Public Community Health Public, Community Thesis

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" (Rosen, 1) in a regard, community health falls within this purview and is a subset to the broader topic of public health.

c. Differences in roles of public and community health nurse and nurse in an acute care setting

The role which is given to the nurse in the public or community health context should be essentially similar to that which is seen in an acute care context. Ethical, practical and medical conditions remain unchanged from one context to the next. However, the nurse will be required to prepare for certain distinctions which do denote a difference. Particularly, nurses in public health settings are less likely to possess the resources and facilities which are afforded those in the acute care setting. This means that in many instances, public health nurses can only function as the front line for consultation, diagnosis and basic treatment. Where more serious concerns become apparent, it is necessary to consider referring patients to emergency room or acute care settings where they may gain access to these greater resources.

d. Disaster Management Plan for your community

A key part of public health is the preemptive preparation which a community or region has in place to contend with potential disasters or threats to public health.

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In the case of Orange County, the disaster management plan is detailed according to the unique action demanded by individual emergencies. Accordingly, "The Health Disaster Management (HDM) Division coordinates the Agency's emergency response functions related to all-hazards planning, including bioterrorism, pandemic influenza, natural disasters, the county-wide Emergency Medical system for medical emergencies, and other County health-related disasters." (HDOC, 1)

This precipitates the need for an agency which retains the contacts and personnel to act with expediency, decisiveness and efficiency where public disasters render lives at stake. The effectiveness of the community health plan is thus rooted firmly in the understanding that the disaster response agencies involved must maintain "a continual state of readiness and by designing, conducting, and evaluating periodic emergency staff training and simulated disaster preparedness and response exercises." (HDOC, 1)

e. Future opportunities for observational encounters

Future opportunities to participate in public health treatment at this level should begin with voluntary service at a community health clinic. This conforms with the demand placed upon public health personnel to participate in the identification and treatment of those medical conditions which most extensively impact a community, population or region. (OCHCA, 1)

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