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Chronicity - 4

Community Based Nursing

QuestionAnswer
Health Maintenance Organization (HMO) Prepaid, structured, managed systems in which providers deliver comprehensive range of health care services to enrollees.
Preferred Provider Organizaton (PPO) Network of providers to provide services at a lower fee.
Principles of Community Based Nursing The individual and the family have primary responsibility for health care decisions, Health and social issues are acknowledged as interactive. Treatment effectiveness, rather than the technologic impreative, drives decisions.
Primary Prevention Well child clinics, immunization, safety programs. family planning, retirement planning, smoking cessation, hygiene teaching, fluoride, finess classes, alcohol and drug prevention, seatbelts and child car restraints, environmental protection.
Secondary Prevention Promote early detection and treatment (TB and lead screening)hypertension screening, developmental screening, self-exams, hearing and vision screening, mammography, pregnancy testing.
Tertiary Prevention Rehabilitation, Disease Management, teaching and counseling regarding lifestyle changes: diet, exercise, stress and home management after dx, support groups, support for caretaker, meals on wheels, physical therapy, mental health counseling for trauma vic
Self-Care client and Family responsibility. consumers are becoming aware that it is better to take care of themselves and remain healthy than to neglect their health and have to treat an illness or injury.
Continuity of Care Fragmentation of care can result in conflicting directions for care, overmedication, and a confused client. Continuity of care thru the nurse is a bridge to quality care.
Collaborative Care An essential part of holistic care. Each professional is responsible for a specialized concern and each is responsible for sharing that with thte others. In many cases the coordinator is the nurse.
Nursing Skills and Competencies Pew Health Professions Commission identified 21 competencies that HCP will need in the 21st century.
WHO Definition of Health A state of physical, mental, and social well being and not merely absence of disease or infirmity.
Healthy People 2010 Goals To increase quality and years of healthy life and to eliminate health disparities.
Health Promotion Activities used to make a person who already feels well feel better.
Disease Prevention Used to make a person who feels well prevent possible future illness.
Created by: rjsnowrn