NR443
Week 1 Discussion Latest 2017 August

Week
1: Determinants of Health

5353 unread replies.106106 replies.

What are some factors that make some people
healthy and others ill? Healthy People 2020 identifies fivedeterminants 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
  athttp://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 fromhttp://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health
(Links to an external site.)Links to an external site.

NR443
Week 2 Discussion Latest 2017 August

Week
2: Demographic and Epidemiological Assessment

7070 unread replies.104104 replies.

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.

1. 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.

2. 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.

3. 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.

NR443
Week 3 Discussion Latest 2017 August

Week
3: Caring for Vulnerable Populations

7575 unread replies.106106 replies.
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?

NR443
Week 4 Discussion Latest 2017 August

Week
4: Healthy People Objectives for Community Settings

8080 unread replies.9797 replies.

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
visithttp://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 2020objective.

• Discuss
  one specific, numberedHealthy People
  2020objective
  (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.)

NR443
Week 5 Discussion Latest 2017 August

Week
5: Disaster and Communicable Disease Preparedness

8686 unread replies.103103 replies.
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.
andhttp://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..

NR443
Week 6 Discussion Latest 2017 August

Week
6: Environmental Health

4141 unread replies.4646 replies.
Visit the U.S. Environmental Protection Agency’s MyEnvironment site
athttp://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.

NR443
Week 7 Discussion Latest 2017 August

Week 7: The
Affordable Care Act

8888 unread replies.103103 replies.
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.). 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?

NR443
Week 8 Discussion Latest 2017 August

Week 8:
Future Directions

7171 unread replies.8787 replies.

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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