中老年疾病防治 生活型態的選擇 Lifestyle choices 體能促進 fitness programs 壓力管理 stress management 職業之滿意程度 job satisfaction 家庭關係 family relationships 疾病之預防 Disease Prevention 體重控制 weight management 均衡飲食 nutrition 健康篩檢 screenings, biopsy, 傷病處置與控制 Disease or Injury Management with the help of caring, trained health care professionals
特 殊 保 護 : 預防接種 Immunizations Tetanus Vaccine Given every 10 years Measles Vaccine Booster for 1 dose if born after 1956 Rubella Vaccine Fertile woman without proof of immunity Influenza Vaccine See Influenza Vaccine for indications Pneumococcus Vaccine One dose over age 65 years or Asplenic Tuberculin Skin Test (Purified Protein Derivative) Recommended for high risk patients for Tuberculosis Hepatitis B Vaccine
Screenings for the Adult Cardiovascular Disease Prevention Screen for Hyper-lipidemia every 5 years Ophthalmologic Disease Prevention Glaucoma screening yearly over age 40 years Colon Cancer prevention Rectal Exam Yearly after age 50 years Physician discretion over age 40 years Occult Blood in stool: Yearly after age 50 Flexible Sigmoid-scopy: Every 5 years after age 50 year Colonoscopy: Every 8 years gynecologic cancer prevention see Cervical Cancer Screening Breast Cancer Screening Prostate Cancer Screening Prostate Specific Antigen (PSA) yearly after age 50
Healthy people for healthy weight weight management 19-1 Increase the proportion of adults who are at a healthy weight. 19-2 Reduce the proportion of adults who are obese.
Healthy people for physical activities 22-1 Reduce the proportion of adults who engage in no leisure-time physical activity. 22-2 Increase the proportion of adults who engage regularly,preferably daily, in moderate physical activity for at least 30 minutes per day. 22-3 Increase the proportion of adults who engage in vigorous physical activity that promotes the development and maintenance of cardio-respiratory fitness 3 or more days per week for 20 or more minutes per occasion. 22-4 Increase the proportion of adults who perform physical activities that enhance and maintain muscular strength and endurance. 22-5 Increase the proportion of adults who perform physical activities that enhance and maintain flexibility.
Healthy people for the adults with DM 5-12 Increase the proportion of adults with diabetes who have a glycosylated hemoglobin measurement at least once a year. 5-13 Increase the proportion of adults with diabetes who have an annual dilated eye examination. 5-14 Increase the proportion of adults with diabetes who have at least an annual foot examination. 5-17 Increase the proportion of adults with diabetes who perform self-blood-glucose-monitoring at least once daily.
Characteristics of community Nursing Client oriented Family focus Aggregate/community based focus Health maintenance oriented Health promotion targeted