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(book) Discuss Rights to Know
- About hazardous chemicals
- Consumer confidence report (r/t water)
- MSDS
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(book) Define Environmental Justice
- Equal protection from environmental hazards for everyone
- Applies to dev, implementation, and enforcement of laws, regulations, and policies
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Define Environment
All that is external to the human host with which the host is constant interaction
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Define Environmental Health
Freedom from illness or injury r/t exposure to toxins and other environmental conditions that are harmful to human health
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Define Toxicology
Study of health effects associated with chemical or toxic exposures
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List Broad Catagories of Environmental Issues
- Biological: fish, wildlife
- Chemical: pesticides
- Physical: radon, electricity
- Psychosocial: noise pollution, lack of privacy
- Natural: geographical- earthquakes, floods, tornados
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List Common Environmental Threats: Macroenvironment
- Greenhouse effect
- Ozone depletion- UV
- Dec water quality and quantity
- Environmental pollution- plastic
- Deforestation
- Soil Erosion
- Loss of biodiversity
- Overpopulation
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List Common Environmental Threats: CDC Hazard Exposure Categories
- Biotoxins
- Blister agents/ Vesicants
- Blood agents
- Caustics (acids)
- Choking/ lung/ pulmonary agents
- Incapacitating agents
- Long-acting anticoagulants
- Metals
- Nerve agents
- Organic solvents
- Riot control agents/ tear gas
- Vomiting agents
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List examples of Environmental Hazards in Kentucky
- Superfund Sites (chemical spills not cleaned up)
- Water Quality (drugs in water)
- Lead poisoning (houses)
- Bluegrass Depot
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List Environmental Health Effects
- Effects of Health of the Broader Environment
- Effects of Health of Populations
- -respiratory
- -neurotoxins
- -hematoxins
- -MM, eye toxins
- -allergens
- -reproductive toxins
- -carcinogens
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List Environmental Health Competencies for Nurses
- Basic knowledge and concepts
- Assessment and referral
- Advocacy, ethics, and risk communication
- Legislation and regulation
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Discuss Nursing Process and Environmental Health Effects: Assess
- Identify agent
- Exposure: source, location, pathway, amount, length, risk for secondary exposure
- Host susceptiblity
- Health effect
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Discuss Nursing Process and Environmental Health Effects: Diagnose
- Health effect
- Population
- Related environmental factors
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Discuss Nursing Process and Environmental Health Effects: Plan/ Implement
- Stabilize
- Reduce/ Eliminate Exposure
- Provide Immediate Tx
- Ongoing Intervention
- Public Health Reporting
- Advocate
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Discuss Plan/ Implement: Reduce/ Eliminate Exposure
- Initiate protective measures
- Remove persons from environment
- Decontaminate person affected
- Remove substance from environment
- Control Exposure
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Discuss Plan/ Implement: Provide Immediate Tx
- Render substance harmless: elimnating agent, blocking absorption, reversing the effect
- Provide supportive tx based on route of exposure and effects
- Tx specific agents if possible
- Asymptomatic clients
- Immediate post-exposure follow up
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Discuss Plan/ Implement: Ongoing Intervention
- Support therapeutic plan
- Monitor long-term consequences
- Prevent continuing exposure
- Educate
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Discuss Plan/ Implement: Public Health Reporting
- Mandatory in KY:
- Lead poisoning
- Asbestosis
- Coal Worker's Pneumonoconiosis (Black Lung)
- Silicosis
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Discuss Plan/ Implement: Advocate
- Individuals
- Communities
- Industry
- Local and national public health infrastructure
- Local, national, and international policy
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Discuss Nursing Process and Environmental Health Effects: Evaluate
- Health outcome
- Exposure elimination or control
- Continued protection from environmental health hazards
- Ongoing education and advocacy
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Discuss MSDS
- Material Safety Data Sheet
- Chemical or product specific health and safety reference that provides information on: exposure, properties, first aid, tx, safety
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