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· Select one question as your DQ
· Follow the discussion questions participation and submission guidelines.
· Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.
· All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (7th ed.) ISBN: 978-1-4338-3216-1
· Minimum of two references, not older than 2015.
CHAPTER 10, THE NURSING PROFESSION AND THE COMMUNITY
A charge nurse in a nursing home is planning to transfer an 87-year-old resident who fell and fractured their hip to the hospital. This resident has a history of congestive heart failure, osteoarthritis, and osteoporosis but had been ambulatory using a cane and cognitively intact before the fall. What concerns should be addressed before the transfer occurs? What are the issues that will be of concern during the transfer? What information will the receiving nursing unit need in order to provide effective care?
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Chapter 10
The Nursing Profession and the
Community
Copyright © 2023 Wolters Kluwer Health | Lippincott Williams & Wilkins
Understanding Community-Based Nursing
❖Refers to wide variety of settings other than
inpatient institutions
❖Includes an emphasis on advocating for clients,
promoting client education and self-care, focusing
on health promotion and disease prevention,
recognizing importance of family, culture, and
community
❖Requires effective communication and collaboration
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Client Empowerment
❖Fundamental belief the client has the right to control
own life, including healthcare situations.
❖Partnership or alliance between nurse and client
essential.
❖Nurse should ensure client has necessary
information to make informed decision.
❖Nurse needs to recognize when a client does not
want to make this decision but has delegated
someone else to do this.
Copyright © 2023 Wolters Kluwer · All Rights Reserved
Question #1
❖Is the following statement true of false?
❖Community-based nursing emphasizes advocating
for patients, promoting self-care, focusing on health
promotion and disease prevention, and recognizing
the importance of the family, culture, and
community.
Copyright © 2023 Wolters Kluwer · All Rights Reserved
Answer to Question #1
❖True
❖Rationale: Community-based nursing emphasizes
advocating for patients, promoting self-care,
focusing on health promotion and disease
prevention, and recognizing the importance of the
family, culture, and community. Health promotion
and prevention of illness and disease are a part of
nursing practice in all settings.
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Health Promotion and Disease Prevention
Services
❖Primary prevention
o Prevent disease from ever occurring
❖Secondary prevention
o Early identification of health problems
❖Tertiary prevention
o Preventing long-term disability; restore
functional capacity
❖Disease management
o Providing the best evidence-based care
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Social Determinants of Health
❖Health equity
❖Five domains
o Economic
o Education access and quality
o Healthcare access and quality
o Neighborhood and built environment
o Social and community context
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Healthy People 2030
❖Vision, Mission, and Goals
❖Priority Areas
❖Leading health indicators for Healthy People
initiatives
❖Nurses roles in supporting healthy communities
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Question #2
❖Is the following statement true or false?
❖Healthy People 2030 is a state effort that includes
overall goals, priority areas, and leading indicators
to measure progress in developing healthier
communities.
Copyright © 2023 Wolters Kluwer · All Rights Reserved
Answer to Question #2
❖False
❖Rationale: Healthy People 2030 is a federal effort
that includes overall goals, priority areas, and
leading indicators to measure progress in developing
healthier communities.
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Maintaining Continuity of Care
❖Transition planning
o Discharge planning
o Transfers
o Medication reconciliation
❖Continuity of care documentation
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Disaster Response in the Community
❖Volunteers in disaster response
❖Institution and agency disaster response
❖Specific disaster concerns
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Complementary and Alternative
Healthcare #1
❖Complementary: used together with conventional
medicine
❖Alternative: used in place of conventional medicine
❖Integrative medicine: combines mainstream medical
therapies and CAM therapies for which there is some
high-quality scientific evidence of safety and
effectiveness
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Complementary and Alternative
Healthcare #2
❖ Major Types of CAM
o Whole medical systems
▪ Traditional indigenous systems
▪ Unconventional Western systems of medicine:
homeopathy, naturopathy
o Mind–body medicine
▪ Relaxation, yoga, visualization, biofeedback
o Biologically based practices
▪ Herbal medicine, special diets, food supplements,
vitamins, specific biologic substances
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Complementary and Alternative
Healthcare #3
❖Major Types of CAM (cont.)
o Manipulative and body-based practices
▪ Manual healing: massage therapy, reflexology,
chiropractic, acupuncture
o Energy medicine
▪ Bioelectromagnetic therapy; radiofrequency
hyperthermia or diathermy, magnets,
therapeutic touch, Reiki
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Complementary and Alternative
Healthcare #4
❖Understanding the use of CAM
❖Assisting clients who choose alternative healthcare
o Assess safety and effectiveness
o Examine the expertise of the therapy
practitioner
o Investigate service delivery
o Research the cost of therapy
o Discuss the treatment with your regular
healthcare provider
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Question #3
❖Is the following statement true or false?
❖Alternative care therapies are considered integrative
therapies when used along with traditional medical
care.
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Answer to Question #3
❖False
❖Rationale: Alternative care therapies are considered
complementary therapies when used along with
traditional medical care. Integrative medicine
involves the deliberative planning for using both the
traditional medical care and the alternative care in a
coordinated manner.
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