Health Promotion Flashcards

1
Q

What is Health Promotion?

A

Increasing optimal health for your patients, you, & whoever? Also involves giving the pts. control over their own health. They more they know about healthy practices, the better choices they will make.

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2
Q

What does World Health Organization do?

A

WHO organization is a global group to help improve health. Health promotion is allowing individuals to increase control over & to improve health.
-Health promotion involves health wellness, disease, & illness.

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3
Q

What is health?

A

-A state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity (WHO, 1947, 2018).
-A state of being that people define in relation to their own values, personality, & lifestyle.

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4
Q

What is an illness?

A

State in which a person’s physical, emotional, intellectual, social, developmental, or spiritual functioning is diminished or impaired.
-Acute illness (short duration & not severe). Ex. Flu (Any type of virus or cold that can cause sickness.) Pneumonia
-Chronic illness (longer than 6 months/affects functioning.) Ex. COPD w/ acute problem-treat acute problem first

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5
Q

What is the scope of Health Promotion?

A

-Behaviors that promote optimal health across the lifespan within an individual, family, community, population, & environment.
-Categories of Health Promotion involve different preventions: Primary, Secondary (Screening), & Tertiary Prevention

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6
Q

What is Primary Prevention?

A

-Education & teaching on how to stay healthy & keeping them from getting problems(in schools, routine doctor visits, community)
-Vaccinations, Teaching about exercise to people that don’t have a problem with weight
-Ex. Use of car seat, family planning, tobacco cessation, child hood planning, Sex education

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7
Q

What is Secondary Prevention?

A

-Reduce impact of disease or injury that has occurred already-Mammograms, pap smear, & Lab Work-Early prevention
-Ex. obese pt. on health class for what to eat & lose weight, Diabetes-Class on how to eat, or control it before heart disease, & limbs being removed, Colonoscopy, Work modification, aspirin

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8
Q

What is Tertiary prevention?

A

-When they have the disease process want to manage symptoms. Ex. Stroke-managing problem/symptoms/cardiac problems/diabetes

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9
Q

What all is included in Primary Prevention?

A

-Education-Regular check up, immunizations
-Screening-Educating on importance of screening along with the proper timing for them, ages (mammogram, colonoscopies, & inquiring about family history
-Nutritional Health-Education on obesity & healthy food alternatives for a healthy weight person.
-Physical Activity-Teaching about what they should be doing

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10
Q

What all is included in Tertiary Prevention?

A

-Education-Disease management; They already have something & you are just educating on how to manage what’s going on (COPD, Diabetes, & B/P.)
-Screening-Blood sugar checks for someone with diabetes. Routine B/P checks for someone taking B/P meds.
-Nutritional Health-Balanced diet, limitations, & healthy alternatives/Hypertension-Cardiac diet
-Physical Activity-Exercise based on individual’s needs & expectations.

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11
Q

First Element of Health Promotion

A

Optimalization of health focusing on maintaining high levels of wellness, measures to prevent illness, & strategies to for early detection & management of disease when it occurs.

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12
Q

Second Element of Health Promotion

A

Evidence: Health promotion guidelines are based on evidence, for this reason, recommendations are periodically updated to reflect new knowledge generated through research efforts.
-Preventative Service Task Force researches the best way to handle the problem.

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13
Q

Third Element of Health Promtion

A

Patient/Community Centered: On individual level, personal motivation to incorporate the strategies is required. On a community level, leadership from individuals within the community is needed for successful implementation.
-Must be done to see what the patient desires or wishes for.

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14
Q

Fourth Element of Health Promtion

A

Enculturation-Designing & implementing health promotion require cultural competence & sensitivity to differences among cultures.
-Knowing different cultures & being more in lined to what that culture represents to teach them. Look at beliefs, attitudes, like Jehovah witnessed don’t believe in blood transfusions-so you wouldn’t give that.

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15
Q

United States Preventative Task Force

A

*USPSTF Tasked to research for us. On recommendations: I-Insufficient evidence to recommend for or against them, A-best grade for problem now of importance
Ex. On Folic Acid Supplementation to Prevent Neural Tube Defects: Prevention Medication
-Optimizing health (Measures to maintain health)-For mothers to take folic acid 0.4-0.8 mg.
-Evidence- All persons who are planning to or could become pregnant should take a daily supplement or multivitamin containing 0.4 to 0.8 mg (400 to 800 μg) of folic acid.
-Patient/Community Centered-Pregnant women

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16
Q

Individual Focused Health Promotion model

A

Most health promotion model that focuses on individuals share these common themes: Education is important for elderly
-Cognition-
-Decision making-
-Motivation-
-Behavior-
-Environment-
-Different models to decide what & how to promote health in the community.

17
Q

Healthy People

A

-Provides evidence based, 10-year national objectives for promoting health & disease (Most important health risks/factors to work on during that timeframe
-Promotes society where people live long healthy lives.
-Identifies leading health indicators which are high priority health issues in the US
Overarching goals for Health People 2030-Read

18
Q

Vulnerable Population

A

-More to get disease problems/experience worse outcomes
-People of low socioeconomic status & persons of ethnic racial minorities (diabetes/B/P)-Need education/clinics set up for them

19
Q

Assessment

A

-Where they are now as far as health and what we need to do as for a plan as an individual plan of care. There is also an individual, family & community assessment as well.

20
Q

Interventions for Primary, Secondary, & Tertiary
*RSV-Preterm babies/term babies get shot
*HPV-Girls normally get but boys can get now

A

-Education
-Screenings-Nutritional Health
-Physical activity
-Pharmacologic Agents-Mediations to lose weight, Smoking cessation before lung cancer/disease
Look at Box 42.3 Exemplar’s
-Vaccination Schedule (Hep B is given at birth, Vitamin K-start clotting process)
-Nutrition counseling
-Physical Activity-Disease processes or before they get sick
-B/P, Diabetes Screening-Secondary prevention
-CDC puts out recommendations for vaccinations
*Heb B (3 doses) given at birth up to 18 months & when, DTAP starts (starts at two months & every two months in three doses & given later on at 15 months), Heb A (around 12 months of age-2 doses)-Once was optional-Fecal problem (little children put hands where they don’t belong & then touch toys & spreads to other children)

21
Q

Vaccinations

A

-0.5ml, children-vastus latus-if easy to give too or deltoid, Adults-Deltoids, Older adult-vastus latus if in hospital, infants (vastus latus) usually get in two legs & then one leg
*Check for allergies after giving a medication for the first time (20 minutes at least)

22
Q

Vaccinations cont.
*DTap given to babies

A

-Tdap is given to children at age 11-12 years. Varicella & MMR are started at age 12-15 months with 2nd dose given at 4-6 years. Hep B is given in 3 doses starting at birth. Most childhood vaccines are given by year 18 months of age. Influenza vaccine contraindicated in those with egg allergy.

23
Q

Pharmacological Agents-Trying to prevent problems before they happen (Know the ones in concept book & write down

A
24
Q

Smoking Cessation

A

-Nicotine-addicted/reduce amount of nicotine and slowly reduce it so they are not using it anymore -patches (Topical), gum(over counter, lozenges-mouth-Over counter)
- Short-term use to reduce nicotine craving and provide relief of symptoms from nicotine withdrawal
*Don’t smoke with it on
*Side effects-lighted headedness, dizziness, light palpitations
*If person can stop smoking for three days it will be out of their system
-A lot of people gain weight because of cravings/Use distraction for the craving withdrawal
*Sick can’t smoke/give patch & make sure the other one is removed before applying new one with gloves & placed in box in med room

25
Q

Weight loss

A

-Most drugs are used to reduce appetite by making the patient feel full and several (phentermine, benzenediamine, diethylpropion, and phendimetrazine) are only for short-term use (up to 12 weeks) as appetite suppressors. -However, one approved drug (orlistat) is a lipase inhibitor that blocks the ability of the body to absorb fat. This is recommended for long-term use (up to 1 year) for adults and children older than age 12 years.
*Could be harmful if other underlying problems are going on.
* If BMI is over 30, you want give medication. HCP tries to suppress appetite or do exercise before medication is prescribed.
*Side Effects-Anal leaking, diarrhea, uncontrolled bowel coming out, nausea, vomiting
*These medications Increase metabolism, HR, Heart palpitations dizziness. High bp don’t want them to take this type of medication.
*Don’t give to people with heart issues that could increase the HR.

26
Q

Herbal remedies

A

-Not regulated by FDA
-chamomile-Insomnia, tea-taking in a lot for sleeping, Alcohol, barbiturates
Garlic-People with high cholesterol/HCP needs to know if taking a lot/Stop before surgery
-Giner-nausea/vomiting, decreases blood sugar/causes gas/bloating
Ginseng-boast immune system & treating erectile function, vitamin c, menopausal symptoms, diabetic need to be careful
-St. John’s wort-want help with chronic depression/but will with situational depression. Can interact with birth control pills & digoxin. Causes sensitivity to sunlight
-Turmeric-Heartburn/inflammation (Arthritis, gall bladder disease-avoid, high does can cause nausea/vomiting