ATI Community Health Nursing Proctored Focus. Rated A

Care of specific populations: Migrants Migrant workers health problems include: - 1. Dental disease 2. TB 3. Chronic conditions 4. Stress, anxiety, & other mental health conditions 5. Leukemia 6. Iron deficiency anemia 7. Stomach, uterine, & cervical cancers 8. Lack of prenatal care 9. Higher infant mortality rates Primary Prevention for Rural or Migrant Health care: - -educate on measures to reduce exposure to pesticides -teach on accident prevention -prenatal care -mobilize preventative services (dental, immunizations) Secondary Prevention measures for Rural/Migrant Health care: - SCREENING! screen for: -pesticide exposure -skin cancer -chronic preventable diseases -communicable diseases Tertiary Prevention measures for Rural/Migrant Health care: - -treat for symptoms of pesticide exposure -mobilize primary care and emergency services Client's rights include... - -right to info disclosure -privacy -informed consent -info confidentiality -participation in treatment decisions Autonomy - respecting a client's right to choose (i.e. refusing chemo) Nonmaleficence - doing no harm Beneficence - maximize benefits and minimize possible harms Justice situation: - determining eligibility for health care services based on income and fiscal resources HIPAA rules about information security: - -only staff assigned to the patient may view/read client's health record (no other nurses or doctors) -client's have the right to read or obtain a copy of their health record -nurses may not photocopy any part of med record except for authorized exchange of docs between facilities & providers -staff must keep records/names of client in secured place -electronic records are password protected -no sharing info to family members w/out code in person, email, or phone call -talking about a client must be in a private setting so no one can overhear HIPAA info security protocols include: - -log off computer before leaving workstation -never share ID or password -never leave med records where ppl can see it -shred any printed info about client after use -don't use or view social media in clinical settings -no posting about clinical stuff Caring for a client with gonorrhea: - -nationally notifiable disease -women are frequently asymptomatic -CDC recommends yearly screening for all sexually active women 25 yrs or older or w/risk factors -at risk pregnant women must be screened at first prenatal visit -identify & treat all partners -admin erythromycin to all infants following delivery -ceftriaxone IM or azithromycin PO -it is the responsibility of the provider to report gonorrhea to local health dept -state notification to CDC is voluntary -if left untreated in women it can lead to PID which can cause infertility Referrals: Client barriers include: - -lack of motivation -inadequate info about community resources -inadequate understanding of the need for referral -accessibility needs -priorites -finances -cultural factors Referrals: Resource barriers include: - -attitudes of health care personnel -costs of services -physical accessibility of resources -time limitations -limited expertise working w/culturally diverse populations Just because someone is exposed to asbestos once doesn't mean they will develop health problems... - long term exposure can lead to mesothelioma and lung conditions. Risk factors include workers (office buildings with it when they work there everyday). Priority action(s) in developing a disaster plan: - -set up communication alternatives -highlight possible evac routes -identify local & distant meeting places -create disaster kit AS A NURSE: -identify at risk populations in community -identify community disaster warning system & how to access -identify 1st responders -make list of agencies for all levels of disaster -triage -gather equipment, check often Hyperthyroidism: Radioactive iodine therapy home safety: - Client is radioactive! -no pregnant people -no breastfeeding -keep distance from others, limit visits to 30 min at a 6 ft distance -drink lots of fluid -maintain good hygiene to prevent infection Teaching safe disposal of insulin syringes: - -put in strong plastic container i.e. old detergent container (no soda bottles) -DO NOT recycle old needles, throw container in trash -seal the container when 3/4 full with duct tape -facilities throw it in sharps red container Teaching about use of crutches: - -don't alter crutches after fitting -follow prescribed crutch gait -support body weight at the hand grips w/elbows flexed at 30 degrees -position crutches on unaffected side when sitting or rising from a chair Demographics of homeless population: - -families w/children are the fastest growing segment -people with mental illness (large segment) -veterans -substance abuse disorders -youth and runaways -intimate partner abuse victims -people with HIV or AIDS -older adults