Preventie organiseren op meso- en macroniveau
Inhoud
Herhaling ................................................................................................................................................. 3
Gezondheidsdeterminanten ................................................................................................................... 4
Voorspellen van gezondheid ............................................................................................................... 4
Theorieën gezondheidsdeterminanten ............................................................................................... 5
Het ASE-model (de Vries) ................................................................................................................ 5
Health Field Concept model (Lalonde) ............................................................................................ 6
Sunrise Model (Leininger) ............................................................................................................... 6
Conceptueel raamwerk relatie etniciteit, cultuur, gezondheid (Stronks) ....................................... 7
Gedragslenzenmodel (Hermsen en Renes) ..................................................................................... 7
Risicofactoren .......................................................................................................................................... 8
Lalonde ............................................................................................................................................ 8
Macro-, micro- en mesoniveau ....................................................................................................... 8
Indeling van preventie ......................................................................................................................... 9
Naar doelgroep en niveau ............................................................................................................... 9
Naar fase ziekte ............................................................................................................................... 9
Naar type maatregel........................................................................................................................ 9
Preventie in Nederland ..................................................................................................................... 11
Nederlands gezondheidsbeleid ..................................................................................................... 11
Gezondheidsvoorlichting ............................................................................................................... 13
Wijkgezondheidsprofiel ................................................................................................................. 13
Gezonde wijkaanpak in het verpleegkundig proces ...................................................................... 14
Gezonde wijkaanpak en de rollen van de verpleegkundige .......................................................... 14
Bevorderen van gezondheidsgedrag ..................................................................................................... 15
Doel van gezondheid bevorderend gedrag ................................................................................... 15
Niveaus van bevorderen gezondheidsgedrag ............................................................................... 15
Verpleegkundige interventie bij het bevorderen van gezondheidsgedrag ....................................... 16
Gezondheidsvoorlichting in het verpleegkundig proces ............................................................... 16
Integrale aanpak gezondheidsbevordering BRAVO-D....................................................................... 17
Beweging ....................................................................................................................................... 17
Roken ............................................................................................................................................. 17
Alcohol ........................................................................................................................................... 18
Voeding.......................................................................................................................................... 18
Ontspanning .................................................................................................................................. 18
Drugs.............................................................................................................................................. 19
Gezondheidsgedrag: dat wat een persoon voor zichzelf (en andere) doet om gezond te
blijven.
Gezondheidsvaardigheden: zijn vaardigheden van het individu om informatie te verwerven
over gezondheid, inclusief het begrijpen, beoordelen en gebruiken van deze informatie.
• Zelfredzaamheid: zelf dingen doen die nodig zijn
• Zelfmanagement: sturing kunnen geven aan wat er moet gebeuren.
• Adaptief vermogen: het vermogen om je aan te kunnen passen aan de situatie.
Is het dan helemaal eigen individuele verantwoordelijkheid? Eigenlijk NIET!
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