Overview Of Community Health Nursing Health Essay

Overview Of Community Health Nursing Health Essay The field of community health nursing has evolved through four distinct stages. The early home care nursing stage dates back to before the mid-1800s. During this stage, nursing and religion were closely related. Religious groups took on the roles and responsibilities of caring for those in need of healthcare. The first representation of nursing was apparent in 1617 with the Sisters of Charity. They were a religious group primarily composed of nuns. The main focus of these women was to direct their care towards the sick poor population. They wanted to help those who were ill but were unable to access proper care. They would visit the sick at their homes and provide any necessary treatment. Following the successful actions of the Sisters of Charity, community health nursing was temporarily put on hold. The setback was due to the Reformation and the Industrial Revolution. These major historical events lead to fewer religious groups and an increase in epidemics. Infant mortality rates, m ental illnesses, communicable diseases, and work related injuries were on the rise. During these miserable living conditions, Florence Nightingale became noticed for her improvements in nursing care. Her work during the Crimean War greatly impacted the direction of community health nursing. She saved many lives by controlling the spread of infectious disease. She was the first leader of health prevention and health promotion (Allender Spradley, 2005). The district nursing stage occurred from the mid-1800s to 1900. William Rathbone largely impacted this stage. His wife benefited from a home health nurse while she was sick. He decided to hire the nurse that cared for his wife to work in the community and provide care to all poor individuals as necessary. Due to insufficient sanitation and unsafe working conditions, the need for nurses in the community was very demanding. Therefore, William Rathbone hired many more nurses to work in the community. In 1861, Rathbone founded the first training school for visiting nurses. Once the nurses completed their education, they were sent out to work in a specific district in the community. These nurses were responsible for taking care of the poor and teaching them proper hygiene and health-related habits. They taught new mothers how to prevent infant diarrhea to reduce the risk of infant mortality. This area of nursing gained more attention from the government and became financed from public mon ey instead of from religious and charitable donations (Allender Spradley, 2005). The public health nursing stage took place between the years of 1900-1970. The nurse role extended beyond treating only the poor; therefore, Lillian D. Wald coined the term public health nursing. These nurses worked outside of the traditional hospital settings and were required to treat the general population. There were many different areas for nurses to provide their care in the public; such as, infant welfare, venereal disease control, school health, and mental health programs. In 1903, Robert Koch proved that tuberculosis is communicable. This discovery led to more nurses working in tuberculosis clinics trying to minimize outbreaks. Nurses were responsible for teaching the public in the hopes of promoting healthy habits and preventing illness. Wald began implementing policies, laws, and standards within the public to improve the health of the population. In 1912, she founded the National Organization for Public Health Nursing. The career path was gaining popularity and finally co nsidered a respectable profession (Allender Spradley, 2005). The community health nursing stage is the final stage. It began in 1970 and presently exists. It is difficult to distinguish between the public health nursing stage and the community health nursing stage. The two terms are very similar and used interchangeably. Community health refers to all nurses who practice in the community. They may not necessarily focus on public health practices; such as, health promotion and prevention. Community health nurses were seen working at senior centres, community-health clinics, doctors offices, schools, and occupational environments. They began working in collaboration with many other health professionals; such as, physicians, physiotherapists, social workers, and nutritionists. Community health nursing has advanced significantly throughout the past century (Allender Spradley, 2005). The field of community health nursing is very diverse. The current practice of community health nursing includes primary prevention, secondary prevention, and tertiary prevention. A community health nurse may work for an official public health agency concentrating on primary prevention. They may work towards implementing policies; such as, a smoke-free Ontario. They can organize programs within the community to educate the public; such as, participACTION, fall prevention, and well baby program. These nurses can work in occupational settings trying to prevent work-related injuries. They may also be seen working for telephone help lines where they give advice and referrals for those who need assistance. An important mechanism of primary prevention is vaccination clinics. The goal of primary prevention is to prevent illness from occurring in the first place. The purpose of secondary prevention is to diagnose illness as early as possible. Nurses can work for screening clinics and help wi th early treatment plans. Tertiary prevention aims to provide the community with rehabilitation facilities. Nurses can have important roles promoting and maintaining good health (Stamler Yiu, 2005). Community health nursing is a very valuable nursing specialty. There have been many successes leading to positive outcomes for communities around the world. A current strength is giving vaccinations. Vaccinations are extremely important in preventing serious illness. They save the health care system significant amounts of money each year by preventing disease. Vaccinations have completely removed certain diseases that were once considered fatal. A second strength is the maintenance of sanitary living conditions which reduce the risk of spreading infectious diseases. A third strength is the multiple programs organized through public health agencies. There are education programs that create awareness of sexually transmitted diseases and prompt treatment with medication. Other programs promote the use of seat-belts, car seats, and helmets, causing motor-vehicle related injuries to drastically reduce. Public health nurses have helped reduce the amount of deaths related to cardiovascular accidents by encouraging smoking cessation and running blood pressure clinics. There are nurses who have promoted healthy eating to reduce diseases related to malnutrition; such as, rickets. Public health nursing has created a safer and healthier community (Thornbory, 2009). There are three main challenges in the field of community health nursing. The first challenge is that there is a lack of evidence based research to guide the practice and form new policies. The majority of current research studies are used to guide nursing practice within the hospital setting but not within the community setting. There is a very minimal amount of objective data and statistics within community-based research. The problem associated with lack of scientific research is that it creates a communication barrier. It makes it almost impossible to create new policies. A second challenge is related to policy implementation. Nurses can spend a great deal of time explaining to the public why it is important to exercise and eat healthy, but education is not enough. The environment plays a large role and impedes much of what nurses try to educate (Thornbory, 2009). For example, public health nurses can encourage children to eat fruits and vegetables but the school cafeteria only s ells junk food. Policies can be created to make fruits and vegetables more affordable but there are more fast-food restaurants than grocery stores. The third challenge is avoiding ethical dilemmas. A community health nurse may be responsible for providing care to an individual while simultaneously protecting the health of the community. It is possible that these two obligations may come into conflict with one another and the nurse is left with a tough decision. For example, a nurse counsels a client who just found out he has tuberculosis. The client decides he does not want treatment. He has the right to autonomy, confidentiality, and freedom of choice but his decision puts the community at risk. This example demonstrates an ethical dilemma that a community health nurse may face. She must decide if she wants to defend her individual patient or go against his wishes for the greater good of the public (CNA, 2006). There are a few challenges in the community health nursing field but th ey do not outweigh the successes. Community health nursing is expected to expand even further throughout the next several years. It may begin to include forensic nursing and disaster nursing. If current trends continue, those specific areas within the community may be in demand. Sexual assault and domestic violence has been on the rise and nurses have the potential to help the situation. These nurses would have to have very good assessment skills and be able to collect physical evidence from a victimà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s body. There have also been many disasters the past few years; such as, the terrorist attack on 911 and hurricane Katrina. Nurses will be needed in the future if similar situations arise (Stamler Yiu, 2005). I am interested in becoming a community health nurse. I do not want to work a high stress job in a hospital atmosphere. Important skills for a community health nurse to acquire are communication, teaching, and management (Hunt Zurek, 1997). I can communicate effectively to clients and show empathy when appropriate. I have very good time management skills as well as being organized. I can work in collaboration with others or independently. I think I am most interested in becoming a home health nurse or a public health nurse. I feel that I could assess a communityà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s needs and create a productive plan. I am looking forward to the reward of helping people from diverse populations. This paper has examined the various aspects of community health nursing. Community health nursing has progressed from religious and charitable organisations to many more career options being funded by the government. There are many opportunities for community health nurses. They may experience a variety of work environments and roles. The role of the nurse may be to prevent disease, promote healthy living, or take care of those who are sick in their homes. This specialty of nursing has progressed immensely since the 1600s and will most likely continue to advance into the future.

The Novel Deliverance as a Prophecy of Man :: James Dickey Deliverance Essays

The Novel Deliverance as a Prophecy of Man A true survivor can only depend on himself. The novel Deliverance is a story about four characters each with different views on surviving. Every man in the world can relate to one of the three secondary characters in the novel Deliverance. Men can relate to Lewis Medlock for his primitive views, Drew for his rationality, or Bobby for his lack of ability to survive. Many people say that Lewis is the man that most men want to be like, Drew is the man that most men are like, and Bobby is the man that most men fear becoming. Lewis is the man most men want to be because he does not depend on anyone or anything. He loves a challenge and will do anything he can to live life to its fullest extent. Ed Gentry, the central character, represents all in the way he looks up to Lewis and strives to be like him. Most men fall into the same category as Drew because their ability to survive has been clouded by rational thoughts. Then there is Bobby. Most men do not want to be linked with Bobby be cause he can not live without help from civilization. Even though these characters posses many of the same traits, their main differences are in their ability to survive life. They also have different views on life. Lewis sees life as a game that you must constantly challenge if you are to survive. Drew sees life as a struggle that should never be challenged. Then there is Bobby who sees life as something he does not have to worry about because their will always be someone their to help him through it. All three of these characters possess traits that can be identified in every man. First there is Lewis, a middle aged man that is at the prime of his life, and fears nothing. He is the strongest character in the book. He is, "†¦ a physical-conditioning perfectionist with misplaces survival-of-the-fittest instincts and cave-man yearnings"(Warren). Lewis is the man that most men want to be like because he needs no one to survive but himself. He constantly demonstrates a primitive l ife-style that no longer exists. The primitive life-style he demonstrates is one of survival. Lewis is an attractive character for males because of his need for no one. He needs no one to life his life for him.

Two Restaurants

Food That Tastes Wonderful Is it Olive Garden’s friendly and hospitable service or is it the appetizing and blazing not entrees ll Foranio’s that reminds me of the Italian heritage? Before deciding which restaurant leaves my mouth watering for more, I compare and contrast between taste, service and cost must be considered. For me, choosing which restaurant to recommend to family members is as hard as cutting the perfect pink rose for a floral arrangement. The whole world would be a better place if you could choose a restaurant that always had food that tasted wonderful.At ll Fornaio’s, I feel like a chef in Italy has just prepared my meal. Their pasta melts in your mouth and is always accompanied by hearty and rich sauce. My eyes pop out of head when I see the delectable dessert tray. Then both carry a wide selection of freshly prepared desserts like creamy tiramisu. On the contrary, at Olive Garden, your dinner always comes with all you can eat salad and piping hot breadsticks. Yet, ll Fornaio’s you must order a salad separate from your entree.On the other hand, ll Fornaio’s offers its customers staple sourdough bread served with olive oil and balsamic vinegar spiced with herbs. Similarly, the salad at both restaurants are always fresh and is dressed with a tangy and light vinaigrette. In the same way, both restaurants offer their ravished customers a wide selection of beverages including sodas, teas and coffee to wet their whistles. Delicious, freshly prepared food is a must when I am spending a night out with friends or family. Service is something that I value highly when spending my hard earned money on a night out.The service at Olive Garden is a snail trying to win the mile run race. However, when I arrive at ll Fornaio’s I am seated almost immediately, whereas at Olive Garden, I have to sign a waiting list and they hand me a flashing disk. The servers at Olive Garden, in contrast, seem sometimes annoyed when I a sk for something like more water or an extra plate to share an item. Equally, both restaurants bring my meal in a timely manner. They both give me service with a smile like a sun shinning in the morning sky.Similarly, both places of business are more willing to trade my order if it is not to my satisfaction. If am not going to receive the service I deserve, I might as well walk right out of the establishment and not look back. Do you like throwing your money down the drain? If not, the maybe ll Fornaio’s is not the most cost effective restaurant for you. I often feel that money is flying out of my purse the minute I sit down at my table. On the other hand, ll Fornaio’s does offer more food for the price.An average bill at Olive Garden is about forty dollars, whereas at ll Fornaio’s the final bill can range from fifty to one hundred dollars based on your choice of entrees, appetizers, drinks and desserts. Unlike Fornaio’s, Olive Garden does offer specials on certain dishes at specific times of the year. In the same way, both restaurants offer drinks that are similar in price and that prices included refills. Also, Olive Garden and ll Fornaio’s both have appetizers that are around the same price for the same generous helping.Value is a huge factor in deciding which restaurant I would choose to refer a friend or family member. Yes, Olive Garden offers more food for the money, but the aroma and taste from ll Fornaio’s entrees are by far superior, not to mention the provide better service for the customer. Based on my evaluation of the two restaurants, I would have to choose ll Fornaio’s. Next time you are in the mood for true Italian cuisine, try Olive Garden and ll Fornaio’s, and then make the choice for yourself! ‘

My Parents Money essays

My Parents Money essays Towards the end of my high school education I had decided I wanted to go to college to become a Veterinarian, and specialize in Equine Sciences. Every detail was planned out; which college I would attend, my housing, a part-time job, and how much it was all going to cost. Both my parents and I were very excited, but there was just one problem. How was I going to pay for my education? I filled out the Free Application for Federal Student Aid. Even though my parents were divorced and I was living with my Mother, I was required to put both of their incomes on the application because my Father paid child support. I was seen as being dependant on both incomes. Due to the amount of my parents annual incomes, I was denied any financial aid. The report I received from the Federal Financial Aid Office stated that my parents were expected to pay for my education. Because of the divorce, the incomes were now divided between two homes and my parents were unable to help me with my financial needs for college. I investigated other options such as scholarships, jobs, and work programs. Every option came to a dead end, there just were not any resources available for such a privileged person, or so that is what I was being told. I understood my parents being unable to help me, I even understood how I could be seen as being privileged, but I could not understand how a country that preaches that the education of our youth is the future of our society, was telling me that I would not be getting any assistance. I think it is ridiculous that the Federal Government has decided, based solely upon income, which parents will be expected to contribute to the education of their children. It is after all the parents money, and they too have worked very hard to be where they want to be. Why should parents have to forfeit their lifestyle to put their children through college? At the age of eighteen, children are ...

The impact of technology on families and communities essays

The impact of technology on families and communities essays Discuss the impact of social, legal and technological change on individuals, groups, families and Communities As time moves on so does humanity and society we adapt and change as new knowledge and understanding is presented to us in different forms such as technologies, laws and social views all impacting on us within our homes and within our communities. Technology gets more and more advanced everyday its designed to entertain help and study humans it affects almost every aspect of the average persons life in one way or another wether that be machines in the work place the home computer or the knew technology that helps save lifes. Since the Industrial revolution which first occurred in Europe in the 1700s factories all around the world became involved with the new technology of the machine which in many ways replaced the manual human workers designed to help increase effiency and cost which has helped many companies consumers and workers and also buried some with jobs being replaced and people being put out of work which became increasingly the case with the introduction of computers with multiple task capabilities it could fill the job and effency of several workers. This effected society and communities drastically with unemployment levels soaring these levels decreased but the impact is still seen today with fewer jobs to go round. It hasnt all been negative though its also opened up paths for people who want to carry out a career with in technology such as IT workers etc and with a computer now in many homes schools and workplaces public understanding of technology has expanded and adapted to the changes with computers and machines being essential to run many business and carry out the day to day tasks we take for granted. Technology has also helped increase communication between nations, communities and individuals that once would not have been as easily accomplished; the internet has provided communicat...

Speed management proposal Essay Example | Topics and Well Written Essays - 2250 words

Speed management proposal - Essay Example A general agreement that exists is that injuries on the roads increase because of speed and so objectives of safety and mobility can be conflicting. Globally, over speeding is one hell of a predicament to control in our roadways and is an immense contributor to most of the accidents witnessed both in rural and urban areas by traffic officials and residents. It is a belief by many individuals that eradication of speeding will save people’s lives by driving at a speed that is appropriate (Ioainnoou, 1997, pg 216). A road accident is considered related to over speeding if the driver is charged with an offense of over speeding. Additionally, if a traffic officer who is on the location indicates that the driver at some point was over speeding past the required speed limit when the accident occurred then it became over speeding-related. Road accidents related to over speeding have led to many deaths worldwide and, as a result, the community, and insurance firms have incurred excessi ve costs. Accidents or crash are more likely to happen the faster a driver drives and the higher the risk of getting injuries that are brutal and even loss of life. Accidents and speed relate to another due to a number of dependent factors. For instance, how severe the injury of the occupants of the vehicle involved in a crash is not only determined by the speed that resulted in the collision but also the difference in mass of the two involved vehicles.

Family and children's issues Essay Example | Topics and Well Written Essays - 250 words

Family and children's issues - Essay Example Some of the countries that had deemed spanking as illegal are Denmark, Sweden, Germany, and New Zealand to mention a few (Legal Reforms). Professional organizations also oppose to spanking as a way to discipline a child; one of these organizations is the American Psychological Association (Corporal Punishment). They argue that resorting to physical punishment would not discipline a child but would instead teach the child to instill authority by physical means. In some parts of these countries and organizations’ argument, it is agreeable that other people should not do the spanking because the parents are the only ones who should spank their children. However, this does not give parents freedom to hurt their child whenever the child makes a mistake. The psychological state and values of the parents are a big factor and should be greatly considered in this issue. The state and the organizations should have first considered teaching parents how to be responsible instead of instan tly prohibiting this way of disciplining a child. It can be stated then that guarding responsible parenthood should have been the first matter that these countries had looked into. Responsible parenthood should be also be approached first for further studies and development by these professional organizations since it is the behavior of the parents first that should be controlled. After all, the parents are the immediate adults the children interact with and not the people from the state or from the research