Page 324 - fourth year book

ADVANCED ROLE OF COMMUNITY HEALTH NURSING

adaptability and willingness to provide care in many settings,
including community health clinics, churches, homeless shelters,
and schools. These nurses provide comprehensive care to patients

within their homes. Advanced practice nurses in communities
improve access to care and lower costs.
Advantages of Expanded and Extended role of C H Nurse:
1 It provides variety of services for patient of all age groups which may
be part of hospital or community.
2 It enhances clinical decision skills.
3 It provides great challenges and opportunities for nurses.
4 It provides expert knowledge and high level of job satisfaction.

Expand the role of the future community health nursing
1) Palliative / Hospice Care Nurse:
 Palliative means an agent which relives but doesn’t care disease. A
hospice is a system of care designed to make the terminally ill

patient comfortable and to ensure satisfactory lifestyle through the
terminal phase of illness.
 Provide care and support to the patient and family during the
terminal phase. Provide pain control and comfort measures.

2) Home care agencies

 Provide a broad spectrum of care

 Teaching family and caregivers is a large part of the home care
professional’s responsibility

3) Culturally competent nursing care

 The care designed with an understanding of the impact of issues
such as culture, race, gender, and sexual orientation on
individuals, families, and communities.

 Competence enables health care providers to respond effectively to
the beliefs, behaviors, and needs of individuals and their

communities.
4) Case management nursing care

 Case management is a systematic process by which a nurse

assesses client's needs plans for and coordinates services, refers to
other appropriate providers, and monitors and evaluates progress
to ensure that clients multiple service needs are met in a cost-
effective manner.

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