Community Health

informant interviews, participant observation, windshield surveys

medical records, health surveys, vital statistics (morbidity/ mortality statistics)

ask: do You have questions about tb?

help students develop skills for resisting peer pressure

pt should not adjust oxygen; dr has to order it

use before activity, non petroleum moisturizer for lips and nares, contact dr if SOB often

normal to have imaginary friends; set limits for them; 4-6 oz of juice per day acceptable; may begin to have aggressive behavior-normal

needs assessment; develop measurable objectives; select educational strategies appropriate for the audience; implement educational program

wipe changing tables with a dilute bleach solution between children

tendency of people to view the world from the perspective of their own cultural background and viewpoint

forcing one's group cultural beliefs on others

clean technique when providing care: tap water to clean inner cannula; insert catheter 5 into the trach tube; placing the tumb over the port applies suction; suction is applied during pulling out of catheder; live the old ties in place until the new ones are secured to prevent accidental dislodging of the trach tube

have 2 weeks of water and food at home; antivirals will not prevent transmission but could minimize symptoms; during an outbreak, individuals should receive two injections of H5N1 vaccine 28 days apart; seasonal flu vaccine does not protect from avian influenza

cold or other minor illnesses are not contraindicated to receive immunizations; they can receive acetaminophen for fever after immunization; in case of anaphylactic egg allergy, don't give influenza vaccine; MMR-12 months

use metered-dose inhaler attached to a spacer when taking corticosteroids; pace activities depending on his breathing-based on the effort required for breathing; avoid environmental triggers; report the highest of three peak expiratory flow rates (not the average); take prednisone until prescription is complete

nurse's responsibility is to make referral

inject medication into the thigh in case of an allergic reaction; can be injected through clothing; first dose of Epi will provide control of symptoms for about 20 mins; after injection is given, transport to hospital; store Epi pen at room temp in dark place (no refrigeration needed); remove gray thing to activate device, leave black thing in place

interviewing community members

state officials' observation might be benefiting; national health care trends; data collected from surrounding counties

organize community-wide disaster drills; assist people in knowing appropriate procedures to follow during a disaster

PT of 15 secs (above normal)

5% is normal

90 is normal

after placing a tuning fork behind the year, tell me when you no longer hear the sound

you will have headphones, press button when you hear a sound

use your finger to close one ear, tell me when you no longer hear the sound

after I place the tuning fork on your scalp, tell me if you hear the sound better in one year or the same in both ears

more common in homes where intimate partner abuse is present; abused children are more likely to become abusers; no connection between economic status and abuse

household members should take Isoniazid (INH) for 6 to 12 months; no need to use disposable utensils for pt; no need to isolate household members

providing referral information to clients; facilitation, negotiation and collaboration

pamphlets should be written at 8th grade level, not 12; attendance should be voluntary;

power point is fine

child with vomiting, febrile, petechial rash-meningococcemia-Unstable

diarrhea, abd pain, fever 37.4C

irritable, pulling ear, fever

itching eyes with stringy discharge and red conjunctiva

A/E heat intolerance, hypertension, weight loss, tachicardia

responsible for a development of a local disaster plan

works with other agencies to provide relief services after a disaster; not responsible for local disaster plan

focuses on protecting US from threats and hazards

provide emergency preparedness training to public health employees

Mycobacterium tuberculosis for TB is the Agent (biological, chemical or physical entity that is responsible for the health alteration)

host-living species that can be affected by a disease-producing entity

reservoir-person, animal, arthropod, plant, soil, substance in which an infectious agent lives

environment: everything that influences an individual host

how often do you have visitors come to see you?

encourage the women to participate in weight-bearing activities; sun exposure-ok with precautions; this will increase the absorption of vitamin D (important for bones); vitamin E-no relationship to bone density or prevention of osteoporosis

reward and consequence system throughout the day-provide positive feedback while trying to minimize negative behaviors; will concentrate better in the morning, not afternoon; limit distractions/no music during study ; have a consistent daily routine

use assistive devices to retrieve items that are on the floor; no pillow under the knees; use incentive spirometer q 2hrs while awake; apply antiembolic stockings before getting out of bed

report sore throat-greatest risk is severe infection due to myelosuppression

action for nurse to take First: determine incidence rate (nursing process)

a public health nurse examines potential negative consequences of proposed public policy

ethical approach to decision making that considers only the outcomes or consequences in determining which choice to make

serves on a community task force for suicide prevention

administers immunization to a group of migrant workers; conducts cholesterol screening at a senior center

she supervises a home health aide on proper hygiene care

decrease sensitivity to pain due to loss of neurons and fibers; decreased peristalsis, delayed gastric emptying; prebyopia-may require near objects to be held further away in order to be seen; distance vision decreases, narrowing the client's visual field

take a hot shower or bath daily; consume a well-balanced diet; if overweight, lose some lbs; get 8-10 hrs of sleep at night, and a nap during the day of 1-2 hrs; exercise daily; of high pain days, client should limit repetitions or intensity of activity

use milk instead of water when making soup-will increase protein intake and calories; maintain an upright position such as High Fowler or the orthopneic position; foods high in protein-such as eggs are good; limit liquid intake at meal times

report to state health dept;

"I'm looking forward to my daughter's wedding next year"

barrier to care: the primary wage earner in the family recently became unemployed

role of nurse is to seek clarification why: "What has changed to make you decide this?"

Active pulmonary TB, nonadherent to prescribed treatment-nurse has to check if he is breathing ok and and if disease is progressing; also this is a community problem-communicable disease

know values

normal first 10 days

facilitating substance abuse groups

wound care for clients in their home

planning safety services for employees in local workplace

provide pharmacologic pain management for clients with terminal ilness

teaching a client with RA measures to prevent joint deformities

obtaining blood pressure on a client being treated for anxiety; screening older adult clients for new-onset depression

oral contact; sexual contact;

used to determine the client's non modifiable risk factors

dietary habits, exercise, home safety

a client with diabetes mellitus and reports new erythema to the L foot-prevention of infection, common in diabetes foot ulcers

! report Angioedema-life threatening;

S/E weight loss, bradicardia,

rash appears first on FACE; not on abdomen