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

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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.
additional information
Week 3: This week is about levels of prevention. Once a middle age or elderly patient is diagnosed with diabetes any interventions would be considered secondary and/or tertiary. Support is much needed for these middle age and elderly. However this project is focusing on primary prevention ? prevent the diabetes. What are some of the issues with primary prevention with diabetes? How would a patient?s culture impact your approach to primary prevention? (Secondary prevention is ok if primary prevention is well covered in your project.)
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