Public Health Nursing

Public Health Nursing

Public Health Nursing

Role of community health Nurse

The primary responsibility of community health nurse is providing timely medical care to patients. At some places, their role is expanded to provide education to patients about preserving their health. These educational facilities help to lower the chances of diseases. The role of community health nurse in this domain is limited to planning educational assemblies, creating hand- out fliers, carry on health screenings, dispensing medications and managing immunizations. Other than educating patients about their health issues, their role is expanded to taking care of younger patients. The community health nurses work for reducing the expansion of sexually transmitted diseases ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"CjEqUYIY","properties":{"formattedCitation":"(Erickson, 2017)","plainCitation":"(Erickson, 2017)","noteIndex":0},"citationItems":[{"id":2089,"uris":["http://zotero.org/users/local/s8f0QVnP/items/YRFVMNEI"],"uri":["http://zotero.org/users/local/s8f0QVnP/items/YRFVMNEI"],"itemData":{"id":2089,"type":"article-journal","title":"Modeling and role-modeling","container-title":"Nursing Theorists and Their Work-E-Book","page":"398","source":"Google Scholar","author":[{"family":"Erickson","given":"Margaret E."}],"issued":{"date-parts":[["2017"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Erickson, 2017). They guide patients about how poor nutrition create risks for disease multiplication. Some recent practices adopted by nurse practitioners show that they prioritize limiting the risks attached to obesity, substance abuse, and smoking. These roles may change from patient to patient and from community to community

How community health nurse assist families in home settings?

Families are crucial when it comes to treating patients in their home settings. The home health care atmosphere is a lot different from hospitals and different health institutions. The health nurses performing duties in homes work alone with resources provided from a near health care institution. In a home environment, the physician is dependent upon the community health nurse for patient assessment and communicating findings. Different studies suggest that home health nurses consumes more time on paperwork and dealing with issues related to medical expense reimbursements. The role of the home health nurse is influenced by different variables. For example, the increased patient autonomy in home settings, limited oversight of physicians, unique situations in each residential setting ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"wp1u4L3i","properties":{"formattedCitation":"(Erickson, 2017)","plainCitation":"(Erickson, 2017)","noteIndex":0},"citationItems":[{"id":2089,"uris":["http://zotero.org/users/local/s8f0QVnP/items/YRFVMNEI"],"uri":["http://zotero.org/users/local/s8f0QVnP/items/YRFVMNEI"],"itemData":{"id":2089,"type":"article-journal","title":"Modeling and role-modeling","container-title":"Nursing Theorists and Their Work-E-Book","page":"398","source":"Google Scholar","author":[{"family":"Erickson","given":"Margaret E."}],"issued":{"date-parts":[["2017"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Erickson, 2017). Despite these frictions, the community health nurse assists families in home settings by determining the specific care requirements, analyzing patient behavior before and after medications and taking physical care of the patient. These interventions by home health nurses promote patient safety and enhance the quality of care.

Barriers related to the initiation of home care services in communities

There is a wealth of literature which provides insight to barriers related to the initiation of home care services in communities. Schulz and Eden write that in urban settings, people feel comfortable in accessing home care services in their homes; whereas different to urban communities, people from rural communities face restrictions in accessing home care services in communities ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"FQtF1AjW","properties":{"formattedCitation":"(Schulz & Eden, 2016)","plainCitation":"(Schulz & Eden, 2016)","noteIndex":0},"citationItems":[{"id":2090,"uris":["http://zotero.org/users/local/s8f0QVnP/items/UD5TAITB"],"uri":["http://zotero.org/users/local/s8f0QVnP/items/UD5TAITB"],"itemData":{"id":2090,"type":"book","title":"Families caring for an aging America","publisher":"National Academies Press Washington, DC","source":"Google Scholar","author":[{"family":"Schulz","given":"Richard"},{"family":"Eden","given":"Jill"}],"issued":{"date-parts":[["2016"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Schulz & Eden, 2016). A report from August 2017, suggests that barriers related to initiating home care services include reimbursement and insurance claim issues, varying policies and issues referral and discharge processes ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"Wiec4BCI","properties":{"formattedCitation":"(Erickson, 2017)","plainCitation":"(Erickson, 2017)","noteIndex":0},"citationItems":[{"id":2089,"uris":["http://zotero.org/users/local/s8f0QVnP/items/YRFVMNEI"],"uri":["http://zotero.org/users/local/s8f0QVnP/items/YRFVMNEI"],"itemData":{"id":2089,"type":"article-journal","title":"Modeling and role-modeling","container-title":"Nursing Theorists and Their Work-E-Book","page":"398","source":"Google Scholar","author":[{"family":"Erickson","given":"Margaret E."}],"issued":{"date-parts":[["2017"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Erickson, 2017). These barriers differ from community to community or state to state, since the health care structure is different from place to place. Similarly, both patients and health care providers face issues accessing durable medical equipment (DME). As the medical procedure entirely depends upon the access to DME, therefore these barriers become a hurdle in initiating home care services in communities.

Living in urban areas versus rural areas

The urban settings and rural settings are quite different from each other. As like other social services, the health care facilities are quite different from in rural communities, compared to urban communities. With respect to health, rural people are less well- off than the urban population. Although the health or disease pattern is not substantially different in rural or urban communities, rural population remain involve in risky health behaviors. In the urban communities, the home care services can easily get synchronized, different to this, in rural communities people remain hesitant in getting those facilities. Matthews et al. write that since there exist the great risk of chronic diseases in rural residents, therefore, home care service is effected more compared in urban settings ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"ygbMoWnB","properties":{"formattedCitation":"(Matthews et al., 2017)","plainCitation":"(Matthews et al., 2017)","noteIndex":0},"citationItems":[{"id":2094,"uris":["http://zotero.org/users/local/s8f0QVnP/items/ZEQAGLWY"],"uri":["http://zotero.org/users/local/s8f0QVnP/items/ZEQAGLWY"],"itemData":{"id":2094,"type":"article-journal","title":"Health-related behaviors by urban-rural county classification—United States, 2013","container-title":"MMWR Surveillance Summaries","page":"1","volume":"66","issue":"5","source":"Google Scholar","author":[{"family":"Matthews","given":"Kevin A."},{"family":"Croft","given":"Janet B."},{"family":"Liu","given":"Yong"},{"family":"Lu","given":"Hua"},{"family":"Kanny","given":"Dafna"},{"family":"Wheaton","given":"Anne G."},{"family":"Cunningham","given":"Timothy J."},{"family":"Khan","given":"Laura Kettel"},{"family":"Caraballo","given":"Ralph S."},{"family":"Holt","given":"James B."}],"issued":{"date-parts":[["2017"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Matthews et al., 2017).

References:

ADDIN ZOTERO_BIBL {"uncited":[],"omitted":[],"custom":[]} CSL_BIBLIOGRAPHY Erickson, M. E. (2017). Modeling and role-modeling. Nursing Theorists and Their Work-E-Book, 398.

Matthews, K. A., Croft, J. B., Liu, Y., Lu, H., Kanny, D., Wheaton, A. G., … Holt, J. B. (2017). Health-related behaviors by urban-rural county classification—the United States, 2013. MMWR Surveillance Summaries, 66(5), 1.

Schulz, R., & Eden, J. (2016). Families caring for an aging America. National Academies Press Washington, DC.