Chapter 3 Community Based Practice/chapter 4 Theoretical Foundations Of Nursing Practice

Front 1

What is the main concept of COMMUNITY BASED HEALTH CARE?

Back 1

A type of care that reaches everyone in the community, and it focuses on primary care as opposed to acute or institutional care, and provides knowledge about health and health promotion.

Front 2

Where does COMMUNITY BASED HEALTH CARE TYPICALLY TAKE PLACE? (setiings)

Back 2

Community based health care typically takes place outside traditional health care institutions.

Front 3

Who does Community Based Health Care typically provide care /services to?

Back 3

To people with acute and chronic conditions to individuals within the community.

Front 4

What is a program that was created to aide in achieving healthy populations and communities?

Back 4

The Healthy People Initiatives. (Healthy People 2010, 2020) This was established to create ongoing healthcare goals.

Front 5

What are the overall goals of Healthy People 2010?

Back 5

To increase life expectancy and quality of life, and to eliminate health dispairities through an improved delivery of health care services.

Front 6

How do we improve the delivery of healthcare within communities?

Back 6

Via assessing the health care needs of the communities, families, and individuals. Collecting incident rates is another way to ID and report new infections and diseases, adolescent pregnancy rates etc.

Front 7

In a population focused health care, such as community based health care, what provides the foundation for primary, secondary, and tertiary health care services?

Back 7

Community based healthcare modeling the goals of disease prevention, health protection, and health promotion.

Front 8

What are the differences between public health nursing and community health nursing?

Back 8

A public health nurse focus requires understanding the needs of a population. A community health nurse in a nursing practice in the community with the primary focus on the health care of individuals, families, and groups inside a community.

Front 9

What are the goals of community health nursing?

Back 9

The goal is to preserve, promote, and maintain health.

Front 10

Give an example of community health nursing.

Back 10

An example of community health nursing would be a nurse practitioner giving immunizations to clients with the objective or managing communicable diseases in the community.

Front 11

What is community based nursing?

Back 11

This care takes place in community settings such as the home or a clinic, where the focus is on the needs or the individual or the family. It involves the care for acute and chronic illness. It enhances the capacity for self care and promotes autonomy.

Front 12

What is the difference between community based nursing and community health nursing?

Back 12

Community based nursing takes place in a community caring for individuals or families with chronic or acute illness, it also takes place in a clinic or a home. Community health nursing cares for the family, individual, and the community, but focuses on promoting health, maintaining health, and protecting health.

Front 13

How to community based nursing centers alleviate the costs of healthcare?

Back 13

Since community based health care centers are the first level of contact between the patient and the health care system, it is important to provide clinics close to where the clients live. This alleviates health care costs.

Front 14

What are the four levels of the human ecology model?

Back 14

1. National Government
2. Local Community
3. Neighbors, Friends, Xtended family
4. Individual/Immediate Family

Front 15

Define vulnerable populations.

Back 15

Clients who are more likely to develop health problems as a result of excess risks, who have limits in access to healthcare services, or who are dependent on others for care.

Front 16

Give some examples of vulnerable populations.

Back 16

Poverty
Older Adults
Homeless
Immigrants
Abusive Relationships
Substance Abusers
Severe Mentally Ill

Front 17

What are some guidelines for assessing someone from a vulnerable population?

Back 17

1. Create the setting comfortable
2. Make sure you do a thorough history because someones you only get one chance to interview them.
3. Make sure you look for signs of abuse in physical examination and home assessment.

Front 18

What are some competencies that community based nurses act as?

Back 18

Caregiver, case manager, collaborator, educator, counselor, client advocate, change agent and epidemiologist.

Front 19

How do you assess a community at large?

Back 19

You systematically collect data on the population, monitoring the populations health status, and making information available about the health of the community.

Front 20

What are the three components of a community that nurses pay particular attention to?

Back 20

1. Structure (name of community/neighborhood, geographical boundaries, emergency services etc.)
2. Population (Age, Sex, Growth, Education Level, Predominant ethnic groups, Predominant relgious groups)
3. Social System ( Education system, government, welfare system, health system)

Front 21

Define domain.

Back 21

The perspective of a profession.

Front 22

Define paradigm.

Back 22

A paradigm links science, philosophy, and theories accepted and applied by discipline.

Front 23

Define the elements of the nursing paradigm.

Back 23

The elements of the nursing paradigm direct the activity of the nursing profession->includes knowledge development, philosophy, theory, educational experience, research, and practice.

Front 24

Briefly explain Florence Nightingale's Theory.

Back 24

Through observation and data she linked the clients health status with environmental factors and initiated improving hygiene and sanitary conditions. She didn't see nursing as simply administering medication and treatments, but as creating a setting for healing as well. Nightingales "descriptive theory" provides nurses with a way to think about clients and their environments.