Decreasing institutionalization and increasing community-based care services
Achieving health equity, eliminating disparities, and improving the health of all groups
Creating environments to improve the eating and exercise habits of all people
Expanding the technology, resources, and medications used to treat chronic illness
Ensure more tax funding for education of physical education teachers.
Encourage funding for an increased number of exercise centers.
Increase programs for teaching and encouraging health-promoting lifestyle choices.
Require health care providers to serve as role models of appropriate physical activity choices.
Broadly disseminating health-related information to inform citizens
Encouraging the creation of more health programs on client lifestyle modification
Increasing funding to health agencies for more health education programs
Influencing improved health policies and legislation for healthier communities
Balance and harmony
Absence of disease
Ability to interact and adapt to the environment
Ability to perform required social roles
Ability to stay free from disease
Ability to maximize human potential
Discovering people who are at risk and helping them obtain appropriate health care
Enabling people to exercise control over their own well-being
Preventing further physiologic damage by early intervention and education
Reducing specific risks by early diagnosis and treatment
Elementary school program for children to which parents are invited
High school program for those who are involved in athletics
Young adult programs provided at the YMCA
Senior citizen programs offered during a free meal
Government in the local community
Health care system in the local community
Food, water, and exposure to toxic substances
Religious and cultural beliefs and values
The community in which a person grows and develops
Familys values and beliefs
Health care provider from whom care is sought as needed
Socioeconomic class, education, and occupation
A nurse-managed hospital respiratory unit for patients with chronic obstructive pulmonary disease (COPD) and emphysema
A quit-smoking-now clinic for adults who want to give up the habit
A dont smoke campaign for elementary school students
A stay beautiful campaign for high school female smokers that stresses that smokers have wrinkles about a decade earlier than their chronologic peers
A free diabetes screening held at the local shopping mall
A postheart attack exercise program at the local community college
A stay beautiful program stressing safe exercises for pregnant moms
An elementary school dont smoke campaign for students
A free high-cholesterol screening at the neighborhood grocery store
A healthy lifestyle exercise and information program for all the employees of the citys largest employer, held at the worksite
A posthospitalization social support program for persons with chronic severe mental illness and their families
An exercise and parenting class for new first-time mothers
It was the first time that a national plan had been created with funding to implement it.
It was the first time that evaluation measures based on outcomes to judge effectiveness were created.
It was the first time that national goals for improving the health of Americans were established.
It was the first time that universal agreement on federal government priorities was reached.
Feeling susceptible to a severe disease
Being told to do so by a significant other on a frequent basis
Believing that high-income persons engage in such behavior
Viewing posters emphasizing the behavior in an area that the person frequents
The increased number is probably just a coincidence.
The local nursing school hosted a womens health fair.
The American Heart Association had just started its annual publicity campaign.
The media had publicized a famous womans diagnosis of breast cancer.
If I could be asleep while they did the colonoscopy, it might be alright.
I did have a cousin who was treated for breast cancer.
Both my mother and father died of heart problems.
Because my employer was paying for the health screening, I thought I might go.
Commitment to a plan of action
Competing demands (family or work)
Personal realities such as demographics
The nurse collaborated with the local police department to prepare a public safety announcement about the benefits of using ones seat belt.
The nurse appeared on the local public access television channel each Sunday afternoon to discuss nutrition and exercise options for families.
The nurse worked with the local school parent-teacher organization to give free bicycle helmets to the students with bicycles.
The nurse collaborated with the local motorcycle club to make sure all the cyclists who wanted one could obtain a free helmet.
At the senior citizens center, the nurse set up an exercise program for persons in wheelchairs.
The nurse appeared on the local public access television channel each Sunday afternoon to discuss good parenting skills.
The nurse worked with the local health maintenance organization (HMO) to make infant car seats available without charge to all first-time pregnant mothers.
The nurse wrote a weekly local newspaper column on healthy lifestyle behaviors, such as the importance of exercise.
The staff and teachers
The children and their parents
The dietitians and nutritionists
The school board and administration
Community/public health nurses
Faith community nurses
Public health nurses
Developing a public education campaign by using public service announcements
Assessing the extent of the problem in the local community
Forming partnerships and establishing support with community agencies
Gathering resource materials and identifying funding sources
Asking the administrators which programs they would like
Performing a complete physical examination on each employee during work time
Having employees complete a health-risk appraisal form
Planning a program on the basis of the broader communitys demographic data
To assess the needs of the broader community
To demonstrate the necessity of having health education programs
To motivate participants to consider changing high-risk behaviors
To provide data for future planning by the nurses employer
Bill the employer for the actual cost of the health program.
Provide feedback and follow-up information to attendees.
Make handouts available to the audience.
Incorporate the latest technology into the presentation.