health education and promotion Flashcards

1
Q

Mid 1970s CDC study revealed ___ % of premature deaths could be traced to lifestyle or health behavior. Saving lives and reducing healthcare costs needed to be achieved through ___________________. This led to what report?

A

48%
means other than healthcare
Led to Healthy People: Surgeon General’s Report on Health Promotion and Disease Prevention : Healthy People goals and objectives for nation

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2
Q

personal vs community health

A

Personal – activities that affect the individual and/or immediate family members but seldom directly affect behavior of others

Community – activities aimed at protecting or improving the health of a population or community

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3
Q

Social determinants of health are …….that affect a wide range of ________, ______ and ________.

A

conditions in the environments in which people are born, live, learn, work, play, worship, and age.
health, functioning, and quality-of-life outcomes and risks

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4
Q

7 factors effecting health of the community

A

geography, environment, community size, industrial development, social and culturural factors, community organizing, individual behavior

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5
Q

factor effecting health of the community: geography

A

Climate influences spread of infectious disease, ability to grow food

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6
Q

factor effecting health of the community: environment

A

Soil, water, air quality

Human responsibility for environment

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7
Q

factor effecting health of the community: community size

A

Resources, spread of communicable diseases, quality of environment

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8
Q

factor effecting health of the community: industrial development

A

Resources

Pollution, occupational illnesses

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9
Q

factor effecting health of the community:social and cultural

A
Beliefs, traditions, prejudices
Economy
Politics
Religion
Social norms
SES
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10
Q

define health promotion: activities with goal to …

A

Activities with goal to develop human attitudes & behaviors that maintain or enhance well-being

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11
Q

define health education: any combination of planned learning experiences based on….

A

Any combination of planned learning experiences based on sound theories provided to individuals, groups, & communities to develop the skills needed to acquire skills & information needed to make quality health decisions (Joint Committee on Terminology, 2001)

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12
Q

define disease prevention: efforts to stop…..

What is it focused on?

A

Involves efforts to stop the onset of a specific illness or condition, such as heart disease, diabetes, or cancer (Breslow, 1999)
Disease prevention is more focused, concentrating prevention efforts on one specific illness.

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13
Q

3 things that Health Promotion/Education & Disease Prevention Programs do:

A
  1. Involve proactive care, targeting programs and services to “well” individuals/communities
  2. Include an evaluation component to ensure that programs are effective
  3. Encourage integrated, collaborative service delivery
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14
Q

3 Benefits of disease prevention/health promotion/health education

A

Improved healthy lifestyles
Decreased disability
Extended healthy life expectancy

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15
Q

Health Education/Promotion Locations

A

schools, communities, worksites, healthcare sites, homes, consumer marketplace

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16
Q

delivery approaches for health education/promotion: 3 main groups

A

individual, group and mass

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17
Q

3 parts to delivery approach: individual

A

counseling, clinical consult, on-site visit

18
Q

3 parts to delivery approach: group

A

lectures, group discussion, workshop/seminar

19
Q

3 parts to delivery approach: mass

A

radio/TV, newspaper, printed materials

20
Q

pros and cons to delivery approach: individual

A

Pros –
Credible source, 2-way discussion, motivational and supportive
Cons –
Time consuming, limited audience

21
Q

pros and cons to delivery approach: group

A
Pros
Familiar, trusted
Provides motivation, support
Less expensive
Shared experiences
Reach more people
Cons
Less personal attention and specific plans
Organizational approval and planning
Can be costly and time consuming
22
Q

pros and cons to delivery approach: mass

A

Pros
Reach large audience

Cons
Individuals need to be proactice
Can be expensive

23
Q

Only __% of people engage in all 4 healthy behaviors:_______, ________, ______ and __________

A

3%

not smoking, maintaining normal weight, exercise regularly, eating a healthy diet

24
Q

Why integrate disease prevention and health promotion into clinical practice?

A

Large burden of disease caused by personal (and preventable) behaviors

25
Q

Developing a Health Promotion/Prevention Program:

4 process steps

A

1) Identify patients, patient needs, and community resources
2) Identify the health problem
3) Develop and implement interventions
4) Conduct ongoing evaluation

26
Q

developing a program: step 1 expanded: (weeds)

A

Define your community of interest
Gather info regarding your pt population
Identify risk factors in the community
Determine priority health promotion activities based on pt needs
Develop an inventory of healthcare resources in your community
Identify gaps in resources, services, prevention

27
Q

developing a program: step 2 expanded: (weeds)

A

Assess the importance of the target condition or risk factor
Target condition: disease or health outcome that the prevention efforts will help individuals avoid, address early, or prevent from recurring (or progressing)
Risk factors – characteristics that are directly related to or more likely to lead to the target condition
Demographics of your population will help assess prevalence
Pinpoint your population of interest

28
Q

developing a program: step 3 expanded: (weeds)

A

Research evidence-based prevention/health promotion interventions for your identified health problem
Develop plan to integrate health promotion/disease prevention into everyday practice or plan for a community program
Develop objectives for each program, with measurable outcomes
Develop team for implementing program
Develop care coordination strategies – who will be referred? When? How?
Use evidence-based preventive guidelines

29
Q

developing a program: step 4 expanded: (weeds)

A

Develop a process to collect and review data
Develop evaluation plan while developing program
Analyze data and interpret results
Alter programs based on data

30
Q

where to find prevention programs (weeds)

A

Guide to Clinical Preventive Services (US Preventive Services Task Force)

Agency for Healthcare Research and Quality

Guide to Community Preventive Services

Cochrane Collaboration

Healthy People 2020

31
Q

3 aims of health education

A

Health promotion and disease prevention
Early diagnosis and management
Utilization of available health services

32
Q

4 specific objectives of health education

A
  1. Increase knowledge of factors that affect health
  2. Encourage behavior that promotes and maintains health
  3. Encourage appropriate use of health services, especially preventive services
  4. Inform public about medical advances, their uses, and their limitation
33
Q

4 main principles of health education

A
  1. Supported by latest knowledge from research
  2. Systematic, comprehensive, and consistent
  3. Adapted to age, gender, education, health level, mental or social problems of individual or community
  4. Encourages personal investment of an individual
    Respects environment/culture of an individual
34
Q

3 levels of prevention

A

primary, secondary, tertiary

35
Q

level of prevention: primary

A

We use primary prevention methods before the person gets the disease.

36
Q

level of prevention: secondary

A

Secondary prevention is treatment of individuals with a preclinical disease or risk factors, to prevent clinical expression of the disease.

37
Q

level of prevention: tertiary

A

Tertiary prevention targets the person who already has symptoms of the disease, to prevent further impact from the disease.

38
Q

3 preventative services (weeds)

A

AHRQ – Agency for Healthcare Research and Quality
US Preventive Services Taskforce
AHRQ Preventive Services Selector App

39
Q

patient resources (weeds)

A

Healthy People 2020

Handouts
Clinical Key > Patient Education

40
Q

community resources (weeds)

A

community health needs assessment & 211 Virginia