overview
includes comsumers (pts), providers, different settings, regulatory agencies, healthcare financing mechanisms
3 major types of community health nursing
public health, community-based, and home health care
community health
places the practice of nursing within a population or in the client’s house
main focus of public health nursing
care of populations (neighborhoods → continent)
not limited to particular setting
target populations of public health nursing
young, elderly, homeless, inmates, area residents, etc
concept of public health nursing
strategies to keep population healthy by preventing or controlling disease and other health threats
main focus of community based nursing
prevent illness, maintain/regain health, or die with dignity while living in a community
target population for community based nursing
provides personal care to individual clients or families
What is used in community based nursing?
HEALTH LITERACY ASSESSMENT
essential for providing effective education
puorpose of home health care nursing
to promote, maintain, or restore health at an optimal level of functioning
reduce effects of disability and illness
description of home health nursing
alternative to hospital or nursing home
component of comprehensive health services
is provided on continuum to individuals and families at their places of residence
which is the primary goal of community health nursing?
support and supplement the efforts of the medical profession in the promotion of health
to enhance the capacity of individuals, families, and communities to cope with their health needs
to increase productivity of the people by providing them w/ services that will increase their level of health
to contribute to national development through promotion of family welfare
to enhance the capacity of individuals, families, and communities to cope with their health needs
primary prevention
to prevent disease or disability
vaccines, seat belt class, teaching nutrition in schools
secondary prevention
early identification of illness to limit its impact (includes early intervention)
screenings (catch early)
tertiary prevention
for those already diagnosed → after diagnosis
ICU, oncology centers (actively treating)
restorative health care
intermediate follow-up care for restoring health
rehab (pt there temp. in order to get back home)
continuing healthcare
addresses long-term or chronic healthcare needs
palliative care, hospice, adult day cares
social determinants of health
onditions in which people are born, grow, work, live, and age and the wider set of faces and systems shaping the condition of daily life
intrinsic (host) factors
genetics, age, gender, ethnic group, behavior
extrinsic (environmental) factors
food sources, workplace conditions, place of residence
The nurse is participating at a health care at the local mall giving flu vaccinations to senior citizens. What level of prevention is the nurse practicing?
primary
secondary
tertiary
primary
useful demographic assessment tools and community health planning resources include
WHO, US census, State Department of Health, CDC, Healthy People 2030, OSHA
planning
determining goals for community health must include key stakeholders (individuals or groups with an investment or significant interest in a topic)
community health nurses act as both…
case managers and home health nures