Chapter 1 Population Health Nursing – Flashcards
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What is Population Health?
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the greatest possible biologic, psychologic, and social well being of the TOTAL Population as an entity of its individual members (health outcomes of an entire group of people)
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What is Population Health Nursing?
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nursing knowledge that influences the health of population groups, based on assessment of community needs and focuses on an entire population (ADVOCAY is an important part of population health nursing)
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Community-based nursing
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providing sick care in community settings
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Community-focused nursing
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bringing nursing knowledge to community but doesnt have a population focus
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Community-driven nursing
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focuses on needs of a community as a whole and emphasizes community particpation in determining those needs.
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What are the core functions of public health?
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assessment policy development assurance
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Core function: Assessment
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systematic collection and analysis of data *monitor health, diagnose, and investigate
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Core function: Policy development
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advocacy and political development to develop local, state, and national policies *inform, educate, empower, mobilize community partnerships, develop policies
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Core function: Assurance
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reflects the responsibility of the public health system to see that needed services are available to the population *enforce laws, link to providing care, assure a competent workforce, evaluate, research
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What are the Healthy people 2020 national objectives?
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1) identify nationwide health improvement priorities 2) increase public awareness and understanding of the determinants of health 3) provide measurable objectives and goals that are applicable at the national, state, local levels 4) engage multiple sectors to take actions to strengthen policies and improve EBP 5) identify critical research, evaluation, and data collection needs Identify, increase, provide, engage, identify
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What are the components of the population health nursing model?
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Assessment Planning Implementation Evaluation
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PHN model: Assessment
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determinants of health 1) biological 2) psychological 3) environmental 4) sociocultural 5) behavioral 6) health system
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Biological determinant of health
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age and developmental level, genetic inheritance, physiological function
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Psychological determinant of health
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Internal: mental illness, self esteem, self efficay, ability to cope with stress, personal attitudes and values External: emotional support, stress
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Environmental determinant of health
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Physical: weather, temp, humidity, location Built: poor housing, unsafe working conditions
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Sociocultural determinant of health
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social structure (economics, employment, policies, legal), societal attitudes towards health, cultural norms
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Behavioral determinant of health
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dietary habits, physical activity, substance use, sexual activity
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Health system determinant of health
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availability, accessibilty, affordability, utilization
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PHN Model: Planning/ Implementation
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population health nursing intervention: counseling, education, referrals levels of health care: health promotion, illness ad injury prevention, resolution, restoration
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PHN Model: Evaluation
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population health status
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What are the 4 levels of health care/ 3 levels of prevention
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1) Health promotion (PRIMARY) 2) Illness and Injury prevention (PRIMARY) 3) Resolution (SECONDARY) 4) Restoration (TERTIARY)
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Health Promotion Level of health care (PRIMARY)
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activities designed to foster a healthier lifestyle and develop a state of good health in a population
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Examples of Health Promotion (PRIMARY)
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immunizations, education about diet and exercise, safety enforcement like seat belts and helmets
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Illness and Injury Prevention Level of health care (PRIMARY)
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strategies aimed at preventing the occurrence of specific health probs
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Resolution Level of health care (SECONDARY)
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efforts to eliminate an existing health prob!
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Examples of Resolution (SECONDARY)
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regular exams and screenings, daily low dose of aspirin, diet and exercise programs to prevent another stroke from happening
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Restoration level of health care (TERTIARY)
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activities designed to assist the client with returning to a prior sate of good health and functional ability
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Examples of Restoration
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cardiac or stroke rehab programs, support groups
