NU 400 WK 1 - Ch. 1 & 2 Introduction to Public Health.docx - NU 400 Health Promotion Risk Reduction in Communities \u2013 Week 1 An Introduction to

NU 400 WK 1 - Ch. 1 & 2 Introduction to Public Health.docx...

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NU 400 - Health Promotion & Risk Reduction in Communities – Week 1 An Introduction to Public Health System & Community/Public Health Nursing DeMarco & Healey-Walsh – Ch. 1 & 2 Learning Objectives - Define public health, community health, community-based nursing. - Differentiate between public health & community health. - Describe components of contemporary public health approach & system. - Identify contributions of key figures to community/public health. - Discuss mission of public health, its 3 core functions & 10 essential services. - Describe core competencies & key roles for C/PH nurses. - Explain key documents that define scope of practice for C/PHN. - Consider challenges for public health nurses in 21 st Century. Points to ponder…. - Every nurse is public health nurse. - Public health nursing is “state of mind” Definitions - Health o Dynamic state of complete physical, mental, spiritual, & social well-being & not merely absence of disease or infirmity o Health is universal human aspiration & basic human need. o The development of society, rich or poor, can be judged by: Quality of its population's health How fairly health is distributed across social spectrum Degree of protection provided from disadvantage due to ill-health - Public health o What we as society do collectively to assure conditions in which people can be healthy o Public health works to protect & improve health of communities through policy recommendations, health education & outreach, & research for disease detection & injury prevention - Nursing o Promotion of health, prevention of illness, & care of ill, disabled & dying people. Advocacy, promotion of safe environment, research, participation in shaping health policy & in pt & health systems management, & education are also key nursing roles. - Population Based Nursing o Care provided to specific populations to improve health outcomes o Incorporates social, environmental, cultural, economic & occupational factors in care of populations o Population based nursing focuses on care of populations. In sense, population is pt. - Population o Populations can be described many ways. o Can be residents of geopolitical area, within which variety of sub-populations can be defined. o Sub-populations can be defined in variety of ways, including by income, race/ethnicity, disease burden, or those served by healthcare system or in particular workforce. o There can be multiple populations within community US Healthcare - The contemporary focus of US healthcare is on disease treatment & management - 97% of all health care dollars in US are spent on individual health care 1
- To move towards improving US health, we have to move to spending money on population & public health ( - The cost of health care in US has been rising more than rate of inflation since mid -1960’s - Cardiovascular Disease ranks highest in cost o More than 859,000 in U.S. die of heart disease or stroke every year o This costs US health care system $199 billion per year & $131 billion in lost productivity at work.

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