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NU 400 - Health Promotion & Risk Reduction in Communities – Week 1An Introduction to Public Health System & Community/Public Health NursingDeMarco & Healey-Walsh – Ch. 1 & 2Learning 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 21stCentury.Points to ponder….-Every nurse is public health nurse.-Public health nursing is “state of mind”Definitions-Health oDynamic state of complete physical, mental, spiritual, & social well-being & not merely absence of disease or infirmityoHealth is universal human aspiration & basic human need. oThe development of society, rich or poor, can be judged by:Quality of its population's healthHow fairly health is distributed across social spectrumDegree of protection provided from disadvantage due to ill-health-Public health oWhat we as society do collectively to assure conditions in which people can be healthyoPublic health works to protect & improve health of communities through policy recommendations, health education & outreach, & research for disease detection & injury prevention-NursingoPromotion 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 NursingoCare provided to specific populations to improve health outcomesoIncorporates social, environmental, cultural, economic & occupational factors in care of populationsoPopulation based nursing focuses on care of populations. In sense, population is pt. -PopulationoPopulations can be described many ways.oCan be residents of geopolitical area, within which variety of sub-populations can be defined.oSub-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.oThere can be multiple populations within communityUS 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 care1
-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 costoMore than 859,000 in U.S. die of heart disease or stroke every yearoThis costs US health care system $199 billion per year & $131 billion in lost productivity at work.