COMMUNITY-BASED NURSING PRACTICE

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COMMUNITY-BASED NURSING PRACTICE

• Presented by Lindy Peterson, RN

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References

• McEwen, M. (2002). Community-based nursing An
  introduction (2nd ed.). Philadelphia, PA
  Saunders.
• Chapter 1 Opportunities in Community-Based
  Nursing Practice

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Competencies for Ch 1 Opportunities in Community

1. Briefly describe community-based nursing
2. Verbalize the importance of community-based
   nursing
3. List and describe 10 community-based employment
   opportunities for LPNs

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WHAT IS COMMUNITY HEALTH CARE?

• Community Health Care
• care provided to people who live within a
  specific geographical area or have common needs.
• Designed to meet the needs of the patient as
  he/she moves among healthcare settings with in
  the healthcare system.
• Community Health Nursing
• focus is on the individual and family healthcare
  needs.

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Community-Based Care

• Why?

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COMMUNITY BASED SERVICES - SKILLED

• Case Management
• Nursing
• Physical Therapy
• Occupational Therapy
• Speech Therapy
• Medical Social Work
• Counseling
• Hospice
• Infusion Therapy

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NON SKILLED SERVICES

• Bath aide
• Housekeeping
• Cooking/Meals
• Handyman
• DME
• Transport
• Volunteers
• Health Promotion

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ORGANIZATIONAL STRUCTURE

• For profit
• Not for profit
• Hourly
• Intermittent

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WHO USES COMMUNITY BASED SERVICES?

• Elderly
• Middle aged people
• Mothers and babies
• Children
• Mentally ill
• Chronically Ill/Disabled
• Post hospitalized people

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HOW TO ACCESS

• Who do you call when you identify a need?

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COMMUNITY BASED SERVICES

• Employment Services
• Senior Centers
• Congregate Meals
• Adult Day Care Services
• Volunteer Opportunities
• Homemakers
• Chore Workers

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MORE

• Telephone reassurance
• Friendly Visiting
• Energy Assistance and Weatherization
• Emergency Response Systems
• Home Health Services
• Personal Care Services
• Respite Care

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HOUSING

• Senior Housing
• Alternative Community Based Housing
• Assisted Living
• Adult Family Home

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ELDER RIGHTS

• Legal Assistance
• Elder Abuse Prevention Programs
• Complaint resolution

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HOME HEALTH SERVICES

• What is available?
• Who uses it?
• Nursing services - debit or credit?
• Who pays?
• Medicare and Medicaid
• Private Insurance
• Charity
• Private Pay

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Community-Based Employment Opportunities for LPNs

• Ambulatory Care
• Clinics
• Managed care organizations/ insurers
• Day surgery
• Emergi-centers
• Adult Day Health
• Diagnostic centers

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Community-Based Employment Opportunities for LPNs

• Health Department Services
• Clinics
• Jails and prisons
• Indian health services
• Home Health
• Skilled nursing
• Private duty
• Hospice

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Community-Based Employment Opportunities for LPNs

• Long-Term Care
• Skilled nursing facilities
• Hospice facilities
• Assisted living
• Adult Family Home

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Community-Based Employment Opportunities for LPNs

• Others
• Schools
• Parish Nursing
• Health Promotion and Education Programs