Health Promotion Flashcards
conference that established the basic desgn principles for health promotion programs
Ottawa Charter, 1986
Prerequisites for Health
Peace Shelter Education Food Income Stable eco-system Sustainable resources Social justice and equity
Areas for priority action
Build healthy public policy Create supportive environments Strengthen community action Develop personal skills Reorient health services
Heatlh promotion strategies
Educational Organizational Legislative Community/social Economic
Model of health promotion
Tannahill’s descriptive model
- Health education
- Prevention
- Health protection
Generics act
RA 6675
Philippine mdical act
RA 2382
Theories for health behavior counseling
Health belief model
Transtheoretical model (6 stages of change)
Theory of planned behavior
Precaution adoption process model (PAPM, 7 steps)
Social cognitive / social learning theory
Transtheoretical model
Stages of Change
- Precontemplation
- Contemplatiotn
- Preparation
- Action
- Maintenance
- Termination / relapse
Social cognitive theory
Observational leraning
Outcome expectations
Self-efficacy
Most comprehensive approach to promote health
Precede-Proceed Model
PRECEDE: Predisposing, Reinforcing, and Enabling Constructs in Educational Diagnosis and Evaluation
PROCEED: Policy, Regulatory, and Organizational Constructs in Eduactional and Environmental Development
Components of Wellness Programs
History and PE Vaccination Health screening Counseling Chemoprophylaxis
Hypertension screening
18-39 y/o with normal BP: every 3-5 years
40 and above: annual
Normal BP
<120, <80
Elevated BP
120-129
<80
Hypertension stage 1
130-139
80-89
Hypertension stage 2
140 and above
90 and above
Hypertensive emergency
> 180
>120
BMI for south east asian countries
Starvation: <14.9 Underweight: 15-18.4 Normal: 18.5-22.9 Overweight: 23-27.5 Obese: 27.6-40 Morbidly obese: >40
DM screening
All individuals >45 y/o every 3 years
Earlier if BMI>25 + one additional risk factor (e.g. hypertension
PCOS, GDM, baby >4kg, acanthosis nigricans)
Most common pattern of dyslipidemia for diabetics
Dec HDL (<35) High TAG (>250)
Prostate cancer screening
Average risk men:
suggest initiating discussion of screening for prostate cancer at age 50 years for average-risk men as long as life expectancy is at least 10 years
*screen with PSA blood test alone
Cervical cancer screening
21-29 y/o: paps every 3
30-65 y/o: pap and HPV co-testing every 5 years
Breast cancer screening
Average risk women:
Monthly breast self-exam (BSE) beginning age 20 is optional. Awareness of bresat changes is encouraged.
Annual clinical breast exam (CBE) beginning at age 25.
Annual mammography beginning at age 40