Practice guidelines for school nurses embracing the indigenous school
health framework - ANSWERS-1. attending to fundamental principles
a) interconnectedness and relationships
b) Cultural identity and worldview
2. Acknowledging key indigenous cultural concepts, knowledges and
practices
a) Indigenous ways of knowing
b) Indigenous ways of being
3. Affirming and incorporating the strengths of the community
a) Cultural strengths
b) Collective/Community strengths
4. Addressing health, social, and educational issues most relevant to
indigenous communities
a) Healing/reconciliation programs
b) redefining academic success
c) suicide prevention
d) resiliency programs
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e) reduction in the incidence of fetal alcohol syndrome disorder and
other substance abuse prevention programs
f) provision of inclusive programs
g) family and student centered programs
h) provision of culturally defined parental programs
i) determinants of health (housing, poverty, unemployment)
Roles of the school based public health nurse - ANSWERS-- plan and
deliver care at multiple levels
- individual students
- staff
- families
- groups
- classrooms
- entire school
- community
- whole school board/jurisdiction
Working with individuals: primary and secondary prevention -
ANSWERS-- immunization
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- sexual health services
- vision and hearing screening
- health counselling and referral
- optimizing problem-solving and coping abilities of youth
- consultation resource for staff
- counsellor
- personal skill training
What do we know about Chronic Disease - ANSWERS-- rapidly
increasing
- specific nursing roles have been developed to help manage chronic
diseases
- nurses deliver a large proportion of the CDM provided in both primary
and secondary care
What is chronic disease - ANSWERS-illnesses that are prolonged, do
not resolve spontaneously, and are rarely cured completely
What is the prevalance increase of chronic disease driven by -
ANSWERS-- increasing obesity
- smoking
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- growing number of older people
CDM - ANSWERS-chronic disease management
why is a horizontal system approach weak for chronic disease? -
ANSWERS-involves patients being transferred between primary care
and specialist hospital services but the lack of service integration has
often been weak
- as a result of the focus on the needs of the organizations rather than the
patients
quality chasm - ANSWERS-Gap between current healthcare quality and
potential.
Chronic Disease Management patient involvement - ANSWERS--
successful outcomes in CDM are dependent on patients performing a
range of complex self-care behaviours
- emphasis on self-care places patient at the centre of the care system
- led to the empowerment model
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