Levels of healthcare Flashcards
What do healthcare delivery systems include
Patients, providers, settings, regulatory agencies, financing mechanisms
Define community health
Takes nurses out of the acute setting and puts the nurse within a POPUALTION or the the pts HOME
What does community health address
HEALTH, DISEASE, DISBAILITY
What are the three major types of community health
PUBLIC health, COMMUNITY-based, and HOME health care nursing
What is the main focus of public health nursing
Care of populations (city, neighboorhood, world)
What are the target populations for public health nursing
Young, old, homelessness, inmates
What does public healht nursing do
Keep population healthy by prevention
What are some exampels of interventions of public health nursing
ADVOCATING for safe housing, PLANNING clinics, INVESTIGATE incidences of illnesses
What are the core competencies for public health
Inform, policies, evaluate, research, all for populations not an individual or family
What are the big things in the circle for public health bursing
Assessment, policy development, assurance
What is a community-based nursing
Skilled nursing care in a community or ambulatory care
Ex. physician’s office, outpatient clinic
What is the main focus of community based nursing
Prevent illness, maintain, die with dignity while living in a community
What are the target populations for community based nursing
personal care to individuals or families
What is essential to provide effective aducation
Health literacy assessment
What are some community based nursing roles
Advocating, checkups, caring for sick, education, managing chronic conditions
What is the key orle for both public health and community based nurses
EDUCATION
What are some considerations for education materal
Language, reading level, culture
What is the fry readability formula
The ISMPLER and SMALL the higher the readability score
Home health care nursing
Care provided to clients and families at their place of residence
What is an alternative to a hospital or long-term care facility, and a component of the comprehensive health care system
Home health care nursing
What is the purpose of home care
To promote, maintina, or restore health, or reduce effects of illness
What is the spectrum of home health care
Acute, long-term, permananent, terminal
What is the target population of home care
Every age
What are the home health care nursing roles
Coordinate care, collaborate, AUTONOMOUS, ASSESSMENT, SKILLS, CRITICAL THINKING, REASONING, ORGANISATION, CASE MANAGER
What can hom care nurses specialize in
Hospice or palliative care
What does a home health care nurse case management do
Corrdiante care, services, supplies, finacials, resources, skills, advocate
What is home health reimbursed by
Medicare/caid, private insurances
What must the pt be to be eligible
HOMBOUND and it must be medically necessary, SHORT-term, SKILLED
Examples of skilled and unskilled services
Skilled: DM, wound, chemo, IV, respiratory, renal
Unskilled: meal prep, cleaning, bathing, feeding
How can some unskilled be reimbursed
Medicare if they ALSO have skilled
What do private insurance companies do
MAy cover both
What is primary prevention
Prevent problems prior
What is secondary prevention
early identification, screen early to catch
What is tertiary prevention
for those already DIAGNOSED, maintence and rehabilitation, TREATMENT
What is restorative health care
Intermediate follow up for RESTORING health, Physical therapy
Continuing healthcare
Long-term or chronic healthcare needs
What is community assessment
Collecting DATA learning VALUES for care
What are the next steps after community assessment
Diagnose, prioritize, goals, plan interventions, evaluate
What is the windshield curvey
Observe every aspect of life: CHURCHES, STORES, HOUSING, TRANSPORTATION
What is demographic assessment tools
Help to plan
What must be included when determining goals for community health
STAKEHOLDERS
