A nurse working in the community uses the public health intervention model to combat diabetes mellitus type 2. Using this model, which interventions are appropriate? (Select all that apply.)
A.
Community: Encourage high-risk patients to have glucose screening.
B.
Community: Lobby for funds to build walking and biking trails.
C.
Community: Subsidize community gardens in areas where produce is expensive.
D.
Individual/family: Educate about the benefits of daily exercise.
E.
Societal: Pressure Congress for laws requiring insurance incentives for health promotion.
ANS: B, C, D, E
The public health intervention model, also known as the Intervention Wheel, is a framework that contains three levels for health-care interventions, from the micro-level of the individual to the macro-level of the environment. Interventions are aimed at individuals/families, communities, and larger institutional and social systems. Lobbying to build walking/biking trails and assisting with community gardens are examples of community-level interventions. Encouraging high-risk individuals to have glucose screening is at the individual/family level, as is education about the benefits of daily exercise. An example of an institutional or societal intervention would be lobbying Congress to pass laws requiring insurance companies to provide incentives for health promotion activities.
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