Sstudy deck Flashcards

1
Q

Health Promtion

A

Increasing people’s well-being and self-actualization.

Working with patients to encourage, support, maintain, and restore patients health.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Population health

A

The whole populations health status, collective factors, and conditions are considered together

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Primary health care (PHC)

A

Essential care made accessible to communities at an affordable cost and that can be maintained. This forms an integral part of the Canadian healthcare system.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Primary care

A

A person-centered approach to health care with a more specific focus than PHC. Primary care is focused on the specific care delivery to a patient within a healthcare setting.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Difference bw disease and illness

A

Disease is a loss of health that is objective and illness is a loss of health that is subjective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Well Being

A

Positive feeling accompanying lack of ill health and achievement of personal goals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Challenges in defining health?

A

Difficult to measure (Subjective)
Idealistic
Hard to implement in busy healthcare setting
No consensus on definition of “wellbeing”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

WHO defention of health

A

State of COMPLETE physicial, social and emotional wellbeing NOT merely ABSESENCE of disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Indigenous view of health

A

everything in life is connected …

Indigenous people understand health as a balance of diverse and interconnected pieces that work together, ideally to result in a healthy world

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

4 Elements of indigenous health

A

health is defined as the balance between a person’s emotional, physical, spiritual and mental.

Poor health is said to be any type of disruption in the balance of these four elements of health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Six phases in the evolution of primary care/prevention

A

Health Protection Era (1830s)
Sanitary Control Era (1840-70)
Contagion Control Era (1880-1930)
Preventative Medicine Era (1940-60)
Primary HealthCare Era (1970-80)
Health Promotion Era (1990s -on)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Biomedical health promotion

A

Absence of disease
Reducing morbidity + premature mortality
Target whole populations
Using primary, secondary and tertiary methods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Primordial Disease prevention

A

Initiatives that prevent conditions that would enable
the risk factors for disease from developing

avoiding the development of risk factors in the first place

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Primary Disease Prevention

A

Protection against a disease before signs and
symptoms occur

Treating the risk factors for a disease (treating high blood pressure)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Secondary Disease Prevention

A

Activities that promote early detection of disease (screening)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Tertiary Disease Prevention

A

Early stage cancer treatment

Activities initiated in the convalescence stage to Tertiary prevent progression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Quaternanry Disease Prevention

A

Actions identify individuals or populations at risk of overmedicalization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Behavioural Health Promotion

A

Emphasizes lifestyle
Encourages positive behavioural shifts
Targeting individuals and groups
People are responsible for their own behaviours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Socioeconomic Health Promotion

A

Emphasis on identifying root causes (SDoH)
Focuses on policies and physical, social, and economical environments
Makes health choices more realistic to populations,

upstream thinking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Lalonde Report

A

Brought term “Health Promotion into prominence”

Introduced health field concept

individuals and organizations encouraged to accept responsibility for their own health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Health field concept

A

Lalonde report

Advocated that preventative care was just as important as treatment and cures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Epp Report

A

Achieving health for all

A shift from health being individual responsibility to collective responsibility

Reduce inequalities + increase intervention

“Stop blaming the victim”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

initial DoH identified in Lalondes report

A

Genetic and bio factors
Lifestyle
Environmental
Availability of health services

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Ottawa Charter for Health Promotion

A

WHO

Identified prereqs for health

Advocated that health promotion include concepts of wellbeing

Attention given to equity

Rests on political, social, economic, environmental, cultural, behavioural, and biological advocacy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Declerattion of Alma-Alta

A

WHO

  • Global cooperation and Peace are necessary
  • Local/community needs must drive health promotion
  • Prevention integral to healthcare
    -Equity in terms of health status

Emphasized issues of importance to third-world countries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What did the decleration of alma alta lead to

A

Ottawa charter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Basic 3 strategies of the Ottawa charter?

A

Advocate
Enable
Mediate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What resulted from the Ottawa Charter?

A

Jakarta declaration, Toronto Charter, Bangkok charter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

3 Important Models in Health Promotion

A

Biomedical, Behavioural and Socioenvironmental

30
Q

difference between an “upstream” and a “downstream” approach to health promotion

A

Upstream is approach a health problem at it’s source

Downstream is treating a problem as it comes

31
Q

3 Challenges and solutions identified in Epp Report

A

Reducing Inequalities - Foster public participation

Increasing prevention - Strengthen Community Health Service

Enhancing Coping - Coordinate Healthy Public Policy

32
Q

Health Promotion vs Health Education

A

Health Promotion more Broad, including both upstream and downstream apppporaches

Health education is a strategy of health promotion that is an upstream appraoch

33
Q

Intersectional Collaboration

A

Involves partnerships across the spectrum of health promotion initiatives locally, regionally and nationally

34
Q

Harm Reduction

A

An approach to health promotion that prioritizes offering accessible alternatives and education to potentially harmful behavior in areas of substance use and sexual practices.

35
Q

At Risk Population

A

groups of people with a statistically greater risk for a particular disease based on greater exposure (or likelihood of exposure) to causational factors

36
Q

Vulnerable Populations

A

vulnerability has to do with shared social characteristics that cause them to be more at risk of contracting a specific illness

37
Q

Population Health promotion

A

Aims to maintain / improve the health status of the entire population, targeted population or individual with the
community.
* Strives to reduce inequities in health status among population groups .
* uses the Determinants of Health and the health status indicators as measurements of health

38
Q

Primary Health Care

A

“Essential health care … made universally accessible to individuals and families in the community, through their
full participation and at a cost the community/country can maintain at every stage in the development of selfreliance and self-determination. It forms an integral part the country’s health system … and the overall social and
economic development of the community”

39
Q

Self Determination

A

The right and responsibility of one to decide and direct one’s choices.

40
Q

4 Main SDoH

A

Income security and employment
Education
Food and shelter
Social Exclusion

41
Q

What makes Canadians sick (%)

A

Your life 50% (Upbringing, income, education, social structures etc.)
Your health Care 25%
Your Biology 15%
Your Environment 10%

42
Q

What does structure mean?

A

Invisible features of society that influence people’s ability to be healthy

43
Q

Health literacy

A

the degree to which
people are able to access,
understand, appraise and
communicate information
to engage with the
demands of different
health contexts

44
Q

Social Justice

A

the fair sharing of resources in society based on specific population sub-groups in relation to one another.

45
Q

Assumptions abt social justice

A

assumes that all societies experience broad, systematic oppression and inequities, such as racism, classism, sexism, and heterosexism, which affect some people more than others. Every individual contributes to oppression and inequity, even if unintentionally, and therefore is responsible also for contributing to the achievement of social, political, and economic parity

46
Q

Characteristics of social justice

A

Considers the ethical use of power in health care; the powerful SHOULD use influence to promote health

approach believes people to be interdependent and simultaneously uniquely connected and influenced by the relationships around them.

focuses on concerns itself with problems of everyday life, how people interact daily and specifically how nurses approach their practice

47
Q

Proximal determinants of health

A

Health behaviors, environment, employment and income, education, and food security (or insecurity).

Surface determinants
lack of access to clean water, addiction, housing shortage

48
Q

Distal DoH

A

Colonialism, systemic racism, repression of autonomy, and social exclusion

Core determinants
Indian act, gender inequalitie

49
Q

Intermediate DoH

A

Healthcare and educational systems, infrastructure of communities, resources, and environmental stewardship.

Residential schools, sixties scoop, intergenerational trauma

50
Q

Questions an equity lens causes us to ask?

A

Have you determined if there are barriers faced by diverse groups? Which groups or
populations? What is the impact of the policy/program on diverse groups?

  1. How will you reduce harm or remove the barriers? What changes have you made to the
    policy/program so that the diverse groups will benefit from the policy/program? What
    human and budgetary resources have been identified or allocated?
  2. How will you measure the results of the policy/program to see if it works to successfully
    remove barriers or create opportunities for diverse groups/populations?
51
Q

Population Health Promotion Model Questions

A

WHO: With whom can we act?
WHAT: On what can we take action
WHY: Why take action to improve health?
HOW: How can we take action to improve health?

52
Q

5 Health Promotion Strats from Ottawa Charter

A

Build Healthy Public Policy
Create Supportive Environments
Strengthen Community Action
Develop PErsonal SKills
Reorient Health services

53
Q

Capacity Building

A

A process that strengthens people, organizations, communities, or healthcare systems in their ability to develop and put into practice sustainable health promotion initiatives

54
Q

Aggregate

A

A group of individuals sharing common interests, characteristics, heritage, socioeconomical status or levels of education

Teens with mental illness in
Delta
Teen Mothers in Surrey

55
Q

Examples of health influences

A

Physiological Risk Factors
Behavioural Risk Factors
Psychosocial Risk Factors
Risk Conditions

56
Q

Know PHPM

A
57
Q

Objective Health measurements

A

Health measures
Socio-economic indicators
Health Behaviour indicators
Environmental Indicators

58
Q

Epidemiology

A

The scientific study of the
distribution and causes of health
and disease in defined
populations

59
Q

Descriptive Epidemiology

A

uses person, place and time
variables to describe disease
patterns.
* Asks Which people/Where/When
Did this disease take place?
* Example: heart disease occurred in
X % of men and X % of women
over 40 yrs in BC in the year 2000.

60
Q

Analytic Epidemiology

A

examines complex relationships
among determinants of disease
* Asks Why? Focuses on disease
etiology.
* Example: Cardiac disease is related to
smoking and lack of exercise and
diet which is related to culture and
socioeconomic determinants of
health

61
Q

Subjective Health Measures

A

Functional well-being
* Health status
* Psychological well-being
* Social networks & support
* Life satisfaction and morale

62
Q

4 Types of Community Assessment

A

Environmental scan
* Needs assessment
* Problem investigation
* Resource evaluation

63
Q

Steps of community assesment

A
  1. Identify your community
  2. Know your community (Data collection)
  3. Data analysis
  4. Community Diagnosis (Key concerns)
  5. Planning (planning, intervention, evaluation)
64
Q

Population

A

A group of people, diverse in characteristics that resides within a community

homeless population
Seabird Island First Nations Band

65
Q

Group

A

Group: Two or more individuals in the same geographical location.

66
Q

Target Population

A

A population that is subject to the intentions of a nursing interventions

67
Q

Population at risk

A

A group of people with a high likelihood of developing an illness (284).

68
Q

Priority/vulnerable population

A

Those who are disadvantaged or susceptible to injury, disease, health inequity or premature death (284).

69
Q

Demographic questions

A

What is the total population?
2. What is the age structure of the community:
How many people make up the community and
what percentage of the population fits in each
age group?
3. What is the gender structure?
4. What is the racial composition?

70
Q

What are some tools for community assessment?

A
71
Q

Canada health act principles

A

Universality
Portability
COmprehensiveness
Public administration
Accessibility