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Flashcards in Community and Public Health Nursing Deck (33):
1

gains in the health of populations have been related largely to changes in safety, sanitation, and personal behavior. T or F

True

2

what is community health nursing

nursing practice in the community, with the primary focus on health of individuals, families, and groups in the community.

3

what is the goal of community health nursing

preserve, protect, promote and maintain health

4

what is public health

what society does to assure healthy conditions for people

5

what it the aim of public health

generate a community effort to address public interest in health by applying scientific/technical knowledge to prevent disease/disability

6

what is community/public health nursing

a synthesis of nursing and public health practice

7

characteristics of community/public health nursing

population focused
community oriented
health and prevention focus
interventions at the community/population level
concern for health of all members of a population

8

what is a population/aggregate

Collection of individuals with 1 or more characteristics in common
Members of a community defined by geography
Members of a community defined by a special interest

9

what is population focused practice

Problems and solutions implemented for a population opposed to interventions at the individual level

10

why population focused practice

concerns about care (access, insurance coverage, quality of service, costs)
goals for protecting health, promoting health and preventing disease/disability

11

who was Florence nightingale

1st school for nurses
crimean war 1854-56
"cheaper to promote health than maintain people in sickness"
community health nursing principles developed
"district nursing" established with William Rathbone

12

who was lillian wald

founded henry street settlement and "public health nursing"
originated family focused nursing
stressed health teaching to promote health/prevent disease
1902 established school of nursing in US
Founder of nat'l organization for public health nursing

13

who was mary breckenridge

founder of frontier nursing service in Kentucky
nurse midwifery services, built a hospital, established clinics

14

concepts in community/public health nursing

community as client
community as a partner

15

educational requirements for public health nursing

Baccalaureate - practice
Masters - specialty

16

what is home health nursing

nursing in a persons place of residence

17

types of home health agencies

official, voluntary private, hospital based, combination and proprietary

18

inter-professional approach

interdisciplinary collaboration is mandated for medicare certified home health agency - MUST BE DOCUMENTED

19

scope of practice for home health nursing

health promotion and disease prevention
episodic/intermittent care
short and long-term goals

20

practice fxns of home health nurse

Direct care - physical aspect of care (assess, wound) - care MUST BE SKILLED for medicare reimbursement
Indirect care - activities done by a nurse to improve/coordinate care (consult, refer)

21

standards of community health nursing is developed by

ANA - uses nursing process as a framework for client care

22

responsibilities of disciplines

physician - certifies there is a medical problem, reviewed every 62 days
PT - maintain, prevent, restore trt
OT - educate to develop/maintain ADL
Speech - eat/swallow; speech/language
Social Worker - community resources, equipment, crisis intervention

23

role of home health aide

personal hygiene
light housekeeping

24

who supervises home health aide

nurse or PT; supervision req'd every 2 weeks

25

quality control r/t home care

Documentation of nursing care demonstrating client need for services, shows multiple disciplinary approach

26

who accredits home care agencies

JCAHO - 1988
CHAP - 1965 community health accreditation program
HCFA - health care financing admin. - oversees medicare

27

regulation for home health is done at the

state level

28

reimbursement for home health care provided by

medicare/medicaid

29

to qualify for medicare you must be

65 or older
permanently disabled
under care of MD
confined to home (homebound)
in need of SKILLED service on an intermittent basis that is medically necessary

30

what does medicare emphasize

Episodic/skilled care NOT PREVENTION
HCFA serves as the plan of care - certifies pt is home-bound, under medical care, and in need of home-care services

31

future/current trends of healthcare

Technology
Access to Care
Pediatric/Maternal Care

32

10 health achievements in the US

Vaccines
Safer Workplaces
Decreased CAD/Stroke Deaths
Tobacco recognized as health hazard
Healthy Mom/Baby
Motor Vehicle Safety
Family Planning
Safe/Healthy Foods
Fluoride in water
Infectious Disease Control

33

5 factors impacting health care delivery and nursing practice globally, nationally and locally

patient vs consumer
litigious society
technology
transportation
insurance