Allender Chapter 16_Revised - Allender Chapter 16 Global...

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Allender Chapter 16 Global Health and International Community Health Nursing Rita West, DNSc, RN NEA-BC
Global Nursing Providing clinical services to policy making at an international level Community Health Care Complex, affected by geography, history, politics, culture, religion, and a nation’s wealth Health care provider credentials and education, as well as the extent of care they can provide, vary from country to country
Global Community Nursing Framework Three P’s Population: Focus in on populations rather than individuals Provider: The health care team, which may include a community health nurse, physician, midwife, injector, community health worker Procedure: the interventions health care providers implement for or with populations
The 3 Eras of Health and Health Conditions Era of Infectious Diseases: Death from the plague, TB, etc. Era of Chronic, Long-Term Health Conditions: Heart disease, cancer Era of Social Conditions: Addictions, obesity, prostitution, sexual abuse It is possible to experience all 3 Eras of Health Conditions simultaneously
Universal Imperatives of Care Mortality Morbidity Daily Functioning Decision Making Cost and Access to Care
Mortality Government priority is to keep the population alive Ancillary health programs are not the first priority
Morbidity Can focus on what makes the population sick, when they are not dying Physicians and nurses are sought for assistance
Daily Functioning (Ability to care for self) Health care team members (nurses, therapies, social workers) may care for the fragile elderly and the disabled The country must have available resources for health care team members to provide care to certain aggregates of the population

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