CH 12 Flashcards
population or defined group
aggregate
nursing role that facilitates change in client or agency behavior to more readily achieve goals. This role stresses gathering and analyzing facts and implementing programs
change agent
a nursing role that facilitates change in client or agency behavior to more readily achieve goals. this role includes the ctivities of serving as an enabler-catalyst, teaching problem solving skills, and acting as an activist advocate
change partner
people and relationships that emerge among them as they develop and use in common some agencies and institutions and a physical environment
community
process of critically thinking about the community and getting to know and understand the community as a client. Assessments help id community needs, clarify problems, and id strengths and resources
community assessment
meeting collective needs by identifying problems and managing interactions within the community and larger society. This is the goal of community oriented practice
community health
actual or potential difficulties within a target populaiton with identifiable causes and consequences in the environment
community health problems
resources available to meet a community health need
community health strengths
a clinical approach in which the nurse and community join in partnership and work together for healthful change
community oriented practice
collaborative decision-making process participated in by community members and professionals
community partnership
what does the community as partner model provide us with?
map (guide for methods of action) and boundaries (define areas of concern for nursing)
why don’t we use medical model any more?
excludes health promotion
disease oriented, illness and organ focused with pathological emphasis
sunscreen to prevent cancer
primary prevention
immunizations
primary prevention
breast self-exam
secondary prevention
aimed at reducing encounters with stressors or strengthening the lines of defense
primary prevention
occurs after a stressor crosses the line of defense and causes a reaction-aimed at early detection to prevent further damage
secondary prevention
TB skin test
secondary prevention
rehabiliation and meditation
tertiary prevention
List the 8 subsystems of community which provide a community health nurse a framework for assessment
physical environment education safety and transportation politics and govt health and social services communication economics recreation
normal line of defense
the level of health the community has reached overtime
high rate of immunity, low mortality rate, above poverty level
health
flexible line of defense; temporary response to stressors-neighborhood mobilization against a stressor
buffer zone
lines of resistance; internal mechanisms that act to defend against stressors; evening recreational program for youths, no fee health clinic to diagnose STDs are examples
strengths
tension producing stimuli that have a potential for causing disequilibrium to the system
stressors
the concept of community includes which three dimensions?
people, place, and function
What are three characteristics or dimensions of community health?
status, structure, and process
What is the best community health strategy at the status dimension?
primary or secondary prevention bc objective is either to prevent a disease or treat its early stages
what is the best community health strategy at the structural dimension?
health services and/or community development
What is the best community health strategy if emphasis is on the process dimension?
the level of intervention of the nurse in community health-best strategy is health promotion (primary prevention strategy)
involve the collection of data that will help define the community, the trends, stability, and changes that will affect the health of the community
windshield surveys
What can be observed during a windshield survey?
common characteristics of people on the street neighborhood gathering places the rhythm of community life housing quality geographic boundaries
county health dept nurses or church leaders
many community members known by the nurse
president of PTO
mayor or other local politicians
MADD informal leader
potential key informants for interviews
minutes from community meetings, public docs, health surveys, statistical data, health records
a potential source for secondary data-valuable bc it saves time and effort
How can you establish that there is a lack of accessible personal health services?
only through surveys-take more time and effort-time consuming and costly data collection when compared to observational methods and secondary analysis
