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    NURSING 415 
    NURSING SCIENCE VIII - COMMUNITY NURSING II
     
    Application of the processes of nursing 
    to the health problems of a community. 
    Spring quarter, 1998
    Mary Jo Moran Email Dr. Flynn
     
    Final Exam 30% of course grade - consists of several questions of the week which are distributed a week before their due dates. There will be a total of 5 questions distributed, we will be graded for the 4 best answers). 

    Attention! There is a risk of losing 5 points from the final exam grade for not comming to classes. If you miss 5/18/98 lecture, 5 points will be deducted definitely (Dr. Hillman). 

    Option: one question can be substituted by a summary of Dr. Hillman's seminar. The seminar under the title "Entrepreneurship - Interpreneurship" will be held in unknown room at Chastain Center on Friday, May 8, 1:00 p.m. - 7:00 p.m. There will be a speaker from Small Business Association. You think: "What does this have to do with nursing?" Dr. Hillman: "A lot! Come and hear."

 
    
Kids watching South Park - who are we to blame? 
"...an elementary school principal in Canton, GA, threatened to send children home if they wear clothes with 'South Park' characters."
FULL STORY
  
Virtual Hospital 
A continuously updated digital health sciences library stored on computers and available over high speed networks 24 hours a day.
VIRTUAL HOSPITAL
 
    
Nursing Drug Reference online 
Delmar's NDR provides an easy way to search their medication database. It's fast, it's free, it's online, and it has most of the things you need to know about drug action, uses, sideffects, etc.
SEARCH DELMAR
 
MY FIRST REAL RESEARCH STUDY!
Nursing Students Computer Needs Study 
KSU students expressed their desire to have education-related material placed on the Internet...
FULL STORY
 
 
      
    Dyad Testing Rules.   
        
    Dr. Hillman will draw randomly (at the exam date) 2 names. If your partner is absent either (1) take test by yourself or (2) pair together with someone without a partner. We'll be in separate rooms; fill our own scantrons, but answer questions together on one sheet. If you have any questions - BBS   

    Questions: multiple choice (majority), matching, and 8-10 short answers.   
       
    Attention! Only 36 people signed up. 4 students have not signed up for either dyad or solo testing, and by default they will be solo testees.   
      

      
    Question of the Week #1   
    25 points
    Due April 13, 1998
    .     
    Read McGinnis, J. & Foege, W., (1993) Actual Causes of Death in the US. Approximately half of all deaths that occurred in 1990 could be attributed to the factors identified. The impact of these factors on morbidity and quality of life and the focus that they impose on Public Health is considerable.   
       
      A. How can these behavioral risk factors be impacted upon by health care systems /services /nurses? (Please go beyond education). I guess the question is how can we decrease the death rate from this factors.   

      B. Address how nurses can work as a member of the health care team to implement creative educational strategies for health promotion.   

      C. How can the transtheoretical model of health promotion be useful in these efforts?   

      D. Describe two model programs and identify at least two important factors for each which are responsible for their success.   
       

    Some of these sentences may need explanation; NURS415 BBS is open for discussion (password: happy).    
       
    Question of the Week #2   
    25 points
    Due April 20, 1998
       
    Use the following references when preparing your answers. You may use additional references as well.
        
    Brown, E.R. (1997) Leadership to meet the challenges to the public's health. American Journal of Public Health. 87. 554. Article abstract not available : (
        
    Information Burris, S. (1997) The invisibili8ty of public health: Population-level measures in a politics of market individualism. American Journal of Public Health. 87. 1607. Full text article available!
        
    Nerenz, D. (1996) Who has responsibility for s population's health. The Milband Quarterly. 74, 43. Article abstract not available : (
        
    Information Miles, S., Parker, K. (1997) Men, women, and health insurance. The New England Journal of Medicine. Jan 16, 218. Full text article available!
        
    Information Wallace, D., Hirst, P. (1996) Community-based service use among the young, middle, and old old. Public Health Nursing. 13, 286-293. 
        
    Information Eltin, W., Kantner, T., & Katz, S., (1997) Developing tomorrow's integrated community health systems: A leadership challenge for public health and primary care. The Milbank Quarterly. 75, 261.
        
    Who has the responsibility for a population's health? The design of a population-based data system presumes that one can both define a population with meaningful boundaries and identify individual or group policy makers who have a legitimate role in acting on behalf of that population.   
        
      A. Think of the many different populations to which you belong. Consider which ones have a legitimate connection to your present or future health status. List them and star those that relate to your health status.   

      B. Note the conceptual changes related to taking responsibility for a community's health care. How might this effect your health care provider relationship, you as a health care provider and your future health?   

      C. Discuss equity issues related to health insurance, gender and type of illness.   

      D. How might future health care, government reform or market forces affect various groups in a community?   

      E. How might health cre data influence planning for health care?   

      F. How might data related to patterns of use of community based services among various age groups assist in planning health care services?   

      G. What is the role of nurses / nursing in planning for a population's health?   
       

      
    Question of the Week #3   
    25 points
    Due May 4, 1998*
    "In a world where most industrialized countries concentrate their resources on one health insurance system that provides universal or nearly universal coverage to their populations, the U.S. presents an altogether different picture. Its array of uncoordinated private and public programs points put the profound ambivalence about whether medication costs should be borne by society or a benefit that employers should purchase for employees, together with government insurance for people outside the work force."   
       
      A. What are your thoughts on the American Health Care System? What are the benefits and liabilities (advantages and disadvantage) and for whom?    

      B. Consider Health Care Reform. What will it cost? What will it cost if we have no reform?   
       

    NB: You must find at least one article from a professional journal to use in presenting your argument.   
        
    Information Some article abstracts and related internet sites   

    * Those who have not submitted questions 1 and 2 by 5/4/98 have been reprieved by an extention of due date  to 5/11/98.   
        
        

    Question of the Week #4   
    25 points
    Due May 11, 1998
              It has been said that we can no longer afford a sickness system and that we have to focus efforts on a health system. According to Sox, 1996, "We have set a high standard of evidence for the evaluation of preventive services to be widely used. Cost is one reason..." The philosophical base continues to be social justice in the application of scientifis knowledge. The science base for defining problems, developing o\interventions, and measuring results is epidemiology.   
       
      A. What have HMO's learned about clinical prevention services and how do they deal with prevention?   

      B. What are the recommendations concerning preventive health services in adults?   

      C. Where do nurses and nursing fit into this schema?

        
    References:   

    Foege, W. (1993). Preventive medicine and public health. JAMA. July 14, 251.   

    Sox, H. (1996). Preventive health services in adults. Current Concepts. Department of Medicine, Darmouth-Hitchcock Medical Center, Lebanon, NH 03756. 1589-1595.  
       
      
    Question of the Week #5    
    25 points
    Due May 18, 1998
      
    The future focus of health care is health care for all. This concept is a challenge given the limitations imposed by a managed care system as well as the many other variables we have discussed this quarter. More and more Americans are choosing alternative practices in health care.  
      

      Q: As increasing numbers of Americans choose alternative medicine, how will this impact the health of the community into the 21st century?  
       
     Article abstracts and related internet sites  

      
    Health Fair   
    08:00-13:30 Group I   
    13:00-18:30 Group II
    April 27, 1998   
    Campus Wellness Center:   
    Carmichael Student Center   
    Activity Rooms A & B
        
    The health fair is a joint community project between the school of nursing and the wellness center. It is a community health fair for adults and children. This is an excellent opportunity for the students to do health promotion and wellness screening and education. There are various health stations set up including blood pressure screening, lipid profile, diabetes screening, body composition, cardiovascular endurance, pulmonary function, nutrition screening, stress and depression screening, vision screening, breast self exam and testicular self exam, teaching and a referral station.   

    Screenings available:   
       

    • Heigh/Weight
    • Body Composition
    • Pulmonary Function
    • Nutrition Test
    • Stress Test
    • Diabetes ($1)
    • Anemia ($1)
    • Blood Pressure /Heart Rate
    • Cardiovascular Endurance
    • Vision
    • Skin Cancer Screening
    • Cholesterol Screening ($11)*
    • Breast /Testicular Self-Exam Education
    • Referral & Personal Consultation
    • Spinal Evaluation
        
    *This screening will be offered from 8:30 to 11:30 a.m. Cholesterol Screening is provided by the Marietta Physician Clinic. Includes lipid profile for total cholesterol, HDL, LDL, triglycerides, and glucose. Requires fasting for eight hours. Drink plenty of water before test. Pre-registration necessary. Call 770 423 6394.    

    Sponsored by Kennesaw State University's Center for Health Promotion and Wellness, Nursing Department, and Health, Physical Education, and Sport Science Department in conjunction with Welness Week. For more more information, call 770 423 6394.   
        

    Door Prizes!!! ?
 
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The content of the lecture notes may differ from the objective reality or the professor's reality. It may even differ from Munci's reality, since written communication is not perfect. The notes are intended to stimulate thinking through comparing against own notes. Use at your own risk. Shouldn't cause cancer, though. Only in laboratory animals.
 
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