Principles of Primary Health Care

Requirement

Health promotion is the process of enabling people to increase control over and improve their health (WHO, 1986). Choose one illness/condition and discuss the role of the nurse/midwife in the five major strategies for health promotion identified in the Ottawa Charter for Health Promotion (WHO, Health and Welfare Canada & CPHA, 1986). See page 64 of McMurray and Clendon (2015).
Write an academic essay in 1500 words.

Solution

Introduction

In this assignment importance of health promotion process and the role of the nurse in promoting the health which is identified in the Ottawa, the charter has been discussed. Major strategies for health promotion is also detailed in this assignment. Role of nurse in preventing and helping the Asthma patient has been mentioned.
Health promotion

Ottawa charter for the health promotion

According to the world health organization, it is the process enables the people to increase better control over their personal lives and improve their health status.
Promotion of the health is the movement which endorses the health and is basically linked with the values (Van et al., 2008). For example the Ottawa charter awareness and empowerment. Ottawa charter for the promotion of the health is the name of international contract or agreement which signed at the very first international conference held for the promotion of the health. This conference was arranged by the world health organization. It was held in Canada, Ottawa. The main aims of this conference are to achieve the healthy public by the year 2000.
Promoting the health is not only the responsibility the health sector. It is the duty of every citizen and every citizen should promote the healthy environment and healthy lives. According to the Davies and Macdowall health promotion is the activities which are very complex and difficult. He stated that it is the intervention or the strategy which enables to improve the health condition of the individual and the overall population. 
According to Campbell and Gibson, they argue that empowerment is the best way to promote the health as it will also enhance the individual’s capabilities to meet their personal needs, and helps them to resolve difficulties and make the individual live better life. So par the asthma illness, the main aim is to improve the patient condition as there is no such proper cure, so the aim and responsibility of the midwife and nurse are to make the asthmatic patient live a better life. Nurses make the patient take responsibilities for their personal health and make them live a better life by enabling them to better control their life by availing the opportunity in the society.
The role and contribution of the nurses in the Asthma illness are to make the patient aware of the inhaler techniques and how to avoid the dust while traveling. According to Marmot, he suggested that making contribution and investment in the promotion of health has the potential to eliminate the social determinants. He also mentioned that when the nurse makes the awareness and impart the education regarding asthma it will put positive impact over the patient and society, as a result, it will enhance the ability to select the healthier lifestyle.
In the major part of the world, this diseases or illness that is asthma is widely spreading. And causing a serious health problem in the society. 

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Asthma 

Asthma is a heterogeneous disease. Affecting the near about 235 million people globally. This disease is especially caused due to chronic airways inflammation. It is associated with the respiratory infection like shortness of breath, chest tightness, coughing and wheezing. This disease is also caused due to dust and major stress. Proper functioning of the lungs is affected by this diseases as a result respiratory problem occurs causing the symptoms of asthma.

Role of the nurse or midwife

According to the Code of Ethics for Nurses, it clearly states that nurses have major four central responsibilities, in a way to promote the health and restore the health. They have to prevent the society and patient form illness and they have to work to reduce the suffering of the patient.
Nurses have controlled the psychological factors of the asthma patient as it reduces the severity of the symptoms.
Steeping up with medication.
Nurses help the patient in avoiding the asthma triggers by supporting and advising the patient timely. Nurses or midwife use to review the report and condition of the patient regularly (Norton et al., 1998).
To implement the policies of no smoking (Smoking Cessation)
Making the patient awareness about the inhaler techniques 
Making the patient attend the regular appointment for a checkup.
Help the patient to use the inhaler properly and timely
Assisting them and bringing asthma patient out of the stress through medication.
To make the patient aware of health education and to maintain the life balance and control
To make the patient avoid the smoking.
Nurses educate the patient about the self-management techniques to improve the individual lifestyle. As through self- management individual can make his life more comfortable and balanced.
Nurses make the patient to actually control their living standards and habits in a way to stay healthy and strong. This way balanced life can be achieved.
The contribution of the nurses in making aware of the health education to the public is very much. Nurses contributed a lot in educating the mass public about the health concern. Nurses make a special effort in the field of asthma illness. They help a lot to make the balanced life of asthma patient. They educate the patient about the inhaler techniques and management.

Major strategies for promoting health

The Ottawa charter identifies some strategies for promoting the health and are as follows

  1. •    Advocate- For social, personal development and for economic development health is the major resource. So in a way to improve these area health promotions should be focused.

  2. •    Enable- Enabling the patient and individual to attain the utmost quality of life. Health promotion must be reached to all the individual as will create equality and empowerment make them attain the quality standard of life (Rankin et al., 2001).

  3. •    Mediate- It is not possible alone to by the health sector to make the individual aware of health and empowerment but the individual contribution is very much needed. It can be only possible through the collaboration of all the sectors of the government. In this media industry also play also a vital role.

Five strategies or action for the promotion of the health which was identified under Ottawa charter

  • 1.    Building healthy public policy- Nurses help in advocating the smoke- free public building. Enabling the individual to eliminate the smoking habit and contributing its effort in making the society which is free from smoking.

  • 2.    Create supportive environment- It the duty of all the government sector and organization plus individual to make the community socially healthy and economically fit. It the responsibility of the nurses to make and supportive environment to improve the condition of asthma patient (Bastable et al., 2003).

  • 3.    Strengthen community action- nurses and community members are very energetically involved in achieving the healthy environment. Nurses play a vital role in making the community strong in regards to health. Nurses mobilize the patient and other individual, groups, families to ensure to make the community strong in regards to health.   

  • 4.    Develop personal skills- nurses and community members use to make the people learn and they try to educate the individual to prepare themselves for the future. And to be preventive from chronic diseases. This activity is done in school and other community places. Nurses try to educate the public and other individuals about the health issues. They try to make the society and patient live a better life (Reuterswärd et al., 2010).

  • 5.    Re-orienting health service- Besides only providing the curative and clinical services nurses and community member should make special effort to make the society healthy. Reorienting health service need stronger attention on the health issues and research related to health and illness. And figure out the changes in the education and professional training.

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Conclusion

At the end of this assignment, it can be said that nurses play a vital role in making the individual aware of the health education and awareness. Nurses play a vital role uplifting the society. They help the asthma patient to take the inhaler effectively and timely. They use to support the patient who is suffering from severe asthma. They help the individual to medication and prevent them from the stress. They organize the stress management program for the asthma patient to reduce the stress. Nurses make the personalized treatment plan according to the severity of the patient illness. Nurses ensure that patient receives the best possible treatment which includes access to clinical trials, they also help in reducing the acute fatal.

References

  • Van Lerberghe, W. (2008). The world health report 2008: primary health care: now more than ever. World Health Organization.

  • World Health Organization. (1986). Health promotion: Ottawa charter. Geneva: World Health Organization.

  • Norton, L. (1998). Health promotion and health education: what role should the nurse adopt in practice? Journal of advanced nursing, 28(6), 1269-1275.

  • Bastable, S. B. (2003). Nurse as educator: Principles of teaching and learning for nursing practice. Jones & Bartlett Learning.

  • Reuterswärd, M., & Lagerström, M. (2010). The aspects school health nurses find important for successful health promotion. Scandinavian Journal of Caring Sciences, 24(1), 156-163.

  • Rankin, S. H. (2001). Patient education: Principles & practice. Lippincott Williams & Wilkins.

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