HEALTH PROMOTION

MSC community health nursing PRESENTED BY Abdalrahman Mustafa BSC nursing MSC community health nursing

OUT LINE Introduction. Definitions. Level of Prevention. Health Team. Guide line in health. Health promotion approaches.

These goals are embodied in the word "promotion" INTRODUCTION: The goals of nursing are to promote health, to preserve health, to restore health when it is impaired, and to minimize suffering and distress. These goals are embodied in the word "promotion"

DEFINITION : toward a HIGHER state of wellness. *HEALTH PROMOTION : is art and science of assist people to change their life style toward a HIGHER state of wellness.

DEFINITION Health promotion is the process of enabling people to increase control over, and to improve, their health. It is a positive concept emphasizing personal, social, political and institutional resources, as well as physical capacities. (WHO (1990))

DEFINITION *HEALTH PROTECTION : IS PROTECT AGAINST NON ENVIROMENTAL HAZAED. Prevention:- Actions aimed at eradicating, eliminating or minimizing the impact of disease and disability, or if none of these are feasible, retarding the progress of the disease and disability.

Primordial prevention Levels of prevention Primordial prevention Primary prevention Secondary prevention Tertiary prevention

Primordial prevention Primordial prevention consists of actions and measures that inhibit the emergence of risk factors in the form of environmental, economic, social, and behavioral conditions and cultural patterns of living etc. For example, many adult health problems (e.g., obesity, hypertension) have their early origins in childhood, because this is the time when lifestyles are formed.

Primary prevention Primary prevention can be defined as the action taken prior to the onset of disease, which removes the possibility that the disease will ever occur. It signifies intervention in the pre- pathogenesis phase of a disease or health problem. Primary prevention may be accomplished by measures of “Health promotion” and “specific protection”

Primary prevention Specific protection Health promotion Achieved by Health education Environmental modifications Nutritional interventions Life style and behavioral changes Immunization and seroprophylaxis Use of specific nutrients or supplementations Protection against occupational hazards Safety of drugs and foods Control of environmental hazards, e.g. air pollution

Secondary prevention It is defined as “ action which halts the progress of a disease at its incipient stage and prevents complications.” The specific interventions are: early diagnosis (e.g. screening tests, and case finding programs….) and adequate treatment. .

Tertiary prevention It is used when the disease process has advanced beyond its early stages. It is defined as “all the measures available to reduce or limit impairments and disabilities, and to promote the patients’ adjustment to permanent conditions.”

Tertiary prevention .. cont Intervention that should be accomplished in the stage of tertiary prevention are: - Disability limitation -Rehabilitations

Apply levels of prevention tuberculosis 1-primordial : Affect on risk factors: 1-Good nutrition 2-Using mask during sneezing or coughing 3-Health education about TB (causes –risk factors- S&S- diagnosis- preventions) . 4-Investigate the suspect able cases 5-Measuring for infection control.

2-primary 1.Early diagnosis and introducing of cases both latent and symptomatic. 2.Preventing contact between susceptible and source of infection. 3-Administration of prophylactic therapy for people who are at risk or susceptible. 4-Identification and immediate isolation of cases.

5-skin test for all inmates . 6-sanitation and good nutrition . Cont…. 4-Reducing the risk of transmission in a contact between infected individual and a susceptible using PPE 5-skin test for all inmates . 6-sanitation and good nutrition .

3-Secondary 1- Early detection and prompt antibiotic treatment of confirmed and suspected Cases(DOTS). 2-decreasing the intensity and preventing complications . 3-contact investigation. 5-effective surveillance 6-outbreak investigation and management .

4-TERTIARY . 1- Effective treatment of active infection- 2- Management of post- infection disorders. 3-Eliminating the patients’ sputum and assuring a hygienic condition of environment. 4-Follow-up of the previous confirmed treated patients for a period of at least 6 months.

TEAM OF HEALTH STAFF OF HEALTH PROGRAM Health program manager. Coordinator. Officer. Health program school coordinator. Community health nurse. Community volunteer. Pharmacist. Midwife. Lab technician. Lab assistant. Sanitation.

Health Team Health program manager Health program coordinator Community volunter Midwife Sanitation Community health nursing Lab. technique pharmacist School coordinator Medical Officer Health program coordinator

Guide line in health promotion 1- community assessment identified client need and community resource . 2-program planning address client need integrate health problems into every day practice . 3-deliver health program and disease prevention(pt education and self care ). 4-measure successful and health program evaluation.

APPROACH IN HEALTH PROMOTION 1-EDUCATION aim provide information . Develop skill so people make inform decision. Through small group mass media and discussion 2-behaviour assist people to adopt healthy behavior through vicarious learning. 3-medical to reduce mortality rate morbidity rate through intervention.

con 4- ENVIROMENTAL - identified community health nursing gain knowledge skill to act upon them. Counseling problem solving public part Inception.

Thanks for your attention