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Current views of health and illness recognize health as more than the absence of disease. Realizing that humans are dynamic beings whose state of health can change from day to day or even from hour to hour, leaders in the health field suggest that it is better to think of each person as being located on a graduated scale or continuous spectrum (continuum) ranging from obvious dire illness through the absence of discernible disease to a state of optimal functioning in every aspect of one's life. High-level wellness is described as a dynamic process in which the individual is actively engaged in moving toward fulfillment of his or her potential.
Person and environment are defined as co-extensive, open energy fields. The two evolve together and move toward increasing complexity and diversity, manifested in patterns of interaction that occur along continua of time and space. Person is also defined as a specific pattern of consciousness.
Health is a process of expanding consciousness that synthesizes disease and non-disease and is recognized by patterns of person-environment interaction. An understanding of pattern is basic to an understanding of health, and involves the movement from looking at parts to looking at the whole. Pattern is defined as information that depicts the whole, and gives an understanding of the meaning of relationships.
Nursing is an integrative force within the new paradigm of health seen as the undivided wholeness of the person in interaction and as a process of evolving consciousness. The nursing process is modified by Newman and encompasses nursing diagnosis/intervention based on the unique configuration of each person-environment interaction. Intervention is broadly intepreted as the recognition and augmentation of person-environment patterns, where the nurse and the client evolve together toward expanding consciousness.
In the United States, the spectrum of health care has been defined by the Department of Health and Human Services as encompassing six levels of health care. The first level of care is preventive care, which is primarily provided by school health education courses and community and public health services.
Primary care is the usual point at which an individual enters the health care system. Its major task is the early detection and prevention of disease and the maintenance of health. This level of care also encompasses the routine care of individuals with common health problems and chronic illnesses that can be managed in the home or through periodic visits to an outpatient facility. Providers of care at the primary level include family members as well as the professionals and paraprofessionals who staff community and neighborhood health centers, hospital outpatient departments, physicians' offices, industrial health units, and school and college health units.
Secondary or acute care is concerned with emergency treatment and critical care involving intense and elaborate measures for the diagnosis and treatment of a specified range of illness or pathology. Entry into the system at this level is either by direct admission to a health care facility or by referral. Provider groups for secondary care include both acute- and long-term care hospitals and their staffs.
Tertiary care includes highly technical services for the treatment of individuals and families with complex or complicated health needs. Providers of tertiary care are health professionals who are specialists in a particular clinical area and are competent to work in such specialty agencies as psychiatric hospitals and clinics, chronic disease centers, and the highly specialized units of general hospitals; for example, a coronary care unit. Entry into the health care system at this level is gained by referral from either the primary or secondary level.
Respite care is that provided by an agency or institution for long-term care patients on a short-term basis to give the primary caretaker(s) at home a period of relief.
Restorative care comprises routine follow-up care and rehabilitation in such facilities as nursing homes, halfway houses, inpatient facilities for alcohol and drug abusers, and in the homes of patients served by home health care units of hospitals or community-based agencies.
Continuing care is provided on an ongoing basis to support those persons who are physically or mentally handicapped, elderly and suffering from a chronic and incapacitating illness, mentally retarded, or otherwise unable to cope unassisted with daily living. Such care is available in personal care homes, domiciliary homes, inpatient health facilities, nursing homes, geriatric day care centers, and various other types of facilities. See also home health care.
The oral stage of psychosexual development is the infantile period lasting from birth to 12 months, or even to 24 months of age, in which sensual pleasure is derived and sexual tensions are released through oral activities. It is followed by the anal stage at about the age of 18 months to 3 years, which is characterized by the libidinous experience of anal function. In this stage, the boy begins to identify with his father, brothers, and male peers and, after learning to stand and walk, can further fixate the image of his penis and control its urinary function; and the girl becomes aware of the differences between the sexes but is still unaware of her vagina. The female develops penis envy during the anal stage, which may be manifested through feelings of shame, inferiority, jealousy, and perhaps rage. The anal stage is followed by the phallic stage, which usually is seen in boys between the ages of 3 and 4½ years and in girls a short time later. During this stage, sexual interest, curiosity, and pleasurable experiences center about the penis in boys, and in girls, to a lesser extent, the clitoris. Boys may develop castration anxiety during the phallic stage.
The latency period in sexual development extends from about 6 years to 9 or 10 years of age. Children in this period form close relationships with those of the same sex. Masturbation is not uncommon, and is considered by some authorities to be useful in reinforcing the child's awareness of sexuality, to discharge sexual and aggressive impulses, and to contribute to continued sexual development.
Adolescence is a time of rapid change in sexual development; puberty brings on the appearance of secondary sex characters. During puberty the genital stage, the final stage in psychosexual development, occurs, during which the person can achieve sexual gratification from genital-to-genital contact and is capable of a mature relationship with a person of the opposite sex. In midadolescence both sexes become more interested in members of the opposite sex and seek heterosexual experiences.
The concept of human sexuality is broad and complex. All persons are sexual beings from birth to death. Acute and chronic disorders, disabling neurologic injury and disease, and aging may necessitate adaptations in the ways in which sexuality is expressed, but the individual with a sexual dysfunction, no matter how severe, does not cease to be a sexual being.
Because of the complexity of human sexuality, specific etiologies of sexual dysfunction can be classified as pathophysiological, psychological, environmental, or maturational. Altered body function related to endocrine disease, surgery, trauma, radiation, or cancer can be a primary or secondary cause of dysfunction. Lack of information, misinformation, developmental disability, absence of an effective role model, and physical and sexual abuse can alter sexual function, as can lack of privacy, fear or guilt, an incompatible or abusive partner, and excessive stress.
sexual healthAn oblique synonym for sexually transmitted diseases (STDs) or sexually transmitted infections (STIs), which are managed in the UK in genitourinary medicine clinics.
Patient discussion about sexual health
Q. Something rairly spoken about is sexual disfunctions. Wether it be an inability to perform or being hyper sexual during manic episodes. This situation can be very frusterating for patients as well as partners. Hyper sexuality can lead to cheating followed by depression and sexual disfunction. How have you dealt with these issues?
Q. SEXUALLY TRANSMITTED DISEASES how many types are there?
The rest of the list, I think lixurion had already shared you the link, just read on that link..
Q. Is hepatitis a sexually transmitted disease? I mean hepatitis B and C mainly…
hepatitis C usually transmitted through drugs usage and blood transfusion