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16 Cards in this Set

  • Front
  • Back

Community Health Nurses are involved in:

Providing direct services to children and families



Assessing the community to ensure a health environment

Current Health Status of Children in the US

*1/3 children live in low income families


*Children of color are at an increased risk for poor health


*Many just receive emergency care, not preventative care


*1/2 kids don't get dental care

Reasons for lack of access to health care

price of health care


lack of education


decreased access


Citizenship status


transportation


language barriers


mental health issues

Major Health Issues of Children in the US

Anemia


Lack of immunizations


Obesity


Accidents and injuries


Chronic health problems


Mental health issues


Learning disabilities


Environmental hazards


Dental


Communicable diseases


Violence


Cognitive Impairments


Substance abuse


Teen pregnancy


Gangs/Initiation rights


Basic elements of Preventive Strategies and Effective Services

1. Services should be community-based and community- delivered


2. Services should be family-centered; driven by the needs of children, youth, and families; and built on strengths.


3. Needed services should be available and accessible to all in a variety of settings, using a combination of public, privet, community, and personal resources.


4. Services should be culturally competent


5. Services should focus on primary prevention, early intervention, and strengthening the ability of children, youth, and families to help themselves.


6. Services should be comprehensive, and a continuum of services should be available.


7. Services should be flexible


8. Public, private, and community services should be coordinated, integrated, and collaboratively delivered.


9. Services should be of high quality and developmentally appropriate.


10. Services should be cost-effective

D.D.D.S.I

Diet


Developmental


Discipline and Behavioral Assessment


Safety


Immunizations

Safety: Areas of unintentional injury

1. Choking and Suffocation


2. Motor Vehicle


3. Fires and burns


4. Drowning


5. Poisoning

Lice: Symptoms and Education

Itching!!



follow directions on shampoo bottles, comb through head removing nets, wash, in hot water, anything that has come into contact with the head

Signs and Symptoms of Lead toxicity in children

seizures


severe cognitive impairments


severe neurological problems


lead on x-rays


black line on gums by teeth


sleep problems


lethargy


hyperactivity


Damage is not reversible!!!

Lead levels:

<10 ug/dl: re-screen in one year


10-14 ug/dl: education, follow up and testion


15-19 ug/dl: education, follow up and testing and social services referral


20-44 ug/dl: clinical management, environmental investigation and lead hazard control


45-69 ug/dl: clinical treatment and management, environmental investigation and lead hazard control


>70 ug/dl: immediate medical treatment, clinical management, environmental investigation, and lead control.

Sexual Activity and Teen Pregnancy

Kids have sex, we need to educate to prevent pregnancy



Highest rate in African and Latino Americans


Lowest rate in Asian and Pacific Islander

Consequences of teen pregnancy

economic affect


drop out of school/ harder to get an education


increased risk for STIs

Nursing role in addressing teen pregnancy

stay in school


family life programs (practice with eggs/flour)


Avoid situations with date rape possibility

Primary Prevention: Teen Pregnancy

Prevention of pregnancy


Access to contraception


Postponing sex

Secondary Prevention: Teen Pregnancy

Early detection of pregnancy


Tertiary Prevention: Teen Pregnancy

Once baby is born help care for child and mother