Foundation Of Nursing In The Community Chapter 29,30,31,32

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primary prevention for parish nurse

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Hold classes on healthy eating & explain the food pyramid

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a community-based & population

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focused professional nursing practice with faith communities to promtoe whole person health to its parishoners, usually ofcused on primary prevention

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The goal of parish nursing

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is to develop & sustain health ministries within faith communities.

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National Health objective & faith communities

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example of congregational models adressing the specific objectives encouraging Healthy People 2000 guidelines are increasingly being documented

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Parish nurses collaborate

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to plan, implement, & evaluate health promotion activites considering faith community's beliefs, rituals, & polity. Healthy people 2010 guidelines are basic to the partnering for programs.

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Collaboration

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today parish nurse work in close relationships with individuals, families & faith communities to establish programs & services that significantly affect health, healing & wholeness

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Faith community's mission

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includes individuals & groups in the geographic or common cultural community who are not designated members.

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The parish nurse emphasizes

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the nursing discipline's spiritual dimension while incorporating physical, emotional, & social aspects or nursing with individuals, families & faith communities

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Faith communities

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support from members of groups that are meaningful to a person's total well-being aids in recovery & healing

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Parish Nurse Models

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Congregation-based model

Institution-based model

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Congregation- based model

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in which the nurse is usually autonomous. The development of a parish nurse/health ministry program arises from the individual community of faith. The nurse is accountable to the congregation & its governing body.

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Institution- based model

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includes greater collaberation & partnerships. The nurse maybe in a contracual relationship with hospitals, medical centers, long-term care establishments, or educational insitutions.

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Home care

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refers to care provided by a family caregiver such as a nurse, speech or physical therapist, or physician within a clients home.

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Home care differs

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from other areas of health care in that HCP practice in the client's home enviornment

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Home care includes:

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disease prevention, health promotion, & episodic illness-related services provided to people in their place of residence.

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Home care does not....

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refer only to home health; its much broader than that.

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Types of Home Care nursing:

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Population-focused home care

Transitional care in the home

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Population-focused home care

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is directed towards the needs of specifec groups pf people, including those with high-risk health needs such as mental health problems, cardiovascular disease, or diabetes;families with infants or young children; or older adults

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transitional care in the home

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traditional programs designed for populations who have complex or high risk health problems & are making a transition from one level of care to another.

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Goal of hospice

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to increase the quality of remaining life.

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Outcome and Assessment Information Set (OASIS-b1)DATA

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are measured & reported to CMS on the client's admission to home health care, after an episode of hospitalization, at the time of recertification, & on discharge from care.

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OASIS

FIRST STAGE

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is data analysis

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OASIS

SECOND STAGE

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known as outcome enhancement, involves the selection of specific clients outcomes.

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Home care of the dying child

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the needs of the dying child & family are unique partly because society doesn't expect death to occur to the young or to have the child die before the parent.

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How to maintain infection control standards for home care

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the practice of universal precautions * Hand hygiene is the most important practice in preventing infections. Hand hygiene should be performed before & after providing client care & before & after preparing food, eating, feeding, or using the bathroom.

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Nursing Roles in Home care: Nurses fulfill roles such as:

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*Clinician
*Case Manager
*client advocate
*educator
*mentor
*researcher
*administator
*Consultant

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Education requirements for Home Nursing Practice

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Home care nurses should be educated to function at a high level of competency so that they can be relied on not only by their professional colleagues but also by the community. A Baccalauret degree in nursing should be the minimum requirement for entry into the prefessional practice in any community health setting

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Cost Effectiveness

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medicare pays for serviices only if the client's condition is unstable, the client is homebound, & the client required skilled, intermittent & part-time care.

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Family responsibility, roles & functions

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refers to a caregiver responsible for the client's well-being

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OMAHA System

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the theoretical framework is based on the dynamic, interactive nature of the nursing or problem-colving process, the practioner-client relationship, & concepts of diagnostic reasoning, clincal judgement & quality improvement.

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Primary Prevention applied to home care

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help vulnerable mothers learn how to cope successfully with stressful life events

(learn)

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Seondary Prevention applied to home care

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Nurse assess clients in their homes for early signs of new health problems, contact the physician & initates prompt treatment to prevent the condition from worsening. An example is assessing clients for the development of side effects from medications.

(Assess)

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Tertiary Prevention applied to home care

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the nurse provides counseling on dietary modification & insulin injections to the newly diagnosed diabetic client. Purpose of intervention is to prevent the development of complications from diabetes.

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Federal Legislation Affecting school nursing:
(LAW) PL105-17 Individuals with Disabilities Education Act (IDEA)

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Educational services must be offered by the schools for all disabled children from birth through age 22 years.

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Screening children for Lice



Responsibility of school nurse

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Lice are found most often in while middle-class children & are more often seen in clean hair as well.

Teach children, parents & teachers how to prevent lice & Treat cases of infestation

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Asthma and the school aged child

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*the leading cause of cause of absenteeism among children with chronic illness

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Nurse uses Tertiary prevention when helping children who have asthma

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This includes:administering or helping children use thrit inhalers/teaching the teacher's, children & parents about asthma & ways to reduce the factors to which the child may be allergic to classroom.

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Suicide & Other mental health problems

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Lead educational programs within the schools to emphsize coping strategies & Stress management techniques for children & adolescents who have problems & to teach about risk factors.

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Teen pregnancy

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is a tertiary prevention-because adolescent pregnacies are considered to be high risk

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Controversies of school nursing

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the school nurse should make an effort to communicate with the community, school board, teachers, parents & students about what they think about different types of services in school

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Future trends in school nursing

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school nursing will use telehealth & telecounseling to teach health education. School nurses will use the internet to work with children & parents. The school nurse is responsible for keeping up with the latest changes in health care & health practice so that the health of children in schools can be enhanced by new trends in health care.

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American Association of Occupational Health Nurse
(AAOHN)

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supports the work of the occupational nurse & advances the specialty. Describes 10 job roles for occupational health nurses: clinician, case manager, coordinator, manager, nurse practioner, corporate director, health promotion specialist, educator, consultant & researcher.

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Occupational health nursing is defined as

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the specialty practice that focuses on the promtion, prevention, & Restoration of health within the context of a safe & healthy enviornment.

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Toxicity to male & female reproductive systems has been

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demonstrated from exposure to common agents, such as lead, mercury, cadmium, nickel, and zinc as well as to antineoplastic drugs

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Worker's compensation acts are

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STATE LAWS that govern financial compensation of employees who suffer work-related health problems. These acts very by state, each states sets rules for reimbursement of employees with occupational health problems for medical expenses & lost work times associated with the illness or injury.