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Determinants of
Health
What are some factors that make some people healthy and
others ill? Healthy People 2020 identifies five determinants of health that
influence the health of individuals and populations. Healthy People 2020
describes them as “a range of personal, social, economic, and
environmental factors that influence health status” (U.S. Department of
Health and Human Services, 2014, About Determinants of Health, para. 1).
Determinants fall into five categories including: (a) policy making, (b) social
factors, (c) health services, (d) individual behavior, and (e) biology and
genetics.
Go to the “Determinants of Health” link at
http://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health
(Links to an external site.)Links to an external site. and click on each
determinant to read about them.
Choose one of the five determinants. In your post, describe
this determinant and its importance.
Discuss how this determinant relates to one intervention
from the Public Health Intervention Wheel (Nies & McEwen, 2015, pp. 14–15).
U.S. Department of Health and Human Services. (2016).
Healthy People 2020: About Determinants of Health. Retrieved from
http://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health
(Links to an external site.)Links to an external site.
Week 2 discussion
Demographic and
Epidemiological Assessment
For this discussion, you will collect assessment data about
your city or county. This post will include information about demographics
(general characteristics) and epidemiological data (disease or health behavior
rates) of your community.
Demographic data: Go online to the U.S. Census Bureau at
https://www.census.gov/quickfacts/ (Links to an external site.)Links to an
external site.. Obtain a range information about the demographic
characteristics of the population for your city or county of residence. You may
have to look at county data if your city is not listed. Discuss demographic
data about age, ethnicity, poverty levels, housing, and education.
Epidemiological data: Go to your city or county health
department website (search the Internet) or County Health Rankings
(http://www.countyhealthrankings.org/ (Links to an external site.)Links to an
external site.) and report epidemiological data about your area.
Identify several priority health concerns for your area.
The Instructions on Finding Demographic Data on the U.S.
Census Website (Links to an external site.)Links to an external site. will
assist you in using this website as a resource.
Nies, M. A., & McEwen, M. (2015). Community/Public
health nursing: Promoting the health of populations (6th ed.). St. Louis, MO:
Saunders/Elsevier.
Week 3 discussion
Caring for Vulnerable
Populations
Review the Week 3 Case Study (Links to an external
site.)Links to an external site.. This case study focuses on a vulnerable young
woman who is facing many risk factors.
Discuss several risk factors that may impact health outcomes
for vulnerable populations.
Assurance is one of the three core functions of public
health. Find a resource in your community (other than WIC) that could assist
Mary during her pregnancy. Start by searching the Internet for your local
health department’s website. What services does it provide for pregnant women,
those living in poverty, or those with mental health concerns? What about your
local welfare office? Does it provide prenatal or mental health services? Are
there any service organizations, crisis pregnancy centers, or churches
providing help for pregnant women or those experiencing mental health concerns?
(The Internet, your local newspaper, and the telephone book may also help you
locate resources.)
Briefly describe the types of services that you found.
Choose one agency and assess this agency in terms of the 4
A’s. Is it accessible, acceptable, affordable, or available for Mary or other
pregnant women that you case manage?
Are there adequate resources for other vulnerable
populations in your community?
Week 4 discussion
Healthy People
Objectives for Community Settings
Community health nurses practice in a variety of settings.
Choose one of the following CH settings and describe what you have learned
about the setting and the role(s) of the nurse in that setting (see Nies &
McEwen, 2015, Chapters 29–33).
School nursing
Occupational health nursing
Faith-based or parish nursing
Home health nursing
Hospice nursing
Forensic nursing
Correctional nursing
The federal government developed Healthy People as a set of
national health objectives that are revised every 10 years. These objectives
are very specific in order to guide and measure our nation’s progress related
to public health. Please visit http://www.healthypeople.gov/2020/topicsobjectives2020/
(Links to an external site.)Links to an external site.. Click on a topic area
that relates to a role you chose to discuss. Click on the green Objectives tab
in that topic area to choose one Healthy People 2020 objective.
Discuss one specific, numbered Healthy People 2020 objective
(not a goal) related to this community health role.
How could a community health nurse help meet this objective?
Introduction to Healthy People 2020 website (Links to an
external site.)Links to an external site. is an aid to help you navigate the HP
2020 website.
Nies, M. A., & McEwen, M. (2015). Community/Public
health nursing: Promoting the health of populations (6th ed.). St. Louis, MO:
Saunders/Elsevier.
U.S. Department of Health and Human Services. (2016).
Healthy People 2020: Topics & Objectives. Retrieved from
http://www.healthypeople.gov/2020/topicsobjectives2020/ (Links to an external
site.)Links to an external site.
Week 5 discussion
Disaster and
Communicable Disease Preparedness
Preparing for disasters, terrorist threats, or communicable
disease outbreaks is an important part of public health nursing. Visit the
websites http://www.ready.gov (Links to an external site.)Links to an external
site. and http://www.ready.gov/pandemic (Links to an external site.)Links to an
external site.. Review the steps for being prepared for a disaster or pandemic.
Choose a natural or man-made disaster that could impact your
community and discuss how a CHN can help the community to prepare or respond to
this disaster.
Choose a potential infectious disease outbreak and discuss
how a CHN can help to prevent or respond to an outbreak.
How well is your community prepared for a potential outbreak
or disaster?
Federal Emergency Management Agency. (2016). Ready: Prepare.
Plan. Stay Informed. Retrieved from http://www.ready.gov/ (Links to an external
site.)Links to an external site..
Federal Emergency Management Agency. (2016). Pandemic.
Retrieved from http://www.ready.gov/pandemic (Links to an external site.)Links
to an external site..
Week 6 discussion
Environmental Health
Visit the U.S. Environmental Protection Agency’s
MyEnvironment site at http://www.epa.gov/myenvironment (Links to an external
site.)Links to an external site. and enter your city and state, ZIP code, or
location into the location box. Explore the site to learn more about your
environment and things that might be impacting the health of its citizens.
Identify something new you learned about your environment
and how it could be affecting health by completing this statement: “I
didn’t know _____.”
How could you, in the role of a community health nurse,
address these concerns?
Optional: For more environmental health information, you can
also visit the following websites.
Environmental health tracking:
http://ephtracking.cdc.gov/InfoByLocation/ (Links to an external site.)Links to
an external site.
Air quality: http://www.airnow.gov/ (Links to an external
site.)Links to an external site.
Toxic release inventory:
http://www.epa.gov/toxics-release-inventory-tri-program (Links to an external
site.)Links to an external site.
Week 7 discussion
The Affordable Care
Act
The Affordable Care Act is a controversial topic, and there
probably are many different viewpoints represented in our class. For this
discussion, let’s start by focus on understanding the basics of the Healthcare
Marketplace so that we can provide accurate information to our patients and
communities. Please explore the healthcare marketplace website at
https://www.healthcare.gov/ (Links to an external site.)Links to an external
site.. Choose the Get Answers tab toward the top of the page.
Review several of the topics in this tab and share two
things that you learned about how the marketplace works.
How does this information apply to those in your community?
As a healthcare provider, has this raised any ethical
questions or concerns for you?
Week 8 discussion
Future Directions
Reflect on what you have learned in this course.
What future concerns are likely to impact public health?
How do you see global health concerns impacting your
community?
How can you apply what you have learned in this course to
your current practice?
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