The document discusses several models of prevention in mental health nursing. It describes the clinical model, role performance model, adaptive model, levels of prevention model including primordial, primary, secondary and tertiary prevention. It also outlines the health belief model and mental health promotion model, which aims to empower individuals with mental illness and support their mental health through services, social support and community inclusion.
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Model of Prevention
The document discusses several models of prevention in mental health nursing. It describes the clinical model, role performance model, adaptive model, levels of prevention model including primordial, primary, secondary and tertiary prevention. It also outlines the health belief model and mental health promotion model, which aims to empower individuals with mental illness and support their mental health through services, social support and community inclusion.
Download as PPTX, PDF, TXT or read online on Scribd
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COLLEGE OF NURSING
DHAMTARI
SUBJECT - MENTAL HEALTH NURSING
TOPIC- MODEL OF PREVENTION
WELCOME ALL OF YOU
Introduction A model is a theoretical way of understanding a concept or idea.
Models represent different ways of approaching complex issues.
CLINICAL MODEL • The absence of signs and symptoms of disease indicates health. • Illness would be the presence of conspicuous signs and symptoms of disease. • Clinical model is the conventional model of the discipline of medicine. ROLE PERFORMANCE MODEL • Health is indicated by the ability to perform social roles. • Role performance includes work, family and social roles, with performance based on societal expectations. • Illness would be the future to perform a person’s roles at the level of others in society. • This model is basis for work and school physical examination and physician –excused absences. • The sick role, in which people can be excused from performing their social roles while they are ill, is a vital component of the role performance model. ADAPTIVE MODEL • The ability to adapt positively to social, mental, and physiological change is indicative of health. • Illness occurs when the person fails to adapt or becomes inadaptive toward these changes. • As the concept of adaptation has entered other aspects of culture , this model has become widely accepted. LEVELS OF PREVENTION MODEL • This model, advocated by Leavell and Clark in 1975, has influenced both public health practice and ambulatory care delivery worldwide. • This model suggests that the natural history of any disease exists on a continuum, with health at one end and advanced disease at the other. • The model delineates three levels of the application of preventive measures that can be used to promote health and arrest the disease process at different points along the continuum. • The goal is to maintain a healthy state and to prevent disease or injury. It has been defined in terms of four levels: Primordial prevention Primary prevention Secondary prevention Tertiary prevention PRIMORDIAL PREVENTION • Prevention of the emergence or development of risk factors in population or countries in which they have not yet appeared. • Efforts are directed towards discouraging children from adopting harmful lifestyles. PRIMARY PREVENTION • An action taken prior to the onset of disease, which removes the possibility that the disease will ever occur. • It includes the concept of positive health, that encourages the achievement and maintenance of an “acceptable level of health that will enable every individual to lead a socially and economically productive life. SECONDARY PREVENTION • Action which halts the progress of a disease at its incipient stage and prevents complications. • The domain of clinical medicine. • An imperfect tool in the transmission of disease. • More expensive and less effective than primary prevention. Tertiary prevention • All measures available to reduce or limit impairment and disabilities, minimize suffering caused by existing departures from good health and to promote the patient's adjustment to irremediable conditions. The Health Belief Model • This model is based on the premise that for a behavioral change to succeed, individuals must have the incentive to change, feel threatened by their current behavior, and feel that a change will be beneficial and be at acceptable cost. • They must also feel competent to implement that change . • The purpose of the model is to explain and predict preventive health behavior. Mental Health Promotion Model • purpose of mental health promotion for people with mental illness is to ensure that individuals with mental illness have power, choice, and control over their lives and mental health, and that their communities have the strength and capacity to support individual empowerment and recovery. • The person with mental illness is the central focus: participating in her/his community, involved in decision-making about mental health services, and choosing which supports are most appropriate. There are four key resources which should be available to the person to support their mental health: a) mental health services; b) family and friends; c) consumer groups and organizations; and d) generic community services and groups. SUMMARY • Nursing must expand its efforts to design and implement interventions which support promotion of health and prevention of disease/illness and disability. • Preventing illness and staying well involve complex, multidimensional activities focused not only on the individual, but also on families, groups and populations. • Approaches to prevention should be comprehensive, encompass primary, secondary and tertiary levels of prevention and involve consumers in their formulation. • Prevention strategies are more likely to be adopted by citizens who participate in influencing and developing such strategies. • Nurses have developed many health models to understand the client’s attitudes and values about health and illness so that effective health care can be provided. • These nursing models allow nurses to understand and predict client’s health behaviour, including how they use health services and adhere to recommended therapy.