answer each response with one paragraph with five sentences each paragraph.
brittany:
Compare and contrast the community-oriented nurse and the community-based nurse in relation to service, client/patient type, work setting, roles, and levels of prevention. Please include an example of each level of prevention for the community-oriented and the community-based nurse. (Students with last name beginning with A – M).
Ms. Mohan and Class,
Community- Oriented nursing primarily focuses on the healthcare of either the community or populations, or individuals, families, and groups in the community. The goal is to preserve, protect, or maintain health and prevent disease (Stanhope & Lancaster,2013). I view community health nursing as essentially the same as a public health nurse. The client or patient type that community-oriented nurses would treat are specific individuals, families, groups at risk, culturally diverse, and usually health patients. The types of settings you would find community-oriented nursing would be in schools, community health centers, corrections facilities, and agencies such as the red cross and more. The roles of this type of nurse are caregiver, educator, counselor, advocate. The levels of prevention are primary such as passing out bike helmets in order to prevent injuries and maintain health, the secondary could be health or blood pressure screenings, and tertiary such as rehab for trauma or stroke patients to prevent complications of a disease.
In community- Based nursing (CBN) the nurses primarily focus on “illness care” of individuals and families across their lifespan. The aim is to manage acute and chronic health conditions in the community and the practice of family-centered illness care (Stanhope & Lancaster,2013). The client or patient that this nurse would help or treat would be individuals, families, culturally diverse, able to define their own problems, and usually ill patients. The types of settings you would find a CBN would be inpatient homes such as hospice or home healthcare, or school nurses taking care of a patient such as an asthma patient with an inhaler. The role of this type of nurse is the caregiver. The levels of prevention are secondary and tertiary, sometimes primary.
Brittany
References
Stanhope, M., & Lancaster, J. (2013). Foundations of Nursing in the Community: Community-Oriented Practice (4th ed.). Mosby.
maria
DQ 2. Discuss the history of public and community health nursing and its effects on current social, political, and economic issues in the United States. (Students with last name beginning with N – Z).
Public and Community health care began to evolve with the goal to improve the health of individuals in a community, specially those that have higher need. Some of the population that have higher needs are those who live in areas with lack of proper sanitation conditions, those with disabilities, homeless and those living in poorer economic communities (Stanhope & Lancaster, 2013). After graduating from nursing school and having worked in New York, a nursing pioneer Lillian Wald paved the path of focus onto public health nursing (Stanhope & Lancaster, 2013). She became aware that poor people do not receive the same health care and have limited access, or no healthcare access (Stanhope & Lancaster, 2013). This is a problem that continue to exist our present time.
We can learn from the actions of Lillian Wald. She had a positive influence on social policies targeted to improve environment conditions affecting the health of individuals in poor communities (Stanhope & Lancaster, 2013). By showing correlation between poor environmental conditions and low health conditions of the community, nurses can focus on the social effect this has had in the past and continue to effect communities today. Lillian Ward also advocated for the Children’s Bureau which had political influence at the federal level and lead to create child labor laws (Stanhope &Lancaster, 2013). She also had an impact economically by increasing the recruitment of nurses and using advertisements in newspapers and radio (Stanhope & Lancaster, 2013). Lillian Ward is just one of the many nurse pioneers that began exposing public and community health issues that continue to affect our country socially, economically, and politically. Nurses can continue on the paved pathway, use our leadership and assessment skills and become involve with organizations that can help minimize health equity issues affecting our communities today (Stanhope & Lancaster, 2013).
Reference
Stanhope, M., & Lancaster, J. (2013). Foundations of Nursing in the Community: Community-Oriented Practice (4th ed.). Elsevier.

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