Public health - The science/art of preventing disease, prolonging life and promoting
physical health and efficiency through organized community efforts to ensure a community
standard of living adequate for health maintenance.
Key characteristics of public health nursing - Resolving health inequalities and addressing
the determinants of health
community health - An extension of public health that includes organized health efforts
(school groups, etc.) at the community level through both government and private efforts.
focus of community and public health - Health promotion and disease prevention with an
interdisciplinary effort
primary prevention - Promoting health, protecting against health threats in the
community. Prevention of illnesses/injury before they begin.
which level of prevention focuses on those with NO DISEASE? - Primary
preventionDetecting/treating problems in their early stage to half the progress. Screening for
illness/injury before they worsen.
Goals and examples of primary prevention - -reduce number of cases
-education, immunization
secondary prevention - Detecting/treating problems in their early stage to half the
progress. Screening for illness/injury before they worsen.
Which level of prevention focuses on those with ASYMPTOMATIC DISEASE? - secondary
prevention
goals and examples of secondary prevention - -Reduce # of severe cases
-Low-dose aspirin, accomodations to prevent re-injury, mammogram, TB test
tertiary prevention - Preventing existing problems from getting worse. Treatment of illness
to delay exacerbation. Maximize quality of life.
which prevention focuses on those in the CLINICAL COURSE? - tertiary prevention
goals and examples of tertiary prevention - -reduce # of complications/death
, -cardiac rehab, support groups
Determinants of HEALTH - ● Health Policy
● Environmental
● Access to Care
● Linking with people: Social/Spiritual
● The culture of health
● Hereditary/biology
Core Functions of Public Health - 1. Assessment
2. Policy Development
3. Assurance
assessment - knowing what needs to be done
-monitor health, diagnose and investigate
policy development - being a part of the solution
-inform, educate, and empower
-mobilize community partnership and develop policy
assurance - making sure it happens
-enforce law, link toprovide care, ensure competent workforce, evaluate, research
Upstream interventions - actions focus on modifying economic, political and
environmental factors that are the precursors of poor health throughout the world.
-Tx of the root cause
Downstream interventions - Interventions operate at the micro (proximal) level, including
treatment systems, and disease management
-tx of the issue
Goals of population health (Triple Aim) - (1) improve the patient experience of care
(2) improve the health of populations