NSE 112 Chapter Notes - Chapter 4: Paternalism, Harm Reduction, Substance Abuse

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The nature of advocacy vs. paternalism in nursing: clarifying the thin line". X: discuss the concept of social justice. Promoting the health of populations and community groups. Health community has health members who are involved and work together to create healthy living environment. Able to solve problems, have good living conditions, safe environment, sustainable resources (employment, health care, education) Roots in notion of social responsibility and justice (fairness) May be in multiple groups different vulture, beliefs, language barriers etc. Do not evaluate based on own culture. Typically have poorer health status: poor and homeless. High incidence of mental illness and substance abuse: precarious circumstances. Women greater risk for low income, violence, stressors unpaid caregiving. Physical, social, emotional and sexual abuse high in older adults, women and children. Unintentional injury, unemployment, depression, suicide high in young. Consider environmental conditions hazards, landfills, incinerators: chronic conditions and disabilities. Collaboration is key family, community etc: those engaging in stigmatizing risk behaviors.

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