Category 1
Why is there an increase in using home health (name 1)
cost-effective, decreases hospital stays, increased elderly population that needs skilled care
Preparation for a home health nurse.
A baccalaureate degree in nursing and an RN license.
Roles of the faith community nurse?
Role of the faith/parish nurse
educator, advocate, health counselor, support group coordinator
Leading cause of death among children and teenagers and a primary initiative for prevention.
Accidental injuries/injury prevention.
Who qualifies for HH under Medicare guidelines?
can't drive, skilled care needs, but not daily & has caregiver support.
Important task of the initial home health visit?
Establish trust and rapport with the client & family.
Roles of the school nurse?
Case manager, community outreach, consultant, counselor, direct caregiver, health educator, researcher.
What is a primary concern in terms of workplace safety for the occupational health nurse?
The work practices of the employees.
Leading cause of absences among school-aged children?
Asthma
Palliative vs Hospice
Palliative: pain & symptom management to improve quality of life. Can occur at any point in treatment. Longer length of time.
Hospice: Comfort & quality of life, support for patient & family. Illness is terminal & prognosis is 6 months or less. Care not cure.
Important yet sensitive documents to be discussed with the client and family during home care/hospice visit & why?
Advanced directives, living will, durable power of attorney. Allows the client to make decisions for their care now, and if and when they become impaired, those choices can be carried out.
Name a benefit of home health nursing?
Roles of the occupational health nurse.
Assessing risks for worker-related illness & injury (inexperienced/less than 1 year is HIGHEST risk), planning and delivering health and safety services in the workplace, collaborating with community healthcare providers, and facilitating health promotion activities that lead to productivity.
Example of an Agent, Host, Environment in the occupational setting.
Agent: blood-borne pathogen
Host: Human/employee
Environment: stress
ATI p. 46 (Suseptibility)
Assess children with disabilities, assess children with long-term health needs, provide ongoing care for pregnant teens, and provide nursing care for children with chronic disorders (DM, CF, asthma).
What are tertiary prevention strategies for the school nurse.
An important consideration for the home health nurse when teaching the client's caregiver/loved one how to provide care in the nurse's absence.
An increasing health problem in school-aged children and adolescents that is of concern for the school nurse and a prevention target.
Obesity and its related problems.
Core concept of faith community nursing?
Faith/spiritual dimension of care.
What is OSHA? What is their mission?
The Occupational Safety and Health Administration (OSHA) develops and enforces workplace health regulations to protect the safety and health of workers.
Provides education to employers about workplace health and safety.
ATI p. 47
give an example of a patient that qualifies for hospice
Cancer patient not responding to chemotherapy. Death expected within 6 months.
A patient suffering from end-stage Alzheimer, refusing to eat/drink.
Prioritize these home health clients. Which would the nurse see first when planning his/her day?
1. asthma exacerbation in a child
2. pediatric client with a PEG tube
3. older adult in ED last night with UTI/confusion
4. Teen in ED last night with nausea
1, 3, 2, 4
Oral health, scoliosis, infestations, height and weight, vision/hearing.
What are secondary prevention screenings conducted by the school nurse.
Primary Prevention Strategies of the Faith Community Nurse.
Examples of primary, secondary, and tertiary prevention of the occupational health nurse.
Primary: Teaching good nutrition, providing info on PPE.
Secondary: Identifying workplace hazards, providing prompt treatment, screenings, surveillance, and counseling/referral.
Tertiary: restoration of health through rehab., limited duty programs.