Exam 3 Flashcards
(83 cards)
Community assessment includes what influences
-biologic
-Psychologic
-Sociocultural
-Environmental
What is a windshield survey community assessment
-public health nurse is community assessments are often informal
-Observation of a community while driving a car or Friday in public transit to collect data for community assessment
-Often referred to as learning about a community on foot
Epidemiologic approach of community assessment
-to community assessment helps to identify patterns of health/iniquity to assist in determining trends
-Describing the health of a population
-Determining relationships that can protect Health and illness
-Developing and testing interventions to empower communities to affect change
-geographical information systems: drawing relationships, and associations important to community, assessments (visual maps of deficiencies in the US)
Community report cards report
-social and health trends including
-Health of the community
-Safety of the community
-Access to healthcare
-Economics of the community
Home care is a continuum of care, giving the clients opportunity to move through the experiences of
-Subacute care
-chronic care
-End of life care
-Palliative care
Members of the home care team include
Nurse, patient, family, friends and neighbors
Home care is complex and includes
-Family caregivers needs for education regarding aspects of a disease
-Environment: assessment for Safety (scattered rugs, assessability)
-Nurses attention to consistent assessment and intervention criteria
-when to call for help
-ask 3 good questions
Frameworks, models and approaches to community assessments depend on what and can be what
-type of community
-combination w each other
Functional status approach
-evaluates functional health patterns in the community.A deliberate and systematic approach
-assessment is used as a form of a evaluation
-pattern represent a configuration of behaviors
-understanding of the patterns allow insight into how group respond to problems and how they react to the problems
The developmental approach
-use of retrospective historical approach to understand cultural changes over times to provide information for future initiatives
-looking at past historical reports can describe cultural changes within the community or aggregate overtime and helps to plan for the future
Care management
-coordination of a plan or process to bring health services together as a common whole in a cost-effective way
Case Management
-development and coordination of care for a selected client and family (nurse)
Telehealth communication delivers certain forms of care including
-acute care
-speciality consults
Five phases of actual home care visit
-Initiating the visit
-Preparation, including equipment, directors, and personal safety
-The in-home visit includes assessing patient safety, risk of medication errors, risk of falls, risk of abuse and neglect
-termination of the visit
-post visit planning
What is the major concern an actual home care visits?
Safety of patient and nurse
Family has a broad definition of
-2 or more persons who share emotional closeness and identify themselves as members of a family
-Families decide who they are and they set the boundaries
-Understanding, family health practices, routines, and responses to difficult situations evolve from complex environments and dynamic interpersonal interactions
What is a genogram?
-Family structure usually two generations
What is an eco-map?
-outline of influences of other systems or groups on the family
Family systems theory
-interactive members with their environment and community church, etc.
family structural functional theory
-determine family structure and the essential functions/basic needs food shelter, additional members affect, economics and healthcare, promotion and protection)
family, developmental theory
-lifecycle theory/predictable 18 years old get a job education/vocation. Leave home get married have 2.3 kids, etc.
Contemporary family issues
-Development/stages and timing or not as predictable
-Changes in Family lifecycle: leaving home later, moving back in economics, etc.
-Changes in family structure include single parent, families, blended families, cohabitating couples and families, gay and lesbian families, homeless families
Family nursing theory
-Family system Nursing FSN: conceptual framework to promote family nursing practice
-Focus on the family as the unit of care assess the impact of health impact of suffering from illness and family function
-Try to understand the family relationships, interactions, and reciprocity
-Structural assessment of family composition, extended, external connections, and contacts of culture, race, religion, and spiritual environment
Family nursing theory: family assessment
-Calgary family assessment Model/assist w a visual
-includes genogram an ecomaps
