purposes: organize community efforts + science to prevent disease and promote health
Aggregate
population; collection of individuals who share one or more personal or environmental
characteristic; geographyic or circumstance
Subpopulation
high risk groups within population (e.g. high risk infants, unmarried pregnant teens,
etc.)
primary focus of public health nursing
- population-focused (for the free-living)
- community-oriented (work w/ members of the community)
-health and prevention focused
-interventions made @ the community or population
-concern for the health of all members of the population or community
what are core public health functions founded on?
everything is founded on RESEARCH
core public health functions-ASSURANCE
-enforce laws
-make sure competent workforce
, link to/ provide care assure provision of health care if unavailable
assess effectiveness, accessibility, quality
core public health functions - ASSESSMENT (AMDR)
monitor health status identify community health problems
diagnose and investigate health problems and health hazards
core public health functions - POLICY DEVELOPMENT (PIMD)
develop policies support individual community health efforts
mobilize community partnerships identify and solve health problems
inform, educate and empower about health issues
Poor Law - Elizabethan
taxes to provide relief for the "worthy" poor (sick, poor, aged, mentally ill, and
dependent)
Guaranteed assistance for poor, blind, and "lame" individual
Shattuck Report by Massachusetts Sanitary Commission (1850)
1st attempt to describe model approach to public health
it called for broad changes: state health department and health boards, sanitary
surveys and vital stats, environmental sanitation, disease control, tobacco and alcohol
control, childcare, town planning, etc.
Frontier Nursing Service (1925)
Mary Breckinridge; Kentucky provided care in rural communities, who had little to no
access to healthcare
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