NUR 220- Levels of Healthcare

overview

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

3 major types of community health nursing

public health, community-based, and home health care

community health

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

main focus of public health nursing

care of populations (neighborhoods → continent)

* not limited to particular setting

target populations of public health nursing

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

concept of public health nursing

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

main focus of community based nursing

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

target population for community based nursing

provides personal care to individual clients or families

What is used in community based nursing?

HEALTH LITERACY ASSESSMENT

* essential for providing effective education

puorpose of home health care nursing

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

* reduce effects of disability and illness

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

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

primary prevention

to prevent disease or disability

* vaccines, seat belt class, teaching nutrition in schools

secondary prevention

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

* screenings (catch early)

tertiary prevention

for those already diagnosed → after diagnosis

* ICU, oncology centers (actively treating)

restorative health care

intermediate follow-up care for restoring health

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

continuing healthcare

addresses long-term or chronic healthcare needs

* palliative care, hospice, adult day cares

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

intrinsic (host) factors

genetics, age, gender, ethnic group, behavior

extrinsic (environmental) factors

food sources, workplace conditions, place of residence

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

useful demographic assessment tools and community health planning resources include

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

planning

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

community health nurses act as both…

case managers and home health nures