NRS 429 Topic 3 DQ 2

nrs 429 topic 3 dq 2

NRS 429 Topic 3 DQ 2

NRS 429 Topic 3 DQ 2
Compare and contrast the three different levels of health promotion (primary, secondary, tertiary). Discuss how the levels of prevention help determine educational needs for a patient.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires alot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you sahould get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

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I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly.

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I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

NRS 429 Topic 3 DQ 2

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course.

NRS 429 Topic 3 DQ 2

Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed

Primary promotion is considered prevention before the illness or injury usually has occurred it can be in the form of vaccinations or routine check-ups and technically takes place in the primary care centers and clinics. Primary prevention can also include educational interventions, also lifestyle factors like healthy eating habits and proper sleep, and better nutritional habits.

NRS 429 Topic 3 DQ 2

Secondary promotion is when you focus on early detection and treatment of disease and catch them before they progress into a irreversible state, an example could be catching and treatment of early stage cancer by of prevention screenings like mammograms and general health screening. If caught early certain type of cancers if caught and treated early can have a positive outlook and better outcomes for the patient.

Tertiary promotion is when a disease has already caused permanent damage and the goal of tertiary care is to get the patient to a level of functioning so that they can go back home or in a rehabilitation facility or in between such as home health care services to address any side effects that may arise from ongoing treatment of their disease. The goal is to help the patient try to get back to their baseline as much as possible so that they can be as independent as possible.

The education needs of the patient for all three levels of health promotion start with the fact that you have to be willing to accept the teaching methods and a huge is participating in their own care as much as they are able to as this will greatly help in education and learning about the diseases process.

NRS 429 Topic 3 DQ 2

Falkner, A., Grand Canyon University (Ed). (2018). Health promotion: Health & wellness across the continuum. Retrieved from

The Registered Nurse should be prepared with an understanding of the three levels of health promotion: Primary, Secondary, and Tertiary. The assessments that a nurse performs at each level of health promotion can assist with determining a patient’s current and future needs. (Kumar & Preetha, 2012.)

Primary health promotion takes place at the Primary Care level. This usually takes place in a Primary Care Physician’s office or other primary care setting. Nurses can teach patients about their routine medications and any preventative measures that they can take to improve their overall health status and well-being. Patients can ask questions regarding their health in this setting. Questions should be encouraged and answered in order to ensure the patient has health literacy and is engaged in the process of learning.

Secondary health promotion involves encouraging and performing health screenings, or arranging for follow-up testing for patients. Patients are taught about routine screenings and encouraged not to neglect routine testing. Early detection and treatment has been shown to be key to recovery from many health conditions, including cancers.

Health promotion at the tertiary level requires the nurse to have a broad clinical knowledge base. The nurse must have a good understanding of pathophysiology. Patients can be taught how to manage their disease or condition, and how to prevent further decline. For example, a Diabetic who has had multiple fluctuations in blood sugar, with extremely high readings and extremely low blood sugar levels, can be taught to manage the blood glucose level better and prevent further organ and tissue damage.

NRS 429 Topic 3 DQ 2

Levels of prevention can help the nurse to determine educational needs for patients. The nurse can provide anticipatory guidance and evidence-based data at all levels of health promotion and prevention. At the primary care level, the nurse can provide information to prevent the patient from having a crisis and requiring a visit to the Emergency Department.

At the secondary level, the nurse can provide screening information, printed materials, and arrange for the screening to take place. The nurse can also teach the importance of follow-up care at this level. A screening is only as good as the follow-through on the test results. At the tertiary level, the patient may need more education and intervention, with the addition of community supports and services to aid in the patient’s recovery. Home Health is one example of a community support that can assist the patient to remain safely in the community. All levels of prevention and health promotion are designed to help the patient to stay out of crisis and out of the hospital setting. (Falkner, 2018.)


  1. Falkner, A., Grand Canyon University (Ed). (2018). Health promotion: Health & wellness across the continuum. Retrieved from
  2. Kumar, S., & Preetha, G. (2012). Health promotion: an effective tool for global health. Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine37(1), 5–12.

The three levels of disease prevention and health promotion include primary, secondary and tertiary. The primary approach to prevention focuses on stopping disease before it starts; The goal of secondary prevention is early disease detection and intervention; Tertiary prevention, on the other hand, focuses on managing an already-existing disease and avoiding further complications. Primary prevention aims to stop a person who is “well” from getting a disease or injury. The routine immunization of healthy individuals against communicable diseases like measles and influenza is an example of primary prevention, which has the potential to reach a large portion of the population and can, as a result, have a significant impact on the health of the population while remaining cost-effective.

Secondary prevention aims to find people who have already have the disease or infection but are still asymptomatic. Following the United States Preventive Services Task Force (USPSTF)’s evidence-based recommended screenings for diseases like cancer, diabetes, obesity, and hypertension, among others, is part of secondary prevention. The goal of these screenings is to identify a disease while it is still asymptomatic. Through screening, early disease identification enables earlier intervention, which, ideally, increases the likelihood of a cure or decreases the disease’s morbidity and mortality.

The prevention of complications in individuals who have already developed disease and for whom disease prevention is no longer an option is referred to as tertiary prevention. Tertiary prevention’s objective for these patients is to minimize disease-related morbidity and maximize outcomes. Initiating cardiac therapy and rehabilitation in a patient who has had a myocardial infarction is one example. The heart damage cannot be repaired; However, the patient will be able to achieve maximum cardiac output and avoid additional mortality and morbidity from the myocardial infarction if appropriate cardiac therapy and rehabilitation are provided.


David, D. Celentano. (2019). Population Health.

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