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Terms in this set [23]
nursing care of individuals and families that is designed to promote and maintain health and prevent disease. Transition through the health care system to health-related services outside of the hospital setting
community-based nursing
centralized networks with infrastructure focused on coordinating health care and social services to reduce health risks in a given community
community hub
health care delivery focused on health promotion and prevention of illness or disease
primary prevention
health care delivery centered on health maintenance and aimed at early detection of disease with prompt intervention to prevent or minimize loss of function or independence
secondary prevention
use of technology that remove the barriers of time and space to provide improved access to health care services for community dwelling patients
tele-health
health care delivery focused on minimizing deterioration associated with disease and improving quality of life through rehabilitation measures
tertiary prevention
an organization or insurance company that provides reimbursement for services covered by a health plan
third party payor
what are the multiple factors that contribute to the role of nurses in the community setting?
more aging older adults [and other population trends], federal legislation, tighter insurance regulations, and decreasing hospital revenues changing patterns of disease
what are some community based settings for the nurse
public health departments, ambulatory clinics, long term care, schools, hospice centers, industrial environments, homeless shelters, home health agencies, same day surgical centers, short stay facilities and patients homes
what is the ideal approach to community based nursing?
addressing potential issues with a client and family with "upstream thinking"
what is upstream thinking
focus on the root cause of the problem before illness or disease [prevention]
downstream thinking
traditional focus on thinking by treating health issue once it is a problem
an example of primary prevention
teaching about healthy lifestyles promotion and prevention of illness or disease
example of secondary prevention
early detection and prompt intervention like health screenings and health risk appraisal
example of tertiary prevention
minimizing deterioration and loss of function through rehabilitation to their maximum potential
documented discharge plans are mandatory for
medicare or medicaid patients
when does discharge planning start?
on admission to the health care facility
what does a discharge plan do?
identifies patients needs and develops a plan to meet them
the home health care nurse must have what to visit?
permission as you are a guest in their home
what is hospice nursing?
specialty area where nurses provide palliative care in the home or the hospice centers to patients who are dying
how must home health care nurses conduct themselves?
must be non-judgemental when patients lifestyle conflicts or when the home isn't up to cleanliness standards and when the patient and family don't implement the nurses suggestions and you sometimes have to think about improvising
some examples of ambulatory care centers are
medical clinics, ambulatory care centers, urgent care centers, cardiac rehab programs, mental health centers, community outreach programs
what do nurses do in an ambulatory care center
direct patient care, intake screenings, treating acute and chronic illness, emergency conditions, and referring patients to other care centers.
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