MILIO’S FRAMEWORK FOR PREVENTION

MILIO’S FRAMEWORK FOR PREVENTION

was a public health nurse who formulated a framework for prevention, which aimed to explain the connection between the individual’s state of health and that of the community.

MILIO’S FRAMEWORK FOR PREVENTION

She proposed that an individual’s health and lifestyle choices are influenced by resources, availability, cost and convenience more than knowledge obtained from education.

MILIO’S FRAMEWORK FOR PREVENTION

Includes concepts of community - oriented, population - focused care.

NANCY ROSALIE MILIO

__ stated that behavioral patterns of the populations - and individuals who make up populations – are a result of habitual selection from limited choices.

NANCY ROSALIE MILIO

She challenged the common nation that a main determinant for unhealthful behavioral choice is lack of knowledge.

NANCY ROSALIE MILIO

___ framework described a sometimes-neglected role of community health nursing to examine the determinants of a community’s health and attempt to influence those determinants through public policy.

Population Health

results from deprivation and excess of critical health resources.

Behaviors of populations

result from selection from limited choices; these arise from actual and perceived options available as well as beliefs and expectations resulting from socialization, education and experience.

Organizational decisions and policies

dictate many of the options available to individuals and populations, and influence choices.

MILIO’S FRAMEWORK FOR PREVENTION

Individual choices related to health – promoting or health – damaging behaviors is influenced by efforts to maximize valued resources.

MILIO’S FRAMEWORK FOR PREVENTION

Alteration in patterns of behavior resulting from decision making of significant number of people in a population can result in social change.

MILIO’S FRAMEWORK FOR PREVENTION

Without concurrent availability of alternative health – promoting options for investment of personal resources, health education will be largely ineffective in changing behavior patterns.

PRIMORDIAL LEVEL

FRAMEWORK OF PREVENTION

Consists of actions & measures that inhibit the emergence of risk factors in the form of environmental, economic, social, and behavioral conditions & cultural patterns of living etc.

PRIMORDIAL LEVEL

FRAMEWORK OF PREVENTION

Example: Promoting a healthy lifestyle in childhood through prenatal nutrition programs and supporting early childhood development programs.

PRIMARY LEVEL

FRAMEWORK OF PREVENTION

aims to prevent disease or injury before it ever occurs. This is done by preventing exposures to hazards that cause disease or injury.

PRIMARY LEVEL

FRAMEWORK OF PREVENTION

Example: Health Promotion and Specific Protection

SECONDARY LEVEL

FRAMEWORK OF PREVENTION

is the early detection of disease or its precursors before symptoms appear, with the aim of preventing or curing it.

SECONDARY LEVEL

FRAMEWORK OF PREVENTION

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

TERTIARY LEVEL

FRAMEWORK OF PREVENTION

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

TERTIARY LEVEL

FRAMEWORK OF PREVENTION

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