Health Care SystemComplex and constantly changingA variety of services are available from different disciplinesGaining access is difficult for those with limited health care insuranceShorten length of stay (LOS) cause health care cost to increase

Health Care ServicesPrimary CarePreventive CareSecondary Acute CareTertiary CareRestorative CareContinuing Care

Issues in Health care Delivery

Nursing ShortageCompetencyEvidence-based PracticeQuality and Safety in Health CarePatient SatisfactionNursing Informatics and TechnologyGlobalization of Health Care

The Future of Health CareChanges in how services is providedReduce unnecessary costImprove access to careProvide high quality care

Community Based Nursing PracticeFocus is on health promotion, disease prevention and restorative care

Holistic practice of professional nursing

Focus is on improving the health of the general public

Community Health NursingPublic Health NursingFocus on the health needs of a population or collection of individuals with similar needsCommunity Health NursingFocus on the health care needs of individuals, families and groups in a community

Community Based NursingVulnerable populationImmigrant PopulationPoverty and HomelessnessPatients who are abusedPatients who abuse substancesPatients with mental illnessOlder adults

Competency in Community Based NursingNurses in community-based practice need a variety of skills and talents to successfully assist patients to meet their health care needs.The nurse assumes many different roles and these skills help the patients remain in their home near family and support system

Competency in Community Based NursingCaregiverCase ManagerChange AgentPatient AdvocateCollaboratorCounselorEducatorEpidemiologist

Community AssessmentSystematic collection on the population, monitoring the health status of the population, and making information about the health of the communityThe community has three componentStructurePopulationSocial System

Changing Patients HealthBecome familiar with available resources in the communityIdentify the unique needs of individual patientsPromote and protect the patients health within the communityEstablish a strong, caring relationship with patients and their family

Primary and preventive care focus on improving health outcome for the entire populationSecondary and Tertiary care the diagnosis and treatment of illness are the most common serviceRestorative care help individuals regain maximal functional status and enhance quality of life through promotion of independence and self careContinuing care service offered over a prolonged period for people who are disabled, who were never functionally independent or who suffer a terminal disease*