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4 main categories for NCDs
1. Cardiovascular diseases
2. Cancers
3. Chronic respiratory diseases
4. Diabetes
Nursing role for NCDs
§Nurses play a significant role in reducing the burden of NCDs through interventions at various levels.
•Primary
•Secondary
•Tertiary
World Health organization & NCDs
§The majority of NCDs can be prevented by reducing risk factors.
•Modifiable behavioral risk factors
•Genetic risk factors
•Environmental risk factors
•Sociodemographic risk factors
Prevention
§Requires a comprehensive approach:
• Individual level
•Community level
•Global level
Chronic Care Model
-Designed to improve the care of people with chronic illnesses.
-Focuses on creating a healthcare system that supports high quality patient care.
4 common Risk factors for most NCDs
Nutrition
Physical activity
tobacco use
alcohol use
Leading causes of death & disability
1.Heart disease
2.cancer
3.covid-19
4.accidents
5.stroke
6.respiratory disease
7.Alzheimer's
8.diabetes
9.influenza & pneumonia
10.Nephritis
Cancer
Is the 2nd leading cause of death globally.
-screening can decrease death
-survival rate has increased
Risk factors for Cancer
-Behavioral-tanning, secondhand smoke, alcohol use, tobacco use.
-Genetic factors
-Environmental factors-exposure to carcinogens in the workplace.
Breast cancer
ALL 3 levels of risk apply!
-family history
-diet
-exercise
-reproductive
-alcohol
*all associated with increased risk for breast cancer!
chronic lower respiratory disease (CLRD)
-COPD
-Asthma
-occupational
-pulmonary HTN
-Risk factors: tobacco use, air pollutants, environmental chemical fumes and dust.
Prevalence of Diabetes type 2
-Changes in lifestyle (exercise & diet).
The prevalence pot is growing because of an increase in incidence and a decrease in mortality.
Risk factors for NCDs: Behavioral
§Nutrition
§Exercise
§Obesity
§These risk factors are higher in the southern United States.
•Cultural component
•Creates a barrier for lifestyle change
Risk factors for NCDs: Environment
§Pollutants increase the risk of
•Asthma
•Cardiovascular health problems
•Cancer
§Places pollutants can be found:
•Home
•Work
•Air
•Water
•Ground
Prevention strategies for NCDs
§At the individual and family levels, primary prevention focuses on behavioral change with a strong emphasis on healthy eating and exercise.
§Population-level primary prevention programs help to change barriers to a healthy lifestyle.
Secondary & Tertiary Prevention
§Screening leads to early detection and treatment.
§Treatment
•Reduce morbidity and disability associated with the disease.
•Prevent premature death.