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1. Health a state of complete well-being, physical, social, and not merely the absence of
disease or infirmity
2. Community a group or collection of locally-based individuals individuals, interacting in social
units and sharing common interest, characteristics, values, and/or goals
- geopolitical (baed on where you live, zip codes)
- phenomenological (based on beliefs, social networks, characteristics)
3. Population a group of people that have common characteristics
4. Aggregate sub-population with similar characteristics
5. Primary preven- prevention problems before they occur
tion - health promotion and health protection
- immunizations
6. Secondary pre- - early diagnosis and treatment
vention - screening for STDs
7. Tertiary preven- - correction and prevention of deterioration of disease rate
tion - limitation of disability and rehabilitation
- teaching insulin administration in the home
8. Health status in- - individual behaviors (tobacco use, nutrition, obesity)
dicators - physical and social environment (environmental quality, injury, violence)
- health system issues (access to health care services)
9. Upstream think- - society is the focus of chance (macroscopic)
ing - obesity rates: health policy changes, vending machines in school with healthy
choices, school lunch program modifications
10. Macroscopic ap- - examines interfamily and inter-community themes in health and illness
proach to health - delineates factors in the population that perpetuate and develop of illness or
foster the development of health
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, Community Health Nursing Midterm Exam
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- emphasizes social, economic, and environmental precursors of illness
- nursing interventions may include modifying social or environmental variables
- may involve social or political action
11. Microscopic ap- - individual, and sometimes family, response to health and illness
proach to health - often emphasize behavioral responses to individual's illness or lifestyle patterns
- nursing interventions often aimed at modifying individual's behavior by changing
his or her perception of belief system
12. Epidemiological - agent: nutritive elements, chemical agents, physical agents, infectious agents
triangle (agent, - host: genetics, age, sex, ethnic group, physiological state, prior immunological
host, experience, intercurrent or preexisting disease, human behavior
environmental) - environmental factors: physical environment, biological environment, socioeco-
nomic environment
13. Descriptive epi- focuses on the amount of distribution of health and health problems within a
demiology population
14. Analytic epidemi- investigates the cause of disease by determining why a disease rate is lower in one
ology population group than in another
15. Epidemiological influence the existence of the agent, exposure, or susceptibility to agent
wheel
(biological,
social, physical,
host is center)
16. Intervention - disease prevention
planning based - health services
upon - nurses may apply findings in practice
epidemiology
17.
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