nur 412-unit 1 full assessment
questions and answers (Introduction
to Community Health Nursing)
healthcare should be available for all - 1978 - disparities were realized officially - objective was
health for all people of all nations - answer ✔✔-Alma-Ata Declaration, 1978
Socioeconomic status
Education levels
Environment
Gender identity
Culture - some don't go to the doctor until it's too late - answer ✔✔-some factors that impact
health
behavior
infections
genetics
geography
environment
medical care
socio-economic-cultural - answer ✔✔-Determinants of health - BIG GEMS
,Behaviors - habits, lifestyle, smoking, drinking, obesity
Infections - disease
Genetics - ex. Cholesterol can be super high if this is in your genetic makeup
Geography - ex. Rural places can only have 1 place to go; ex. Santa Barbara is all mountains, so
the wind blows and fungus from the soil is brought up - immunosuppressed people are more
likely to get fungal infection in lungs; pollution - answer ✔✔-some notes on BIG GEMS
Social Economic Status:
~~~~ Education
- if you're more educated, it's more likely that you'll eat better, do pre-screening treatments like
colonoscopy after 50, get dental hygiene
~~~~ Work + Income
- you can afford better food and have access to preventative care
- income helps you meet basic needs of Maslow's hierarchy
- higher life expectancy if you work and have an income
Social status
- has influence on the other factors
Social support
- gay Hispanic middle aged men with no support had more sexual risk behaviors
- very important
,- doesn't have to be from the family - you get lots of support from friends, coworkers, religious
organizations
Place + Housing
- somewhere to live that is safe
- ex. living in Miami with no AC - infection risk is higher - if sent home with wound care to home
with no AC, that's a problem
- rural - how far is the nearest facility? - advantage to rural is farming their own healthy - answer
✔✔-Key Categories of Social Determinants of Health
IMPORTANT TO KNOW **************
Understand the complex relationship between people/groups/social systems and health
Use that understanding to improve population health - answer ✔✔-Public Health Nursing Aims
To:
individual
- age
- income, education
- attitudes, beliefs
- trauma
- mental health history
relationship
- family
- peers
, - partner
- other social networks
community
- neighborhoods
- schools
- workplace
- social or religious organizations
societal
- social and cultural norms
- policy - answer ✔✔-We are constantly interacting with & influenced by our surroundings
Public health
- "activities that society undertakes to assure the conditions in which people can be healthy"
- broad set of resources
- ex. Tobacco-free Florida
- TB = can't live in the community; need to quarantine until you get your meds -> direct
observational therapy (DOT) is needed if people refuse = public health issue
Public health nursing
- nursing that is community-based and, most importantly, population-focused
- promotion, protection, and preservation of public health
Community health
- "identification of needs and the protection and improvement of collective health within a
geographically defined area"
questions and answers (Introduction
to Community Health Nursing)
healthcare should be available for all - 1978 - disparities were realized officially - objective was
health for all people of all nations - answer ✔✔-Alma-Ata Declaration, 1978
Socioeconomic status
Education levels
Environment
Gender identity
Culture - some don't go to the doctor until it's too late - answer ✔✔-some factors that impact
health
behavior
infections
genetics
geography
environment
medical care
socio-economic-cultural - answer ✔✔-Determinants of health - BIG GEMS
,Behaviors - habits, lifestyle, smoking, drinking, obesity
Infections - disease
Genetics - ex. Cholesterol can be super high if this is in your genetic makeup
Geography - ex. Rural places can only have 1 place to go; ex. Santa Barbara is all mountains, so
the wind blows and fungus from the soil is brought up - immunosuppressed people are more
likely to get fungal infection in lungs; pollution - answer ✔✔-some notes on BIG GEMS
Social Economic Status:
~~~~ Education
- if you're more educated, it's more likely that you'll eat better, do pre-screening treatments like
colonoscopy after 50, get dental hygiene
~~~~ Work + Income
- you can afford better food and have access to preventative care
- income helps you meet basic needs of Maslow's hierarchy
- higher life expectancy if you work and have an income
Social status
- has influence on the other factors
Social support
- gay Hispanic middle aged men with no support had more sexual risk behaviors
- very important
,- doesn't have to be from the family - you get lots of support from friends, coworkers, religious
organizations
Place + Housing
- somewhere to live that is safe
- ex. living in Miami with no AC - infection risk is higher - if sent home with wound care to home
with no AC, that's a problem
- rural - how far is the nearest facility? - advantage to rural is farming their own healthy - answer
✔✔-Key Categories of Social Determinants of Health
IMPORTANT TO KNOW **************
Understand the complex relationship between people/groups/social systems and health
Use that understanding to improve population health - answer ✔✔-Public Health Nursing Aims
To:
individual
- age
- income, education
- attitudes, beliefs
- trauma
- mental health history
relationship
- family
- peers
, - partner
- other social networks
community
- neighborhoods
- schools
- workplace
- social or religious organizations
societal
- social and cultural norms
- policy - answer ✔✔-We are constantly interacting with & influenced by our surroundings
Public health
- "activities that society undertakes to assure the conditions in which people can be healthy"
- broad set of resources
- ex. Tobacco-free Florida
- TB = can't live in the community; need to quarantine until you get your meds -> direct
observational therapy (DOT) is needed if people refuse = public health issue
Public health nursing
- nursing that is community-based and, most importantly, population-focused
- promotion, protection, and preservation of public health
Community health
- "identification of needs and the protection and improvement of collective health within a
geographically defined area"
