Term
| Community health nurses practice as: |
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Definition
* home health nurses
* hospice nurses
* occupational health nurses
* parish nurses
* school nurses
* case mgrs |
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Term
| Aggregates that receive services from CH nurses |
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Definition
* individuals from infancy to death
* families
* groups within the community |
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Term
| Home Health Nurse Practice Setting |
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Definition
* in the home
* IDT may also include PT, OT, HHA, SW, dietitians
* PCP prescribes
* nurse oversees |
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Term
| Functions of home health nurse |
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Definition
* educator
* provider of skilled nsg interventions,
* coordinator of care |
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Term
| Home health nurse skilled services (not all-inclusive list) |
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Definition
* assessment
* wound care
* lab draws
* medication education and administration
* parenteral nutrition
* IV fluids and medication
* central line care
* urinary catheter insertion and maintenance
* coordination / supervision of various other participants in health services |
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Term
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Definition
| evaluates home for safety |
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Term
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Definition
* home
* hospice centers
* hospitals
* long-term care settings |
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Term
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Definition
| enhances quality of life through provision of palliative care |
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Term
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Definition
| comprehensive care delivery for terminally ill usually implemented when client not expected to live longer than 6 months |
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Term
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Definition
| Curative measures discontinued; focus is relief of pain and suffering; enhancing quality of life |
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Term
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Definition
* Care for the patient and the family
* interdisciplinary approach
* controlling symptoms is a priority
* services directed by provider; managed by nurse
* volunteers used for nonmedical care
* postmortem bereavement services are offered
* work with family up to 1 year after death |
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Term
| Occupational health nurse |
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Definition
* assessing risks for work-related illness and injury
* planning and delivery of health and safety services in the workplace
* facilitates health promotion activities that lead to a more productive workforce |
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Term
| Occupational health nurse |
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Definition
| autonomous specialty; making independent nursing judgments in providing care to workforce aggregate |
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Term
| Host factors affecting workplace susceptibility |
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Definition
| worker characteristics, such as job inexperience, age, pregnancy |
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Term
| Agent factors in work place |
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Definition
* biological agents
* chemical agents
* mechanical agents
* physical agents
* psychological agents |
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Term
| Work place biological agents |
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Definition
* viruses
* bacteria
* fungi
* bloodborne
* airborne |
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Term
| work place chemical agents |
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Definition
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Term
| work place mechanical agents |
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Definition
* muscolosketal strains from repetitive motions
* poor workstation-worker fit
* lifting heavy lods |
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Term
| work place psychological agents |
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Definition
| threats to psychological or social well-being resulting in work-related stress, burnout, violence |
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Term
| Work place physical agents |
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Definition
* temperature extremes
* vibrations
* noise
* radiation
* lighting |
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Term
| Environmental Factors in the work place: |
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Definition
* physical
* heat
* odor
* ventilation
* pollution
* social factors
* sanitation
* housing conditions
* overcrowding
* illiteracy
* psychological factors
* addictions
* stress |
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Term
| Occupational Health primary prevention |
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Definition
* teaching good nutrition and knowledge of health hazards
* identifying workplace hazards
* providing information on immunizations, use of protective equipment, and smoking cessation |
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Term
| Occupational Health secondary prevention |
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Definition
* early detectin through health surveillance and screening
* prompt treatment
* counseling and referral
* prevention of further limitations |
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Term
| Occupational health tertiary prevention |
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Definition
| restoration of health through rehabilitation strategies and limited duty programs |
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Term
| Goal of occupational health assessment |
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Definition
| ID agents and host factors that place worker at risk and ID ways to eliminate or minimize exposure and prevent potential health problems |
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Term
| occupational health assessment -- information elicited should include |
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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, and healthy and unhealthy habits |
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Term
| Worksite walk-through (part of workplace assessment) |
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Definition
* 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 |
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Term
| Control strategies in the work place |
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Definition
* engineering
* altering work practices
* providing PPE and education to prevent future injuries
* workplace monitoring
* health screening
* EAP
* job-task analysis
* design, risk management, and emergency preparedness |
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Term
| Work can be frustrating and cause stress; can lead to |
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Definition
| agression and violence against others |
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Term
| Identify workers who may feel tired, angry, and generally inadequate (risk for violence) |
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Definition
| May be in jobs that are repetitive, boring, or physically and / or psychologically draining |
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Term
| Occupational health nurse |
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Definition
| Refer at-risk workers to EAP |
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Term
| Protect workforce from injuries |
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Definition
* use research and trend analysis to eliminate / minimize hazards
* safety and health education
* develop health policy
* stay informed re OSHA standards and resource programs
* influence legislation to improve workplace safety |
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Term
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Definition
| ensures provision and evaluation of comprehensive school-based health services and other related services for children |
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Term
| School nurse as community outreach |
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Definition
| strives to meet needs of all school-age children by cooperative planning and collaboration betwn education system and other community agencies |
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Term
| School nurse as consultant |
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Definition
| assists students, families, personnel in info gathering and decision-making about variety of health needs and resources |
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Term
| School nurse as counselor |
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Definition
| supports students on wide variety of health needs |
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Term
| School nurse as direct caregiver |
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Definition
| provides nursing care to ill or injured children at school |
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Term
| school nurse as health educator |
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Definition
| helps prepare children, families, school personnel, and the community to make well-informed health decisions |
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Term
| school nurse as researcher |
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Definition
| contributes to base of knowledge for school health and educational needs |
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Term
| Primary Prevention by school nurse |
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Definition
| Assess knowledge base regarding health issues; teach health promotion practices (e.g., hygiene, nutrition, bike / water safety), substance abuse prevention |
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Term
| Primary Prevention by school nurse |
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Definition
| assess immunization status of all children; maintain current records of required immunizations |
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Term
| Secondary prevention in school nsg |
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Definition
| Assess children who become ill or injured at school; provide care to children with HA, stomach pain, injuries occurring at school |
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Term
| Secondary prevention in school nsg |
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Definition
| Assess children, faculty and staff during emergencies; provide emergency care such as first aid and CPR; school clinic should have commonly needed supplies |
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Term
| Secondary prevention in school nsg |
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Definition
| Perform screening for early detection of disease; vision / hearing; ht / wt; oral health; scoliosis; infestations; physical exam |
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Term
| Secondary prevention in school nursing |
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Definition
| assess children to detect child abuse or neglect; school nurse is required by state law to officially report cases of abuse / neglect |
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Term
| Secondary prevention in school nursing |
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Definition
| Assess children for evidence of mental illness, suicide, violence; ID children at risk |
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Term
| Tertiary prevention in school nursing |
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Definition
| assess children with disabilities; participate in developing individual education plan (IEP) for children with disabilities; work with child/family to develop and achieve long-term outcomes |
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Term
| Tertiary prevention in school nursing |
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Definition
| assess children with long-term health needs at school; provide nsg care for children with disorders including asthma, DM, and CF; administer meds per provider's scrip; med must be in original bottle and stored in secure place; written consent of parents. Provide care to kids needing urinary cath; dsg changes, IV line monitoring |
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Term
| Comprehensive school health programs have the following components |
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Definition
* health ed
* phys ed
* health services (nurse-student ratio 1:750)
* nutrition services
* counseling, psychological, social services (promoting health of children with special needs -- individuals with Disabilites Act (IDEA)
* promotion of healthy school environment (reducing tobacco use and violence)
* health promotion for staff
* facilitation of family / community involvement |
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Term
| Children (0 to 12) -- major health concerns and leading causes of death |
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Definition
* perinatal conditions / congenital anomalies
* SIDS
* MVA / other unintentional injuries |
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Term
| Adolescents -- major health concerns and leading causes of death |
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Definition
* MVA / other unintentional injuries
* homicide
* suicide |
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Term
| Women -- major health concerns and leading causes of death |
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Definition
* reproductive health
* childbearing
* menopause
* osteoporosis
* Heart disease
* DM
* Malignancy -- breast, cervical, ovarian, colorectal) |
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Term
| Men -- major health concerns and leading causes of death |
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Definition
* heart disease
* malignant neoplasm (prostate, testicular, skin, colorectal)
* accidents
* lung disease
* liver disease |
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Term
| Older adults -- major health concerns and leading causes of death |
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Definition
* heart disease
* malignancy
* cerebrovascular disease
* COPD
* pneumonia and influenza |
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Term
| Children -- screening / preventive services |
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Definition
* Ht / wt
* vision
* at birth -- hemoglobinopathy, phenylalanine level, T4, TSH
* immunization states (CDC schedule)
* dental health |
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Term
| Adolescents -- screening / preventive services |
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Definition
* ht/wt
* dental health
* PAP smear (females)
* chlamydia (females)
* rubella (females)
* substance abuse
* immunization status
* mental health screenings |
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Term
| Women -- -- screening / preventive services |
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Definition
* ht/wt
* BP
* chol (45-64)
* dental health
* Pap smear
* mammogram
* fecal occult blood/sigmoidoscopy (>50)
* rubella (childbearing years)
* immunization status
* DM
* HIV
* skin cancer |
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Term
| Men -- screening / preventive services |
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Definition
* ht/wt
* BP
* dental health
* digital rectal
* fecal occult blood / sigmoidoscopy (>50)
* immunization status
* DM
* HIV
* Skin cancer
* chol (35-64) |
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Term
| Older adults -- screening / preventive services |
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Definition
* BP
* ht/wt
* dental health
* fecal occult blood / sigmoidoscopy
* mammogram
* Pap (women)
* vision
* hearing
* substance abuse
* immunization
* functional assessment (self-care abilities)
* meds
* osteoporosis
* DM
* skin cancer |
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Term
| Health care goals for children and adolescents |
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Definition
* decrease obesity and passive smoking
* increase immunization, child safety restraints, exercise in schools, lead paint testing |
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Term
| Community education for or r/t children |
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Definition
* breastfeeding
* sleeping positions
* nutrition
* physical activity
* substance use
* dental hygiene
* skin protection
* injury prevention (car, fire, water safety), helmet use, poison control, CPR training |
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Term
| Community education for or r/t adolescents |
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Definition
* substance abuse
* sexual behavior
* nutrition (increase calcium intake for females)
* physical activity
* skin protection
* injury prevention including car, fire, and firearm safety) |
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Term
| Community education for or r/t women |
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Definition
* nutrition
* STD prevent
* substance use
* breast self exam
* skin protection
* HIV prevention
* injury prevention (car, fire safety, violence) |
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Term
| Community education for or r/t men |
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Definition
* nutrition
* self-testicular exam
* skin protection
* substance use
* HIV prevention
* injury prevention (car, fire, firearm, violence) |
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Term
| Community education for or r/t older adults |
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Definition
* substance use
* nutrition
* exercise
* dental health
* sexual behavior
* injury prevetion
* care and fire safety
* fall prevention
* CPR training (household mbrs)
* violence |
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Term
| Health care goals -- women |
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Definition
Reduce
* bone diseases such as osteoporosis
* death from cancer such as breast, ovarian, and cervical
* sexual assaults
Increases in
* # of planned pregnancies versus unplanned
* those who receive early and adequate prenatal care
* # of mothers who breastfeed
* ID of warning signs r/t heart disease |
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Term
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Definition
Reduce:
* death from cancer such as prostate
* incidence of HIV & AIDS
* death by violent means
Increase
* # of men actively involved in pregnancy prevention / family planning
* ID of warning signs r/t heart disease |
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Term
| Health care goals -- older adults |
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Definition
Reduce
* # of adults with musculoskeletal concerns
* # with mental health concerns
* hosp d/t cardiac
* substance use
* sensory issues (hearing loss / cataracts
Increase
* med reviews to reduce polypharmacy
* active lifestyle |
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Term
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Definition
| basic to community-oriented nursing practice |
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Term
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Definition
| community assessment, planning, development, evaluation of activities focused on family issues |
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Term
| Family crisis occurs when |
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Definition
| family unable to cope with event; resources are inadequate for demands of the situation |
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Term
| High risk time for families |
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Definition
Transitions:
* birth / adoption
* death
* child moving out
* child marriage
* major illness
* divorce
* loss of main family income |
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Term
| Transitions require families to |
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Definition
* change behaviors
* make new decisions
* reallocate family roles
* learn new skills
* learn to use new resources |
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Term
| Characteristics of health families |
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Definition
* good communication
* affirmation / support for all
* respect
* trust
* humor
* interaction
* shared responsibility
* traditiona / rituals
* seek help for probs |
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Term
| Family health risk appraisal |
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Definition
* Biological risk
* Environmental risk
* Behavioral risk |
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Term
| Biological risk assessment -- fmaily |
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Definition
* genograms
* repetition of diseases with genetic component |
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Term
| Environmental risk assessment -- family |
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Definition
| * ecomaps -- ID family interactions with other groups and orgs -- info about support network and social risk |
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Term
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Definition
| info gathered about family's health behavior, values, habits, perception of risk |
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Term
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Definition
Reduce
* barriers to access
* allergic content within the home
* # of families unable to have child / maintain pregnancy
* passive smoke exposure
* household hunger
Increase
* education on health related issues
* home testing for radon and lead |
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