Chapter 5- Frameworks for Health Promotion, Disease Prevention, and Risk Reduction

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Holy Family University *

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MISC

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Health Science

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Feb 20, 2024

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3

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Chapter 5: Frameworks for Health Promotion, Disease Prevention, and Risk Reduction Chapter Highlights #1 Chapter Highlights #2 Question #1 Influences on health & well-being Role of the nurse as an interdisciplinary team member in health promotion & prevention Health promotion programs Epidemiologic models of health promotion & public health science Levels of prevention & pathogenesis Immunizations Screening Behavior change theories Ecologic model & women living w/ HIV/AIDS Health literacy Interactive health literacy & health education Critical health literacy & health promotion Is the following statement true or false? International goals & directives to maintain the health of individuals, families, & communities are significant road maps for healthcare professionals. Answer False National, not international, goals & directives to maintain the health of individuals, families, & communities are significant road maps for healthcare professionals. Health Health Promotion, Disease Prevention, & Risk Reduction as Core Activities of Public Health Healthy People Initiatives Road Maps to Health Promotion Health—a quality, an ability to adapt to change, or a resource to help cope with challenges & processes of daily living Well-being—a subjective perception of full functional ability as a human being Providing essential input to interdisciplinary programs Evaluating health trends and risk factors Working w/ communities or specific population groups within the community Participating in assessing and evaluating healthcare services To increase quality & yrs of healthy life To eliminate any barriers to accessing care, specifically through health disparities Epidemiologic Model & Prevention o Levels of Prevention: 1. Primary: 2. Secondary: 3. Tertiary:
Question #2 Levels of Prevention Question #3 Behavior Models Is the following statement T or F Tertiary Prevention —maximizing health and wellness through strategies that are set in place at the early and active chronic stages of pathogenesis of illness and injury. Answer: False Rationale: Secondary prevention— maximizing health and wellness through strategies that are set in place at the early and active chronic stages of pathogenesis of illness and injury. Tertiary prevention—maximizing health and wellness through strategies that are set in place at the palliation and end-stage of disease and injury trajectories. 1. Primary prevention —maximizing health and wellness through strategies that are set in place before illness or injury is present 2. Secondary prevention —maximizing health and wellness through strategies that are set in place at the early and active chronic stages of pathogenesis of illness and injury 3. Tertiary prevention —maximizing health and wellness through strategies that are set in place at the palliation and end stage of disease and injury trajectories Is the following statement Tor F Learning Model—a behavior change model that considers the severity of the potential illness or physical challenge, the level of conceivable susceptibility, the benefits of taking preventive action, and the challenges that may be faced in taking action toward the goal of health promotion. Answer: False Rationale: Health Belief Model —a behavior change model that considers the severity of the potential illness or physical challenge, the level of conceivable susceptibility, the benefits of taking preventive action, & the challenges that may be faced in acting toward the goal of health promotion. Learning Model —a behavior change model emphasizing reinforcement of social competence, problem solving, autonomy, & sense of purpose Motivational Interviewing client-centered communication style for eliciting behavior change by helping clients and groups explore and resolve ambivalence to change Behavior Change Models models that assist clients, groups, & communities to redirect activities toward health and wellness Learning Model Health Belief Model Transtheoretical Model A behavior change model emphasizing reinforcement of social competence, problem solving, autonomy, & sense of purpose A behavior change model that considers the severity of the potential illness or physical challenge, the level of conceivable susceptibility, the benefits of taking preventive action, & the challenges that may be faced in taking action toward the goal of health promotion Precontemplation Contemplation Preparation Action Maintenance Relapse Theory of Reasoned Action Social Learning Theories of Social Support A behavior model that emphasizes that individual performance of a given behavior is primarily determined by a person's intention to perform that behavior A behavior change model that considers environmental influences, personal factors, and behavior as key components of change Family members, friends, neighbors, and adjacent communities influencing change by offering instrumental assistance, informational support, emotional support, and/or appraising support
The Relapse Prevention Model Ecologic Model Use of the Ecologic Model: Evidence for Health Promotion Intervention #1 Use of the Ecologic Model: Evidence for Health Promotion Intervention #2 Negative emotional states Lack of or limited coping skills Decreased motivation Stress High-risk experiences Belief that all processes occurring within individual people and their environment should be viewed as interdependent Emphasize the unique developmental nature of variables that influence behaviors Use a multilayered understanding of influence on behaviors Test variables from each of the identified systems in the model to guide the assessment, development, implementation, & evaluation of targeted interventions Ontogenic System —personal factors Microsystem— relationship between women and the environment Exosystem— formal and informal social structures Macroculture— values and beliefs of culture Health Promotion & Secondary/Tertiary Prevention for Women Living w/ HIV/AIDS Health Literacy Health Literacy and Health Education Health Literacy & Health Promotion Role of Nurses Prevention initiative that is community-based, peer-led, & interdisciplinary Positive prevention African American women experiencing disproportionate interpersonal mistrust, adherence to treatment plan, delays in seeking care, and compromised self- advocacy Consideration to mental health Information-literate Visually literate Communication-literate Computationally literate Analytically literate Computer-literate Establishing supportive learning environment Effective questioning Evidence-based health literacy universal precautions Healthy People 2020 & health literacy Build healthy public policies Create supportive environments Strengthen community action Develop personal skills Reorient health services Knowledge of the 3 levels of health literacy allows the community health nurse to intervene at the individual, provider, and community level: 1. Functional 2. Interactive 3. Critical
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