Children's Health and Health Promotion Flashcards

1
Q

What is health promotion?

A

Any planned activity designed to enhance health and prevent disease.

Overarching principle/ activity which enhances health and includes disease prevention, health education and health protection. May be planned or opportunistic.

e. g.
- Advertisement about benefits of a healthy lifestyle
- Pictures of persuasion e.g. smoking kills pictures

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2
Q

What is WHO health definition?

A

The state of complete physical, mental and social wellbeing and not merely the absence of disease.

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3
Q

What is health affected by?

A
  1. Genetics
  2. Access
  3. Environment
  4. Lifestyle
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4
Q

What are the three theories of health promotion?

A
  1. Educational
  2. Socioeconomic
  3. Psychological
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5
Q

What is health education and examples of it?

A

An activity involving communication with individuals/ groups aimed at changing knowledge, beliefs, attitudes and behaviour in a direction which is conductive to improvements in health.

e. g.
- Statistical posters and leaflets informing about illness e.g. lung cancer, STI, alcohol units
- Understanding risks of conditions/ disease (e.g. ways to quit smoking)

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6
Q

What is health protection?

A

It involves collective activities directed at factors which are beyond control of individual. Health protection activities tend to be regulation or policies or voluntary codes of practice aimed at the prevention of ill health or the positive enhancement of wellbeing.

E.g.

  • SNP council house motion
  • Laws around smoking packages
  • Food labelling
  • Health and safety
  • Alcohol taxing
  • Sick notes
  • Power of attorney
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7
Q

What is empowerment and what is the benefits of it?

A

It refers to generation of power in those individuals and groups which previously considered themselves to be unable to control situation nor act on basis of their choices

The benefits:

  1. Ability to resist to social pressure
  2. Ability to utilise effective coping strategies when faced by an unhealthy environment
  3. Heightened consciousness of action
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8
Q

What are the two ways health promotion can achieved in primary care?

A
  1. Planned
    - Posters. e.g. about lung cancer, STI, alcohol units
    - Chronic disease clinics
    - Vaccinations
  2. Opportunistic
    - Advice within surgery
    - Smoking, diet
    - Taking BP
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9
Q

What are the three ways health promotion can achieved by the Government?

A
  1. Legislation
    - Legal age limits
    - Smoking ban
    - Health and safety
    - Clean air act
    - Highway code
  2. Economic
    - Tax on cigarettes and alcohol
    - Sugar tax
  3. Education
    - Ask students to recall adverts they’ve seen
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10
Q

What is primary prevention?

A

Measures taken to prevent onset of illness and injury and reduces probability and severity of an illness (before onset of symptoms and reduces chance something will happen)

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11
Q

What are two primary prevention measures in primary care?

A
  1. Smoking cessation

2. Immunisation

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12
Q

What is secondary prevention?

A

Detection of a disease at an early (preclinical) stage in order to cure, prevent or lessen symptomatology.

E.g. Screening

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13
Q

What is Wilson’s Criteria for screening?

A
  1. Illness: should be important, natural history understood, pre-symptomatic stage
  2. Test: should be easy, acceptable, cost effective, sensitive and specific
  3. Treatment: should be acceptable, cost effective, better if early
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14
Q

What are the types of screening test available on the NHS?

A
  • CF
  • Bowel cancer
  • Breast cancer
  • Cervical cancer
  • Antenatal screening
  • Hearing screening in infants
  • Abdominal aortic aneurys in men over 65
  • Diabetic retinopathy

Antenatal and newborn tests:

  1. Foetal anomaly USS
    - Down’s
    - Infectious disease in pregnancy
  2. CF (heel prick test)
  3. Sickle cell test
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15
Q

What is tertiary prevention?

A

Measures to limit distress or disability caused by disease

e.g. motor neurone disease, OA OT, physio, care manager

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16
Q

Describe the cycle of change?

A

1) Pre-contemplation (unaware that there is a problem)
2) Contemplation (awareness of the problem)
3) Action (Ready for action to tackle the problem)
4) Maintenance
5) Relapse or Maintenance of healthier lifestyle

17
Q

Common conditions children will see their GPs for?

A
  1. Feeding problems (new babies especially)
  2. Pyrexia
  3. URTI
  4. Coughs/ colds
  5. Rashes
  6. Otalgia
  7. Sore throat
  8. Vomiting +/- diarrhoea
  9. Abdominal pains
  10. Behavioural problems (older infants)
18
Q

How should one act in a child-adult consultation?

A
  1. Listening
  2. Watching
  3. Observing
  4. Examining properly
  5. Putting child at ease as well as parent/ guardian
  6. Parental understanding
  7. Explain in a clear language
19
Q

Why might a parent bring a healthy child into GP with child not being clinically unwell?

A
  1. Someone else urging them to act
  2. Anxiety regarding normal illness
  3. Inexperience
  4. Single parent with no support
  5. Parenting difficulty manifesting as child illness
  6. Parent depression/ anxiety
  7. Social issues
  8. Child presenting them with difficult symptoms to interpret
  9. Child abuse by partner
20
Q

What measures can a GP take to be sure what is happening with a child?

A
  1. Listen and observe
  2. Read the notes of child and parent/s
  3. Examine properly
  4. Explain clearly what you are thinking/ doing
  5. Discuss with other health professionals
  6. Review
  7. ‘Open door’ policy
  8. Reassure appropriately
  9. Investigate properly
  10. Refer appropriately
21
Q

How might a GP manage an overly anxious parent/ guardian?

A
  1. Listening
  2. Examining
  3. ICE
  4. Building a rapport
  5. Explaining properly along the way (what you are thinking and doing)
  6. Consensus
  7. Allowing parents/ guardians to ask questions
  8. Offering second opinion
  9. No dogma
  10. Facilitating a return visit
22
Q

What are the health aspect to consider in an adolescent?

A
  1. Diet
  2. Exercise
  3. Sleep
  4. Screen time
  5. Social issues; school, friends, drugs and alcohol, sex
23
Q

What is the role of a health visitor?

A
  1. Look at healthy diet
  2. Promotes immunisation programme
  3. Maternal mental health
  4. Assessing safe home environment
  5. Promotes activity in children
  6. Overall health promotion in children and mothers
24
Q

When does a health visitor visit a family?

A

HV visits every family from age 0-5