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Flashcards in Competency Deck (22):
1

Why do I need Community health nursing, why is the health care model changing

1/3 of all hospitals closing by 2020 - merging of hospitals
cost of healthcare - astronomical
no longer dealing with "patient"; dealing with savvy CONSUMER
must know patients narrative "the story"
must learn how to ENGAGE people

2

Characteristics of Community Health Provider

We are a GUEST in the COMMUNITY
Be a Role Model
Be Flexible, Adaptable, Organized
Be Patient and Understanding
Be Communicative/Excellent Communication Skills
Practice Autonomy and Collaborative (the pt/consumer)
Be Caring and Compassionate

3

Terms to know for Community Health

the community is dealing with people on an individual basis and their families and surrounding community
Public Health - key word Public (population) decisions based on the greater good of the aggregate (not individuals)

4

houlle and fleece - 3 beliefs shaping the future of healthcare

How we think about health care
How we deliver health care
The economics of health

5

new prescription for promotion of health

gym - exercise

6

role model of community health

consumers wont do as I say - do as I do - be a good role model

7

****view community as our

Client and Partner

8

to prevent hospitalization we must provide

pt education

9

terms to eliminate from nursing practice

non-compliant
frequent flyer

10

what does aggregate refer to

larger group of people

11

****4 P's of public health

Prevent - Gym
Promote - Understand their story
Protect - Resources/Health/Well-Being
Preserve

12

number one cause of injury to nurses

back injury

13

number one cause of injury to public health nurses

motor vehicle accidents

14

***3 things you need to know/factors for home-care nursing qualifying for payment

Pt must be Home-Bound (extraordinary measures to get pt out of the house)
Their must be a Skilled Need (wound care, education)
Intermittent Care

15

**number one principle in educating a patient

must learn from the patient - what do they already know?
meeting the patient where they are at that moment

16

before beginning pt education in the schools what do you need to know

developmental level/milestones of the age your working with - engaging materials
know resources available (American Dental Assoc)

17

number 1 reason you are admitted to the hospital

24 hr nursing care

18

number 1 skill as a RN

assessment (Environmental, Physical/patient-hygiene, Cognition/how are you)

19

what is a windshield survey/what will you see

surveying/seeing my environment
people (nationalities)
businesses (economy)
homes (condition)
recreate (where can children play)
religion

20

people cannot be healthy if

they're not living in a a healthy community (work and recreate in - is not healthy)

21

safety issues in the hospital

falls - clutter (rugs number 1 cause of falls in the home)

22

what is the iceberg effect

5-10 percent is surface - 90 percent is below the surface (this is where we find what is really going on)