Individual behavior and state of mind has been noted to have an impact on disease prevention and its associated death. These factors being put into consideration in health promotion puts a demand on the individual to make changes in many aspects of life. Nurses play important role in health promotion by intervening in actions that direct people towards developing resources to maintain or enhance their wellbeing. In this essay three recent publication of professional journal articles reviewed will be discussed as it relates to nursing practice and three level of health promotion. How the role of nurses changed regarding health promotion and the numerous ways nurses implement all aspects of nursing in health promotion. The three levels of health promotion will also be compared. Health Promotion Definition Health promotion is a new model in healthcare. O’Donnell defines it as “the science and art of helping people change their lifestyle to move towards a state of optimal health.”(Edelman & Mandel, 2010, p. 14).
Nevertheless, health promotion is mainly all about inhibition and living healthy life style that leads to lower rate of diseases and death. Health promotion is different methods of life style people adopt to maintain good health. These actions lead to good quality life that brings about well-being and improve the quality of life and not only absence of disease. Individuals attain good health by exercising, eating healthy, living stress free life to take charge of their life. The purpose of health promotion in nursing practice is to bring about change in people’s attitude and action to start healthy lifestyle that will sustain or enhance their wellbeing .This helps individuals reach goal towards optimum health. Nurses are in the fore front of this program with main role in health promotion and disease prevention .
They engage in changing the healthcare system from old way of managing and curing illness to model of health promotion. The nursing role and responsibilities in health promotion is an active one because they function in all the areas encouraging and reinforcing the positive actions individuals demonstrate towards lifestyle changes. Nurses use evidence base practice, education, providing positive support to reach progress towards goal. In the literature reviewed the three level of health promotion were used to manage diabetes type two in Latino community with positive outcome. With education of the people progress was made towards achieving health promotion.
These were done in the public, community level and personal level. The nursing roles and responsibilities evolving in health promotion, and implementing methods for health promotion that encompasses all areas of nursing. In health promotion nurses work together with other health care associates and the community displaying a variety of roles: Advocate by striving to ensure that everybody attain high-quality life style, suitable, and at low cost Case manager role involves gathering of reliable data to make sure there is no duplication of services. Consultant role in their areas of practice or advance practice stand.
Primary prevention in type two Diabetic patients in literature review.
The first measure includes immunization against disease and disability, good water supply, and safety. The next step is promotion of health by healthy life style ,eating healthy, exercising clean living environment and stress management. Primary prevention is taking initiative and advantage of available programs to detect and stop disease especially for those with risk factors, for example yearly medical exam and screening that will include blood work like fasting blood sugar and HgA1c.as was seen in the literature review.
Through the screening and education of the people in this community type two diabetes was successful prevention. The interventions and practices include but are not limited to identification of those with the risk factors, weight reduction, blood works for fasting blood sugar and hga1c.These people were noted to have knowledge deficit on self-care. And with education the main tool used in primary level progress was made towards goal by the evidence in lifestyle modifications leading to significant weight loss and reduction in hemoglobin A1C.(Surucu & Turkey, 2011)
Secondary prevention in type two diabetic patient literature reviews. In secondary prevention diseases are found in its earliest stages, before it becomes symptomatic. Identification and diagnosing the disease early leads to positive outcome in the healing process, its progression are slowed down prevented and complications, are controlled bringing disability to minimum. This literature review was community based. Learning sensitivity tests, ethnically designed life style for weight reduction and diabetes risk reduction within low-income group were carried out in Spanish-speaking Latinos high risk diabetics. They were erratically allocated to lifestyle intervention care (IC) or usual care.
They also examined the success of life style intervention conducted in lower cost lower intensity format to high risk populace. It was found compared with the usual care the IC care had a modest but significant weight reduction and medically meaningful decrease in hemoglobin A1C, insulin resistance and greater reductions in percentage of calories from total and saturated fat. They developed an inexpensive culturally sensitivity diabetes (Ockene et al, 2012) prevention program that resulted in weight loss, improved HbA1c and improved insulin resistance in high risk Latino populace.(American Journal of Public Health 2012)
Tertiary prevention in type two diabetic patient literature reviews. If prevention and secondary prevention fails to improve the patient’s health, tertiary prevention will be the next option to combat the ailment. Tertiary prevention program is mainly maintenance of quality of life in individuals affected with some diseases. Complications and disabilities severity reduced with advancement of disease stopped. Therapy is done to restore function. It was conducted by health care professionals and physical therapists.
This stage includes follow-up and reviewing of all prescribed medications with reinforcement of its compliance, dietary and lifestyle modifications by community health nurses. In this literature review, the physical therapy was for gait training and stability to improve standing balance control in neuropathic patients with type two diabetes.(2011(Journal of Rehabilitation Research and Development 2011). In conclusion nurses are the main people that direct health promotion but the success depends on how individuals, families, communities take charge of their health by practicing all the mentioned life style modifications.
Last name, first initial (2011, December 7th).Title of the article. Journal of Rehabilitation Research and Development (JRRD). 48(issue) pgs.
Edelman, C. L., & Mandel, C. L. (2010). Health Promotion Throughout Life Span (seventh edition ed.). Location: Pulisher Ockene et al, I. (2012). Research and Practice Peer Review. American Journal of Public Health, 102.(2) pg. Surucu, H. A., & Turkey, S. K. (2011). Selfcare Deficit Nursing theory in the Self-management with type two diabetes. , Journal title, Volume #, (Issue Number) pgs.
Comments: Chigo, you did a great job defining and discussing the definition of health promotion and the purpose of nursing in health promotion. This was excellent. You also looked at the roles of nursing in health promotion. Including how these roles are evolving was a needed element. You reviewed a few implementation methods, but this discussion was needed additional details outlining how this encompasses all areas of nursing and utilizing the reviewed articles to support ideas presented. You compared the 3 levels of prevention and reviewed 3 articles related to each level. There were multiple grammatical errors and some of the paragraphs and organization was confusing. Make sure to proof-read the paper. There were several APA errors, missing references, and missing elements for the references listed. Please refer to the APA style guide to help with these issues. Again, you did a great job discussing the definition and purpose of nursing in health promotion. Melanie
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