LO1 AND 2 foundations of community paramedicine Flashcards
What is community paramedicine?
Paramedicine shifted to become more community evolved and integrated into the local and regional health system
Developed due to increasing pressures in the health system
Adapts specific needs and resources for different communities
Establish for the needs of the community
Expanded scope of practice
Prevention/proactive
Health Promotion
proactive, responsive approaches to the Canadian health care system that stress promotion and prevention at different points along the entire health care system.
focus on keeping people well and preventing diseases from occurring along with maintaining the health of Canadians with chronic conditions, delaying progression of their conditions, and preventing complications.
how does health promotion empower people to make healthy lifestyle choices and motivating them to be more responsible for their choices
Patient education Counselling Support tools Physical activity Improved nutrition Reduction in the use of tobacco, alcohol or drugs
The determinants of health include:
the social and economic environment,
the physical environment, and
the person’s individual characteristics and behaviors.
The health care community
encompasses preventive, promotive, curative, supportive, and rehabilitative services. It
includes services such as: Home care Public health Mental health Nurse practitioners Addiction and drug abuse services Primary medical care Long term care Emergency services End of life care Laboratory and X ray services Therapy services
Traditional scope paramedicine
the provision of prehospital acute care by paramedics responding in an ambulance or emergency response vehicle and transporting patients to the emergency department
Expanded scope paramedicine
it’s an emerging field and healthcare whereby paramedics perform in expanded or non-traditional roles in an effort to address the unmet health needs of the local population
Community paramedicine program
a program that uses paramedics to provide intermediate or scheduled primary, urgent and or specialized healthcare to vulnerable patient populations by focussing on improving equity in health care access across the continuum of care
Community paramedic
a paramedic who is completed a formal and recognized educational program and has demonstrated competence in provision of health education, clinical assessment and monitoring point of care diagnostics and treatment modalities within or beyond the role of traditional emergency care and transport
Differentiated practice
do use of paramedics as a non-emergency setting or acute non-life-threatening situations according to their expertise and qualifications
The overarching goals of the Saskatchewan health authority for the community para medicine include the following:
Delivering car closer to home
agumenting available services
Assisting with gaps in service
Creating dynamic into professional working relationships between provider levels within the healthcare system
Supporting ER patient flow by decreasing the number transports of patients who do not require care in the ER
CSA
Canadian standards association
According to the CSA community para medicine programs may be grouped into three types
- Programs were care is different for example paramedics providing dialysis support, point of care testing, IV antibiotics
- Programs were the responses different including case findings and referrals, facilitated early discharge programs
- Programs for coordination of care is the goal/role including remote monitoring, health surveillance and promotion
According to the CSA eight principles underlie the structure and aims of an effective Community paramedicine program:
Patient and family centered
Needs and evidence based practice
Goal directed and outcomes based
Integrated collaborative care
Patient and provider safety
Stakeholder engagement
Governance and policy
Sustainability
Principles of injury prevention
Four Es of education
Education
Enforcement
Engineering/environment
Economic incentives
