Discussion: Select a health problem or condition and identify related primary, secondary, and tertiary prevention strategies. Are there national or state-level prevention policies and legislation currently in place that target the health problem or condition? When responding to your classmates, provide suggestions to improve these prevention efforts. Despite the increase in healthcare innovations, health disparities continue to be a reflection of America’s health problems, especially among the poor and minorities. Even though one of the greatest Public Health Achievements of the 20 th century is Cardiovascular Disease Prevention, Cardiovascular Disease (CVD) still remains a health problem and one of the leading causes of death. In the United States, every 29 seconds, someone will suffer a coronary event; and every 60 seconds someone will die from such an event (Center of Disease Control and Prevention, 2008). The U.S has had a dramatic rise among the risks factors that lead to cardiovascular disease, such as, obesity, diabetes, hypertension, high cholesterol, etc. Prevention can be divided into three stages: primary, secondary, and tertiary. Primary prevention represents the earliest possible interventions to combat the disease before it begins through promotion and education. Secondary prevention falls into the category of early detection and stopping the progression of the disease (i.e. cardiovascular symptoms, damage, and acute coronary syndrome events) (Fahey & Schroeder, 2004). Health systems need to be more accessible in order to influence individuals to see healthcare providers for preventive services, like screenings and medications. Fahey & Schroeder (2004) explain that once symptoms, damage, or events occur, it is often late for secondary prevention; therefore, the alternative is to try to harness disease advancement with tertiary prevention. Tertiary prevention encompasses decelerating the disease to inhibit recurring symptoms, further deterioration, and subsequent events (Fahey & Schroeder, 2004). I see a popular avenue of tertiary prevention to be a cardiac rehabilitation program. Now, I have a bit of bias, as I am currently employed at a local rehabilitation hospital, where many of our patients are admitted into our cardiac and stroke program and I have seen such great improvement. The primary prevention strategy is the most important in my opinion. This is where the focus should be. Providing more advocacy programs that incorporate health education and promotions in our high-risk communities. Effective communication is pivotal- especially by utilizing media outreach to promote culturally diverse interventions. Communities should understand the risk factors at play and how their determinants of health can and will affect them.
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- Winter '17
- Prof. Hoefer
- primary prevention, disease Control , Pamphlet on Primary Prevention