CHN - Case Study 1 - 111920
CHN - Case Study 1 - 111920
CHN - Case Study 1 - 111920
CASE STUDY 1
Questions
1. What challenges did Nurse Michael face in his first visit with Mrs. T. that public health nurses
(PHNs) in the late 1800s also faced?
Many of the varied and challenging roles of community-oriented nurses can be traced
to the late 1800s, when public health efforts focused on environmental conditions such
as sanitation; control of communicable diseases; education for health; prevention of
disease and disability; and care of sick persons in their homes. Nurse Michael improved
Mrs. T.'s sanitation by assisting her with her bath and enlisting the services of the home
health aide. By administering the influenza vaccine, Michael aided in controlling
communicable diseases in the community and prevented future disease and disability
for Mrs. T. Finally, Nurse Michael provided education for health by promoting exercise
and enlisting the Meals-on-Wheels program so she could gain energy and strength.
2. From your knowledge about the history of public health, compare an example of care
displayed by nursing leaders of the past versus the current activities of Nurse Michael. For
example, how was Nurse Michael’s nursing care similar to what Mary Breckinridge provided in
the Frontier Nursing Service (FNS)?
Mary Breckinridge established the Frontier Nursing Service (FNS), which provided
food, supplies, and health care services to mountain families. Nurse Michael improved
Mrs. T.'s access to care by coming to her home and enlisting Meals-on-Wheels to bring
her food that she could not prepare for herself. The history of community-oriented
nursing is characterized not by change in the specific focus of the specialty, but by
continuity in the approach and style of practice. Nursing leaders of the past were
focused on communicable diseases, whereas public health nurses of today are focused
on chronic illnesses. Leaders of the past provided care in a professional and caring
manner to populations that struggled with access to health care, just as public health
nurses of today do.
3. How do the types of illnesses of Nurse Michael’s clients differ from the types of illnesses that
were experienced by clients of PHNs in the early 1900s?
Most of Nurse Michael's clients are receiving care for complications from chronic
illnesses (e.g., osteoporosis, heart disease), whereas nurses in the early 1900s were
more focused on caring for clients with communicable diseases (e.g., pneumonia,
tuberculosis, diarrhea/enteritis) and on preventing the spread of these diseases.