N110 Module 2 Clark College

Client/family educator
Assess and diagnose the teaching needs of the client, group, family or community. Once the diagnosis is made, nurses plan how to meet these needs, implement the teaching plan and evaluate its effectiveness.
Client advocate
acts to protect the client; nurse may represent the client’s needs and wishes to other health professionals (relaying the client’s request for information to the health care provider). Help clients speak for themselves and exercise their rights.
Uses therapeutic communication skills to advise clients about health-related issues.
Change agent
Nursing role that facilitates change in client or agency behavior to more readily achieve goals. This role stresses gathering and analyzing facts and implementing programs.
Role as a nurse to inspire others by setting an example of positive health, assertive communication, and willingness to improve.
Role as a nurse to coordinate and manage the activities of all members of the team
Case manager
Role as a nurse to coordinate the care delivered to the client.
Research consumer
Readers of nursing research whose objective is to apply findings to nursing practice or to use the findings to conduct further research.
Primary care
focus on health promotion, preventive services, health education, and screening for the early detection of healthcare problems. Services are directed toward keeping the patient well by preventing illness and by treating acute episodic problems. Most of these services are offered in the community at physicians’ offices, clinics, and diagnostic centers.
Secondary care
Consists of services to diagnose and treat illness, disease, and injury. Increasingly these services are being performed in surgery centers, offices, and outpatient centers.
Tertiary care
Refers to long-term rehabilitation services and care for the dying. Historically, these services were provided in extended care facilities. Now, however, many tertiary care services are provided in the home or in outpatient settings.
Government medical plan for those 65 + or those who receive SS or are disabled. Those with ALS and end stage renal disease also qualify.
Medicare part A
The part of the Medicare program that pays for hospitalization, care in a skilled nursing facility, home health care, and hospice care.
Medicare part B
-covers doctor and other health care provider’s services, outpatient care, durable medical equipment, home health care. and some preventative services.
Medicare part C
managed care health plans offered to medicare beneficiaries under the medicare advantage program.
Medicare part D
Also known as the Medicare prescription drug benefit. Only individuals who are enrolled (or eligible) for Medicare Part A and/or Part B are eligible.
a health program operated by the state and funded by the federal and state governments. It is intended to provide care for the indigent (disadvantaged), particularly pregnant women and children.
Affordable Care Act
Gap between those insured by employer and those that qualify for Medicaid. Paid for by those paying into the plan.
Similar to HMO but homogenous group of providers collectively offer single type of service.
Usually requires a referral from PCP to go to specialist.
A group plan offering prepaid medical care to its members.
Home health care
Provides nursing, therapy, personal care, or housekeeping services in patient’s own home.
Washington Health Benefit Exchange
created in state statute in 2011 as a public-private partnership. The Exchange is responsible for the operation of Washington Healthplanfinder, an easily accessible, online marketplace for individuals, families and small businesses to find, compare and enroll in Qualified Health Plans and Washington Apple Health (Medicaid).
DRGs and how that affects health care available to clients
1. From hospitals out into the community and home, the length of stay in hospitals decreased dramatically.
2.The cost of delivering nursing care became an expenditure. As a result, a team nursing approach with NAPs replaced RNs at the bedside.
3.Corporate mergers and acquisitions resulted in large regional facilities, offering fewer choices for care.
4.The cost of managing these large facilities skyrocketed, administrative costs consumed at least 25% of all health expenditures.
5.Reduced staffing and higher patient acuity produced a more stressful work environment for nurses.
6. Insurance premiums and cost-sharing increased, while availability of services decreased. As a result, most reform efforts are directed at controlling costs, improving access, and promoting appropriate distribution of resources.
Community health nursing
Promote/ protect/ preserve/ maintain health of populations through delivery of personal health services to individuals/ families/ groups.
Function as client advocate, educator, collaborator, counselor, case manager
Public health nursing
a specialty of nursing that synthesizes nursing social and public health sciences to provide care to populations
Community oriented nursing
Health care: Determining health needs of a community, and intervening at the individual, family, and group level to improve the collective health of the community. Works with public health.
Acute care nurse
performs a focused assessment, then incorporates assessment finding with a multidisciplinary team to develop a comprehensive plan of care.
Direct care provider
addressing the physical, emotional, social and spiritual needs of the client.
Identify client problems and communicate those to other members of the healthcare team.

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