Up Stream or Down Stream...Online version Can you work out which type of prevention approach is being used in the following media? by Alan Ramsay 1 How would you describe this type of approach? Select one or more answers a Primary Prevention b Secondary Prevention c Tertiary Prevention 2 What kind of approach is this: Primary, Secondary or Tertiary? Select one or more answers a Primary b Secondary c Tertiary 3 How would you describe this intervention using PHC terms? Select one or more answers a Upstream Interventions b Downstream Interventions 4 Primary, Secondary or Tertiary? Select one or more answers a Primary b Secondary c Tertiary Explanation 1 This clip talks about conquering diabetes which tends to suggest that the target audience are those in the early stages of the progress of Type II Diabetes. Working on the modifiable risk factors and lifestyle change in those recently diagnosed suggests this is a Secondary Prevention initiative by a Non-Governmental Organisation. 2 Although it could be argued that this looks like it is targeted at those who are already displaying poor health choices, this is Primary Prevention. Protecting healthy people from disease or injury is a common feature of Primary Prevention. This television advert had a wide audience, further suggestive of a Primary Prevention strategy. 3 Carrying out Cardiopulmonary Resuscitation and Defibrillation would suggest this is towards the terminal end of the disease process. An exquisitely Downstream Intervention here. The wider goals of Primary Health Care are that other forms of Downstream Intervention, such a Tertiary Prevention would avoid or at least postpone this Acute Presentation Scenario... 4 Cardiac rehab has a special focus on preventing further physical deterioration and maximising quality of life. Firmly planted in the Tertiary Prevention narrative, Cardiac Rehab along with modern medications/drugs means that a heart attack is no longer considered the death sentence it once was...
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