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56 Cards in this Set
- Front
- Back
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Case Management
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nursing process, eligibility determined by dx, work in hospitals, insurance companies, long-term care, home-care, root in mental health facilities
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Purpose of Case Management
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assist client through complex, fragmented, confusing process to achieve client centered cost effective quality care
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Case Manager Qualifications
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knowledge of reimbursement process, community resources, evaluate outcomes, cost vs benefit analysis, communication, prioritize, work independently, interdisciplinary team
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Case Management Models
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client centered nursing care in hospital, rn provides primary care to one group and case management for another group, or sometimes both...in case management rn responsible for financial outcome
Arizona Model-nurse administrators, educators, researchers,& clinicians are case managers responsible for patients during hospitalization and follow up |
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Case Manager Roles
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Interdisciplinary-manager of costs and resources, clinician developing care plan, consultant working with team, educator teaching team and notifies of changes, researcher
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Faith Communities Role in Health & Wellness
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holistic care, traditions & rituals, guidelines for ministering, social support, provide prayer and hope
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Parish Nurse Foundations
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Rev. Granger Westberg-Lutheran mnister founded parish nursing, partnership between church and hospitals, 1st program 1985 @ Lutheran General in Chicago
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Roles of Parish Nurse
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educator, personal health counselor, referral agent, health advocate (liaison), coordinator of volunteers, developer of support groups, integrator of health & healing
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Spirituality & Spiritual Distress
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spirituality-desire for meaning, purpose, connection, intimate relationships and experiences
spiritual distress-disruption in life principle that pervades entire being |
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CIRCLE Model of Spiritual Care
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C-caring that is professional and ethical, I-intuition/instinct, R-respect for religious beliefs and practices, C-caution..no evangelizing, L-listening and therapeutic communication, E-emotional support
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Issues in Parish Nursing
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caring for vulnerable populations---old, young, refugees, end-of-life issues, family violence prevention, accountability and confidentiality
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Parish Nurse Education & Experience
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BSN, 5+ yrs experience, ability to do community assignments, health counseling, clinical experience, assessment
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Parish Nurse Professional Preparation
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state license, basic prep course, theology for spiritual assessment
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Definition Home Health Care
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healthcare & social services provided to homebound or disabled in their homes
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Purpose of Home Health
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*focus on care of sick and helath promotion and disease prevention, encourage cost containment, provide services otherwise not oferred in hospital or other institution
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Home Health Agencies
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Official (public)-organized & funded by local or state goverbnment, Nonprofit-independent home health agencies and hospitals, Proprietary-for profit businesses, Chains-lower admin costs dt large corp structure providning many services--multi agencies have greater purchasing power dt large volume, Hospital based-3rd party fixed reimbursement
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Certified & Non-Certified
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certified-meet federal standards, eligible for medicare
non-certified-operate outside medicare system, no reimbursement from medicare (home care aide organizations, hospices) |
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Special Home Health Programs
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*Family or caregiver support must be available...
tpn, pediatric chronic health services, follow-up premature infants at risk for complications, ventilators, dialysis |
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Reimbursement for Home Care
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>65, homebound followed by doctor, medically necessary nursing or therapy, exceptions for hospice, medicaid under title xix, private health insurance
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OASIS
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outcome and assessment data sheets - admission & q60d
dataset measures outcomes based on quality improvement --sociodemographic, environmental, support system, health status, functional status, service utilization |
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Generalist Home Health Nurse
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BSN, cares for individuals, families, caregivers, holistic care, process improvements, research, educates clients & families, advocate, continuity of care, uses Scope and Standards of Home Health Nursing Practice
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Advance Practice Home Health Nurse
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Graduate education, resource to generalist, quality improvement research, educated healthcare team, direct care, manages client care by caregiver, monitors reimbursements, deals with ethics, manages interdisciplinary team, disseminates research findings
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Conducting Home Visit
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review referral-chart, call & identify self and service provided, inform of referral, obtain permission for visit, at visit conduct environmental assessment, build trust, nursing priocess, delineate client & nurse roles, implement interventions, make referrals, accurate & complete documentation
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Caregivers
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formal-profesionals and aids reimbursed
informal-family members, volunteers not reimbursed skills assessed by home health nurse |
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Hospice Home Care
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end-of-life care, relieves suffering, supports patient & family, grief support
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Caregiver Support
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assessment of mental and physical health, decisions about care include caregiver and consider their own health, provide constant reassurance
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Pain Control for Hospice Patient
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sufficient administration of medication on regular schedule to keep patient pain free, management of other symptoms-n/v, constipation, diarrhea, fatigue, decreased appetite
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History of School Health
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began to promote hygiene & control communicalble diseases---
began 1860s-prevention smallpox, 1902 NYC 1st school nurses, 1946-school lunch, 1990s-CDC adolescent/school health |
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School Nurses
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diagnose & treat conditions that can impede learning, encouragement to correct remedial defect, prevention & control of diseases, provision of emergency care for injury or sudden illness
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Health Education
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CDC targets negative behaviors
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School Nurses Address
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Injury prevention, tobacco-smoking leading preventable cause of death US, alcohol, illegal substances, sex education, tattoos-hepatitis BMI, Nutrition, eating disorders, immunizations, screenings (not depression)
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Children @ Risk
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No insurance, low income/poverty, head of household uneducated, dropout parents lack of job,
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Public Law
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1976?
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Female Athlete Triad
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amenorrhea, eating disorders, osteoporosis
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Suicide & Violence
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Suicide by suffocation & fire arms, girlsy attempt more use drugs, boys more successful by hanging & fire arms
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Roles of School Nurse
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care provider, student advocate, educator, community liaison, case manager, supervisor, practice independently, delegate cares, conduct research
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Homelessness
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lacking fixed, regular, adequate nighttime residence or nighttime residence publicly operated, temporary, or not designed for regular sleeping for humans--30-40% are families with kids, 7.5% all americans will be homeless at some point in their lives
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Homeless difficult to count
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transient, may be difficult to locate
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Acceptable number of homeless
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no number of homeless is acceptable
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Demographics of Homeless
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60.7% single men , 49% african american---1% asian
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Factors Contributing to Homelessness
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Lack of affordable housing, insufficient income, scarcity of supportive services, substance abuse
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Health Status of Homeless Men
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#1 problem-alcoholism, others-respiratory, trauma, skin disorders, HIV/AIDS, TB, HCV, STDs, mental health issues
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Health Status of Homeless Women
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,Mental illness can lead to homelessness or homelessness can lead to mental illness, substance abuse, violence, pregnancy has higher preterm births, STDs & PID, lonliness, depression, suicide
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Health Status of Homeless Children
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poor or no records-immunization delays, URIs, infections, developmental delays, in adolescents-high risk behaviors, prostitution, STIs, mental health issues--cycle
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Homeless Families
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40% families with children---women prefer shelters for women--safety issues
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Homeless with Mental Health Issues
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psychiatric disorders & alcoholism higher in homeless population, homeless feel vulnerable and are distrusting
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Access to Health Care for Homeless
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Availability-ratio of # facilites/proiders to type of services and client needs
Accessibility-relationship between service locations and client locations Accommodation-how systems organized - hrs of operation etc, and ability to accommodate clients Affordability-price vs client ability to pay Acceptability-client's attitudes about providers, provider's attitudes about client characteristics |
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Market Justice and Social Justice
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Market Justice-individual responsibility--benefits earned
Social Justice-people equally entitled, societ accepts burden |
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Factors Contributing to Homelessness
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Lack of affordable housing, insufficient income, scarcity of supportive services, substance abuse
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Health Status of Homeless Men
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#1 problem-alcoholism, others-respiratory, trauma, skin disorders, HIV/AIDS, TB, HCV, STDs, mental health issues
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Health Status of Homeless Women
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,Mental illness can lead to homelessness or homelessness can lead to mental illness, substance abuse, violence, pregnancy has higher preterm births, STDs & PID, lonliness, depression, suicide
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Health Status of Homeless Children
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poor or no records-immunization delays, URIs, infections, developmental delays, in adolescents-high risk behaviors, prostitution, STIs, mental health issues--cycle
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Homeless Families
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40% families with children---women prefer shelters for women--safety issues
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Homeless with Mental Health Issues
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psychiatric disorders & alcoholism higher in homeless population, homeless feel vulnerable and are distrusting
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Access to Health Care for Homeless
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Availability-ratio of # facilites/proiders to type of services and client needs
Accessibility-relationship between service locations and client locations Accommodation-how systems organized - hrs of operation etc, and ability to accommodate clients Affordability-price vs client ability to pay Acceptability-client's attitudes about providers, provider's attitudes about client characteristics |
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Market Justice and Social Justice
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Market Justice-individual responsibility--benefits earned
Social Justice-people equally entitled, societ accepts burden |
