Minimum Course Hours: 36

Course Description

Learners focus on health promotion across the lifespan in primary care and in community settings, including pregnant and postpartum clients, newborns, children, and youth, as well as clients with mental health and/or substance use conditions. Typical growth and development from conception to middle adulthood is addressed, as well as the typical physiological changes related to pregnancy, labour, birth, and postpartum. Learners continue their reflection to deepen their understanding of cultural safety, cultural humility, trauma-informed practice, and anti-racism across the continuum of care with a focus on Indigenous-specific anti-racism.

Prerequisites: Successful completion of all Level A courses and Consolidated Practice Experience A

Corequisites: Professional Communication 3; Integrated Nursing Practice 3; Professional Practice 3; Variations in Health 3

Learning Outcomes

Upon successful completion of this course, the learner will be able to:

1. Identify typical patterns of growth and development from conception to middle adulthood.
   • 1.1 Analyze the determinants of health as they relate to each developmental stage.
2. Describe health promotion and health-promoting strategies for clients across the lifespan in community settings, including pregnant and postpartum clients; newborns, children, and youth; and clients with mental health and/or substance use conditions.
   • 2.1 Explain the connection between the determinants of health and healthy living for clients across the lifespan.
   • 2.2 Give examples of teaching and learning strategies for care in the community.
   • 2.3 Explain the use of health continuums, including the mental health continuum, when providing care for clients across the lifespan.
   • 2.4 Discuss the impact of immunization in health promotion.
3. Provide examples of public health services available to clients across the lifespan in community settings, including pregnant and postpartum clients, newborns, children, and youth.
   • 3.1 Describe factors that may impact access and use of community services, including culture, stigma, and geographic locations (rural, remote, urban).
   • 3.2 Discuss the importance of social supports to the health of clients living with mental health and/or substance use conditions.
4. Discuss the different types of advocacy nurses engage in when caring for clients in community settings, particularly those with mental health and/or substance use conditions.
   • 4.1 Examine harm reduction strategies for clients at each developmental stage.
   • 4.2 Explore the concepts and principles of harm reduction and recovery-oriented care when working with clients with a mental health and/or substance use condition in a community setting.
5. Analyze the impact of cultural safety and trauma-informed practice on client care across the lifespan in community settings, including Indigenous clients, clients with mental health and/or substance use conditions, and clients who are 2SLGBTQIA+.^[1]
   • 5.1 Discuss the importance of Indigenous cultural rights, values, and practices (including ceremonies and protocols related to illness, birth, and death) in the provision of culturally safe care.
   • 5.2 Discuss disparities in the delivery of community health services in B.C.

Course Concepts

Course outcomes will be met through examination and exploration of the following:

• Typical growth and development: conception to middle adulthood
• Continuum of care for maternal, newborn, child, and youth clients
• Health promotion for maternal, newborn, child, and youth clients
• Typical physiological changes related to antepartum, intrapartum, and postpartum
• Teaching and learning
• Continuum of care for clients with mental health and/or substance use conditions
• Health promotion strategies for clients with mental illness and physical or developmental disabilities
• Client advocacy and navigation
• Promotion of safety for clients experiencing mental illness
• Families experiencing violence
• Public health services
• Resource allocation and inequities
• Illness prevention: immunization (child, adolescent, young and middle adult)
• Harm reduction
• Principles of trauma-informed practice
• Cultural safety, cultural humility, and anti-racism across the continuum of care
• 2SLGBTQIA+ care