Monday, February 12, 2018

Physiological Principles for Health and Social Care - Edexcel BTEC Levels 4 and 5 Higher Nationals in Health and Social Care



Table of Contents

Introduction
Task 1
1.1 Outline the main anatomical features in each of the body systems with identifying main functions of ANY THREE systems
1.2 Discuss Cellular metabolism and relate to growth hormone function

Task 2
2.1 Explain the normal body responds to his everyday physical activities (Exercising)
2.2 Discuss how body responses are explained by cellular and tissue structure and physiology
2.3 Explain how his body will coordinate its internal activities: Discuss homeostasis with feedback loops designed to lower or raise relevant parameters – (Maintaining the blood glucose level).

Task 3
3.1 How routine measures are recorded (ethical consideration: dignity, individual rights and privacy) and what are their uses in health and social care?
3.2 Assess how these routine measures provide the GP with information about the body functioning of this person
3.3 Examine how such information about the body functioning may inform care planning for this person

Task 4
4.1 Explain how her age may have affected her body structure and functioning. (Nervous and Respiratory system)
4.2 Assess the impacts of the above mentioned conditions on her body structure and functions
4.3 Relate the effects of her medical conditions including infection to the routine care of this lady

Conclusion
References





In this assignment report, it will be expected to discuss regarding the main anatomical features of important systems of the human body, how the cellular metabolism is related to hormone functions of the body that influence the growth in human body, in the first part of the report. In the second part, it will be focusing on body responses, the explanation for those body responses in cellular level and how the body coordinates the internal activities, of a 25 year old full time student. The third part of the report will focus on the health measurement, routine measures, the use of the routine measure and how the information of the routine measures can inform about the body function of a 65 year old man with several health issues. The final parts will analyze the effects of aging on body structure and functioning and how care planning is designed for a lady of 85 years old.
Respiratory system is one of the important systems of the human body. The cells in the human body generate energy with the help of oxygen hence oxygen is an essential gas for all the cells in the human body. Further, the carbon dioxide gas that is built up in the cells as a result of energy generation, needs to be eliminated from the body to the environment. The respiratory system has been designed for the purpose of extracting oxygen from the atmosphere, distribute them to the cells and organs through blood circulation and eliminate carbon dioxide from the body.





Figure 1: Respiratory system


In the basic anatomy of the human respiratory systems, the nose, nasal cavity, oral cavity, pharynx, trachea, larynx, left lung and right lung are the main anatomical parts. The primary function of the respiratory system is pulmonary ventilation which facilitates gas exchange between the circulating blood and the lungs where the atmospheric air comes in and goes out. Pulmonary ventilation is performed through contraction of the respiratory muscles and the negative pressure system. External respiration is when the gas is exchanged from the Alveoli to the blood in capillaries around the alveoli whereas internal respiration happens when the oxygen in the oxygenated blood is exchanged to the body cells (Odya and Norris, 2017). 




Figure 2: Digestive system

The digestive system is a system that is specially designed to extract energy and nutrition’s from the food and beverages, absorb them and provide energy to the body organs for their functions and growth. There are many organs and glands belonging to the digestive system which are located along the digestive tract and as accessory organs near to the digestive tract. The digestive tract is a tube shaped system with organs mouth, throat, esophagus, stomach, small intestine, large intestine, the rectum and the anus. Further to the organs of the tract, the accessory organs of the system include tongue, salivary glands, gallbladder and the pancreas (Smith, 2017).
When a person eats food or a drink, the food items are broken down in to small parts and in to the molecular level using the mechanical functions, enzymes and other substances secreted by the digestive system and then they are absorbed to the body. Eating food, chewing them with teeth are part of the mechanical breakdown process where as stomach acid and other substances from gallbladder, liver and stomach help the chemical breakdown of the food (Smith, 2017). At the end of the breakdown, the substance level nutrients such as carbohydrate, protein, fat and vitamins are absorbed to the body through blood vessels.




Figure 3: Nervous system

The nervous system is made of two main parts which are the Central Nervous System and the Peripheral Nervous System. The signal receptors of the nervous systems identifies different kinds of signals from the outer and inner environment of the body, transmit them to the brain, process the signals in the brain and provide appropriate signals to the body organs as response to the signals. The Central Nervous System is comprised of the brain and the spinal cord. Spinal cord is made of afferent and efferent nerves. The afferent nerves take signals from the body organs and transmit them to the spinal cord, which are then communicated to the brain. After processing the signals that were produced from the body organs, the efferent nerves communicate the brain responses to the organs of the body as feedback impulses (Noback, 2005).
The other part of the nervous system which is the peripheral nervous system is consisted of autonomic and somatic nervous system. Somatic nervous system is designed for controlling the voluntary movements of the body through glans, skeletal muscles and reflexes. The autonomic nervous system includes the involuntary reactions that control the visceral functions which are below the consciousness.

The cellular metabolism process can be identified as a set of chemical reactions happening within the cells, which are essential for maintaining and performing the functions of the body, such as growth. The cellular metabolism breaks down chemicals and produce energy that is essential for the activities performed by humans for synthesizing new cells for growth of the human body and for repairing the cell that have been damaged.
The cellular metabolism occurs in different metabolic pathways. The synthesize of new cells with the help of energy produced during cellular metabolism help to maintain homeostasis of the body. The growth in human body, increase of weight, increasing muscle mass and repairs in the bodily organs happen with the energy produced in cellular metabolism (Raiti and Tolman, 2013).
The anabolic category of metabolic reactions helps the production and secretion of enzymes, acids and amino acids which are the building blocks that makes up protein that are used as a main content of cells, muscles and organs. The catabolic category of metabolic reactions helps breaking down cells and energy is produced through breaking down of chemical bonds (Raiti and Tolman, 2013). This released energy is used as an energy source for bodily functions.
The pituitary gland in the brain produces and sec creates the growth hormone which is a protein type of hormone that stimulates the growth of the human body. The growth hormone, which commonly known as GH is a controller of many complex chemical processes of the body, that stimulates metabolism and help growth of the body. When the growth hormone is released, it stimulates secretion of chemicals from the organs such as liver and thyroid glands which increase the speed of growth and synthesize of bones, muscles and cartilages. The muscle development happens through the influence of protein synthesize where amino acids are bond together to make protein. The digestive and metabolism process of the body is also influenced by the growth hormone where proteins, lipids and carbohydrates digested and produced more energy for cellular metabolism and providing more building blocks such as amino acids for growth and development. Digestion of carbohydrates provides energy and help to maintain the blood glucose level (Raiti and Tolman, 2013). Therefore it can be seen that the overall growth and function of the body are controlled with hormones where hormone can speed up or slow down the said functions in the body.

Exercising can be performed in many forms such as running, jogging, swimming, rowing or weight lifting where is requires a large number of muscle movements and stress on muscles and joints of the body. When the person exercises, the body responds to the activities in different ways in order to facilitate exercising without getting tired easily and without damaging the muscles and tissues while exercising. When a muscle or a group of muscles is being used heavily while exercising, it will require more energy from the body in order to keep doing the activities without getting lagging. In extreme conditions where the muscle cannot be fed and maintained, the activities will be shut down by the body. When the boy starts jogging in the morning, the blood circulation speed will be increased from the normal level. This will be achieved by increasing the heart beating speed and pumping blood more efficiently and speedily. This helps circulation of oxygenated blood in the body and the muscles that are used in running such as the leg muscles, and results the muscles getting more oxygen and energy for continuous working of the muscle. Further, with the increased circulation speed, the de-oxygenated blood in the leg muscles get transported to the lungs faster for oxygenation thus improving the process of gas exchange. This helps to create more ATP which is the source of energy used for contraction and expansion of the muscles in leg (Bassett, 2011).
As a support for the function, the lungs also start working harder and faster which increase the rate of breathing of the boy so that blood near the lungs could be oxygenated more efficiently and the carbon dioxide build up in the blood can be eliminated from the body more efficiently. The breathing rate becomes higher than the breathing rate when the boy is resting in order to compensate the higher energy requirement.
The blood supply to the organs such as the brain, ears and eyes will be increased so that the person can be kept more focused on alert on the activity he is doing in order to prevent injuries and prevent any accidents from causing to him. Activities such as food digestion that is happening inside the digestive system may be slowed down to reduce the power wastage and provide more energy to the working muscles.
The bodily responses to exercising activity such as increased breathing rate, heart rate increasing and other muscle responses happen from cellular and tissue level structure of the body. The cardiac muscles which are the building blocks of the heart can be self-stimulated and therefore when the boy starts to engage in exercising activity, the cardiac muscles can increase the rhythmicity of the muscle contraction on their own and increase the heart rate as and when required. The ability to self- generate electro signals support this function of increasing and decreasing the heart rate. When the leg muscles need more oxygenated air, the signals are informed to the pacemaker cells of the cardiac tissue which control the rhythm of the contraction (Lenk, 2011). The pacemaker cells will increase the heart beating pace will be increased resulting higher volume of blood pumped in and out of the heart.
The lung muscles and other supporting muscles are made of smooth muscles which are a type of involuntary muscles that work on the commands given by the central nervous system. The intercostal muscle will make rapid contractions which will increase and decrease the ribcage more often. At this time, the diaphragm will also contract and increase the chest volume resulting higher chest volume and the atmospheric air get pulled in to the lungs in a higher volume than it happens when the body is resting. When the leg muscles signal the nervous system regarding the increased need of energy and gas for their contractions, the nervous system will respond by signalling the lungs to work faster resulting rapid breathing (Bassett, 2011). The blood vessel walls which are made of smooth muscles will also be expanded and increase the radius of the vessels in order to facilitate higher blood volume to be circulated. 

The blood glucose provides energy to the muscles in a speedy manner as glucose can be easily broken down and energy can be released. When exercising, maintaining the blood glucose is an essential activity for the human body. The constant blood glucose level of a grown adult is said to be between 70 and 100 mg/dL. This range is maintained in the body with the help of insulin and glucagon which are two important hormones of the human body.
When the blood glucose level drops below the normal rate as happens when engaging in strenuous activities such as exercising or fasting for a considerable time period, the pancreas will start secreting glucagon hormone through the alpha cells. Glucagon hormone will inform the liver to convert the glycogen existing in the liver to glucose and release them to the blood stream. This glycogen will be converted to glucose and added to bloodstream increasing the blood glucose level. The fatty cells will be broken down in to small substances and then added to the blood stream as glucose in order to increase the level of glucose. The body will also make the person feel hunger and thirst so that the person will ingest food where they can be digested and more glucose can be harvested (NHS UK¸ 2017).
In the converse scenario, when the blood glucose level is higher than the normal range, the beta cells located in the pancreas will secrete insulin hormone. Insulin will cause the liver to convert more glucose in to glycogen and store them in the liver. The excess glycogen may be converted in to fat and stored in fatty cells for future use (NHS UK¸ 2017). This will reduce the amount of glucose circulating in the blood stream and reduce the level in to the normal range.


Blood pressure is a measurement of how much force is put on the walls of the arteries from the blood flow. When measuring the blood pressure, the lower and higher number is measured at two occasions where the heart contracts and pumps blood and when the heart is not contracting. The blood pressure is measured using Blood pressure monitors where a cloth is wrapped around the arm of the patient and measures are read by a professional when they identify the higher and lower points of blood pressure. As in the case of person in case study, the hypertension may have caused due to thicker blood vessel walls. In cases of hypertension, the blood pressure may become increased to 120 – 140mmHg. It should be noted that people with hypertension like in the case study, will have higher resting blood pressure.
Heart rate is another essential measurement taken and recorded for assessing health conditions. Heart rate is the number of time the heart completes is pumping cycles within a minute. The heart rate could vary between 60 – 100 times per minute. A provide ay check the heart rate by feeling the pulse under the wrist while checking the time when needed. An increased heart rate may signal about a heart problem which can be figured out with more tests performed (NHS UK¸ 2017).
Respiration rate is the number of time a person completes breathing cycles within a minute. A count of how many times the chest rises within a times is taken as the measure of respiration rate. A GP will check for signs of difficulties of breathing that can increase or decrease breathing rate. Respiration rate can be measured with observation of the patient.
An electrocardiogram which commonly known as an ECG can be taken to identify differences and abnormalities in heart beat and pulse generation in cardiac muscles (NHS UK¸ 2017). ECG machine can recognize the electro signals generated by the cardiac muscles and provide a graph like report that a GP can inspect and identify the problems related.
It is essential to protect the privacy of the patient when performing all the tests on a patient and the tests results should be confidential to the GP and relevant professionals. When performing the test, the patient dignity should be protected all times where necessary privacy control should be put in place. For example if a test requires a patient to get undressed such as for an ECG, the patient should be provided with necessary facilities for changing and unnecessary contact should be avoided.
The routine measures can provide a range of different information to the GP regarding the bodily functions and normal functions of the person.
The measurement of blood pressure can provide evidence regarding how the blood circulation happens inside the body of the person and if the circulation is within the normal range. A higher blood pressure may indicate a health problem such as high pressure, stroke or a heart problem which needs to be verified with further tests. The heart rate is also an indication regarding if the heart is working in the normal condition. If the heart rate is higher it shows that the heart is working harder to pump which could indicate a blockage in arteries, a formation of a blood clot or some other problem. If the heart rate or the blood pressure is higher than the normal rate for the person, he will need to be given medicine immediately overcome the problem.
The number of time a person breathes within a minute will show evidence regarding obstructions in the airway or indications regarding heart problems, strokes etc. Difficulties in breathing may have caused due to obstructions in the airway which can be identified by a GP. When a person is having mental problem or extreme excitements, it also may cause difficulties or differences in the breathing rhythm.
A blood report taken to analyze the content of the blood stream may provide evidence regarding the cholesterol level in the blood stream and glucose level which can be used to determine possible heart problems or blockages in arteries.
The person in the case study has been identified to have chest pains and hypertension which are two major health problem indications. With the tests and examinations that were conducted by the GP, the root causes of the symptoms can be identified. For example, the chest pain may cause due to decreased cardiac output or a blockage in the arteries that supply blood to the heart. Hypertension is usually caused by decreased cardiac output where necessary actions will be provided by the doctor. In the cases of hypertension, the GP will provide treatments to stabilize the heart rate and prevent further heart rate increasing. A GP may use medicine that can widen the girth of the arteries so that the blockage can be bypassed (Seifter et al, 2005).
Another part of the care planning may include timely checking of the blood pressure as blood pressure has been identified to be increasing with chest pain. Checking the blood pressure often as required will help to make sure that the person is not going over the normal heart rate and the trend of the blood pressure can be used to identify if the blood pressure is increasing or decreasing with time.
The person should also be provided to rest and reduce extreme movements so that it prevents further increase in heart rate and blood pressure and reduction of blood circulation in limbs (Seifter et al, 2005).
The nervous and respiratory systems suffer a significant amount of changes and get affected in terms of functioning and structure with aging.
The tissue structure in the lungs gets weaken and deteriorated over time and becomes less efficient when a person reaches the age of 85. This happens at a slow pace which cannot be identified within a shorter time. The alveoli in the lungs become weaken and some of them become inactive followed by capillaries becoming decreased and elastin tissues breaking down. This condition is known as loss of pulmonary elasticity where the efficiency of air exchange is decreased in significant amounts.
The mass and strength of the chest muscles and supporting muscles of the ribcage will likely to become weaker and reduced in volume causing the air respiration volumes to be decreased over time. Due to the weakening in muscles, cartilages and bone in the body, the straight posture of the body becomes crooked (Odya and Norris, 2017). These structure changes can cause emphysema, resulting lesser efficiency and functioning of the respiratory system. Due to these conditions, the breathing will become short in this 85 year old woman (Lenk, 2011).
There are sensory receptors in the airways of people which can detect when an alien object enters the airway they are recognized and sent out of the body with the use of cough reflexes. With age, these sensory receptors become weak and they become inefficient in performing their duty. Therefore, the elderly lady is prone to tract infections that may be caused by irritants and debris.
The nervous system also gets affected form aging in similar capacities. The neurons in the brain and other parts of the nervous system and those neurons do not get repaired or re-produced to replace the weaker ones. This will reduce the brain capacity up to different extents that will depend from person to person. This will cause the short term memory loss and/ or historical memories to be lost from memory. The efficiency of brain signals and impulses being transmitted from sensors to brain will be reduced. And the sensory organs will become less efficient in grasping the environment signals and identifying them. This will increase the delay in identifying and reacting to signals from the outer environment.
Dementia is another likely to cause at the age of 85 due to aging. Dementia is defined as a progressive declining of cognitive function in the human body due to the reason on reduction of active neurons in the brain. It will make the 85 year old woman difficulties in solving problems, paying attention to things and may cause forgetting of time and place (Lenk, 2011).

With the weakening of the respiratory system in terms of efficiency, it will provide less oxygenated air to the bodily organs which can reduce the activeness and energy of the 85 year old woman. The weakened bones, limbs and joints of the body will cause higher inactiveness, less energy and reduce the ability to perform their daily activities such as preparing food, getting dressed, bathing and washing etc. The elderly will also not be able to engage in any heavy work and exhaustive activities due to the weak body condition.
The elder lady will also have to breathe more time per minute due to the old age as the air intake volume has become decreased and requires a higher breathing rate to provide necessary amount of air to the body organs.
When called or heard a sound, the time taken by the woman to react or respond to it will be increased as the neurons and the nervous system has become weakened. Hands, feet, eyes, ears and skin will become less sensitive so that the elderly woman will less likely to able to read, write and engage in activities that require a huge amount of attention to details. The eye sight will be weakened where she will not be able to read small letter and the ears will become less receptive so that will would less likely to hear small sounds.
In severe cases of dementia, the short term memory could be lost and she will likely to forget day to day activities and things such as taking medicine, having meals or doing small work. In extreme conditions, she will not be able to recognize her family members and people close by.
The elderly lady is identified to suffer from arthritis, type 2 diabetes and infected wounds that taking too long to heal.
Some of the routine care measures taken for arthritis are the use of non-steroid anti-inflammatory drugs which are able to provide corrections for swelling and inflation in the areas that are affected with arthritis.  With the prescription from a GP, the steroid type of medicines can be used for treating the joints that have been damaged and they can be given as pills or injections. However, the clinical planning should be prepared in a way to avoid side effect and not interfere with other medicines.
As there is an infection in the leg that requires careful attention, the legs should be kept cleaned. They legs need to be cleaned by washing with warm water and keeping the toe nails shortly trimmed in order to avoid infections. When wearing socks and shoes, those should be well cleaned and fit firmly in the legs. Scheduling regular meetings with podiatrist doctor can help to prevent the infection being worse and control the infection (Noback, 2005).
Maintaining a regular healthy diet without consuming too much sugar and easily digested sugar components can help to control the blood sugar level in the blood and provide treatment for diabetes 2. The care planning for diabetes includes taking a healthy diet, sating active by exercising/ working and checking the blood glucose level in regular intervals. If the elderly woman has been prescribed insulin shots, those insulin shots should be taken regularly without overdosing or missing them. When taking and snacking, it is best to avoid foods with high sugar content and too much alcohol. Taking large amounts of foods at one sitting should also be avoided when taking foods while having diabetes (Noback, 2005). The elderly woman should be maintained at a healthy BMI (Body Mass Index) amount as being overweight is also a risk for diabetes.
It was discovered that body anatomy and the parts of the systems of the human body have been designed and developed in order to provide the most efficient and maximum performance for the activities they perform. The body also responds to all external and internal signals and events in the environment and receiving those responses and providing the response differs from event to event. When the responses and the signal coordination become abnormal, the body goes through conditions which are types of illnesses. Both medical and lifestyle changes re prescribed for those illnesses and conditions and care planning is provided to reducing the effects of body illnesses and stay at a healthy and active state.

References 

Apte, S. & Sarangarajan, R. (2009), Cellular respiration and carcinogenesis, New York
Bassett S., (2011), Anatomy & Physiology Quick Review, 2ndEdition (Cliffsnotes Quick Review)
Lenk, C. (2011). Human tissue research, Oxford: Oxford University Press
NHS UK (2017), Blood Tests and their uses, (Online), Available from:  http://www.nhs.uk/conditions/Blood-tests/Pages/Introduction [accessed on 15/10/2017]
NHS UK (2017), blood tests, (Online), Available from: http://www.nhs.uk/conditions/Blood-tests/Pages/Introduction.aspx/ [accessed on 21/09/2017]
NHS UK (2017), cholesterol levels, (Online), Available from:  http://www.nhs.uk/cholesterol_levels/ [accessed on 21/10/2017]
Noback, C. (2005). The human nervous system, Totowa, N.J.: Humana Press
Odya, E., and Norris M.A., (2017), Anatomy and Physiology For Dummies, For Dummies, 3rd Edition
Pamela, M., and David, W. (2009), First Health and Social Care (1st ed.), Reflect Press
Raiti, S. and Tolman, R. (2013), Human growth hormone, New York: Springer Science Business Media.
Seifter, J., Sloane, D. and Ratner, A. (2005), Concepts in medical physiology, Philadelphia, PA: Lippincott Williams & Wilkins.


Smith, M. E, (2017), The Digestive System: Systems of the Body Series, Churchill Livingstone; 2 editions

Tuesday, September 5, 2017


Health Promotion in Health and Social Care
BTEC HND Health and Social Care








Table of Contents
Introduction
Task 1
1.1 The effects of socioeconomic influences on health
1.2 The relevance of government sources in reporting on inequalities in health
1.3 The reasons for barriers to accessing Healthcare
Task 2
2.1 The links between government strategies and models of health promotion
2.2 The role of professionals in meeting government targets for health promotion
2.3 The role of routines in promoting healthy living
Task 3
3.1 Explain how health beliefs relate to theories of health behaviour.
3.2 Discuss the possible effects of potential conflicts with local industry on health promotion
3.3 Explain the importance of providing relevant health related information to the public
4.1 Plan a health promotion campaign to meet specific objectives
4.2 Explain how the health promotion campaign supports health promotion strategies
Conclusion
References







Introduction

The following report will contain the answer for health care promotions assignments that consists of three main tasks. In the first task, the socio economic factors related to health, government information sources with relation to health care inequalities and the barriers for health care services will be identified and explored. The second task will focus on relationship between government strategies of health and models of health promotions. The role of the professionals with regards to smoking cessation will also be discussed. The final task will focus on health beliefs, the effects of potential conflicts with industries on health promotions and also a plan for health promotion campaign will be provided.

Task 1

1.1 The effects of socioeconomic influences on health

Socio – economic factors include both social related and economic related factors that influence people on different grounds with regards to health promotion or demotion. Some examples for socio economic factors include educational level, income level, sleeping pattern, housing facilities, prices of food and beverages and cost of living. These factors can impact differently on health level of people in a community.
A clear socio – economic influence on health can be seen in the London Borough of Newham when the Health Deprivation index and the unemployment rates are considered. According to the statistics, Newham holds an unemployment rate of 14% which is one of the highest rates in London by year 2014. And consequently, Newham has also rated 3rd in the Multiple Deprivations index in the London local authority. This information can be used to draw the connection between unemployment and deprivation. For an unemployed person, there is no sufficient source of money to buy food, provide shelter or to afford health services (NHS, 2016). Due to unemployment, people will tend to consume unhealthy food items that do not contain necessary nutrition needed for the body. This will make then prone to diseases such as heart problems, diabetes and obesity (NHS, 2016).
The education level of the London borough of Newham is lower when compared other areas of London which has resulted in higher unemployment rates in the borough (NHS, 2016). As a result of lower level of education, health problems such as depression and other mental problems have been increased in the area. These mental problems also lead to smoking, taking drugs and other substances as well. Usage of drugs using needles causes more infections to be carried by person to person, which makes the problems worse.
When people cannot afford proper housing facilities, they will live in over-congested housing facilities where lower hygiene and cleanliness will be there. This will cause health risks of tuberculosis, skin problems and respiratory problems. Therefore, it can be distinguished that socio – economic factors play a large role in promoting health of people.

1.2 The relevance of government sources in reporting on inequalities in health

The government of UK has taken several steps to identify the inequalities in health and social care services that are provided to people and thereby to take necessary actions to reduce those inequalities. In equalities in health care can be identified as the differences or anomalies that can be seen in availability of health and social care services. Some examples for government sources which were used to report inequalities in health care include the Acheson Report, The Black Report, Health Survey for England (HSFE) and Health and Lifestyle Survey (HALS).
The Black Report was published in year 1980 which has the topic of “Inequalities in Health”. The Black Report was prepared to identify the inequalities that exist in the health care services and why the National Health Service (NHS) was not able to reduce the anomalies in the health care services. The Black Report provided evidence to identify that there are inequalities of receiving health care services to people depending on their social class and status (Socialist Health Association UK, 2016).
The Acheson report which was published in 1998 by Donald Acheson had similar intentions as the Black Report. The Acheson survey was focused on investigating the contributory factors of health with the aid of Layers of Influence model. The recommendation part of this report had given suggestions and policy recommendations for the government to take actions for health inequality problems that are faced by communities (Equality rights¸ 2016). The Acheson report discovered that Poverty is one of the main factors that had created inequalities in health. Followed by poverty, the social class differences had also caused the health service anomalies to be widened.



Figure 1: The health care inequality growth
Source: Office for National Statistics, 2009

As shown in the above report, it was also identified that health inequality gap between social classes keeps increasing with time and the report recommended taking sustainable policy actions to reduce the health inequality gaps. The report contained 39 policy suggestions for the government in terms of health service, taxation and agriculture to reduce the health service anomalies (WHO, 2016).
The HALS is another survey that is conducted by the NHS and it is supported by local health care agencies and general practitioners in the country. The HALS aims to gather information regarding general physical health, lifestyle behaviours of people, mental health and effectiveness of the health care services as opposed to individual socio-economic factors.

1.3 The reasons for barriers to accessing Healthcare

The barriers of accessing health care services are connected with health care services inequalities in communities. When there are more barriers for health service, there is a higher possibility of having health services inequalities in that community.
The cultural background of people plays a major role when creating barriers for accessing health care services. For example, the Gypsy/ traveller communities have their cultural practices where they do not disclose private information to third parties or to people from opposite gender which prevent them from receiving general practitioner (GP) services. And as the GPs and staff do not usually have fully understood their culture, the staff cannot facilitate the health services in the way they expect (Holland and Hogg, 2001). Due to these restrictions, some cultural people may access health care at the most critical point where the conditions may have worsened and dangerousness of disease has increased (Equality rights, 2016).
 Physical barriers such as disabilities also cause barriers for people to access health service. When there are no disability supportive building structures such as wheelchair paths, lifts and handicap parking access, those who have difficulties will be reluctant to come to the health care institutes and receive services (WHO, 2016). For example, disabled women face difficulties when facing for breast or cervical screening where they need to stand for mammography machines and examination beds.
The financial problems also prevent people from accessing health as they cannot afford some types of services such as expensive chemotherapy for cancer etc. When people have relatively low incomes, it has been noted that they tend to ignore service such as dental services and dispensing prescriptions due to financial difficulties.

Task 2

2.1 The links between government strategies and models of health promotion

The health promotions models can be identified as a set of principles and theories that have been developed by health care professionals in order to support the creation of health promotion policies and practices. These health promotion models help to develop policies and programmes that enhance health and well – being of people. Some of the health promotion models that have been used by the government when creating their strategies are Becker model (1974), Tannerhill and Downie model (1996), Tones and Tilford (1994), Beattie (1991) and Caplan and Holland (1990).
Tobacco usage, specifically through smoking is identified as a public health challenge that is responsible for about 80,000 lives lost every year in England. As smoking is a threat for both the smoker and those who are surrounded, the government has created strategies to prevent the risks of smoking which links to the Becker (1974), Caplan and Holland model (1990) and the Tannahill and Downie (1996) health promotion models.
The Tobacco Advertising and Promotion Act of 2012 is one the government strategies that aim to prevent cigarettes being advertised in public, setting price regulations for tobacco product and prevent minors from buying cigarettes. It further helps informing the public about negative effects of smoking by adding informative images on cigarette pack covers (Pamela and David, 2009). Therefore, this strategy implemented through the above act can be identified to have linked with Becker (1974) health model which is based on influencing people evade behaviours that cause negative health effects.
The Caplan and Holland model of 1990 has the intention of educating people about the impact of negative health behaviours and empowering the public with knowledge so that they can evaluate their own health behaviours and take actions. By following this model, the government has regulated to include disturbing graphical images on cigarette packets so that smokers are aware of the consequences of their actions and be influenced to quit smoking. It is also noted most smokers have started smoking at young ages and by increasing awareness, the number of young people who start smoking will reduce, following the Caplan and Holland model.
The Public Health Act of 2009 has provided regulations to ban smoking in public, which is linked to the theory of Tannahill and Downie 1996 model where it is said that when there are smokers to be seen, it will cause a behavioural change to the public. And most importantly, it also saves the passive smokers being exposed to cigarette smoke which protects lots of people who become victims of passive smoke.

2.2 The role of professionals in meeting government targets for health promotion

Smoking has been one of the health threats that are responsible for large number of direct and indirect deaths in the UK since decades. However, these smoking related diseases are categorised as preventable diseases due to that reason that smoking is a personal behaviour that can be changed. Therefore the government takes numerous efforts to reduce the number of smokers in the country and thus reduce the smoking related deaths, reduce passive smoking effects and decrease the health expenses spent on smoking related diseases. These principles follow the Becker (1974) health model which emphasizes that health promotion specialists need to be committed for building capacity to facilitate health promotion activities (Government UK, 2016).  
As a Smoking Cessation Officer (SCO) who has been appointed by the government to reach those goals, I have a wide range of roles and responsibilities that could help reduce the number of starting smokers, help people quit smoking, reduce the number of smokers in a given area and support medical services provided for smoking related health threats.
As the SCO, one of the objectives I have is to educate both smokers and non-smokers about the negative impacts of smoking and using other tobacco based substances. This objective can be achieved by organising educational programmes, organising lecture programmes, distribution of informative leaflets and conducting counselling sessions. These educational programmes can be organised schools centred so that young people will be saved from starting smoking at young ages (Government UK, 2016). The lecture programmes can be supported with resource persons from external parties such as hospitals so that there will be more effective awareness sessions.
For the purpose of supporting smokers quit smoking, I can play a responsible role by arranging nicotine replacement therapies, supporting the smokers to quit smoking and performing follow up visits to smokers. These actions have been defined by the smoking cessation guidance for commissioners through national guidelines. Further to that, arranging alternative treatment for smokers, such as nicotine replacement therapies and focus group session facilitation (Fitness blender, 2016).
Further to those activities, I can play my role in making sure that all people in the community have access to these health care programmes and smoking cessation support programmes. As the SCO, I will identify the demographic segments which haven’t been included in the health care programmes and make sure they’re included in the future programmes for effectively reaching government targets. By following those principles, I as the SCO can help the government objective of reducing the smokers in the area to be achieved in the most efficient and cost effective manner. The other professionals in the health and social care industry such as doctors and counsellors also help in the process of smoking cessation in the local area. The doctors participate as resource persons in the smoking cessation seminars and other programmes to increases awareness among people to avoid become smokers and provide smoking cessation support for the smokers who want to quit. I work with these professionals in organising the smoking cessation campaigns and awareness programmes.

2.3 The role of routines in promoting healthy living

There are lots of routine activities that promote healthy living of people. For example, daily exercises, personal hygiene, proper sleep and having healthy diet are some of the routine activities that help people to stay healthy and be free of diseases. Further to them, avoiding harmful routine activities such as smoking, using other harmful substances and drinking alcohol will also help the individuals to be free of diseases.
Personal hygiene is an important part of every person’s life, especially with regards to smokers as well. When people stay hygiene by brushing teeth, having regular baths and by following a healthy diet, there is a less risk for them to be contacted by diseases. Smokers were encouraged to brush their teeth more regularly as the smoke can harm the teeth and accelerate decay. Smoke also cause bad odour from smokers, from their breath and also from clothes (Fitness blender, 2016). Therefore it is important to maintain personal hygiene so that many health matters can be avoided.
Daily exercises and physical activities are also important part of routine activities. Daily activities will help to regulate the blood circulation, reduce high blood pressure, reduce the risk of heart attacks and make people feel more fit and relaxed subsequently. For the people who have stopped smoking, engaging with physical exercises is an ideal method to gain their physical fitness back to normal status as their body parts, especially lungs have been damaged by smoking. 
A balanced and nutrient diet will provide all required vitamins, proteins, carbohydrates and other substances for the body. This nutrition is important for the human body to maintain and repair the bodily organs. Bad health habits such as smoking causes the resting metabolism to be increased which causes people to burn more calories when they are resting and cause to increase the blood pressure too (Fitness blender, 2016). With the combination of balanced diet and physical exercises, the people who have quit smoking will be able to gain their physical health back to the status where it was before they started smoking. As the officer who has been appointed for Smoking Cessation, I will promote healthy physical activities and other mentioned routine activities along with the smoke cessation programmes to receive higher effectiveness and reach the smoking cessation goals more efficiently.

Task 3

3.1 Explain how health beliefs relate to theories of health behaviour.

There are several theories of health behaviour which have expressed different theoretical concepts about how people acquire health behaviours. The health behaviour theories can be linked with the health beliefs people have and the health beliefs they take in to action in their daily life. The Health Behaviour Model (HBM) of Becker 1974, the Theory of Reasoned Actions by Ajzen and Fishbein 1980 and the Health Action Model are three famous health behaviour models that can be linked with health beliefs.
According to Becker’s health behaviour model, it is said that a person can change their health beliefs by improving their knowledge which makes them able to evaluate the options and choose the correct one. For example, a person who smokes and is not fully aware about the negative impacts smoking brings to him will believe that smoking is not bad for him. But after educating that person about the negative impacts of smoking, he will be able to decide that his belief regarding smoking was wrong and that smoking brings only negative impacts (Graham and Steven, 2008). This health model bases six concepts, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action and self-efficacy. With each concept, the models aim to provide information to people regarding their vulnerability to health threats, when and how they should take action, reduce the barriers of services, increase awareness and provide reinforcement.
The Theory of Reasoned Action Model has expressed the idea that a person’s attitude, social background and their control over their own behaviour affect their need to adopt a new health belief. For example, when smoking cessation is considered, when a person who smokes gets constantly advised by his close family members, friends and relatives to quit smoking, when the smoker is taught about the negative impacts of his behaviour and when he is taught about the alternative options he has for smoking, the person will gather reasons to change his belief regarding smoking (Lishman, 2007).
The Health Action Model carries a similar theory where it says that the self – esteem of a person can be a motivation for him to change negative behaviours. It has further described that, things such as peer pressure, motivation to conform and assessment of costs and benefits of an action. When smoking cessation is considered, a smoker will think about how others will feel when others identify him as a smoker and with his high self – esteem he will identify that being marked as a smoker will cause his esteem to be lowered. Due to that, the smoker will try to take actions to quit smoking (Naidoo and Wills, 2007).
All these models show that health beliefs of people are linked to the health models in different way and that those models can be used in different way to manipulate the beliefs of people towards healthy actions.

3.2 Discuss the possible effects of potential conflicts with local industry on health promotion

There can be various types of conflicts between different types of regulatory agencies and other institutions with regards to smoking cessation in the Newham area. When the conflicts are considered, one of the major conflicts that arise will be between the government and the tobacco companies.
For example, when the government creates rules and regulations to prevent cigarette advertising and promotion, the tobacco companies lose a large amount of their customer base and they will no longer be able to make their customers be aware of their products. Therefore the business of the tobacco companies will be restricted and disturbed, both directly and indirectly with smoking cessation related policies and regulations. In this regard, the tobacco companies may face conflicts with the government as the government policies and regulations are restricting their business which is a legal business according to the business constitution. Therefore the government will not be able to make strict rules and regulation that could prevent tobacco companies doing their business.
Another conflict the government will be facing is restricting the sale of cigarette and other tobacco products while still keeping the tax money earned from tobacco products at a higher level. It has been identified that the tax money collected from tobacco industries in UK is far greater than the amount spent of tobacco related diseases by the government through health care services. Therefore, if the tobacco sales are completely prohibited through regulations, the government will lose a large portion of tax money that is spent on public expenses such as health care and education.
These tobacco companies also provide employment for large number of workers which helps to keep the country’s economy going well and maintaining the unemployment rates. When the policies are adjusted to restrict the sale of tobacco products, the companies may close their business in the country which will result in higher unemployment rates and lower economic growth for the country.
Therefore when the government is making decision, the government needs to consider a large amount of aspects of policy making and deal with the above conflicts.

3.3 Explain the importance of providing relevant health related information to the public

Providing health related information to people according to their needs can be identified as one of the strategic actions that could help the health and social care industry in terms of reaching its goals, cost effectiveness and improving public health.
Information is important for people to update their level of knowledge and be empowered to make decisions. For example, when smoking cessation is considered, it can be seen that many people have addicted to smoking and continue to smoke without being fully aware of the negative impacts that smoking brings to them. But when the people are given explanations about what smoking does to the human body and how the body gets damaged by smoking, they will be able to evaluate the effects and make decisions by themselves to quit smoking. Another aspect of lack of knowledge with regards to smoking is related passive smoking. When non – smokers are exposed to cigarette smoke; they will not be highly concerned about it at the time and will not take any serious actions as they are not smoking cigarettes themselves. This happens due to the lack of knowledge that passive smoking is more harmful than actually smoking. However, if the public was aware that passive smoking is just as harmful as smoking, they will take actions to avoid being exposed to smoke and it will help them to prevent consequences of passive smoking.
Another importance of having health information made available for public is that it will help to reduce the cost of health and social care services in the long term. As explained above, when the people are more knowledgeable and are aware of negative effects of smoking and are aware of how to be safe from them, people will try to avoid those consequences. This will lead to lesser amount of incidents and diseases related to smoking and therefore the government health service will need to spend lesser amount of money on health care services for to tobacco related diseases.


4.1 Plan a health promotion campaign to meet specific objectives   


I have planned my health promotion campaign to be implemented in the London Borough of Newham area due to increase of tobacco related diseases, passive smoking related disease rates and higher number of pregnant smokers found in the area, found from the health care statistics.
The main objective of the promotion is to educate different types of community segments such as school students, pregnant mothers and young adults regarding the negative effects of being addicted to smoking, diseases that are related to smoking and the danger of being exposed to passive smoke.
According to the plan, the awareness programmes will be organised cantered schools and clinics of pregnant mothers’. Therefore the main target groups of the awareness programme will be pregnant mothers and school students.
The modes of communication will include exhibition of posters, lectures from resource persons and picture presentations.




Join your local smoking cessation community today and take actions now!
Do you know that your habit of smoking causes fatal risks for you and your family?
Join the smoke-free campaign today. Contact your local smoking cessation officer in the London Borough of Newham


The posters will be created to make the target groups aware of the programme and inform those who need help from the programmes. The resource persons from NHS who have experience with the Smoke Free programmes will be joined so that the programmes will be more effective.

4.2 Explain how the health promotion campaign supports health promotion strategies


The health promotion campaigns that are used for different health care related objectives use several health promotion strategies in order to make the health care campaign more effective and result generating. The basic health promotion strategies include making awareness, involving professional in the promotion activities, social marketing of the campaigns, creating better environments for supporting health and focusing on specific communities.
Creating an environment that supports and empowers people for health related changes is one of the important approaches according to the socio-ecological approach of health. In the health care campaign I have created, I have focused on school and clinics which are communities that are also environments for many types of people to affect their social behaviours. When the campaign has focused a whole segment of the society, people will more likely to be empowered for changing their behaviours rather than when they’re approached alone.  From the plan that I have created, school students and pregnant mothers will be two main communities that will be empowered.
Use of the health care professionals and increasing awareness has been done together by taking professionals in the health care industry as resource persons to the health care campaigns such as lectures and awareness programmes. These programmes help to increase awareness of people with the help of experienced people in the industry.
The social marketing attached to the health care campaign will also help to increase awareness about the campaign which will increase the participation for the programme. It will be included with the social networks of the school students and social network of the participants of the clinic. Therefore, it can be concluded that my health care campaign has been constructed with consideration of several health care strategies.

Conclusion

It can be concluded that health promotions are an important set of activities that help to make behavioural changes to the communities. These health promotions can be beneficial for health care practitioners, professional, health care agencies, health care service users and for the government. It was identified that there are several underlying strategies behind health care promotional activities that are used for the success of health promotions.