Community-Based Practice

NUR101 FALL 2010LECTURE# 20K. BURGER, MSEd, MSN, RN, CNE

PPP BySharon Niggemeier RN MSN

Community-Based Nursing• Focused on individual and family health

needs

• Moving from traditional settings to community/neighborhood locations

• Integrated system of health care including institutions, providers, agencies, policies, payment plans, families and of course patients

Community-Based Nursing• Provides health services where people

spend their time

• Traditionally such as: home (home care nursing), work (occupational nursing), school (school nurse)

Community-Based Services• Evolved to include

various settings• Senior centers• Day care centers• Storefront clinics• Homeless shelters• Mental health

centers

• Drug rehab programs

• Ambulatory care centers

• Outreach centers

• Institution-based centers

• Parish nursing

• Hospitals

Public Healthcare Services

• Public- anyone can receive services… funded through federal, state or local taxes, although eligibility criteria must be

• Visiting Nurse Services (VNS)

• Veterans Administration

• Suffolk County Department of Health

• Hospitals

Private Healthcare Services

• Private- requirements such as private pay or insurance

• Doctors offices

• Ambulatory care centers

• Treatment centers

Healthcare Team

• Nurse

• Doctor

• Physician’s Assistant (PA)

• Physical Therapist (PT)

• Respiratory Therapist (RT)

• Speech Therapist (ST)

• Occupational Therapist (OT)

• Dietician• Pharmacist• Social Worker• Unlicensed Assistive

Personnel (UAP)

Types of Services

• Primary- health promotion

• Secondary- early detection and prompt interventions and health maintenance

• Tertiary- rehabilitate and restore to maximum functioning

Healthcare Finance

• Private insurance

• Managed care- HMO, PPO

• Medicare

• Medicaid

Healthcare Reform

• Is health care access a right or a privilege?

• Changes needed to the system to provide health care to individuals

• Challenges to health care reform include: greed, waste, ethical issues

• How can Nurses be involved?????

Summary• Community-based nursing incorporates

various settings and populations• Continuity of care from hospital to

home incorporates community based care

• Reform is a nursing issue being involved politically allows for changes