1. COMMUNITY-BASED NURSING PRACTICE Presented by Lindy Peterson, RN

2. References McEwen, M. (2002). Community-based nursing: An introduction (2nd ed.). Philadelphia, PA: Saunders. Chapter 1: Opportunities in Community-Based Nursing Practice

3. Competencies for Ch 1 Opportunities in Community 1. Briefly describe community-based nursing 2. Verbalize the importance of community-based nursing 3. List and describe 10 community-based employment opportunities for LPNs

4. WHAT IS COMMUNITY HEALTH CARE? Community Health Care: care provided to people who live within a specific geographical area or have common needs. Designed to meet the needs of the patient as he/she moves among healthcare settings with in the healthcare system. Community Health Nursing: focus is on the individual and family healthcare needs.

5. Community-Based Care Why?

6. COMMUNITY BASED SERVICES - SKILLED Case Management Nursing Physical Therapy Occupational Therapy Speech Therapy Medical Social Work Counseling Hospice Infusion Therapy

7. NON SKILLED SERVICES Bath aide Housekeeping Cooking/Meals Handyman DME Transport Volunteers Health Promotion

8. ORGANIZATIONAL STRUCTURE For profit Not for profit Hourly Intermittent

9. WHO USES COMMUNITY BASED SERVICES? Elderly Middle aged people Mothers and babies Children Mentally ill Chronically Ill/Disabled Post hospitalized people

10. HOW TO ACCESS Who do you call when you identify a need?

11. COMMUNITY BASED SERVICES Employment Services Senior Centers Congregate Meals Adult Day Care Services Volunteer Opportunities Homemakers Chore Workers

12. MORE… Telephone reassurance Friendly Visiting Energy Assistance and Weatherization Emergency Response Systems Home Health Services Personal Care Services Respite Care

13. HOUSING Senior Housing Alternative Community Based Housing Assisted Living Adult Family Home

14. ELDER RIGHTS Legal Assistance Elder Abuse Prevention Programs Complaint resolution

15. HOME HEALTH SERVICES What is available? Who uses it? Nursing services - debit or credit? Who pays? Medicare and Medicaid Private Insurance Charity Private Pay

16. Community-Based Employment Opportunities for LPNs Ambulatory Care Clinics Managed care organizations/ insurers Day surgery Emergi-centers Adult Day Health Diagnostic centers

17. Community-Based Employment Opportunities for LPNs Health Department Services Clinics Jails and prisons Indian health services Home Health Skilled nursing Private duty Hospice

18. Community-Based Employment Opportunities for LPNs Long-Term Care Skilled nursing facilities Hospice facilities Assisted living Adult Family Home

19. Community-Based Employment Opportunities for LPNs Others Schools Parish Nursing Health Promotion and Education Programs