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32 Cards in this Set

  • Front
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Community-based NURSING
(CBN)
Focus is on “illness care” of individuals and families across the life span

Growing cost of hospital care is leading to more care being provided in community-based settings
Community-oriented NURSING
Focuses on the health care of entire communities or populations and the health care of individuals, families, and groups
Includes the specialty of public health nursing

Goal is to preserve, protect, promote, or maintain health
Community health nursing practice
Focus is to preserve, protect, promote, or maintain the health of individuals, families, and groups

How does their health affect the community as a whole?
Public Health Nursing (PHN)
Focus is to prevent disease and disability within the community

“The greatest good for the greatest number.”

is a specialty with a distinct focus and scope of practice

PHN requires a special knowledge base

Specialization in public health nursing is seen as a subset of community-oriented nursing practice

PHN has an emphasis on the population rather than on single individuals or families
Public Health
A scientific discipline that includes the study of epidemiology, statistics, and assessment –including attention to behavioral, cultural, and economic factors – as well as program planning and policy development
Public health is what members of a society do collectively to ensure that conditions exist in which people can be healthy
family as context/structure
traditional focus that places the individual first and the family second
family as client
family first; individuals second
family as system
focus is on the family as client, and the family is viewed as an interacting system in which the whole is more than the sum of its parts; simultaneously focuses on individual members and the family as a whole
family as component of society
family is seen as one of many institutions in society, along with health, education, religious, or financial institutions
Domain of learning: cognitive
involves the mind and thinking process and includes knowledge, comprehension, application, analysis, synthesis, and evaluation
Domain of learning: affective
involves emotion and feeling. Includes acceptance, participation, value, internalization or rejection, and adoption
domain of learning: psychomotor
involves performance of skills and includes ability, perception, and practice
casulaties
number humans injured or killed by or as a direct result of an incident
Multiple-casualty incident:
>2 but <100
Mass-casualty incident:
> 100
scope
range of its effect, either geographically or in terms of the number of victims
intensity
the level of destruction and devastation it causes
direct victims
people experiencing the event; dead and the survivors
displaced persons
forced to leave to escape effects of disaster; usually temporary
refugees
people forced to leave homeland due to war or persecution
indirect victims
relatives or friends of direct victims
Prevention
No disaster expected or anticipated
Identify community risk factors and develop and implement programs to prevent disasters from occurring
Preparedness
improving community and individual reaction and responses so that the effects of a disaster are minimized
Personal preparedness
Professional preparedness
Community preparedness
Response
rescue, triage, on-site stabilization, transportation of victims, and treatment at local hospitals
Triage: Red
urgent/critical (bleeding, etc)
Triage: Yellow
delayed (broken bone, etc)
Triage: Green
minor/walking wounded
Triage: Black
dead/not-salvageable (no RR, HR)
Recovery
repair, rebuild, or relocate damaged homes and businesses and restore health and economic vitality to the community
PH core function: assessment
Systematic data collection on the population, monitoring the population’s health status, and making information available about the health of the community
PH core function: Policy Development
Efforts to develop policies that support the health of the population, including using a scientific knowledge base to make policy decisions
PH core function: Assurance
Making sure that essential community-oriented health services are available
Includes providing essential personal health services for individuals, as well as a competent PH workforce