Which of the following is a form of thinking upstream in community health
Which of the following statements best describes "thinking upstream"?
Show vision statement of health literacy includes 3 main points, that a health literate society is one that Definition1. provides everyone with access to accurate and actionalble health information 2. delivers person centered health information and services 3. supports lifelong learning and skills to promote good health Termhealth literacy may be what?Definition Term use what type of language when educating and talking to pts?Definition Term use what technique when teaching skill?Definition Term difference between health education and patient/client educationDefinition health education: focuses on health promotion and disease prevention, educating and empowering people, to avoid disease, make lifestyle changes, improve health for themselves patient/client education: a series of planned teaching-learning activities designed for individuals, families, and groups who have a ID'd alternative health status Termdefine disease preventionDefinition behavior motivated to reduce threat of disease detect early maintain functioning within the illness (look at a risk population, prevent disease) TermDefinition behavior-achieving a greater level of health self care ex. diet, exercise Termoutcome of health promotion is __________________Definition self-responsibility for healthTerm with health promotion do you want to avoid illnes or promote health?Definition want to change patterns of behavior to promote health rather than to avoid illnessTerm in health promotion is focus on population or individuals?Definition focus on persons and populations as a wholdTerm what are three models tat relate to the health and health education of the individual and the aggregate? 2 for community? Definition1. orem 2. health belief model 3. Pender's Health promotion Model community 1. PRECEDE model 2. Primary Health care model Termdiscuss the health belief model> value? goal? focus? Definitionit describes the impact of individual's perceptions on preventive health behaviors actions value- health (absence of disease) goal- avoidance of disease focus- increase "threat" Term6 keys of the health belief modelDefinition
3 pts of the health belief modelDefinition individual perceptions modifying factors of action likelihood Termwhat model is a complement to the HBM?Definition pender's health promotion modelTerm pender's health promotion model does what things?Definition explains the likelihood that healthy lifestyle patterns or health promoting behaviors will occur belief- people change behavior to feel better physically, psychologically, socially and spiritually (not to just avoid disease) increased emphasis on self-efficacy adds-perceived control and perceived importance of health which model pender's health protective model is directed toward health protecting behavior? health promoting? Definitionhealth protecting- HBM health promotion-HP Termwhat model takes actions to improve well-being and develop human potential?Definition pender health promotion model Termwhich model takes actions to prevent disease due to fear or threat?Definition Term discuss what the Predede-Proceed model is?Definition precede-needs assessment proceed- implementation focuses heavily on the assessment and ID of strengths and weaknesses for planning and evaluating community health education Termwhat model consistently involves the client in problem solving?Definition Term define the parts of the community model - precede DefinitionPredisposing Reinforcing and Enabling Causes in Educational Diagnosis and Evaluation Term2 key assumptions of the Precede community modelDefinition 1. health is multi-factoral (environmental, social, etc) 2. health education programs must be multidiementional outcomes oriented! toward the community Termthe goal of teaching is _____Definition Term effective teaching is the responsibility of the ________Definition Term learning is the responsibility of the ______Definition Term domains of learning cognitive- affective- psychomotor learning- Definitioncognitive-knowing (facts and concepts) affective-judging and deciding proper attitudes is necessary for lifestyle changes psychomotor-action or skill performing or doing Termin the cognitive domain (the thinking process) what is blooms taxonomy of learning Definition6. evaluation 5. syntesis (integrates) 4. analysis(examines) 3. application(uses learning) 2. comprehension(understands) 1. knowledge(recalls knows) Termblooms taxonomy of learning domain-affective (emotions, feelings or attitudes) Definition5. internalizing(adoption) 4. conceptualization(integrates) 3. valuing(appreciates) 2. responding(reacts) 1. receiving(listening) Termblooms taxonomy of learning domain-psychomotor domain demonstration and performance skills Definition3. physically intellectually and emotionally capable of skill 2. sensory image to perform skill trough senses 1. practice and master skill Termwhen do you do program planningDefinition -the assessment is completed -data as been analyzed -problems have been ID'd and prioritized for the population at risk -and a desire to change exists Termquestions to ask when setting goalsDefinition 1. is it realistic 2. is it attainable (literature to support your outcomes) 3. measurable 4. is it set within a given timeframe 5. is it acceptible to the population Termgoals need to be what 2 thingsDefinition Term Definition statements which indicate specific way to accomplishing goals will help you measure progress toward the goals 3 specific things 1. what will be different 2. by when? 3. how will the results be measured? Termin evaluation when who evaluates the process? the outcome? Definitionprocess-teacher outcome-learner Termdiscuss formative or process evaluationDefinition
discuss outcome/summative evaluationDefinition
a good proposal does what?Definition ties te evaluation to the program model design and assumptionsTerm begin to define the evaluationa as you begin what?Definition Term what is the intervention wheel?Definition formerly known as the public health intervention model (PHI) model developed ad model for population based public health nursing practice describe the full scope of PH practice explain how their practice contributes to the improvement of population health the intervention wheel depicts what?Definition how public health improves popultion health through interventions on a community, individual, and systems levelTerm the intervention wheel utilizes ____ public health interventionsDefinition Term id attributes of a communityDefinition
purpose of the community assessmentDefinition a process by which data are compiled regarding a community health status and from which a nursing dx is doneTerm community oriented-population nursing careDefinition is shaped by the characteristics and needs of a given community and employs population-based skills. requires nursing to focus on population health rather than individual health resulting in an overall goal of a healthy communityTerm characteristics of healthy communityDefinition sense of community cohesion
crime, educational system, economy, environmental factors, housing, transportation, leisure activities, taxes Termdefine a needs assessmentDefinition a planning tool that ID's subpopulations most in need of services, determines the most acceptable ways for services to be offeredTerm Definition total community assessmentTerm problem-oriented needs assessmentDefinition assess in relation to specific health problemTerm familiarization needs assessmentDefinition studying data available within a community, may use a winshield surveyTerm subsystem community assessmentDefinition community subsystem assessment focuses on one specific community subsytem, how this subsystem is influenced by the whole communityTerm phenomenological community asessmentDefinition A phenomenological community is a group of people who have shared or like-minded relationships, values, interests, beliefs and goalsTerm methods utilized in community assessmentsDefinition direct observation
indirect observations Termthe diagnostic reasoning process is used why?Definition ID health risk ID factors and health indicators associated with risk validate existing health problems Termnsg dx for communities are based on:Definition inaccessible and unavailable services mortality and morbidity rates communicable disease rates specific populations at risk health promotion needs for populations community dysfunction environmetal hazards (MUEKE) Termformat for writing community level diagnosisDefinition increased risk for disability/disease among community/agrigate related to etiology as evidence by health indicatorsTerm Definition focuses on health promotion and disease prevention, educating and empowering people to avoid disease/make lifestyle changes/ improve health for themselvesTerm define disease preventionDefinition behavior modified to reduce threats of disease, detect early, maintain functioning within the illnessTerm Definition behavior, achieving a greater level of health, self care outcomes of health promotion, outcome is self responsibility for health, change patterns of behavior to promote health rather than to avoid illness, focus on persons and populations as a whole Termexamples of effective community education programsDefinition school based programs worksite programs church based programs hospital based programs neighborhood programs community wide programs Termgoals of community education programsDefinition broad, but achievable statements of what needs to be accomplishedTerm setting community goals- ask what questionsDefinition what do you expect to occur as a result of your program? is it realistic? attainable (literature to support?) measurable? set within a given time frame? goals need to be what 2 things?Definition Term idividual focus interventionsDefinition individual and families within a population knowledge, attitudes, beliefs, practices, and behaviors alone or part of a family , class or group Termsystem focus interventionsDefinition changes in organizations, policies, laws, adn power structures that impact healthTerm how many homeless on any given night in the US?Definition Term a homeless individual is defined as which of the following?Definition an individual who spends most nights at public/private places not designated for or ordinarily used as a regular sleeping accommodation for human beingsTerm children wholives in parks, abandoned buildings, or vehicles are classified as which of the following ?Definition Term which group of homeless individuals is known for their involvement in survival sex?Definition Term what model supports upstream thinking with the purpose to improve homelessness through reduction of structural conditions contributing to homelessness?Definition Term Mr. A has a dx of schizophrenia. He has difficulty finding suitable housing due to his schizophrenia. this is an example of ?Definition Marginalizaion- the process of social and political peripheralization of individuals /groups based on real or perceived differences from the majority. Marginalization makes access to the goods and services of a community more difficultTerm you are working as a nurse in a mental health facility. You are involved with pts. who have varied dx's One of your pts. family members asks what biological problem causes all of these people to have mental illness. You respond that most experts believe which of the following?Definition many factors cause the problem-no data for definitive biological cause for mental illness. scholars have concluded that mental illness is multifactorial and complexTerm community mental health emphasizes what?Definition delivery of care for the mentally ill in community outpt. clinics, halfway houses, and group homesTerm the most frequently diagnosed mental illness in the united states isDefinition depression- according to the NIMH the most frequently diagnosed mental illnesses are the "affective disorders" depression is a affective disorderTerm the initiative that sought to move health care of the mentally ill from long-term settings into the community, resulting in deinstitutionalization was what?Definition community mental health centers act (1963 with amendments in 1964 and 1965)Term all of the following are biological factors that have been hypothesized as contributing to the development of mental illness except What is the form of thinking upstream in community health?The upstream thinking perspective is applied to an examination of environmentally associated health problems and the opportunities that citizens have (or do not have) to access information and resources to make health-promoting choices in response to environmental health risks.
What is an example of upstream thinking?Our current approach to healthcare is equivalent to jumping into a river to pull out drowning children, when instead we should head upstream to figure out why these children are falling in the river in the first place.
What is upstream and downstream thinking?Downstream thinking. Downstream approach reacts to problems after they've occurred, while Upstream approach aims to prevent problems from happening in the first place! Upstream approach looks at systemic factors that influence the mushrooming of problems into even bigger problems.
Which of the following is an accurate description of upstream thinking?“Thinking upstream” means focusing on modifying economic, political, and environmental factors that are the precursors of poor health throughout the world.
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