Children's Health and Promotion Flashcards

1
Q

Name 4 factors that effect health

A

Genetics
Access
Environment
Lifestyle

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2
Q

What is health promotion

A

It promotes health through a combination of legislation, the provision of preventative services such as immunisation and the development of activities to promote and maintain change to a healthier lifestyle.

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3
Q

What 3 factors that effect health are targeted by health promotion

A

Educational
Socioeconomic
Psychological

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4
Q

How may education affect health

A

Provides knowledge and education to enable necessary skills to rate informed choices re health – may be one –to-one or group workshop
​ ​e.g. smoking, diet, diabetes

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5
Q

How may changes in socioeconomic status affect health

A

‘Makes healthy choice the easy choice’
National policies e.g. re unemployment, redistribute income, taxation of commodities to move people to make the healthier choice

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6
Q

How may psychological aimed health promotion effect health

A

Complex relationship between behaviour, knowledge, attitudes and beliefs. Activities start from an individual attitude to health and readiness to change. Emphasis on whether individual is ready to change. (e.g. smoking, alcohol).

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7
Q

Define health promotion (this s the official one)

A

Health promotion-an overarching principle/activity which enhances health and includes disease prevention, health education and health protection. It may be planned or opportunistic.

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8
Q

Define health education (this s the official one)

A

Health education-an activity involving communication with individuals or groups aimed at changing knowledge, beliefs, attitudes and behaviour in a direction which is conducive to improvements in health

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9
Q

Define health protection (this s the official one)

A

Health protection-involves collective activities directed at factors which are beyond the control of the individual. Health protection activities tend to be regulations or policies, or voluntary codes of practice aimed at the prevention of ill health or the positive enhancement of well-being.

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10
Q

Why is health promotion relevent?

A

Ultimately it is needed and there is already infrastructure to do it

Consider poor lifestyles, exercise, diet etc and the cause / burden of Chronic disease and the effect of the aging population on the NHS.
Growing healthcare costs managing disease and its complications.
Benefits of prevention of disease rather than treating established disease.
Consider the organised primary care system, health visitors, chronic disease clinics, network of pharmacies – all able to deliver health promotion.
Also use of media and ability to organize and advertise national programmes

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11
Q

What are the disadvantages of Health promotion

A

Medicalising healthy individuals
Possible increased worry (e.g. coronavirus)
May not effectively target the most at risk groups e.g. those in more deprived areas
It may not deliver the required benefits leading to further increased cost
Difficult to assess impact.

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12
Q

What challenges are there in health promotions

A

Many doctors cynical - is it the best use of resources?

In response the UK government has set up the NICE to review evidence and develop appropriate guidelines to practice

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13
Q

Why is empowerment beneficial

A

An ability to resist social pressure.
An ability to utilise effective coping strategies when faced by an unhealthy environment.
A heightened consciousness of action.

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14
Q

Define empowerment

A

Empowerment refers to the generation of power in those individuals and groups which previously considered themselves to be unable to control situations nor act on the basis of their choices.

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15
Q

How would you apply the cycle of change in practice

A

Talk to the patient to try and identify if they have moved to a different part of the cycle from when you last saw them. If moved to contemplation then advice re what steps they might be able to take. If at pre contemplation then raising issue as something for them to consider.

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16
Q

What are the steps in the cycle of change

A
precontemplation
contemplation
action
mantainance 
relapse/regression
17
Q

How may health promotion be carried out in primary care

A

Planned – Posters, Chronic disease clinics, vaccinations, QOF (much of the QOF work is ongoing despite this no longer being necessary as seen as good clinical care). Also would include things like travel clinic and then disease prevention measures such as smears, bowel screening.
Opportunistic – Advice within consultation e.g. re smoking, diet, taking BP, Alcohol brief intervention
Delivered by the GP but also increasingly by the practice nursing team.

18
Q

How may health promotion be carried out by the government

A

Legislation – Legal age limits, Smoking ban, Health and safety, Clean air act, Highway code
Economic – Tax on cigarettes and alcohol
Education – Health education board scotland - adverts etc

19
Q

Give examples of primary prevention

A

smoking cessation

Immunisation

20
Q

Define secondary prevention

A

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

21
Q

What are the criteria in Wilson’s criteria

A

Illness – important, natural history understood, pre-symptomatic stage

Test – easy, acceptable, cost effective, sensitive and specific

Treatment – acceptable, cost effective, better if early

22
Q

Give examples of screening programes in scotland

A

Cancers – Breast, Bowel, Cervical

AAA

Diabetic retinopathy

Pregnancy screening
Pre-eclampsia and diabetes
Anaemia and blood group. Blood disorders e.g. thalassaemia and sickle cell
Viral infections e.g. HIV, Hep B, Syphilis, Rubella
Down’s syndrome and other chromosomal conditions
Baby and placental position

New born screening including hearing, cataracts, congenital heart disease, hip dysplasia and undescended testes
Guthrie test – PKU, Hypothyroidism, sickle cell, CF

23
Q

Define tertiary prevention

A

Any intervention after the disease onset that limits the effect of the disease e.g. secondary prevention for stroke / MI, analgesia and physiotherapy for OA, OT input for patients with MND or the provision of care support.

24
Q

When assessing development in a child what should you consider

A

Normal development and aging
Environment and lifestyle
Disease

25
Q

What is the main fuel for development in children

A

nutrition

26
Q

Why is parenting important for a childs health

A

Habits and lifestyles established in adolescence
Smoking is more than twice as likely if your parents smoke
Neglect and abuse recur.

27
Q

Why may a parent present with a well child

A
anxiety re a normal illness
inexperience
single parent with no support
parenting difficulty manifesting as child illness
parent depression / anxiety
social issues
child presenting to them with difficult symptoms to interpret
child abuse by a partner
28
Q

What is the suggested volume of exercise in teens

A

NHS Guidelines for teens suggest at least 60 minutes of moderate to vigorous exercise daily for teenagers.

29
Q

how mush sleep do teens need

A

Teens need about 8 to 10 hours of sleep each night to function best. Most teens do not get enough sleep — one study found that only 15% reported sleeping 8 1/2 hours on school nights.

30
Q

What social factors may effect a teen

A

Abuse
Bullying
Neglect
etc

31
Q

Why may screens be an issue for children and teens

A

don’t sleep as well

less social time and development

32
Q

What factors will affect a childs health

A
personal
social
development
parental
physical
psychological