NUR 220- Levels of Healthcare

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27 Terms

1

overview

includes comsumers (pts), providers, different settings, regulatory agencies, healthcare financing mechanisms

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2

3 major types of community health nursing

public health, community-based, and home health care

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community health

places the practice of nursing within a population or in the client’s house

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main focus of public health nursing

care of populations (neighborhoods → continent)

  • not limited to particular setting

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8

target populations of public health nursing

young, elderly, homeless, inmates, area residents, etc

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concept of public health nursing

strategies to keep population healthy by preventing or controlling disease and other health threats

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main focus of community based nursing

prevent illness, maintain/regain health, or die with dignity while living in a community

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target population for community based nursing

provides personal care to individual clients or families

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What is used in community based nursing?

HEALTH LITERACY ASSESSMENT

  • essential for providing effective education

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13

puorpose of home health care nursing

to promote, maintain, or restore health at an optimal level of functioning

  • reduce effects of disability and illness

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description of home health nursing

  • alternative to hospital or nursing home

  • component of comprehensive health services

  • is provided on continuum to individuals and families at their places of residence

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15

which is the primary goal of community health nursing?

  • support and supplement the efforts of the medical profession in the promotion of health

  • to enhance the capacity of individuals, families, and communities to cope with their health needs

  • to increase productivity of the people by providing them w/ services that will increase their level of health

  • to contribute to national development through promotion of family welfare

to enhance the capacity of individuals, families, and communities to cope with their health needs

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16

primary prevention

to prevent disease or disability

  • vaccines, seat belt class, teaching nutrition in schools

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secondary prevention

early identification of illness to limit its impact (includes early intervention)

  • screenings (catch early)

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tertiary prevention

for those already diagnosed → after diagnosis

  • ICU, oncology centers (actively treating)

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19

restorative health care

intermediate follow-up care for restoring health

  • rehab (pt there temp. in order to get back home)

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20

continuing healthcare

addresses long-term or chronic healthcare needs

  • palliative care, hospice, adult day cares

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21

social determinants of health

onditions in which people are born, grow, work, live, and age and the wider set of faces and systems shaping the condition of daily life

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intrinsic (host) factors

genetics, age, gender, ethnic group, behavior

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extrinsic (environmental) factors

food sources, workplace conditions, place of residence

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24

The nurse is participating at a health care at the local mall giving flu vaccinations to senior citizens. What level of prevention is the nurse practicing?

  • primary

  • secondary

  • tertiary

primary

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25

useful demographic assessment tools and community health planning resources include

WHO, US census, State Department of Health, CDC, Healthy People 2030, OSHA

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planning

determining goals for community health must include key stakeholders (individuals or groups with an investment or significant interest in a topic)

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community health nurses act as both…

case managers and home health nures

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