
Nutrition Objectives for the United States 245
Food and Nutrition Recommendations 245
Dietary Reference Intakes 245
Dietary Guidelines for Americans 2015–2020 246
Dietary Supplements and Herbal Medicines 247
Vitamin and Mineral Toxicity 248
Circumstances When Nutrient Supplementation Is Indicated 249
Food Safety 250
Causes of Food-Borne Illness 250
Examples of Common Food-Borne Pathogens 250
Salmonellosis 250
Escherichia coli O157:H7 Infection 251
Food Safety Practices 251
Food, Nutrition, and Poverty 252
Poverty and Income Distribution 252
Food Assistance for Low-Income Individuals 252
Supplemental Nutrition Assistance Program 252
Child Nutrition Program 253
National school lunch program. 253
National school breakfast program. 254
Special Supplemental Nutrition Program for Women, Infants, and Children 254
Food and Nutrition Programs for Older Adults 255
The older adults nutrition services program. 255
Nutrition Screening 255
Nutrition Risk Factors 256
Cardiovascular Diseases 256
Heart Disease 256
Diet Intervention 256
Therapeutic Lifestyle Changes Treatment Plan 257
Removing Barriers to Treatment Goals 258
Hypertension 258
Epidemiology 258
Diet Intervention 258
Dietary Approaches to Stop Hypertension Eating Plan 259
Cancer 259
Epidemiology 259
Diet Intervention for Risk Reduction 259
Osteoporosis 260
Epidemiology 260
Pathophysiology 261
Factors involved in building and maintaining skeletal health throughout life. 261
Prevention 261
Obesity 262
Epidemiology 263
Body Mass Index for Adults 263
Body mass index formulas. 263
Body Mass Index Growth Charts for Children 263
Diet Intervention in Weight Reduction 263
Diabetes 264
Prevalence and Incidence 264
Type 2 Diabetes in Children 265
Unit 4 Application of Health Promotion 348
15 Overview of Growth and Development Framework 348
Objectives 348
Key Terms 348
Overview of Growth and Development 349
Growth 349
Growth Patterns 357
Growth Charts 357
Concept of Development 358
Developmental Patterns 358
Theories of Life span Development 359
Psychosocial Development: Erikson’s Theory 360
Cognitive Development 360
Cognitive Development: Piaget’s Theory 360
Cognitive Development: Vygotsky’s Theory 361
Moral Development: Kohlberg’s Theory 362
Moral Development: Gilligan’s Theory 362
Behavioral Biological Development 363
Summary 363
Evolve Chapter Features 365
References 365
16 The Childbearing Period 366
Objectives 366
Key Terms 366
Biology and Genetics 367
Duration of Pregnancy 367
Fertilization 367
Implantation 367
Fetal Growth and Development 367
Placental Development and Function 368
Maternal Changes 368
Signs of Pregnancy 368
Adaptive Changes of Other Systems 369
Reproductive System 369
Preconception Care of Women 370
Normal Discomforts of Pregnancy 371
Teaching the Woman About Changes to Expect in the Body During Pregnancy 371
Total Weight Gain 371
Labor and Birth 374
Overview of Care 375
Changes During Transition From Fetus to Newborn 376
Nursing Interventions 376
Apgar Score 376
Sex 376
Race and Culture 377
Genetics 377
Gordon’s Functional Health Patterns 378
Health Perception–Health Management Pattern 378
Nutritional-Metabolic Pattern 379
Elimination Pattern 382
Fetus 382
Pregnant Woman 382
Activity-Exercise Pattern 383
Unit 5 Emerging Global Health Issues 650
25 Health Promotion for the 21st Century 650
Objectives 650
Key Terms 650
Malnutrition 651
Protein-Energy Malnutrition 651
Severe Acute Malnutrition 652
Addressing Malnutrition at the Global Level 652
Emerging Infections 652
Ebola Virus Disease 652
Zika Virus Disease 653
Human Papilloma Virus Infection 654
Vaccination 654
Human Papilloma Virus and Cervical Cancer 654
Screening and Testing 654
Methicillin-Resistant Staphylococcus aureus Infection 655
Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome 655
Nongovernmental Organizations 656
Violence 656
Definition of Violence 657
Defining the Problem 657
Identifying Risk and Protective Factors 657
Devising and Testing Means for Dealing With Violence 657
Applying Successful Means on a Large Scale 657
Forms and Context of Violence 657
Interpersonal Violence 657
Self-Directed Violence 658
Collective Violence 658
Terrorism 659
Bioterrorism 659
Category A Diseases/Agents 660
Anthrax (Bacillus anthracis). 660
Smallpox (Variola major). 660
Category B Diseases/Agents 660
Category C Diseases/Agents 660
Epidemic and Pandemic Alert and Response 660
Natural Disasters 661
Effects of Natural Disasters on Human Well-Being 661
Natural Disaster Responses and Preparedness 661
International Standard Guidelines for Emergency Mental Health Response 661
Emergency Management for Infants in Developed Countries 662
Implications 662
Summary 664
Evolve Chapter Features 666
References 666
Index 670
A 670
B 671
C 672
D 675
E 676
F 678
G 679
H 680
I 682
J 683
K 683
L 684
M 684
N 686
O 687
P 688
Q 690
R 690
S 691
T 694
U 695
V 695
W 696
X 696
Y 696
Z 696