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25 Cards in this Set
- Front
- Back
`Community-Based Nursing
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Individual/Family
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Community Orientated Nursing/ Public Health nurses
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Whole community/vulnerable populations.
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Public Health nurses role
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Focus On:
-prevention -Communicable disease control -safe food and water -direct services -epidemiology stats and assessments for policy making |
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Primary Promotion
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prevent problem
immunization/educations |
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Secondary promotion
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Screening/Early dx/ referral and treatment for disease present
BP clinics |
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Tertiary
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treat disease/prevent progression/restore health/ rehab
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Status (condition)
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vital signs of the community.
-epidemiologic data: who, what, how? physical assessment findings: -observe/auscultate/palpate |
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Structure (systems)
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Physical environment
-boundaries/natural features SES composition -demographic features Facilities and services ava -buildings, organizations, labor force |
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Process (how comm. functions)
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Capacity
•Strengths, weaknesses and problem-solving skills Competence: •How effectively the comm. works together to meet needs |
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Healthy Communities Have:
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-Pos. health status indicators
-Structures for equitable & -accessible services -Processes reflect capacity and competence |
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Nursing Process in com health
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assessment, est team, id resources, develop plan, collect/analysis exisisting data, do primary research
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Primary data:
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Data collected from individual
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Secondary data:
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fam ems, friends, death records, mortality, census, data, mortality/morbidity
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Upstream
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planning change before serious problems exist in population
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Downstream
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planning change after problem has occurred.
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Acute Care:
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Structured Formal Setting
Controlled environment Close supervision Multiple providers Ready access to resources & technology |
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Community Care:
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Less structure
Less formal More autonomy Less control over environment More family responsibility |
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Case Management Role
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oSystematic approach to identify high-risk, high-cost clients
oAssesses, plans, implements, coordinates, monitors and evaluates options to meet individuals health needs. -Using available resources to promote quality, cost effective outcomes |
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Case mgmt roles
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Reduce fragmentation of care
Promote self-care Id gaps in services Advocate for unmet needs |
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Case mgmt components
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Case finding – who needs us?
Assessment Analysis of data to identify needs (nursing dx) Planning care in collaboration with client Linkage – to services and resources Advocate for new resources if gaps exist Coordination of services Education: self care Monitoring quality, timeliness, effectiveness |
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Social Marketing
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Advertising
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Advertise to:
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Media techniques are used to send public health message to targets groups, want to "sell)
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Motivating principle:
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Consumers act out of self-interest to satisfy wants and needs
Minimize costs or undesirable influences |
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Framework for Consumers:
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Product = desired health behavior
Competition = current risk behavior Price = social, emotional, physical, or monetary costs Place = where the desired behavior is to be practiced Promotion = activities used to facilitate the exchange between the undesired to the desired behavior |
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Health Education Publications:
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- written or electronic should strengthen not replace!
- relationship between teacher and learner is true motivator for change |