Section 1 Section 1 Prologue to Wellbeing Advancement.

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Section 1 Section 1 Prologue to Wellbeing Advancement. © John Hubley and June Copeman 2008. Refocusing upstream.
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Section 1 Part 1 Introduction to Health Promotion © John Hubley & June Copeman 2008

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Refocusing upstream "I am remaining by the shore of a quickly streaming waterway and hear the cry of a suffocating man. I hop into the icy waters. I battle against the solid current and power my way to the battling man. I hang on hard and progressively pull him to shore. I lay him out on the bank and restore him with manufactured breath. Exactly when he starts to inhale, I hear another sob for help. I hop into the icy waters. I battle against the solid current, and swim strongly to the battling lady. I snatch hold and progressively pull her to shore. I lift her out on the bank next to the man and work to restore her with fake breath. Exactly when she starts to inhale, I hear another weep for help. I bounce into the frosty waters. Battling again against the solid current, I drive my way to the battling man. I am getting tired so with incredible exertion I in the long run pull him to shore. I lay him out on the bank and attempt to resuscitate him with counterfeit breath. Exactly when he starts to inhale, I hear another weep for help. Close weariness, it strikes me that I\'m so caught up with bouncing in, pulling them to shore, applying counterfeit breath that I have no opportunity to see who is upstream pushing all of them in ...." A story told by Irving Zola - however is utilized as a part of an article by John B. McKinlay in "A Case for Refocusing Upstream: The Political Economy of Illness" McKinlay , J.B. (1981)

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solid onset of progressed handicap person symptoms side effects passing (reversible) (not reversible ) Primary Secondary Tertiary counteractive action avoidance anticipation screening recovery case discovering early aversion

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Death rates from lung growth (per 1000) by number of cigarettes smoked, British specialists, 1951-61 Annual lung malignancy demise rates per 1000 Average number of cigarettes smoked every day

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Health Field Model Human Biology (Genetics) Lifestyle (Human conduct) Health Services Environment

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Human practices imperative for wellbeing advancement Community activity - activities by groups to change their environment incorporate group investment in wellbeing choice making Health practices – activities individuals embrace to be sound Utilization practices – usage of wellbeing administrations Illness practices - acknowledgment of side effects and brief self-referral Compliance (adherence) – taking after course of endorsed prescriptions Rehabilitation practices – what individuals need to do after a disease/surgery to recoup

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Saving Lives – O ur Healthier Nation (1999) This White Paper from the Department of Health for England set the plan for wellbeing arrangement for the following decade. Way of life and human conduct was given an unmistakable part through its “Ten Tips for Better Health” Don\'t smoke. In the event that you can, stop. On the off chance that you can\'t, chop down. Take after an adjusted eating routine with a lot of leafy foods . Keep physically dynamic . Oversee stress by, for instance, talking things through and setting aside a few minutes to unwind . On the off chance that you drink liquor, do as such with some restraint . Concealment in the sun, and shield youngsters from sunburn. Hone more secure sex . Take up disease screening open doors. Be protected on the streets : take after the Highway Code. Take in the First Aid ABC - aviation routes, breathing, course

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Mortality from Coronary Heart Disease men matured 20-64 by social class, England and Wales, 1991-93 England and Wales = 100 Social Class Professional Managerial Non-manual talented Manual gifted Partly gifted Unskilled Standardized mortality proportions Source: Office for National Statistics (ONS), Health Inequalities charts.ppt

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Perinatal Mortality Rate By mother’s nation of conception, England and Wales, 1997-99 consolidated Rate for each 1,000 live & still births Pakistan Caribbean Bangladesh India E Africa UK

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The Rainbow model - The primary determinants of wellbeing Independent Inquiry into Inequalities in Health report Chairman: Sir Donald Acheson 1998

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Jason’s story "Why is Jason in the doctor\'s facility? Since he has a terrible disease in his leg. In any case, why does he have a Because he has a cut on his leg and it got contaminated. contamination? Be that as it may, why does he have a cut Because he was playing in the garbage yard by his on his leg? flat building and there was some sharp, jagged steel there that he fell on. Yet, why was he playing in Because his neighborhood is somewhat keep running down. a garbage yard? A considerable measure of children play there and there is nobody to supervise them. In any case, why does he live in that Because his guardians can\'t bear the cost of a more pleasant spot to neighborhood? live. In any case, why can\'t his guardians bear the cost of Because his Dad is unemployed and his Mom is a more pleasant spot to live? wiped out. However, why is his Dad unemployed? Since he doesn\'t have much instruction and he can\'t discover work. In any case, why ...?" Towards a Healthy future : second cover the strength of the Canadians (1999)

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Causes of weakness Inequality Social Injustice Alienation Lack of strengthening Tobacco use Anxiety Reckless danger taking Poor training Low eminence Poverty Excess ailment Low efficiency Early passing Proximal and far off reasons for disease and untimely mortality , JR Seffrin Journal of wellbeing instruction Sep – Oct 1997. Vol 28.No4.

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A viable reaction ought to Provide the data and force for the group to settle on choices Make the sound decision the most effortless alternative Remove boundaries to activity

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Health Promotion The procedure of empowering individuals to build control over, and to enhance, their wellbeing Ottawa Charter 1986

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Ottawa Charter for Health Promotion Health Promotion - the procedure of empowering individuals to expand control over, and to enhance, their wellbeing. Reinforce Community Action Develop Personal Skills Create Supportive Environments Enable Mediate Advocate Reorient Health Services Policy Build Public Healthy Source : Canadian Public Health Association - An International Conference on Health Promotion - November 17-21 1986

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Promoting wellbeing Service change Improvements in quality and amount of administrations: availability case administration guiding patient instruction outreach social showcasing Health Education Communication coordinated at people, families and groups to impact: Behavior change Determinants of conduct change: mindfulness/learning choice making convictions/demeanors strengthening group investment Advocacy Agenda setting and backing for solid open arrangement: approaches for wellbeing pay era evacuation of obstructions segregation disparities sexual orientation hindrances

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Health training. ‘ A procedure with scholarly, mental and social measurements identifying with exercises that build the capacities of individuals to settle on educated choices influencing their own, family and group prosperity. This procedure, in view of experimental standards, encourages learning and behavioral change in both wellbeing staff and shoppers, including kids and youth.’ (Ross and Mico , 1997) Service change. Elevating change in administrations to make them more successful, open or worthy to the group. Support. Exercises coordinated at changing arrangement of associations or governments.

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Advocacy Influencing approach creators, pioneers and media to raise profile of wellbeing projects Addressing lawful, budgetary and administration deterrents to wellbeing activity Tackling segregation and disparities

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Service Delivery Improvement in limit of staff – preparing and bolster Development of new exercises Reorienting existing exercises to make them more compelling/adequate Strengthening correspondence/wellbeing instruction inside of administrations Improved patient training Outreach to schools, group, working environment Involvement of faculty in supporting group wellbeing advancement

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Define wellbeing advancement method Mix of wellbeing instruction, administration change and backing? Wellbeing Education approach? Strategies? Settings? Persons/gatherings included in conveyance? Timing? Targets? Wellbeing advancement needs/circumstance examination Current circumstance? Wellbeing needs? Impacts on wellbeing Influences on wellbeing activities? Target bunches? Wellbeing Promotion Planning Cycle Implement How to assemble it all? How would we overcome boundaries? The most effective method to screen exercises ? Assess, reflect, learn Were our objectives accomplished? What lessons were learnt? By what means would we be able to improve our projects?

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The ten ranges of abilities in general wellbeing recognized by Faculty of Public Health Surveillance and appraisal of the populace\'s wellbeing and wellbeing. Advancing and ensuring its wellbeing and wellbeing. Creating quality and danger administration inside of an evaluative society. Cooperative working for wellbeing. Creating wellbeing projects and administrations and decreasing disparities. Approach and technique advancement and execution to enhance wellbeing. Working with – and for – groups to enhance wellbeing and wellbeing. Vital initiative. Innovative work to enhance wellbeing and wellbeing. Morally overseeing self, individuals and assets to enhance w

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