https://getbooksolutions.com Link full download:https://getbooksolutions.com/download/instructormanual-for-physical-examination-and-health-assessment-canadian-2ndedition-by-jarvis Jarvis: PhysicalExamination & Health Assessment, 2ndCanadianEdition Chapter 02: Health Promotion in the Context of HealthAssessment Instructor’s Manual ANNOTATED LEARNING OUTCOMES After completing this chapter, the student will the following: Discuss the concept of health promotion In the Ottawa Charter forHealth Promotion, health promotion is defined as “the process of enabling people to increase control over, and improve their health” (WHO, 1986, p.1) This illustrates a shift in power from health care providers to consumers of health care and their communities Discuss the concept of disease prevention Disease prevention is characterized by three levels; primary, secondary, and tertiary prevention Primary prevention focuses on preventing people from getting ill, sick, or injured in the first place (e.g., teaching about smoking in schools) Secondary prevention focuses on the early detection of disease before symptoms emerge (e.g., mammography, testicular self-examination, Pap test) Tertiary prevention is the implementation of complicationreducing activities after the disease has been diagnosed (e.g., cardiac rehabilitation, limiting second-hand smoke exposure for person with chronic obstructive pulmonary disease) Identify the social determinants of health The social determinants of health are factors that have been identified as being influential to an individual’s health The determinants of health include: the socioeconomic environment (includes income, social status, social support networks, education, employment, and social environments), the physical environment, healthy childhood development, personal health practices, individual capacity and coping skills, biology and genetics, health services, gender, and culture Inquiry into the determinants of health occurs during the healthassessment Identify the five principles underpinning health promotion activities Five principles underpin the development and implementation of health promotion activities Health promotion activities (1) involve the population as a whole in the context of their everyday lives, (2) are directed toward action on the social determinants of InstructorManualforPhysicalExaminationandHealthAssessmentCanadian2ndEditionbyJarvis Instructor’s Manual health, (3) combine diverse but complementary methods, (4) aim at effective and concrete public participation, and (5) are nurtured and enabled byhealth care providers, particularly in primary health care Identify important topics to be discussed during counselling activities Injury prevention, diet, exercise, sexual health, substance use, dental health, anticipatory guidance, and primary prevention of specific cancers are important to discuss during health encounters Discuss the importance of screening Screening fosters early detection of conditions and diseases, and is possible when sensitive and effective tools are available The decision to screen is based on the prevalence of the disease in the population, and is only reasonable when the prevalence is relatively high in a specific age group, gender, or ethnic population Identify tools used to assess developmental tasks Several provinces use the Nipissing District Developmental Screen (NDDS) to assess children’s development Other tools to assess development in children are presented in the chapter KEY TERMS Health promotion “Moving upstream” Pender’s Health Promotion Model (HPM) Primary prevention Screening Secondary prevention Social determinants of health Tertiary prevention TEACHING STRATEGIES Have students develop a primary prevention activity In groups, have students develop and present a secondary prevention activity Have students identify tertiary prevention services in your community Use an available or new scenario or case study to help students identify determinants of healthand their impact on health Using available or new scenarios or case studies, ask students to identify appropriate nursing diagnoses Have students discuss their perspectives on immunization, and identify arguments forand against it Invite a public health nurse to class to discuss the assessment of developmental tasks in children and the use of specific tools Have pairs of students create and role-play health encounters Ask the other students in the class to identify counselling activities InstructorManualforPhysicalExaminationandHealthAssessmentCanadian2ndEditionbyJarvis 2-2 Instructor’s Manual CRITICAL THINKING EXERCISES Application to Clinical Practice For each situation described below, have students identify the need forhealth promotion and disease prevention They should identify appropriate health promotion activities and the level of disease prevention the problem represents G.S recently emigrated from Nigeria He works two jobs in order to save money to bring his family to Canada He has untreated hypertension B.W is the mother of an 18-month-old girl She visits the public health clinic for a developmental assessment of her child E.B is a 32-year-old man who has recently diagnosed with asthma, and who has been smoking for the past 10 years During a health visit, he expresses a desire to quit smoking J.B., a 69-year-old farmer, is admitted to the hospital for chest pain He is overweight and has been financially strapped since his last crop was destroyed by a flood K.L, 53 years old, has gained 22 pounds in the last year Her older sister and brother both have type diabetes J.T is a 16-year-old homeless girl who comes to the prenatal clinic for follow-up care WEB SITES OF INTEREST Canadian Best Practices Portal—http://www.cbpp-pcpe.phac-aspc.gc.ca Canadian Consortium forHealth Promotion Research— http://www.utoronto.ca/chp/CCHPR Health Canada— http://www.hc-sc.gc.ca Public Health Agency of Canada— http://www.phac-aspc.gc.ca hp-ps InstructorManualforPhysicalExaminationandHealthAssessmentCanadian2ndEditionbyJarvis 2-3 Instructor’s Manual 2-4 OPEN-BOOK QUIZ Chapter 2: Health Promotion in the Context of HealthAssessment Complete the following crossword puzzle CLUES Across “Not merely the absence of disease” Socioeconomic environment determinant of health Secondary-prevention activity for women Primary-prevention activity Preventing people becoming ill in the first place “The process of enabling people to increase control over and to improve their health” Childhood developmental screening tool Down Tertiary prevention following myocardial infarction Health promotion model developer InstructorManualforPhysicalExaminationandHealthAssessmentCanadian2ndEditionbyJarvis ... create and role-play health encounters Ask the other students in the class to identify counselling activities Instructor Manual for Physical Examination and Health Assessment Canadian 2nd Edition by. .. http://www.utoronto.ca/chp/CCHPR Health Canada— http://www.hc-sc.gc.ca Public Health Agency of Canada— http://www.phac-aspc.gc.ca hp-ps Instructor Manual for Physical Examination and Health Assessment Canadian 2nd Edition by. .. their health Childhood developmental screening tool Down Tertiary prevention following myocardial infarction Health promotion model developer Instructor Manual for Physical Examination and Health