Community Health Study Guide

Front 1

`Community-Based Nursing

Back 1

Individual/Family

Front 2

Community Orientated Nursing/ Public Health nurses

Back 2

Whole community/vulnerable populations.

Front 3

Public Health nurses role

Back 3

Focus On:
-prevention
-Communicable disease control
-safe food and water
-direct services
-epidemiology stats and assessments for policy making

Front 4

Primary Promotion

Back 4

prevent problem
immunization/educations

Front 5

Secondary promotion

Back 5

Screening/Early dx/ referral and treatment for disease present

BP clinics

Front 6

Tertiary

Back 6

treat disease/prevent progression/restore health/ rehab

Front 7

Status (condition)

Back 7

vital signs of the community.
-epidemiologic data: who, what, how?
physical assessment findings:
-observe/auscultate/palpate

Front 8

Structure (systems)

Back 8

Physical environment
-boundaries/natural features
SES composition
-demographic features
Facilities and services ava
-buildings, organizations, labor force

Front 9

Process (how comm. functions)

Back 9

Capacity
•Strengths, weaknesses and problem-solving skills
Competence:
•How effectively the comm. works together to meet needs

Front 10

Healthy Communities Have:

Back 10

-Pos. health status indicators
-Structures for equitable & -accessible services
-Processes reflect capacity and competence

Front 11

Nursing Process in com health

Back 11

assessment, est team, id resources, develop plan, collect/analysis exisisting data, do primary research

Front 12

Primary data:

Back 12

Data collected from individual

Front 13

Secondary data:

Back 13

fam ems, friends, death records, mortality, census, data, mortality/morbidity

Front 14

Upstream

Back 14

planning change before serious problems exist in population

Front 15

Downstream

Back 15

planning change after problem has occurred.

Front 16

Acute Care:

Back 16

Structured Formal Setting
Controlled environment
Close supervision
Multiple providers
Ready access to resources & technology

Front 17

Community Care:

Back 17

Less structure
Less formal
More autonomy
Less control over environment
More family responsibility

Front 18

Case Management Role

Back 18

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

Front 19

Case mgmt roles

Back 19

Reduce fragmentation of care
Promote self-care
Id gaps in services
Advocate for unmet needs

Front 20

Case mgmt components

Back 20

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

Front 21

Social Marketing

Back 21

Advertising

Front 22

Advertise to:

Back 22

Media techniques are used to send public health message to targets groups, want to "sell)

Front 23

Motivating principle:

Back 23

Consumers act out of self-interest to satisfy wants and needs
Minimize costs or undesirable influences

Front 24

Framework for Consumers:

Back 24

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

Front 25

Health Education Publications:

Back 25

- written or electronic should strengthen not replace!
- relationship between teacher and learner is true motivator for change