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HEALTH PROMOTION AND DISEASE PREVENTION

Health promotion is defined by WHO as ‘enabling people to increase control over, and to improve, their health’. When evidence based and tailored to need, it can lead to improved physical and mental wellbeing and better outcomes.

WHO: Health promotion www.who.int/topics/health_promotion/en/

On the state of the public’s health. Annual report of the Chief Medical Officer 2012. DH, 2014 https://www.gov.uk/government/publications/chief-medical-officer-annual-report-surveillance-volume-2012

Effective strategies for the prevention and management of CHD in primary care are a good example of health promotion in action. Primary prevention: avoiding development of diseases or conditions through awareness and lifestyle choice and change Secondary prevention: detecting disease early, then increasing opportunities to prevent disease progression through increased awareness and self management Tertiary prevention: reducing negative impact of established diseases by optimising function and reducing disease-related complications. See also Men’s health, New patient checks, Physical activity, Sexual health National priorities for health improvement

  • Smoking
  • High blood pressure
  • Obesity
  • Poor diet
  • Poor mental health
  • Insufficient exercise
  • Alcohol use

Interventions for behaviour change Brief evidence-based motivational intervention can:

  • help patients identify priority health areas for change
  • help boost confidence and motivation to change
  • empower patients to take control of their own health and plan for change

Practice Nurse featured articles

Preventive medicine: helping patients alter their lifestyle  Dr Ed Warren 
Secondary prevention of cardiovascular disease  Dr Ed Warren
Stepwise approach to smoking cessation  Darush Attah-Zadeh 

Practice Nurse Curriculum Modules 

Lifestyle modification

Smoking cessation 

Resources General NICE Public Health Guidance: more than 40 documents on the delivery of evidence-based health promotion www.nice.org.uk
Public Health Agency for NI www.publichealth.hscni.net/
Public Health Wales NHS Trust https://www.publichealthwales.wales.nhs.uk/
NHS Health Scotland (Scotland’s health improvement agency) www.healthscotland.com
Patient UK: health promotion/lifestyle: information resources on health promotion issues https://www.patient.co.uk/directory/health-promotion-lifestyle
Public Health England – current public health policies https://www.gov.uk/government/organisations/public-health-england
Screening services: the UK National Screening Committee has policies on 100+ antenatal, newborn, child and adult health conditions www.screening.nhs.uk/
More specific

Healthy eating Weight management Physical activity

Practice Nurse featured articles

Obesity and the practice nurse  Dr Mary Lowth
Health impact of diet in minority ethnic groups  Georgine Leung 

Practice Nurse Curriculum Module

Lifestyle modification  

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