Screening (mammograms, fecal occult blood test, eye exams, pap smears)
Levels of Health Care -Preventative -Primary -Secondary -Tertiary -Restorative -Continuing
Preventive and Primary Care Settings
School health services
Occupational health services
Block and parish nursing
3 Levels of Prevention
LEVELS OF PREVENTION CHART Tertiary Secondary Primary Examples Role of the Nurse Focus Level of Prevention
A client has a history of a gastrointestinal (GI) disease with eight hospitalizations over the past 21-year period. He tries to eat a well-balanced diet that usually keeps his GI symptoms suppressed. Which level of prevention corresponds to his dietary management?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health promotion
Secondary and Tertiary Care Settings
Restorative Care Settings
Home health care
Extended care facilities
Home Health Nursing
Hospice is not a place, but a concept of care that provides compassion, concern and support for the dying.
No heroic measures
Comfort of friends, family and their own home
Continuing Care Settings
Agencies on aging
Adult day care centers
Community Health Nursing
Merges Public Health Sciences with professional nursing theories to safeguard and improve the health of populations in the community
Includes care in:
Shift from hospital to community
Patient care is shifting from acute care to community-based and home care settings.
Factors influencing change
-more cost effective
-nature and prevalence of illness
Think one more time!
The nurse recognizes that a greater need exists for comprehensive community health care. Which of the following is the largest contributing factor for the increase in the need for and use of home care?
a. Government funding of the home care setting has increased greatly.
b. The existence of more single-income families has increased the need for their elderly relatives to receive care in the home.
c. Clients are more acutely ill when discharged from the acute care facility.
d. Seven-days-per-week services are available for the elderly in home care agencies.
The future of Health Care
Electronic Health Records (EHR)
HIMSS (Healthcare Information and Management Systems Society)
Increased use of “Alternative” therapies
“ e” health care (Cyber-Docs, Web MD)
eMedicine World Medical Library: Allergy-Immunology
Welcome to the e-health nurses network
What will Nursing’s contribution be to the future of healthcare?
Nurses number 2.7 million and rank as the nation’s largest healthcare profession.