1120 Flashcards
public health nurse
links health to population health
helps health of population
home health nurse
focuses on individuals, caregivers and families
prevention and health restoration
family practice nurses
health prevention, screening and education
assess and treat acute illnesses
disease management
health
influenced by environment
holistic
subjective
community dynamic
communication, leadership, decision making
WHO success factors for a health community
community/citizen engagement
multi-sectoral collaboration
political commitment
health public policy
asset-based community development
Community health nursing standards of practice
health promotion
prevention and health protection
health maintenance restoration and palliation
professional relationships
capacity building
health equity
evidenced informed practice
professional responsibility and accountability
population health interventions
policy and program development to address social, economic and physical environment factors that effect decision making
Health promotion
process allows people control and improve their health
capacity building
process to strengthen the ability of individual or group to develop and implement health prevention initiatives and to create positive.
process starts with identifying existing strengths.
health inequity
systematic, socially produced
differences in health status between groups
built environment
man-made design of communities
houses, schools
community assessment
economic, recreation, physical environment, education, safety and transport, politics and government, health and social services, communication
PISO
population, intervention, setting, outcome
risk assessment
CHNs identify and target clients who are likely to get a disease and/or unhealthy behaviours
nursing diagnosis
clinical judgment about individual, family, or community responses to actual or potential health problems/life processes
aggerate
group with a common interest, demographic, culture heritage, social economical levels
levels of health prevention*
primary, secondary and tertiary
primary prevention
intervening before health effects
secondary prevention
screening to identity diseases in earliest stages
tertiary prevention
managing disease post diagnosis to slow or stop progression
levels of healthcare: primary
promotes health through upstream approach using potential risks to avoid illness
levels of healthcare: secondary
promotes health through early identification of diseases and conditions for timely treatment of them
ei. colonoscopies
levels of healthcare: tertiary
initiated once individual becomes symptomatic or disease or injury is evident
primary health care
primary care, disease prevention, health promotion, population health and community development
primary care
person centered approach to care delivery at the point of entry into healthcare system
3 components of primary health care
1.integrated health services to meet people’s health needs throughout their life
2. addressing broader determinants of health through multisectoral policy and action
3.empowering individuals families and communities to take charge of their own health
acute care nurses
focus on patient with complex, critical and chronic illnesses
np
Focus on health assessment and management, chronic disease management, health promotion and illness prevention
health promotion upstream approach
prevention and promotion strategies on high level intervention
health promotion midstream approach
address material circumstances (housing, food, employment)
health promotion downstream approach
addresses immediate health needs at individuals family or community level
types of health promotion programs
info dissemination
-lifestyle and behaviour change programs
-health risk appraisal and wellness assessment programs
-environmental control programs
nursing process
diagnosing, planning, implementing (doing stage), evaluating (have goals been met)
perinatal health
-health before conception
-services to women who are childbearing age
-(preconception care, pregnancy, childbirth)
prenatal health
care for expecting mother and fetus
infant health
care for infant from birth until childhood
healthy babies healthy children
-funded by Ontario government
-supports pregnant women and families with kids 0-3
Nurse-Family Partnership Program (NFP)
for low-income or first time mothers
-used until child’s
Promoting healthy behaviours
Supporting the establishment of healthy relationships
Connecting women and families to necessary supports
Adverse Childhood Experiences (ACE)
causes of stress that children may suffer early in life.
(ei. abuse, neglect, violence)
sexual health
a state of physical, emotional, mental and social well being related to sexuality
intimate sexuality
your sexuality
relational sexuality
a person’s sexuality is related to people in their lives
cultural sexuality
how you world defines, discusses and differently values elements of sexuality
gender Identity
how you define and understand your gender
gender expression
ways you demonstrate gender through clothing, actions and demeauour
domestic violence
can be violence by anyone in a household
intimate partner violence
perpetrated by 1 member of a romantic or sexual relationship toward another member
signs of IPV and DV
spiral fractures
history of urinary tract infections
partner hesitant about leaving client alone with a healthcare provide
SAFE
stress and safety
afraid and abused
friends and family
emergency
reporting abuse and violence
if someone is under 18, you don’t need consent to report (you can be charged if you don’t)
-all RNs are legally require to report if a colleagues is doing something that may be considered abuse.
home health care nursing
chronic and rehabilitative
-helps maintain independence for patients
-prevention, health restoration, maintenance or palliation
chronic care
patient with chronic condition who need health services from health care professional
palliative care
improves quality of life for people with life altering conditions
-partial relieving symptoms
end of life
improve quality of life for people who are need death
roles of end of life and palliative
improve quality of life, relieve suffering, help prepare family, addressing physical, psychological, spiritual and social needs
palliative performance scale
11 point scale
-degree of ambulation
-ability to do activities and self-care
-intake
-level of conscious
hospice palliative care
holistic approach to address pain and symptom management, and care giver support
MAID
performed by Np and physicians to directly administer substance or some patients can administer to themselves
first injectable vaccine
sarah nelmes had cowpox
james phipps was inoculated with her cowpox
he then became mildly ill
after he was inoculated from scabs of small pox and was unaffected
federal government’s responsibility for vaccines
vaccine regulation and monitoring
-promotions of immunizations
provincial government’s responsibility for vaccines
administration and delivery
-purchases them
school nurse
PHN and promotes child immunizations
immunization of school pupils act
ISPA
-all kids are required to be vaccinated to attend schools
who checks vaccine safety
health Canada evaluates before administered
-health Canada and public health agency of Canada monitor safety and effectiveness
infectious agent
microorganism that causes infection
reservoir
where germs lives and grows
outbreak
when cases of disease in excess of what would normally be expected in a defined community, or area
epidemic
unexpected increase in disease cases in a specific location
pandemic
an exponential increase in disease cases with a wide area of coverage beyond borders
endemic
a consistent presence of disease isolated to a specific region
outbreak management
process of containing an outbreak to
promote recovery and reduce further disease
spread
case management
-collaborative
-PHNs coordinate with other members of the IP team, the client, and the family to facilitate the delivery of health services.
epidemiology
The study of how often diseases occur in different groups of people and why
Disaster
Events that occur suddenly, whether by a force of nature, a biological hazard, infectious disease or human error
stages of disaster management
prevention and mitigation, preparedness, response, recovery
prevention or mitigation
-includes development of policies and procedures
-ex. vaccination programs
Precautionary Principle
is a type of primary prevention: problems and risks are avoided by not engaging in certain activities until it is certain that the activities will not lead to harm
preparedness
minimizes the effects of a disaster
-ex. planning rescues
response
-Begins at the onset of the
emergency.
-prevent illness, injury, and destruct on.
Nursing Roles in Disaster
-one of the first groups to respond
-work triage care
recovery
-Community unit y to restore, repair, and rebuild after disaster
-Learning from success and mistakes
Alcohol
most commonly used substance and 2nd highest etiological risk factor for disease
Carcinogen (7 types of cancer)
Harm reduction
approach to healthcare delivery, programs, or policies, implemented to reduce secondary harm for individuals who engage in high activities that have poor outcomes
-Goal is not to stop high-risk behaviours but reduce the harms/ meeting them where they are at
Safe injection sites
Given clean needles and supplies, monitored for potential overdose
Nursing support and interventions harm reduction
-feedback
-responsibility for change and use
-advice to cut down or stop
-menu of change options/strategies
-empathy
-self-efficacy
At risk
a group or population that has a higher risk of a particular illness or negative life outcome
Unsheltered homelessness
living on the streets or in places not intended for human habitation
Emergency sheltered homelessness
individuals staying in overnight shelters for the homeless and for those impacted by family violence
Provisionally accommodated homelessness
individuals whose accommodation is temporary or lacks security of tenure
At risk of homelessness
people who are not homeless but whose current economic or housing situation is precarious or does not meet public health and safety standards
primary health care principles
accessibility, public participation, health promotion, appropriate technology, intersectoral
Ottawa charter
worldwide call for action, presenting strategies and approaches for health promotion
key actions for health promotion
building healthy public policy
creating supportive environments for health
strengthening community action
developing personal skills
reorientating health service to prevent disease and promote health
