communities 1

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  1. Heath education is...
    • a specialized communication process
    • any combo of learning experiences designed to reinforce voluntary behavior
  2. humanistic learning theory
    utilizes feelings to help person develop potential in a holistic manner
  3. cog theory
    • train the brain to maximize functions
    • change patterns to changed a learned behavior
  4. behavioral theory
    learning is based on condition or reinforcement
  5. social learning theory
    based on behavior explaining and enhancing learning through the concepts of efficacy, outcome expectation, and incentives
  6. health belief model
    health promotion model
    belief= looking at the susceptability of something, the severity, etc.

    promotion= you are promoting the importance and positive effects of health
  7. Empowerment
    • the sum of efforts defined as gaining control over decision making
    • nurses cannot assign empowerment, but can help guide
  8. 3 core components of Empowerment
    • info
    • communication (this is a specialized type too)
    • health education
  9. nurse role in health education

    • become a partner with individuals and communities
    • establish atmosphere good for learning, provide culturally effective care
    • use systematic approach to delivery of health education
    • facilitate group empowerment. trust is very important
  10. framework for developing health communications
    stages 1-4
    planning and stretegy selection

    developing and pretesting concepts

    implementing the program

    assessing effectiveness and making refinements
  11. stage 1
    planning and strategy selection

    • audience?
    • objectives?
    • how will you evaluate
  12. stage 2
    developing and prestesing consepts

    • what format? channels?
    • what data already exists?
    • how will the audience react?
    • what changes need made?
  13. stage 3
    implementing the program

    • how should the message be launched?
    • how to maintian interest?
    • what are the strengths?
    • budget and timeline?
    • evaulation?
  14. stage 4
    assessing effectiveness and making refinements

    • what was learned?
    • effective?
    • what did/didn't work?
    • anything changed about the intended audience?
    • refining needed?
  15. what is the first action for  an effective educator?
    get their attention
  16. literacy
    ability to read and write at 5th grade level
  17. health literacy
    capacity to obtain, interpret, and understand basic health info and services
  19. 5 A's for homeless
    • availability
    • accessibility
    • accommodation
    • affordability
    • acceptability
  20. availability
    1. refers to the relationship b/w # of providers to the amount of specific types of client needs

    2. location

    3. how and when the services are offered and its convenience for it's clients

    4. price

    5. relationship b/w attitude toward and from clients at facility
  21. Homelessness defined

    individual who lacks a fixed, regular, and adaquate nighttime residence

    chronic is homeless for 1 year OR 4 X's in 3 yrs
  22. factors that contribute to homelessness
    • 1. Shortage of affordable housing
    • 2. Insufficient income and lack of employment
    • 3. scarcity of support services for low-income peeps

    • domestic violence
    • serious mental illness
    • veterans
    • substance abuse (most common)
    • HIV/AIDS
  23. common problems with homeless men
    • respiratory issues
    • traumas
    • HIV/AIDS
    • diabetes
    • TB
    • STD's
    • substance use
    • mental health
  24. common problems with homeless women and children
    • stress
    • was foster care
    • domestic violence
    • pregnancy

    • asthma
    • Fe deficiency
    • obesity
  25. common problems with adolescents
    • higher risk behahaviors
    • std's
    • sexual/physical abuse
    • anemia
    • substances
    • depression
    • prostitution
  27. 5 types of home health agencies
    • official (public)
    • nonprofit
    • proprietary (profit)
    • chains
    • hospital-based agencies
  28. certified vs non-certified home health agencies
    • cert= meet federal std's
    •  = receive Medicare payments

    non-cert= usually that can afford home care out of pocket
  29. 3 requirements for reimbursement for home health
    • 65 yrs or older
    • homebound and under care of a doctor
    • requires medically skilled nursing care or therapy services
  31. Case management defined
    collaborative process which assess, plans implements, ETC. options and services to meet client's health needs. Also to promote cost-effective outcomes

    overall goal is the improve coordination of services provided to client
  32. nursing care mananagement
    goal is to provide quality care, decrease fragmentation, enhance quality of life and contain costs
  33. case management can be patient centered and system centered
    patient= assist pt through complex medical care, assist with care coordination

    system= cost effective care for the facility
  34. indications for case management
    • assist client through medical process
    • assist with setting up support programs
    • disease management
  35. CM in the community
    public health care= edu, screening referrals

    occupational health= edu for workers, streening, tertieary care

    high risk clinics= same as previous 2
  37. 3 types of disasters
    • natural
    • man-made
    • combination
  38. 6 characteristics of a disaster
    • frequency
    • predictability
    • preventability
    • imminence
    • scope and number of casualties
    • intenisty
  39. 4 stages of disaster management
    • prevention
    • preparedness / plan
    • response
    • recovery
  40. prevention stage
    • ID's potential risks
    • educate citizens
  41. preparedness / planning stage
    • training in first aid
    • make a disaster emergency kit
    • establish a meeting place
    • make a family communication plan
    • chain of authority needed

    plans should always be updated and practiced
  42. response stage
    • begins immediately after the disaster occurs
    • may include: shelter, evacuation, rescue, etc.
  43. recovery stage
    • begins when the danger has passed
    • all local, state, and federal agencies are present to help reorganize and rebuild
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communities 1
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