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Health promotion is started in the 20th century.  It is the new concept that began to take to form a shape.  Then it was realized that health of the public has been neglected.Health promotion works only through the medium of effective community action in implementing, planning strategies, decision making, and setting priorities in achieving better health.  At the heart of this process is the empowerment of communities, and the ownership and control of their own endeavors and destiny.

The definition of the process of health promotion is to enable the people to change their habits, environment, knowledge, and attitudes as well as select their path leading to better health.

There are many health promotion components such as physical fitness, management, reduction of stress, awareness of nutrition, and self-responsibility.

What is the purpose of health promotion in nursing practice?

The renowned approaches and purpose of health promotion in nursing practice are as follows:

· Changes in the behavioral and lifestyle

· Nutritional approaches.

· Modifications in environment

· Health education

· Prevent from disease

How are nursing roles and responsibilities evolving in health promotion?

Nursing includes the mother care to her kid, also several different activities of caring in the hospital as well as in the community. Nursing includes preventing from death, disability and sickness. Nursing roles and responsibilities might also include supervision, training, research and education of health personnel as well as administration.  All these are the nursing roles and responsibilities evolving in health promotion.

They help persons those who are unable to do themselves.  When nursing to an individual they should remember the patient feelings as well as beliefs and try to understand their problems.  They also must assist their family members in times of any requirement and of the community also. 

How do nurses in all areas of nursing implement health promotion?

A contemporary nursing has a need of skills and knowledge in many areas.  The main role of nurses is to provide comfort and care as they carry out specific nursing responsibilities, but changes in nursing have extended the role to include increased emphasis on health promotion as well as prevention from illness and concern for the clients or patients on the whole.  The contemporary nursing responsibilities in the organized role are teacher, communicator, comforter, rehabilitator, manager, clinical specialist, protector, decision maker, and carer.As a teacher, the nurse gives explanation to the patients regarding the facts and concepts of the health promotion, demonstrates all the procedures like activities of self-care, determines that the client or patient completely be aware of, supports patients behavior, and evaluation of progress done in the field of learning. The central role and responsibilities of nursing in health promotion, the nurse acts as a communicator.  Nursing involves in communication with all patients, other nurses, families, professionals in health care, community and resource people.  With unclear communication it is not possible to give effective care, make decisions with patients as well as with families, giving protection to the patients from those who are in fear, manage and coordinate with patients, assist the patients in rehabilitation, offering comfort, etc.  The good quality of communication skills is a serious factor in meeting the requirements of communities, families and individuals.

In the role of nursing in health promotion, the nurse acts as a comforter.  Nursing care should be directed to the person rather than the body; the nurse provides comfort as well as giving support emotionally now and then, so that the patient gets strength to recover soon from illness.  When carrying out activities of nursing, nurses provide comfort by way of demonstrating care to the patients as an individual with unique requirements and feelings.  As a comforter, nurses must help the patients to reach therapeutic goals rather than physical dependence or encouraging emotion.

The nurse acts as a rehabilitator during accidents, disabling events or other sickness. Regularly patients experience emotional or physical harm that changes their lives as well as the nurse helps these patients adapt completely as possible.  The activities of rehabilitative ranges from teaching  patients to walk with supports for helping the patients to cope up with changes in lifestyle and now and then associating with chronic sickness.

The nurse acts as a manager.  Nurse should give care according to the condition of the patients within the specific health care agencies.  The nurse also works as a supervisor, ward staff, nursing in-charge, nursing superintendent, ward sister, high level position in management.  The responsibilities of nursing manager include employee development, evaluation of employees, strategic planning services and programs, staffing and budgeting.

As a clinical specialist, the nurse should be expertise in a particular area of practice.  The nurse also works in an acute, critical or in the setting of primary health care.  Additionally, the nurse should be specialized in the management of all diseases like pulmonary disease, cardiovascular disease, diabetes, or cancer or in any particular field like nursing elder people those who attained more than 70 years of age or pediatrics. As a clinical specialist, the roles and responsibilities of a nurse is that the nurse should be as a researcher, consultant, and clinician. 

As a protector, the nurse helps to maintain safe environment for the patients and takes various steps to prevent from injuries as well as give protection to the patients from possible effects of treatment measures or diagnostic measures.  Confirming that the patients should not have any kind of allergies for medication as well as giving immunization against diseases for the purpose of health promotion. 

For the provision of effective care, the nurse acts as a decision maker.  The nurse uses all skills required throughout the process of nursing.  Before making decision the nurse assess the condition of the patients, giving care, assessing the results of patients care, the nurse plans the actions by taking making decision the top approach of each patient.  In some conditions, the nurse takes these decisions with patients or family members or alone.  In other cases the nurse works with high professionals of health care.

As a carer, the nurse assists the patients regain from health by way of healing process.  Healing is very important than curing for a particular disease, even though skills in treatment for the promotion of physical healing are vital to carers.  The carer assists the patients and their family members to set their goals and meet their goals with a nominal cost of energy and time.

Compare the three levels of health promotion prevention

There are three levels of health promotion prevention.  They are primary prevention, secondary prevention and tertiary prevention.  The primary prevention focused on low risk of health.  The secondary prevention focused on the patients who are at high risk health.  The tertiary prevention focused on researchers who are concerned regarding the patients who are already suffering with diseases. 

All these three levels of prevention are utilized to categorize for the purpose of health promotion as well as disease prevention activities.  For instance, primary prevention includes educating persons in regard to the agents as well as complication of diseases including other conditions.  Other activities of primary prevention include health education, counseling, medical tests, and medication.  Another example of primary prevention is routine immunization.  This aspect should be minutely construed for the purposes of saving invaluable lives and bring them out from the jaws of death.  This can facilitate the qualitative understanding and ensuring of invaluable manners of promoting the safety standards of performing surgery and aim to save the human life against all odds by medical intervention.  Only the doctors have that finesse to ensure and advice safety for the patients. 

The activity of secondary prevention includes detecting the risk factors for some diseases.  For example, check blood pressure to identify the blood pressure level.  Tertiary prevention includes preventive care health services comes under management and treatment of individuals with clinical sicknesses.  For instance, reductions of cholesterol level in heart, helps patients to reduce the complication of this disease.  The control of blood pressure is applicable for emergency cases including those cases that bring about an insurgence of hazards. 

Disease prevention and Health promotion are the main components in primary and secondary level activity where as, tertiary concentrate much on other emergency health activities. 

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