10.2 Implementations of Activities Related to the Concept Community health nurse provide health care through community diagnosis and investigation of major health and environmental problems, health surveillance and monitoring and evaluation of community and population health status for the purpose of preventing disease, promoting, protecting and maintaining health in order to create conditions in which people can be healthy. Community health nursing comprises the
Health is determined by several factors, some of these including genetic inheritance, personal behaviors, access to quality healthcare, and our general external environment. In a growing variety of research, we have documented associations between social and cultural factors and health. Many Anthropologist measure these factors using two forms of analysis. Biocultural and cross-cultural. The biocultural approach: defined as, “Perspective that considers the social, ecological, and biological aspects of health and how they interact within and across populations” (Wiley & Allen p. 9).
Thus, epidemiology has a core role in evaluating the effectiveness of measures that prevent and treat diseases and health problems among different communities (21, 22). Examples of such work include the study of Reath and Carey (28) which evaluate the early detection of breast and cervical cancer in indigenous community. Also, the study of Exner, Dries (29) which focuses on the difference in response to drug treatment among black and white communities with heart failure give a good example of using community concept to evaluate treatments. Epidemiology largely deals with descriptions and comparisons of group of people that vary widely in their genetic- make up, behaviors and environments (22). For example, McBean, Li (30) conducted multi- ethnic epidemiological study to determine the differences in diabetes prevalence, incidence and mortality among the elderly of four racial/ethnic groups: whites, blacks, Hispanics and Asians, where Feskanich, Ziegler (31) conducted their study to examine and compare the gender- based association between lung cancer risk and fruits and vegetables consumption.
These factors are known as the Social Determinants of health. “The social determinants of health are the conditions in which people are born, grow, live, work and age, including the health system” (WHO). Dalgren & Whitehead (1991) image of the social determinants of health aims to show the relationship between the person, their environment and their health. The modifiable factors, people’s age, gender and race lie in the centre surrounded by non modifiable factors like profession, housing, education and public policy. There is a direct relationship between people’s environment and their health, e.g.
The role of a Community Nurse is multi-functional, their goal is to promote health, to help in prolonging life and is essential in preventing and tracking communicable diseases. In addition, they are instrumental in educating the community in risk factors, preventing diseases and promoting self- care. Furthermore, community nurses collaborate with several health providers such as; Doctor’s, the Center for Disease Control (CDC), along with senior centers, environmental control agencies and other, just to name a few. In doing so, they can facilitate in tracking, preventing, and promote health in their community (Nies & McEwen, 2015). The purpose of this paper is to discuss both the infant mortality and heroin deaths in Franklin County, Ohio and how community nursing are addressing this issue.
In addition to the six factors that influence the making of a health care decision, various demographic factors like age, sex, race, social class, education, employment status, knowledge and experience play a role in how a person perceives the urgency of taking proper action to deal with his health condition. Failure to Change Behaviours The top reasons for failure to change lifestyle behaviour are perceived susceptibility and barriers to change. A person who feels that he is highly vulnerable of being afflicted is more likely to pay attention to any health message. But barriers like social pressure may stop change from happening even if a person is highly
PRINCIPLES OF HEALTH EDUCATION This concept was taken from module 11”information, education, and communication”, sub topic 2”principles and methods of community health education”. Health education can be defined as a process that informs, motivates and helps people to adopt and maintain healthy practices and lifestyles, advocates environmental changes as needed to facilitate this goal and conducts professional trainings and research to the same end. The Joint Committee on Health Education and Promotion Terminology of 2001 defined Health Education as "any combination of planned learning experiences based on sound theories that provide individuals, groups, and communities the opportunity to acquire information and the skills needed to make quality
The health seeking behaviour of a community determines how health services are used and in turn the health outcomes of populations .Factors that determine health behaviour may be physical, socio-economic, cultural or political .Indeed, the utilization of a health care system may depend on educational levels, economic factors, cultural beliefs and practices. Other factors include environmental conditions, socio-demographic factors, knowledge about the facilities, gender issues, political environment, and the health care system itself .Several factors can determine the choice of health care providers that patients use. These include factors associated with the potential providers (such as quality of service and area of expertise) and those that relate to the patients themselves (such as age, education levels, gender, and economic status) . Health Seeking Behavior is a usual habit of a people or a community that is resulted by the interaction and balance between health needs, health resources, socio-economic and cultural as
The purpose of my health assessment is to access ways to get the DHOH people involved in their health finding solutions. In the need to address communication barriers and reduce CVD through the implementations of future public health policies with the help of various stakeholders in making permanent social changes (Minkler, & Wallerstein, 2008). Health Assessment Questions Question 1: What social changes are you trying to achieve from the dataset proposed in your premise? Question 2: Who are your target stakeholders that the dataset is of interest too? Question 3: Will your dataset help address or explain the main frustrations with the health care system in treating DHOH people with CVD-related diseases?
One of the most concerning health burden for the public health department is health disparities in the population. The public health goal is to improve health and prevent diseases among the population and in the individuals to create a healthy population. To achieve this goal, it important to involve the individual and the population needs. The need to develop and establish a program that can benefit everyone. In this view, it is important to identify the social and environmental factors that greatly influence the health of the individuals and the population.
The uneven distribution of health care workers in the surrounding communities will be addressed by providing incentives to the workers in wealthier districts who are willing to be relocated to work in the poor areas. The need for more attention to behavioral health in the community can be attended to by establishing mandatory screenings at primary care visits which will test for various mental health issues. The problem of bed shortages for patients in the hospitals can be solved by partnering up with other outpatient facilities to take on patients who are required to stay for more than one day in the hospital. We will also try to recover from the exclusion of the SHR health care plan for state employees in Arizona, in 2008, by lowering the costs of SHR’s plan in relation to the other two competing
School programs, Employer programs, and College programs could help to inform residents of ways to maintain a healthy lifestyle. Employer programs that provide employees health insurance would see a reduction of health insurance costs from reduced healthcare cost. Employee programs could offer employee incentives to get healthy and achieve goals. College programs and local school programs could do more to provide education on how to live a healthy lifestyle and the effects that unhealthy diets are having in the United States. A major community change in healthy eating would have a major effect on the cost of healthcare, insurance premiums, and life expectancy.
The first thing I would do to reduce health disparities among communities and improve the weight of the nation would be to focus on the most health risk community. With data acquired from the greatest risk population, new policies and programs can be created to reduce health disparities. Specifically, promoting health like exercise and eating healthy foods to reduce obesity through media, radio, and the internet will target everyone in the community. Moreover, free nutrition class and exercise programs can be implemented for those who have a lower socioeconomic status. Lastly, it will be important to help reduce the costs of healthy foods so individuals don’t buy cheap fast-foods.