1. Mosby items and derived items © 2005 by Mosby, Inc. Chapter 3 Community-Based Nursing Practice

2. Mosby items and derived items © 2005 by Mosby, Inc. Community Health Nursing Focus on: –Needs of the population –Provision of direct care to subpopulations

3. Mosby items and derived items © 2005 by Mosby, Inc. Vulnerable Populations Poor and homeless persons Abused clients Substance abusers Severely mentally ill persons Older adults

4. Mosby items and derived items © 2005 by Mosby, Inc. Competencies in Community-Based Nursing Case manager Collaborator Educator Counselor Client advocate Change agent

5. Mosby items and derived items © 2005 by Mosby, Inc. Community Assessment Structure –Name of community/neighborhood –Geographic boundaries –Environment –Water and sanitation –Housing –Economy

6. Mosby items and derived items © 2005 by Mosby, Inc. Community Assessment (cont’d) Population –Age distribution –Sex distribution –Growth trends –Density –Education level –Predominant cultural and religious groups

7. Mosby items and derived items © 2005 by Mosby, Inc. Community Assessment (cont’d) Social system –Education system –Government –Communication system –Transportation system –Welfare system –Volunteer programs –Health system

8. Mosby items and derived items © 2005 by Mosby, Inc. Major Health Problems for Older Adults Hypertension Cancer Arthritis Sensory impairment Confusional states/Alzheimer’s disease Dental problems Drug use and substance abuse