Primary health care principles aims at promoting health equities, social justice and person-centred approach to care (Gargioni and Raviglione, 2009). The social determinants of health are circumstances that where people born, live, grow, age and work had an impact on their life expectancy and health outcomes (Gupta, 2004).This is reflected in Mrs Samira Azizi, a 56 year old with an Afghan cultural background living in the community that require a nursing care, particularly post-operative dressing change following bowel cancer surgery. Mrs Azizi living with her family in an old farmhouse, 45 minutes away from town, unable to drive and with limited English language understanding that puts her at risk client living in the community (Henderson
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Client’s remote community location as well as language barrier, cultural beliefs and inevitable workforce shortages and inflexibility can be a great challenge, and can be considered as a hazards in providing quality care. The adaptation of the clinical governance framework in providing health care services promotes safety and quality in community nursing (Maddock, Kralik and Smith, 2006). It has been developed in regards to ongoing concerns about risk and safety issue that the health care providers face whilst delivering community nursing. Mrs Azizi semi-remote location with no neighbours around can be a safety risk. With limited furniture inside the house in uncontrolled environment, it’s more likely that whilst performing wound care, the aseptic field can be contaminated. This will lead to infection or delayed wound healing process (Yao, Bae and Yew, 2013). Client’s domestic animals if any, access to clean water and general hygiene can be added to further infection. The nurse should meticulously implement standard precautions such as hand hygiene and use of personal protective equipment, particularly sterile gloves, and if clean water is unavailable, alcohol based hand rub is the best way to
Client’s remote community location as well as language barrier, cultural beliefs and inevitable workforce shortages and inflexibility can be a great challenge, and can be considered as a hazards in providing quality care. The adaptation of the clinical governance framework in providing health care services promotes safety and quality in community nursing (Maddock, Kralik and Smith, 2006). It has been developed in regards to ongoing concerns about risk and safety issue that the health care providers face whilst delivering community nursing. Mrs Azizi semi-remote location with no neighbours around can be a safety risk. With limited furniture inside the house in uncontrolled environment, it’s more likely that whilst performing wound care, the aseptic field can be contaminated. This will lead to infection or delayed wound healing process (Yao, Bae and Yew, 2013). Client’s domestic animals if any, access to clean water and general hygiene can be added to further infection. The nurse should meticulously implement standard precautions such as hand hygiene and use of personal protective equipment, particularly sterile gloves, and if clean water is unavailable, alcohol based hand rub is the best way to