Children's health and health promotion Flashcards

1
Q

Learning outcomes

A
  • Be able to define the concepts of prevention, particularly immunization, secondary prevention and screening
  • Be able to discuss aspects of the evaluation of preventive interventions e.g. MMR vaccination, breast and/or cervical screening
  • Consider how the cycle of change can clarify and promoting change at a personal level
  • To understand Wilson’s Criteria for Screening
  • Be able to define health promotion, health education and health protection
  • Be aware of the range of approaches to health promotion and discuss the best way to achieve high levels of health for the practice and society
  • Understand why health promotion has become a component of NHS provision
  • Consider health promotion activities in different settings (e.g. schools)
  • Be aware of the challenges inherent in assessing the quality and outcomes of health promotion
  • Be aware of the pros and cons of health promotion
  • To introduce ideas about interplay between age-changes, environment, lifestyle and disease.
  • To understand early effects on lifelong health.
  • To discuss how children may present in Primary Care
  • To discuss modern Health Promotion issues in children and understand the complexity behind those issues
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2
Q

Definition of health promotion

A
  • Any activity designed to health health and prevent disease
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3
Q

Factors targeted by health promotion

A
  • Access
  • Environment
  • Lifestyle
  • All three have an affect on health
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4
Q

Important settings of health promotion

A
  • Workplace
  • Schools
  • Hospitals
  • Community
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5
Q

Three theories of health promotion

A
  • Educational
  • Socioeconomic
  • Psychological
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6
Q

Educational theory of health promotion

A
  • Provision of knowledge and education
  • Enables skills to make informed health related choices
  • One-to-one, group workshops
  • E.g smoking, diet
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7
Q

Socio-economic theory of health promotion

A
  • Radical changes
  • Make health choices easy choices
  • National policies → unemployment, redistribute income
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8
Q

Psychological theory of health promotion

A
  • Complex between behaviour-knowledge-attitudes=beliefs
  • Activities begin from individual attitude to health and willingness to change
  • Emphasis on individual change
  • e.g. alcohol, smoking
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8
Q

Psychological theory of health promotion

A
  • Complex between behaviour-knowledge-attitudes=beliefs
  • Activities begin from individual attitude to health and willingness to change
  • Emphasis on individual change
  • e.g. alcohol, smoking
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9
Q

Definition of health education

A
  • Activity involving communication with individual/ group to change knowledge/beliefs/attitudes/behaviours towards health improvements
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10
Q

Definition of health protection

A
  • Collective activities towards factors beyond control of individuals
  • Activities focuses on regulations, policies, voluntary codes of practice
  • Aims to prevent ill health and promote positive wellbeing
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10
Q

Definition of health protection

A
  • Collective activities towards factors beyond control of individuals
  • Activities focuses on regulations, policies, voluntary codes of practice
  • Aims to prevent ill health and promote positive wellbeing
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11
Q

Why is health promotion vital

A
  • Poor lifestyle, exercise, diet → increases burden of chronic disease and ageing on NHS
  • Aim is at prevention rather than cure
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12
Q

What is empowerment

A
  • Generation of power to individuals and groups previously unable to control situation or act within choice
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13
Q

Benefits of empowerment

A
  • Ability to resist social pressure
  • Utilise effective coping strategies to unhealthy environment
  • Heightened awareness fo action
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14
Q

Challenges to health promotion

A
  • Question to the cost/ benefit ratio to planned health promotion
  • Difficulty evaluating effectiveness of health promoting activities in primary and secondary care
15
Q

Components to the cycle of change

A
  • Pre-contemplation
  • Contemplation
  • Action
  • Regression or maintenance (leads to healthier lifestyle)
16
Q

2 main levels of health promotion

A
  • Primary care → planned or opportunistic action (BP monitoring)
  • Government → legislation (legal age limits, smoking bans)
16
Q

2 main levels of health promotion

A
  • Primary care → planned or opportunistic action (BP monitoring)
  • Government → legislation (legal age limits, smoking bans)
17
Q

Primary prevention

A
  • Measures to prevent onset of illness/ injury
  • Reduction of probability/ severity of illness/ injury
  • E.g. smoking cessation, immunisation
18
Q

Secondary prevention

A
  • Detection of disease in early/ preclinical states to cure, prevent or lessen symptomology
  • Often during an asymptomatic stage of illness/disease
19
Q

Wilson’s criteria for screening

A
  • Important health problem with a well understood nature to the condition
  • Recognisable stages to symptomology
  • Test should be:
    • Easy to perform and interoperation
    • Acceptable
    • Accurate
    • Reliable
    • Sensitive and specific
  • Acceptable treatment in recognised disease with treatment more effective if started early
  • Policy to who is and isn’t treated
  • Diagnosis should be cost-effective
20
Q

Cost considerations in screening

A
  • Cost of case findings (diagnosis and treatment of patients)
  • Cost of medical care in absence of screening
21
Q

Tertiary prevention

A
  • Limit distress and disability caused by disease