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Social Determinants of Health
income and social status |
employment and working conditions |
health |
culture |
gender |
physical environment |
social environment |
health child development |
individual health services |
social support network |
health services |
biologic and genetic endowment |
FIVE LEVELS OF HEALTH CARE
health promotion |
disease and injury prevention |
diagnosis and treatment |
rehabilitation |
supportive care |
THE FIVE HEALTH PROMOTION STRATEGIES
is multisectorial |
requires knowledge |
supports a holistic approach |
requires a long term perspective |
health issues in context |
THE FIVE HEALTH PROMOTION STRATEGIES
is multi-sectorial |
supports holistic approaches |
draws on knowledge from social, economic, political environments, medical and nursing sciences, as well as from first hand experience |
addresses health issues in context |
requires long term perspective |
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3 LEVELS OF PREVENTION
primary |
activities conducted prior to pathogenesis and symptoms (eg. immunization) |
secondary |
promote early detection once pathogenesis has began (eg. pap test) |
tertiary |
helps deal with symptoms and minimizes disabilities due to pathogenesis (eg. rehabilitation) |
FIVE STEPS OF THE NURSING ASSESSMENT
assessment |
diagnosis |
planning |
intervention |
evaluation |
PREREQUISITES FOR HEALTH (JAKARTA)
empowerment of women |
social relations |
social security |
respect of human rights |
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3 MODELS OF HEALTH CARE
medical approach |
westernized concept of medicine, medical intervention is solution, mainly physiological illness |
behavioural approach |
health promotion and public health, health is based on health determinants of client and responsibility is on them |
socio-environmental approach |
health is closely tied to social structure |
OTTAWA CHARTER HEALTH PROMOTION STRATEGIES
reorient health services |
building health public policy |
strengthen community action |
develop personal skills |
create supportive environments |
FIVE PRIMARY HEALTH CARE SERVICES
health promotion |
prevention and treatment of illness, injury and disease |
emergency essential services |
inter-agency / program referrals and coordination |
primary mental health, maternity, rehabilitation and palliative care |
COMPONENTS OF COMMUNITY ASSESSMENT
people |
community statistics and populations data |
structure |
observe physical environment (eg. walking survey) |
social systems |
look online for information |
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