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63 Cards in this Set
- Front
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Community Health Nursing |
Assist in the transition of the Ph care from a disease oriented to a health orientedg |
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Major goal of CHN |
Preserve the health of the community and surrounding population by focusing on health promotion and health maintenance of individuals |
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Mission of public health |
Social justice |
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Social justice |
Entitles all people to basic necessities, such as adequate income and health protection |
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A STATE OF COMPLETE PHYSICAL MENTAL AND SOCIAL WELL BEING AND NOT MERELY THE ABSENCE OF DISEASE OR AFIRMITY |
WHO Health Definition |
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Social |
Relating to living together in organized groups or similar close aggregates |
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Social Health |
Connotes community vitality and isba result of positive interaction among groups within the community with an emphasis on health promotion and illness prevention |
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Physical (structure/function) Social Mental (emption and intellect) Role General perception of health status |
Dimensions of Health |
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Community |
- collection of people - group of people
Eg. Resident of small town |
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Concept of community and identify four defining attributes |
People Place Interactions Common characteristics interest goals |
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Geopolitical communities Phenomenological communities |
Two main types of communities |
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Geopolitical communities |
Formed both natural and manmade boundaries (Barangay municipalities cities provinces regions nations)
Congressional district and neighborhood Territorial communities |
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Phenomenological communities |
Refer to relational, interactive groups, which the place or setting is more abstract and people share a group perspective or identity based on culture values history interest and goals
Functional communities
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Schools College University Church Mosques |
Example of phenomenological communities |
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Population |
Having common personal or environmental characteristics.
It can also refer to all of the people in defined community
Eg. Resident of a small town |
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Aggregates |
Subgroups or subpopulations that have some common characteristics or concern
Eg. Pregnant teens within a school district |
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Gawad kalinga |
Aim to alleviate poverty by community development and a group of indigenous people who lobby against environmental defraying |
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Income and social status Education Physical environment Employment and working conditions Social support networks
Culture
Genetics
Personal behavior and coping skills
Health services gender |
Determinants of health and disease |
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C E winslow |
Is known for the following classic definition of public health |
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Preventing disease Prolonging life Promoting health and efficiency through organized community effort - sanitation - control commu disease - education of personal hygiene - development of social machinery |
Classic definition of public health |
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Public health |
Through organized community effort |
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Assessment Assurance Policy development |
Primary function of public health |
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Assessment |
Regular collection analysis and info sharing about health conditions risk and resources in a community |
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Policy development |
Use of information gathered during assessment to develop local and state policies |
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Assurance |
Focuses on the availability of necessary health services throughout the community |
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Two avenues of local level structures |
Environmental health services Personal health care services |
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Environmental health services |
Which protect the public from hazards such as polluted water and air and tainted food |
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Personal health care |
Such as immunization and family services well infant and maternal care.. |
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Community health |
Extends the realm of public health to include organized health efforts at the community |
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Health promotion |
Enhances resources directed at improving well being |
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Disease prevention |
Protect people from disease and the effects of diseases |
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Leavell and Clark |
Identifies three levels of prevention |
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Primary prevention Secondary prevention Tertiary prevention |
Three Levels of Prevention |
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Primary protection |
Relates to activities directed at preventing a problem before it occurs by altering susceptibility or reducing exposure for susceptible individuals |
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Promotion of good nutrition Provisions of adequate Shelter and encourage regular exercise |
Example of primary prevention |
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General health promotion Specific protection |
Teo elements of primary prevention |
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Specific protection |
Reduce or eliminate risk factors and include such measures as immunization and water purification |
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Secondary prevention |
Refers to early detection and prompt intervention during the period of early disease pathogens
Implemented after the problem
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Tertiary prevention |
Correction and prevention of deterioration of a disease state |
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Tertiary prevention |
Targets population that have experienced disease or injury and focuses on limitation of disability and rehabilitation |
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Screening |
Eg of secondary prevention |
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Immunization |
Eg of Primary prevention |
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Teaching insulin administration |
Eg of tertiary activities |
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Community health nursing |
Global or umbrella term |
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Public health |
Nursing as component or subset |
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Community health nursing |
Synthesis of nursing practice and public health practice applied to promote and preserving the health of population
Broader and general |
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Public health nursing School nursing Health nursing Home health Hospice care Independent nurse practice |
Community health nursing |
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Public health nursing |
Synthesis of public health and nursing practice |
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Community based nursing |
Application of the nursing process in caring for individual families and groups where they love work or go |
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Population focused nursing |
Concentrates on specific groups of people and focuses on health promotion and disease prevention, regardless of geographical location |
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Epidemiology or body of knowledge of a particular subject and its solution
Info about the community |
CHN practices requires the following types of data |
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Demographic data |
Age gender race ethnicity socio- economic status education level |
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Vital statistic data Census |
Sources of demographic data |
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Groups of information |
Health atatus and health indicators of various subpopulation in the community |
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Health stats Disease stats |
Sources of groups at high risk |
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Services/providers available |
Official health departments a health care provides for low income individuals and families community service agency and organizations |
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City directories Phone books Local or regional social worker List of low income providers Local community health nurse |
Sources of Service/providers available |
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Public heath intervention model |
Initially proposed in the late 1990s by nurses from Minnesota Dept of Health to describe the breadth and scope of public health nursing practice |
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Intervention Wheel |
Framework for community and public health nursing practice |
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Population based 3 levels of practice (community-system-individuals/family) Identifies and define 17 public health interventions |
3 elements of intervention wheel |
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System level intervention Population or community level intervention Individual level implementation |
Three levels of practices of intervention wheel |
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System leve intervention |
Might be the school nurse working with the local health dept to coordinate a response to cases of measles in an elementary school |
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Population or community level intervention |
For screening would be when a public health nurse works with |
