Moules and Ramsay (1998) identify many areas for child health promotion. This includes smoking, exercise, diet and nutrition, sexual health, dental health, skin care and the sun, accidents, alcohol and drug abuse. As with the other branches of nursing, health promotion can take forms of primary, secondary or tertiary intervention. Interventions may depend on the age of the child. Younger children, for example pre school aged children will benefit form health promotion aimed at the parents. Health promotion activities may include:
• Assessing needs
• Social support: providing support by creating groups, counselling sessions and creating opportunities for listening and building friendships
• Providing education through different medians
• Detection of disorders and health problems via screening programmes
• Providing practical help :providing access to information and knowledge, for example legal and economic advice
• Community projects and community development
As children’s health is determined by a wide range of factors, addressing the wider determinants of health is viewed as been effective health promotion. Whichever method used the child’s health needs to be viewed holistically, Hall and Elliman (2003).
Explore issues of consent: Fraser Guidelines/ Gillick competencies
Caulfield (1996) p287, Individuals over eighteen years who have the mental capacity can make their own decisions regarding health care. The Family Law Reform Act also allows young people of the age sixteen to eighteen to also make their own decisions. Consent issues become more complex when dealing with individuals under the age of sixteen.
National Society for the Prevention of Cruelty to Children NSPCC (2009) state Gillick competency and Fraser guidelines are used to assess whether a child under the age of sixteen is competent and mature enough to make their own decisions and understand the consequences of their decision