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32 Cards in this Set

  • Front
  • Back
Community Based Nursing
focus on illness-care of indiv and families across the lifespan
manage acute and chronic conditions in community
community oriented nursing/community health nursing
healthcare of community is primary focus
care for community in public health nursing, or
of individual within community
goal is to preserve, protect, promote
public health, public health nursing
1. community efforts designed to prevent disease and promote health
2. scientific discipline that includes the study of epidemiology, statistics and assessment...
3. population based, community oriented nursing
three public health core fxs
1. assessment--data collection on population
2. policy development- fm scientific knowledge base
3. assurance--making sure that essential community health services are available
process of public health nursing
(nursing process)
1. assess--health and needs of population (identify risk factors)
2. plan--interventions
3. implement
4. evaluate--progress
5. utilize results--for futher planning, direct care, influence policy
primary prevention
promote and prevent
includes education, counseling, training
basic sanitation, food protection, safety precautions
immunizations, prenatal FA, seat belts, etc
secondary prevention
screening
seeks to detect dz early, b/f clinical S/S
early dx-->tx
tertiary prevention
treatment
intervention initiated once dz is obvious
goal is to interrupt course, minimize diability, begin rehabilitation
Eliazbethan Poor Law
1601 England
guaranteed medical care for the poor, blind, lame
minimal care provided by almshouses
colonial Americans
est systems of care for the sick (based on British/EPL)
counties care for their own dependents only, few hospitals
early colonial Am. public health
collection of birth/death records
improved sanitation
imp control of comm. dz
epidemics still common
Industrial Rev. Influence of public nursing
immigration, inc urbanization led to epidemics
lay women and RC/Prot. women provided some care
F. Nightingale est Training School for Nurses at St. Thomas (London) in 1860
Red Cross founded in 1864
Colonial Am Public Health
informal care provided by women
1st hosp, Marine Hospital Service est 1798-->US Public Health Service
Shattuck Report
pub by Mass Sanity Comm in 1850
called for improvements in state public health
first proposal for modern approach to public health org.
Lillian Wald
first public health nurse in US, influential social reformer, founded Henry St Settlement, working on NYs lower east side (1893)
later Visting Nurse Serv of NYC
F. Nightingale
cared for soldiers in Crimean War (1854-1856) using population based approach
used simple epidemiology
org. hospital nursing practices and nursing education
promote health, prevent illness
William Rathbone
British philanthropist
founded first district nursing assn in Liverpool (1859)
Visiting Nurse Assns
cared for sick at home
promoted prevention through home visits and well-baby clinics
American Red Cross
est 1881
with Rural Nsg Service-->home health care to more rural areas
American Public Health Assn
1872
promote practical application of public hygiene
focused on sewage, garbage disposal, injury, stds
Social Sec Act of 1935
enacted to protect the health of people
included funds for education and employment of public health nurses
Community based nursing (slide)
prov of acute and chronic care in community
focus: illness care
goal: manage acute, chronic health cond
practice setting: comm. agencies, home, work,school
types of servs: direct nursing care
primary lop: secondary, tertiary
nurses' role: care, educate, counsel, case mgr
Community oriented nursing (slide)
also comm health nsg, public health
focus: health care
goal: preserve, protect, promote
practice settings: community agencies, home, work, school
type of services: direct care
primary lop: primary, secondary
nurses' role:
Economic challenges of _____________highlighted the need for federal assistance for healthcare
Great Depression
Reason for increased life expectancy in the 20th C
Nurses influenced reduction of comm dzs through immunization campaigns, improved nutrition, better hygiene and better sanitation/avail of more meds, better housing, good ER/critical care services
Red Cross Founded
1864
first proposal for modern approach to public health org.
Shattuck Report 1850
est Training School for Nurses at St. Thomas (London) in 1860
F. Nightingale
first public health nurse in US
Lillian Wald
guaranteed medical care for the poor, blind, lame
minimal care provided by almshouses
Elizabethan Poor Law
1st US hosp
Marine Hospital Service
Marine Hosp Serv became
US Public Health Service