Transcript Community-Based Practice NUR101 FALL 2008 LECTURE# 20

Community-Based
Practice
NUR101 FALL 2008
LECTURE# 20
K. BURGER, MSEd, MSN, RN, CNE
PPP By
Sharon Niggemeier RN MSN
Community-Based Nursing
• Focused on individual and family health
needs
• Moving from traditional settings to
community/neighborhood locations
• Integrated system of health care
including institutions, providers,
agencies, policies, payment plans,
families and of course patients
Community-Based Nursing
• Provides health services where people
spend their time
• Traditionally such as: home (home care
nursing), work (occupational nursing),
school (school nurse)
Community-Based Services
• Evolved to include
various settings
• Senior centers
• Day care centers
• Storefront clinics
• Homeless shelters
• Mental health
centers
• Drug rehab programs
• Ambulatory care
centers
• Outreach centers
• Institution-based
centers
• Parish nursing
• Hospitals
Vulnerable Populations
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Immigrants
Poor/Homeless persons
Abused clients
Substance abusers
Severely mentally ill persons
Older adults
Common Health Problems in the
Community
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HTN
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Arthritis
Visual Impairment
Hearing Impairment
Confusional states
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Alzheimer’s Disease
Dental problems
Medication use/abuse
Substance abuse
Nutrition issues
US Department of Health and
Human Services:
Public Health Services
• Public- anyone can receive services…
funded through federal, state or local
taxes, although eligibility criteria must be
met
• Visiting Nurse Services (VNS)
• Veterans Administration
• Suffolk County Department of Health
• Hospitals
Private Healthcare Services
• Private- requirements such as private
pay or insurance
• Doctors offices
• Ambulatory care centers
• Treatment centers
Healthcare Team
• Nurse
• Doctor
• Physician’s
Assistant (PA)
• Physical
Therapist (PT)
• Respiratory
Therapist (RT)
• Speech Therapist
(ST)
• Occupational
Therapist (OT)
• Dietician
• Pharmacist
• Social Worker
• Unlicensed Assistive
Personnel (UAP)
Types of Services
• Preventive
• Primary: health promotion
• Secondary: early detection and
prompt interventions and health
maintenance
• Tertiary: rehabilitate and restore to
maximum functioning
Healthcare Finance
• Private insurance
• Managed care- HMO, PPO
• Medicare
• Medicaid
Healthcare Reform
• Is health care access a right or a
privilege?
• Changes needed to the system to
provide health care to individuals
• Challenges to health care reform
include: greed, waste, ethical issues
• How can Nurses be involved?????
Summary
• Community-based nursing incorporates
various settings and populations
• Continuity of care from hospital to
home incorporates community based
care
• Reform is a nursing issue, being
involved politically allows for changes