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25 Cards in this Set

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`Community-Based Nursing
Individual/Family
Community Orientated Nursing/ Public Health nurses
Whole community/vulnerable populations.
Public Health nurses role
Focus On:
-prevention
-Communicable disease control
-safe food and water
-direct services
-epidemiology stats and assessments for policy making
Primary Promotion
prevent problem
immunization/educations
Secondary promotion
Screening/Early dx/ referral and treatment for disease present

BP clinics
Tertiary
treat disease/prevent progression/restore health/ rehab
Status (condition)
vital signs of the community.
-epidemiologic data: who, what, how?
physical assessment findings:
-observe/auscultate/palpate
Structure (systems)
Physical environment
-boundaries/natural features
SES composition
-demographic features
Facilities and services ava
-buildings, organizations, labor force
Process (how comm. functions)
Capacity
•Strengths, weaknesses and problem-solving skills
Competence:
•How effectively the comm. works together to meet needs
Healthy Communities Have:
-Pos. health status indicators
-Structures for equitable & -accessible services
-Processes reflect capacity and competence
Nursing Process in com health
assessment, est team, id resources, develop plan, collect/analysis exisisting data, do primary research
Primary data:
Data collected from individual
Secondary data:
fam ems, friends, death records, mortality, census, data, mortality/morbidity
Upstream
planning change before serious problems exist in population
Downstream
planning change after problem has occurred.
Acute Care:
Structured Formal Setting
Controlled environment
Close supervision
Multiple providers
Ready access to resources & technology
Community Care:
Less structure
Less formal
More autonomy
Less control over environment
More family responsibility
Case Management Role
oSystematic approach to identify high-risk, high-cost clients
oAssesses, plans, implements, coordinates, monitors and evaluates options to meet individuals health needs.
-Using available resources to promote quality, cost effective outcomes
Case mgmt roles
Reduce fragmentation of care
Promote self-care
Id gaps in services
Advocate for unmet needs
Case mgmt components
Case finding – who needs us?
Assessment
Analysis of data to identify needs (nursing dx)
Planning care in collaboration with client
Linkage – to services and resources
Advocate for new resources if gaps exist
Coordination of services
Education: self care
Monitoring quality, timeliness, effectiveness
Social Marketing
Advertising
Advertise to:
Media techniques are used to send public health message to targets groups, want to "sell)
Motivating principle:
Consumers act out of self-interest to satisfy wants and needs
Minimize costs or undesirable influences
Framework for Consumers:
Product = desired health behavior
Competition = current risk behavior
Price = social, emotional, physical, or monetary costs
Place = where the desired behavior is to be practiced
Promotion = activities used to facilitate the exchange between the undesired to the desired behavior
Health Education Publications:
- written or electronic should strengthen not replace!
- relationship between teacher and learner is true motivator for change