VNSG 1400 CHAPTER 2 EXAM 2025

Community health nursing - -Improving community health through public education. Screening for early disease detection. Providing care outside acute care settings. Community Health Nursing Roles - - Case Finder Care Manager Teacher Coalition Builder Community-Based Nursing - -Delivery of healthcare services in community settings to meet the needs of citizens at all levels of wellness and illness. Difference from Community Health Nursing - -While community health nursing focuses on groups and prevention, community-based nursing provides direct care for individual health needs across different settings (e.g., clinics, schools, homes). Medicare Reimbursement Conditions - -Physician Order Intermittent Skilled Care Medicare-Certified Agency The primary skilled services in home health care are - -(1) nursing, (2) physical therapy, and (3) speech therapy The second skilled services in home health care are - -social work services, and home health aide services. Skilled procedures - -dressing changes, catheter insertions, and venipunctures. Rehabilitation - -The process of restoring the maximal possible function after an illness or injury Rehabilitation places - -rehabilitation centers, long-term care facilities, outpatient centers, group homes, or the patient's own home. Goal of rehabilitation - -to return persons to the highest possible level of physical and mental functioning Impairment - -A disruption in the normal functioning of the body or mind. Disability - -A quantifiable reduction in function that affects a person's ability to work or perform other tasks. VNSG 1400 VNSG 1400 Handicap - -the inability to perform daily activities (ADLs) due to a disability or impairment. The Americans with Disabilities Act (ADA, 1990) - -Protects individuals with disabilities from being discriminated against in the workplace. Prohibits discrimination based on disability in all employment practices. Employers must take steps to accommodate individuals covered by the act. Level I of Disability - -Slight limitation in one or more Activities of Daily Living (ADLs). Able to work with no or minimal modifications. Level II of Disability - -Moderate limitation in one or more ADLs. Able to work but may require workplace modifications. Level III of Disability - -Severe limitation in one or more ADLs. Unable to work due to impairment. Level IV of Disability - -Total disability with near-complete dependence on others for ADLs. Unable to work. Goals of Rehabilitation - -Promoting self-care Maximizing independence: Restoring and maintaining function Preventing complications Encouraging adaptation Vocational Rehabilitation Act of 1920 - -Provides job training for injured veterans Social Security Act of 1935 - -Gave additional aid for vocational rehabilitation and relief. Rehabilitation Act of 1973 - -Expanded vocational training and began affirmative action programs to prevent discrimination in federally funded programs. Americans with Disabilities Act of 1990 - -Extended public sector protections to the private sector, requiring full access to housing, employment, transportation, and communications for the disabled. Long term care facilities - -Personal homes Board and care homes Supportive housing facilities Assisted living centers Continuing care retirement communities (CCRCs) Nursing homes VNSG 1400 Reasons for Long-Term Care - -The best predictor for nursing home placement is ADL (Activities of Daily Living) dependency. Higher ADL limitations increase the likelihood of nursing home residency. 50% of individuals with five or six ADL limitations reside in nursing home Impact of Relocation to Long-Term Care Facilities - -Depersonalization, Indignity, Redefinition of Normal Regression, Social Withdrawal Depersonalization - -Residents may feel reduced to their medical conditions, losing their individuality. Indignity - -Dependence on others for basic activities can lead to a loss of dignity. Redefinition of Normal - -Behaviors once normal at home may be deemed inappropriate in a facility. Regression - -Physical, mental, and social abilities may diminish due to lack of stimulation. Social withdrawal - -Residents may withdraw from the outside world due to infrequent visits and limited interaction. Principles of Long-Term Residential Care - -Promotion of independence Maintenance of function Maintenance of autonomy VNSG 1400