Health Promotion and Public Health-13 Flashcards

1
Q

What is public Health

A

“Refers to all organized measures (whether public or private) to prevent disease, promote health, and prolong life among the population as a whole.”

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2
Q

What are the 5 key areas of health promotion

A

Build healthy public policy
Create supportive environments for health
Strengthen community action for health
Develop personal skills
Re-orient health services

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3
Q

What are the predisposing factors of behaviour change?

A

Knowledge, beliefs, and attitudes based on life experiences, as well as gender, age, or socioeconomic background (etc.)

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4
Q

What are enabling factors of behaviour change.

A

Skills and abilities, available resources; can be positive or negative

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5
Q

What are reinforcing factors of behaviour change.

A

Presence or absence of support, encouragement or discouragement from those around you

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6
Q

What are the three public health domains.

A

Health promotion
Health Services
Health Improvement

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7
Q

What are some techniques for health improvements.

A

Lifestyle advice (nutrition, healthy living)
Targeted services to reduce smoking, improve diet, increase exercise, reduce risk of CHD
Signpost to services for housing, financial advice, health literacy (psycho-social aspects of health

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8
Q

What is the pharmacist’s role in health promotion?

A

Three basic strategies: empowering, mediating, advocating

  • Understanding health conditions
  • Managing conditions such as high blood pressure, asthma, diabetes
  • Understanding medications
  • Supporting medication adherence
  • Developing and maintaining community relationships
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9
Q

What are models for health behaviour (Individual, Family, Community, National)

A

Individual- Biological Models, Motivation Theory.
Family/Friends- Social Learning theory
Community- Social Capital Theory
National/Society- Normative models.

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10
Q

What is the health belief model.

A

For a person to take action he/she must:

believe they are susceptible
believe the health problem is serious
believe that the advantages of taking action outweigh the disadvantages (can be financial; i.e., cost makes smoking prohibitive)

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11
Q

What is the 5 stages of change.

A

Pro-Contemplation
Contemplation
Decision
Action
Maintenance

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12
Q

What is Pre-Contemplation

A

Not seriously thinking about making a change in the health behaviour
If change is suggested, e.g. by friends or a doctor, it is likely to be dismissed as the person does not see it as a problem.

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13
Q

What is contemplation

A

Clothes are a bit tighter, constant chesty cough; this is the stage where the individual begins to see that maybe there is a problem.
Beginning to think about the behaviour.

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14
Q

What is preparation

A

Read up on the issue, advice from friends and family, turn to a health professional. Something needs to change but might not know what or how.

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15
Q

What is action

A

Set targets; a short walk four or five times a week, cutting 20 cigarettes a day down to 15. Small steps to get going, AND prepared to increase as time moves on and gain confidence.

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16
Q

What is maintenance

A

Trying not to slip back into old behaviours can be the hardest part BUT don’t beat yourself up if it happens

17
Q

What is relapse

A

Start process again (and again, and again).

18
Q

How is PPH shown in the community

A

Community pharmacists advise the public on safe use of medicines, treatment of minor ailments & healthy lifestyle choices

Promotion of health & well being

Prevention of illness

Identification of ill health

Maintenance of health for those with chronic (long term) conditions

19
Q

What does PPH service aim to do

A

promote / advice on self-care
make use of windows/frontage and/or display space in pharmacies to promote health
provide access to appropriate health education information, materials and support
encourage a more pro-active approach to self-care and health promotion (participate in health living campaigns)
offer opportunistic interventions to promote health
provide a rolling programme of pharmacy-based health promotion activities

20
Q

What are PPH Key services

A

Smoking cessation
Opportunistic brief advice
Participate in no-smoking campaigns
Provision of nicotine-replacement therapy (part of CP contract)

Substance misuse
Supervised consumption of methadone & other substitution therapies
Needle & syringe exchange schemes
Pro-active health information and advice

Immunisation
Identifying & referring patients
Offering clinical/floor space to other health professionals
Administration/dispensing of vaccines

Heart Disease, Strokes and Cancer
Info & advice on healthy lifestyles (risk factor monitoring & advice)
Participate in campaigns
Offer secondary prevention

Sexual Health
Provision of Emergency Hormonal Contraception (EHC)
Supply of condoms
Sexual health advice and screening; e.g. chlamydia advice, testing & treatment, AIDS awareness
Pregnancy (folic acid)

Obesity
Targeted information about nutrition and physical activity (diet)