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45 Cards in this Set

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primary prevention for parish nurse
Hold classes on healthy eating & explain the food pyramid
a community-based & population
focused professional nursing practice with faith communities to promtoe whole person health to its parishoners, usually ofcused on primary prevention
The goal of parish nursing
is to develop & sustain health ministries within faith communities.
National Health objective & faith communities
example of congregational models adressing the specific objectives encouraging Healthy People 2000 guidelines are increasingly being documented
Parish nurses collaborate
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.
today parish nurse work in close relationships with individuals, families & faith communities to establish programs & services that significantly affect health, healing & wholeness
Faith community's mission
includes individuals & groups in the geographic or common cultural community who are not designated members.
The parish nurse emphasizes
the nursing discipline's spiritual dimension while incorporating physical, emotional, & social aspects or nursing with individuals, families & faith communities
Faith communities
support from members of groups that are meaningful to a person's total well-being aids in recovery & healing
Parish Nurse Models
Congregation-based model

Institution-based model
Congregation- based model
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.
Institution- based model
includes greater collaberation & partnerships. The nurse maybe in a contracual relationship with hospitals, medical centers, long-term care establishments, or educational insitutions.
Home care
refers to care provided by a family caregiver such as a nurse, speech or physical therapist, or physician within a clients home.
Home care differs
from other areas of health care in that HCP practice in the client's home enviornment
Home care includes:
disease prevention, health promotion, & episodic illness-related services provided to people in their place of residence.
Home care does not....
refer only to home health; its much broader than that.
Types of Home Care nursing:
Population-focused home care

Transitional care in the home
Population-focused home care
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
transitional care in the home
traditional programs designed for populations who have complex or high risk health problems & are making a transition from one level of care to another.
Goal of hospice
to increase the quality of remaining life.
Outcome and Assessment Information Set (OASIS-b1)DATA
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.

is data analysis

known as outcome enhancement, involves the selection of specific clients outcomes.
Home care of the dying child
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.
How to maintain infection control standards for home care
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.
Nursing Roles in Home care: Nurses fulfill roles such as:
*Case Manager
*client advocate
Education requirements for Home Nursing Practice
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
Cost Effectiveness
medicare pays for serviices only if the client's condition is unstable, the client is homebound, & the client required skilled, intermittent & part-time care.
Family responsibility, roles & functions
refers to a caregiver responsible for the client's well-being
OMAHA System
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.
Primary Prevention applied to home care
help vulnerable mothers learn how to cope successfully with stressful life events

Seondary Prevention applied to home care
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.

Tertiary Prevention applied to home care
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.
Federal Legislation Affecting school nursing:
(LAW) PL105-17 Individuals with Disabilities Education Act (IDEA)
Educational services must be offered by the schools for all disabled children from birth through age 22 years.
Screening children for Lice

Responsibility of school nurse
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
Asthma and the school aged child
*the leading cause of cause of absenteeism among children with chronic illness
Nurse uses Tertiary prevention when helping children who have asthma
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.
Suicide & Other mental health problems
Lead educational programs within the schools to emphsize coping strategies & Stress management techniques for children & adolescents who have problems & to teach about risk factors.
Teen pregnancy
is a tertiary prevention-because adolescent pregnacies are considered to be high risk
Controversies of school nursing
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
Future trends in school nursing
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.
American Association of Occupational Health Nurse
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.
Occupational health nursing is defined as
the specialty practice that focuses on the promtion, prevention, & Restoration of health within the context of a safe & healthy enviornment.
Toxicity to male & female reproductive systems has been
demonstrated from exposure to common agents, such as lead, mercury, cadmium, nickel, and zinc as well as to antineoplastic drugs
Worker's compensation acts are
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.