What is the role of health care reform in shifting the focus from a disease-oriented health care system toward one of wellness and prevention, and how does nursing fit into this shift? Trying to find a way to defray health care costs, it was decided that it is much less expensive to prevent disease than to attempt to “fix” it after an illness occurs. The cost is much less, not only in terms of money, but in terms of human suffering. People live in communities, not health care systems. Finding ways to reach people so they live a healthy life that supports wellness remains a challenge. Cultural variation and beliefs have a profound impact.  You will have to reach deeply into your past course of Health Promotion to answer this question. How do we need to live in order to stay well? This is a very important question in relation to the current changes in relation to healthcare. Please think beyond diet, exercise and taking meds. They are important too, but true health promotion goes far beyond that limited focus.

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