411 Week 7 Objectives

cdunbar4's version from 2017-06-24 21:24

Violence Chapter 23 (Carmon)

Question Answer
Discuss the scope associated with violence in society.One of fastest growing public health problems today across all socioeconomic groups, ages & relationship types.
What is the prevalence associated with violence in society?woman and children
What are the risk factors associated with violence in society?Sociological: low SES, gangs, drug dealing, access to guns, media & community exposure to violence.
Developmental/Psychological: alcohol/drug abuse, rigid gender role expectations, peer pressure, poor impulse control, hx of MH problems, high individual stress level, manual laborer, unemployed, <30yo
Family: hx of intergenerational abuse, social isolation, verbal threatening of children by parents, high levels of family stress, 2 or more children.
Identify the actions associated with each phase of the public health approach to violence prevention.Describe the problem →Identify Risks and Protective Factors → Develop prevention strategies → Assure widespread adoption of strategies that achieve desired outcomes.
ID Primary, Secondary and Tertiary approaches to violence prevention.1: public education efforts to transform attitudes about child and partner violence as well as ID & assist individuals at risk.
2nd-screening and assessment for signs of injuries, ask victim questions about being hurt or afraid of someone. Note many barriers exist to a thorough assessment d/t lack of time and effective interventions by healthcare providers. Assessing emotional abuse is much more difficult than assessing for physical abuse and is often overlooked.
3mandatory reporting, referrals, counseling, support groups, community involvement, ensure safety of the victim.
CDC's violence prevention goalsprevent injuries/deaths caused by violence; monitor violence-related injuries; conduct research on the factors that put people at risk or protect them from it; create & evaluate effectiveness of these programs; help state/local partners plan, implement & evaluate prev. programs; research on the effective adoption & dissemination of prevention strategies.
Priority areaschild maltreatment, intimate partner violence, sexual violence, suicide, youth violence, elder abuse, global violence.
Describe the cycle of violence Battering Cycle (cyclical): Violent Act → De-escalation of angry feelings & regret → reconciliation → HOPE → Stress and tension → Perception of Threat → ESCALATION of angry feelings → triggers →Violent Act
Describe the perpetrator/victim behavior associated with each phase of DVTension-building phase: batterer's anger & frustration & belittlement of victim escalate. Victim sees cues of increasing tension & attempts to placate the abuser by being attentive, nurturing & self-deprecating. These avoidance strategies are often unsuccessful & tension continues to build.
Battering phase: abuser physically and often sexually assaults partner, the violence may last an hour or several days.
Apologetic phase: batterer is apologetic & loving and showers partner with gifts & promises. Assures partner that the episode will not be repeated & blames stress of work or too much alcohol.
What is another name for the "apologetic" phase? "Honey-moon" phase
Describe the essential elements that OSHA recommends including in a comprehensive workplace violence prevention program.*Employees have legal right to demand safe workplace environment. Essential Elements include:
(1) Management commitment and employee participation,
(2) Worksite analysis,
(3) Hazard prevention and control,
(4) Safety and health training,
and (5) Recordkeeping and program evaluation
Alaska Council on Domestic Violence & Sexual Assault (administrative policy-making group of the Dept. of Public Safety). What is their mission?NTKto provide safety for AK victims of DV & Sexual Assault via system of statewide crisis intervention, perpetrator accountability & prevention strategies
Victims of Crime Act (1984) NTK missionprovides state & local funding for victims of crime.
NTK Violence Against Women Act (1994) *very important actCarmon said, "really helped to raise the awareness in communities about violence against women." Cornerstone of nation’s response to domestic violence; supports a coordinated community response to domestic violence, sexual assault, dating violence and stalking by:
enhancing investigations and prosecutions of sex offenses and
providing for a number of grant programs to address the issue of violence against women from a variety of angles, including law enforcement, public and private entities and service providers, and victims of crime.
AK Network on DV & Sexual Assault, mission? NTKnon-profit, provides services. Mission "To be a collective voice for victims and survivors and to support those agencies and communities working to prevent and eliminate domestic and sexual violence"
Legislation: Family Violence Prevention & Services Act (1984), mission?provides funding for DV shelters and programs
Nurse's legal responsibilities in the case of abuse (from slides) Mandatory reporting? From slide: Assessment and screening; Case finding; Provide emotional support; Advocate for abuse victims; referral; Eliminate transmission of violence; Work with community groups; Legislation
Explain how social learning theory and the socio-ecological model of violence prevention contribute to our understanding of violence and violence prevention.•No single factor explains why one person experiences violence while another does not
•Results from complex interaction between individual, relationship, community, and societal factors
• A multi-level approach to violence prevention is more likely to lead to reductions in violence over time than an approach that targets only one level of the model.

Rural Urban Environments Terms Ch. 32 (Trujillo)

Question Answer
urbantown or city
ruralnot easy to define as it means different things to different people. Subjective concept, described in terms of time or distance. *Consider 30 minutes or more to access health care services or 20 miles to commute to an urban center
Rural population characteristicsmore whites; more younger <18 and older >65; married and/or widowed; poorer; less formal education; under/uninsured; 7-96 persons per square mile
frontiersix or fewer persons per square mile.
metropolitangeographical areas with a core urban area of 50k or more population.
micropolitangeographical areas with a core urban area of at least 10k, but no more than 50k
noncore-based statistical areageographical areas with a core urban area <10k or no core urban area.
nonmetropolitangeographical areas with a core urban area of <50k or no core urban area
health professional shortage arearegions with insufficient numbers of all types of health care providers. These areas have become a national priority.

Rural Urban Environments Objectives Ch. 32 (Trujillo)

Question Answer
HPSA Health Professional Shortage Areaincrease in chronic illness, increased physical limitations & decreased availability and access of health care
Identify the at-risk populations who live in rural areasMigrant workers, infants and mothers, the poor, occupational hazards (ag, fishing, mining, construction)
Describe some of the special nursing care needs of at-risk populations in rural areasCase-Management in Rural health care is the best practice in rural health care. Promoting partnership with pt improves outcomes, blends formal & informal resources.
Identify the factors that affect accessibility of health care services for rural residentslong travel distances, lack of public transportation, lack of telephone services, a shortage of health care providers, inequitable reimbursement policies (i.e. dx-rel groups for Medicare), unpredictable weather conditions, inability to obtain entitlements.
ID factors that affect availability of health care services for rural residentsfewer physicians/nurses in general and fewer family practice physicians, NPs, specialists (esp. OB), peds, psychiatrists, and social service professionals.
ID factors that affect acceptability of health care services for rural residentstraditions of handling personal problems w/o professional help (such as self-care OTC meds, exercising, ingesting alcohol, resting, praying); beliefs about cause of disorder & the appropriate healer for it (medicine man, shaman); lack of knowledge about physical/emotional disorder & the value of formal services for prev/tx of; difficulty in maintaining confidentiality & anonymity in small town setting
Describe the significant economic, social, and cultural factors affecting rural community nursingconfidentiality; traditionally defined gender role behaviors; geographical & professional isolation; scarcity of resources; and legal considerations with regard to community health nurses' scope of practice. (Goes into detail of each on page 811 if you have anymore give-a-fucks left)
Describe how rural community nursing differs from nursing practice in more densely populated settingsa broad knowledge of nursing: health promotion, primary prevention, rehabilitation, obstetrics, pediatrics, emergency preparedness, med/surgical, mental health, public health, telehealth, distance learning, technology in rural health care, research need
Describe how a community/public health nurse builds a partnership with residents of a rural community (p816)By utilizing the process of forming professional-community partnerships by the following steps:
1. ID problem area
2. Assess the Community's Perspective
3. Analyze the Data
4. Develop a Long-Range Plan
5. Take Action
6. Evaluate the program

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