ATI Comprehensive Medical Surgical Proctored Exam Blueprint Physical – able to perform activities of daily living Emotional – adapts to stress; expresses and identifies emotions Social – i... nteracts successfully with others Intellectual – effectively learns and disseminates information Spiritual – adopts a belief that provides meaning to life Occupational – balances occupational activities with leisure time Environmental – creates measures to improve standards of living and quality of life ● A client’s state of health and wellness is constantly changing and adapting to a continually fluctuating external and internal environment. The external environment Social – crime versus safety, poverty versus prosperity, and peace versus social unrest Physical – access to health care, sanitation, availability of clean water, and geographic isolation The internal environment includes cumulative life experiences, cultural and spiritual beliefs, age, developmental stage, gender, and other support systems. ● The level of health and wellness is unique to each individual and relative to the individual’s usual state of functioning. ◯ For example: A person with rheumatoid arthritis who has a strong support system and positive outlook may consider himself healthy while functioning at an optimal level with minimal pain. ● Variables Modifiable – may be changed, such as smoking, nutrition, health education and awareness, sexual practices, and exercise Nonmodifiable – cannot be changed, such as gender, age, developmental level, and genetic traits ● Desired outcomes are to obtain and maintain optimal state of wellness and function. ◯ Can be achieved through health education and positive action (smoking cessation, weight loss, seeking health care) ● The health/wellness/illness continuum is an assessment tool that is used to measure the level of wellness to premature death. It may be useful as an assessment guide or tool to set goals and find ways to improve the client’s state of health or to have the client return to a previous state of health, which may include an illness within optimal wellness. The health care professional can assist the client to see at what point he is at on the continuum and seek ways to move toward optimal wellness. At the center of the continuum is the client’s normal state of health. Level of health/illness is assessed in comparison to the norm for a clien [Show More]
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