community/ public health nursing & community assessment
The term for activities that society undertakes to assure the conditions in which people can be healthy
public health
the term for everyone who has the opportunity to achieve their best health, regardless of who they are, where they live or what they earn
health equity
Insurance plan for government health insurance plan for 65+
Medicare
explain teach back method
ask patient to repeat information back to you in their own words to ensure understanding
the term for uncertainty, mixed feelings
ambivalence
health for a community is relative and changes over timeNational agenda for health & well being
examples of Secondary interventions
screenings for cancer, BP readings, mental health
no health insurance, relies on ER for basic health needs
uninsured
the term for the ability to find, understand, evaluate and use health information to make informed decisions
health literacy
Name the 6 Trans theoretical Model of Behavioral Change
pre-contemplation, contemplation, preparation, action, maintenance, relapse
three types of communities
geographic, common interest and community of solution
the term for focusing on root causes of health issues not just symptoms
upstream thinking
the term for that includes professional associations & nongovernmental organizations.
Examples:
American Public Health Association (APHA)
Association of Public Health Nurses (APHN)
Aetna
BCBS
Private Health Sector Organizations
steps of communication process
sender
message
encoding
channel
decoding
receiver feedback
OARS
Open ended questions
Affirmations
Reflections
Summaries
the role where the individual conducts systemic investigation, collection & analysis o data for solving problems.
seeking evidence based solutions to address needs in community settings
researcher
name 3 root causes of SDoH
structural racism, Discrimination & oppression, Economic inequality, Policy decisions, Colonialism & Historical trauma
What are nurse-managed health clinics & give examples
Nurse managed health clinics are led by Advanced RNs, deliver primary, behavioral and preventative care to underserved populations, regardless of ability to pay.
Holistic (herbal), patient centered care
University or nursing school affiliations
digital health literacy
ability to seek, find and understand and evaluate online health info from electronic sources (patient portals, my chart, health apps)
“I know smoking is bad… maybe I’ll quit someday.” is an example of what trans theoretical model
contemplation
what is the nightingale model
which emphasized the importance of environmental factors
like clean air, pure water, sunlight, and sanitation for health and healing
screen tool for SDoH
PREPARE tools
Social Security Act of 1935
Reduced poverty and poor health outcomes among elderly and vulnerable populations.
Provided economic stability, which is a social determinant of health (when people have income, they can afford food, housing, and healthcare).
Outside of healthcare, government provides money for retired (65+) & the unemployed
contracting vs collaboration
Collaboration: purposeful teamwork among nurses, clients, professional and community members
Contracting: negotiated partnership between nurse & client/ community
3 Motivational Interview Methods
willingness ruler
confidence ruler
readiness ruler