Chapter 1

Health: A Community View

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What Is The Concern?

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What Is The Concern Here?

I cant afford to get sick!

When can I get out of

the hospital?

I only have 5 sick days

left!

What if I cant pay my

bills?

What if I loose my job?

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Decline in Hospitalization Rates

From US Census Bureau, Statistical Abstract of the US,

1996.

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Community
is a group or collection of locality-based individuals,
interacting in social units and sharing common
interests, characteristics, values and/or goals.

The Community is the Patient

Geographic Boundaries
Identity and Environment
Common Goals

Definitions

Indicators of Health

What indicators do we use to measure

health?

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What is Public Health?

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Winslows Classic Definition of Public

Health

Community Nursing Definitions

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Public Health Nursing Practice

How does the Community Affect the Health of the

individual, family, or group

Community Health Nursing Practice

Focus is health of individuals, families, and groups and the

effect on the health of the community as a whole
(outpatient)

Community-Based Nursing Practice

Focus on individuals and families where they live, work,

and go to school; care is setting-specific and the emphasis
is on acute and chronic care ( in Home care or hospice)

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The Three Levels of Prevention

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How Can We Help?

The High School has reported an increase in

DUI in their senior students

Primary Prevention

Secondary Prevention

Tertiary Prevention

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How Can We Help?

Fluoride Water Supplementation?

Emergency Medical Services?

STD education for high school students?

Hearing screen tests at a senior center?