Wellness Promotion 

Wellness Promotion Services include clinical preventive measures  education and the promotion of healthy life styles based on the best available evidence assist in keeping people healthy and safe   Yet  research shows that even the most effective and accepted wellness promotion services are not delivered regularly in the primary health care setting  For example  although pneumococcal disease caused a lot of disabilities  only a small percentage of persons aged 65 and older receive a pneumococcal vaccine  Life style changes such healthy nutrition  more physical activity can reduce the risk of cardiovascular diseases.

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Barriers to making wellness promotion services a routine part of health care exist among both clinicians and clients  and within the clinical setting  Clinicians report they do not have sufficient time to provide these services because most of their time is spent responding to patients  need for treatment  Clinicians also cite competing demands  uncertainty about conflicting recommendations  and lack of training in wellness promotion as barriers to providing these services  Patients often do not ask their health care providers about wellness promotion services because they are unaware of the benefits or their availability  are not motivated to seek them out  are deterred by what they perceive as the inconvenience and expense of preventive care (which their insurance health plans may not routinely cover)  and are worried about the discomfort they think such care may entail such as mammography  In the clinical setting  barriers to providing wellness promotion services include inadequate reimbursement for these services  patient mobility  and the lack of a system for integrating wellness promotion services into regular patient care system.

There is increasing evidence that many of these barriers can be overcome through a formal system for delivering wellness promotion services   This Wellness Promotion Guide describes easy to follow  logical steps to take you through the process  It is designed as a tool to assist various care providers physicians  nurses  health educators  and allied health professionals  to integrate wellness promotion into daily practice.

The guidelines have been benefited from discussion with the different scientific groups – Child Health, Women Health, Geriatric, Mental Health, Osteoporosis, Breast Cancer and Public Health.

Dr Farouq Al-Zurba
Consultant Family Medicine

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