NURSING 1F03 Lecture Notes - Lecture 4: Health Promotion, Ottawa Charter For Health Promotion, Occupational Safety And Health

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Disease: objective state of ill health (detectable) Illness: subjective state of loss of health. Medical approach: physiological risk factors (less emphasis on health promotion and disease because they felt that they could just treat it if it appeared) Behavioural approach: lalonde report (defined health determinants as lifestyle, environment, human biology and organisation of healthcare) Aimed to decrease negative impacts/actions on health (reduce smoking) Relies on the individual (favouring health promotion) Socio environmental approach: lifestyle improvements were more common in those who were rich (behavioural approach). Critics suggested that some behaviours were blocked by barriers to engage in healthy behaviour. Examples: your job entitles you to sit at a desk all day. The socio environmental approach focused on improving social structures (poverty, workplace, air/wateretc) Ottawa charter: prerequisites for health (peace, shelter, education, food, income, stable ecosystemetc) Five major strats: building public policy, supportive environments, Psychosocial risks: lack of social support, limited social networksetc.

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