Level of care
Preventive care Education
preventive
Primary care Early Detection
Routine care
Secondary( acute care ) Emergency treatment
Critical care ( Intense and diagnosis ,treatment )
Tertiary care (special care) Special care ( highly technical area )
Restorative care Intermediate
follow up care (post operative - routine
care
Rehabilitation
Home care
Continuing care Long – Term Care
Chronic care
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Preventive and Primary Care
: Definition of preventive care
Reducing and controlling risk factors “
for disease through activities such as
”..……, immunization
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Primary Health Care
: Definition
Is an approach for building interventions that (
lead to improved health outcomes for an entire
. ) population
: Essential elements of primary health care
. Health education -1
. Proper nutrition -2
. Maternal / Child health care-3
. Family planning -4
. Immunization -5
. Control of endemic diseases -6
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Primary Health Care
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Setting of primary , preventive care
school health
occupational health
physician office
Clinics
nursing centers
and primary health care
in the community
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School Health Services
The American Nurses Association (ANA)
published Standards of School Nursing
: Practice , which addresses issues such as
. Program management
. Interdisciplinary collaboration
.Community health systems
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School Health Services
:School nurse programs roles
• Foster children’s growth .
• Positive life skills for successful coping .
• Acquisition of knowledge and skills for self
care
• Reinforce positive health attitudes .
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Specific nursing interventions in
school setting include :
1. Health education .
2. Parent programming and counseling .
3. Communicable disease control .
4. Physical assessment .
5. Screening .
6. Crisis intervention .
7. Environmental safety
8. Nutrition planning .
9. Emergency care.
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Occupational Health Services
Is a national concern , affecting individuals
. , families , and communities
: Aims
• Health promotion .
• Accident or illness prevention .
• Increase worker productivity .
• Decrease absenteeism .
• Reduce use of expensive medical care .
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: Occupational health nurses role include
• Conduct environmental surveillance .
• Direct nursing care ( physical assessment ,
screening , emergencies ).
• Health education .
• Communicable disease control .
• Administration .
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Physician’s Offices
It tends to focus on the diagnosis and
treatment of specific illness rather than on
health promotion
: Aims
• Screen for possible health promotion.
• Identify client’s health promotion practices.
• Make recommendations to minimize or control
risk factors.
• Education.
• Counseling.
•17 Community referrals.
Ami-BSN,RN,N.Educator 03:32 PM 03:32 PM
Clinic
Are often called ambulatory health services
Clinics that may affiliated with hospital , medical -1
school , group , practice , Church .( Hospital clinics
. offer diagnostic and treatment services)
A Clinic in immunizations or screening services -2
) high blood pressure , TB , Glaucoma testing(
Clinics that offer comprehensive care to specific -3
Clients populations ( Mental Health , Well- baby
. Emergency )
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Nursing Centers
Role of nursing Centers
Provide high quality nursing services -1
with a focus health promotion and
. health education
. Disease prevention -2
. Chronic disease management -3
.Support for self care and caregivers -4
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Nursing Centers
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Three Criteria for Nursing Centers
Direct access by the client to the -1
. nurse
. Nursing model of care -2
. Holistic reimbursed services -3
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Secondary and Tertiary Care
Diagnostic and treatment services are
generally the most commonly used
services of the health care delivery
system .
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Sites where secondary and tertiary levels of care are
provided
• Hospital emergency departments
• Urgent care centers
• Critical care units
• In patient medical – surgical units
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Hospitals
Role of Nurse in Hospital
Provide comprehensive nursing and -1
. medical therapies
. Educate clients and families -2
. Facilitate family support -3
. Coordinate health care services -4
. Coordinate discharge planning -5
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Intensive Care
An intensive care unit or critical
care unit in which clients receive close
monitoring and intensive medical care
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Sub acute Care
They are designated sites that
provide medical specialty care for
clients who need a greater intensity of
care than generally provided in a skilled
.nursing
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Examples
• Client suffer an acute illness .
• Worsening of chronic disease .
• Cerebrovascular Accidents.
• Trauma .
• Respiratory failure .
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Psychiatric Facilities
Care of clients who suffer emotional and
behavioral problems such as ---
depression , violent behavior
eating disorder that require special
. counseling
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Rural Hospitals
. Provides 24 hour emergency care
. No more than six inpatient beds
Providing temporary care for 72 hours
for stabilization before transfer to a
. large hospital
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Restorative Care
Clients recovering from acute or
chronic illnesses or who have
disabilities usually require a continuing
. level of care
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Home Health Care
Are provided to individuals
and families in their home for
the purpose of promoting ,
maintaining , or rest orating
. health
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Home Health Care
Medical- Surgical
Nursing
Psychiatric – mental Community Health
Nursing Nursing
Home Health
Nursing
Parent – Child
Gerontological nursing Nursing
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Examples of Home Health Care
- Wound Care
- Rehabilitation
- Respiratory Care
- Medications
- Vital Signs
- Intravenous Therapy
- Elimination
- Laboratory Studies
- Nutrition
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Rehabilitation
: Definition
Is the restoration of a person to the
fullest physical , mental , social ,
vocational , and economic usefulness
. possible
: Examples
. Physical Therapy
.Occupational Therapy
. Speech Therapy
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Rehabilitation
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Extended Care Facilities
An extended care facility provides
intermediate medical , nursing ,or custodial
care for clients recovering from acute or
. chronic illness or disabilities
: Example
A young client who has experienced a
traumatic accident may be transfer to
extended care facility for rehabilitative or
. supportive care until discharge to home
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Nurse Role
•Administration of I.V fluid .
•Wound Care.
•Long – Term ventilator management .
•Physical rehabilitation .
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Continuing Care
Long term health care needs as a result
of developing disabilities , progression of
. chronic disease
The individuals require personal , social ,
and health care services to maintain
quality of life that offer security and
. dignity
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