But no use to talk about the year 2000. (McBeth, 2000, p. 75) Is it so ironic, that it has taken one hundred and fifty years to get us to this point? Florence Nightingales’ vision is the base for our Health Promotion system. In short, the Health Promotion movement will deal with physical, social, and mental wellbeing and strives to empower the individual to take control over what matters in regards to their health. Through education, it will be accomplished throughout the patient’s life span.

The trend in the 21st century is to begin at the elementary school level and gravitate upward into higher levels of education by the year 2020.When reviewing the three articles chosen for this project, the article Health promotion model for childhood violence prevention and exposure, it is said, “Health promotion involves motivating someone to improve their well-being and actualize their health potential. ” (Skybo & Polivka, 2007, p. 39) The article Childhood obesity: the nurses’ role in addressing the epidemic Health promotion it speaks about, “sustained lifestyle changes in diet and exercise are the cornerstones of obesity management. ” (Rabbitt & Coyne, 2012, p.

33) In the Preventive Services Update, the focus is on prevention, “prevention is a key concept in complementary, alternative, and integrative medicine. ” (Oberg, 2010, p. 22) Analysis of the three articles show by definition they are following the health promotion concept. Each article reflected on the three stages of the Health Promotion Model and the nursing profession needs to incorporate the philosophy and the stages into their practice. After reading each article, the reader can see the need for this movement to be implemented at all levels.This effects all ages and social economical circles.

The main purpose of the nurse in health promotion is education. The nurse is the most available health professional to people pursuing much needed information and knowledge. They are typically good communicators; do to their major focus on communication and interactive skills in their educational preparation. The role of the nurse is ever changing, with our changing healthcare system, the nurse today is called upon to intercept between the physician and the patient.It is the nurse’s responsibility to obtain accurate health histories, perform physical assessments, and educate the patient regarding their health. More health organizations are using the nurse within call centers for patients to access information regarding their health.

Many nurses are setting up healthcare plans for their patients with follow up visits and interacting where needed to insure that their health is in a state of promotion rather than decline. These new roles are quite different from yester years when the nurse was the physicians’ hand maiden.The nurse has ventured outside the box to ensure her patient’s wellbeing with knowledge and empowerment. Emphasis is changing from acute, hospital-based care to preventive, community-based care. The home is the major setting for care. Evidence-based practice is the base for nurses to practice across the various settings outside the hospitals.

With their new roles, they have become more involved in prevention of disease and promotion of health. Nurses are the patients advocate, care manager, consultant, and deliverer of services, educator, healer, and researcher.The many roles the nurse has today put them at the forefront of health promotion. The Health Promotion Model involves all areas of nursing from the bedside nurse educating her patient regarding their diet to reduce weight with healthy eating to the Public Health Nurse dealing with violence in the community. Each nurse in their field of expertise needs to evaluate each patient on one to one bases, develop a plan to promote a healthier lifestyle keeping in mind, which stage: primary, secondary or tertiary stage that they may be dealing with.The key is to work towards keeping the patient from advancing into the next stage.

Through education and monitoring this can be prevented with compliance and patience. The three stages discuss in each article refer to primary, secondary and tertiary. The primary stage deals with promotion and education. In identifying obesity and violence in this stage, the risks can be approached and a plan can be set in motion. With obesity in children, the family is involved in healthier eating and exercise.Violence in children addresses programs focus on “promoting active listening, assertiveness, perspective taking, and conflict management.

” (Skybo & Polivka, 2007, p. 40) Secondary stage identifies the disease before symptoms appear. With obesity detecting and monitoring for diseases such as “diabetes, coronary heart disease, and psychosocial problems,” (Rabbitt & Coyne, 2012, p. 731) will aid the nurse in directing the family towards a plan to decrease the risk of these issues presented in the child.Violence in this stage can be addressed through Anti-violence programs aimed for both the child and family. Tertiary prevention “strives to improve the management of an existing disease with the goal of forestalling morbidity and mortality.

” (Oberg, 2010, p. 22) Once the child has developed the disease, such as diabetes, it is imperative that the family and child are educated in the disease process and the importance of maintaining a healthier lifestyle to prevent further consequences.In regards to violence in this stage, counseling is suggested. In conclusion, the three articles in question identified the Health Promotion model and presented their cases in question with authority and evidence based practice.

The author of this paper has found in her research a knowledge, which has been shared with others in her profession and a desire to educate the public in a wider use of this model. Through the nursing profession much can be accomplished and promoted through our patients and the community.