Study Guide- Chapter 18 - Chapter 18 Community as Client...

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Chapter 18 – Community as Client: Assessment & AnalysisCommunity:Target of practicePeople in relationships with othersBounded geographical setting and/or common values or interests3 factors – people, place, function People – members, residentsPlace – geographic and time dimensionsFunction – aims and activities of the community; distribution of goods and services; adapting to changePopulation-centered practice seeks healthful change for whole community’s benefitCommunity health:Meeting of collective needs by IDing problems & managing behaviors within the community and between community and larger society3 characteristicsStatus/outcome – biological (risk factors, life expectancy, morbidity rates), emotional (mental health index, consumer satisfaction), social parts (crime rates, functional levels)Structure – terms of services and resources; provider-to-client ratio, treatment data, service use patterns, demographics (race, education)Process – community competence (ppl are able to collaborate effectively); effective community functioning & problem solving3 characteristics of successful partnership – being informed, flexibility, negotiationCensus – procedure of systematically acquiring & recording data about members in given population; regularly occurring & official count of particular populationVital statistics – mortality and morbidity dataWindshield survey – type of data generation; motorized equivalent of simple observation; can observe many dimensions on community’s life & environment; common characteristics of ppl on street, housing quality, geographic boundariesData collection – primary goal is to obtain usable info about community & its health; require gathering or compiling existing data & generating missing dataNursing diagnoses:
Each problem needs its own diagnosisIncorporate information from community assessmentUse general nursing knowledge and epidemiological conceptsClarifies who receives care (community as opposed to individual), provides statement

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