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250 WORDS CITATION AND REFERENCES Discuss how the concept of “health” has changed overtime. Discuss how the concept has evolved to include wellness, illness, and overall well-being. How has health promotion changed over time? Why is it important that nurses implement health promotion interventions based on evidence-based practice? Teacher comment: People’s view on health have changed over the years. Previously people thought they were healthy if they were free of disease and able to work and support their family. With access to health insurance, people are seeing their physicians for annual check-ups where primary prevention is placed as high priority. Vaccinations are emphasized as each new child is brought into the world. Community events are held to teach people about the importance of a healthy diet and exercise regimen. Risk factors are assessed, and monitoring takes place (ie: elevated blood pressure, impaired fasting blood glucose). There is availability of medications to treat many conditions before they cause damage, and this is the role of secondary prevention – detection and treatment. Health care professionals utilize Evidence Based Practice in their care of patients in both health promotion and illness prevention.