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Public Health Nursing Documentation Guidelines - Indian Health ...

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<strong>Documentation</strong> and Coding <strong>Guidelines</strong> for <strong>Public</strong> <strong>Health</strong> Nurses<br />

9.0 LEVELS OF INTERVENTION<br />

<strong>Public</strong> health nursing best practice is to document the level of intervention at every<br />

encounter. There are three levels of intervention.<br />

9.1 Primary Prevention: Prevention of Disease<br />

Primary prevention includes actions to protect against disease and disablility, such<br />

as getting immunizations, ensuring the supply of safe drinking water, applying dental<br />

sealants to prevent tooth decay and guarding against accidents.<br />

9.2 Secondary Prevention: Prevention of Complications With Existing Disease<br />

Secondary prevention includes actions to prevent, or minimize complications of, existing<br />

disease and to limit further disability.<br />

9.3 Tertiary Prevention: Improving the Quality of Life<br />

Tertiary prevention includes interventions that improve the quality of life for people<br />

with various diseases by (a) limiting complications and disabilities, (b) reducing the<br />

severity and progression of disease, and (c) providing rehabilitation interventions to<br />

restore functionality and self-sufficiency.<br />

<strong>Indian</strong> <strong>Health</strong> Service Page 9-1

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