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