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Chapter 4
Community Health ATI
30
Nursing
Undergraduate 4
11/19/2013

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Cards

Term
community health nurses practice as..?
Definition
home health nurses
hospice nurses
occupational health nurses
parish nurses
school nurses
case managers
Term
home health nurse skills
Definition
skilled assessment
wound care
lab draws
med education and administration
parenteral nutrition
IV fluids an dmedication
central line care
catheter insertion and maintenance
coordination/supervision
Term
home health care education
Definition
Safety in the environment

After acute hospital stay for when to contact agency, possible complications, resources and support

disease process and future implications

prescribed medicine

ADL
Term
Occupational health nurse
Definition
function in numerous roles within workplace settings and are challenged to provide cost effective and high quality care.

Must develop partnerships with workplace administration, industrial hygienists, safety specialists, occupational medicine physicians, human resource departments, union reps and health insurance agencies
Term
Triangle of susceptibility to illness and injury
Definition
Host: worker characteristics such as jobinexperience, age and pregnancy

Agent:
- biological (virus, bacteria, fungi, pathogens)
- Chemical
- Mechanical (strains from repetitive motions, poor fit, heavy load)
- Physical: temp, lighting, vibration
- Psychological (burnout, violence, stress)

Environmental:
- physical: heat, odor, ventilation
- social: sanitation, overcrowded
- psychological: addictions, stress
Term
Occupational health nurse roles
Definition
Primary prevention: teaching good nutrition and knowledge of health hazards, immunizations, protective equipment

Secondary prevention: identify workplace hazards, early detection through surveillance and screening, counseling, referral, prompt treatment, prevent further limitations

Tertiary: restoration of health through rehab and limited duty programs
Term
information elicited through occupational health history
Definition
Current and past jobs

Current and past exposure to specific agents and any relationship of current symptoms to work activities

Any precipitating factors, such as underlying illness, previous injuries, healthy or unhealthy habits
Term
Work site walk through or survey
Definition
Part of a workplace assessment with focus on:
- observation of work processes and materials
- job requirements
- actual and potential hazards
- employee work practices (hygiene, waste disposal, housekeeping)
- incidence/prevalence of work related illness/injuries
- Control strategies to eliminate exposures
Term
OH nurse protection from violence
Definition
Work can be frustrating and contribute to stress, resulting in aggression and violence against others
- be aware of repetitive, boring or physically/psychologically draining jobs to identify generally inadequate tired workers

Refer such workers to employee-assistance programs for confidential counseling and referrals if needed
Term
OH nurse protection from work related injuries from falls, environmental hazards and burns
Definition
Trend/research analysis to improve conditions by eliminating or minimizing hazards and potential problems

- safety and health education
- develop health policies
- design strategies to prevent accidents/injuries
- OSHA standards
- influence legislation
Term
Occupational Health and Health Act of 1970
Definition
Occupational Health and Safety Administration (OSHA): develops and enforces workplace health regulations to protect workers

National Advisory Committee on Occupational Safety and Health (NACOSH): gathers and disseminates data on incidence and prevalence of occupational illness and injury; responsible for prevention education and determining hazards associated with new workplace technology
Term
Faith Community Nurse
Definition
caring and spirituality are central, nurse works with groups of clients who share common faith traditions. Many have practices important to health/healing and follow specific practices for care with an ill/dying member
Term
CIRCLE Model of Spiritual Care
Definition
Caring
Intuition
Respect for religions beliefs/practices
Caution
Listening
Emotional Support
Term
functions of parish nurse
Definition
personal health counseling (health risk appraisals, spiritual assessments, support)

health education

liaison between faith community and local resources

facilitating support groups

spiritual support (spiritual strengths for coping)
Term
Primary prevention in school nursing
Definition
- asess knowledge base regarding health issues by teaching health promotion practices

- assess immunization status of all children
Term
Secondary prevention in school nursing
Definition
- assess children who become ill/injured at school and provide care
- assess everyone during emergencies
- screening for early detection
- assess for child abuse/neglect, report
- assess children at risk/evidence of mental illness, suicide and violence
Term
tertiary prevention for school nurse
Definition
-assess children with disabilities; IEP's; family cooperation
- assess children with long term health needs at school
Term
health concerns/leading cause of death in children
Definition
perinatal conditions/congenital anomalies
SIDS
accidents
Term
health concerns/leading cause of death in adolescents
Definition
accidents
homicide
suicide
Term
health concerns/leading cause of death in women
Definition
reproductive health: childbearing, menopause, osteoporosis
heart disease
DM
Malignant neoplasm: breast, cervical, ovarian, colorectal
Term
health concerns/leading cause of death in men
Definition
heart disease
malignant neoplasm: prostate, testicular, skin, colorectal
accidents
lung and liver disease
Term
health concerns/leading cause of death in older adults
Definition
heart disease
malignant neoplasm
cerebrovascular disease
COPD
pneumonia and flu
substance use/misuse
Term
National health goals of children
Definition
Reduction in dental caries, obesity and second hand smoke

Increase in newborn blood spot screening, medical home access, health ed, immunizations, activity and restraints
Term
National health goals of adolescents
Definition
Less violent crime, tobacco, obesity, wt gain

More schools with breakfast, extracurricular activity, physicals, activity
Term
National health goals of women
Definition
Less disease involving bone, death from cancer and sexual violence

More: planned pregnancies over unplanned, adequate/early prenatal care, breastfeeding, warning signs of heart attack/stroke
Term
National health goals of men
Definition
less cancer, HIV, AIDS, injuries

More, aerobic/muscle activity, heart attack/stroke warning signs
Term
Screening/Preventative Services in children
Definition
height, weight, vision, hearing
birth: hemoglobinopathy, phenylalanine level, T4 and TSH
Cholesterol and triglyceride levels
dental health
Term
Screening/Preventative Services in adolescents
Definition
ht, weight, vision, hearing
dental
rubella serology/vaccination hx in women
substance use d/o
immunizations
cholesterol/trigylcerides
mental health screening
Term
Screening/Preventative Services in women
Definition
height/weight
BP
cholesterol 45-65
dental health
pap smear test
mammogram/clinical breast
fecal occult blood/sigmoidoscopy over 50
rubella serology/vaccination during childbearing years
immunization status
DM
HIV
Skin cancer
Term
Screening/Preventative Services in men
Definition
height/weight
BP
dental health
digital rectal
decal occult/sigmoidoscopy over 50
immunization status
DM
HIV
Skin cancer
Cholesterol 45-65
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