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Community Health Nursing

Terms in this set (51)

Community Oriented nursing ( public health)

Focus of care

Primary goal

Nursing Activitys
aggregates community, populations (Public heath can include at risk or unserved individuals/ families

health promotion and disease prevention


usually indirect (program management) can include direct care of at risk individuals and populations
Community Based Nursing

Focus of care

Primary goal

Nursing Activitys
individuals and families

management of acute or chronic conditions

direct (one to one) illness care: management of acute and chronic settings where individuals, families, and groups live, work, and "attend" (school, camps and prisons)
Ethical Considerations
¥ Utilitarianism
¥ Promoting good and preventing harm
¥ Individual rights vs. Public Health
¥ Confidentiality
¥ Privacy vs. Information Disclosure
¥ Autonomy (Flu vaccine mandate)
¥ Distributive Justice (COVID-19 vaccine delivery)
Balancing a individuals rights VS community based rights can become a challenge example:
flu shot mandate
• Healthy People National Health goals
Examples (2)
• Guide nurses in developing health promotion strategies to improve individual and community health
(helps us prevent future injuries)

• Examples: reduce risk from motor vehicle injuries, prevent influenza
Disease Prevention
primary, secondary, tertiary
Primary (definition and 5 examples)
prevention of the initial occurrence of the disease or injury

EX:
Access to food and clean water
Vaccinations
Nutrition Education
Safety Education
Communicable disease prevention
Secondary (definition and 4 examples)
early detection and treatment of the disease with the goal of limiting severity and adverse effects


EX:
Prevention Screenings
Cancer screenings
DM
HTN
Tertiary (definition and 5 examples)
maximization after an injury or illness (rehabilitation)

EX:
Rehab
Nutrition
Exercise
Support groups
Case management
Epidemiology
(2)
• The study and monitoring of health and disease trends in a population
• Systematic approach, data driven
A community health nurse is implementing health programs with several populations in the local area. In which of the following situations is the nurse using primary prevention?

• A. Performing a home safety check at a client's home
• B. Teaching health nutrition to clients who have hypertension
• C. Providing influenza immunizations to employees at a local preschool
• D. Implementing a program to notify individuals exposed to a communicable disease.
• C. Providing influenza immunizations to employees at a local preschool
A nurse is preparing an educational program on cultural perspectives in nursing. The nurse should include that which of the following factors are influenced by an individual's culture? (Select all that apply.)
• A. Nutritional practices
• B. Family structure
• C. Health care interactions
• D. Views about illness
• A. Nutritional practices
• B. Family structure
• C. Health care interactions
• D. Views about illness
Epidemiology
• Goals: (2)
• Reduction in disease incidence, prevalence, morbidity, and mortality

• Increase in immunization
• Modes of Transmission
-Foodborne,
-Waterborne,
-Vector-borne,
-Contact
-Airborne
Epidemiological Triangle (definition)

3 factors:
Studying and monitoring of health and disease trends in the population

Host
Environment
Agent
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