COMMUNITY HEALTH NURSING PLAN: WEST HIGH SCHOOL
This research is concerned with the development of a generalized nursing services plan for West High School. The findings of this research are presented in discussions related to (1) health philosophy, (2) risk assessment, (3) program framework, and (4) community health nursing concepts and program objectives.
Nursing philosophy related to health, community health, and nursing will underlie the generalized nursing services plan for West High School. Applicable nursing philosophy is that held by the nursing developing the plan. The developer of this generalized nursing services plan views the concept of health generally as the concept was conceived nursing theorists Dorothea Orem and Dorothy Johnson. Health, thus, is perceived as a "state of the person that is characterized by soundness or wholeness of developed human structures and bodily and mental functioning" (Orem, 1985, p. 179). A person's sense of well being is differentiated from health in that well being is a perceptual state, as contrasted to health, which is a physical state (Orem, 1985, p. 180). Health is also differentiated from disease or illness, which are involved in the determination of the state of health, and which may occur when "self care is not maintained" (Orem, 1985, p. 55). In Orem's self care model, health is viewed "as a continuum from excellent to poor and disease as a separate dichotomy of presence or absence" (Fawcett, 1989, p. 216).
Johnson (1990, p. 209) provided depth to the understanding of the factors that dictate against a healthy state for an individual. According to Johnson (1990, pp. 209 210) an absence of a healthy state results from psychological crises, social crises, or physical illness experienced by a person. These phenomena are particularly relevant to the student population of West High School who will be targeted by the generalized nursing services plan that is the focus of ...