1. Learning Outcomes
Differentiate health care services based on primary, secondary, and tertiary disease prevention categories.
Describe the functions and purposes of the health care agencies outlined in this chapter.
Identify the roles of various health care professionals.

2. Learning Outcomes (cont'd)
Describe the factors that affect health care delivery.
Describe frameworks for the delivery of nursing care.
Compare various systems of payment for health care services.

3. Types of Health Care Services
Primary prevention
Health promotion
Illness prevention
Secondary prevention
Diagnosis
Treatment
Health promotion programs addresses areas such as:
adequate and proper nutrition
weight control and exercise
and stress reduction

4. Primary prevention Health promotion programs addresses areas such as:
adequate and proper nutrition
weight control, exercise and stress reduction
Health promotion activities: role of clients role in maintaining their own health and encourage them to maintain the highest level of wellness they can achieve

5. Primary prevention
illnesses prevention programs may be directed at the client or the community and involve such practice as:
providing immunization
identifying risk factor for illnesses
early detection of disease :routine screening .e.g. mammograms screening, education to Brest cancer

6. Types of Health Care Services
Tertiary prevention
Rehabilitation:
Health restoration
Palliative care:

8. Primary Prevention Healthy People 2010
Increase quality and years of healthy life
Achieve health equity and eliminate health disparities
Create healthy environment for everyone
Promote health and quality life across the life span

9. Primary Prevention (cont'd)
Address adequate and proper nutrition, weight control and exercise, and stress reduction
Emphasize the important role clients play in maintaining their own health and encourage to maintain the highest level of wellness clients can achieve

10. Secondary Prevention Hospitals Health promotion services
Emergency care
Intensive care
Around-the-clock care
Health promotion services
Early detection
Routine screening

11. Tertiary Prevention Help people move to their previous level of health
Highest level they are capable of given their current health status
Rehabilitation to function adequately in the physical, mental, social, economic, and vocational areas of their lives
Outreach programs for mental health illness

12. Tertiary Prevention (cont'd)
Palliative care
Providing comfort and treatment
End-of-life care may be conducted in many settings including the home

13. Health Care Agencies Government agencies Public health services
Local health departments develop programs to meet the health needs of the people, providing necessary nursing and staff to carry out these programs, continue evaluating the effectiveness of the program, and monitoring changing needs

14. Health Care Agencies (cont'd)
Government agencies
State health organizations are responsible for assisting local health departments
Physicians’ offices
Routine health screening
Diagnosis and treatment

15. Health Care Agencies (cont'd)
Ambulatory care centers
Diagnostic treatment facilities
Minor surgery
Occupational health clinics
Run by companies for employees
Health promotion activities

16. Health Care Agencies (cont'd)
Hospitals
Acute inpatient services
Outpatient and ambulatory care
Emergency department
Hospice care
Subacute care
Variation of inpatient care
Technically complex treatments

17. Health Care Agencies (cont'd)
Extended care facilities (formerly called nursing homes)
Independent living
Assisted, skilled, extended care facilities
Rehabilitation

18. Health Care Agencies (cont'd)
Retirement and assisted-living centers
For clients unable to stay at home, but do not require hospital or nursing home

19. Health Care Agencies (cont'd)
Rehabilitation centers
Restore or recuperate health
Drug and alcohol
Home health care agencies
Education to clients and families
Care to acute, chronic, or terminally ill

20. Health Care Agencies (cont'd)
Rural care hospitals
Federal funding
Services for rural residents

21. Health Care Agencies (cont’d)
Day-care centers
Infants or children
Adults that cannot be left at home
Hospice services
Care for dying in home or facility
Improve or maintain quality of life until death

22. Health Care Agencies (cont'd)
Crisis centers
Emergency services for life crises
Counseling and support
Mutual support or self-help groups
Health problems
Life crises

23. Health Care Professionals
Nurses
Alternative (complementary) care providers
Case manager
Dentists
Dietitians
Nutritionists

24. Figure Although all members of the health care team individualize care for the client based on the expertise of their own discipline, there are areas of overlap facilitated through teamwork. 24

25. Health Care Professionals (cont'd)
Alternative (complementary care providers)
Dentists
Nurses
Nutritionists
Occupational therapists
Paramedics/EMTs
Pharmacists

26. Health Care Professionals (cont'd)
Physical therapists
Physicians
Physician assistants
Podiatrists
Respiratory therapists
Social workers
Spiritual support personnel
Unlicensed assistive personnel (UAPs)

27. Factors that Affect Health Care Delivery
Increasing number of elderly
Advances in technology
Economics
Women’s health issues
Uneven distribution of services

28. Factors that Affect Health Care Delivery (cont'd)
Access to health insurance
Homeless and the poor
Demographic changes