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Health Promotion & Community Health
Terms in this set (62)
-quality of life enhancement
-resistance to illness
what are the goals of health promotion activities?
the promotion of enabling people to increase control over, and to improve, their health. It moves beyond a focus on individual behavior towards a wide range of social and environmental interventions.
what are the 3 levels of health promotion/illness prevention?
this level of prevention focuses on health promotion and protection against specific health problems
this level of prevention focuses on early identification of health problems and prompt intervention.
this level of prevention focuses on restoration and rehabilitation to an optimal level of functioning
-health education concerning the hazards of smoking
-vaccines against diseases
-injury prevention (wearing seatbelt, bike helmets, car seats)
what are examples of Primary illness prevention?
-genetic testing of individuals where there is a strong family history of specific cancers
-Denver Developmental Screening Test (developmental delays)
what are examples of Secondary illness prevention?
what are examples of Tertiary illness prevention?
1. Attain high quality, longer lives
2. Achieve health equity, eliminate disparities
3. Create social and physical environments
4. Promote quality of life and healthy behaviors
what are the new goals of Healthy People 20/20?
Healthy People 20/20
"a society in which all people live long, healthy lives"
there are 2 types of health promotion activities:
the client is the recipient of the health promotion strategy
strategies encourage individuals to take control of their health
-maintaining the cleanliness of water and air
-promoting a a healthy environment by enforcing sewage regulations
what are examples of passive strategies of health promotion?
-diet management program to improve nutrition
-self help or meditation program to reduce stress
what are examples of active strategies of health promotion?
1. information dissemination
2. lifestyle and behavioral change
3. environmental control programs
what are the types of health promotion activities?
this method makes use of a variety of media to offer information to the public about the risk of particular lifestyle choices and personal behavior, as well as the benefits of changing that behavior and improving the quality of life.
Billboards, posters, brochures, internet and health fairs
examples of information dissemination:
Lifestyle and Behavioral Change
require the participation of the individual and are directed toward enhancing the quality of life and extending the life span
stress management, nutrition awareness, weight control, smoking cessation, exercise
examples of lifestyle and behavioral change programs:
Environmental Control Problems
have been developed in response to the growth in the number of contaminants of human origin that have been introduced into the environment
-maintain and enhance health
-develops resources of the person/community
-defines health as continuum
goals of health promotion:
to focus on health promoting behaviors to emphasize active role of client
what is the purpose of Pender's health promotion model?
*person seeks to express health potential
*person has self-awareness
*person seek balance between change & stability
*person regulates own behavior
*person interacts with environment and transforms
*health care person exerts influence
*person changes pattern of behavior
what are the concepts of Pender's model?
Neuman Systems Model
wellness oriented and views health promotion as an intervention component of primary prevention
levels of prevention and factors that strengthen a person's line of defense
what does Neuman's system model include?
"measures that the individual initiates to maintain health and wellness, controlling stress, and health screening."
the Neuman's Systems model defines health promotion as...
what are the 6 stages of behavioral change?
individual has no intention of taking action or changing behavior within the next 6 months
the person seriously considers changing, actively gathers information, and verbalizes an intention to change the behavior in the near future(6 months)
the person is ready to take action within the next 30 days
occurs when the person actively implements behavioral and cognitive strategies to interrupt previous behavior and continues for several weeks or months
the person integrates newly adopted behavior pattern into his/her lifestyle for more than 6 months
the person has no desire to return to the previous unhealthy behavior and believes they will not release. This stage is not often reached
-work with the client
-teach self care strategies
-effective problem solving
-advocate for change
what are the nurses roles in health promotion?
-changing the focus
what are some challenges of health promotion?
-health promotion, prevention maintenance, and restoration
-increases access to preventative services
-care for individuals, families and groups
-higher degree of autonomy & independence
what are the goals of community nursing?
1. group of people who have similar characteristics or have something in common
2. social group determined by geographic boundaries
3. community is bounded by time and members interacts with one another
4. community feels a connection with one another
what are 5 definitions of community?
Community Based Nursing Practice
"setting specific practice in which care is provided for sick individuals and families where they live, work, and attend school"
provision of illness care to individuals and families in the community
what is our goal as community based nurses?
health units, immunization bus, clinics, schools, workplace
examples of community based nursing:
1. promote health and prevent illness in population groups
2. strategies and interventions to prevent disease and promote health to entire community
3. community on whole rather than individual client determines priority
4. overall good is promoted
5. individual needs may go unmet
Community Health Nursing-what we do:
-production, consumption, distribution of goods & services
what are the functions of community?
group of people who have some characteristics in common
strategies to prevent disease and promote health for communities
community based nursing
providing personal illness care to individuals in the community
Nursing Process in Community Health: Assessment
nurses assess community health by using epidemiological studies and by using an established community assessment framework or tool
study of determinants and distribution of health, disease in human population
number of people with a particular disease over a given amount of time
reflects situation at a given point in time
Assessment in Community Health (components) :
Nursing Process in Community Health: Diagnosis
identifies community diagnosis for actual or potential health problems & focuses on aggregates of people, not individuals
-healthy people 20/20 goals
-collaborative process, nurse is facilitator
Nursing Process in Community Health: Planning & Implementing
Ensure the planned intervention lead to achievement of established goals. Should you continue or discontinue programs?
what is the Evaluation process in Community health?
1. "we are a community"
2. use of resources
3. welcomes subgroups
4. prepared to meet crisis
5. problem solving; meet own needs
6. open communication
7. resources available to all
8. effective problem solving
9. maximum citizen participation
10. promotes high level of wellness
10 characteristics of a Healthy Community's members:
-"father of public health" created census report of high infant and mother mortality rate.
-recommended health boards & sanitary service
-developed in Canada
-prevention health problems
-promotion of good health
surgeon general report (year)
US Public Health Report (1980)
set up goal for nation & goals & strategies to achieve healthy objectives
Healthy People 2010 (2000)
increased quality & years of a healthy life& to eliminate health disparities for those with no access to quality health care
healthy people 2020(2010)
-to identify nationwide health improvement priorities & increase public awareness & understanding of determinants of health, disease
-to educate communities
THIS SET IS OFTEN IN FOLDERS WITH...
Chapter 16: Health and Wellness
Chapter 23: Public Health, Community-Bas…
The Nursing Process
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