Mix
Primary focus of community nursing?
Promoting health and prevention of disease within a population
Aims to prevent the occurrence by reducing risk factors; happens before the health problem
Primary Prevention
Discuss the services provided at the following care facilities: assisted living, skilled nursing facility, nursing home (custodial care)
Assisted living-supervision, activities, assist with ADLS, may give meds if needed, may have dementia unit
SNF-24 hour nursing, pt/ot/speech, gives meds, no dementia
Nursing home (custodial care)-24 hour nursing, assist with ADLs, give meds, may have a dementia unit
What is the most common measure of the health of a community?
Status/people (physical, emotional, social determinants of health)
Primary responsibility of hospice nurse
(review table 30-1)
What is the value of developing a contract with clients?
Motivation, self promotion, unique to client, increases success, fosters participation, client autonomy, nursing services more efficient/cost effective
Focuses on early detection
Secondary Prevention
List three risk factors for falls in the older adult population.
balance/walking, vit d deficiency, medications, vision problems, poor footwear, hazards (throw rugs, clutter, uneven steps)
List four methods of collecting community data.
surveys, descriptive epidemiological studies, geographic information system (GIS), community forums, focus group
To qualify for hospice, the patient must...
List barriers to effective communication.
Selective perception, filtering, emotional influence, language barriers, language of nurse
Managing and supporting severity of health problem; minimizing disability and restore/preserve function
What vitamins do older adults need more of?
Calcium, Vit D (bone health), folic acid, Vit B6, B12 (cognitive function)
Name three types of community needs assessment.
Windshield survey (actually look at community), problem-oriented assessment (gather info about specific problem), community subsystem assessment (single dimension/looks at leaders, churches to ask what they identify as problem), comprehensive assessment (all community data), community assets assessment (looks at strengths instead of weaknesses)
Name the three of the five Medicare eligibility criteria for Home Health.
Home-bound, needs skilled service, under the care of the physician, have a POC that is reviewed by physician, face to face (Box 30-1)
What are the two basic components of community/public health practice?
Promotion of health and prevention of health problems
Which level of prevention? Installing shaded areas at outdoor community event to reduce sun exposure.
Primary Prevention
List the five examples of ageism discussed in the book.
Senility (confusion), rocking chair (withdraw/inactive), homogeneity (become more alike), old benefiting at the expense of young (older people pulling down economy/expensive), inability (unable to learn new things/set in way)
What is a SMART goal?
Specific, Measurable, Achievable, Time bound
What is an OASIS and what is it used for?
Outcome and Assessment Information Set (OASIS). Used to collect and report data back to Centers for Medicare and Medicaid Services
Name the four characteristics of the advocate role.
assertive, take risks, communicate/negotiate well, identify/obtain resources for client benefit
Which level of prevention? Developing a patient navigation program to help individuals with skin cancer access treatment and follow-up care.
Tertiary Prevention
List the symptoms for mild, moderate, and severe stages of Alzheimer's Disease.
Mild-complete and participate in most activities, forgets commonly used words, difficulty in creating new memories
Moderate-stuggle to complete routine tasks, wandering, behavior/personality changes
Severe-bedbound, cannot communicate in words understood by others
Name four of the eight principles of CPH nursing?
Focus on community, give priority to community needs, work in partnership with the people, focus on primary prevention, promote a healthful environment, target all who might benefit, promote optimum allocation of resources
Give an example of compassion fatigue.
informal caregiver that has a lot of physical, psychological, and economic burden due to care of loved one at home