Chapter 7: Community-Based Nursing and Home Care
The focus of community-based nursing is the illness-oriented care of individuals and families
throughout the lifespan.
Many factors are changing the health care system, including socioeconomic status,
demographics, prevalence and type of illness, technology, and increased consumerism.
The goals of case management are to provide quality care along a continuum, decrease
fragmentation of care across many settings, enhance the patient’s qualify of life, and contain
The use of Diagnosis Related Groups (DRGs) has had a dramatic impact on health care.
Health care is constrained by third-party payer cost containment.
Community-based settings where nursing care is delivered include ambulatory care, transitional
care, and long-term care (skilled nursing, intermediate care, and residential care facilities).