Ch 1 Flashcards
Vaccines
both primary care and public health services that are designed to meet the basic needs of people in communities at an affordable cost
primary care
services designed to detect and treat disease in the early acute stage
secondary prevention
services designed to limit the progression of disease or disability
tertiary prevention
Focus is on illness care of individuals and families across the life span
Community Based Nursing (CBN)
goal is to manage acute and chronic
Community based nursing
home health, hospice, clinic, school work
community based nursing practice areas
clients are usually ill, individuals and families
Community based nursing
Focus is on health care of entire communities or populations as well as health care of individuals, families and groups-promote quality of life
Community oriented Nursing
Goal is to prevent disease and preserve, protect, promote, restore, or maintain health
community oriented nursing
clients are usually at risk individuals, families, groups, populations
community oriented nursing
practice areas include specialty of public health nursing, community health nurse, govt agency
practice areas for community oriented nursing
roles include social engineer, educator, advocate, counselor, or case manager
community oriented roles
What is the primary difference between public health nursing and community based nursing?
The primary difference is that public health nurses focus on populations and health of the community versus a community-based nursing focuses on illness care of individuals and families
What is 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
What is the goal of public health?
organize community efforts that will use a scientific and technical knowledge to prevent disease and promote health
Public health Core Functions
Assessment
policy development
assurance
systematic data collection on the population, monitoring the population’s health status, and making information available about he health of the community
- monitor health status to identify community health problems
- diagnose and investigate health problems and hazard in the community
assessment
efforts to develop policies that support the health of the population, including using a scientific knowledge base to make policy decisions
- inform, educate, and empower people about health issues
- mobilize community partnerships to identify and solve health problems
- develop policies and plans that support individual and community health efforts
policy development
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
- Enforce laws and regulations that protect heatlh and ensure safety
- link people to needed personal health services and ensure the provision of health care that is otherwise unavailable
- ensure a competent public health and personal health care workforce
- Evaluate effectiveness, accessibility, and quality of personal and population-based health services
- research for new insights and innovative solutions to health problems
assurance
making sure services determined to be needed are provided by some agency in the community: What core function?
assurance
Asking community leaders what services are needed: What core function?
assessment
Speaking at town hall meeting about the Patient Affordable Care Act: What core function?
policy development
nurse practioner
community based
staff at a community health center
community oriented
director of nursing in a health department
community oriented
VP of nursing in a hospital
Neither community oriented nor community based nursing-hospitals are institutions….
hospice
community based nursing
a collection of indivudals who share one or more personal or environmental characteristics
population or aggregate
subsets of the population who share similar characteristics
subpopulations
problems are defined and solutions are implemented for or with a defined population or subpopulation
population-focused practice
people and the relationships that emerge among them as they develop and use in common some agencies and institutions and share a physical environment
community
- new and emerging infectious diseases
- increase in chronic illnesses ( diabetes, heart disease, COPD, osteoarthritis)
- need for emergency preparedness
- reduction of number of days in hospital
CH challenges for the future
goal is to preserve, protect, promote, or maintain health of individuals, families, and groups in a commuity
community health nursing practice
practice focus is health of individuals, families, and groups-and how their health status affects the community as a whole
community health nursing practice
goal is to prevent disease and disability and promote and protect the community as a whole
public health nursing practice
practice focus is on the community as a whole-population
the effect of the community’s health status (resources) on the health of individuals, families and groups
public health nursing practice
core functions of public health
assessment
policy development
assurance
services provided by practitioners of public health
page 7
role of the public health nurse specialist and how the role influences nursing practice in the community
public health nursing is a specialty of nursing that synthesizes nursing, social, and public health sciences to provide care to populations; Primary focus is on the health care of communities and populations rather than on individuals, groups, or families. The goal of this specialty is to prevent disease and preserve, promote, restore, and protect health for the community and population within it. Greatest good for the greatest number; The special contributions of PHN include looking at the community or population as a whole, raising questions about its overall health status and factors assoc w that status (including environmental factors of physical, biological and sociocultural) and working with the community to improve the population’s health status
difference between community based nursing and community oriented nursing
community based nursing deals primarily with illness-oriented care while community oriented nursing provides health care to promote quality of life
the public health role of making sure that essential community oriented health services are available
assurance
occurs outside an institution; Services are provided to individuals and families in a community
community based
the provision of acute care and care for chronic health problems to individuals and families in the community
community-based nursing
nursing practice in the community, with the primary focus on the health care of individuals, families, and groups in a community. the goal is to preserve, protect, promote, or maintain health
community health nursing
nursing that has as its primary focus the health care of either the community or a population of individuals, families, and groups
community-oriented nursing
broader in scope; A form of care in which the nurse provides health care after doing a community diagnosis to determine what conditions need to be altered so that individuals, families, and groups in the community stay healthy
community-oriented practice
the core of public health, a practice that emphasizes health protection, health promotion, and disease prevention of a population
population-focused practice
what are secondary health care services
services designed to detect and treat disease in the early acute stage
what are tertiary health care services?
services designed to limit the progression of disease or disability
