Healthy People 2020 Healthy People was a call to action and an attempt to set health goals for the United States for the next 10 years. Healthy People 2000 established 3 general goals: Increase the span of healthy life. Reduce health disparities. Create access to preventive services for all. Healthy People 2010 introduced 2 general goals: Increase quality and years of healthy life. Eliminate health disparities. Practical Policy for Preventive Services The U.S. health care system faces significant challenges that clearly indicate the urgent need for reform. There is broad evidence that Americans often do not get the care they need even though the United States spends more money per person on health care than any other nation in the world. Preventive care is underutilized, resulting in higher spending on complex, advanced diseases. Practical Policy for Preventive Services Patients with chronic diseases too often do not receive proven and effective treatments such as drug therapies or self management services to help them more effectively manage their conditions.  These problems are exacerbated by a lack of coordination of care for patients with chronic diseases. Reforming our health care delivery system to improve the quality and value of care is essential to address escalating costs, poor quality, and increasing numbers of Americans without health insurance coverage. Why policies need to be developed? Basic needs are not being met (e.g., People are not receiving the health care they need) People are not being treated fairly (e.g., People with disabilities do not have access to public places) Resources are distributed unfairly (e.g., Educational services are more limited in neighborhoods of concentrated poverty) Why policies need to be developed? Current policies or laws are not enforced or effective (e.g., The current laws on clean water are neither enforced nor effective) Proposed changes in policies or laws would be harmful (e.g., A plan to eliminate flextime in a large business would reduce parents' ability to be with their children) Existing or emerging conditions pose a threat to public health, safety, education, or well-being (e.g., New threats from terrorist activity) Marjory Gordon’s Functional Health Patterns Marjory Gordon was a nursing theorist and professor who created a nursing assessment theory known as Gordon's functional health patterns. It is a method  to be used by nurses in the nursing process to provide a more comprehensive nursing evaluation of the patient. Gordon's functional health pattern includes 11 categories which is a systematic and standardized approach to data collection. List of Functional Health Patterns 1. Health Perception – Health Management Pattern describes client’s perceived pattern of health and well being and how health is managed. 2. Nutritional – Metabolic Pattern describes pattern of food and fluid consumption relative to metabolic need and pattern indicators of loca ...

1. Healthy People 2020
Healthy People was a call to action and an attempt to set health
goals for the United States for the next 10 years.
Healthy People 2000 established 3 general goals:
Increase the span of healthy life.
Reduce health disparities.
Create access to preventive services for all.
Healthy People 2010 introduced 2 general goals:
Increase quality and years of healthy life.
Eliminate health disparities.
Practical Policy for Preventive Services
The U.S. health care system faces significant challenges that
clearly indicate the urgent need for reform.
There is broad evidence that Americans often do not get the
care they need even though the United States spends more
money per person on health care than any other nation in the
world.
Preventive care is underutilized, resulting in higher spending on
complex, advanced diseases.
Practical Policy for Preventive Services
Patients with chronic diseases too often do not receive proven
and effective treatments such as drug therapies or self
management services to help them more effectively manage
their conditions.

2. These problems are exacerbated by a lack of coordination of
care for patients with chronic diseases.
Reforming our health care delivery system to improve the
quality and value of care is essential to address escalating costs,
poor quality, and increasing numbers of Americans without
health insurance coverage.
Why policies need to be developed?
Basic needs are not being met (e.g., People are not receiving the
health care they need)
People are not being treated fairly (e.g., People with disabilities
do not have access to public places)
Resources are distributed unfairly (e.g., Educational services
are more limited in neighborhoods of concentrated poverty)
Why policies need to be developed?
Current policies or laws are not enforced or effective (e.g., The
current laws on clean water are neither enforced nor effective)
Proposed changes in policies or laws would be harmful (e.g., A
plan to eliminate flextime in a large business would reduce
parents' ability to be with their children)
Existing or emerging conditions pose a threat to public health,
safety, education, or well-being (e.g., New threats from terrorist
activity)

3. Marjory Gordon’s Functional Health Patterns
Marjory Gordon was a nursing theorist and professor who
created a nursing assessment theory known as Gordon's
functional health patterns.
It is a method to be used by nurses in the nursing process to
provide a more comprehensive nursing evaluation of the patient.
Gordon's functional health pattern includes 11 categories which
is a systematic and standardized approach to data collection.
List of Functional Health Patterns
1. Health Perception – Health Management Pattern
describes client’s perceived pattern of health and well being and
how health is managed.
2. Nutritional – Metabolic Pattern
describes pattern of food and fluid consumption relative to
metabolic need and pattern indicators of local nutrient supply.
3. Elimination Pattern
describes pattern of excretory function (bowel, bladder, and
skin)
4. Activity – Exercise Pattern
describes pattern of exercise, activity, leisure, and recreation.
List of Functional Health Patterns
5. Cognitive – Perceptual Pattern
describes sensory, perceptual, and cognitive pattern
6. Sleep – Rest Pattern
describes patterns of sleep, rest, and relaxation.

4. 7. Self-perception – Self-concept Pattern
-describes self-concept and perceptions of self (body comfort,
image, feeling state)
8. Role – Relationship Pattern
describes pattern of role engagements and relationships.
List of Functional Health Patterns
9. Sexuality – Reproductive Pattern
describes client’s pattern of satisfaction and dissatisfaction with
sexuality pattern, describes reproductive patterns.
10. Coping – Stress Tolerance Pattern
describes general coping patterns and effectiveness of the
pattern in terms of stress tolerance.
11. Value – Belief Pattern
- describes pattern of values and beliefs, including spiritual and
/or goals that guide choices or decisions.
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Health Promotion Through the Nursing Practice
)

5. Evaluation of a Preventive Health Program
Evaluation encourages us to examine the operations of a
program, including which activities take place, who conducts
the activities, and what is reached as a result.
Evaluation will show how faithfully the program adheres to
implementation protocols.
We can determine whether activities are implemented as
planned and identify program strengths, weaknesses, and areas
for improvement.
Types of Evaluation in Health Promotion and Disease
Prevention Programs
Formative evaluation: occurs during program development and
implementation. It provides information on achieving program
goals or improving your program.
Process evaluation: it is a type of formative evaluation that
assesses the type, quantity, and quality of program activities or
services.
Outcome evaluation: it can focus on short- and long-term
program objectives. Appropriate measures demonstrate changes

6. in health conditions, quality of life, and behaviors.
Impact evaluation: it assesses a program's effect on participants.
Appropriate measures include changes in awareness, knowledge,
attitudes, behaviors, and/or skills.
Evaluation of a Preventive Health Program: Four Phases
1. Planning: determining the feasibility of the evaluation,
identifying stakeholders, and specifying short- and long-term
goals.
2. Implementation-Formative and Process Evaluation: examine
whether the program is successfully recruiting and retaining its
intended participants. Used to inform mid-course corrections to
program implementation (formative evaluation) or to shed light
on implementation processes (process evaluation).
Evaluation of a Preventive Health Program: Four Phases
3. Completion-Summative, Outcome, and Impact Evaluation:
examine its immediate outcomes or long-term impact or
summarize its overall performance, including its efficiency and
sustainability. Also determine the extent to which a change in
an outcome can be attributed to the program.
4. Dissemination and Reporting: includes guidelines on who
will present results, which audiences will receive the results,
and who will be included as a coauthor on manuscripts and
presentations. Dissemination of the results of the evaluation
requires adequate resources, such as people, time, and money.
Evaluation of a Preventive Health Program
The CDC Framework provided a set of standards for evaluation:
Utility: Who needs the evaluation results? Will the evaluation
provide relevant information in a timely manner for them?
Feasibility: Are the planned evaluation activities realistic given

7. the time, resources, and expertise at hand?
Propriety: Does the evaluation protect the rights of individuals
and protect the welfare of those involved? Does it engage those
most directly affected by the program and changes in the
program, such as participants or the surrounding community?
Accuracy: Will the evaluation produce findings that are valid
and reliable, given the needs of those who will use the results?
Health Problem to Develop a Preventive Health Program
Educational and community-based programs encourage and
enhance health and wellness by educating communities on
topics such as:
Chronic diseases
Injury and violence prevention
Mental illness/behavioral health
Unintended pregnancy
Oral health
Tobacco use
Substance abuse
Nutrition
Physical activity
Obesity prevention
Objectives of the Presentation

8. Define preventive services commonly offered to different types
of communities using "Healthy People 2020" as a reference.
Explain how to develop and write a practical policy for
preventive services.
Define the steps to develop a Primary Health Plan.
Explain the evaluation criteria of a primary health plan.
Explain the commonly used methods for evaluating a preventive
health program.
Identify a health problem in which it is important to develop a
preventive health program.
)
Questions
Sheet1TheoriesSeminal Research/Theorist(s)Emphasis:
Nature/Nurture/BothKey
Tenets/ConceptsStrengthsWeaknessesContemporary
Applications/Fields of Research (optional)Additional Notes
(optional)PsychodynamicCognition & Cognitive
NeuroscienceMultiple IntelligencesCognitive
DevelopmentAttachmentSocial Cognitive and Other Social
PrinciplesBehavioristGenderSystemsBiopsychosocialMotivation

9. &14Psychology Theory Template
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