Topic 2 Response to Nancy Duong Discussion
Topic 2 Response to Nancy Duong Discussion
There are three levels of prevention pertinent in health promotion behavioral change. The first level is primary prevention, which takes place before the onset of illness or injury and includes routine wellness exams and vaccinations. The second level our reading (Falkner, 2018) addresses is secondary prevention, which focuses on early detection and treatment before the disease progresses and causes irreparable damage. Getting a mammogram/ breast examination because you are a female and at the age of thirty, is a form of secondary prevention. Lastly, tertiary prevention takes place when the disease process has caused permanent damage of some form. At this level, some rehabilitation might need to take place and nurses should advocate for resources, helpful to the patient to return to a level of functional optimal for them. With primary prevention, the individual does not have the disease/injury.
The levels of prevention help determine educational needs for a patient primarily based on their readiness to adopt changes necessary to improve health. The transtheoretical model of nursing helps nurses accomplish this via assessing five stages within the model dealing with patient’s readiness: Pre-contemplation, contemplation, preparation, action and maintenance (Falkner, 2018 in table 2.1). Precontemplation, is when the patient has no desire to change. An intervention is to provide education regarding proper nutrition and risks associated with poor diet choices. Contemplation, preparation and action pair with primary and secondary prevention, because the patient at this phase acknowledges there is a issue and has set a goal with a plan to intervene. Nurses can assist the patient in this stage by encouragement and help formulate a plan of cation and adherence to plan. As we learned last week, environmental factors are important to identify early to see what the patient can control or cannot for the behavioral change to successful. Lastly, maintenance is tertiary prevention, where nurses can assist with maintaining and reiterating education to prevent further damage or loss.
Citation
Falkner, A. (2018). Health promotion in nursing care., Health Promotion: Health & Welness Across the continuum. Grand Canyon University. Retrieved form https://lc.gcumedia.com/nrs429vn/health-promotion-…
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