Discussion: Influencing Health Behavior Discussion: Influencing Health Behavior Individual lifestyle factors
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Discussion: Influencing Health Behavior
1. Describe how does the community health nurse influence health behavior and assist in health protection for people in communities?
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· Give at least three examples of primary, secondary, and tertiary prevention strategies for tuberculosis?
· Which health model – Biomechanical, holistic, or dynamic health promotion – do you think is most useful in dealing with a client population? Why or why not?
· Which model most closely resembles your approach?
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Individual lifestyle factors
As you have seen above, emphasis on individual lifestyle as a determinant of health can be seen in most policies and strategies. In recent years the concept of a ‘healthy lifestyle’ has achieved considerable popular currency but, like many such concepts, the term can be widely used in many different contexts and can come to mean different things. Davison et al. provide a useful definition of ‘lifestyle’ which they describe as: ‘the aspects of health related behaviours and conditions which entail an element of personal action at the individual level … strongly associated with the possibility of individual choice and the triumph of self control over self indulgence’ (Davison et al., 1992, p. 675).
The main issues addressed usually include diet and physical activity, tobacco and alcohol use, drug intake and sexual activity, although, at various times, other issues have also fallen within this rubric, for example, exposure to the sun and use of seat belt or child car seat.
Many attempts to promote public health have focused on the individual and their lifestyle, and this seems to be a fairly common-sense approach. After all, it could be argued that if individuals ate a little less and took more exercise, then they would be less likely to become obese. If they smoked less and drank less alcohol they would be at a reduced risk of long-term conditions such as heart disease or cirrhosis, and if individuals engaged in safe sex, then they would be less likely to become infected with HIV or other sexually transmitted infections. Individual behaviour can play an important part in health and illness, so maintaining a healthy lifestyle could well be simply a matter of self-control. However, as outlined below, lifestyle accounts have been challenged on several counts.
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