Tertiary level of prevention

community dentistry

1. Tertiary level of prevention Uzma Jan 48 BDS Batch III

2. Prevention Definition and Concept Actions aimed at eradicating, eliminating or minimizing the impact of disease and disability, or if none of these are feasible, retarding the progress of the disease and disability .   The concept of prevention is best defined in the context of levels, traditionally called primary, secondary and tertiary prevention. A fourth level, called primordial prevention was later added

3. Preventive Health Definition Preventive Health care Involves :   Measures taken to identify and minimize risk factors for disease.   Improve the course of an existing disease.   Screening for early detection of disease.

4. level of prevention Old Classification Primary Secondary Tertiary

5. Revised Classification

6. Primordial Prevention It is the prevention of the emergence or development of risk factors in countries or population groups in which they have not yet appeared . Primary Prevention Concerned with health promotion activities that prevent the actual occurrence of a specific illness or disease . Secondary Prevention Promotes Early detection or screening and treatment of disease and limitation of disability. This level of prevention is also called HEALTH MAINTENANCE. Tertiary Prevention Directed Towards recovery or rehabilitation of a disease or condition after the disease has been developed.

7. Five Levels Prevention Of Disease

8. The Linkage Natural History Of Disease and Five Levels Of Prevention THE NATURAL HISTORY OF DISEASE Susceptibility Stage Subclinical Stage Clinical Stage Resolution Stage Interrelation of Agent, Host and Environmental factors Exposure to causative agent: no symptoms present Symptoms present Problem resolved. Returned to health or chronic state or death PREPATHOGENESIS PERIOD OF PATHOGENESIS Health Promotion Specific Protection Early Diagnosis and Prompt Treatment Disability Limitation Rehabilitation PRIMARY PREVENTION SECONDARY PREVENTION TREATMENT TERTIARY PREVENTION

9. Tertiary Prevention It is used when the disease process has advanced beyond its early stages. It is defined as "all the measures available to reduce or limit impairments and disabilities. and to promote the patients' adjustment to irremediable conditions." Intervention that should be accomplished in the stage of tertiary prevention are disability limitation, and rehabilitation.

10. Tertiary Prevention Tertiary prevention attempts to reduce the damage caused by symptomatic disease by focusing on mental, physical, and social rehabilitation. Unlike secondary prevention, which aims to prevent disability, the objective of tertiary prevention is to maximize the remaining capabilities and functions of an already disabled patient. [ 2]  Goals of tertiary prevention include: preventing pain and damage, halting progression and complications from disease, and restoring the health and functions of the individuals affected by disease.

11. Disability Limitation

12. Impairment Impairment is "any loss or abnormality of psychological, physiological or anatomical structure of function."

13. Disability Disability is "any restriction or lack of ability to perform an activity in the manner or within the range considered normal for the human being."

14. Handicap Handicap is termed as "a disadvantage for a given individual, resulting from an impairment or disability, that limits or prevents the fulfillment of a role in the community that is normal (depending on age, sex, and social and cultural factors) for that individual."

15. Rehabilitation Rehabilitation is "the combined and coordinated use of medical, social, educational, and vocational measures for training and retraining the individual to the highest possible level of functional ability."

16. Preventive Disability limitation Rehabilitation Services provided by individual Use of dental services Use of dental services Services provided by Community Provision of dental services Provision of dental services Services provided by professional Deep curettage root planning splinting Complex restorative dentistry Pulpotomy RCT, surgery Chemotherapy, radiotherapy Removable and fixed prosthodontics Implants Plastic surgery Maxillofacial

17. References http://www.academia.edu/894962/Principles_of_Prevention_The_Four_Stages_Theory_of_Prevention http://phprimer.afmc.ca/Part1-TheoryThinkingAboutHealth/Chapter4BasicConceptsInPreventionSurveillanceAndHealthPromotion/Thestagesofprevention http://www.slideshare.net/arunmadanan/models-of-prevention-22182026?qid=08b2ee83-d817-4161-9250-e4b308822bea&v=qf1&b=&from_search=14

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