Community Nursing Flashcards
What are the 5 primary healthcare principles
- Equitable distribution of resources (ACCESSABILITY)
- Community involvement (PUBLIC PARTICIPATION)
- Emphasis on prevention (HEALTH PROMOTION)
- Appropriate technology
- A range of sectors; collaborative practice (INTERSECTORAL COOPERATION)
What are some key points of the NZ Healthcare Strategy 2016?
- people-powered
- closer to home
- value & high performance
- one team
- smart system
NZ Healthcare strategy - people powered meaning
providing services in different ways that reflect the varying needs of our
diverse communities and providing information that helps people take control of their health and wellbeing
NZ Healthcare strategy - Value & high performance meaning?
making better use of data to understand all the factors that affect health outcomes and putting resources in the places they will make the most difference
NZ Healthcare strategy - Closer to home meaning
making it easier to access healthcare, working with local communities to
provide support on the ground
NZ Healthcare strategy - One team
government agencies, health care providers, NGOs, experts, analysts and
communities working together; designing and delivering services and support in a coordinated way
NZ Healthcare strategy - Smart system
using technology to improve services and make It easier to share information across the health system
What are social determinants of health?
The conditions in which people are born, grow, live, work and age. These circumstances are
shaped by the distribution of money, power and resources at global, national and local levels.
provide some examples of social determinants
- income
- economy
- housing
- food supply
- social relationships
- environment
- transport
- education
What is Ottawa Charter?
developed an approach to improve the health of populations and individuals - used for planning public health - to improve the health of populations and individuals there is a need to look wider than just providing public health services.
what are prerequisites of health Otawa charter?
- peace
- shelter
- food
- income
- stable eco system
- sustainable resources
- social justice & equity
what are the 3 foundations of Ottawa Charter?
- advocate = make conditions favourable
- enable = to take own control
- mediate = bw differing interests of society
What are factors that help a person with a long-term condition manage condition independently
- Have knowledge of their condition
- Follow a treatment plan (care plan) agreed with their health professionals
- Actively share in decision making with health professionals
- Monitor and manage signs and symptoms of their condition
- Manage the impact of the condition on physical, emotional and social life
- Adopt lifestyles that promote health
- Have confidence, access and ability
Empowerment - advocacy & social justice
promoting client autonomy in making decisions.
Equity - advocacy & social justice
In treatment/ health outcomes, reducing power imbalance
What are some barriers to advocacy?
Unclear understanding of advocacy
- Organisational culture: dependent on the support and autonomy for nurses, resisting
hospital routine
- Peer and colleague attitudes
- Nurse-patient relationship: especially when relationship is not valued by organisations
- Specific features of individual nurses/ tackling hierarchies
- Nursing education programmes: focus on relationship ethics
What are the 3 health promotion concepts?
- health information (e.g. talk, pamphlets + websites)
- health education (individualised to pt needs)
- Health promotion (enabling, advocating + mediating)
What type of infectious disease are these:
- chickenpox
- hand, food & mouth disease
- head lice
- measles
- ringworm
- rubella
- scabies
- impetigo (school sores)
- human parvovirus infection
Rashes & Skin infections
What is chickenpox & is there a treatment?
Viral infection causing itchy, blister like rash on the skin. No specific treatment
as virus is self-limiting. May be reactivated later in life as shingles. Can be severe if
contracted by babies, or immunocompromised children or adults
What is the transmission of chickenpox?
(contact and droplet) coughing sneezing and contact with weeping blisters
What is the incubation period of chickenpox?
10-21 days
What is the contagious period of chickenpox?
1-2 days before symptoms and 1 week from appearance of rash or until all blisters have
dried
What is Hand, Foot & Mouth Disease?
a mild viral illness that causes fluid filled blisters, no specific treatment and virus is self-limiting
What is the transmission of Hand, foot & mouth disease?
(droplet) coughing, sneezing, and poor hand washing
what are the symptoms of of Hand, foot & mouth disease?
Fever, flulike symptoms and rash on soles, palms and in mouth
What is the incubation period of hand, food & mouth disease?
3-5 days
what is the contagious period of hand, foot & mouth disease?
until blisters have dried
What is the transmission of head lice?
direct contact with hair
what are the symptoms of head lice?
itchy scalp, occasional scalp infection
what is the contagious period of head lice?
until no lice are present
What is measles (Rubeola)?
a highly contagious viral illness can be life threatening especially for those
immunocompromised
What is the transmission of measles?
(airborne and contact) Coughing and sneezing and direct contact
what are the symptoms of measles?
runny nose and eyes, cough and fever, followed by rash
What is the incubation period of measles?
7-18 days
What is the contagious period
4 days pre rash & 5 days post rash
what are the complications of measles?
- ear infection
- pneumonia
- seizures
- encephalitis
- premature birth/low birth weight/stillborn
what is ringworm?
highly contagious fungal infection of skin + scalp
what is the transmission of ringworm?
contact with infected skin, bedding & clothing