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I NEED A WELL EXPLAINED ANSWER DON\'T ANSWER IF YOU CANT THANKS. Community Healt

ID: 122463 • Letter: I

Question

I NEED A WELL EXPLAINED ANSWER DON'T ANSWER IF YOU CANT THANKS.

Community Health Issues

Call the Department of Health or your local Public Health Department and speak to a nurse. Find out the top health concern(s) for your community. Please focus your attention on the unique tools that nurses who work in the community utilize to care for populations, including the Intervention Wheel.

Please listen to Dr. Attia's Ted Talk in the resources for this week and then respond to the following questions:

Pick a top health issue in your community and describe some ways in which a nurse might improve this issue at the population level.

Are the problems that your colleagues are sharing the same as you are seeing in your communities, or are they different?

Help each other consider different aspects of intervention(s) at the system and community levels of care to address health problems in their own communities. Consider Dr. Attia's profound message as you respond to your peers and think outside the box.

Explanation / Answer

Public health nurses (PHNs) work in schools, homes, clinics, jails, shelters, out of mobile vans and dog sleds. They work with communities, the individuals and families that compose communities, and the systems that impact the health of those communities. Regardless of where PHNs work or whom they work with, all public health nurses use a core set of interventions to accomplish their goals. Interventions are actions that PHNs take on behalf of individuals, families, systems, and communities to improve or protect health status. This framework, known as the “intervention model,” defines the scope of public health nursing practice by type of intervention and level of practice (systems, community, individual/family), rather than by the more traditional “site” of service, that is, home visiting nurse, school nurse, occupational health nurse, clinic nurse, etc. The intervention model describes the scope of practice by what is similar across settings and describes the work of public health nursing at the community and systems practice levels as well as the conventional individual/family level. These interventions are not exclusive to public health nursing as they are also used by other public health disciplines. The public health intervention model does represent public health nursing as a specialty practice of nursing.

The model, or the “intervention wheel,” as it has come to be known, integrates three distinct and equally important components: 1. The population-basis of all public health interventions 2. The three levels of public health practice: Community Systems Individual/family 3. The 17 public health interventions: Surveillance Disease and Health Threat Investigation Outreach Screening Case-Finding Referral and Follow-up Case Management Delegated Functions Health Teaching Counseling Consultation Collaboration Coalition Building Community organizing Advocacy Social Marketing Policy Development and Enforcement The model itself consists of a darkened outside ring, three inner rings and seventeen “slices.” Each of the inner rings of the model are labeled “population-based,” indicating that all public health interventions are populationbased. A population is a collection of individuals who have one or more personal or environmental characteristics in common. A population-of-interest is a population that is essentially healthy, but who could improve factors that promote or protect health. A population-at-risk is a population with a common identified risk factor or risk-exposure that poses a threat to health.

For more detailed explanation of each every intervention,refer to website http://www.health.state.mn.us/divs/opi/cd/phn/docs/0301wheel_manual.pdf