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Foundations Of Health Promotion

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Foundations Of Health Promotion

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Foundations Of Health Promotion

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Questions:
1. Briefly describe the plan, provide a hyperlink to it online if possible, and comment on how well it meets the principles that we have discussed this week. Has this discussion of planning principles changed the way that you look at such documents?
 
2. Reply to one student post (respond to the below post). Respectful relationships – school based curriculum.
 
3. Have you personally been involved in a process to consult or engage consumers, organisations or communities? This need not be specifically for health promotion. 
 
Answers:
(1). 

Preceed – The seriousness of stroke, the environmental and behavioral factors involved and the determinants of those factors, the combination of interventions for promoting health changing the determinants and the factors of environmental and behavioral nature and the implementation of the interventions. The target population has to be identified, further evidence-based research has to be done for stroke survivors, and the needs of the carers, the survivors have to be evaluated. The process of stroke management in Australia has to be studied with the proposed intervention of stroke improvement program has to be determined. This will meet the requirements of the preceed phase (1).
Proceed – Implementation was done by professional and public awareness of symptoms of stroke. Healthier lifestyles supported for tackling vascular risks. Taking the patients quickly to the hospital. Providing assistance for overcoming psychological, physical and communication barriers (2).
Preceed / Proceed pathway was followed and the implementation was evaluated by the experts and peers of National Stroke Foundation. There was a considerable improvement with the application and impact of the pathway.
My vision and notion of the planning principles of health promotion changed after observing these documents as the consequences were positive for the planning. 
 
(2). 
Stroke as a medical emergency
From the above evidence, it was found that the plan meets the principles of the different phases of the model of precede / proceed model. My understanding of the plan and its development based on the phases has been discussed below.
Phase 1 & 2: Epidemiological and social assessment
From the data obtained from National Stroke Foundation, it was found that stroke is the second largest killer in Australia with the leading cause of disability and is projected to rise by over 700,000 patients by 2032 (3).
Phase 3: Environmental and behavioral assessment
The plan acknowledges the fact that stroke patients should be rushed to the intensive rehabilitation immediately after the attack, as it is a medical emergency. Competent and skilled workforce should attend the patients as it is a severe health condition. Justification for selection of this topic is that it is the second largest killer in Australia (4).
Phase 4: Ecological and educational assessment
Higher awareness of the community regarding stroke can lead to faster treatment and diagnosis and it can significantly reduce the incidences of stroke.
Phase 5: Policy and administration assessment
The policies for stroke management have been discussed in the relevant articles by the foundation.
Phase 6: Implementation
Guidelines and recommendations for implementation of the plan have been addressed by the plan and have been well supported by peer research, for local application and proper implementation.
Phase 7: Impact / Process and evaluation of outcome
Frequency and timing of the evaluation of the process of planning have been considered and areas for further research have been identified. Challenges like improved standards of care and cost savings have been acknowledged and discussed. 
 
(3). 
I have been involved in the consultation of the stroke survivors where I had the opportunity to survey them and study their experiences, upon implementation of the plan and principles. The survey was conducted in a hospital with stroke rehabilitation facilities.  According to the basic requirements for the successful implementation of consumer engagement, regular and adequate communication was made in collaboration with the stroke foundation. The stroke patients who had communication issues were also involved in the study and interpreters were employed to facilitate the communication. The focus was much specific as there was proper logistical and financial support for the project. Survey method was chosen as it was inexpensive, gathered quantifiable information and covered a large number of patients. For the survey process, the questions were properly structured with unambiguous and straightforward enquiries. For the patients with literacy issue, verbal interview was arranged where the pre and post stroke experiences were noted down. Patients who were not available for the survey process were contacted over email or telephone to collect their response. The patients were quite delighted with their response as the stroke foundation successfully managed to control their critical condition by application of the models of stroke management. Sufficient data was collected, as the patients were very enthusiastic while sharing their experiences. 
 
References
Lindsay P, Furie KL, Davis SM, Donnan GA, Norrving B. World Stroke Organization global stroke services guidelines and action plan. International Journal of Stroke. 2014 Oct 1;9(A100):4-13.
 
Cadilhac DA, Kim J, Lannin NA, Levi CR, Dewey HM, Hill K, Faux S, Andrew NE, Kilkenny MF, Grimley R, Thrift AG. Better outcomes for hospitalized patients with TIA when in stroke units An observational study. Neurology. 2016 May 4:10-212
 
Hill K. P011 Success and challenges from over 5 years of the National Stroke Foundation’s StrokeLink program. An example of a comprehensive implementation program linking stroke guidelines to current practice in Australia. BMJ Quality & Safety. 2013 Aug 1;22(Suppl 1):A4-5.

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