IRA/GRA 1 Flashcards
Public Health
what we do collectively to assure the conditions in which people can be healthy
Science of protecting and improving the health in communities
Focus on detection and prevention of disease on larger scale; not individuals
Indicators of PH
mortality, mortality, obesity, substance abuse, lead in the environment
Public Health Nursing
Synthesis of nursing theory and PH theory applied to promoting and preserving healthy populations
Population based: lens in which we examine work
Could intervene at family, community, society, etc but we look at pop
Preventing disease and disability and promoting and protecting the health of the community
Quad Council
Published scope and standards of PHN practice and core competencies
Quad Council Members
PHN section of American PH association
Association of state and territorial directors of PHN
Association of Community health nurse educators
National Association of school nurses
Public Health Nursing
Focus on entire populations (collections of individuals who have one or more characteristics in common) like people with diabetes, CHF, etc
Grounded in assessment of the population’s health status
Considers broad determinants of health
All levels of prevention: all aspects of prevention
Intervenes at all levels
Determinants of Health
WHO
The conditions in which people are born, grow, live and age, including the healthy system
Most responsible for health inequities
Determinants of Health
HP2020
The range of personal, social, economic, and environmental factors that influence health status
Policy making, social factors, health services, individual behavior, biology and genetics
PHN: Broad determinants of health Socioecological model
Public policy> community> organizational> interpersonal> intrapersonal
Who we can intervene with and where we can intervene at
Intervening at multiple levels is the most effective
Health Impact Model
Counseling and education (most individual effort needed, limited community impact)
> clinical interventions>
long lasting protective interventions (vaccines, great but require more individual effort)
> changing the context to make individuals default decisions healthy (removing soda machines so they can’t choose soda)
> socioeconomic factors
Top: increasing individual effort needed
Bottom: increasing population impact
Levels of Preventions
Primary: prevention (vaccines, good hand hygiene)
Secondary: early detection, screening
Tertiary: maximization of recovery after an illness
Nutrition can be all three
3 Core PH Functions
need to do things in all three
Assessment: systematically collecting data on the population, monitoring the population’s health status, making information available about the health of the community
Policy development (& planning) provide leadership in developing policies that support the health of the population
Assurance: ensuring essential community-oriented health services are available
10 Essential: Assessment
Monitor the health status to identify community health problems
Diagnose and investigate health problems and health hazards in the community
10 Essential: Policy Development
Inform, educate, empower people about health issues
Mobilize communities partnerships to identify and solve health problems
Develop policies and places that support individual and community efforts
10 Essential: Assurance
Enforce laws Link people to health services Ensure a competent workforce Evaluate effectiveness Research new insights
