creating a culture of health in which health promotion and disease prevention is the focus

I need a 2 or 3 sentence comment for each paragraph

Paragraph 1

Healthcare has shifted from improving sanitation, to disease
prevention, to health promotion. In “…the early 19th century,
infectious diseases were widespread and difficult to contain largely
because of the lack of proper sanitation methods, including insufficient
disinfection of drinking water and improper removal of human waste.
During this time, health was viewed in basic terms as being free of
disease” (Falkner, 2018). However, there has been a shift in the
definition of health, especially with healthcare focusing on improving
access to primary and preventative health services. “The goal is to
create a culture of health in which health promotion and disease
prevention is the focus rather than seeking treatment after disease has
set in” (Falkner, 2018). Nurses are always thinking about ways to get in
front of a problem before a problem gets to a patient, and this is
especially important when providing care with the improved vision on
health promotion and disease prevention. Nurses should understand the
provisions in Healthy People 2020: and nurses are pivotal in educating
patients to take control of their health to maintain a healthy state and
thus prevent disease. Wellness, which is the “State of well-being that
is not necessarily equated with the absence of disease, ability to
adapt, and continue to function and live life well are contributing
factors to wellness” (Falkner, 2018), goes hand-in-hand with health. The
hospital system I work for incorporates these concepts by providing
more holistic options to patients and employees. For example, there are
mediation stations throughout the hospital. Another example is in the
ICU where I work; recently some of the nurses that I work with and me
all found a ton of evidence-based research on the benefits of essential
oils for critically ill patients. Now we have lavender oil and
cardamom/grapefruit oil available on our unit and use them regularly in
certain patients. We are currently running our own unit-based project to
see if there is a decrease in sedation use when essential oils are on
board. While it is crucial for nurses to continue to use evidence-based
practice, it is exciting to be able to incorporate more
holistic/wellness modalities in delivery of nursing care; especially
because these more wellness-based modalities are becoming increasing
studied and accepted in evidence-based practice. 

Paragraph 2

Traditionally, health was defined as the absence of illness with
great emphasize on the role of clinical diagnosis and intervention.
Early 1990s, the main cause of death were infectious diseases such as
pneumonia, caused by viruses and bacteria. Therefore, the definition of
health during the 1990s was based on freedom from illness. Due to
medical advancement over the years, infectious diseases can be cured and
prevented. The ensuing discussion describes the changes in the concept
of health. With the control of infectious diseases, in modern days the
main cause of poor health is life-styles (Polsen & Borui, 2015).
Therefore, the concept of heath has shifted its focus from illness to
wellness, a positive broad health approach that includes intellectual,
social, physical, and emotional well-being. Wellness refers to putting
more effort to live your life to the fullest potential and conducting
activities that prevent diseases. Overall wellness is an active process
of change to enhance complete physical, social, and mental wellbeing.
Traditionally, health was considered the opposite of illness, therefore,
people were concerned with treating diseases rather than promoting
health. World Health Organization changed the view of health from
disease to a full life perspective. Thus, health promotion has become a
priority in the modern society. Currently, health promotion encompasses
efforts to promote health while preventing injuries and diseases through
education, good working conditions, and policies that facilitate a
healthy lifestyle. Nurses need to implement health interventions through
evidence-based practices because these practices foster for efficient,
effective and safeness in the health sector. Nurse’s aims to improve
caregiving and enhance high quality intended patient’s outcomes through
evidence-based practice (Steven, 2013). In conclusion, the concept of
health and health promotion has transformed over time due to the changes
in the predisposing conditions. Traditionally, the concept of health
was concerned with treating illness, however, this increased the
incidence of infectious diseases. Due to the high incidence of
infectious diseases, the concept of health changed into the state of
well-being and promoting health.

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