Health Promotion and Nursing Practice
Grand Canyon University: NRS 429V
September 19, 2013
Health Promotion and Nursing Practice
Heath promotion as defined by the World Health Organization (WHO, 2013) is “the process of enabling people to increase control over, and to improve health. It moves beyond a focus on individual behavior towards a wide range of social and environmental interventions.” It is the intention of this writer to present health promotion in nursing practice and relate this to methods implemented that encompass nursing. For the purpose of this paper the writer will use stroke to exemplify the issues. Influential forces effecting health can be political, social, physical, and economic. Internal factors affecting health can be emotional, intellectual, spiritual and psychosocial. Ones own lifestyle guides the way for health promotion or health destruction. The American Nurses Association (ANA) guides the scope of practice by advocating safe quality care. Included is the necessity to provide interventions that include health promotion and prevention of sickness and disability. The patient today is more complex and the focus includes family and community. Three levels of nursing prevention primary, secondary, and tertiary should involve consumers (ANA, 2007).
The purpose of health promotion in nursing practice it to educate, influence and assist the patient to maintain an existing quality of life by preventing illness, slowing the progression of an illness or managing an illness. Public health promotion is an organized response to populations to prevent injury, disability, and address social conditions and problems .To have a well functioning society it is important to maintain a healthy community. Nursing Interventions assist the patient to make educated choices regarding lifestyle changes. According to Edelman and Mandle (2010) these various levels of health promotion introduced by Leavall and Clark are primary, secondary, and tertiary. They are on a continuum but may overlap. Prevention at the primary level is to protect and promote health of the community or person from injury or disease (Edelman & Mandle, 2010). Community support is important at this level for the individual to incorporate and maintain healthy habits. Nursing plays an important role in education at this level in hopes of producing healthy behaviors. According to Martinez and Kravitz (2010), education for cardiovascular health would include, healthy weight, smoking cessation, maintaining blood pressure, and a healthy diet. These health facts could educate the patient and guide in the prevention of stroke or myocardial infarction. Warning signs of stoke listed in this article are numbness/weakness, confusion/odd speech, visual problems, dizziness/ loss of coordination, and headache without a cause. Education implemented in the community regarding chronic disease is proactive. According to Alspac (2013) we still have a lapse in the use of calling 911when stroke symptoms are recognized. They imply professionals need to provide better education on placing warning signs of a stroke as a “medical emergency by calling 911.” Nursing can provide these implementations in a variety of settings. As we move forward to the secondary level of health promotion prevention as stated previously it can overlap with another level.
This writer has experience in her work setting with a stroke alert team. Borrowed from the National Stoke Association is the acronym FAST (F=face, A= arm, S=speech, and T=time). At the secondary and primary level this could be recognized as a useful tool primarily for education and secondarily for assessment. The secondary level is where interventions treat an early stage of a disease or provide screening. Screening gives one the ability to reduce disease progression by early detection. Nurses can influence by educating during screening (Edelman & Mandle, 2010). According to Bergman (2011) stroke is a major...
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