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44 Cards in this Set
- Front
- Back
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Types of Community Health Nurses |
Home health nurse Hospice nurse Occupational nurse Parish nurse School nurse Case managers |
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Aggregates receive services from community health nurses |
Individuals from infancy to death Families Groups within community |
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Services provided by home health nurse |
Skilled assessment Wound care Laboratory draws Med education and administration Parenteral nutrition IV fluids and medication Central line care Coordinatioon/supervision of other participants in health services |
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Home health nurse evaluates living envirnment for safety, which includes... |
Nonsecure rugs Electrical outlets Extension cords Oxygen use Bathroom safety devices Other potential hazards |
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Some questions the home health nurse should ask |
Food in the house to eat? Help with household activities? Lives alone? Identify support system Ability to dispense own meds Access to health care |
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Hospice Nurse Focuses on enhancing quality of life through |
Palliative care Support client/family throigh dying process Bereavement support |
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Hospice care settings |
Home Hospital Hospice centers Long term care settings |
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Hospice care is focused at... |
Pain relief Enhancing quality of life |
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Occupational Health Nurse Works toward health and safety of workers by... |
-assessing risks for work related illness/injury -Plan and deliver health and safety services in workplace -facilitate health promotion activities that lead to a more productive workforce |
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Work place injury/illness includes the following factors |
Host Agent Environmental |
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Host factors For work related illness/injury |
Worker characteristics -job inexperience -age -pregnancy |
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Agent factors For job related illness/injury |
-Biological agents (virus, bacteria, fungi, pathogens) -chemical agent (smoke, asbestos) -mechanical agents(heavy loads, repetitive motions) -physical agents (extreme temps, vibrations, noise, radiation, lighting) -psychological agents (stress, burnout, violence) |
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Envirnmental factors For job related illness/injury |
Physical (heat, ventilation, pollutant) Social (sanitation, overcrowding) Psychological (addictions, stress) |
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Occupational health nurse Roles and responsibilities |
Primary prevention Secondary prevention Tertiary prevention |
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Primary prevention |
Teaching nutrition, health hazards Immunization info Protective equipment |
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Secondary prevention |
Identify hazards in workplace Early detection through surveillance/screening Prompt treatment Counceling and referral Prevention of further limitations |
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Tertiary prevention |
Restoration of health through -Rehabilitation strategies -limited duty programs |
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Workplace assessment includes... |
Workplace walk through -observation of work processes and materials -job requirements -actual/potential hazards -Employee work practices (hygiene, waste disposal, housekeeping) -incidence/prevalence of work related illness/injury -control strategies to eliminate exposures |
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Occupational nurse Control stategies include... |
Engineering Altering work practices Proving PPE and edu to prevent injury Workplace monitoring Health screening Employee assisstance programs Job task analysis Design, risk management, emergency prep |
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Occupational Safety and Health Act 1970 OSHA |
Develops and enforces workplace health regulations to protect the safety and health of workers |
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National advisory committee on occupational safety and health NACOSH |
Gathers and disseminates data on the incidence and prevalence of occupational illness and injury. Responsible for prevention education r/t occupational injury and illness, as well as determining hazards assoc with new workplace technologies. |
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Workers compensation act |
State level legislation that regulates financial compensation to workers suffering from injuries/illness resulting from the workplace |
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Faith community Nurse |
Works with a group of clients who share common faith traditions. Most religions have practices that are important to health, healing, death, and dying |
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CIRCLE model of spiritual care |
Caring Intuition Respect for religious beliefs/practices Caution Listening Emotional support |
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Missionary nurse |
Seeks to provide health and prevent disease by meeting spiritual, physical, and emotional needs of people across the globe. Nurses may be: -career missionaries -serve short term -volunteer -part-time missionaries |
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Parish Nurse |
Promote health and wellness of populations of faith communities. -church members -individual/groups in geographical community Provide holistic approach to healing -body, mid, spirit |
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Functions of Parish Nurse |
-Counseling -Health education -Liaison betwenn faith community and local resources -support groups -spiritual support |
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Roles of School Nurse |
Case manager Community outreach Consultant Counselor Direct caregiver Health educator Researcher |
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School Nursing Primary prevention |
Teach health promotion practice -hand hygiene -healthy food choices -tooth brushing -injury prevention, bike/water safety -substance dependency prevention Immunization records/status |
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School nursing Secondary prevention |
Care for injuries Screenings for vision, hearing, scoliosis, etc Mandatory reporter Identify children at risk |
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School nurse Tertiary prevention |
IEP DM, CF nursing care Administer meds Provide care for children who need specil care: -catheters Dressing changes IV line monitioring |
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Health concerns/leading causes of death Children |
-Perinatal conditions/congenital abnormalities -SIDS -MV/other unintentional injuries |
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Health concerns/leading causes of death
Adolescents |
-MVA/other unintentional injuries -homicide -suicide |
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Screenings/preventative services Children |
-ht/wt -vision/hearing -at birth, hemoglobinopathy, phenylalanine level, T4 , and TSH -immunizations -cholesterol and triglyceride levels -dental health |
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Screening/preventative services Adolescents |
-ht/wt -dental health -rubella serology (females) -substance use disorders -immunization status -Mental health screenings -cholesterol/triglyceride levels -vision/hearing |
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National Health goals Children |
Reduction in -dental caries -obesity -exposure to second hand smoke Increases in -Newborn blood spot screening -access to a medical home -schools that require health education -immunizations -use of child restraints -physical activity |
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National Health Goals Adolescents |
Reductions in -violent crimes -initiation of tobacco use -obesity -inappropriate wt gain Increase in -school breakfast program -participation in extracurricular activities -wellness checkups with in past 12 months -physical activity |
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Commumity education Children |
-anticipatory guidance -breastfeeding -sleeping positions -nutrition -physical activity -substance use disorders -dental hygiene/health -skin protection -injury prevention, car, fire, water safety, helmet use, oiison control, CPR training |
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Community education Adolescents |
-anticipatory guidance -substance use disorders -sexual behavior -nutrition, especially calcium intake for females -physical activity -skin protection -injury protection, car, fire, firearm |
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Health concerns/leading cause of death Women |
Reproductive health -chhildbearing -menopause -osteoporosis Heart disease DM Malignant neoplasm, breast, cervical, ovarian, colorectal |
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Screening/preventative services Women |
Ht/wt BP Cholesterol (45-65) Dental health Pap Mammogram Fecal occult blood test (50+) Rubella serology/vaccine hx (childbearing years) DM, HIV, Skin cancer |
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National Health Goals Women |
Reduction in -disease involving bone, osteoporosis -death from cancer -sexual violence Increase in -planned vs. unplanned pregnancies -early/adequate prenatal care -Mothers who breastfeed -Heart attack/stoke warning signs |
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Community education Women |
Nutrition STI prevention Substance use disorders Breast self exam Skin protection HIV prevention Injury prevention car, fire, safety, violence |
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Health concerns/leading cause of death Men |
Heart disease Malignant neoplasm(prostate, testicular, skin, colorectal) Unintentional injuries Lung disease Liver disease |
