Community and Social Careers
Define at least eight terms relating to community and social health care.
Describe the function of the community and social health care team.
Specify the role of the community and social health care team members, including personal qualities, educational requirements, responsibilities, and credentialing requirements.
Identify at least six services provided by community health care agencies.
Specify the difference between physical and psychological drug dependency.
Identify at least four signs and symptoms of withdrawal from an addictive substance.
(dem-o-GRAF-ik) Pertaining to the study of people as a group, especially of statistical groupings according to age, gender, and environmental factors
(huh-loo-sin-AY-shun) Sensory perception that occurs in waking state but does not have external stimulus
Community and Social Careers Terminology*
Term | Definition | Prefix | Root | Suffix |
Anesthetic | Pertaining to a lack of feeling | an | esthet | ic |
Arthritis | Inflammation of the joints | arthr | itis | |
Chronic | Pertaining to time | chron | ic | |
Disable | Opposite of fitness | dis | able | |
Euphoria | State of feeling well | eu | phor | ia |
Gerontology | Study of aging | geront | ology | |
Hypertrophy | Increase in nourishment (size) | hyper | troph | y |
Hypnotic | Pertaining to a state of sleep | hypnot | ic | |
Narcolepsy | Condition of uncontrolled sleep | narco | lepsy | |
Sociologist | One who works with society | sociol | ogist |
*A transition syllable or vowel may be added to or deleted from the word parts to make the combining form.
Careers
Community and social health care has broad goals and focuses on the health needs of a population (Fig. 29-1). The primary goals of community and social health care workers are prevention of illness and injury and provision of care to a population (Table 29-1). The community and social health care worker is involved in the search for the source of disease and the use of technical and regulatory means to protect the population from environmental, social, and behavioral hazards. Health problems addressed by community and social health care workers are often related to environmental hazards, sanitation, and work and living conditions. Other health problems may originate because of population growth and social and behavioral aspects of life.
TABLE 29-1
Community and Social Career Educational Cost and Earnings
Career | Educational Cost* | Earnings† |
Occupational health nurse | Median annual salary: Ann Arbor, Mich.—$61,870 |

Employees in community and social health careers may be trained as physicians, social workers, dentists, nurses, and counselors, as well as other health care providers (Box 29-1). These health care providers usually work for the government or volunteer agencies. They must develop the ability to consider many aspects of a problem or condition and analyze the many options that are provided by or limited by public health agencies. Community and social health care workers must also be able to function well in an environment that involves many regulations and agencies. Community and social workers may be required by law to document and report incidents of domestic violence or abuse as well as providing care for the victim (Box 29-2).
Community Health Providers
Community nutrition workers provide food and nutrition education through public health clinics and programs (Fig. 29-2). They screen patients to determine eligibility, based on health risk and income, for the program. Other job duties may include testing blood, taking dietary histories, assessing vital signs, and counseling on basic nutrition. The minimum qualification is a high school education and experience working with the public or training in nutrition education.
Case Study 29-2
Your neighbor is a single mom of three children and has lost her job. You notice that the children are not getting three meals a day. What should you do?
Answers to Case Studies
are available on the Evolve website: http://evolve.elsevier.com/Gerdin
Under the supervision of the caseworker, case assistants perform such tasks as completing forms and explaining the services of the agency. Duties may include assisting patients to complete applications for unemployment compensation, food stamps, medical care, and other services. On-the-job or vocational school training for case assistants may be adequate for employment.
Under the supervision of the director, attendants for children’s institutions provide care for children who are housed in city, county, private, or other institutions such as orphanages, child care homes, and day care centers. Duties include waking and assisting the children who need help in dressing. Responsibilities may also include assistance with feeding, schooling, and recreational activities. The attendant may be responsible for discipline when children misbehave. Attendants with high school diplomas are preferred. Little advancement is possible without additional education and training.
Disabled children may be assigned to a child care attendant while attending school. The attendant helps the student perform tasks needed to attend classes. Duties may include transporting the child, replacing braces or slings, and helping with participation in activities (Fig. 29-3). Most school attendants are employed by the school system, and a high school diploma is required for employment.

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