Week 2 Flashcards
Define Health
Not merely the absence of disease, but the complete mental, physical spiritual wellbeing.
Many contributing factors: Biological, social, environmental, cultural and economic
Define Community
Multiple definitions-can be geographical location, or place of interest linked together by factors such as religious belief, sexual orientation, occupation or ethnic origin.
What factors affect the health of individuals and communities?
Individuals circumstance Environment-including context to which they live Income Education Social Networks ( family & friends)
Factors in healthy community include?
Access to:
- Health & social services
- Food, safe water, shelter, income, safety, work and recreation.
- Recreational spaces- place to gather and build social net works and enhance health/wellbeing thru social networks and social activity.
- Opportunities for learning and skill development
- Participation of community members in decision making
- Recognition of cultural and spiritual heritage
- Diverse economy and employment opportunities
Describe the Attawapiskat Community Brighter futures program
Assist first nations and inuit communities to develop community based approaches to better health.
5 components including:
mental health, child development, parenting, healthy babies & injury prevention
How does does the community health affect individual health?
Environment Racism Social injustice Violence Low Education/ literacy Mental illness Homelessness
What are the key determinants of health that makes communities healthy or unhealthy?
Socioeconomic Status Social Support Networks Education & Literacy Employment/Working conditions Social Environments Physical Environments Health practices & coping skills Healthy Child Development Biological/genetic Endowment Access to health services Culture
Describe the origins of community nursing
- Evolved from district/visiting nursing to poor families who could not afford to hire private duty nurse.
- 1990’s public health dept. formed b/c poor sanitary conditions related to poor infrastructures.
- PHN employed by local provincial gov & community nurses employed by non profit agencies
- Initially the 2 roles were intertwined, as visiting nurses did work for public health and vise versa.
- Presently PHN & CHN each have a diff. practice focus
What is the role of the Canadian Visiting Nurse Agency ?
VON
- Founded in 1897
- Responds to community health needs
- Mainly Palliative & Oncology Care
- Provide bedside nursing to patients in their homes
- Publicly funded, but new agencies are operating on private budgets
Who was the first public health nurse?
Lillian Wald- the lady with the lamp
Florence Nightingale was also one of the first PHN who correlated poor sanitary conditions to death & disease of soldiers in the during Crimean war.
What is the role of PHN?
- Employed by local public health units
- first roles was to promote health of school children
- PHN practice thru a popul. health role-less clinical role.
- Focus on health promotion, disease prevention, emergency planning & infection control.
What programs do PHN’s currently provide for the community?
- immunization
- Lactation consultant
- Sexual Health/ sti/bbi
- Healthy babies healthy children
- Addiction
- Mental Health Services
- Injury Prevention
List other types of community nursing
- Outpost nursing
- Parish nursing- spiritual context i.e the Sally Anne
- Occupational health nurses
- Correctional nursing
- Schools, homes, community centers, shelters, churches
Describe the Canadian Community Health Standards of Practice (2011).
- CHN partner with ppl. where they live, work, learn, live & play to promote health.
- Scope of practice is broader than caring for ppl’s health status it includes: community assessment, advocacy, lobbying & program planning
- Practice in a variety of settings including non-traditional health care agencies.
What are the needs for CHNC Standards of Practice?
- Promoting health thru prevention of disease, protecting, maintaining & restoring health.
- Collaboration with individual or community groups to identify needs, strengths & resources for health.
- Building empowering relationships with individuals & community members to strive for their health goals
- Advocacy supporting individuals & groups to meet their needs & being aware of the impact of the social determinants of health on health status.
- Autonomous accountable to legislation, authoritative bodies & stakeholders as well as to the individuals and the community they serve.
