Environmental Health Issues and Nursing Interventions in Community Health Nursing

 
NUR 3212 Community Health Nursing
Chapter 8 
Environmental Nursing
 
Dr. Luckwirun Chotisiri
College of Nursing and Health, Suan Sunandha Rajabhat University
Website: https://elnurse.ssru.ac.th/luckwirun_ch/
 
TOPIC
 
1.
Introduction to the Environment health
2.
Why nursing: Role & Responsibility
3.
Environmental Problems & Health issues
-
Food
-
Water
-
Household waste& sanitation
-
Disease, Health event, and Pest control
-
Harmful environment exposure & Resolution
4. Sustainable Development Goals: SDGs
5. 
Nursing Process for nursing & environmental health care
 
Photo reproduction of an anonymous
crayon drawing (1854).
 
Property of Duke University Medical Center
Library, History of Medicine Collections,
Durham, NC.National Academies of
Sciences, Engineering, and Medicine. 1995.
Nursing, Health, and the Environment.
Washington, DC:
 
The National Academies Press. https://doi.org/10.17226/4986.
 
Florence Nightingale reading.
 
Nightingale’s Environmental Theory
Major Concepts of 
Florence Nightingale’s Theory;
    Nursing, Human being, Environment, Health
 
Sub-concepts of the environmental Theory
    Health of houses, ventilation and warming, light, Noise, Variety, Bed
and Bedding, Personal Cleanliness, Nutrition and Taking Food,
Chattering Hopes and advice, Social Consideration
 
 
 
Florence Nightingale’s Environmental Theory
 
Source https://nurseslabs.com/florence-nightingales-environmental-theory/
 
Public Health Nursing intervention
 
Source
 
https://www.health.state.mn.us/communities/practice/research/phncouncil/docs/PHInterventions.pdf
 
*APHA
:-
American Public Health Association
 
Environmental Problems & Health issues
 
Source https://www.ottawapublichealth.ca/en/public-health-topics/environmental-health.aspx
 
Food &Water
Water pollution
 
Chemical/toxic substance
Smog, PM 2.5
 
Climate
change
Greenhouse
effects
 
Receptor
 
Source
 
Pathway
 
Source
 
Contaminated
vegetables
 
Waste,
Sanitation,
Microbes
 
Environmental Problems & Health issues
 
(cont.)
 
Photo from
https://www.dreamstime.com/illustration/spoiled-meat.html
 
Photo from
https://www.medicalnewstoday.com/articles/290814#benefits
 
Example: Contaminated Food
 
Clostridium botulinum
 
: Nervous system
Canned food,  Bamboo Shoot
Protection Guide
How to buy/How to collect
Packaging /Expire Date
How to cook
 
 
Photo from https://www.ohmyfoodrecipes.com/how-to-prepare-bamboo-shoots/
 
C
h
e
m
i
c
a
l
 
E
x
p
o
s
u
r
e
 
a
n
d
 
H
e
a
l
t
h
 
O
u
t
c
o
m
e
s
 
C
h
e
m
i
c
a
l
 
E
x
p
o
s
u
r
e
 
a
n
d
 
H
e
a
l
t
h
 
O
u
t
c
o
m
e
s
 
Household pests
& Chemical substances
 
Sustainable Development Goals: SDGs
 VS Health
เป้าหมายการพัฒนาแบบยั่งยืน 
(Sustainable Development Goals: SDGs)
-
Food (SDG2)
-
Water 
 
(
SDG6)
-
Garbage & sanitation (SDG11)
-
Pest control (SDG13)
-
Harmful pollutants(SDG7
, 13
)
To sum up
 
Environmental Health Nursing
 
A systematic guide
:Nursing process
 
Figure source https://student-nurse-life.com/the-nursing-process/
 
Environmental Health Nursing 
(
cont.
)
 
Environmental health concern 
(
the California Public Health Foundation:
CPHF, 1992)
Ex: Case study:- 
PM2.5 vs Asthma case
Situation: 
Nursing home visit
At Urban slum:- Male, 70-Yr, live alone,
pumping Asthma inhalers
AQI: Orange color
Source  http://air4thai.pcd.go.th/
 
Ex: 
การพยาบาลด้านอนามัยสิ่งแวดล้อม
 :
สุขภาพ
:- 
PM2.5 vs Asthma
Wa
ter, 
S
anitation, 
H
ygiene 
(WASH) 
and 
Healthcare Waste
 
Household Waste Materials
 
Photo from https://www.vexels.com/vectors/preview/69993/4-funky-recycle-bin-containers
 
Bin Container
 
3R: Reduce
, 
Reuse, Recycle
 
References
 
EnviRN  
https://www.myamericannurse.com/the-environment-and-the-nurse/
Leffers, J. (2016). 
Environmental health in nursing
. C. M. Smith, K. Huffling, R.
McDermott-Levy, & B. Sattler (Eds.). Alliance of Nurses for Healthy
Environments
.
CDC
Toxicity and Exposure Assessment for children Health
Short Movie
WHO: Breathe Life - How air pollution impacts your body
https://www.youtube.com/watch?v=GVBeY1jSG9Y
How Indoor Air Quality Impacts Your Lungs
https://www.youtube.com/watch?v=Aabz4MHXgT4
MOPH – with 
PM2.5 
https://www.youtube.com/watch?v=FiIjVW8MNo8
 
 
 
 
https://www.cdc.gov/climateandhealth/
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This chapter focuses on understanding environmental health issues affecting communities, including food and water safety, waste management, and disease control. It highlights the role and responsibilities of nurses in addressing these challenges, emphasizing Florence Nightingale's environmental theory. The content also discusses sustainable development goals, nursing processes for environmental health care, and interventions for public health nursing.


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  1. NUR 3212 Community Health Nursing Chapter 8 Environmental Nursing Dr. Luckwirun Chotisiri College of Nursing and Health, Suan Sunandha Rajabhat University E-mail: luckwirun.ch@ssru.ac.th Website: https://elnurse.ssru.ac.th/luckwirun_ch/

  2. TOPIC 1. Introduction to the Environment health 2. Why nursing: Role & Responsibility 3. Environmental Problems & Health issues Food Water Household waste& sanitation Disease, Health event, and Pest control Harmful environment exposure & Resolution - - - - - 4. Sustainable Development Goals: SDGs 5. Nursing Process for nursing & environmental health care

  3. Photo reproduction of an anonymous crayon drawing (1854). Property of Duke University Medical Center Library, History of Medicine Collections, Durham, NC.National Academies of Sciences, Engineering, and Medicine. 1995. Nursing, Health, and the Environment. Washington, DC: The National Academies Press. https://doi.org/10.17226/4986. Florence Nightingale reading.

  4. Florence Nightingales Environmental Theory Nightingale s Environmental Theory Major Concepts of Florence Nightingale s Theory; Nursing, Human being, Environment, Health Sub-concepts of the environmental Theory Health of houses, ventilation and warming, light, Noise, Variety, Bed and Bedding, Personal Cleanliness, Nutrition and Taking Food, Chattering Hopes and advice, Social Consideration Source https://nurseslabs.com/florence-nightingales-environmental-theory/

  5. Public Health Nursing intervention Sourcehttps://www.health.state.mn.us/communities/practice/research/phncouncil/docs/PHInterventions.pdf *APHA:-American Public Health Association

  6. Environmental Problems & Health issues Chemical/toxic substance Smog, PM 2.5 Contaminated vegetables Pathway Receptor Source Climate change Greenhouse Waste, Sanitation, Microbes Food &Water Water pollution effects Source Source https://www.ottawapublichealth.ca/en/public-health-topics/environmental-health.aspx

  7. Environmental Problems & Health issues (cont.) List Heavy metal Cd- Itai-Itai disease Pb (Utensil) Microbes: Salmonella, Diarrhea, Food poisoning Seasoning: high salt Kidney disease Health Effects* Water(Contaminated) Food (contaminated:-Toxic substance, Pesticides, seasoning) Photo from https://www.medicalnewstoday.com/articles/290814#benefits Photo from https://www.dreamstime.com/illustration/spoiled-meat.html

  8. Example: Contaminated Food Clostridium botulinum : Nervous system Canned food, Bamboo Shoot Protection Guide How to buy/How to collect Packaging /Expire Date How to cook Photo from https://www.ohmyfoodrecipes.com/how-to-prepare-bamboo-shoots/

  9. Chemical Exposure and Health Outcomes Chemical Exposure and Health Outcomes Chemical Exposure Adverse Health Outcome Vinyl chloride Benzene Benzidine (various chemical formulas) Copper sulphate Plastics Asbestos Particulate matter Liver cancer, Cardiovascular Disease Leukemia, Aplastic anemia, Neutropenia Bladder cancer Anemia, blood disorders Neurological effect Asbestosis, Lung cancer, Mesothelioma Asthma, Cardiovascular disease, Pulmonary disease, Lung cancer

  10. Chemical Exposure and Health Outcomes Chemical Exposure and Health Outcomes Chemical Exposure Adverse Health Outcome Sulphur dioxide Asthma Environmental Tobacco Smoke Cardiovascular effects, Pulmonary disease, Asthma Carbon Monoxide Cardiovascular disease including angina Solvents Arrhythmias, Liver damage Cotton fibers Byssinosis Dust from cement; sandblasting; ceramics Pneumoconiosis Bronchitis Pesticides Skin cancer

  11. Household pests& Chemical substances

  12. Sustainable Development Goals: SDGs VS Health

  13. (Sustainable Development Goals: SDGs)

  14. To sum up SDG2 Food (SDG2) - - - - - No Water (SDG6) hunger SDG6 SDG13 Garbage & sanitation (SDG11) Clean water & sanitation Climate change Pest control (SDG13) SDG3 Harmful pollutants(SDG7, 13) Good health SDG11 SDG7 Sustainable cities& Communities Renewable energy

  15. Environmental Health Nursing A systematic guide :Nursing process Diagnosis Assessment What is the problem? What data is collection? Evaluation Planning Did the plan work? How to manage the problem? Implementation Putting the plan into action Figure source https://student-nurse-life.com/the-nursing-process/

  16. Environmental Health Nursing (cont.) Environmental health concern (the California Public Health Foundation: CPHF, 1992) Role Investigator Example Dx: TB, lifestyle, Housing, etc Educator Giving health knowledge Advocator Health benefit Guide

  17. Ex: Case study:- PM2.5 vs Asthma case Situation: Nursing home visit At Urban slum:- Male, 70-Yr, live alone, pumping Asthma inhalers Assessment Diagnosis What data is collection? What is the problem? Evaluation AQI: Orange color Planning Did the plan work? How to manage the problem? Implementation Putting the plan into action Source http://air4thai.pcd.go.th/

  18. Ex: : :- PM2.5 vs Asthma Diagnosis Assessment Planning Disease/ENV problems Clinical,smoking? housing, area Pt, CG, housing Evaluation Implementation Clinical, pt response, Q-A, F/U Hx, PE, Health Ed, AQI, DRG, Activity

  19. Water, Sanitation, Hygiene (WASH) and Healthcare Waste

  20. Household Waste Materials Bin Container Photo from https://www.vexels.com/vectors/preview/69993/4-funky-recycle-bin-containers

  21. 3R: Reduce, Reuse, Recycle

  22. References EnviRN https://www.myamericannurse.com/the-environment-and-the-nurse/ Leffers, J. (2016). Environmental health in nursing. C. M. Smith, K. Huffling, R. McDermott-Levy, & B. Sattler (Eds.). Alliance of Nurses for Healthy Environments. CDC Toxicity and Exposure Assessment for children Health Short Movie WHO: Breathe Life - How air pollution impacts your body https://www.youtube.com/watch?v=GVBeY1jSG9Y How Indoor Air Quality Impacts Your Lungs https://www.youtube.com/watch?v=Aabz4MHXgT4 MOPH with PM2.5 https://www.youtube.com/watch?v=FiIjVW8MNo8 https://www.cdc.gov/climateandhealth/

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