NURS 124 Lecture 3: Health and Wellness

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Define key characteristics of medical, behavioral, socio environmental approaches to health. Discuss the determinants of health, their inter-relationships, how they affect health. Distinguish bw health promotion vs disease prevention. Id 5 health promotion strategies as discussed in ottawa charter. Extent to which individual or grp is able to realize aspirations and satisfy needs; to change or cope with environment. A resource for everyday life, not objective of living; positive concept emphasizing social and personal resources and physical capacities . Medical approach - health problems viewed primarily as physiological risk factors. Behavioral approach - lalonde study (1970) shifted emphasis from med behavioral approach to health; health determinants defined as lifestyle (active, smoker? environment, human biology, org of hc; place responsibility for health on individual. Socio environmental approach - health = tied to social structures; poverty, unhealthy physical and social env. Framework to guide practice involves: person, env, nursing, health. Low birth weight children = 43% higher incidence in poor neighborhoods.

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