Health - Answers state of complete physical, mental and social well-being and not merely the absence of
disease or infirmity
Homeostasis - Answers Maintenance of physiological, functional, & social norms leading to adaptation &
homeostasisFeeling in control over one's life and living conditions
Human potential - Answers Actualization of human potential through goal-directed behaviour,
competent self-care & satisfying relationships with othersHaving a sense of purpose
Harmony - Answers Adjustment to maintain structural integrity & harmony with relevant
environmentsFeeling connected to the community
Community definition - Answers People & relationships Share = agencies, institutions, physical
environment Defined by = geography common interest or focus shared status or special interest
groupCan be a client
population - Answers eg. School of health sciences
aggregate - Answers Groups that form a population. eg. BCIT student in BSN program
Population health - Answers Measured by determinants of health (DoH) & health status indicators
Improves the health of populations & decreased inequitiesScope consists of the following 5 elements -
think of these as clients ( individuals, families, groups, communities, population)
9 key elements of a population health approach - Answers 1. focuses on the health of populations
2. addresses the determinants of health and their interactions
3. makes decisions based on evidence
4. increases upstream investments
5. applies multiple interventions and strategies
6. collaborates actress sectors and levels
7. employs mechanisms for public involvement
8. establishes partnership with clients and stakeholders
9. demonstrates accountability for health outcomes
Population health: Four sub-concepts - Answers Health promotion, Illness and injury prevention, Chronic
disease management, Epidemiology
, Nurses' role in population health - Answers Nurses collaborate with other health care professionals to
address health inequities while keeping the determinants of health in sight. Methods used by nurses
[many more ... sample]: Social justice -acknowledging injustice & differences, Systemic inequity -working
towards reducing this factor, Citizen engagement -strengthening cohesion by leveraging stakeholders
within the health care system
Canadian Nurses Association (CNA) - Answers comprehensive approach: Disease prevention, Community
developmentServices and programs, Working in interprofessional teams, Intersectoral collaboration for
healthy public policy
Primary Care - Answers the first contact between a person and the health care system [health care
providers] usually resulting in a diagnosis of a specific health problem. It usually refers to the curative
treatment of disease, rehabilitation, and preventive measures such as vaccines, behavioral changes, etc.
It may not be intersectoral nor may it be comprehensive Primary care is a core component of primary
health care
primary health care - Answers a strategy for delivery of comprehensive, integrated health care system
which addresses issues of equity and social justice.
Illness - Answers is the subjective experience of the loss of health. It is the individual's personal
experience and perception of & reaction to a disease. This person is incapable of functioning at their
desired "usual" level of performance
disease - Answers an objective state of ill health and the pathological process of which can be detected
by medical science. It refers to abnormal changes in the structure or functioning of the human body that
fit with the medical model. Diseases usually follow an identifiable progression known as the course of a
disease. The natural history of disease depicts this phenomenon in two periods:A) prepathogenesis = no
disease is present but susceptibility to disease existsB) pathogenesis = is a period from early
pathogenesis to convalescence
prepathogenesis - Answers no disease is present but susceptibility to disease exists
pathogenesis - Answers is a period from early pathogenesis to convalescence
Medical diagnosis - Answers MD / NP. Strict protocol as previous slide. Declares that an individual has a
medical diagnosis or a disease
Nursing diagnosis - Answers Nurses [non NPs]. Describes health care problems via clinical judgement.
Diagnoses actual & potential health problems within the domain of nursing. More in Nursing Practice.
Nurses do NOT diagnose a medical condition or a disease, unless they are a nurse practitioner
DoH - Answers Broad range of personal, social, economic, and environmental factors that determine
individual and population health. Factors that influence the risk for or distribution of health outcomes.
Generally 12.