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The focus of this course is community health care systems, the historical development, the major forces which shaped the current system and emerging directions for the future. Integration of nursing, community health concepts and trends provide an informational basis for the student to assess the health care needs of a community. The emphasis is on the development of therapeutic nursing interventions which acknowledge primary preventive aspects of planning for the health of individuals, groups, and populations experiencing economic, social, environmental, and technological stressors. Secondary and tertiary preventive strategies for maintaining health in a community based practice setting are presented. Principles of epidemiology and disaster planning will be discussed.