The document discusses the expanding role of nurses in community care. With more care moving out of hospitals, nurses need to be prepared to provide care in communities. This includes working in settings like community health centers, schools, occupational health, and as parish nurses. The document outlines the various roles nurses may have in these community-based settings and provides examples of activities like health education, screening, and treatment of common illnesses.

1. EXPANDING ROLE OF
NURSES IN COMMUNITY

2. CARE IN COMMUNITIES-
With lowered acute stays, many more people
will require care in their own communities.
Nurses need to be better prepared to work
within the area, financial issue of care
provision need to be addressed and nurses
need to be better prepared to work within
chronic care need.

3. Community based practice settings
 Community health centers
 Schools
 Occupational health settings
 Parish nursing
 Public health nurse

4. Community health centers
 The nurse in various capacities designs health
education programmes', materials & disseminates
the same to the policy makers, educationists, general
public, & to various categories of health personnel.
•The nurse designs health education contents
according to the health needs & problems, according
to the beneficiary & according to the context.

5. Cont…
 The nurse undertakes necessary precautionary
measures, primordial prevention strategies,
specific preventive measures to promote the health
of the community.
 Devise necessary surveillance measures, control
measures, control measures to check the disease
load in the community.
 Involve mass media & relevant other personnel in
preventing preventable diseases.

6. Cont…
 Promote food supply & nutrition
 Provision of safe water & sanitation.ote food supply
& nutrition
 Provision of maternal & child health services.
 Immunization
 Prevention & control of locally endemic diseases
 Appropriate treatment for common injuries
 Provision of essential drugs

7. SCHOOL NURSE
 School nurses need a working knowledge of
human growth and development.
 Need counselling skills.
 Keep records of children required
immunisation.
 Work with teachers to improve the health
concepts into the curriculum.
 Conduct vision and hearing screens.
 Focus on preventive aspect of child health

8. OCCUPATIONAL HEALTH NURSES
 Occupational health nurses work in a variety
of settings mainly industry, health services,
commerce and education. They can be
employed as independent practitioners or as
part of a occupational health service team,
often attached to a personnel or
HR department.

9. Cont…
Occupational health nurses are considered to
be leaders in public health in the workplace
setting. The occupational health nurse role
includes:
 the prevention of health problems, promotion
of healthy living and working conditions
 understanding the effects of work on health and
health at work
 basic first aid and health screening

10. Cont..
 workforce and workplace monitoring and
health need assessment
 Health promotion
 Education and training
 Counseling and support
 Risk assessment and risk management

11. PARISH NURSING
Providing meals for families in crisis or
when returning home after
hospitalisation.
Organising prayer circles.
Volunteering in community acquired
immunodeficiency syndrome care
groups.
Holding regular grief support groups

12. TELE-HEALTH
 Telemedicine can be defined as, “the use of
modern information technology, especially
two- way interactive audio/video
telecommunications, computers, and
telemetry to deliver health services to
remote patients and to facilitate information
exchange between primary care physicians
and specialists at some distance from each
other.”

13. Specialties cont…
Cardiology
Home Care
Radiology
Emergency
Care
Surgery
Dermatolog
y
Psychiatry
Oncology
Pathology
Ophthalmolo
gy
Hematology
ENT
Nephrology
Pre-Hospital
Care

14. Cont..
 Telemedicine is most beneficial for
populations living in isolated communities
and remote regions and is currently being
applied in virtually all medical domains.
Specialties that use telemedicine often use a
"tele-" prefix; for example, telemedicine as
applied by radiologists is called
Teleradiology. Similarly telemedicine as
applied by cardiologists is termed as
telecardiology, etc.

15. TELEMEDICINE IN INDIA
• Existing system limited only to private hospital
• APPOLO Group of Hospitals.
• RN Tagore Cardiac Hospital, Calcutta. (Asia Heart
Foundation)
• No Telemedicine system for public health care
• Corporate Sectors Offering Telemedicine Systems
• APPOLO Group
• Online Telemedicine System, Ahmedabad.
• WIPRO GE
• SIEMENS

16. LEVELS OF PREVENTION
 Primary prevention
o Health promotion’
o Environmental protection
o Specific protection against disease or injury
 Secondary prevention
 Tertiary prevention