UNIT 2A. COMMUNITY NURSING AND CARE CONTINUETY.pptx

COMMUNITY NURSING AND CARE CONTINUITY BY MADAM SALIDA JOHARI LEARNING OUTCOMES At the end of this session ,students will be able to : 1. Define community nursing and continuity care 2. State the roles of Community nurse 3. Explain the importance continuity of care Con’t Community ca...

COMMUNITY NURSING AND CARE CONTINUITY BY MADAM SALIDA JOHARI LEARNING OUTCOMES At the end of this session ,students will be able to : 1. Define community nursing and continuity care 2. State the roles of Community nurse 3. Explain the importance continuity of care Con’t Community care services are intended to help people who need care and support to live with dignity and independence in the community and to avoid social isolation. The services are aimed at the elderly and those who have mental illness, learning disability and physical disability. Con’t The main aim in providing community care services is to enable people to remain living in their own homes and to retain as much independence as possible, avoiding social isolation. Local authority social services provide community care services or arrange for them to be provided. Care needs can be difficult to gauge and provision also involves matching client expectation, finances available and people willing to do the job. Con’t To support individuals to have a voice with their health services and to become more engaged. It can support people with long term conditions to manage their own care and give individuals the confidence to share decision-making with health care professionals. Communities can also better shape and co-create the local services that best suit their community’s needs. This all makes sense when you think that people spend their whole lives living in communities and only a fraction using health services. Con’t Community health nurses, sometimes called public health nurses, are registered nurses (RNs) who are trained to work in public health settings Because of their roles in the community as caregivers, they often form close bonds within the communities they serve and form lasting relationships. They become area experts on health and wellness. Con’t Community nurses can be found running wellness clinics, coordinating emergency preparedness for disaster relief , or treating injuries and illnesses. Community nursing integrates evidence- based research with community health needs to provide care based on science and evidence. They must determine the cultural and socioeconomic needs of the community and adjust care as needed ROLE OF COMMUNITY NURSING In this role, RNs may be required to have a baccalaureate nursing education with studies in population-based health and community health nursing. RN to BSN programs allow nurses to study the theory and research behind public health practices and apply them to everyday practice. Community Health Nurses’ Roles: Intro Working as a community nurse is unlike any other nursing position. By helping whole communities, community nurses act as educators, disease and injury prevention specialists, research scientists, community advocates, emergency preparedness experts, public health liaison, and healthcare professionals. In more detail, the roles of public health nurses are: Community Health Nurses’ Roles Con’t 1. Disease prevention specialist Community health nurses focus on long- and short-term care for disease prevention. Their work includes averting or controlling the spread of the flu and other communicable diseases. They work with patients to support diabetes self-management and improve diabetes control. They also work with mothers of newborns to reduce the rate of infant mortality and in schools to identify gaps in services. Con’t 2. Community educator As educators, community health nurses focus on presenting materials in a clear and understandable format. They provide information to individuals, families, and communities that create a framework for healthy living and healthy choices. In schools they may teach sex education and HIV education classes. In the public, they hold classes and seminars on diabetes management. Overall, they focus on community health education as a step to preventive healthcare. Con’t 3. Leader Community health nurses use evidence to implement policy changes and quality- based practices. They lead collaborative efforts to produce successful health outcomes and provide critical medical and social services in communities. Con’t 4. Researcher As researchers, community health nurses collect and use evidence to execute positive changes for better health. Research is used to validate funding for public health programs, reduce inequalities in healthcare, and increase access to services. Con’t 5. Advocate Public health nurses advocate on the local, state, and federal level to provide better access to healthcare, protect funding for public health programs, and reduce or eliminate health disparities. They help families arrange assistance through social services programs such as the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), which provides healthcare and nutritional services for low-income pregnant women, breastfeeding mothers, and children under age 5. Con’t 6. Caregiver Community nurses cross cultural, language, and literacy boundaries to shape the health and well-being of children and adults. They provide prenatal care and education for expectant mothers, including information about maternal nutrition, referrals for childbirth classes, and postpartum assistance. They also provide resources for parents to understand proper childhood development and discipline techniques. What is Continuity care ? Continuity of care is concerned with quality of care over time. It is the process by which the patient and his/her physician-led care team are cooperatively involved in ongoing health care management toward the shared goal of high quality, cost-effective medical care. Con’t Continuity of care is a hallmark and primary objective of family medicine and is consistent with quality patient care provided through a patient-centered medical home. The continuity of care inherent in family medicine helps family physicians gain their patients’ confidence and enables family physicians to be more effective patient advocates. Con’t It also facilitates the family physician's role as a cost-effective coordinator of the patient's health services by making early recognition of problems possible. Continuity of care is rooted in a long-term patient-physician partnership in which the physician knows the patient’s history from experience and can integrate new information and decisions from a whole- person perspective efficiently without extensive investigation or record review. THE IMPORTANCE OF CONTINUITY OF CARE 1. Produce quality of care over time. 2. Healthcare management and patient the shared goal of high quality cost- effective in medical care. Con’t If taken seriously by patients, medical professionals and nursing professional , continuity of care would result in a better standard of care. Today, clinicians see countless patients everyday. A lot of these patients are new. The said clinicians are expected to quickly acquaint themselves with the patient's history, build rapport, and move on to address his present woes. Similarly, the patients are also expected to trust the physician simply based on his professional authority. Con’t Key studies in Norway showed that continuous care not only increased patient satisfaction but also allowed the doctor to accumulate knowledge that saved time, influenced their use of lab tests, and affected the patient's use of medication. Con’t Patient satisfaction & a good patient outcome are not two separate things. Patients under prolonged care of the same physician are known to value their relationship with their doctor more and believe that they have more control over their health. Con’t Continuity of care includes care coordination practices wherein a patient's return to regular life after hospital stays/nursing home stays is made smooth through cooperation between physicians, nurses and other medical professionals via exchange & transfer of patient information. Continuity of care may constitute timely transfer of medical information, communication with patient's family, among other such care coordination Con’t Continuity of care results in reduction in time and more judicious use of investigations like lab tests by the medical examiners. Consultations with children, the elderly, patients with psychosocial problems, and those with chronic diseases benefit immensely from continuity of care. PRACTICE Topic : ‘The important and benefits of Community and Care continuity in Malaysia ’: Please discuss in your group. You are required to : 1.Present in 15 minutes ,including Question and Answer session 2. Do in power point presentation THANK YOU