Levels of Prevention
A flu vaccine clinic at a community center
Primary
All adults in the U.S. diagnosed with asthma
Aggregate
The center of the Community Assessment Wheel
The core (the people)
Teens hanging out in groups after school are in this Erikson stage
Identity vs. role confusion
The outermost, dynamic buffer that protects the client system and changes quickly
Flexible line of defense
Free blood pressure screenings at a church
Secondary
Residents of a small town who attend town meetings
Community
Four elements of the core
History, demographics, ethnicity, values and beliefs
Toddlers at a playground are in this Piaget stage
Preoperational
The client system's usual, stable level of wellness
Normal line of defense
A cardiac rehab walking group
Tertiary
Key difference between a community and an aggregate
Community members interact and share a sense of belonging. Aggregate members share a characteristic only
How many subsystems surround the core? Name 4
8: physical environment, health and social services, economics, transportation and safety, politics and government, communication, education, recreation
Name one limitation of a windshield survey
Snapshot in time, subjective, can't see indoors or confirm demographics
Internal factors that protect the basic structure once a stressor penetrates the normal line
Lines of resistance
In Neuman's model, primary prevention strengthens this line
Flexible line of defense
A group that forms around a shared problem, like contaminated water
Community of solution
The model's key principle about the nurse's relationship with the community
The community is an active partner, nurse works with it, not on it
Kohlberg level of a school-age child who follows rules to avoid punishment
Preconventional
Name the three types of stressors
Intrapersonal, interpersonal, extrapersonal
Adding crosswalks after a pedestrian crash survey: which level, and why?
Primary, it prevents future injury before it happens
A community defined by shared identity or interests rather than geography
Phenomenological (relational) community
The authors of the Community as Partner model
Anderson and McFarlane
Name two methods to gather data a windshield survey can't provide
Key-informant interviews, focus groups, surveys, census data, County Health Rankings, community forums
The return to stability after a reaction to a stressor, matches tertiary prevention
Reconstitution