DQ: Compare and contrast the three different levels of health promotion (primary, secondary, tertiary)

DQ: Compare and contrast the three different levels of health promotion (primary, secondary, tertiary)

DQ Compare and contrast the three different levels of health promotion (primary, secondary, tertiary)

The three levels of health promotion include primary prevention, secondary prevention, and tertiary prevention. “The nurse uses the different levels to determine the patients’ education needs depending upon the patients and where they are in their health care journey” (Falkner, 2018).

Primary Prevention is when the initial prevention against disease and illnesses occurs. This level includes health promotion and education. Primary prevention encourages the individual to obtain their suggested and recommended vaccinations and having their wellness exams. The nurse should address any social or genetic risk factors the patient may have and educate on how to prevent those risk factors into turning into an illness or disease. The educational needs for these patients include nutritional education, exercise education, possible community resources for certain programs or groups, smoking cessation, and any other education that can help prevent diseases and illnesses from occurring.

Secondary Prevention focuses on the early detection and treatment of the disease before it progresses (Falkner, 2018). This would take place in the early stages of the disease where health screenings and early treatment would occur. The educational needs for these patients would include the importance of “health promotion and how it can implement measures to prevent further complications” (Falkner, 2018). Educating the patient on the importance of following the doctor’s orders, attending all follow up appointments, and having the necessary treatments/scans/exams/labs performed as ordered.

The third level is the Tertiary Prevention level. This level occurs when a disease process has already caused some permanent damage to the patient of some kind (Falkner, 2018). On this level the patient may have been through rehabilitation or is going to go through some. If the patient is going to be going home from rehab, they may be in need of different resources in the home in order to function daily. Education on how to prevent complications and improving the quality of the patient’s life is the main goal (Falkner, 2018). Providing education of the use of new medical equipment may be needed, new medication education, the disease process, and possibly how to function with any new setbac nklks the individual may have acquired with the permanent damage from the disease.

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Primary, secondary, and tertiary health promotion are the three levels. All levels are critical in preventing disease and supplying starting points for health care practitioners to promote good, effective change in patients. Nursing is significant at all levels because nurses can take part in practically every step of the promotion process. There are five steps within the three tiers of promotion. “Health promotion and specific protection (primary prevention); early diagnosis, timely treatment, and disability limitation (secondary prevention); and restoration and rehabilitation (tertiary prevention)” are some of the phases involved (Edelman & Mandel, pg. 18).

DQ: Compare and contrast the three different levels of health promotion (primary, secondary, tertiary)

Health promotion and specific protection” are examples of primary prevention (Edelman et al, pg. 18). The primary goal of

DQ Compare and contrast the three different levels of health promotion (primary, secondary, tertiary)
DQ Compare and contrast the three different levels of health promotion (primary, secondary, tertiary)

prevention is to prevent disease from developing and to concentrate on measures that will help people live a healthy life. “Its goal is to reduce an individual’s or a population’s vulnerability to disease or malfunction” (Edelman et al, p. 14). To improve patient health, nurses must play a role in supporting preventative and proper actions. In addition to primary prevention, there are two further subcategories: health promotion and health protection. Educating a patient about their health or diet is an example of health promotion. Any sort of instruction that promotes a healthy lifestyle qualifies as this type of promotion. Anything that protects one’s health would shield the patient from infection. For instance, health protection could involve immunizing people against the influenza virus during winter.

Secondary prevention includes measures such as screening and early diagnosis that aid in the treatment of an existing health condition, disease, or dangerous circumstance. “Secondary prevention encompasses everything from early disease detection and treatment to reducing disability by preventing or postponing the effects of advanced disease” (Edelman et al, p. 18). “Early detection happens in the window of time shortly before symptoms appear, which stimulates initial treatment and delays the onset of more significant symptoms” during secondary prevention (Murray, R., Zentner, J., Yakimo, p. 42). The distinction between primary and secondary prevention is straightforward. The focus of primary prevention is on how to avoid or reduce the likelihood of a disease or issue occurring before it occurs and allots several tips to encourage a healthy lifestyle. Secondary prevention, on the other hand, places a greater emphasis on screening and encourages early discovery and treatment before a significant disease develops.

The final degree of prevention that supports health is tertiary prevention. “Through long-term therapy and rehabilitation, tertiary prevention refers to the person’s optimum function or maintenance of life skills” (Murray et al, p. 42). Treatment, rehabilitation, quick treatment, and patient education are all part of this type of prevention. When a disability or disease cannot be reversed or is irreversible, tertiary prevention is usually used. It’s better to think of this level of prevention as treatment rather than prevention. The disease has already been proven, and the focus now is on minimizing the condition’s negative impacts and keeping good health. The nurse must “ensure[s] that persons with disabilities receive services that enable them to live and work according to their ability using the remaining resources at their disposal” (Edelman et al, p 19). The treatment in primary and secondary prevention is oriented primarily toward preventing the disease and detecting it early. Once the illness process has progressed, the focus of tertiary treatment becomes to prevent any more problems. All three levels are equally vital in disease prevention, but they also have a significant impact on nurse health promotion.

The nurse’s work in health-care promotion might be stressful and exhausting at times, but it is ultimately rewarding. To guarantee that patients’ health is promoted and maximized, nurses must assume a variety of duties. An educator, advocate, care giver, researcher, care manager, and consultant are some of the roles that may be available. Nurses educate individuals on how to be healthy by combining all these diverse duties. “Nurses must have an evidence-based awareness of the considerable impact that health promotion interventions may have, and they must disseminate this knowledge to the general population” (Murray et al, pg.42)

Nurses are taught to find alternative approaches that personalize every patient with whom they come into contact to execute health promotion. The bedside nurse does not do all sorts of health promotion; the clinic nurse and community nurses are also involved. The clinic and community nurse can ease these levels of promotion by supplying various presentations on topics that directly affect the community. The nurse contributes to primary and secondary promotion by involving the population in various techniques of health care promotion and prevention. If added help is needed, tertiary prevention can be used. Every side of nursing must be learned and understood by the nurse. To do his or her bit in preventing and encouraging healthier lives, the nurse must understand the concepts of prevention and promotion. Evidence-based practice is essential for helping and accommodating patients’ demands. There are many papers that might justify and help clarify the need for patient lifestyle prevention and promotion.


Edelman et al.(n.d). Health Three Levels of Promotion Health and Social Care Essay. Retrieved from,18).

Murray et al, (n.d) Health Three Levels of Promotion Health and Social Care Essay. Retrieved from,18).

Nursing (2020). Health Three Levels of Promotion Health and Social Care Essay.,18).

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The role of professional nursing organizations is huge in the development of nursing practice. It can be argued that without professional nursing organizations nursing would not be where it is now. It provided nurses with the ability to combine together and advocate for the right causes. It has made it possible for nursing to develop into one of the most trusted professions in the nation. For example, professional nursing organizations give nurses the resources they to engage in networking. Networking allows nurses to share valuable knowledge and skills. Without professional nursing organizations, nurses would not have such opportunities for networking, and that would severely stunt the growth of nursing (Goolsby & Knestrick, 2017). One nurse alone may not be enough to bring about a positive change. However, thousands of nurses can be quite the powerful political force. That makes it more likely for nurses to engage in advocacy and activism for the patients. That is why organizations such as the American Nurses Association have been involved with some of the most prominent legislations relating to the American healthcare system (Sepasi et al., 2017). In other cases, the professional organizations make it possible to prevent passage of harmful legislation. Either way, there can be little doubt that professional nursing organizations are a huge boon for nursing, especially in terms of advocacy and activism.

Sepasi, R. R., Borhani, F., & Abbaszadeh, A. (2017). Nurses’ perception of the strategies to gaining professional power: A qualitative study. Electronic Physician9(7), 4853–4861.

Goolsby, M. J., & Knestrick, J. M. (2017). Effective professional networking. Journal of the American Association of Nurse Practitioners29(8), 441–445.

The three levels of health promotion seek to meet the objective of lowering health risks. However, they differ in the stages of disease prevention. The primary health promotion level includes the preventive measures taken to eradicate health risks before the disease occurs. It is undertaken by restricting exposure to the risks of diseases, opting for healthy lifestyles, and boosting disease resistance. The activities in primary health promotion include immunization and regular exercise (Baumann & Ylinen, 2020).  Secondary health promotion entails the preventive measures taken at the early inception of a disease-related symptom. Timely diagnosis and treatment are conducted to stop the condition from developing further by eliminating the disease process and limiting the options of disease reoccurrence. The activities at this level include screenings and check-ups (Hegde, 2021). Tertiary health promotion entails preventive measures adopted to minimize the impact of an existing health condition. Here, clinicians promote rehabilitation work and initiatives to assist patients to manage the lasting effects of the illness (Hegde, 2021).  The activities at this level include support programs and rehabilitation initiatives.

The levels of prevention can help in determining the educational needs of a patient. According to Willis et al., (2022), the primary level of prevention can be used when educating patients about the essence of disease preventive measures that can be implemented routinely to prevent disease occurrence. The secondary prevention level can be applied when educating patients about the importance of frequent medical screenings and checkups when experiencing mild disease symptoms. The tertiary prevention level can be applied when educating patients about the essence of continuous medical checkups. It is also useful in promoting suitable and timely use of drugs to treat a disease.



Baumann, L. C., & Ylinen, A. (2020). Prevention: Primary, secondary, tertiary. In Encyclopedia of behavioral medicine (pp. 1738-1740). Cham: Springer International Publishing. DOI: 10.1007/978-3-030-39903-0_135

Hegde, S. (2021). Settings-based interventions at primary, secondary, and tertiary prevention levels may significantly improve the oral health of older people. Journal of Evidence-Based Dental Practice, 21(2), 101537.

Willis, V. C., Thomas Craig, K. J., Jabbarpour, Y., Scheufele, E. L., Arriaga, Y. E., Ajinkya, M., … & Bazemore, A. (2022). Digital health interventions to enhance prevention in primary care: a scoping review. JMIR Medical Informatics, 10(1), e33518. Doi: 10.2196/33518