midterm Flashcards
community health nurse (CHN)
- works with the community, not for
- protect and enhance human dignity
- practice with an emphasis on collaboration
CHN roles and functions
- advocate
- direct care provider
- collaborator
- consultant
- counsellor
- educator
- facilitator
- health promoter
- leader
- liaison
- manager
- researcher
earliest forms of health care in Canada
originated within practices of first peoples using traditional medicines and healing
earliest introduction of CHN
17th century New France provided by the Duchesse d’Aiguillon sisters
the grey nuns
first community nursing to understand health inequity and make contributions to
- access to health services
- food
- shelter
- education for the vulnerable
20th century nursing sectors
- hospital
- private duty
- public health and home visiting nurses
5 principles of the Canada health act
- public administration (transparent)
- comprehensive
- universal (available to all)
- portable (available max 3 months after residency)
- accessible (no user fees)
health promotion
protect, promote, and restore the physical and mental well-being of residents of Canada
upstream care
- big picture
- macroscopic
- focuses on improving fundamental, social, and economic structures and decrease barriers
downstream care
- focuses on individual
- microscopic
- focuses on providing equitable access to care and mitigate the negative impacts of disadvantages on health
CHN nursing process
- assess
- plan
- implement/act
- evaluate
public health
organized efforts of society to keep people healthy and prevent injury., illness, and premature death
public health agency of Canada
- established 2004
- mission to promote and protect the health of Canadians
chief public health officer of Canada
Dr. Theresa Tam (2017)
functions of a public health nurse
- health promotion
- health surveillance
- population health assessment
- disease and injury prevention
- emergency preparation and response
primordial prevention
- initiatives to prevent conditions that would enable a risk factor for disease
- (ex. iodized salt for micronutrient deficiencies, adequate minimum wage)
primary prevention
- impacts of specific risks are decreased with leads to a reduction in the occurrence of a disease
- interrupts chain of causality before a physiological of psychological abnormality is identifiable
- (ex. decreasing environmental risks, immunizing against communicable diseases)
secondary prevention
- interventions aimed at identifying a disease as early as possible which reduces the prevalence of the disease by curbing duration
- (ex. planning, implementing and evaluation early clinical detection and screening programs)
tertiary prevention
- aims at reducing long term impacts of a disease by eliminating or reducing impairment
- occurs after symptoms are present and reduces progression
- (ex. studies show marginalized women show improved HIV care when exposed to weekly texting intervention)
quaternary prevention
- identifies individuals at risk of over medicalization
- protecting populations from new medical procedures or interventions that are untested and proposing ethically appropriate alternatives
- (ex. those with VUS strains received mastectomy’s even though they were reclassified as benign)
theory
provides a basis that anchors practice and research
key aspects of nursing knowledge
- person
- health
- environment
- nursing
- health
- social justice
feminist theory
- encompasses perspectives committed to political and social changes that improve the lives of women
- focuses on equity, oppression and justice
critical social theory (habermas)
- used to develop practices with population groups who have been disadvantaged by social circumstances
- challenges the status quo