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2220 Health Promotion & Caring: Families & Communities > Week 3-5 > Flashcards

Week 3-5 Flashcards

1
Q

Rural Health Inequities

A
  • Access to care
  • Access to technology
  • Water quality
  • Food insecurity
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2
Q

Rural Health Barriers

A
  • Low income
  • Lower secondary education rate
  • Increase smoking & obesity
  • Lower life expectancy
  • Higher mortality risks
  • Social exclusion
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3
Q

Family Assessment

A
  • Strength-based
  • Create therapeutic relationship
  • Information gathering (exploratory & prior)
  • Check personal biases
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4
Q

McGill Model

A
  • All families possess health potential
  • Engagement in health-related problem solving
  • Competence in health behavior
  • Improve health status
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5
Q

Genogram

A
  • Family structure through composition
  • Identify individual/family strengths
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6
Q

Ecomap

A
  • Family within community context
  • Clients social network
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7
Q

Spiralling Process

A

Phase 1
- Exploring
- Look for strengths
Phase 2
- Zeroing in
- Identify workable goals
- Prioritize goals
Phase 3
- Working out
- Plan into action
Phase 4
- Reviewing
- Appreciate strengths/resources
- Clients feelings

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8
Q

Community Health Needs Assessment

A
  • Identify strengths/needs of community
  • Collaborative action planning
  • Improving health status/quality of life
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9
Q

Community as Partner Model

A
  • People in community
  • Stressors penetrate community
  • Effects on equilibrium
  • Interventions on various prevention levels
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10
Q

Community as Capacity Model

A
  • Strengthen ability of community
  • Members take action
  • Further development
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11
Q

Community Health Promotion Model

A
  • Acknowledge determinants
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12
Q

PISO

A
  • Who is population
  • What is the intervention
  • Where is the setting
  • What is anticipated outcome
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13
Q

Community Assessment Types

A
  • Environmental scan (preliminary)
  • Problem investigation
  • Resource evaluation
  • Needs assessment
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14
Q

Community Data Sources

A
  • Surveys
  • Forums
  • Focus groups
  • Windshield surveys
  • Literature review
  • Census/government data
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15
Q

Community Governance

A
  • Group of members take lead
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16
Q

Community Development

A
  • Involvement of community members
  • Identify & strengthen aspects
  • Support health concern
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17
Q

Community Mobilization

A
  • Few community members
  • Commence taking action to develop solution
  • Other members will join
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18
Q

Empowerment Components

A
  • Access to information
  • Range of options
  • Assertiveness to express ideas
  • Stand up for oneself
  • Belief that one can make a difference
  • Learn critical thinking
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19
Q

Nursing Empowerment

A
  • People gain greater control over their health
  • Enhancing capacity of individuals
  • Make choices to achieve their goals
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20
Q

Canadian Community Health Nursing Practice Standards

A
  • Health promotion
  • Professional relationships
  • Evidence informed practice
  • Prevention & health protection
  • Capacity building
  • Professional responsibility & accountability
  • Health equity
  • Health, maintenance, restoration & palliation
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21
Q

Capacity Building CHN

A
  • Encourages community to be active
  • Take ownership of health issues
  • Decision making
  • Recognize health barriers
  • Building existing strengths
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22
Q

Community Asset Map

A
  • Outline assets & capacity
  • Identify strengths
  • Identify potential resources for interventions
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23
Q

Data Collection

A
  • Skills & experiences
  • Services
  • Physical & financial resources
24
Q

Intersectoral

A
  • Collaborative actions
  • Involve 1+ specialized agency
  • Completing different roles
  • Achieve common goal
25
Q

CNH Role in Intersectional

A
  • Education
  • Housing
  • Public works
  • Coordinate efforts
  • Upstream or downstream
26
Q

Older Adult Health Promotion

A
  • Physical activity & fall prevention
  • Healthy eating
  • Medication safety/polypharmacy
  • Immunizations
  • Sexual health
  • Mental health
  • Abuse
27
Q

Gender Identity

A
  • How the individual defines & understands
  • Based on options they know exist
28
Q

Gender Expression

A
  • Unique ways gender is demonstrated
  • Dress, actions, demeanor
29
Q

Institutionalized Gender

A
  • Distribution of power between genders
30
Q

Overgeneralization

A
  • If its good for men, its good for women
31
Q

Gender Based Lens

A
  • Examine context to identify constraints & opportunities
  • Examine impact of gender, biological sex, gender bias
32
Q

Gender Lens Application

A
  1. How is problem different for men/women
  2. Different contexts in lives of men/women
  3. Identification of diversity within subgroups of men/women
  4. Intended/unintended outcomes for men/women
  5. Social, political, economic realities
33
Q

Leading Health Issues (Men)

A
  1. Cardiovascular disease
  2. Respiratory disorders
  3. Stress/depression
  4. Suicide
  5. Accidental injuries
  6. Addiction/substance misuse
34
Q

Leading Health Issues (Women)

A
  1. Violence/abuse
  2. Anxiety, depression, stress
  3. Body dissatisfaction
  4. Getting older, poverty
  5. MSK disease
  6. Autoimmune diseases
  7. Cardiovascular disease
35
Q

Community Health Programs

A
  • Series of activities
  • Supported by group of resources
  • Achieve specific outcome
  • Target groups
36
Q

Situational Assessment (Step 1)

A
  • Learn more about population
  • Identify wants, needs, assets
  • Set priorities
37
Q

Data Gathering Plan (Step 2)

A
  • Health status reports
  • Community health survey
  • Public health agency
38
Q

Gathering Data (Step 3)

A
  • Environmental scans
  • Quantitative (research, reports)
  • Qualitative (focus groups)
39
Q

SWOT Analysis (Step 4)

A
  • Strengths
  • Weaknesses
  • Opportunities
  • Threats
40
Q

Communicate & Consider (Steps 5, 6)

A
  • Tell stakeholders key findings
  • How to proceed with planning
41
Q

Logic Model

A
  • Program planning & evaluation
  • Diagrammatic representation
  • Relationships among program components
42
Q

Logic Model Planning

A
  • CAT (components activities target groups)
  • SOLO (short & long term outcomes)
43
Q

Logic Model Components

A
  • Goal, overall long-term health
  • Inputs, resources invested
  • Outputs, products produced
  • Outcomes, changes expected
44
Q

External Factors

A
  • Affect program
  • Beyond control of planners
45
Q

Program Evaluation

A
  • Ongoing & dynamic
  • Determines what is working
  • Further refinement of program
  • Identify gaps
46
Q

Formative Evaluation Stage

A
  • What are others doing
  • What does community need
  • Is it working
47
Q

Process Evaluation Stage

A
  • How are we doing
  • What actually happened
  • What was supposed to happen
48
Q

Outcome Evaluation Stage

A
  • Did we do it
  • Were objectives achieved
  • Reach overall goal
49
Q

Low Income Risk Factors

A
  • Type II diabetes
  • Hypertension
  • Asthma
  • Chronic pulmonary disease
50
Q

Poverty & Indigenous Populations

A
  • Persistent inequitable access
  • Income
  • Employment
  • Housing
  • Food security
  • Education
51
Q

Poverty in Rural Canada

A
  • Limited employment opportunities
  • Lack of access to supportive infrastructures
  • Higher incidence of poverty
52
Q

Poverty Defining Scales

A
  • Low income measure
  • Market basket measure (MBM)
  • Low income cut-off (LICO)
53
Q

Groups at Risk of Poverty

A
  • Indigenous living off reserve
  • Lone parents with 1+ child
  • Unattached individuals ages 45-64
  • Physical & mental disabilities impacting work
  • Recent immigrants (past 10 yrs)
54
Q

Homeless Access Barriers

A
  • Mistrust of providers
  • Competing survival priorities
  • Financial barriers (afford medications)
  • Transportation
55
Q

Housing First Program

A
  • 1990’s Toronto & New York
  • All people deserve housing
  • Housing is a precondition to recovery
  • Housing then supports
  • Housing not contingent upon readiness/compliance
56
Q

Upstream Interventions

A
  • Advocate for increased minimum wage rates
  • Increased social assistance rates
  • Affordable housing & childcare
57
Q

Downstream Strategies

A
  • Facilitate access to care for people with barriers
  • Building trusting relationship
  • Preserving respect
  • Acknowledging client concerns with importance
  • Sensitivity to peoples life circumstances

2220 Health Promotion & Caring: Families & Communities (6 decks)

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