COMMUNITY---WEEK # 3 Flashcards
define “FAMILY”
Two or more persons who share emotional closeness and identify themselves as members of a family
_________________ is purposeful and focused to gain information (WE ARE LISTENING)
THERAPEUTIC
CONVERSATION
___________ is used to identify expectations and assign priorities (URGENT NEEDS)
THERAPEUTIC QUESTIONS
____________________ occurs when a family is not able to cope with an event
Family Crisis
________________ are times of risk for families
TRANSITIONS
“TRANSITIONS” are times of ‘RISKS’ for families.
List “7” examples of transitions
M-arriage
B-birth of child
C-child moving out
D-eath of family member
D-ivorce
I-llness
I-ncome loss
REMINDER: “My Birthed Child Doesnt Do Illness-Income”
PRIMARY PREVENTION
(FAMILY INTERVENTIONS)
(4)
- Coping Skills
- Living wages
- Immunizations
- Anticipatory Guidance
REMINDER: Ms. CLIA can foresee the future family
SECONDARY PREVENTION
(Family Interventions)
(4)
- Crisis Intervention
- Meeting (family)
- Aid for existing problem
- Referrals to community resources
REMINDER:CrisisMeetingsAidReferrals
Tertiary Prevention
(Family Interventions)
(4)
- Coping with long-term illness
- home modifications
- assistance with caregiver burden or respite care
- assistance with loss
During a family assessment interview, what kind of questions should the nurse ask?
- who is part of the family
- who is key informant
- where is interview located
- where do members live
- time available
Community health nurses provide health care services to clients where they reside. This includes _________ , ____________ and ____________
- Assisted living facilities
- Traditional home
- Nursing homes
Skilled Services provided by HOME HEALTH nurses are:
A-ssessment
W-ound care
L-abs
M-edication admin
P-arenteral nutrition
I-V fluids
C-entral line care
U-rinary cath care
C-oordination, delegation and supervision of various other participants in health services
(9)
Components of INTERDISCIPLINARY TEAM
D-octor
N-urse
S-piritual caregiver
S-ocial worker
G-rief counselor
H-ome health aide
V-olunteer
M-edical director
T-herapist (physical, occupational, nutritional, speech)
This member of the INTERDISCIPLINARY TEAM provides support by working with your community of faith.
SPIRITUAL CASEWORKER
This member of the INTERDISCIPLINARY TEAM provides companionship and respite care to give your family a rest
VOLUNTEER
This member of the INTERDISCIPLINARY TEAM helps the family to coordinate services and identify community resources
SOCIAL WORKER
This member of the INTERDISCIPLINARY TEAM provides support for the patients family
GRIEF COUNSELOR
This member of the INTERDISCIPLINARY TEAM assists with bathing and other personal cares
HOME HEALTH AIDE
This member of the INTERDISCIPLINARY TEAM consults the hospice team and your doctor
MEDICAL DIRECTOR
Qualifying Criteria (4) under Medicare to finance home care
- Must be Homebound
- Under the care of a physician
- In need of skilled, intermittent care
- Face to face requirement for physician intervention
(4) things that happen when initiating a home visit.
- Referral
- orders
- hospital visit
- contact / directions
(5) things that occur at the ACTUAL home visit
- Client assessment
- Review expectations
- Treatment plan
- client needs
- equipment / technology
Blatant disregard for the safety and welfare of a client is called ______________
ABUSE
____________ is a chronic eroding lack of physical, psychosocial and sprititual support of another person
NEGLECT
patient refusing to take meds, or refuse to eat or take care of their personal hygiene is called ___________
SELF NEGLECT
Patients receiving HOME CARE are at HIGH RISK for medication errors. What (3) medications are prone to errors?
A-ntidepressants
A-ntipsychotics
B-enzodiazipines
(3) Three domains of learning
-
COGNITIVE DOMAIN
- knowledge and development of intellectual skills
-
AFFECTIVE DOMAIN
- involves a change in attitude and development of values
-
PSYCHOMOTOR DOMAIN
- involves the performance of a skill
Which domain of learning?
“client expresses acceptance of having a colostomy and maintains self-esteem”
AFFECTIVE DOMAIN
Which domain of learning?
“Community Nurse teaches a client how to self-administer insulin”
PSYCHOMOTOR
DOMAIN
Which domain of learning?
“Client discusses how sodium intake will affect his blood pressure”
COGNITIVE DOMAIN
(3) types of LEARNING STYLES
-
VISUAL LEARNERS
- seeing and note-taking
- video viewing, presentations
-
AUDITORY LEARNERS
- listening, lectures
- discussion, reading
-
TACTILE-KINESTHETIC LEARNER
- doing trial and error
- hands on approach, return demonstration
LEARNING STYLE?
“THINK IN PICTURES”
VISUAL LEARNERS
learning style?
“INTERPRET MEANING WHILE LISTENING”
AUDITORY LEARNER
LEARNING STYLE?
“MEANING THROUGH EXPLORATION”
TACTILE-KINESTHETIC LEARNER
SELF EFFICACY
CLIENTS BELIEF THAT CHANGE IS POSSIBLE
HEALTH COACHING
- WHAT WORKS FOR THEM
- IDENTIFY CONCERNS THAT SUPPORT OR HINDER LIFESTYLE CHANGES
- NURSE AS A PARTNER WITH MEETING CLIENTS GOALS
HEALTH EDUCATION PLAN
- SHORT AND LONG TERM GOAL
- WRITTEN AT 5TH, 6TH GRADE LEVEL
Barriers to Learning
A-ge
B-arriers to access
C-ultural / language barriers
L-ack of motivation
P-oor reading and comprehension skills
Things to review with the caregiver in evaluating caregiver role strain
C-oping skills
F-inancial resources
R-oles and responsibilities
L-oneliness
S-chedules and care
S-upport services
P-lacement in long term care
R-espite care for caregiver
<strong>HINT:</strong> <strong>R</strong>espite <strong>C</strong>oping <strong>R</strong>esponsibilites<strong> S</strong>chedule<strong> S</strong>upport<strong> P</strong>lacemen<strong>t</strong> <strong>L</strong>onely<strong> F</strong>inances
TERMINATION OF VISIT
(4) objectives
- Contact information
- Emergency plan review
- Schedule next visit
- Smoking and pet expectations
HINT: SChedule emergency contacts, smoking!
POST-VISIT PLANNING
(3) objectives
- need for other health care providers?
- visits schedule
- outcomes and plan interventions
Reasons why Home Care DOCUMENTATION is necessary
- legal record
- standards of care
- Cost Reimbursement
- Tools
- OASIS (Outcome and Assessment Info Set)
PRACTICE SETTINGS IN THE COMMUNITY
“FLOORPANS CACHE”
F-aith ministry nursing
L-ong term care
O-ccupational health office
O-utpatient surgery center
R-ehabilitation center
P-ublic health unit
A-dult day care
N-urse managed center
S-chool health office
C-ommunity mental health
A-mbulatory clinic
C-orrectional facility
H-ospice center
E-nvironmental nurse
ROLES OF THE
OCCUPATIONAL HEALTH NURSE
- IDENTIFY WORK ENVIRONMENT RISKS
- PROMOTE HEALTH
- PREVENT OCCUPATIONAL ILLNESS/INJURY
- DEVELOP PARTNERSHIPS WITH WORKPLACE EMPLOYEES, SAFETY SPECIALISTS, UNIONS, INSURANCE AGENCIES AND HR
DEVELOPS AND ENFORCES WORKPLACE HEALTH REGULATIONS TO PROTECT THE SAFETY AND HEALTH OF WORKERS. ALSO PROVIDES EDUCATION TO EMPLOYERS ABOUT WORKPLACE HEALTH AND SAFETY
Occupational Health and Safety Administration (OSHA)
This agency focuses on identification of workplace hazards and research for prevention of work-related injury and illness.
Provides education to safety and health professionsals about workplace safety
National Institute for Occupational Safety and Health (NIOSH)
This agency/committee advises the secretaries of labor, health and human services on policies and programs that affect occupational safety and health
National Advisory Committee on Occupational Safety and health (NACOSH)
(5)
ROLES OF THE
FAITH COMMUNITY NURSE
(AKA: PARISH NURSE)
- work with individuals and families through out lifespan in a faith community
- In their homes, acute/long term care, schools, church
- health counseling/education
- spiritual support
- liaison between faith community and outside resources
Define “school nursing”
a specialized pratice of professional nursing that adances the well being, academic success, and lifelong acheivement of students
(7)
roles of the
school nurse
- Case manager
- comprehensive care for complex health needs
- Community Outreach
- meets needs of students by collaborating with community agencies
- Consultant
- promotes a healthy / safe school environment
- Counselor
- psychological and social services
- Direct Caregiver
- care for ill or injured children, screening and referrals
- Health Educator
- Health promotion for students, staff, community
- Researcher
- uses epidemiology information
USES PRIMARY, SECONDARY AND TERTIARY PREVENTION FOR THIS AGE GROUP
(2) EXAMPLES OF PRIMARY PREVENTION
PROVIDED BY A SCHOOL NURSE
- Teach health promotion practitices (ie, hand hygiene, seat belts)
- immunization status of all children
(6) EXAMPLES OF ‘SECONDARY’ PREVENTION
PROVIDED BY A SCHOOL NURSE
- Assess children who become ill or injured (ie, headaches, minor injuries)
- Assess all children faculty and staff during emergencies
- create emergency plans for children that have potential for anaphylactic reactions
- maintain inventory of emergency supply equipment
- Screening for early detection of disease and make referrals PRN
- Assess children to detect for child abuse
- Assess children for evidence of mental illness, suicide, violence
- Respond to school crisis and disasters
(2) EXAMPLES OF TERTIARY PREVENTION
PROVIDED BY A SCHOOL NURSE
- Assess children with disabilities (IEP)
- Assess children with long term health needs at school
- provide care for those with chronic disorders
- asthma
- diabetes
- cystic fibrosis
- Provide ongoing care for adolescent parents or those who are pregnant
Discharge planning begins __________
at admission
Case management nursing is indicated for a variety of health care settings…
- Multidisciplinary Care Coordination
- Emphasizes health promotion and risk reduction integrated with illness management
- Client teaching and advocacy are important in coordination and management of care
- help with all needs: Insurance, transportation, housing
- Nurses or social workers
- consults
- referrals
- discharge planning
Home health care skills that are considered “skilled professional / paraprofessional”
- Skilled nursing
- Speech therapy
- Physical therapy
- speech therapy
- Occupational therapy
- Home health aide
Which of the following home healthcare services is reimbursed by Medicare?
A.) 150 home visits following a hospital stay
B) A visit to teach a patient how to change a sterile dressing
C.) Assessment of a chronic pre-existing illness
D.) A visit from a social worker to discuss socioeconomic needs
B) A visit to teach a patient how to change a sterile dressing
What is one essential difference between care of the patient in the hospital and care of the patient at home?
A) Hospitalized patient follow the hospitals routine and schedule
B) Hospitaled patients rarely need referrals or teaching
C) Home care patients are more dependent on the nurse
D) The nurse adapts care to the patients schedule and customs
D) The nurse adapts care to the patients schedule and customs
