2Practice Settings Flashcards
Home health nursing
Focus of the home visit
Assess interaction between pt and family
Provide education
Administer interventiosn
Omaha system model
Framework used to implement the nursing process
Home health
Documentation of services
Each visit
Need for services
Family members could not provide some level of care (this helps get it paid for)
Home health reimbursement
Medicare (60 days)
Medicaid
Private insurance
Home health services
Same as any nurse
Assessments
Wound care
Labs
IV therapy (TPN, ABX)
Central line care
Urinary catheter insertion/care
Home dialysis
Pediatric services
Education
Home health
Whats needed to get home health
How long visits last
May involve environmental assessment
Referral is needed for health care provider, hospital, individual or family
Last 30-90 mins
What is involves within an
Enviornmental Assessment
Shopping proximity
Functional abilities of the client
Food availablilty
Potential sources of disease
Utility availability (water, heat, a/c)
Safety
Home health
Nurses need to ensure what
Part of the interdisciplinary team
Ensure their own safety in the home health
Team:
PT
OT
Home health aids
Social workers
Dietitians
Primary care providers
Hospice
Used to do what
Life expectancy
Focuse shifts from what to what
Used to enhance the quality of life for those that are terminally ill
Life expectact of 6 months or less
Focuse shifts from curative to comfort
Priorities of hospice
Controlling symptoms
Helping family cope with the transition from the hope of recovery to the acceptance of death
Palliative
Anyone with what
Best to provide when
Imporves what and helps pt understand what
Does not depend on what
Anyone with a serious illness
Best to provide from the point of diagnosis
Improvs quality of life
Helps pt understand their choices for tx
Does not depend on prognosis and can be provided along with treatment (unlike hospice)
Workplace hazards
Biologic agents
Chemical exposure
Mechanical agents
B:
-insect, spiders, viruses, bacteria, fungi, blood borne pathogens
C:
-cleaning solution, asbestos, smoke
M:
-motion strains, poor workstations, heavy lifting
Workplace hazards
Physical hazard
Psychosocial
Physical:
-noise, extreme temps, falls, radiation
Psychosocial:
-sexual harassment, assault, burnout, violence
Occupational health
Protection from
Workplace violence
Fall injuries, burns
Environmental hazards
OSHA (occupational safety & health act (1970)
Federal standards
Prevent work-related injuries, illnesses, and fatalities
Occupational health
Promotion of workplace health results in
Improved health
Decreased workplace expenditures
Decreased use of sick time
Decreased workers compensation claims
Decreased usage of group health insurance
School health
Schools focus on what
Schools can attain/influence a significant number of what
Focuses:
-whole school, whole community
-whole child model-addressing education and health needs within a school
Number of healthy people objectives
School nurse roles
5 Cs
3 Hs
1 R
Case management
Community outreach
Consultant
Counselor
Child advocacy
Health assessments:
-identify illnesses and injury
-screenings
Health promotion:
-youth behavior risk
Health education
Research
IDEA (Individuals with Disabilities Act 1977)
Gives students who attend school what
Have allowances made for their special needs
Faith community nursing
(Communities) (5 examples)
Faith factors
Churches, synagogues, mosques, parishes, temples
Faith factors:
-Positive correlation between religion and health
-Holistic aproach to health: mind-body-spirit
faith community nursing roles
Integrator of faith and health
Health educator, advocate, counseling
Referral agent: gets them where they need to go
Examples of FCN
Missionary nurse
Parish nurse
Do similar things but parish nurse is more catholic or christian
Meet health, spiritual, and emotional needs
Personal health counseling, education
Facilitated support groups
Circle model of spiritual care (6)
Caring
Intuition
Respect for religious beliefs and practices
Caution (against doing stuff)
Listening
Emotional support
Forensic and correctional nursing
Health and legal system interact
Collect documents, perserve evidence resulting from crime
Apply epidemiological knowledge to finding of intentional injury
Who do forensic and correctional nurses care for
Perpetrators of injury
Substance use related injuries
Those who experiences accidental injuries
Victims of SA
Victims of phyiscal abuse
Victimes of gang violence
Victims of disasters
Settings for forensic and correctional nurses
Clinics
ED
Law enforcement agencies
Mental health facilities
Correctional facilities
SANE nurse (SA nurse examiner)
What do they do
Collect detailed: medical, physical, and emotional data following a SA
Collect and manage samples
Testifies in legal proceedings
What do health coaches do
Help you reach goals:
Eating better
Exercise
Learn more about a chronic condition
Lifestyle change for chronic conditions
Med education
Med/appointment reminders
Arranging appointsments
Motivational interviewing by health coach
Helping people find internal motivation for change:
-discuss needs for change
-discuss benefits that change bring
Encourage them to commit to change
Restate the reason for change and commitment
Health coach: positive psychology
Focuses on what makes people happy, resilient, and sources of motivation for positive change
Increasing motivation by learning how to cope with stress
Removing negative thinking
Ways to enhance engagement
Improves health and mood
Focusing on what is right rather than what is wrong
SMART Goals
Specific
Measurable
Attainable
Realistic
Time bound
Example of smart goal
The client will lose 1 pound of body wt within the next 7days
