Week 1 Flashcards
community based
who was the first community based nursing in the mid 1800s
Florence Nightingale
when was there an increase in technology that resulted to more care being in the hospital
after WW1
what happened in the early 1980 when costs started escalating
change in health care delivery and financing resulting in care shifting back to the home
what are the times are insurance companies
- HMOs (health maintenance organizations (prepaid))
- PPOs (preferred provider organizations (network of providers provides at lower pre negotiated fee)
- Private insurance
what are federally funded health insurance
medicare and medicaid
by 2015 what is the expected nursing shortage to reach
to reach 20% and increase to 29%
what is acute care
provided in hospital setting
what is community based care
ambulatory care, surgical centers, dialysis centers, rehab, clinics, dr. offices, home
what is community health nursing
a nursing speciality like OB, critical care.. etc. requires specific knowledge and skills
what is community based nursing
not defined by setting or level or academic preparation but by philosophy of practice about HOW the nurse practices
what is community based care
a philosophy of practice- the idea that even if you are an acute care nurse you recognized that your patients are coming from the community and returning there.
what goes along within the community
people, location and social system
what is the focus of nursing
no matter what the setting
- client
- enviornment
- health
- nursing
what are the components of community based care
- self care
- preventive health care
- care within context of the community
- continuity of care
- collaborative care
what are some nursing skills and competencies
- communication and teaching
- management
- assessment and physical care giving
- crititcal thinking
- application of nursing process
- documentation
- ethical-legal concerns
