Let's focus on population wellness
and levels of prevention at this time.
So if you take a look at this pyramid, notice
there's primary, secondary, and then tertiary care.
This is really important because healthcare
is shifting from just illness management,
to really focusing on prevention,
wellness, and the quality of life.
So if you take a look at the bottom of this
pyramid, where we're talking about primary care,
this is pivotal that we focus on
this with our different populations.
And this is implemented before
there's any evidence of disease.
This is oh so important, because this is
going to help reduce the risk for diseases
and prevent injury in our clients.
Now, next level of care is secondary care.
Now we're going to implement this is
after the disease has been established,
but hopefully we can provide this care so
we don't have any more symptoms that start.
So early identification here is really important
and can prevent things from getting worse.
And lastly, at the top of the pyramid,
this is hopefully what we want to avoid
with a primary and the
secondary care, is a tertiary care.
ow this part is talking about is
after a disease is established,
and we're really here preventing
bad things from getting worse.
Now, let's take a minute and apply these
levels of care with our friend here, Enrique.
So if you take a look at this pyramid,
and we're talking about treating Enrique
with your primary care, this is really what
we're talking about is prevention here if you recall.
This is where maybe the advanced practice nurse
can do checkups, which include like a hemoglobin A1c,
to track the patient's diabetes
and their disease process.
And then here, maybe we can make
adjustments to recommend healthier diet choices,
or increasing activities so we don't
establish any complications of the disease.
And here the key is prevention.
Now, if we move forward with secondary care,
for Enrique this may include following up that visit
with the Hemoglobin A1c, that's now actually
high, meaning Enrique's diabetes is out of control.
Now, this is enough to diagnose
him actually here with type II diabetes,
and then we start treatments such as
Metformin to help control those symptoms.
Now, last level of care is
what we call tertiary care.
This is again, really what we want to prevent
and this is where the disease is established.
So this could mean for Enrique that he was
admitted to the hospital for blood sugar control,
and otherwise known as HHNS - Long term
hyperglycemic hyperosmolar nonketotic syndrome,
which basically all this means, it's extremely high
blood sugar that can be really dangerous for Enrique
and this is where we've reached tertiary care.