Community Care Erlene Love Denia Gienel Alodia Tatlongmaria
Community CareErlene Love Denia
Gienel Alodia Tatlongmaria
Definition of TermsCommunity
group of people engaged in multifaceted relationships, sharing a common culture, with the capacity to act collectively over a period of time
Community Health Nursing Carefield of nursing that provides health care to a wide variety of populationsHas a philosophy of delivering primary health care
Advocatea nursing role where he/she takes action to achieve a goal on behalf of another
Epidemiologythe study of the cause and distribution of diseases, disability, and death among populations
Global migrationpeople crossing regions, countries, and international boundaries to reside and maintain themselves in new and unfamiliar places
Migrantslaborers who move from one location to another in pursuit of work
Parish nursingan organization whereby a religious or health care system coordinates RNs in providing nursing care to members of a church congregation
Social marketera nurse role involves the use of advertising strategies to promote health or a healthy lifestyle
Telehealth/telecare
use of telecommunication equipment and communication networks for transferring health care information between participants at different locations
Types of Community
Rural villagesWomen’s sheltersGroup homesSchoolsFactoriesUrban neighborhoodsHomeless sheltersCommunity groups
Religious groupsSocial clubsMembers of immigrantsRefugees groups
Frameworks for Delivery of Community Care
Critical Social Theory Framework
-its goal is to liberate people from health-damaging environmental conditions- community care nurse recognizes the need for social change to alter health-damaging conditions
Citizen Ladder of Participation Framework
-identifies different levels of community involvement: informing, consultation, partnership, delegated power and citizen control
Framework for Assessing Citizen Participation
Refer to Table 23 – 1 p. 523
Ecological Approach to health care theory
-assumes that all individual health care decisions are made within a social context
Nursing Roles of Communication
EducatorAdvocateResearcherConsultantDirect care
providerSocial marketerFacilitator
Settings of Community-Based Health Care
Schools
-performed by the school nurse-makes sure that appropriate and comprehensive care is given to school age children
Neighborhood/ Community Centers
-determines health needs and community strengths to offer a wide variety of health promotion and prevention services
Twenty-four-hour Health Lines (Telehealth)
-identified as the future way for the delivery of multidisciplinary community care
Migrant Clinic Health Services
-identifies health needs of the migrant populations-develops programs and disseminates information across the country
Rural Community Health Services
- rural groups are aggregates for which community health nurses provide care- nurse midwives, nurse practitioners, and other advanced practice nurse specialists are some of community nurses who meet this need
Correctional Health Nursing
-provides nursing services to clients in correctional facilities such as: prisons, youth detention centers, and parole divisions
Occupational/ Environmental Health Nursing
-executes the scope of occupational health practices
Public Health Care Services
-could be found in public health clinics -here the nurse is the educator, case manager and the direct care provider who promotes health and prevents illness and different population groups.
Partnerships (settings/ ties)Homeless care
-addresses the health needs of homeless people
Parish nursing- Nurses here do not just
address the spiritual needs– they address the physical and emotional needs of the clients
International Partnerships
- between well-developed countries and countries with underdeveloped health care systems
Nursing Process
AssessmentNursing DiagnosisPlanningImplementationEvaluation
See Box 23-4 on page 530-532
Nursing Diagnosis
OMAHA system- developed to identify physical factors important to community health3 components:
1. problem classification scheme2. intervention scheme3. problem rating scale for outcomes
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QUIZ!!!
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