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32 Cards in this Set
- Front
- Back
Community Based Nursing
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focus on illness-care of indiv and families across the lifespan
manage acute and chronic conditions in community |
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community oriented nursing/community health nursing
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healthcare of community is primary focus
care for community in public health nursing, or of individual within community goal is to preserve, protect, promote |
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public health, public health nursing
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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 |
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three public health core fxs
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1. assessment--data collection on population
2. policy development- fm scientific knowledge base 3. assurance--making sure that essential community health services are available |
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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 |
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primary prevention
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promote and prevent
includes education, counseling, training basic sanitation, food protection, safety precautions immunizations, prenatal FA, seat belts, etc |
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secondary prevention
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screening
seeks to detect dz early, b/f clinical S/S early dx-->tx |
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tertiary prevention
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treatment
intervention initiated once dz is obvious goal is to interrupt course, minimize diability, begin rehabilitation |
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Eliazbethan Poor Law
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1601 England
guaranteed medical care for the poor, blind, lame minimal care provided by almshouses |
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colonial Americans
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est systems of care for the sick (based on British/EPL)
counties care for their own dependents only, few hospitals |
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early colonial Am. public health
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collection of birth/death records
improved sanitation imp control of comm. dz epidemics still common |
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Industrial Rev. Influence of public nursing
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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 |
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Colonial Am Public Health
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informal care provided by women
1st hosp, Marine Hospital Service est 1798-->US Public Health Service |
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Shattuck Report
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pub by Mass Sanity Comm in 1850
called for improvements in state public health first proposal for modern approach to public health org. |
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Lillian Wald
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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 |
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F. Nightingale
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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 |
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William Rathbone
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British philanthropist
founded first district nursing assn in Liverpool (1859) |
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Visiting Nurse Assns
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cared for sick at home
promoted prevention through home visits and well-baby clinics |
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American Red Cross
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est 1881
with Rural Nsg Service-->home health care to more rural areas |
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American Public Health Assn
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1872
promote practical application of public hygiene focused on sewage, garbage disposal, injury, stds |
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Social Sec Act of 1935
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enacted to protect the health of people
included funds for education and employment of public health nurses |
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Community based nursing (slide)
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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 |
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Community oriented nursing (slide)
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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: |
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Economic challenges of _____________highlighted the need for federal assistance for healthcare
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Great Depression
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Reason for increased life expectancy in the 20th C
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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
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Red Cross Founded
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1864
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first proposal for modern approach to public health org.
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Shattuck Report 1850
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est Training School for Nurses at St. Thomas (London) in 1860
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F. Nightingale
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first public health nurse in US
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Lillian Wald
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guaranteed medical care for the poor, blind, lame
minimal care provided by almshouses |
Elizabethan Poor Law
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1st US hosp
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Marine Hospital Service
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Marine Hosp Serv became
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US Public Health Service
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