Week 1 - Community Health Assessment Flashcards Preview

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Flashcards in Week 1 - Community Health Assessment Deck (26)
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1
Q

Community

A

“community of place” or geographic boundaries

it is a cluster of people that share at least one common characteristics (i.e. geographic location, ethnicity)

Interdependence of subsystems create a community

2
Q

Members of community gain social and personal identity within the community by…

A

sharing common beliefs, values, and norms made in the past and that can be modified in the future

3
Q

WHO Definition of Community

A

A group of people living in defined geographical areas commonly who may share common cultural values and norms and are arranged in a social structure of relationships. The community develops over a period of time.

4
Q

How are Binghamton University Students a “Community”

A

It is a cluster of people sharing characteristics

There are interdependent subsystems within this community that the students rely on - police, faculty, health services, staff, etc

5
Q

Community Health

A

The meeting of collective needs by identifying problems and managing interactions within the community and between the community and the larger society

6
Q

Why is community health so important

A

if you live in an unhealthy community then there are poor health outcomes for people

7
Q

What are the 2 health outcomes we look at in the US to determine community health?

A

Morbidity and mortality - specifically death rates and we ask why did someone die and did they die sooner than expected

8
Q

Mortality

A

number of people who die in a population

true measure of health of a community

9
Q

What may a health community look like

A

low crime rate

quality schools

strong family life

robust economy with plenty of jobs available

high environmental quality (clean air, water)

accessible and quality health services

civic involvement

good transportation

wide variety of leisure activities

10
Q

What are the 4 goals for Community Health in HP 2020

A
  1. Attain high quality, longer lives free from preventable disease, disability, injury and premature death
  2. Achieve health equity, eliminate disparity, and improve health of all groups
  3. Create social and physical environments that promote good health for all
  4. Promote quality of life, healthy development, and healthy behaviors across all life stages
11
Q

Community Health Assessment

A

the act of becoming acquainted with a community and their health status, needs, and available resources

it is a logical systematic approach to ID community needs, clarify problems, and ID community strengths and resources

it will identify where better information is needed such as health disparities

12
Q

What is the goal of a community health assessment

A

to describe the needs of a community and then develop strategies to address those needs

13
Q

What is the basis for all local public health planning? How does it help?

A

Community Health Assessment

It helps planners interact and identify key community leaders, concerned residents, and organizations on priorities and needs

14
Q

What are some motivations beyond better community health for doing a community health assessment?

A

The law requires counties to do one every 3-4 years for funding reasons

The affordable care act makes non profit hospitals also do one every 3 years

Each county has to do one

15
Q

What is the principal challenge for nurses performing a community health assessment?

A

Gaining entry and acceptance into a community (to gather that information that is needed)

16
Q

Why is it so important as nurses to do a community health assessment?

A

ANA code of ethics mandates that nurses engage with others within ethical, supportive and civil relationships, and emphasizes the importance of communication and collaboration in the health care environment

Basically, communication and collaboration are important skills for nurses to use in order to care for community health and promote health in patients

17
Q

What is subjective data at the community level?

A

Qualitative data

things you observe / observations from a windshield survey using the 5 senses

18
Q

What is objective data at the community level?

A

Quantitative data

statistics and numbers and data

19
Q

What is the Core of the Community as partners wheel?

A

The core is the people, their history, demographics, ethnicity, values, and beliefs

it tells you what the people of the county are like according to these things

20
Q

What are the 8 subsystems of the community as partner wheel?

A

Physical Environment

Education

Safety and Transportation

Politics and Government

Health and Social Services

Communication

Economics

Recreation

21
Q

The 5 Components of Community Data Analysis

A
  1. What is the community’s perception of the chosen health issue
  2. Describe the health problem in detail
  3. State specific significance and relevance to the affected community and the implications on nursing
  4. ID groups in the community at risk
  5. State the problem as a community health nursing diagnosis
22
Q

Community Gaps

A

things that the community is lacking or weak in that can lead to health issues

23
Q

What is the principal challenge for nurses performing community health assessments?

A

Trust - gaining trust and entry and acceptance into a community once we ID a problem

24
Q

What does a CHA long term goal look like

A

broad not too specific but what you want to see at the end

long term outcome

25
Q

What do CHA objectives look like

A

SMART!

26
Q

What are the parts of a CHA Community Diagnosis

A

1 Diagnosis (NOT NANDA)

  1. Among … (insert affected group and location)
  2. Related To … (insert etiology)
  3. As manifested by … (insert S/S)
    ex: Severe senioritis AMONG senior level undergrad students between the ages of 20-25 at BU RELATED TO upcoming graduation, lack of class attendance, recreational activities AS MANIFESTED BY 92% diagnosed with senioritis by a primary care physician, general poor hygiene, and increase in students asking why does this matter, 1 out of 3 skip more than one class per week, overall class attendance dropped by 40% as compared to junior year, 99% prefer hanging out with friends instead of faculty