What does public health do in terms of policy?
- set goals for health services
- mobilize community partnerships to idenfity and solve health problems
- standards of care
- ex:social marketing, health promotion, Setting immunization standards for children
Web of Causation
Age, Family Hx, Smoker, Sedentary, Nutrition
Prevention- address each issue
How does public health assess?
- monitor health status
- ex: does community have enough doctors?
- recording the number of births and deaths
- tracking health trends
- conducting laboratory analyses
- evaluating the effectiveness of programs
Home Health nurse
- ANA standards
- Community Based
What is a pandemic
outbreak of exteremely large number of people in many countries
number of events (top#)
observe and answer questions, about cause/effect of disease
Infant Mortality Rate
- determines health of a country
- # of death of children (/ total number of live births in same year x 1000
What is a population
- collection people with common tratis (phys, environmental)
4 ways to advocate for patients
housing, education, access to care, lifestyle changes
Family Functioning Stages of Development
- Intermediate- unable to support growth, parents are immature
- Adolescent- teenage level
- Adult- steady
Teeter Totter Family
family members trade roles.
provides a structure o ssytemically studying the distribution and determinant of health, disease and condition r/t health status
a statistics used to understand health events in a population. during a certain time period, therefore the probability of that even occurring for a specific population can be inferred.
any agent (person, animal or microorganism) that carries and transmits an infectious pathogen into another living organism
Who is Lilian Wald
public health nurse, found of american community nursing. Created Henry Street.
Initiation Phase Home visit
Disorganized family style
unpredictable, unstructured. Difficulty cooperating or planning.
data collected from ongoing events
i.e. Birth certificate, death, divorce, etc
demographics, level of health state, immunity
2 population at risk for disease, a comparison of one number to another
- consider diversity of location, culture, Where 20% of american live
- Health probs: injury, accidents, trauma
- Acess to care
What is primary care
- Community based
- generalist providers
- professional dominance
how many new cases. It is the rate at which a specfic disease develops in a population
What is a family
unit of care with identifiable roles, family assumes crucial role in maintaining health
Resistive Family Style
disagrees with instiutional interpretation of the problem. Feels powerless in the face of the larger system. Focus on families priorities.
Distancing Family Style
undertands the problem but has diffculty making connections with resources. Embarrased.
Retrospective. After health outcome has occured
What is primary health care
- Community oriented
- self reliance
- curative, rehab
ongoing collection, analysis and dissemination
3 Components of Epidemiology
Agent, Host, Environment
samples of the total population
What is an individual comprised of?
individuals & families
body fluids, can be cancerous
- What is primary prevention
- What is secondary prevention
- What is tertiary prevention
- No health issue, education, health promotion, and specific protection, Vaccinations
- Screenings! early diagnosis,p rompt tx, disability limitation
Restoration, rehab. Most severe admtted
Restoration, rehab. Most severe admtted
Decide how severe disease is, before answering. If no disease its primary
Termination phase home visit
Lopsided Family Style
responsibiity lies with one adult member
Public Health Nurse
- Animal Control
- Food Safety
- Sewage Tx
- Safe Water
What is a community
- grps of individuals held together by similar characteristicsn, needs, functions.
- Part of the whole
blood and body fluids. Most common
What is an Epidemic
infection affecting large numbers of people
What is mandated mean
- Report of Abuse
- Health promotion
- Regulatory record keeping
- Care plan
What is a partnership?
partner w/ communities and populations to address health and social conditions
# of events/# population at risk
What does public health assure?
- enforce laws (sanitary codes)
- fit to work?
- access to health services
- effectiveness, accessibility
- Ex: education. licensure, inspection
What is a subpopulation
- group within the context of a larger group
- ex: older than 65- that smoke
tension with 2 people, may distance 3rd member
Core Public Health Functions x3
- Policy Development
Dependent Family Style
family prefers to look to others to provide direction and supply their needs. No member available to take leadership role. May be learned from previous generations
Mental Health Nurse
- Disorders: Schizo, affective, Suicide, Anxiety
- Issues: inappropriate discharge, inadequate system, undue burden of care, isolation
Implementation Phase home visit
interventions, safety issues
Tight Family Style
talking to one member means talking to the rest
What is the focus of population based care?
greatest good for greatest number of people
Rigid Family style
incapable of carrying out new routines
hierarchical, lines of communication clearly spelled out
Whos is John Snow
father of epidemiology, cholera, water contamination
What is an aggregate?
- population group within defined population
- many different communities
- ex: federal gov't, the unemployed in a community
What is a system?
Policy or decision making how they affect communities. Ex: health teaching, counseling
What is case management?
- ensure utilization of services and resources
- assistance within, between and outside of facilities.
Receptive Family style
open to suggestions
- Examples of Primary
- What is an example of prevention of all three (1,2,3)
- fluoride i water, hand hygiene campaign, teaching
- Health fairs
Biological, physical, chemical. Ex : HIV virus
Name 3 epi investigations types
descriptive, analytical, case control
What is the Henry Street Settlement
social services, art programs and healthcare services
amount of disease in a population
Preplanning Phase Home visit
All cases at a given time
Cultural vallues effects on care
- Blood Transfusions
- Passive surveillance
- Tracking expected and unexpected numbers
- Examples: ebola, TB, measles/mumps
What are the 3 levels of interventions
Post home visit Phase
What is homelessness?
no fixed night time rsidence
Outcome of vulnerable population
- shorter lifespan by 30 years
- low health status
- high prevalence of chronic illness
- communicable diseases
What is resileniency
not succumbing to risks that impact health
Highest abortion and pregnancy
russia and u.s.