Health Promotion and Indigenous Health Quiz

Reflexivity in nursing practice refers to the ability to understand and question one's own contexts, attitudes, values, beliefs, assumptions, and experiences of advantage and disadvantage that have shaped the way one understands the world and in relation to others. It involves critically examining one's personal and cultural history and contexts that influence their practice.

Reflection in nursing practice is used to examine interpretations of events, one's role, and the role of others. It is a valuable tool for examining strengths and areas of improvement in nursing practice.

Simon Gull experienced symptoms such as nausea, increased thirst, fatigue, and frequent urination. As his symptoms worsened, he felt confused, slurred his speech, and had breath smelling like alcohol.

The triage nurse made the assumption that Simon Gull had alcohol intoxication because he is Indigenous and put him in a room to sleep it off.

The subsequent assessment revealed that Simon Gull was unresponsive, and blood work indicated that he had diabetic ketoacidosis, not alcohol intoxication.

According to UNDRIP, Indigenous peoples have the right to self-determination, which guarantees the right to freely determine political conditions and the right to freely pursue their form of economic, social, and cultural development.

The chapter focuses on the journey of discovery of a Métis woman, exploring the present through the power of the past.

The Indigenous Determinants of Health are essential in understanding the specific health needs and disparities faced by Indigenous communities, thereby influencing nursing practice to be culturally competent and responsive.

The concept of nursing self-determination aligns with the rights of Indigenous peoples as it emphasizes the reclaiming and defining of land, language, cultural traditions, laws, political and economic rights, ways of being/knowing, and healing practices, which are guaranteed by UNDRIP.

Essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination. It forms an integral part both of the country’s health system, of which it is the central function and main focus, and of the overall social and economic development of the community. It is the first level of contact of individuals, the family and community with the national health system bringing health care as close as possible to where people live and work, and constitutes the first element of a continuing health care process. (WHO, 1978)

The 5 principles of Primary Health Care are: 1. Accessibility, 2. Public participation, 3. Health promotion, 4. Appropriate technology, 5. Intersectoral collaboration.

Health promotion is the process of enabling people to increase control over, and to improve, their health. According to the Ottawa Charter, health promotion involves advocating for health to create the conditions for health and to ensure equal opportunities for everyone to achieve their full health potential. It also involves mediating between the different interests in society in the pursuit of health.

The Population Health Promotion Model focuses on the social determinants of health and aims to improve the health of the entire population. It emphasizes the importance of addressing the broader social, economic, and environmental factors that influence health outcomes, and focuses on creating supportive environments and policies that promote health for all.

Primary Health Care is a broader concept that includes Primary Care. While Primary Care focuses on individual patient care at the point of interaction with the health care system, Primary Health Care encompasses a broader approach that includes health promotion, community participation, and involvement in the social and economic development of the community.

Engaging with humility in the context of Indigenous Health involves approaching Indigenous communities with respect, openness, and a willingness to learn from their knowledge and experiences. It requires recognizing the historical and ongoing impacts of colonization and structural violence on Indigenous health, and working collaboratively with Indigenous communities to address health disparities and promote cultural safety and self-determination.

Structural violence refers to the social, economic, and political structures that systematically disadvantage certain groups of people, leading to disparities in health outcomes. It encompasses the unequal distribution of resources, power, and opportunities, which can perpetuate health inequities and contribute to the marginalization of vulnerable populations.

Indigenous Health is significant within the framework of Primary Health Care and Health Promotion because it requires addressing the historical and ongoing impacts of colonization, promoting cultural safety and self-determination, and actively engaging Indigenous communities in the design and delivery of health services. It also involves recognizing and addressing the social determinants of health that disproportionately affect Indigenous populations, and advocating for policies and interventions that support Indigenous health and well-being.

The principles of Primary Health Care (PHC) include accessibility, public participation, health promotion, appropriate technology, and intersectoral collaboration. These principles are significant in health promotion as they emphasize community participation, equitable access to healthcare, and the use of technology and collaboration across different sectors to improve overall health.

The Ottawa Charter outlines strategies for health promotion, including building healthy public policy, creating supportive environments, strengthening community action, developing personal skills, and reorienting health services. These strategies aim to address the social determinants of health and empower individuals and communities to take control of their health.

Health promotion aims to empower individuals to improve their health by involving social and environmental interventions, promoting healthy behaviors, and addressing the underlying determinants of health. It emphasizes the importance of individual and community agency in making positive health choices.

Appropriate technology in health care is based on community needs and involves the use of technologies that are accessible, affordable, and culturally appropriate. This can include telehealth, electronic charts, and other innovations tailored to the specific needs of the community.

Intersectoral collaboration recognizes the impact of economic and social policies on health and involves various sectors like education, transportation, and housing in addressing health disparities. By working across different sectors, it can lead to more comprehensive and effective solutions to improve health outcomes.

Factors such as structural violence, oppression, and colonialism impact Indigenous health and require an understanding of anti-racism and anti-oppression to address the systemic inequalities and power imbalances that contribute to health disparities.

Cultural humility and cultural safety are important in nursing practice as they involve acknowledging historical and structural power imbalances, respecting diverse cultural beliefs and practices, and providing care that is sensitive to the cultural needs and preferences of individuals and communities.

Indigenous determinants of health include sovereignty, land rights, spiritual beliefs, languages, and justice systems. These determinants are important to consider in healthcare practices as they reflect the unique cultural, social, and historical factors that influence the health and well-being of Indigenous populations.