Language for Community-Based Health Services
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Transcript Language for Community-Based Health Services
Omaha
Public
System – Documentation System
Health Wheel – Intervention Model
Began
in 1975 by Visiting Nurse Association of
Omaha, Nebraska
Rigorous
development and research studies
funded by U.S federal Division of Nursing
between 1975-1986
Nurses
Physical,
speech, language, and occupational
therapists
Social workers
Dieticians
Recreational therapists
Home
health care
Public health agencies
School health services
Nurse managed centers
Hospital-based and managed care case
managers
Educators and students
Acute care and rehabilitation hospital staff
Computer software vendors
English
Slovene
Danish
Spanish
Dutch
Turkish
Japanese
German
Chinese
Estonian
Swedish
Thai
Korean
Care
for individuals, families, and community
of all ages, geographic locations, medical
diagnoses, socio-economic ranges, spiritual
beliefs, ethnicity, and cultural values
Problem
classification – client assessment
Intervention
Problem
scheme – care plans and services
Rating Scale for Outcomes – client
change and evaluation
Environmental
Domain – material resources
and physical surroundings both inside and
outside living area, neighborhood, and
broader community
Psychological
Domain – Patterns of behavior,
emotions, communication, relationships, and
development
Physiological
Domain – functions and
processes that maintain life
Health-Related
Behavior Domain – patterns of
activity that maintain or promote wellness,
promote recovery, and decrease risk of
disease
Teaching,
Guidance, and Counseling
Treatments
Case
and Procedures
Management
Surveillance
Long,
diverse list ranging from:
Anger management to
Infection precautions to
Nursing care to
Substance use cessation to
Transportation
Knowledge
– ability of client to remember
and interpret information
1(no knowledge)
5 (superior knowledge)
Behavior
– observable responses, actions, or
activities fitting occasion or purpose
1 (no appropriate)
5 (consistently appropriate)
Status
– condition of client in relation to
objective and subjective defining
characteristics
1 (extreme signs/symptoms) 5(No signs
symptoms)
Measurement
at admission and closing of
case and other times as needed
Can
measure individual or population change
Tamika,
19 years old, comes to the public
health agency because she doesn’t have
enough food. She works part-time, no home -moves from friend to friend, is probably 7
months pregnant with a 1st child. Sick with
nausea and vomiting for first 5 months. No
health care; smokes about ½ pack each day.
Says smoking no problem – others smoke and
their babies are fine.
Income
Intervention Scheme
(high priority)
Teach about community resources
Case management – referral to resources
Knowledge – 2
Behavior – 2
Status -- 1
Pregnancy
( high priority)
Teaching – A/P, dietary, fetal development,
medical/dental care
Case Management – referral to prenatal provider
Surveillance– make sure she follows through to a
prenatal provider
Knowledge – 2
Behavior – 2
Status -- 2
Substance
Use (high priority)
Teaching – effects of smoking on Tamika and the
fetus
Surveillance – changes in use of cigarettes
Knowledge – 1
Behavior – 1
Status -- 2
Recognized
by many standards for electronic
records such as LOINC, SNOMED, Health Level
7
Congruent
with reference terminology for
International Organization for
Standardization
Mapped
to International Classification of
Nursing Practice
www.omahasystem.org/
Karen
Martin, RN, MSN, FAAN
[email protected]
1990s Health Reform
Public Health for the 21st Century
National satellite programs
Norway
Iceland
Kazakhstan
Uzbekistan
Kyrgyzstan
Mexico
Japan
Namibia
Ireland
Information
Linda
Olson Keller, DNP, RN, FAAN
[email protected]
Thank
you for your attention