Page 89 - strategy of health education

 Care-related, tertiary prevention consists of care and treatment for

patients.

 Health care-related, tertiary prevention is often an important element of

the care for patients with chronic health problems and is aimed at

promoting self-management of the patient.

Nursing-relevant examples of care-related, tertiary prevention

 An example is to physically and mentally activate bedridden people with

a (severe) mental disability.

 Rehabilitation after stroke is another example, or learning to pick up the

threads of life after a severe depression. It is always directed at optimizing

the health situation with given physical and/or mental limitations.

 Care-related, tertiary prevention is specifically intended to assist patients

to be as care-independent as possible. For nursing professionals, the
starting point of their care delivery concerns this care independence of

the patient.

What is casuistic prevention?

 Care-related, tertiary prevention is closely linked with casuistic

prevention. Casuistic prevention is closely linked to the care of the patient

and his environment.

 This form of prevention is called casuistic, because it is directly associated

with the individual care situation of the patient, and in that sense, with

the provision of specific care.

An example of casuistic prevention is an intervention to optimize self-

management for patients with COPD. Adults with COPD are offered an

intervention to better cope with the condition, to optimize their health situation

and to prevent the improper use of health care facilities. The intervention in this

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