NUR1010, Chapter 42 T+W, Community Nursing

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  1. Understanding communities
    • Community -> members share a common language, rituals, special customs,
    • In contrast population= all people inhabiting specific area
    • aggregate= group with at least one common characteristic
  2. To understand a community ad its needs you will need info about 3 components
    • Structure: general characteristics e.g. gender income levels,...
    • Status: biological (morbidity, mortality), emotional (indications of mental heath), social (crime rates, involvement...)
    • Processes: effectiveness of community
  3. What make a community healthy?
    Physical activity, drug abuse, ....

    • 4 goals:
    • Increase years of healthy life
    • eliminate health disparities among different populations
    • Create environment conducive to social and physical health
    • Promote healthy living for people all ages
  4. What makes a population vulnerable ?
    • Increased risk of adverse health outcomes
    • Higher chance of developing illness
    • E.g. pregnant adolescents,
    • Multiple factors
    • Limited economic resources
    • Limited social resources (e.g.some elderly do not have relatives...)
    • Age the very young and very old are more prone to infectons
    • Chronic disease and obesity
    • History of abuse or trauma
  5. Understanding community nursing
    • A community can be a site or a recipient of/for health care services,
    • Efforts to lower healthcare costs have created a move back to more community based care, including complementary and alternative care,
  6. Community based care
    • Acute care or rehabilitative services in clinics, offices, mobile care units, outpatient settings
    • 3 approaches
    • Community health nursing
    • Public health nursing
    • Community oriented nursing
  7. Community health nursing
    • Focuses on how the health of individuals, families, groups affects the community as a whole
    • Promote, protect, preserve, maintain, health of population through delivery of health services
    • E.g. prenatal clinic with free services for low-income women
  8. Public health nursing
    • Focuses at the community at large and the eventual effect of the community's health status on the health of individuals,...
    • Prevent individual disease/disability
    • Promoting/protecting health
    • E.g. TB surveillance,
    • Often provided by government agencies
  9. Community oriented nursing
    • Combines community and public health
    • Health promotion
    • Illness prevention
    • Early detection
    • treatment
    • Evidence based and collaborative
    • Comprehensive look from individual to the community at large
  10. Primary interventions
    • Promote health and prevent disease
    • -educating susceptible individuals with no known disease process
    • -collaborating with local agencies to provide clean and secure temporary housing
    • -Lobbying against smoking
    • Least invasive and least expensive
  11. Secondary interventions
    • reduce impact of disease by early detection and treatment
    • Screen a sexually active girl for Hepatitis B
    • Providing outreach screening program
    • Lipid testing, scoliosis screening, PSA testing for prostate cancer
  12. Tertiary interventions
    • Halt disease progression, and/or restore client functioning to pre-disease state
    • Most invasive
    • Requires collaboration
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NUR1010, Chapter 42 T+W, Community Nursing
2014-02-04 07:31:53
NUR1010 Chapter 42 Community Nursing

NUR1010, Chapter 42 T+W, Community Nursing
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