Prevention Levels & Determinants of Health: Community Health - Fundamentals of Nursing | @LevelUpRN
Summary
TLDRIn this video, Ellis from Level Up RN discusses the prevention levels and determinants of health. The three levels of prevention are primary (preventing disease before it begins), secondary (early detection through screenings), and tertiary (slowing disease progression after diagnosis). Determinants of health include environmental factors like access to resources and social factors such as socioeconomic status. These factors significantly influence an individual's health outcomes, with those from lower socioeconomic backgrounds or socially isolated individuals at higher risk for poor health.
Takeaways
- š”ļø Primary prevention focuses on preventing disease before it starts, including education on diet, exercise, and lifestyle modifications, as well as immunizations.
- š Secondary prevention involves early detection of diseases through screenings like mammograms or colonoscopies, and psychosocial screenings such as depression or domestic violence.
- š„ Tertiary prevention aims to slow or stop disease progression and its complications after diagnosis, including rehabilitation and support groups.
- š The mnemonic for prevention levels is: Primary - Preventing, Secondary - Screening, Tertiary - Treating.
- š± Determinants of health are environmental or social factors that influence an individual's risk and health outcomes.
- š Environmental factors include access to healthy food, safe water, transportation, infrastructure, environmental hazards, and public safety.
- š„ Social factors encompass socioeconomic status, race, culture, ethnicity, support systems, job opportunities, education, and access to medical care.
- š Medical care is both an environmental and social factor, affecting health outcomes through insurance and regional availability of healthcare facilities.
- š Individuals with low socioeconomic status, minority or marginalized populations, and those who are socially isolated are at a higher risk for poor health outcomes.
- ā Tertiary prevention includes interventions aimed at slowing or stopping disease progression and complications after diagnosis.
- š A pap smear is considered a secondary prevention level as it is a screening for early detection of cervical cancer.
- š Low socioeconomic status, minority or marginalized populations, and social isolation are determinants of health that can increase the risk of poor health outcomes.
Q & A
What are the three levels of prevention in health?
-The three levels of prevention are primary, secondary, and tertiary. Primary prevention aims to prevent disease before it begins, secondary prevention focuses on early detection of diseases through screenings, and tertiary prevention is about slowing or stopping the disease process after diagnosis.
What is the role of education in primary prevention?
-In primary prevention, education plays a crucial role by informing individuals about diet, nutrition, exercise, and lifestyle modifications such as avoiding smoking and limiting alcohol intake to prevent diseases.
Why are immunizations important in primary prevention?
-Immunizations are important in primary prevention because they help prevent diseases and illnesses by providing immunity before an individual is exposed to a disease.
Can you provide an example of a secondary prevention activity?
-An example of a secondary prevention activity is a mammogram or colonoscopy, which are screenings aimed at early detection of diseases in populations with certain risk factors.
What is the focus of tertiary prevention?
-Tertiary prevention focuses on slowing or stopping the disease process and its complications after a disease has already been diagnosed. This involves treating patients who have been diagnosed with a disease or illness to prevent the progress of that disease.
What are some examples of tertiary prevention activities?
-Examples of tertiary prevention activities include rehabilitation like physical therapy or cardiac rehabilitation, and psychosocial support such as support groups for individuals diagnosed with a disease or illness.
What are determinants of health?
-Determinants of health are environmental or social factors that significantly influence an individual's risk factors and health outcomes.
How do environmental factors impact health outcomes?
-Environmental factors such as access to healthy food options, safe water, transportation, infrastructure, environmental hazards, and public safety can impact health outcomes by affecting an individual's risk factors.
What social factors are considered determinants of health?
-Social factors that are determinants of health include socioeconomic status, race, culture, ethnicity, support systems, job opportunities, education access and completion, and access to medical care.
Why are individuals with low socioeconomic status at a higher risk for poor health outcomes?
-Individuals with low socioeconomic status are at a higher risk for poor health outcomes because they may have limited access to quality healthcare, education, and resources that promote healthy living.
How can social isolation affect an individual's health?
-Social isolation can lead to poor health outcomes as it may result in a lack of social support, which is crucial for emotional well-being and can influence physical health as well.
Outlines
š Prevention Levels in Health
In this paragraph, Ellis discusses the three levels of prevention in health: primary, secondary, and tertiary. Primary prevention focuses on preventing disease before it occurs through education about diet, nutrition, exercise, lifestyle modifications, and immunizations. Secondary prevention involves early detection of diseases through screenings like mammograms or colonoscopies, as well as psychosocial screenings for issues like depression or domestic violence. Tertiary prevention aims to slow or stop the disease process and its complications after diagnosis, often involving rehabilitation and support groups. Ellis uses the mnemonic of the first letter of each level to help remember their purpose: primary prevents, secondary screens, and tertiary treats.
š Determinants of Health
Ellis continues by explaining determinants of health, which are environmental or social factors that significantly influence an individual's risk factors and health outcomes. Environmental factors include access to healthy food, safe water, transportation, infrastructure like public transit, and environmental hazards such as pollution or tobacco smoke. Public safety is also considered. Social factors encompass socioeconomic status, race, culture, ethnicity, support systems, job opportunities, education, and access to medical care, including insurance and regional medical facilities. The paragraph concludes by noting that individuals with low socioeconomic status, those from minority or marginalized populations, and those who are socially isolated are at a higher risk for poor health outcomes.
Mindmap
Keywords
š”Prevention Levels
š”Primary Prevention
š”Secondary Prevention
š”Tertiary Prevention
š”Determinants of Health
š”Environmental Factors
š”Social Factors
š”Health Outcomes
š”Immunizations
š”Screenings
š”Rehabilitation
š”Support Groups
Highlights
Introduction to prevention levels and determinants of health
Three levels of prevention: primary, secondary, and tertiary
Primary prevention focuses on preventing disease before it begins
Education and immunizations are key components of primary prevention
Secondary prevention involves early detection through screenings
Screenings can include physical health and psychosocial assessments
Tertiary prevention aims to slow or stop disease progression after diagnosis
Rehabilitation and support groups are part of tertiary prevention
Determinants of health are environmental or social factors influencing health outcomes
Environmental factors include access to healthy food, safe water, and transportation
Public transportation and infrastructure are considered environmental factors
Environmental hazards and public safety are also determinants of health
Social factors encompass socioeconomic status, race, culture, and support systems
Job opportunities, education, and access to medical care are social determinants
Medical insurance and regional medical facilities impact health outcomes
Individuals with low socioeconomic status or from marginalized populations are at higher risk for poor health
Tertiary prevention includes interventions to prevent disease complications after diagnosis
Pap smears are considered secondary prevention as they are a form of screening
Low socioeconomic status, minority populations, and social isolation are determinants that increase health risks
Upcoming video topic: environmental hazards
Transcripts
Hi, I'm Ellis with Level Up RN. And in thisĀ video, I'll be chatting about preventionĀ Ā
levels and determinants of health. These cardsĀ can be found in the community health sectionĀ Ā
of our fundamentals flashcard deck. If you haveĀ that deck, go ahead and grab these cards and youĀ Ā
can follow along with me. And if you don't haveĀ the deck, you can check us out at leveluprn.com.Ā Ā
After I go over the content, make sure you hangĀ out because I'll have a couple of questions toĀ Ā
check your knowledge. We're going to startĀ with prevention levels. There are threeĀ Ā
levels of prevention that you need to know.Ā There is primary, secondary, and tertiary.Ā Ā
Primary interventions are aimed at preventing aĀ disease before it begins, before it is diagnosed,Ā Ā
before it occurs. And a lot of this category isĀ education. Educating about diet and nutritionĀ Ā
and exercise and lifestyle modifications likeĀ not smoking and alcohol intake and all of thoseĀ Ā
different things that we educate people about.Ā Also, in primary prevention, immunizations are aĀ Ā
big part of that as well so that we can preventĀ diseases and illnesses with immunizations.Ā
Secondary is early detection of diseases orĀ screenings. And a lot of those screenings areĀ Ā
aimed at certain populations that have riskĀ factors for particular diseases or illnesses,Ā Ā
like mammograms or colonoscopies, but don't forgetĀ that there are also psychosocial screenings likeĀ Ā
screening for depression in certain populations orĀ domestic violence. The final category is tertiary.Ā Ā
Tertiary interventions are focused at slowing orĀ stopping the disease process and its complicationsĀ Ā
after that disease has already been diagnosed.Ā So working with patients who have been diagnosedĀ Ā
with the disease or illness and treating theĀ complications and preventing the progress ofĀ Ā
that disease or illness. And that has a wide rangeĀ of different things, all different treatments thatĀ Ā
we can do. But some of the things that fall intoĀ that category are rehabilitation, whether that'sĀ Ā
physical therapy or cardiac rehabilitation,Ā and again, those psychosocial componentsĀ Ā
might include support groups. So after someoneĀ has been diagnosed with a disease or illness,Ā Ā
they might want to partake in a support group withĀ other individuals with that disease or illness.Ā Ā
The cool chicken on this card is pairing theĀ first letter of the prevention level with whatĀ Ā
it does. So primary is aimed at preventingĀ illnesses, secondary screens for illnesses,Ā Ā
and tertiary treats existing illness. We're going to move into determinants ofĀ Ā
health. Determinants of health are environmentalĀ or social factors that profoundly influence thatĀ Ā
individual's risk factors, as well as their healthĀ outcomes. And so we've split these into two bigĀ Ā
groups and different books and instructors andĀ programs and what have you might have it splitĀ Ā
into smaller groups, but they all really fallĀ under environmental factors and social factors.Ā Ā
So let's start with environmental factors.Ā These are things that are in somebody'sĀ Ā
environment that will have an impact on theirĀ risk factors and health outcomes. And that mightĀ Ā
be within their place of residence or withinĀ their larger community. And so that includesĀ Ā
access to healthy food options and safe waterĀ and access to transportation. So whether theyĀ Ā
have a license or they have a car or a bicycle andĀ have the physical capability to do those things,Ā Ā
right? And it also includes infrastructure, soĀ public transportation. Is there a bus systemĀ Ā
or a train or a subway for them to be able to getĀ around? This also includes environmental hazards,Ā Ā
whether that's pollution within theĀ community itself, or tobacco smoke,Ā Ā
which is more likely to be within the home if aĀ family member smokes inside the home per chance.Ā Ā
And public safety. So what is their environmentĀ like in terms of crime and violence?Ā
Social factors are going to include things likeĀ your socioeconomic status, your race, culture,Ā Ā
ethnicity, your support system. So do you haveĀ family or friends or caregivers that are aroundĀ Ā
you? And not even necessarily in close proximityĀ but are a social support for you. What kind of jobĀ Ā
opportunities are available to you? What educationĀ access and completion has occurred? And whetherĀ Ā
or not you have access to medical care. And thatĀ is kind of a combo effect. So medical insuranceĀ Ā
and access to medical care is part of it. ThoughĀ medical care is also an environmental factor inĀ Ā
terms of, what is regionally accessible to me? AreĀ there specialty offices, or do I have to drive aĀ Ā
really long distance to get to specialty offices?Ā Are there urgent care facilities or are there onlyĀ Ā
PCPs and hospitals with ERs? So there's lots ofĀ different types of access to medical care thatĀ Ā
gets involved in this. And the key point withĀ determinants of health is to understand thatĀ Ā
individuals with low socioeconomic status orĀ if they belong to a minority population orĀ Ā
marginalized population or, interestingly enough,Ā individuals that are socially isolated are goingĀ Ā
to have a higher risk for poor health outcomes. All right, that wraps up the content forĀ Ā
this video, and now I have a couple ofĀ questions just to check your knowledge.Ā Ā
So go ahead and describe tertiary prevention.Ā Ā
Tertiary prevention includes interventionsĀ that are aimed at slowing or stopping aĀ Ā
disease progression into the complications thatĀ may occur after a disease has been diagnosed.Ā Ā
Which level of prevention wouldĀ a pap smear be considered?Ā Ā
A pap smear is a screening, whichĀ makes it a secondary prevention level.Ā Ā
What is one of the determinants ofĀ health that I mentioned that putsĀ Ā
an individual at an increasedĀ risk for poor health outcomes?Ā Ā
I listed low socioeconomic status,Ā minority, or marginalized populations,Ā Ā
and individuals that have social isolation.Ā Thank you so much for studying with me.Ā Ā
Up next in community health, I'll beĀ talking about environmental hazards.
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