Promoting Health of the Family

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Promoting Health of the Family
2014-09-15 21:28:19

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  1. What is Health?
    1948 the World Health Organization

    "state of complete physical, mental, and social well being and not merely the absence disease and infirmity" 

    Applies to people with chronic conditions as well as healthy people

    Health needs changes over time

    Early health habits- healthier lives and reduction of risk
  2. Principles of Health Supervision
    Health Supervision- provide services with the goal of optimizing health or wellness 

    -birth- adolescents-and into adulthood

    • - Three components include:
    •     * Health Promotion (activities)
    •     * Growth and development surveillance and screening - pt monitored overtime 
    •    * Injury prevention- each age group has different safety needs 

    - Health supervision is apart of continuum of care- continue to see pt overtime and monitor their care

    • babies are seen more frequently but everyone should be seen annually 
    • frequently asking questions and monitoring their health, growth and development- head circumference, weight, height, nutrition in effort to keep them healthy

    as a rn, its very important to discuss health promoting behaviors for our pts

    in OB health sup. starts prenatally
  3. Each health supervision visit includes:
    each age group how special and unique needs

    History and Physical assessment- 

    development and behavioral assessment- asking pt about milestone, have they met certain needs, what behaviors are the exhibiting

    Sensory screening- eyes and ears

    risk screening- car safety, smoking, sexual activity, HTN, domestic abuse, physical abuse, metabolic disease at birth 


    Health promotion- oral health, physical activity, nutrition counseling, shelter/housing issues

    anticipatory guidance- info/education provide to families in anticipatory the child is growing and will be able to do new things. how to keep the children safe
  4. Development surveillance and screening
    • Developmental surveillance (watching children overtime)
    • - components include:
    •    * parental concerns- ask pt if any concerns
    •    * developmental history- ask abt milestone and things the child is doing
    •    * observation- observed child/caregiver
    •    * consultations- social worker, pedi, school rx etc

    • Developmental screening
    •  - observational or caregiver report- take careful hx to get info
    • - assessment tools- (use tool in facility)
    •    * Denver II (birth- 6 years)
    •    * ages and questionaire (ASQ) and others

    • can screen at any age
    • watch for response to stimuli 
    • screen to see if they are doing anything usual

    • if u understand normal growth and development u will then be able to recognize if something is wrong
    • once u noticed u can identify any delays and start intervention or referral for intervention to help them delay and get caught up. 

    Annual BP check start at age 3
  5. Injury and disease prevention
    • Screening test
    • - risk screening
    • - universal (everyone gets this screening ex vital signs BP) & selective screening (some sort of risk has been identified ie old house lead poision check 6 months usual check 12 months)
    • 1. Metabolic screening 
    • 2. hearing screening
    • 3 vision screening
    • 4. iron defiency anemia (IDA) screening
    • 5. Lead screening
    • 6. HTN screening
    • 7. Hyperlipidemia screening
  6. Immunizations
    Key to disease prevention

    healthy people 2020 goal: achieve effective vaccination coverage levels for universally recommended vaccines among young children

    • Nursing
    • - immunize at every opportunity well and sick visits
    • -educate families about benefits and risks of immunization
  7. Types of Immunizations
    • routine vaccines
    • - DTap, DT, Tdap- booster T tetanus, P pertussis, D diptheria
    • - Hib- hermophilius influenza type b
    • - MMR, Varicella- at 12 months
    • - Hep A (at 12 months and repeat 6 months if high risk), Hep B (1st at birth)
    • - Pneumococcal, influenza
    • - Rotavirus (2-4-6 months), Meningococcal (11-12, college), HPV (3 shot series 9 yrs old girls and boys)
  8. Barriers to immunization
    • parents concerns about vaccine safety (education parents on risk of not getting vaccines)
    • vaccination contraindication- allergies etc
    • more than one health care provider (hard to keep track of record)
    • cost involved
    • effects of multiple injections (combo vaccines are used)
  9. Why is health promotion important?
    • improves health status and quality life, individuals, families and communities
    • reduces premature death 
    • decreases health care dollars- the more we promote health the less things will cost
  10. Prevention of disease
    • Three levels of prevention
    • - primary- involves preventing disease 
    • - secondary- involves early detection 
    • - tertiary- designed to reduce or limit the progression of a permanent, irreversible disease or disability
  11. What role does the nurse have?
    teach, teach, teach- good healthy practices

    • Principle components of health promotion
    • - identifying risk factors for disease
    • - facilities life style changes to reduce/eliminate risk factors for disease - encourage lifestyle changes
    • - empowering children and families at the individual and community level to develop resources to optimize health

    Nurses implement health promotion thru education and anticipatory guidance
  12. What is Anticipatory guidance
    • primary prevention strategy 
    • - healthy people 2020
    • - Bright future: guidelines for health supervision of infants, children adolescents 
    •   - themes include family support, child developement, and sexuality, safety and injury prevention, community relationships and resources. 

    • provides an opportunity to ask questions and discuss issues or concerns
    • active discussion and guidance can make a positive impact on the lives of families
    • identify any problems and solve it.
  13. What is bright future
    set of principles strategies and tools developed by the americian academy of pediatrics whis is used to improve the heal and well being of all children

    goal- to improve the quality of health services for children thru health promotion and disease prevention
  14. educating families thru teachable moments
    • 1. recognizing teachable moments in health visit
    • 2 clarifying learning needs of child and family (by asking questions)
    • 3. set a limited agenda and prioritize needs together
    • 4. select teaching strategy
    • 3 seek and provide feedback (ask if they understand what u taught them and if they can make it work in their families)
    • 6. evaluate effectivness of teaching
  15. four characteristics of teachable moments
    • provides information bites- should be quick
    • Is directed to the child's of families specific needs- individualized
    • is brief
    • requires no preparations time
  16. teaching strategy
    telling- works well when giving initial explanation or clarifying concepts- giving direction

    showing- illustrate concepts for visual learners- show

    provide resources= serves as a reference after family leaves

    • questioning promotes problem solving critical thinking elicits better information
    • stimulates recall

    practicing - reinforces new concepts

    giving constructive feedback- affirms family knowledge, corrects misunderstanding 
  17. How does culture influence promoting health
    talk to families about culture beliefs

    cultural influence including habits, beliefs, language, and values of that culture

    • certain ethnic groups at increase risk for disease
    • htn- african american

    children may learn stereotypes or prejudices at home (bias)

    some cultures value reading and education more than others

    foods served in the home v in school promotes likes and dislikes and can affect nutrition

    homelessness or provety

    emotional development: riducle for crying humilation