Lalita bhandari
Overall Introduction:
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I am presenting here my overall health assessment by using the Gordon’s functional health patterns. Then, my stress is presented as focused assessment. This part of assessment assist me in knowing the level of stress while the internet source help me in gaining more knowledge about causes , effects of stress in normal health status and the methods to reduce the stress or its management. Finally essay on the health promotion is presented at the last.
Part 1: Self Health Assessment and plan
Functional Health Pattern (Gordon)
Biographical Data
Name: Lalita Bhandari
Address: 3/5 Danica Ct., Kearneys Spring
Date of Birth: 13th Feb. 1992
Place: Nepal
Age: 22 years
Gender: Female
Occupation: Student
Marital status: Single
Qualification: Bachelor in nursing (ongoing)
Contact number: 0404473722
Height: 162 cm.
Weight: 60 kg.
Health perception and management pattern:
Past health history: No history of any chronic illness
Present condition: Stress due to study workload and homesickness
-Immunized all the vaccines which include tuberculosis, all three doses of Diphtheria, Pertusis and Tetanus, polio, measles, BCG, hepatitis and Rubella.
-No habit of alcohol consumption, smoking and chewing of tobacco and no use of other injectable drugs.
Nutritional-metabolic pattern:
Good appetite
Food intake: 2-3 times a day and many snacks
No any food allergies
Fluid intake: 3-4 liters of water per day
Have no difficulties with eating and swallowing
Vitals (at the time of doing assignment)
Temperature: 36.8 deg. centigrade
Pulse: 74/min.
Respiration: 78/min
Blood Pressure: 110/60 mm of Hg.
Height: 162 cm.
Weight: 60 kg.
But sometimes get disturbed with stress.
Elimination pattern
Bowel: regular bowel at least once daily
Bladder: normal frequency of menstruation and no problem associated with bladder or urination
Activity-Exercise pattern
No planned routine for regular exercise regime
Depends upon mood and only on leisure time but rare
Sleep and rest pattern
Normally no problem of insomnia
Have 5-6 hours of sleeping pattern
Never use of any sleeping aids and sedatives to rest
But sometimes, when I get stress, I suffer from insomnia
Cognitive-Perceptual patterns
Good sensory and auditory adequacy
No difficulties in learning
Good memory
Oriented
Self-Perception and self concept patterns
I am kind, helpful and soft-hearted
Show positive attitudes towards others
Respect others feelings
But sometimes I feel losing hope when nobody cares.
Roles and relationship pattern
Family life: Recently I live with my friends as a family. I have responsibility towards my parents as a daughter and sister. I can cope with the difficulties that arise among family members and have good bond among all family members.
Student life: Being a student, I have responsibility towards my studies. As with the case with most of international students I need to cope with various level of difficulties like stress, anxiety and workload.
Coping-Stress tolerance pattern
New environment, new face, new rules, new study patterns make me stress. always listen to songs, watch pictures/photos of my cell and also talk to my close friend and family. If the stress is too severe and cannot be controlled, I cry silently and let the stress burst out with tears and feel like relaxed then after.
Values-Beliefs pattern
Cultural and religious beliefs
Goal set to be a qualified and dedicated Registered Nurse
Punctual, obedient and hardworking
Never give up and learn from every mistake and move forward
Part B: Focused Assessment
While performing self health assessment, I found some problems in my behavior, which is mainly caused by stress due to new environment, new place, new rules and regulation. Study and distance between me and my family are the other factors that lead to stress. In this focused assessment, I am focusing in assessing level of stress.
I browse internet to gain more knowledge on my stress level. I assessed my stress level using “life change index scale/ The Stress Test”, written by Thomas H. Holmes and Richard H. Rahel. This stress test has three different rows including event, impact score and my score. As event adds up, there occurs increase in score. The higher the score, the chance of becoming ill will also be higher and also the change of returning back to normal health will decrease.
LIFE CHANGE INDEX SCALE : THE STRESS TEST
Event
Impact Score
My Score
Death of spouse
100
Divorce
73
Marital Separation
65
Jail Term
63
Death of close family member
63
Personal injury or illness
53
Marriage
50
Fired at work
47
Marital reconciliation
45
Retirement
45
Change in health of family member
44
Pregnancy
40
Sex difficulties
39
Gain of a new family member
39
Business readjustment
39
Change in financial state
38
38
Death of a close friend
37
Change to a different line of work
36
Change in number of arguments with spouse
35
Mortgage over $20,000
31
Foreclosure of mortgage or loan
30
Change in responsibilities at work
29
Son or daughter leaving home
29
Trouble with in laws
29
Outstanding personal achievement
28
Spouse begins or stop work
26
Begin or end school
26
26
Change in living conditions
25
Revisions of personal habits
24
Trouble with boss
23
Change in work hours or conditions
20
20
Change in residence
20
Change in schools
20
Change in recreations
19
Change in church activities
19
Change in social activities
19
Mortgage or loan less than $20,000
17
Change in sleeping habits
16
16
Change in number of family get-togethers
15
Change in eating habits
15
Vacation
13
Christmas approaching
12
Minor violation of the law
11
Total
100
Life Change Units Likelihood Of Illness In Near Future
Life change units
Likelihood Of Illness In Near Future
300+
about 80 percent
150-299
about 50 percent
less than 150
about 30 percent
According to the score interpretation presented above in the table, my level of score is 100 which is less than 150 so I have less risk of illness in my near future. In this way Homes and Rahes stress life change index scale helps me to assess my level of stress and help me in reducing the stress and promote my health.
References
Holmes, T. H., & Rahe, R. H. (1967). The social readjustment rating scale. Journal of psychosomatic research, 11(2), 213-218.
Retrieved from http://www.dartmouth.edu/~eap/library/lifechangestresstest.pdf
Part 3 Internet Sources
While doing my individual self assessment, i determine that stress is the main cause for detoriating my healthy living and daily activities. For promoting my own health, I have selected two internet sources to reduce my stress. As per the source, i came to know that stress is determined as the physical reaction to several events of our life in our daily way of living. Both the sources provide brief information about the stress, causes, management and technique to relief or cope with the stress. According to the helpguide.org, “stress is a normal physical response to events that make you feel threaened or upset balanc e in some ways”. Also with the help of the source i came to know that stress have both merits and demerits .These both explained about the stress and mainly focused on various strategies for stress management which include 4As-Avoid unnecessary stress , Alter the situation, Adapt the streesor and Accept the things cannot be changed. Similarly the article prepared by University of South Australia also has been presented with more information about the management of stress. This source focuses mainly in different strategies of managing stress according to our body, mind, thinking and behaviour.
As both the sources have the name of the author with the date and name of publication with more information , i found these are the reliable and trustworthy for me. I found both the sources important and informative in handling with the stress.
References :
Managing stress Monday (2013). Retrieved April 22, 2013, from
http://w3.unisa.edu.au/counsellingservices/wellbeing/stress.asp
Smith, M., Segal, R., Segal, J. (2013). Stress Symptoms, signs and causes. Retrieved
http://www.helpguide.org/mental/stress_signs.htm
Part 4. Health Promotion Essay
Health is considered to be the precious wealth of an individual. It is an important aspect of our life. According to the definition provided by World Health Organization, “Health promotion is the process of enabling people either individually or in group like community to increase control over, and to improve their health” as cited by Selekman,( 2006).Health is affected by various factors so that to promote the health a teamwork is required between health personal, community and other different sectors. Being a health person, Nurses play vital role for accessing the health of patients, identify their health needs and encourage them to promote their health in an effective way. This essay explains about the problems in student nurses health and the programs to promote their health.
Nurses are the key persons to promote the health. They are well experienced either with the knowledge they gain or exposing with the patient of different health condition. According to Dempsey(2009), “ Health promotion model is important for an individual to promote their health”. . According to Mary,Sally and Kathleen (2011) , the student nurse are known as the main person to identify health issues where low school performance and change in health status are found more common ,as cited by American Academy of Pediatrics Council on School Health (2008). This explains that the students are found to be more stressed which causes great changes in academic achievement and also their health status will detoriate. The student nurse may face problem like difficulty in identifying the problem in their clinical placement , sometimes hard even to understand the medical term. As per Fethiye and Fatos(2009),there are numerous factors that causes negative influence on decision making and nursing practices such as individual variables such as personal character traits and value , lack of knowledge and sensitivity about ethics and patients rights ,limited autonomy and unsatisfactory working .
There are different approaches to health promotion and different health promotion model are in use. Health promotion model include characteristics models to promote environment where healthy decisions can be made about attaining high standard lifestyles reducing. According to Jennifer , fran and janat (2013) explain that the health-promoting behaviors of nursing students might be the key factor for their academic success and also facilitate them for post graduate practices . the health promotion behavior includes change in lifestyle , adjustment with new environment of study as well as hospital and development o, lifestyle, beliefs and thoughts, motivation health and promoting behavior. Practicing nurse can use these health f strength to cope with various people. According to Chambers and Thompson(2009), “empowerment is the other main focus on health promotion and participate” The student nurses should be encouraged to promote their health, change their behavior and also motivate them in changing their lifestyle and behavior and also reduce stress by avoiding , adapting the stressor and accepting the changes .
At conclusion, there are many factors that cause stress in the student life of the nurses which causes problem in their health. There are many reasons to promote health. Encouragement helps nursing student to promote their health by brining change in their lifestyle
Overall conclusion
I have done my own self assessment with stress as a focused assessment. I found stress as a main factor that chauses change in my normal health status. Finally the essay on health promotion is presented at list of references the end of the assignment.
List of References :
Baisch, M. J., Lundeen, S. P., & Murphy, M. (2011). Evidence-Based Research on the Value of School Nurses in an Urban School System. Journal Of School Health, 81(2), 74-80. doi:10.1111/j.1746-1561.2010.00563.x
Retrived from http://web.a.ebscohost.com.ezproxy.usq.edu.au/ehost/pdfviewer/pdfviewer?sid=95fefa95-373a-4bb3-a0d3-09b4b9baaf42%40sessionmgr4005&vid=0&hid=4212
Bektas, M., & Ozturk, C. (2008). Effect of health promotion education on presence of positive health behaviors, level of anxiety and self-concept: Social Behavior & Personality: An International Journal, 36(5), 681-690. doi:10.2224/sbp.2008.36.5.681
RETIREVED FROM http://web.a.ebscohost.com.ezproxy.usq.edu.au/ehost/pdfviewer/pdfviewer?sid=53bd6502-3b56-4fb0-9ad8-dfe19e80ee51%40sessionmgr4005&vid=0&hid=4212
Bryer, J., Cherkis, F., & Raman, J. (2013). Health-Promotion Behaviors of Undergraduate Nursing Students: A Survey Analysis. Nursing Education Perspectives, 34(6), 410-415. doi:10.5480/11-614 RERIEVED FROM http://web.a.ebscohost.com.ezproxy.usq.edu.au/ehost/pdfviewer/pdfviewer?sid=394eddc7-bbd1-4e40-9b94-3546e235556b%40sessionmgr4004&vid=1&hid=4212
Dempsey,J., French ,J., Hillege,S., &Wilson,V.(2009) . Fundamental of Nursing &midwifery: A person centered approach to care,(5th ed). Lippincott Williams &wilkins, broadway, NWS
Erdil, F., & Korkmaz, F. (2009). ETHICAL PROBLEMS OBSERVED BY STUDENT NURSES. Nursing Ethics, 16(5), 589-598
Holmes, T. H., & Rahe, R. H. (1967). The social readjustment rating scale. Journal of psychosomatic research, 11(2), 213-218.
Retrieved from http://www.dartmouth.edu/~eap/library/lifechangestresstest.pdf
Managing stress Monday (2013). Retrieved April 22, 2013, from
http://w3.unisa.edu.au/counsellingservices/wellbeing/stress.asp
Smith, M., Segal, R., Segal, J. (2013). Stress Symptoms, signs and causes. Retrieved
http://www.helpguide.org/mental/stress_signs.htm
Student Name
Student Number
NUR1200: Concepts in Patient Care
Assignment:Portfolio of Health assessment / Health promotion marks: 20 (Weight 20%)
Part One
0 – .5
1- 2
2.5 – 3
Self-Health Assessment
Absent or minimal health data
No framework
Surface approach only
Absent or minimal summary or analysis
Material is presented or written poorly
Data is logically presented but is limited in scope
Utilises and references a framework
Some areas of assessment could be expanded more
Comprehensive assessment includes bio/ psycho/ social parameters
Interprets health status
Assesses and Analyses data
/3
Part Two
0 – .5
1-1.5
2
Focussed assessment
Focussed Health issue does not relate to student’s health assessment in Part 1
No resource(s) used
Minimalanalysis/interpretation
Material is presented or written poorly
Focus is limited in depth
Resource used for assessment
Lacks clarity in focus
Lacks clarity in writing
Comprehensive
Interprets health status
Utilizes and references resource(s)
Analyses data
Organized presentation
/2
Part three:
0
.5
1
Health resource
Internet Resources (two)
Source not cited
Does not state the health topic being addressed
No analysis
No comment regarding reliability
Includes in-text or other means of citing internet sites
Surface critique only
Comments on reliability but could have more depth
Analysis/critique regarding usefulness of sources
Insightful comment(s) regarding reliability/validity of sources
/1
Part four: Essay section
Demonstrates knowledge related to Health promotion
0
1
2-3
4
Paper is disjointed,
Paper is not related to health promotion
Discussion is a description of published work only – minimal explanation of Health Promotion
Some health promotion or strategies are mentioned (this will vary depending on theme chosen)
Demonstrates a clear articulation of health promotion within chosen topic
/4
Use of theme
0
.5-1
1.5
2
Does not establish a context for the issue
Material strays into tangents
States theme well but points are not supportive of this
Some points do not relate to theme
States theme but points are not consistently convincing in support of the theme.
Utilises theme well – all points support this
Theme is clear
/2
Demonstrates ability to collate knowledge
0
.5-1
1.5
2
Material is:
not cohesive,
does not answer theme
is irrelevant to the assigned topic
Assignment is a listing of quotes or paraphrased material without synthesis of material for the reader
Student is able to synthesize knowledge from several sources to substantiate a logical representation of the theme.
Student is able to consistently and effectively synthesise knowledge and Strategy (ies) or factors presented as health promotion which are supported as evidence for practice from the literature.
/2
Use of literature
0
0
.5
1
Literature is inappropriate, limited or out of date
Content is not well supported from the literature
Uses some literature but not integrated, relevant or purposeful.
Utilizes at least four sources from literature or texts which are relevant, academic and appropriate
/1
Written expression
Assignment reads as unified whole
Intro/
Conclusion
0
.5-1
1.5
2
Lists material – does not collate
Reader must re-read sections to understand content.
Paragraphs move into tangents
Absent introduction – does not describe the material to follow
Inappropriate or absent concluding remarks
Written expression lacks consistency.
Description only –analysis could be developed more
Lists material – does not collate
Poor introduction – does not set paper up or establish a context
Poorly written conclusion
Written expression lacks consistency and does not demonstrate a high academic standard.
Intro present but not effective in leading into paper
Conclusion present but ineffective/ introduces new material
High standard of written expression.
Language is appropriate and of a high academic standard.
Well-written and well-structured paragraphs
Assignment reads as a unified whole
Introduces essay section, outlines points to follow
Concludes essay (briefly)
/2
Technicalities of writing (grammar/
spelling)
0
.5
1
Uses dot points.
Changes tenses.
Changes ‘person’ (switches from he/she to ‘you’).
Uses first person – (okay in parts 1-3 but not Part 4)
Incomplete sentences Misspelled words
Run on sentences
Inappropriate abbreviations
Uses colloquial language
Poor paragraph structure
Paragraphs move into tangential material
Some inconsistencies in grammar and spelling
No breaches of grammar or spelling.
Appropriate use of:
Punctuation
tenses
person (‘I’, ‘you’ ‘he/she’)
/1
Referencing
In-text
0
.5
1
Incorrect acknowledgement of cited material.
Inappropriate paraphrasing from published literature’
Incorrect secondary citation;
Incorrect use of ‘et.al.’
Format not consistent with APA
Assignment utilizes material from sources without acknowledging source.
Some inconsistencies with style of in-text referencing (those in the body of the paper)
Inconsistencies with reference list
Moderate issues identified with referencing
Consistently correct in-text referencing as per USQ guidelines.
Correct use of APA Referencing.
Correct expression of secondary citations.
Assignment acknowledges source of all referenced materials.
/1
Reference list
0
.5
1
Reference List is not in alphabetical order.
Does not maintain APA style
Uses references that are not in body of paper
Includes references that are not in body of paper
Punctuation errors in reference list
Electronically accessed journals are not written correctly
Occasional Punctuation errors in reference list
References are consistently written using APA and the correct format for the type of source
/1
Negative marking:
Significantly Over/under word count (? 10%) (minus 1 mark)
Did not submit marking guide on EASE (minus 1 mark)
Neg:
MARKS LOST FOR LATE PENALTY (IF RELEVANT – 5 % per business day)
FINAL MARK ( MARKS AWARDED LESS MARKS LOST)
Marker:
1
