To prepare for this Discussion, review Chapter 12 in the course textbook and the media program. Then, read the following case study:This is Debbie’s first year working as a nurse at the local health department in a rural county. Most of her days are spent in the clinic seeing clients who often do not have health insurance.
Over the past month, Debbie has noticed that several young Hispanic men have come to the health department, each diagnosed with tuberculosis. Debbie is concerned about what the outbreak of tuberculosis among the migrant workers could mean for the community. Through a community health profile, Debbie identifies the group of migrant farm workers as being at highest risk for contracting tuberculosis.
•As a BSN-prepared community health nurse, what steps should Debbie take next?
•How might information systems be used to support Debbie’s efforts?
•Course Text: Public Health Nursing: Population-Centered Health Care in the Community
◦Chapter 6, “Application of Ethics in the Community”
Chapter 6 presents a historical overview of ethics, a branch of philosophy that addresses moral decision–making, in the nursing domain. Principles of ethical decisions and steps to maing them are also discussed.
◦Chapter 12, “Epidemiology”
Epidemiology is the study of the spread of infectious, mental, and chronic diseases in addition to health-related events like injuries. This selection offers methods for describing health phenomena, epidemiologic models for explaining relationships that affect one’s disease risk, as well as outlines for primary, secondary, and tertiary prevention in reducing the spread of disease.
◦Chapter 17, “Promoting Healthy Communities Using Multi-level Participatory Strategies””
In Chapter 17, the authors talk about the shift from illness management in individuals to wellness promotion in communities through multilevel community health projects, which target individuals, families, aggregates and communities.
◦Chapter 14, “Communicable and Infectious Disease Risks”
This chapter focuses on HIV, STDs, hepatitis, tuberculosis, and clinical signs thereof. The author illustrates trends in cases of these diseases, identifies risk groups, and analyzes behaviors and activities that increase one’s risk of contracting each disease.
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