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PROGRAM
Janelcris G. Enriquez
OBJECTIVES:
TO DISCUSS WELLNESS RECOMMENDATIONS FOR THE
WHOLE FAMILY
A. IMMUNIZATION
B. EXERCISE
C. SCREENING TESTS
D. NUTRITION
INTRODUCTION
WELLNESS
CONCERNS:
-RISK
-DEGREE OF PREVENTION
-HEALTH BEHAVIOUR
depends on:
BIOLOGICAL
PSYCHOLOGICAL
CULTURAL
SOCIAL CONDITION
NATURALHISTORYOFDISEASE
COMPLETE
RECOVERY
COMPLETE
EQUILIBRIUM
PHASE
CHRONICITY
SEQUELE
DEATH
CLINICAL HORIZON
OF DISEASE
WELLNESS
DISEASE
PRIMARY
SECONDARY
TERTIARY
PRINCIPLES
Family is seen as a system
I.
LEVELS OF PREVENTION
PRIMARY
HEALTH
PROMOTION AND
MAINTENANCE
SPECIFIC
PROTECTION
WELLNESS
AREAS OF FAMILY
PARTICIPATION IN PREVENTION
PRIMARY PREVENTION
Occurrence of any clinical manifestations
AREAS OF FAMILY
PARTICIPATION IN PREVENTION
SECONDARY PREVENTION
Implies early intervention to detect and
9
Audiometric 3-4yo, once at gradeschool
Teach breast exam at age 9yo
Anually intestinal parasites
Annual for GUT d/o
PPD/direct BCG annually
Periodic PE: dental, bathing, nails, lice, handwash
Health behavior: accident exposure
Immunization
NEWBORN SCREENING
PHENYLKETONURIA
CONGENITAL HYPOTHYROIDISM
GALACTOSEMIA
SICKLE CELL DISEASE
HOMOCYSTINURIA
TYROSINEMIA
CONGENITAL ADRENAL HYPERPLASIA
DEVELOPMENTAL MONITORING
Physical: growth chart and nutrition and
motor development
Mental learning disabilities, language
Social: listo, mahiyain, emotional, moral
devt
Medication: vit.supplement, meals,
ailments, allergies
Ill health: consultation, family participation
in health care
Health education: personal hygiene,
sanitation, junk foods, accident, sexual
devt
ADOLESCENT 13-21yo
ADOLESCENT 13-21yo
DEVELOPMENTAL MONITORING
PHYSICAL: growth chart, nutrition, sexual devt
MENTAL: school teaching
SOCIAL: peer pressure, sibling rivalry, parental
Adult 22-60yo
BP: annual
Chole: annual from age 40
Visual acuity: annual & eye pressure screen
for cataract at 50 onwards
Hearing: depend on work exposure
Breast exam: self breast a& MD exam
regularly after 35yo
ANNUAL: papsmear after age 40, DRE after
age 45, FOBT after age 50, FA, UA, CXR, PE,
Hygiene: dental, bathing, nails, handwash,
family planning up to 45yo for female and
up to 60 for male
DEVELOPMENT MONITORING
PHYSICAL: weight (obesity) pre menopausal
counseling
MENTAL: prime MD
SOCIAL: marital relationship, family
relationship
MEDICATION: OTC for common ailments,
hormonal replacement therapy for female
ILL HEALTH: consultation, family participation
in health care, education management
including follow up and referral
PNEUMOCCOCAL
INFLUENZA
TETANUS
ELDERLY >61yrs
BP annual
Chole: annual
Visual acuity: annual
Hearing: audiometric every year
Breast exam annual
Papsmear and pelvic annual
Rectal annual
FOBT annual
FA annual
UA annual
PTB CXR annual
ELDERLY >61yrs
ELDERLY >61yrs
DEVELOPMENTAL MONITORING
Wt obesity
Mental
SOCIAL: marital relationship, family
relationship
MEDICATION: OTC for common ailment,
polypharmacy
ILL HEALTH: consultation, family
participation in health care
Bread, fortified
cereal, pasta,
rice 6 servings
THANK YOU!!!!!!!!!