Future Directions for Client Education: Greater emphasis on wellness and Increase third-party reimbursement Flashcards
Health is holistic (total health) and it
includes the different dimensions of
health taking into account the
separate influences and interaction of
these dimensions by ____
(Aggleton &
Homans, 1987).
– societal and
environmental
Broader dimension
physical,
mental, emotional, social, spiritual,
sexual
Individual Dimension
defined health as “a
state of being well and using every power the
individual possesses to the fullest extent.”
Florence Nightingale -
defines health as “a state of complete
physical, mental and social well-being. And
not merely the absence of disease or
infirmity
WHO
(Hippocrates) human well-being was
influenced by the sum-total of the environmental
factors: living habits, climate, quality of air, water, and
food.
400BC
health was a result from the harmony
among three vital components, namely, body,
environment and lifestyle.
Ancient times
health and disease considered to be two
extremes of the same continuum, with health at one
extreme and death at the other-the absence of one,
indicated the presence of the other.
Historically
is considered as the goal of
public health in general and of
community health nursing in particular.
HEALTH i
– refers to the
optimum level of functioning (OLOF) of
individuals, families and communities
which is affected by several factors in the
ecosystem
Modern concept of HEALTH
Factors in the ecosystem which affect
the Optimum level of functioning
(OLOF)
- Political factor
- Behavioral factor
- Hereditary factor
- Health care delivery system
- Environmental influences
- Socio-economic influence
can be considered to be
the precursor of HEALTH. It is an
active process involved in making
choices for a healthy and fulfilling
life.
WELLNESS
All three components
collectively influence the
overall health of an
individual
These play an immense role
in leading a healthy and
fulfilling life
Health, illness and wellness
States that: “everyone has the right to a standard of
living adequate for the health and well-being of himself
and if his family, including foods, clothing, housing and
medical care and necessary social services and the right
to security in the event of unemployment, sickness,
disability, widowhood, old age, or lack of livelihood in
circumstances beyond his control”.
Universal declaration of human rights, art.
25, section 1
states that: “the state shall adopt an integrated and comprehensive
approach to health development which shall endeavor to make essential
goods, health and other social services available to all the people at
affordable cost. There shall be priority for the needs of the
underprivileged, sick, elderly, disabled, women, and children. The state
shall endeavor to provide free medical services to paupers”
Philippine constitution of 1987, art. XIII, sec. 11
believes that “governments have a responsibility for the
health of their people which can be fulfilled only by the
provision of adequate health and social measures.” It
emphasizes three basic positive concepts of health
which are:
a. Reflecting concern for the individual as a total person;
b. Placing health in the context of the environment, and,
c. Equating health with productive and creative living.
WHO (1995)
the
way forward to a
healthy life
Health
Promotion
Wellness screening programs will
increase
* Emphasis on illness prevention and
health promotion such as nutrition, diet
and exercise, with various
accompanying educational offering, will
increase.
Health and wellness as conceived in
today’s world
Greenberg (1992) and Donatelle and Davis (1996) viewed the
philosophy of wellness as a positive quality (as opposed to illness being
always negative) and visualized it as the integration of the spiritual,
intellectual, physical, emotional, environmental and social dimensions
of health to form a whole “healthy person”.
Dunn (1977) emphasized high-level wellness (HLW) as “an integrated
method of functioning w/c is oriented toward maximizing the potential
which the individual is capable of
Health and wellness as
conceived in today’s world
Wellness IS NOW THE NEW HEALTH GOAL.
It IS REALLY IS:
A state of mind
❖ The perception
❖ The integration of the mind, body
and spirit
❖ The level of self-actualization
, a new Medicare rule allows for
payment of Advanced Practice Registered Nurses
(APRNs) for the delivery of primary care services in
outpatient settings. when was this
January 1, 2013
Now a separate billing code for patient education and
counseling by RNs is included in the American medical
association’s Common Procedural Terminology (CPT) codes, but
many restrictions exist in being able to use this code for
reimbursement of staff nurse services.
INCREASE THIRD-PARTY
REIMBURSEMENT
Recently, a new role has been created in primary care
practices, known as
Health Education Specialists (HES)
the most independently functioning nurse.
Advance Practice Registered Nurse (APRN)
The four core roles:
A. Clinical Nurse Specialist
B. Certified Nurse Practitioner
C. Certified Nurse Midwife
D. Certified Registered Nurse Anesthetist
- Is an APRN who is an expert in a specialized area
of practic
Clinical Nurse Specialist (CNS)
The specialty may be identified by:
a. population
b. a setting
c. a disease specialty
d. a type of care
e. a type of a problem
f. Some other examples of CNS practice setting
include community, acute care, restorative and
palliative
Who provides health care to a group
of patients, usually in an outpatient,
ambulatory care, or community
based setting.
B. Certified Nurse Practitioner (NP)
An APRN who is also educated in
midwifery
Certified Nurse Midwife
With an advance education from a
nurse anesthesia-accredited
program.
Certified Registered Nurse
Anesthetist (CRNA)
A health education specialist teaches behaviors
that promote wellness. They develop and
implement strategies to improve the health of
individuals and communities.
Health education specialists offer knowledge,
skills and training that complements the work of
others — health care providers, policy makers,
and human resource personnel.
Health Education Specialist
Assess the health needs of people and
communities.
* Test the effectiveness of programs and
educational materials.
* Help people find health services or information.
* Provide training programs for other health
professionals or community health workers.
Health educations specialists
Advocate for improved health resources,
policies, procedures and services that
promote health.
* Collect and analyze data to learn about a
particular community to improve programs
and services.
* Supervise staff who implement health
education programs
Health Educations Specialists
Where do health education specialists work?
Healthcare facilities, hospitals and clinics
* State, county, and public health departments
* Schools and universities
* Nonprofit organizations
* Businesses and industries
Health education specialist employment is expected to
grow by __ percent from 2014-2024. Growth is driven by
efforts to improve health and reduce healthcare costs.
12%
