semis Flashcards
state of complete physical, mental, and social well-being and not merely the absence of disease or deformity
health
A collection of people who interact with one another and whose common interests or
characteristics form the basis for a sense of unity or belonging
community
concepts of community
4 attributes
1.people
2.place
3.interaction
4.common characteristics,interests or goals
Determinants of health and disease
Income and social status
Education
Physical environment
Employment and working conditions
Social support networks
Culture
Genetics
Personal behavior and coping skills
Health services
Gender
Activities enhance resources directed at improving well-being
Health promotion
Activities protect people from disease and the effects of the disease
Disease prevention
preventing a problem before it occurs by altering susceptibility or reducing exposure for susceptible individuals
primary prevention
example of primary prevention
> Immunization
Dietary teaching during pregnancy
Education or counselling regarding smoking, dental care, or nutrition
Adequate housing
Mothers’ class on breasfeeding
Flouride water supplementation
-early detection and prompt intervention during the period of early disease pathogenesis
Secondary Prevention
example of Secondary Prevention
> HIV testing
Screening for cervical cancer
Dental examinations
Blood pressure screening
Hearing tests at a center for the elderly
Mammogram
-targets populations that have experienced disease or injury and focuses on limitation of disability and rehabilitation
Tertiary Prevention
examples of Tertiary Prevention
> Teaching how to perform insulin injection techniques
Referring patient with spinal cord injury for OT and PT
Exercise therapy for stroke
Mental heath counseling
Emergency medical services
Shelter and relocation centers for fire, typhoon, or earthquake victims
Levels of clientele of community health nurse
- individual- point entry
2.Family- center of delivery of care - Group- point of specific care
4.community- point of entire care
-focuses on the entire population
-Is based on assessment or the populations health status
-considers the broad determinants of health
-emphasizes all levels of prevention
-Intervenes with communities, systems, individuals and tammies
individual - point of entry
Considered the basic unit of care in community health nursing
family- center or delivery care
-focuses on the entire population
-Is based on assessment of the populations health status
-considers the broad determinants or healt
-emphasizes all levels of prevention
-intervenes with communities, systems, individuals and families
group- point of specific care
emphasizes prevention and protection of health, and community-based nursing emphasizes managing acute and chronic conditions
community - point of entire care
-Provides the basis for much of the practice of health education and health promotion
-Developed by a group of social psychologists to explain why the public failed to participate in screening for tuberculosis (Hochbaum, 1958).
- Behavior is based on current dynamies contronting an individual rather than prior experiences
Health belief model
construct of hbm
- perceived severity
-perceived susceptibility
-perceived benefits of treatment
-perceived barriers to treatment
-cues to action
-self-efficacy
Limitation of HBM
-it places the burden of action exclusively on the client
-it assumes that only those clients who have distorted or negative perceptions of the specified disease or recommended health action will fail to act
-it focuses the nurse’s energies on interventions designed to modify the client’s distorted perceptions, without acknowledging the health professional’s responsibility to reduce or alter health care barriers other than patients’ perspectives.
-Provides a compliment to the HBM
-Provides a mechanism for directing attention upstream
-Provides for the inclusion of economic, political, and environmental health determinants; therefore the nurse is given broader range in the diagnosis and interpretation of health problems
-encourages the nurse to understand the health behaviors in the context of their societal milieu
Milos Framework of prevention
-Population health deficits’ result from deprivation and/ or excess of critical health resources
-Behaviors of populations result from selection from limited choices; theses arise from actual and perceived options available as well as beliefs and expectations resulting from socialization, education, and experience
-Organizational decisions and policies (both governmental and non governmental) dictate many of the options available to individuals and populations and influence choices
-Individual choices related to health promotion or health damaging behaviors are influenced by efforts to maximize valued resources.
-Alteration in patterns of behavior resulting from decision making of a significant number of people in a population can result in social change
-Without concurrent availability of alternative health-promoting options for investment of personal resources health education will be largely ineffective in changing behavior patterns.
Milio’s proposition
-Population health deficits’ result from deprivation and/ or excess of critical health resources
-Behaviors of populations result from selection from limited choices; theses arise from actual and perceived options available as well as beliefs and expectations resulting from socialization, education, and experience
-Organizational decisions and policies (both governmental and non governmental) dictate many of the options available to individuals and populations and influence choices
Milio’s proposition
7 variables of nola pender’s hpm
-Activity-related affect
- Interpersonal influences
-Situational influences
-Commitment to plan action
-Immediate competing demands and preferences
-Health-promoting behavior
-Developed by Dr. Lawrence W. Green and colleagues
-Provides a model for community assessment, health education planning and evaluation
Precede-Proceed Model
Precede-Proceed Model
PRECEDE: Predisposing, Reinforcing, and enabling Constructs in Educational Diagnosis and Evaluation
-a model for community diagnosis
PROCEED: Policy, Regulatory, and Organizational Constructs in Educational and Environmental Development
-a model for implementing and e valuating health programs based on PRECED
refers to people’s characteristics that motivate them towards health-related behavior
predisposing factors