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1. Community-Based Nursing: nurses acute on illness care for families throughout their life span aim: manage acute
and chronic conditions
Philosophy of nursing care. most likely to give direct care but is outside the walls of the hospital
2. Community-orientated nursing: Focus: on community or populations
-care of individuals, families, and groups in mind
-goal: preserve, protect, maintain health, provide healthcare to promote wellness of life.
-Broad focus table
1-1
example: think of immunizations, based is in a clinic getting a flu vax, oriented will have a drive through flu vax
opportunity
3. Population focused nursing: -Focuses on the entire population
-Is based on assessment of the population's health status to find a problem
-Considers the broad determinants of health
-Emphasizes all levels of prevention
-Intervenes with communities, systems, individuals, and families
example: Headstart, the problem was early education lacked for low income families
4. What is public health?: Scientific discipline which includes epidemiology, statistics, assessment considering the
behavioral cultural, environmental factors for policy development and program planning
,Mission: Generate and organize community effort to address public interest in health by applying scientific and technical
knowledge to prevent disease and promote health
POPULATION FOCUSED RATHER THEN INDIVIDUAL PATIENT
5. What does public health effect?: Health is influenced by:
-50% of premature death is due to LIFESTYLE
-20% to human biology
-20% environment
-10% inadequacies in health care
Life expectancy changes
-Sanitization, hand hygiene, tobacco use, prevention of communicable diseases
Prevention of early death
-70% is related to health promotion and disease prevention
National Health Care Expenditures
-only spend 3% of budget on prevention
Benefit vs Cost of Prevention
-prevention could increase cost by increasing lifespan (older cost more money)
6. What is the primary goal of public health?: prevention of disease and disability
7. What are the goals of public health nursing?: 1. Promotion of health
2. prevention of disease and disability for all
3. Achieved in conditions in which people can remain healthy
8. What is the process of public health nursing?: 1. Assess need of a population
2. Developing a plan and interventions
, 3. implement
4. evaluate
5. use results to take further action
9. Community: group of people who share something in common and interact with eachother. They may exhibit
commitment to eachother and share a geographical location together
10. Population: Collection of individuals who have 1 or more personal or environmental characteristics in common
-don't have to share geographical boundary or have to interact ex:
parents of children, night nurses
11. Aggregate: Selected segment of the population, small and can be interacted with ex: medsurg night shift nurses
12. What are the roles of Community and Public Health nurses?: -Advocate: Facilitate efforts to get needed
healthcare (legislature??) -Caregiver: provide care (cares for populations)
-Case Manager: Help clients make appropriate decisions on how to manage their health services, integrate and coordinate
care
-Casefinder: targeted outreach to find clients in need of help and help them get that care
-Counselor: help cope with stressors that can lead to crisis and adapt to changes
-Educator: promote health action and facilitate behavior change
-Epidemiologist: analyze health problems in populations (determine cause, make interventions)
-Group Leader: group process to provide targeted preventative service and monitor case load responsibilities
-Health Planner: Develop and implement health services for populations at risk (immunization clinics)
-Manager: Responsible for case load demands (multiple individuals)
-Referral Agent: Maintain current information about services in the community and enables clients to use these
13. What are the core functions of public health?: 1. Assessment