Community health: regional, provincial and national perspectives

Question 1

Community definitions

Answer 1

social group determined by geographical area and common values/interests

ppl and relationships that emerge and develop when sharing a common agency, institution or physical environment

ppl bound together by ties of social, cultural, occupational or geographical location
> social events
> community- common goals
> cultural- ethnic group 
> occupational- nurses
> geographic- neighbor, church

Question 2

what is a population?

Answer 2

large group of ppl that share one or more personal or environmental characteristics

> pop- doesnt have the same common goal that community has.
ex. brides can be a population. other than bride, no other common
parents of new borns…

communities within a population:
Sto:lo nation would be the population. the bands would be the different communities.

Question 3

what is community health?

Answer 3

process of involving the community in maintaining, improving and promoting/protecting own health and well-being

social supports
during natural disasters
social medial- can affect community. = bullying

Question 4

DOH

Answer 4

I have tons of DOH written down. read slides.

Question 5

Social DOH and Health inequity

Canadian most significant health disparity relate to:

Answer 5

socioeconomic status, aboriginal identity, gender and geographical location.

public policies determine the distribution of resources and therefor the quality of social DOH

Question 6

Health inequity in BC: Priority areas for policy action

Answer 6

1. income and food security
2. education and literacy
3. early childhood development
4. housing and healthy built environments
5. health care

Question 7

Recommendations to reduce health inequities

Answer 7

1. strengthen knowledge base on disparities and their effects
2. consider impact on policies across all gov ministries and departments
3. collaborate across gov sectors, between gov levels and with all non-gov partners

free education\increase min wage….

Question 8

nursing mandate in addressing health inequities

Answer 8

Canadian Nurses Association

Community Health Nurses of Canada

Mandate–> Ensure access to health (and DOH) and health-care

1. provide sensitive empowerment care at individual/famiy/community level to those experiencing inequities
2. work to change environmental and social conditions that are root cause of inequities

Question 9

First nations health inequities

Answer 9

life expectancy- 75 yo
increased youth suicide
infant mortality rates
DM
child obesity
less health professionals

Question 10

first nations health authority

7 directives

Answer 10

1. community driven, nation based
2. increase first nation decision making and control
3. improve services
4. foster meaningful collaboration and support
5. develop human and economic capacity
6. be without prejudice to first nations interests
7. function at a high operational standard

Question 11

what are the principles of primary health care? 5

Answer 11

1. Accessibility
2. Public Participation- community involvement. best beginnings
3. Intersectorial collaboration- working together
4. Appropriate Technology- approp utilization of resources. finances, equip, human resources
5. Health Promotion- preventative measures

Question 12

why pursue PHC?

Answer 12

1. current global recession
2. consistent recommendations from many national commissions
3. slipping performance relative to international comparisons on health and health system indications (morbidity/mortality stats/breast feeding rate)
4. aging population

Question 13

Community Health Nursing

Answer 13

working with clients to preserve, protect, promote and maintain health.

roles:
advocate, provide care, collaborate, consult, counselor, educator, facilitator, promote health, leader, liaison, manager, referal agent, researcher