Chapter 23 Community Care

Elements of a Community Group of individuals who have characteristics in common: Share relationships Share a common culture Share a common locality Have the capacity to act collectively over a period of time Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc.

Types of Communities Rural Villages Group Homes Women’s Shelters Schools/Classrooms Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc.

Types of Communities Social Clubs Urban Neighborhoods Members of Immigrant and Refugee Groups Community Groups, Religious Groups Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc.

Frameworks for Delivery of Community Care Critical Social Theory Citizen Ladder of Participation Ecological Framework Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc.

Critical Social Theory Framework Goal is to liberate people from health-damaging environmental conditions. The nurse asks critical questions to assess and respond to the health issue. Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc.

The Citizen Ladder of Participation Framework Informing Consultation Partnership Delegated Power Citizen Control Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc.

Ecological Framework Health is both an individual and a societal responsibility. The nurse seeks to understand the structural barriers to health promotion and illness prevention behaviors. Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc.

Nursing Roles in Community Health Care Educator Advocate Consultant Direct Care Provider Social Marketer Facilitator Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc.

Selected Settings for Community- Based Health Care Schools Neighborhood/Community Centers Twenty-Four Hour Health Lines (Telehealth) Migrant Clinic Health Services Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc.

Selected Settings for Community-Based Health Care Rural Community Health Services Correctional Health Nursing Occupation/Environmental Health Nursing Public Health Care Services Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc.

Settings for Partnerships with Community Health Care Nursing Homeless Care Parish Nursing International Partnerships Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc.

Nursing Process in Community Health Care The goal of community health nurses is the preservation and improvement of the health of populations and communities worldwide. Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc.

Assessment Comprehensive Assessment of a Group Gender, age, ethnicity Socioeconomic status Education levels and literacy rates Existing support services and resources Other programs accessible to the group Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc.

Nursing Diagnosis Formulated in terms of health promotion and illness prevention for populations. The OMAHA system identifies physical factors and external health factors important to community health. Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc.

Planning Gain acceptance and establish rapport. Determine the main focus or priority for the client. Identify number of people affected by the problem. Determine severity of the issue/problem. Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc.

Planning Determine group’s motivation to address the issue/problem. Consider nurse’s ability to influence the issue/problem. Consider skills, time, and/or resource constraints. Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc.

Implementation Identify need for policy changes. Identify need for social changes. Implement interventions to accomplish this mission. Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc.

Evaluation of Community Care Healthy People 2010 National standards and objectives published by the American Public Health Association (APHA) Addresses the health needs of communities Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc.