Levels of prevention and modes of intervention

Based on park 25th edition

1. LEVELS OF PREVENTION &MODES OF INTERVENTION Devimeera PM Roll no.37 INTRO LEVELS STRATEGY INTERVENTION REHABILITATION SUMMARY

2. INTRO LEVELS STRATEGY INTERVENTION REHABILITATION SUMMARY Action aimed at eradicating,eliminating or minimizing the impact of disease and disability OBJECTIVE : oppose cause & thereby disease process The management of those factors that could lead to disease so as to prevent the occurance of the disease

3. DYNAMICS OF TRANSMISSION KNOWLEDGE OF CAUSATION EARLY DETECTION AND TREATMENT SUCCESSFUL PREVENTION IDENTIFICATION OF RISK FACTORS AND GROUPS CONTINUOUS EVALUATION ORGANIZATION

4. INTRO LEVELS STRATEGY INTERVENTION REHABILITATION SUMMARY Secondary Primary Primordial Prevention of emergence of risk factors. Not yet appeared in the popln Action taken prior to onset of disease Action halting the progress of disease. Prevents complications Tertiary Limit impairements and disabilities

5. PRIMORDIAL PREVENTION Prevention of development of risk factors in a population which they have not yet appeared Special attention : prevention of chronic diseases Discourage people from adopting harmful lifestyles Begins at childhood

6. ANIMAL-HUMAN INTERACTION NIPAH CONTAGION MOVIE VETERINARY PUBLIC HEALTH PG

7. PRIMARY PREVENTION Action taken prior to the onset of disease Removing possibility that a disease will occur Concept of positive health

8. SECONDARY PREVENTION Complete cure and prevent the progression of disease Prevent spread Prevent complication and sequel Shorten period of disability

9. TERTIARY PREVENTION Limit impairements and disability Promote patients’ adjustment to irremediable conditions

10. STRATEGY MASS STRATEGY HIGH RISK STRATEGY Whole population Eg : small rdn in avg BP Preventive care to individuals at risk Detection PRIMARY PREVENTION

11. INTERVENTION Intervene or interrupt the usual sequence in the development of disease. 5 modes HEALTH PROMOTION SPECIFIC PROTECTION EARLY DIAGNOSIS & TREATMENT DISABILITY LIMITATION REHABILITATION

12. HEALTH PROMOTION HEALTH EDUCATION ENVIRONMENTAL MODIFICATION NUTRITIONAL INTERVENTION LIFESTYLE AND BEHAVIOURAL CHANGES

13. SPECIFIC PROTECTION IMMUNIZATION NUTRITIONAL INTERVENTION PROTECTION FROM OCCUPATIONAL HAZARDS,ACCIDENTS,CARCINOGENS CHEMOPROPHYLAXIS CONTROL OF CONSUMER PRODUCT QUALITY & SAFETY

14. EARLY DIAGNOSIS & TREATMENT R educing the high morbidity and mortality --- essential hypertension, cancer cervix and breast cancer. tuberculosis, leprosy and STD

15. DISABILITY LIMITATION When patient reports late in pathogenesis phase. Halt the transition of the disease process from impairment to handicap. Disease impairment disability handicap

16. DISABILITY PREVENTION (a) reducing the occurrence of impairment, viz. immunization against polio (primary prevention) (b) disability limitation by appropriate treatment (secondary prevention) (c) preventing the transition of disability into handicap (tertiary prevention)

17. REHABILITATION @ medical, social, educational and vocational measures training and retraining the individual to the highest possible level of functional ability. @ Physiatry @neuromuscular medicine, pain medicine, paediatric rehabilitation medicine, spinal cord injury medicine, sports medicine and brain medicine.

18. TERTIARY P R E V E N T I O N Enable r timely e c o v e r y R e - s t a b i l i z e R e - tr a in Re-motivate Re-socialize Re-integrate Principles of Rehabilitation

19. REHABILITATION Areas of concern in rehabilitation are: (a) Medical rehabilitation - restoration of function. (b) Vocational rehabilitation - restoration of the capacity to earn a livelihood. (c) Social rehabilitation - restoration of family and social relationships. (d ) Psychological rehabilitation - restoration of personal dignity and confidence.

20. SUMMARY What is prevention? Levels i.e Primordial Primary Secondary Tertiary Strategy Mass High risk Interventions Rehabilitation

21. Short Key To Remember

22. T H A N K U PREVENTION IS BETTER THAN CURE !!!