PREVENTION AND HEALTH PROMOTION Flashcards

1
Q

What is prevention?

A

Prevention is considered avoiding a problem

What is prevention?
•Action that reduces incidence of disease, illness or disability
•Proactive approach to health
•Promotion of wellness
•Healthy lifestyles and environments
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2
Q

What is health promotion?

A

promotion means advancing wellness.

What is health promotion?
•“Health is state of complete physical, mental and social well-being …” (WHO)
•Promoting health through engagement in meaningful occupations
•Programs and activities that enhance health and foster wellness
•Educational, rather than clinical approach
•Transform the concept of wellness into action
•Wellness is a goal AND a process

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3
Q

Prevention Principles: Traditional Terminology

A

Prevention Principles: Traditional Terminology

Primary Prevention
•Before onset of problem
•Avoid dysfunction
•“At risk” population

Secondary Prevention
•Early diagnosis and intervention
•Prevent permanent disability

Tertiary Prevention
•Rehabilitation and remediation
•Prevent further disability

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4
Q

Primary Prevention

A

Primary Prevention
•Before onset of problem
•Avoid dysfunction
•“At risk” population

Group / community focus
Example: water aerobics at senior center

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5
Q

Secondary Prevention

A

Secondary Prevention
•Early diagnosis and intervention
•Prevent permanent disability

Community based
May be self-management of chronic or ongoing challenge
Example: cardiac rehab (exercise) or stress management group

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6
Q

Tertiary Prevention

A

Tertiary Prevention
•Rehabilitation and remediation
•Prevent further disability

More traditional medical settings
Example: sub-acute rehab setting for management and functional improvement following a hip fracture.

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7
Q

Approaches to Health

A

Approaches to Health

Socioenvironmental
•Creating healthy lifestyles, environments, conditions
•Often primary

Behavioral
•Healthy lifestyle choices, health education
•Often secondary, may be primary

Medical
•Preventing illness, disease, disability
•Often tertiary, may be secondary

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8
Q

Principles of Health Promotion

A
Principles of Health Promotion
•Community participation
•Empowerment
•Respect for diversity
•Social justice / occupational justice
•Integration of community resources and development
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9
Q

Process of Health Promotion

A

On-going, continuous, dynamic process

Process of Health Promotion
•Networking
•Consultation
•Collaboration
•Planning
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10
Q

For individuals

A
For individuals…
A model of client-centered care……
Assist individuals in
•developing self-help skills
•developing positive attitudes toward health
•seeking knowledge
•maintaining positive attitude to health
•empowering lifestyle change
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11
Q

How can OT’s do that?

A
How can OT’s do that?
•Education
•Evaluation and intervention
•Consultation
•Community-based interventions

Be true to our professional philosophy and tenets
Consider joining new or different professional “team” – not just health care providers but community leaders
Education may be individuals or groups
Evaluation and intervention should shift from addressing problems (traditional setting) to facilitating health and occupation
Consultation – consider new arenas (ie workplaces rather than health care settings)

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12
Q

Here’s a few concrete ideas

A

Healthy Aging
Workplace Health Promotion
Kids and Schools
Public health focus

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13
Q

Healthy Aging

A

Exercise programs in senior center
•Lifestyle Redesign (USC Well-Elderly Study)
•Supporting IADL skills and community involvement
•Fall prevention
•Support or “survivor” groups

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14
Q

Workplace Health Promotion

A
Workplace Health Promotion
•Ergonomic consultation
•Workstation re-design
•Job analysis
•Workplace health and exercise programs
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15
Q

Kids and Schools

A
Kids and Schools
•School health curriculum involvement
•After school activities
•Nutrition and cooking (developmental focus)
•Ergonomics
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16
Q

Public health focus:

A

Public health focus:
•Create “occupationally just” environments
•Advocate for healthy occupations supported by public policy
•Inform public about the relationship between occupation and health
•Develop programs outside traditional health care arena
•Considers the socioeconomic and cultural influence on health
•TU and Cherry Hill (Health), PALS program

17
Q

How can I do that?

A

How can I do that?
•Join professional organizations
•Know your legislators and their public health positions
•Get involved with community organizations
•Be a guest speaker
•Stand up for healthy occupations!
•Continue to seek education (OS)

18
Q

SOCIOENVIRONMENTAL

Approaches to Health

A

Health linked to environment
Consider social factors, friends, family interactions as contributors to healthy lifestyles
Risk factors – poverty, unemployment, limited education, isolation , stress
May depend on equitable social distribution of resources
Think about play for kids – what neighborhoods have playgrounds?

Creating healthy lifestyles, environments, conditions
Often primary

19
Q

BEHAVIORAL

Approaches to Health

A

Lifestyle choices and behaviors of INDIVIDUALS
At risk behaviors may include smoking, substance abuse, poor fitness, stress
Consider stress management, coping skills, body mechanics training, etc.

Healthy lifestyle choices, health education
Often secondary, may be primary

20
Q

MEDICAL

Approaches to Health

A

Related to disease, illness

Preventing illness, disease, disability
Often tertiary, may be secondary

21
Q

COMMUNITY PARTICIPATION

Principles of Health Promotion

A

COMMUNITY PARTICIPATION
Involve community members at all levels of participatory process
Members of community should determine their needs and contribute to strategy development

22
Q

EMPOWERMENT

Principles of Health Promotion

A

EMPOWERMENT

People in community should have ownership of programs and solutions

23
Q

DIVERSITY

Principles of Health Promotion

A

DIVERSITY

Respect for all stakeholders in community who may be marginalized

24
Q

JUSTICE

Principles of Health Promotion

A

JUSTICE
Consider social policies related to poverty, education, discrimination
Consider equal access to community resources
Occupational justice = opportunities for each individual to engage in meaningful occupations
Social justice = opportunities / resources for populations and groups equally distributed (or at least equal access)

25
Q

INTEGRATION

Principles of Health Promotion

A

INTEGRATION

Consider how to involve schools, places of worship, workplaces, community groups or organizations

26
Q

Networking

Process of Health Promotion

A

Network = within and between communities (leaders, residents, legislators, etc.

27
Q

Consultation

Process of Health Promotion

A

Consultation = identify and address health issues, bring potential solutions to the people in communities

28
Q

Collaboration

Process of Health Promotion

A

Collaboration = people involved in community should be included in selecting appropriate problems to address and potential solutions

29
Q

Planning

Process of Health Promotion

A

Planning = develop specific course of action

30
Q

medical model

A

often tertiary prevention

usually dont go to the doctors until already very sick