Consider primary and secondary prevention for the population at risk in your community.

Consider primary and secondary prevention for the population at risk in your community.
Because you are experts on tertiary care, you need to focus your project on primary and secondary prevention at the community or system level of care. Sometimes organizing interventions at all three levels will help you to focus your project on primary prevention at the community and system level of care. You may include a secondary prevention at the community and system level of care. Just make sure you cover primary prevention well. (See shaded cells in the table below.) Note any gaps in care in your community at this time.

Nursing Interventions/Services

Level of Prevention Individual / Family Community System

Primary This is an important area to address, but do not focus your project on the individual Focus of Project Focus of Project

Secondary Do not focus on individuals for this project You may include secondary prevention in addition to primary prevention You may include a focus on secondary prevention in addition to primary prevention

Tertiary Up to now most of your practice has been focused at this level of care. (Acute Care) In this course you will focus on primary prevention.

Please address the following in your discussions:

• Share your progress: your population of interest (middle aged and elderly) and your initial ideas on what is needed to address the health problem (diabetes). (If it is helpful, use the chart above to map all levels of prevention. Highlight primary prevention and post for the group.)

• What do you know about this group so far? Who have you contacted about the population at risk?

• Where is the gap in care to address and prevent this health problem?

• Help each other to clarify the problem, help each other with sources of information.

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