UNIT 1 INTRODUCTORY CONCEPTS ON THE NATURE OF NURSING Concept of Man And since nursing means taking care of a client or patient, the nurse must know the person/s. Concept of Health and Illness Concepts of Health The state of health is reflective of the person’s ability to meet life’s challenges and maintain the capacity for optimal functional. Nurses developed various models to provide effective health care These nursing models allows the nurses to understand and predict patient’s health behavior. 1. 2. 3. 4. Concepts of Illness A deviation from a normal and healthy state. A state in which a person’s physical, emotional, intellectual, social, developmental or spiritual functioning is diminished or impaired. Stages of Illness 1. Stage of denial (refusal to acknowledge illness. 2. Stage of acceptance 3. Stage of recovery Factors and Issues affecting health & illness 1. 2. Intellectual Dimensions 3. Emotional Dimensions 4. Social dimensions Models of Health and Illness 1. 2. 3. 4. 5. The patient needs to recognize the genetic predisposition to certain illness. Once the link is established or recognized, the person may perceived its personal risk to a certain disease. The patient’s perception is influenced by advise from family, friends and peers. If the patient may not perceive that his ailment is serious, this may affect the way he takes care of himself. The likelihood that a person will take preventive action. Actions include lifestyle changes, adherence to medical therapies or submission to medical advice and treatment. 6. 6. 7. 8. Adaptive Model of Health 7. Health Care Delivery System Models in Health Care Delivery System 1. Private Enterprise Health Care Model Governed by private sectors like free clinics, free medicines and consultation, however occurs rarely. 2. Social Security Health Model Workers and their families are insured by the state. Where citizens are protected against poverty, old age, disability and unemployment. 3. Social Health Insurance Where residents is a members of a health insurance company. 4 . Publicly Funded health Care Model Health care that is financed entirely by citizens’ tax payments. Levels of Health Care Facilities