Promotion Lisa Greenspon Grand Canyon University Family Centered Health Promotion NRS-429V Sandi Coufal RN, MSN May 26, 2013 Health Promotion Health Promotion is defined as (Mandle, 2010, p. 16) “the science and art of helping people change their lifestyle to move toward a state of optimal health. ” Kreuter and Devore (1980) propose a more complex definition in a paper commissioned by the U. S. Public Health Service.
They s(Serxner, )tate that health promotion is “the process of advocating health in order to enhance the probability that personal (individual, family, and community), private (professional and business), and public (federal, state, and local government) support of positive health practices will become a societal norm” (Kreuter & Devore, 1980, p. 26). (Chiverton, Votava, & Tortoretti, 2003) Health promotion has never been more important as it is today. Nurses today in practice, education, management or research areas can contribute to the future of health promotion in healthcare.
Nurses have an enormous teaching role in the profession today, and understand that they have a huge impact through promotion healthy interventions and help to keep the public healthy. As the public gains a better understanding of what is needed to keep them healthy, the overall health of people will improve. (Maurer & Smith, 2009, 2005, 2000, 1995 , p. 483-487) Through the evolving nursing process, nurses assist clients through education to become more proactive and involved in choices that will promote and maintain their health and prevent onset of diseases.
Nurses are advocates in healthcare and assist patients to understand and evaluate their health and their current state of wellness through education and resources. We provide options and assist clients to establish short and long term goals and lifestyle changes. We offer the tools to clients and educate them on how to use those tools. Nursing roles are becoming more and more important in the community. With patients undergoing hospitalization for illnesses and surgeries and having shorter and shorter hospital stays, the focus in nursing care is educating patients to take care of themselves in a healthy way in the community.
Patients get referrals to the growing home health field for continued care for patients in their homes. Comprehensive health assessments are done following discharge by home health nurse/case managers. Nurses evaluate health history and medication lists Teaching and care plans are implemented in the home based on diagnoses. Care plans get communicated with physicians for approval and nurses and other disciplines are in constant communication for the benefit of the patient’s overall health. Family centered care becomes important as families become the caregivers.
Nurses evaluate family situations and provided resources for them as needed. We identify barriers to learning and creatively instruct patients to overcome these barriers. A health-risk appraisal is a done to estimate an individual’s health threat because of demographic, behavioral, and personal characteristics (Pender et al. , 2006). Personal risk profiles are developed based on information provided by the client and information from laboratory data or other assessments. This is done for an assessment and motivational purpose and is the collection and organization of data to determine what the health risks are.
Teaching needs to be frontloaded during the first week the patient is home and reinforced during follow up visits. Behavioral changes can then be instructed and implemented to help the patient achieve optimal health. Health promotion needs to be included in the care plan of the patient no matter what setting they are in. Any opportunity to provide education needs to be taken from visiting the clinic to being home and healthy following hospitalization. Nurses must always use their teaching roles to educate patients about their health.
Health promotion prevention has three levels. All health promotion activities are designed to protect and promote health. Primary prevention focuses on generalized health promotion and protection against specific health problems. It precedes disease and is applied to generally healthy individuals or groups. (Cutler, 1999-2012). It includes risk assessment, health education and providing immunizations against diseases. Secondary prevention focuses on early identification of health problems and prompts interventions to alleviate health problems.
This includes health screening for illnesses and nursing interventions to prevent complications, such as medications. It also includes teaching to promote healthy dietary changes. Tertiary prevention focuses on restoration and rehabilitation with goals of returning an individual to an optimal level of functioning. An example would be referring a patient to rehabilitation following a stroke or teaching a diabetic patient how to identify and prevent complications. References Chiverton, P. , Votava, K. , ;amp; Tortoretti, D. (2003).
The future role of nursing in health promotion. Retrieved from http://www. ncbi. nlm. nih. gov/pubmed/14621418 Cutler, L. (1999-2012). Levels of Prevention. Retrieved from http://www. wisc-online. com/Objects/ViewObject. aspx? ID=NUR3403 Mandle, E. (2010). Health Promotion. In Mosby, ;amp; Elsevier (Eds. ), Health Promotion Throughout the Life Span (7th edition ed. , pp. 16-18). Manus, A. (2013). Health Promotion Innovation in Primary Health Care. Australasian Medical Journal: pages 15-18. Maurer, F. A. , ;amp; Smith, C. M. (2009, 2005, 2000, 1995 ).
Health Promotion and Risk Reduction in the Community. In (Ed. ), Community/Public Health Nursing Practice: Health for Families and Populations (4th ed. (pp. 483-487). Schutze, Heike, Rix, Elizabeth F. , Laws, Rachel A. , Passey, Megan, Fanaian, Mahnaz, Harris, Mark F. How feasible are lifestyle modification programs for disease prevention in general practice? Australian Journal of Primary Health, 14487527, Jun2012, Vol. 18, Issue 2 Serxner, S. A. A Different Approach To Population Health and Behavioral Change: Moving From Incentives to a Motivation-Based Approach.