NRS 429 Topic 3 DQ 2

Sample Answer for NRS 429 Topic 3 DQ 2 Included After Question

Compare and contrast the three different levels of health promotion (primary, secondary, tertiary). Discuss how the levels of prevention help determine educational needs for a patient. 

A Sample Answer For the Assignment: NRS 429 Topic 3 DQ 2

Title: NRS 429 Topic 3 DQ 2

I’ve spent the last few days at the Magnet Conference in Philadelphia. How many of you have ever been to this conference and is your facility a Magnet facility? If so,how do you support your facility’s efforts to maintain Magnet status? 

I have not personally been to a magnet conference, but my CNO has been, and she tells us about them all the time. Based on the most recent research, hospitals must demonstrate improved clinical practice and outcomes to keep their Magnet status. A simplified approach to improving clinical/bedside practice decisions based on current research is provided by evidence-based practice (EBP) committees. One way you can help your organization keep its Magnet nursing status is to make conscious efforts to improve your ability to provide care, communicate effectively, and collaborate with coworkers and members of interdisciplinary teams. 

I have not yet attended a Magnet Conference, however my hospital is attempting to obtain Magnet status. They are encouraging all RN’s to obtain their BSN, they are paying our tuition to obtain this as it is my understanding they have to have a certain percentage of RN’s have their BSN. This financial support to pay our tuition is one of the reasons I finally decided to go back to school after 19 years. I always talked about going back but the financial burden is one I didn’t want to take on, once this was offered to me it was difficult to make excuses.  

Primary promotion is considered prevention before the illness or injury usually has occurred it can be in the form of vaccinations or routine check-ups and technically takes place in the primary care centers and clinics. Primary prevention can also include educational interventions, also lifestyle factors like healthy eating habits and proper sleep, and better nutritional habits. 

Secondary promotion is when you focus on early detection and treatment of disease and catch them before they progress into a irreversible state, an example could be catching and treatment of early stage cancer by of prevention screenings like mammograms and general health screening. If caught early certain type of cancers if caught and treated early can have a positive outlook and better outcomes for the patient. 

Tertiary promotion is when a disease has already caused permanent damage and the goal of tertiary care is to get the patient to a level of functioning so that they can go back home or in a rehabilitation facility or in between such as home health care services to address any side effects that may arise from ongoing treatment of their disease. The goal is to help the patient try to get back to their baseline as much as possible so that they can be as independent as possible. 

The education needs of the patient for all three levels of health promotion start with the fact that you have to be willing to accept the teaching methods and a huge is participating in their own care as much as they are able to as this will greatly help in education and learning about the diseases process. 

 

Falkner, A., Grand Canyon University (Ed). (2018). Health promotion: Health & wellness across the continuum. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/ 

A Sample Answer 2 For the Assignment: NRS 429 Topic 3 DQ 2

Title: NRS 429 Topic 3 DQ 2

I like the way that you pointed out that it is important to “catch them before they progress into an irreversible state,” when you were describing secondary health promotion. This is an important factor to consider while we are doing health screenings. Some patients can benefit from early detection and early intervention. They certainly stand to benefit much more if the disease state can be prevented entirely, through good, quality patient education by the Registered Nurse. Thank you for posting.  

Health promotion is process of empowering people to increase control over their health and its determinants through health literacy efforts and multisectoral action to increase healthy behaviors. This process includes activities for the community-at-large or for populations at increased risk of negative health outcomes. Health promotion usually addresses behavioral risk factors such as tobacco use, obesity, diet and physical inactivity, as well as the areas of mental health, injury prevention, drug abuse control, alcohol control, health behavior related to HIV, and sexual health. 

Disease prevention and health promotion share many goals, and there is considerable overlap between functions. On a conceptual level, it is useful to characterize disease prevention services as those primarily concentrated within the health care sector, and health promotion services as those that depend on intersectoral actions and or are concerned with the social determinants of health.

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NRS 429 Topic 3 DQ 2
NRS 429 Topic 3 DQ 2

Source: At Work, Issue 80, Spring 2015: Institute for Work & Health, Toronto [This column updates a previous column describing the same term, originally published in 2006.] 

A Sample Answer 3 For the Assignment: NRS 429 Topic 3 DQ 2

Title: NRS 429 Topic 3 DQ 2

 Great post, According to Florence Nightingale, health promotion defined ha the absence of disease and illness. Throughout the years, this definition has changed significantly. Currently, the World Health Organization( WHO) defines health as a state of complete physical. Mental and social well-being and not merely the absence of disease or infirmity. The World Health Organisation defines health promotion as the process of enabling people to increase their control over and improve their health. These definitions of health and health promotion have implications for nurses and the healthcare profession. 

There are a large number of theories and models that facilitate an understanding of health , illness, and wellness. Some of these theories and models are really specific and highly concrete and others are more general and more abstract 

The goal of tertiary prevention is to lessen the impact of a chronic illness or injury. This is accomplished by assisting individuals in managing long-term, frequently complex health conditions and injuries (such as chronic diseases and permanent impairments) in order to maximize their functional capacity, quality of life, and life expectancy. For many health problems, a combination of primary, secondary and tertiary interventions is needed to achieve a meaningful degree of prevention and protection. 

The Registered Nurse should be prepared with an understanding of the three levels of health promotion: Primary, Secondary, and Tertiary. The assessments that a nurse performs at each level of health promotion can assist with determining a patient’s current and future needs. (Kumar & Preetha, 2012.) 

Primary health promotion takes place at the Primary Care level. This usually takes place in a Primary Care Physician’s office or other primary care setting. Nurses can teach patients about their routine medications and any preventative measures that they can take to improve their overall health status and well-being. Patients can ask questions regarding their health in this setting. Questions should be encouraged and answered in order to ensure the patient has health literacy and is engaged in the process of learning. 

Secondary health promotion involves encouraging and performing health screenings, or arranging for follow-up testing for patients. Patients are taught about routine screenings and encouraged not to neglect routine testing. Early detection and treatment has been shown to be key to recovery from many health conditions, including cancers. 

Health promotion at the tertiary level requires the nurse to have a broad clinical knowledge base. The nurse must have a good understanding of pathophysiology. Patients can be taught how to manage their disease or condition, and how to prevent further decline. For example, a Diabetic who has had multiple fluctuations in blood sugar, with extremely high readings and extremely low blood sugar levels, can be taught to manage the blood glucose level better and prevent further organ and tissue damage. NRS 429 Topic 3 DQ 2

Levels of prevention can help the nurse to determine educational needs for patients. The nurse can provide anticipatory guidance and evidence-based data at all levels of health promotion and prevention. At the primary care level, the nurse can provide information to prevent the patient from having a crisis and requiring a visit to the Emergency Department. At the secondary level, the nurse can provide screening information, printed materials, and arrange for the screening to take place. The nurse can also teach the importance of follow-up care at this level. A screening is only as good as the follow-through on the test results. At the tertiary level, the patient may need more education and intervention, with the addition of community supports and services to aid in the patient’s recovery. Home Health is one example of a community support that can assist the patient to remain safely in the community. All levels of prevention and health promotion are designed to help the patient to stay out of crisis and out of the hospital setting. (Falkner, 2018.) 

References: 

  1. Falkner, A., Grand Canyon University (Ed). (2018). Health promotion: Health & wellness across the continuum. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/ 
  1. Kumar, S., & Preetha, G. (2012). Health promotion: an effective tool for global health. Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine, 37(1), 5–12. https://doi.org/10.4103/0970-0218.94009 

A Sample Answer 4 For the Assignment: NRS 429 Topic 3 DQ 2

Title: NRS 429 Topic 3 DQ 2

The three levels of health promotion are important for a nurse to understand when educating patients. A nurse should have the knowledge on which level of health promotion will be the most beneficial for a patient to learn. The purpose of primary prevention is to prevent a disease, while secondary prevention focuses on early detection, and tertiary targets the outcome of a disease (Kisling, & Das, 2022). Tertiary prevention are typically implemented in symptomatic patients aimed to reduce the severity of a disease. These levels of prevention are required to deter a disease or complications of a disease. 

Reference 

Kisling, L, Das, J. (2022). Prevention strategies. National Library of Medicine. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK537222/ 

A Sample Answer 5 For the Assignment: NRS 429 Topic 3 DQ 2

Title: NRS 429 Topic 3 DQ 2

The RN should know the three health promotion levels. Primary, secondary, and tertiary prevention. Primary prevention prevents disorders from forming. Primary prevention includes vaccinations, high-risk behavior counseling. Secondary prevention detects and treats illness early, sometimes before symptoms appear, reducing its effects. In tertiary prevention, a chronic condition is treated to avoid complications or harm. Tertiary prevention involves providing supportive and rehabilitative treatments to avoid deterioration and optimize quality of life, such as injury, heart attack, or stroke therapy. Tertiary prevention entails preventing problems in disabled persons, such as pressure sores. 

It is very important for nurses to know and understand the three levels of prevention. It is also important for nurses to know which situations correlate with certain levels of prevention. “Nurses in preventative health care are tasked with improving the health of patients through evidence-based recommendations while encouraging individuals to receive preventative services such as screenings, counseling and precautionary medications.” (Benedictine University, n.d., p.1)  

 

Reference: 

The role of the nurse in preventative health care. Benedictine University. (2021, October 22). Retrieved October 15, 2022, from https://online.ben.edu/programs/msn/resources/role-of-nurse-preventative-health-care  

A Sample Answer 6 For the Assignment: NRS 429 Topic 3 DQ 2

Title: NRS 429 Topic 3 DQ 2

Very well said! Health education is integral part of health promotion and disease prevention. The education purpose is to inform, teach and bring awareness in patients about the right choices and decisions that will help to promote healthy lifestyle (Pati et al., 2017). Nurse plays an important role in teaching patients and families and help them to make necessary modification in their lifestyle. Especially the health education can empower someone and assist them to develop necessary changes in their life. The culturally competent care is necessary in healthcare to assess the specific cultural needs and bring the optimal patient outcomes. 

Pati, S., Chauhan, A. S., Mahapatra, S., Sinha, R., & Pati, S. (2017). Practicing health promotion in primary care -a reflective enquiry. Journal of preventive medicine and hygiene, 58(4), E288–E293. https://doi.org/10.15167/2421-4248/jpmh2017.58.4.749 

The three levels of disease prevention and health promotion include primary, secondary and tertiary. The primary approach to prevention focuses on stopping disease before it starts; The goal of secondary prevention is early disease detection and intervention; Tertiary prevention, on the other hand, focuses on managing an already-existing disease and avoiding further complications. Primary prevention aims to stop a person who is “well” from getting a disease or injury. The routine immunization of healthy individuals against communicable diseases like measles and influenza is an example of primary prevention, which has the potential to reach a large portion of the population and can, as a result, have a significant impact on the health of the population while remaining cost-effective. Secondary prevention aims to find people who have already have the disease or infection but are still asymptomatic. Following the United States Preventive Services Task Force (USPSTF)’s evidence-based recommended screenings for diseases like cancer, diabetes, obesity, and hypertension, among others, is part of secondary prevention. The goal of these screenings is to identify a disease while it is still asymptomatic. Through screening, early disease identification enables earlier intervention, which, ideally, increases the likelihood of a cure or decreases the disease’s morbidity and mortality. 

The prevention of complications in individuals who have already developed disease and for whom disease prevention is no longer an option is referred to as tertiary prevention. Tertiary prevention’s objective for these patients is to minimize disease-related morbidity and maximize outcomes. Initiating cardiac therapy and rehabilitation in a patient who has had a myocardial infarction is one example. The heart damage cannot be repaired; However, the patient will be able to achieve maximum cardiac output and avoid additional mortality and morbidity from the myocardial infarction if appropriate cardiac therapy and rehabilitation are provided. 

Reference 

David, D. Celentano. (2019). Population Health. https://www.sciencedirect.com/topic/nursing-and-health-professionals/prevention \

A Sample Answer 7 For the Assignment: NRS 429 Topic 3 DQ 2

Title: NRS 429 Topic 3 DQ 2

I enjoyed reading your post. The examples you provided for three levels of health prevention are very thorough. Your tertiary prevention example regarding the myocardial infarction are required to avoid further morbidity and mortality. An example of tertiary level of prevention for diabetics may include foot exams and skin care (Celentano, 2019). Managing further complications of diabetes requires a patient to control their blood glucose levels, preventing diabetic wounds/ulcers, and preventing vessel diseases. It is important for the nurse to understand the three levels of prevention for patient education be effective when promoting health. 

Reference 

 

Celentano, D. (2019). Tertiary prevention. Science Direct. Retrieved from https://www.sciencedirect.com/topics/nursing-and-health-professions/tertiary-prevention 

A Sample Answer 8 For the Assignment: NRS 429 Topic 3 DQ 2

Title: NRS 429 Topic 3 DQ 2

Three levels of health prevention and promotion are primary, secondary, and tertiary. Depending on the health journey of the client, education is different at each level. The following are definitions and examples of each of the levels along with the educational needs specific to each level. 

Primary prevention is health promotion and dealing with genetic and social risk factors. This level of promotion occurs before the client becomes ill or injured. Some examples include going to a clinic to receive the flu vaccine, altering risky behavior like smoking or poor eating habits, and communities adding fluoride to drinking water for dental health (Falkner, 2018). This level also includes public health initiatives, like banning smoking inside public buildings (Centers for Disease Control and Prevention [CDC], n.d.). It is essential for nurses to provide clients with correct, current, individually relevant information in order for them to make quality health decisions on a daily basis. 

The secondary prevention level of health promotion focuses on early detection and early treatment. This includes controlling risk factors, screening for those at risk of a health problem, and early treatment (Falkner, 2018). This early treatment occurs before the disease causes unrepairable damage. Two examples are regular mammograms and blood pressure monitoring. Nurses should provide education materials to prevent further complications, address various treatment plans, and include family members to provide support for the client and minimize their risks for similar health problems. 

The tertiary prevention level deals with improving the client’s quality of life, rehabilitation, and preventing further complications (Falkner, 2018). This level is defined by the CDC (n.d.) as disease management to slow or stop the advancement of the disease. Examples include chemotherapy and rehabilitation. If the client is at this level of health promotion, the disease process has caused permanent damage of some kind. The nurse should advocate for the client to receive assistance or resources to fully function at home including home health care or specialized medical equipment (Falkner, 2018). Education for these clients should include management techniques for highest functional level and ways to prevent further complications of their disease or injury. 

Centers for Disease Control and Prevention. (n.d.) Prevention.https://www.cdc.gov/pictureofamerica/pdfs/picture_of_america_prevention.pdf 

Falkner, A. (2018). Health promotion in nursing. In Grand Canyon University (Ed.), Health promotion: Health & wellness across the continuum. Grand Canyon University. https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/2 

A Sample Answer 9 For the Assignment: NRS 429 Topic 3 DQ 2

Title: NRS 429 Topic 3 DQ 2

Tertiary prevention strategies include screening diabetics for diabetic retinopathy to stop the progression to blindness by providing prompt treatment; opportunistic infection prevention for HIV patients; provision of medical devices and prostheses to enable individuals to participate in social life; follow-up with chronically ill patients to make sure they take their medicine as prescribed, check for changes, and help them keep their independence in their daily lives; rehabilitation of stroke patients to prevent recurrence or additional complications through appropriate medication and to restore functions, such as through physiotherapy. 

I Understand Your tertiary prevention, but I; this call it maintenance disease, this phase is the last stage of illness. Furthermore, while preventive services are regulated and must undergo scrutinous safety testing, there is risk involved with prevention.,. Particularly primary and secondary preventive factors targeted at intervening in healthy-appearing individuals. It is often challenging to gain buy-with patients regarding the risk benefit ratio of various preventive services and risk-benefit. Best and my last prevention is primary free of illness, free of diseases, if everyone can use strategies to keep in primary life will be wonderful..  

Phyllis, You bring up an important point about genetic and social risk factors, which I had not considered. Genetics do play an important part in unmodifiable risk factors for patients. It is important to consider family history and the genetic component when we are promoting health and designing individualized plans of care. This post was very helpful to me as a nurse.  

Three different levels of health promotion (primary, secondary, tertiary).

The three levels of health promotion, namely primary, secondary, and tertiary prevention, differ in their focus and objectives. Primary prevention aims to prevent the onset of illness or injury and includes measures such as vaccinations, wellness exams, and health promotion interventions (Falkner & Whitney, 2022). It emphasizes proactive actions to promote health and prevent disease. Secondary prevention focuses on early detection and treatment of disease processes before they cause irreversible damage (Falkner & Whitney, 2022). It involves health screenings and early intervention to prevent the progression of disease. Tertiary prevention comes into play when a disease has caused permanent damage, and its focus is on helping patients achieve a sense of normalcy and adapt to their lives. It involves rehabilitation, providing resources for daily functioning, and patient education to prevent further complications (Falkner & Whitney, 2022). Each level plays a critical role in the comprehensive approach to health promotion, addressing different stages of illness and promoting overall well-being.

 How the levels of prevention help determine educational needs for a patient.

The levels of prevention in health promotion play a crucial role in determining a patient’s educational needs. Primary prevention, which focuses on preventing the onset of illness or injury, involves health promotion and education interventions. Nurses assess the patient’s risk factors and educate them on making informed decisions to promote daily health. According to Falkner and Whitney (2022), this requires active involvement from the patient, such as participating in vaccinations or attending educational seminars. Secondary prevention, centered on early detection and treatment, relies on health screenings. Nurses advocate for screenings and provide education to prevent disease progression. Tertiary prevention, addressing permanent damage, involves helping patients adapt and reintegrate into their lives. Nurses determine the patient’s specific needs and provide education to prevent further complications (Kisling & M Das, 2020). The different levels of prevention guide nurses in tailoring educational interventions based on the patient’s stage of illness or injury, promoting overall well-being, and preventing future health issues.

 

References

Falkner, A., & Whitney, S. (2022). Health Promotion: Health & Wellness Across The Continum (S. Z. Green, Ed.). GCU.

Kisling, L. A., & M Das, J. (2020). Prevention Strategies. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK537222/#:~:text=These%20preventive%20stages%20are%20primordial

See Also: NRS 429 Topic 3 DQ 1