NUR 4636C Community Partnered Care Fall 1999 - PowerPoint PPT Presentation
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NUR 4636C Community Partnered Care Fall 1999
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Regina L. Payne, EdD, RN, CWOCN. Anne Nolan, MS, RN, FRCNA. 2. Health: A Community View. How do we define health? ... Has head lice, dental caries, & poor hygiene ... – PowerPoint PPT presentation
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Title: NUR 4636C Community Partnered Care Fall 1999
1
NUR 4636C Community Partnered CareFall 1999
- Health A Community View
- Regina L. Payne, EdD, RN, CWOCN
- Anne Nolan, MS, RN, FRCNA
2
Health A Community View
- How do we define health?
- ? Depends on who is defining it why defining
it - ? And on the unit of analysis individual,
family, community, aggregate, population - Are there common characteristics of health
regardless of who or why defining it unit of
analysis?
3
Health A Community View
- Definitions of Health
- Personal
- 80 year old female caretaker of husband
- Relative
- Surgeon
- Mexican migrant farm laborer
- Director of Nursing County Health Department
- School health nurse
4
Health A Community View
- Definitions
- WHO, 1986 extent to which an individual or
group realize aspirations and satisfy needs
change or cope with the environment. Health
resource for everyday life not object of
living positive concept social and personal
physical capacities. - DON Health is the extent to which an
individual or group is able, on the one hand, to
realize expectations and satisfy needs, and, on
the other hand, to change or cope with the
environment (WHO, 1984, p.3).
5
Health A Community View
- Definition Focus of Public Health Community
Health - What is Public Health?
- Definition How is Public Health different from
Private Health? - Focus Health promotion/education disease
prevention - Examples of PH Health Promotion/Education
Activities? - PH Disease Prevention Activities?
- Primary Prevention
- Secondary Prevention
- Tertiary Prevention
6
Health A Community View
- Focus of Public Health Community Health
- Focus of Public Health versus Focus of
Nonpublic Health - National Level
- Local level
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Health A Community View
- Focus of Public Health Community Health
- Focus of Public Health
- COMMUNICABLE DISEASE CONTROL (Prevention?)
- Examples
- HEALTH EDUCATION (Level of Prevention?)
- Examples
- EARLY DIAGNOSIS of DISEASE (Level of Prevention?
- Examples
- SOCIAL PROGRAMMING (Level of Prevention?)
- Examples
8
Health A Community View
- Focus of Public Health Community Health
- Functions of Public Health
- ASSESSMENT WHAT IS THE HEALTH STATUS OF THE
POPULATION? - Proxy Measure Disease
- ASSURANCE IS CARE AVAILABLE?
- Uninsured Children
- Accidental Deaths
- POLICY DEVELOPMENT LOCAL, STATE, FEDERAL
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Health A Community View
- Focus of Public Health Community Health
- Focus of Community Health
- Health of local communities organized through
partnerships between pubic tax supported
private agencies American Heart Assoc, American
Cancer Society, hospitals, schools, HDs, United
Way agencies, universities - Examples of partnerships you have been involved
in which focused on the health of a community
10
Health A Community View
- Public Health and Community Health Nursing
- How would you define and level each of the
following? - Community
- Family
- Individual
- Aggregate
- Population
- Group
- Neighborhood
11
Health A Community View
- Population Based and Aggregate Based Care
- Population Large collection individuals with
common personal or environmental
characteristic(s)Give examples - Geographic locale
- Special interest
- Other characteristics
- Subpopulations-Special groups within populations
- High risk infants under 1 year age
- Unmarried adolescent mothers
- Grade Schoolers (5-11 year olds)
- Population Based Care Define
- CHN Role Specialist? Generalist? Where would
this person work with populations?
12
Health A Community View
- Population Based and Aggregate Based Care
- Aggregate Group of individuals (smaller than
population) with common personal or environmental
characteristic(s) Example - Geographic locale
- Special interest
- Other characteristics
- Other aggregate groups
- High risk infants under 1 year age Hispanic,
RCMA - Unmarried adolescent mothers Lee County HD
- Grade Schoolers (5-11 year olds) Rural Lee
County - Aggregate Based Care Define
- CHN Role Specialist? Generalist? Where would
this person work?
13
Health A Community View
- Public Health and Community Health Nursing
- Public Health Nursing Community Health
Nursing - How does PHN differ from CHN?
- What are the defining characteristics of each?
- What is their focus of practice for each?
- What are their goals?
- What education and titles do nurses hold in
each sphere?
14
Health A Community View
- Preventionistic Approach
- Marie is an 8 year old Haitian girl at San
Carlos Park Grade School. You are the school
nurse who has found that Marie has the following
needs - Understands little English family speaks no
English - Scored at 60th percentile for age/weight on
growth chart - Has head lice, dental caries, poor hygiene
- Identify short term goals primary, secondary,
and tertiary level coventions for Marie
15
Thinking Upstream
- Microscopic vs Macroscopic Approaches
- Microscopic Approach to Health Care
- Focus
- Disease Causation
- Coventions
- Macroscopic Approach to Health Care
- Focus
- Disease Causation
- Coventions
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Thinking Upstream
- Models for Public Health Planning
- Individual Focus Thinking Downstream
- Orem Self Care Deficit Theory
- Health Belief Model
- Societal Focus Thinking Upstream
- Milios Framework for Prevention
- Critical Social Theory
- Identify one health problem of a population in
FGCU service region. Formulate coventions using
downstream/upstream approaches. How are these
analogous to microscopic/macroscopic approaches
and individual/societal foci?
17
Historical Factors Community Health in Context
- Identify one highlight of historical significance
in public health for class discussion (Text,
Chapter 2) - Why did you select this event?
- Is there a counterpart event today?
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