Module 1 Flashcards
Community Based Nursing
- SETTING SPECIFIC PRACTICE whereby care is for the “sick”
- “Community Health Nurse”
- need an associates degree or diploma prepared
Is community based nursing a specialty?
no
What is the focus of community based nursing?
- Individual and family health
- acute/chronic care and the provision of continuous and comprehensive services
ex: a school nurse / primary care nurse
4 Things Leading to Individual and Family Health in Community Based Nursing?
- Illness Care
- Occurs in a community setting
- One on One
- The focus is mostly secondary and tertiary prevention
Primary Prevention
- way to prevent disease from occurring
- more education focused/vaccines
- more community oriented
Secondary Prevention
- screening for a problem (ex: a blood pressure screening) or may be treating an acute problem with a high probability of solving it
- community based and oriented
Tertiary Prevention
- Watching a more chronic disease
- Not about getting rid of, but rather giving comfort and stability
- More community based
Is community oriented nursing a specialty?
yes
Community Oriented Nursing
- “Public Health Nursing” or “Community Health Nurse”
- Emphasis is health of the community and population to prevent disease/disability and promote/maintain “health” and conditions for people to be healthy
- Individual is part of a larger social system ehre
- Bachelor’s / Master’s Degree needed
- Found in government and official agencies like a health department
4 Things Leading to community and population health in community oriented nursing?
- health care
- occurs in community agencies
- one-to-one, groups, AND organizations
- the focus is on primary and secondary prevention
Community/Public Health Nurse
takes care of populations, and wants prevention and detection to promote a health community lifestyle
Community Assessment Wheel
- Helps Identify what key health needs are required in a community
- The core is demographic information, values, belief systems, and ethnicity - and then there are 8 subcategories around it
8 Community Assessment Wheel Subsystems
“P-PERCHES”
- Physical Environment
- Politics and Government
- Economics
- Recreation
- Communication
- Health and Social Services
- Education
- Safety and Transportation
Community as Partner Model
- model focusing on health promotion of individuals and families in a community context
- open system in continuous interaction with the whole environment
- Evaluation/assessment can give a diagnosis of primary/secondary/tertiary prevention needed on the assessment wheel
Process of the community as a partner model
Analysis of Assessment Wheel Core –> Stressors and Lines of Resistance that protect against stressors in the community –> community nursing diagnosis –> plan –> interventions –> community assessment wheel analysis
How is the community as partner model different from the nursing process?
There is an analysis step in the middle of it
Who does the community/public health nurse care for?
- Individuals, Families, Communities, Populations
- The nurse considers individuals and families in a community and population context, and intervention on that level strengthens the individual and family health (trickle down)
ex: COVID-19 preventions
Population or Aggregate
- collections of people sharing 1 or more environmental characteristics and are loosely associated with each other
ex: diabetics in Broome county
Community
- Collection of people who interact with one another and whose common interests form a basis for sense of unity or belonging
ex: Diabetics in a support group
Public Health
- Scientific discipline including epidemiology, statistics, assessment - including attention to behavioral/cultural/economic factors - as well as program planning and policy development
- Aids food, waste, personal behavior changes, GMOs, immigration, etc
What does public health aim to do?
- prevent epidemics/disease spreading
- protect against environmental hazards
- prevent injury
- promote and encourage healthy behaviors
- respond to disasters
- ensure accessibility to health services
What is public health nursing as a specialty?
- Synthesis of nursing theory and public health theory applied to promoting and preserving the health of a population
ex: population based prevention programs in the 70s changed things nowadays like smoking
What is the focus of public health nursing?
- Protecting the community!
- the community as a whole and the effect of the community’s health status (including resources) on the health of individual, families, and groups
In what context is public health nursing care given?
In the context of preventative disease and disability, and protecting and promoting the health of the community as a whole