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Nursing Concepts 3
Community Health
62
Health Care
Undergraduate 1
10/16/2007

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Term
Community
Definition
defined in terms of function, location, physical, or emotional commonalities
Term
Community- Based Nurse
Definition
focuses on the acute and chronic care of individuals and families; goals are to enhance the client and family's capacity for self care and promote client autonomy in decision making
Term
Community Health Nurse
Definition
focuses on the health needs of the aggregate ; promotes wellness, health protection, and disease and injury prevention
Term
Subspecialties in Community Health Nursing
Definition
public health nursing  and home health nursing
Term
Public health nuring
Definition
provides care to individuals and families with a community focus; connects the work of the health departments with people who are actually at risk
Term
Home health nursing
Definition
provides skilled nursing care to ill individuals in their home
Term
Epidemiology
Definition
the study of the distribution of various states of health, the identification of deviations from health in specific populations, and the factors that determine a population's health status
Term

Objectives of epidemiology

Definition
define the risks associated with various states of health; identify causes of disease; support the need for health care services to intervene in the case of specific conditions
Term
Causality
Definition
the act of relating one event to the effect it produces
Term
Direct causal relationship
Definition

those in which a factor causes disease with no other factor intervening

Term

Indirect causal relationship

Definition
a third factor intervenes and occupies an intermediate stage between the cause and the effect
Term
Risk
Definition
basic epidemiological concept, refers to the probablity that an unfavorable event will occur
Term
Target Group
Definition
the population at risk
Term
Susceptibility
Definition
the state or quality of lacking resistance to a factor and therefore being likely to develop effects if exposed
Term
Exposure Potential
Definition
the likelihood that people or groups will be exposed to the factors that contribute to the condition
Term
Relative risk ratio
Definition
the risk of death among those exposed to a factor compared to the risk of those not exposed
Term

Rate

Definition
a form of proportion that includes specification of time
Term
Rates of occurence
Definition
statistical measures that describe the extent of health problems in a group; Calculated by:

number of instances of an event
population at risk during that time
Term
Primary indicators of the health status of a community
Definition
morbidity and mortality rates
Term
Mortality Rate
Definition
an estimation of the proportion of the population that dies during a specified time period
Term
Morbidity Rate
Definition
the number of cases of a particular health condition in a group or community; described in terms of incidence and prevalence
Term
Incidence
Definition
the frequency of newly occuring cases of a disease in a specified population during a given time period
Term
Prevalence
Definition
the measure of the total number of cases of a given disease in a specified population at a designated time
Term
Case Fatality Rate
Definition
the percentage of people in the population wh have the condition under study and who die from it
Term

Survival Rate

Definition
the proportion of people with a given condition who remain alive after a specified period of time ( usually five years)
Term
Prevention
Definition
aversion of disease development
Term

Primary Prevention

Definition
precedes disability and dysfunction
Term
Health promotion
Definition
the art and science of moving people, groups, and communities toward a state of optimal health
Term

Active health promotion

Definition
the individual's direct involvment in an activity that will rpomote health
Term
Passive health promotion
Definition
refers to the client as an inactive participant
Term
Health Protection
Definition
Shielding or defending the body from injury
Term
Secondary Prevention
Definition
the early diagnosis and prompt treatment of disease
Term
Tertiary Prevention
Definition
the restoration of health, rehabilitation, and the prevention of disease recurrence
Term
Communicable disease
Definition
disease that is spread through direct contact with an infectious agent
Term
Chain of Infection
Definition
a series of events that can lead to the development of a communicable disease
Term
Mode of Transmission
Definition
the manner in which a communicable disease is transmitted from an infected person to an uninfected one
Term
Incubation Period
Definition
the period of time from the exposure to an infectious agent to the development of the symptoms of the disease
Term
Prodromal Period
Definition
the period between the first symptom and the appearance of symptoms that typify the disease
Term
Welfare Systems
Definition
located in UK, Norway, France, Germany, and Canada; emphasize equal services for all members of the society and are usually financed by some type of social insurance program
Term
Socialist Systems
Definition
Located in Cuba and the republic of China; government has almost complete control of the health care system; no client copay, control is centralized, and hospitals are part of a national system
Term

Transitional Health Care Systems

Definition

Located in Mexico, Latin and Middle Eastern countries; exist where the population is poor, there is modest government in health care, and where there is a coexisting fee for service sector used by the affluent

Term
Underdeveloped Systems
Definition
Located in Africa; government is minimally involved in health care and few services are available
Term
Free enterprise system
Definition
located in the United States; care delivered through an open market; with minor government control over supply, demand, and the cost of services; operates on a fee for service basis
Term
Diagnosis- related groups (DRGs)
Definition
health facilities are paid a flat fee for services that are set in advance by Medicare; based on client's diagnoses
Term
Health Department
Definition
the official public health agency at the local level; responsibilities are delegated by the state
Term
State Department of Health
Definition
official public health agency at the state level
Term
Medicaid
Definition
a major state managed health-care program and must provide a minimum set of federally mandated benefits
Term
Department of Health and Human Services
Definition
official health agency at the national level
Term
Health Care Financing Administration
Definition
manages Medicare
Term
Medicare
Definition
major federal health insurance program for older adults and disabled individuals; for people sixty- five years of age who are eligible for social security benefits; receive partial coverage of health services
Term
Medicare Part A
Definition
covers inpatient hospital services
Term
Medicare Part B
Definition
covers services from physicians, nurses, or other health professionals working under the direction of a physician
Term
Healthy People 2010
Definition
a publication of the United States Department of health and human Services and reflects the work of a coalition of more than six hundred governmental agencies and national organizations; Goals:

1)increasing the quality and years of life
2) eliminating health disparities between ethnic groups
Term
World Health Organization
Definition
agency that deals with international health concerns; attached to the United Nations; funded through subscription by member nations and is responsible for monitoring the incidence of disease throughout the world
Term
Pan American Health Organization (PAHO)
Definition
deals with health-related concerns in the Americas
Term
International Red Cross
Definition
active international agency that is particularly visible in its efforts to assist individuals when natural disaster occur
Term
Epidemics
Definition
where the rates of disease occur in clear excess of normal or expected frequency in defined areas
Term
Pandemic
Definition

involves populations in widespreaf geographical areas of the world

Term
Not Covered By Medicare
Definition

medications

Term
Safe Medical Devices Act of 1990
Definition
states it the nurse's responsibility to report any information about serious illness, serious injury, or death related to the use of medical equipment in the community
Term
Legal Duty
Definition
an obligation that one party owes to another party
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