Chapter 3 Flashcards
(34 cards)
General CHN Functions: Care and Counseling
-Patient centered
-Patient driven
-Culturally safe
-Strengths-based
Care and Counselling includes:
Risk assessment
Response and outreach
Definition of Risk Communication
A strategic health education intervention that involves exchanging information on the potential harm of health or environmental hazards to risk assessors and managers, the general public, news media and interest groups
Definition of Outreach
Needs early involvement of key stakeholders.
General CHN Functions:
Continuity of care
Referrals
Discharge planning
Referral process
The systemic process of directing a client to another source of assistance when the patient or CHN is unable to address the patients issue.
Consider: Client needs, availability and sustainability of local resources, capacity of the referring organization and the service referred to
Follow up with the client/family, to evaluate
The client has the right to use or not use the referral
Discharge Planning
Work with the community case manager to help transition client to community
Include family and clients as partners
“Process that connects patients and services to ensure an appropriate flow or continuity of care after hospital and in the community”
General CHN Functions:
Health Education Includes:
Literacy and Health Literacy Assessment
Health Education Definition:
“Involves strategic practices to inform people about health promotion, illness prevention, and treatment. It is a common function and practice of CHNs in any number of roles and settings”
-Consider how will you involve caregivers
-Consider how you would design, implement and evaluate health education activities at all intervention levels (Primary, Secondary, and tertiary)
Literacy And Health Literacy Assessment:
Low literacy may be linked to factors like restricted education opportunities or length of time in a new country. It does NOT equate with intelligence
> 60% of adults and 88% of older adults in Canada are not considered ‘health literate’
Associated with poorer health outcomes
General CHN Functions:
Team building, community development and collaboration
-Joint decision making
-Mutual respect
-Team building
-Mediation
Community Development
-Support capacity building, empowerment
-Value community wisdom, support community-initiated plans for improving the environment, economy, etc.
-Help develop health care services and programs based on community health needs
-Support community ownership, build on strengths
-Support involvement in decision making processes related to health issues
Consultation, Decision Making, leadership and Followership
-CHN may be a resource
-Work collaboratively in relationships with clients and communities to support decisions and actions
-Problem solve using the nursing process, values clarification and brainstorming
-Use conflict management skills with goal of supporting community and preserve the dignity of all
Research and Evaluation; screening and surveillance
CHNs need to evaluate client and program outcomes, as well as the conditions and context of their work
CHNs may identify areas or practices that need to be studies or changed
Participatory research methodology involves community members in planning and carrying out research
Health Advocacy
WHO definition “a combination of individual and social actions designed (either on behalf of or with others) to gain political and community support of the conditions which promote health
There are 10 steps in Advocacy according to the International Council of Nurses
Case Management: 5 key components
1) Coordinating Care
2) Ensuring continuity of care
3) Identifying changes in patient condition
4) Evaluating Care delivered along with health team
5) Being aware of and understanding financial implications of the care plan
What are the 8 standards to guide all CHN practice in Canada
1) Health Promotion
2) Prevention and Health Protection
3) Health Maintenance, Restoration and Palliation
4) Professional Relationships
5) Capacity Building
6) Health equity
7) Evidence informed practice
8) Professional Responsibility and Accountability
Public Health Nursing (7)
Focused on the population level- what populations live in the community?
-Concern for vulnerable subpopulations
-Consideration for influences on health
-Looks at the connection between population health status and the environment
-Works WITH community members and with partners within and external to the health system
-Utilizes health promotion, disease prevention, and health maintenance strategies. Focus is on primary and secondary prevention.
Utilizes political processes to influence public policy towards achievement of goals
Upstream Approach
Can we create change in the cause of the causes or conditions that set up this illness or injury?
Midstream Approach
Can we create change in the causes at a local or organizational level?
Downstream approach
Individual/ curative focus
How can the illness/consequences be treated?
What are the public health nurse settings and populations?
-Home
-School
-Clinical settings
-Workplace
-Community health centers
PHN competency strategies
-Public Health and nursing sciences
-Assessment and analysis
-Policy and program planning, implementation and evaluation
-Partnerships, collaboration and advocacy
-Diversity and inclusiveness
-Communication
-Leadership
-Professional responsibility and accountability
The home health Nurse
-Includes an arrangment of disease prevention, health promotion, and episodic illness-related services provided to people in their places of residence
-Focuses on individual clients, their caregivers and families
-Collaborate with families and other caregivers
