Focuses on improved health outcomes for an entire population. Includes education, proper nutrition, pre-natal care, family planning, and control of disease.
Stage 1 (NREM) to Stage 2 (NREM) to Stage 3 (NREM) to Stage 4 (NREM) to Stage 3 (NREM) to Stage 2 (NREM). Repeats without stage 1.
200
Health and illness continuum
A scale on which health is perceived.
200
Late 60's to death
Ego integrity vs despair
200
Intimacy vs Isolation
Mid 20's to mid 40's
200
Refers to a shared identity to social ad cultural heritage such as values, language, and geographical space, and racial characteristics.
Ethnic Heritage
200
Lasts 15-30 min, initial stage of sleep, Muscles are completely relaxed, VS declined but regular, rarely moves, and difficult to awaken.
Stage 3: NREM
300
Focus is on the diagnosis and treatment of illness. Examples: intensive care and sub-acute care.
Tertiary care
300
1 year to 3 years
Autonomy vs Shame
300
self confidence, usefulness, achievement.
Fourth level- self esteem
300
Last a few minutes, lightest of sleep, decrease physiological activity, fall in VS and metabolism, easy to awaken.
Stage 1 NREM
300
Begins 90 minutes after sleep begun, vivid dreaming occurs, fluctuating VS, and difficult to arouse.
REM sleep
400
Focus on the diagnosis and treatment of illness. Examples are: emergency care, acute med-surgical care, and radiological procedures.
Secondary health care
400
Generativity vs Self-absorption (ages)
Mid 40's to mid 60's
400
3 years to 6 years
Initiative vs guilt
400
Conduct that falls below a standard of care. (unintentional tort)
Negligence
400
Lasts 10 to 20 minutes, period of sound sleep, relaxation process, body functions continue to slow, and relatively easy to awaken.
Stage 2 NREM
500
End of life care.
Hospice
500
Birth to 1 year
Trust vs Mistrust
500
Shelter
Second level- safety and security
500
One type of negligence and often referred to as a professional negligence. (unintentional tort)
Malpractice
500
Last 15-30 minutes, deepest sleep stage, sleep walking and bed-wetting occur, difficult to awaken, if sleep is lost the sleeper spends more time in this stage.