2025-2026
Critical Social Theories - Answers - Attend: attend to a structural analysis of health/illness
- Question: question even the most mundane
- Promote: promote self-management as a diverse, socially situated process
- Promote: promote the negotiation of risk as unique to each person/community
Ethical and Legal issues (Health promotion) - Answers -current emphasis is on behaviour
("deviance") = individual behaviours
-social control - CHNs as agents of social control
- Problem of medicalization
what is health? - Answers - Health is a dynamic process with multiple assumptions and
understandings that evolve over time and evolve with varying professional perspectives and
purpose
- A unique experience for individuals and communities, and an evolving, holistic human
experience, informed by multiple professions
-Traditional Euro-Canadian understanding of health rests with in the biomedical model.
what is health? (WHO Definition) - Answers "complete physical, social, and mental well-being"
What is health? (Community Health Nurses Association of Canada Definition) - Answers "A
resource for everyday life that is influenced by circumstances, beliefs, and the determinants of
health"
what is health promotions? (WHO) - Answers "the process of enabling people to increase
control over, and improve their health"
- health promotion actions must go beyond targeting peoples behaviours and skills and must
also look at social, environmental, and economic conditions that threaten health.
-Aims to reduce differences in health status and ensure equal opportunities and resources for
all people to attain optimal health and quality of life
Approaches to Health Promotion - Answers - Downstream approaches
, - Upstream approaches
Downstream Approaches - Answers tertiary prevention measures that are focused on individual
treatment and cure ex. Medication for flu
-acute care services are usually tertiary prevention measures, are focused on individual
treatment and cure, and are considered downstream interventions. Ex. Rehab for stroke patients
Upstream Approaches - Answers prevention and promotion strategies focusing on policy
interventions that target whole populations and examining and addressing root causes of
preventable disease and injuries. Ex. Flu shot
-extend beyond addressing individual behaviours
-taking action on root causes and injuries of preventable diseases
Canada in the 60s and 70s (Primary health care) - Answers - health promotion individualized
- behaviour based interventions
Lalonde Report (1974) - Answers Proposed the concept of the "health field", identifying two
main health-related objectives: the health care system; and prevention of health problems and
promotion of good health. Broadly defined health determinants as lifestyle, environment, human
biology, and the organization of health care... behavioral approach
- shifted emphasis from a medical to a behavioural approach
Epp Report (1986) - Answers mechanisms of health promotion: self-care, actions people take to
help each other cope, and healthy environments.
CHN - Answers focus on root causes of inequities (structural analysis) and focus on restoration
of the social determinants of health
Primary Health Care: Components - Answers - Reducing exclusion and disparities
- organizing services around community needs
-Integrating health into all sectors
-Collaborative policy development
-Increasing stakeholder participation
Primary health care: Principles - Answers - Accessibility: available to all in a timely manner