Levels of Prevention (community)

Educate clients and the public on strategies to prevent cardiovascular disease

Primary

Advocate for respite services for clients with dementia

Tertiary

Screen Asian males for genetic predisposition to alcoholism

Secondary

Provide counseling for adolescents engaged in high risk behaviors

Secondary

Advocate for control of and limited access to military style guns in the public sector

Primary (policy development)

Performing home safety check after fall

Secondary

Teaching health and nutrition to clients who have hypertension

Secondary (would be tertiary with chronic HTN)

Providing flu immunizations at a local preschool

Primary

Implementing a community program to notify individuals exposed to a communicable disease

Secondary (they've been exposed)

Assess the nutritional quality of school meals

Primary

Educating the public on the influence of drugs and alcohol on violence

Primary

Advocate for available shelters for victims of domestic violence

Secondary

Advocate for support services for family's of victims of homicide

Tertiary (death is irreversible)

Provide suggestions to abusers on how to eliminate substance use

Secondary

Advocate for strong policies on access to alcohol, tobacco, and prescriptions

Primary

Prevention of the initial occurrence of disease or injury

Primary

Early detection and treatment of disease with the goal of limiting severity and adverse effects

Secondary

Maximization of recovery after an injury or illness (rehabilitation)

Tertiary

Nutrition education

Primary

Family planning and sex education

Primary

Smoking cessation education

Primary

Communicable disease prevention education

Primary

Education about health and hygiene issues to specific groups (day care workers, restaurant workers)

Primary

Safety education (seat belt use, helmet use)

Primary

Prenatal classes

Primary

Providing immunizations

Primary

Advocating for access to health care, healthy environments

Primary

Community assessments

Secondary

Disease surveillance (communicable diseases)

Secondary

Early detection and treatment of cancer (breast, cervical, testicular, prostate, colorectal)

Secondary

Early detection and treatment of diseases such as diabetes, hypertension, and hypercholesterolemia

Secondary

Control of outbreaks of communicable diseases

Secondary

Nutrition counseling for management of Crohn's disease

Tertiary

Exercise rehabilitation

Tertiary

Case management (chronic illness, mental illness)

Tertiary

Physical and occupational therapy

Tertiary

Support groups

Tertiary

Exercise for a client who has hypertension (individual)

Tertiary

This type of prevention aims to prevent disease or injury before it ever occurs

Primary

Preventing disease or injury by preventing exposures to hazards that cause disease or injury, altering unhealthy or unsafe behaviors that can lead to disease or injury, and increasing resistance to disease or injury should exposure occur

Primary

Legislation and enforcement to ban or control the use of hazardous products (eg., asbestos)

Primary

Education about healthy and safe habits (e.g. eating well, exercising regularly, not smoking)

Primary

mandate safe and healthy practices (e.g. use of seatbelts and bike helmets)

Primary

Immunization against infectious diseases

Primary

This type of prevention aims to reduce the impact of a disease or injury that has already occurred

Secondary

Treating disease or injury as soon as possible to halt or slow its progress

Secondary

Encouraging personal strategies to prevent reinjury or reoccurrence

Secondary

implementing programs to return people to their original health and function to prevent long-term problems

Secondary

Regular exams and screening tests to detect disease in its earliest stages (e.g. mammograms to detect breast cancer)

Secondary

Daily, low-dose aspirins and/or diet and exercise programs to prevent further heart attacks or strokes

Secondary

Suitably modified work so injured or ill workers can return safely to their jobs

Secondary

Type of prevention that aims to soften the impact of an ongoing illness or injury that has lasting effects

Tertiary

Helping people manage long-term, often complex health problems and injuries (e.g. chronic diseases, permanent impairments) in order to improve as much as possible their ability to function, their quality of life and their life expectancy

Tertiary

Cardiac or stroke rehabilitation programs, chronic disease management programs (e.g. for diabetes, arthritis, depression, etc.)

Tertiary

Support groups that allow members to share strategies for living well

Tertiary

Vocational rehabilitation programs to retrain workers for new jobs when they have recovered as much as possible

Tertiary

Prevent the occurrence of infectious disease

Primary

Educate the public regarding the need for immunizations, and federal and state immunization programs

Primary

Counsel clients traveling to other countries about protection from infectious diseases. Refer clients to the health department for information about mandatory immunizations

Primary

Educate the public regarding prevention of disease and ways to eliminate risk factors for exposure, such as hand hygiene, universal precautions, proper food handling and storage, use of insecticides, and use of condoms

Primary

Increase early detection through screening and case finding

Secondary

Refer suspected cases of communicable disease for diagnostic confirmation and epidemiologic reporting

Secondary

Provide post-exposure prophylaxis (hepatitis A, rabies)

Secondary

Quarantine clients when necessary

Secondary

Use partner notification and contact tracing to identify and screen individuals who have been exposed to a communicable disease

Secondary

Decrease complications and disabilities due to infectious diseases through treatment and rehabilitation

Tertiary

Monitor treatment compliance, including directly observed therapy (DOT)

Tertiary

Identify and link clients needed community resources

Tertiary

Prepare with bioterrorism drills, vaccines, and ensuring availability of antibiotics for exposure prophylaxis

Primary

Design a bioterrorism response plan using the most probably biological agent in the local area

Primary

Identify the chain of command for reporting bioterrorism attacks

Primary

Define the nursing roles in the event of a bioterrorism attack

Primary

Set up protocols for different levels of infection control and containment

Primary

Activate bioterrorism response plan in response to a bioterrorism event

Secondary

Immediately implement infection control and containment measures including decontamination, environmental disinfection, protective equipment, community education/notification, and quarantines

Secondary

Screen the population for exposure, assessing rates of infection and administering vaccines as available

Secondary

Assist with and educate the population regarding identification of manifestations and management (immunoglobulin, antiviral, antitoxins, and antibiotic therapy, depending on the agent)

Secondary

Monitor mortality and morbidity

Secondary

Rehabilitation of survivors

Tertiary

Monitor medication regimens and referrals

Tertiary

Evaluate effectiveness and timeliness of the bioterrorism plan

Tertiary

Assess the knowledge base regarding health issues

Primary

Assess the immunization status of all children

Primary

Assess children who become ill or injured at school (headaches, stomach pain, diarrhea, anxiety over being away from parents, and minor injuries that occur at school)

Secondary

Assess all children, faculty, and staff during emergencies (provide emergency care, create emergency plans, maintain inventory of emergency supplies

Secondary

Perform screening for early detection of disease and initiate referrals as appropriate (vision, hearing, scoliosis)

Secondary

Assess children to detect child abuse or neglect - the school nurse is required by state law to officially report all suspected cases of child abuse/neglect

Secondary

Assess children for evidence of mental illness, suicide, and violence by identifying children at risk

Secondary

Respond to school crisis and disasters (participate in drills, counsel and debrief, act as first responder, triage the injured)

Secondary

Assess children who have disabilities (work with child/family to develop and achieve long-term outcomes)

Tertiary

Assess children who have long-term health needs at school

Tertiary

Provide nursing care for children who have chronic disorders, including asthma, diabetes mellitus, and cystic fibrosis

Tertiary