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Community-Based Nursing

NSG4074 Health Promotion and Clinical Prevention

Week 1 Discussion


Post your initial response to one of the two topics below.

Topic 1: Community-Based Nursing

Nursing services play an important role in caring for patients and families in the community and providing them the support they need. For patients with problems ranging from chronic health conditions to need of elder care, nursing has proved itself an important part of the healthcare team. In fact, many people now prefer sending their elderly parents to a daycare for nursing, rather than to a long-term care facility.


For this topic, interview a community-based nurse or nurse practitioner who sees individuals in the home setting. Describe the nurse’s responses to the following questions:


What are your job responsibilities?


Does a correlation exist between your job description and your practice?


Are you involved in policy formulation that affects client services?


Do you belong to a professional organization related to your current job position?


Topic 2: Economics of Health Care


The cost of healthcare in the U.S. is often discussed by the press. Trends in healthcare spending are determined by public and private decisions about health care delivery and reflect the values and beliefs of society and policy makers.


Compare the distribution of healthcare expenses for 2017. (Nation’s health dollar: where it came from and where it went with those of 2011 [see textbook]).


Write a summary of your findings and their meaning in terms of health care spending.




NSG4074 Health Promotion and Clinical Prevention


Week 2 Discussion




Post your initial response to one of the two topics below.


Epidemiology’s Role in Infectious and Communicable Diseases


Topic 1: Disease Outbreak


Select an infectious disease and research the CDC website for information about the disease including:


its natural history,


presenting symptoms, and


outbreak characteristics


Identify an occurrence of the disease by searching the Internet for recent reports of this disease and compare that episode or occurrence with information from the CDC website.


How closely did that outbreak resemble the case definition?


Topic 2: Epidemiological Applications


Describe how the concept of multifactorial etiology relates to the natural history of disease and the different levels of prevention.


How should the nurse incorporate these concepts into health promotion of clients in community settings?


How should the nurse approach client risk in these health promotion activities?




NSG4074 Health Promotion and Clinical Prevention


Week 3 Discussion




Post your initial response to one of the two topics below.


Health Risks, Disasters, and Nursing


Topic 1: Child and Adolescent Health Risks


As you discovered in this week’s lectures and readings, several populations face multiple health risks across their lifespan. Children and adolescents are a population that is at a higher health risk for obesity. A national movement is underway to reduce risk factors for developing obesity in children. Part of this movement is the “Let’s Move!” campaign, which is a comprehensive and coordinated initiative to prevent childhood obesity. The initiative emphasizes four primary components: healthy schools, access to affordable and healthy food, raising children’s physical activity levels, and empowering families to make healthy choices. Review Healthy People 2020:


Identify risk factors for childhood obesity.


Do the risk factors differ and how do they differ between children and adolescents?


Identify objectives that will combat childhood and adolescent obesity.


Provide suggestions on how community health nurses can contribute to these national health objectives and accomplish the goal of decreasing obesity among this population.


Topic 2: Disaster Management


Contact your local public health department to learn about its role in a local disaster, including the role of the nurses who work there.


What did you learn from your discussion with the local health department?


Would you be a good candidate to serve on a disaster team?


Would your current employer be flexible in allowing you to participate in a disaster situation?


What is your personal preparedness to face a disaster?




NSG4074 Health Promotion and Clinical Prevention


Week 4 Discussion




Post your initial response to one of the two topics below.


Sociocultural Norms, Health, and Nursing


Topic 1: Vulnerable Populations


As you discovered in this week’s lectures and textbook readings, numerous vulnerable populations exist in the community.


Identify three local organizations in your community that deliver healthcare services to vulnerable populations.


Based on your research findings, answer the following:


Which population does each organization serve?


What services does it provide?


Where does it get its funding (local, state, or federal sources)?


Evaluate the relative value of each organization’s services to individuals and families in the vulnerable population it serves.


Topic 2: Stigma Associated with Disease


Some vulnerable populations may have diseases, health impairments, and pregnancy that bring humiliation and predisposed judgment. Unfortunately, these health conditions can cause vulnerable populations to become ostracized by the general public.


What ways would you choose to function as an advocate for vulnerable populations?


Discuss the types of assistance you might provide to each of the following clients from a vulnerable population:


A 24-year-old pregnant woman who is currently homeless and unmarried


A 16-year-old girl who has run away from her foster home and who has an IV drug habit


An immigrant worker whose TB skin test just came back positive


An employed, married man who contracted Hepatitis B through a blood transfusion 30 years ago




NSG4074 Health Promotion and Clinical Prevention


Week 5 Discussion


Healthy People 2030 and Nursing




Post your initial response to one of the two topics below.


Healthy People 2030 and Nursing


Topic 1: Faith-Based Nursing


Review Healthy People 2030. Identify objectives that are amenable to parish nurse intervention.


Describe how faith communities can contribute to the accomplishment of these national health objectives and accomplish the goal of improving the health of the public.


How can nurses working in the community form partnerships with parish nurses and faith communities?


How would such partnerships be beneficial?


Topic 2: Collaboration at the Local, State, and Federal Levels


Describe the roles of your local and state health departments in the accomplishment of healthcare promotion and goals.


How do their goals of health promotion meet the objective of Healthy People 2030?


How could nurses in the public health setting help clients to modify unhealthy behaviors at the primary and secondary prevention levels?


Please provide an example for each prevention level.


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