BIOC33H3 Lecture Notes - Dietitian, Physical Therapy, Palliative Care
Document Summary
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 cost. 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). Community-oriented nursing involves the engagement of nursing in promoting and protecting the health of populations. Home health care may include health maintenance, education, illness prevention, diagnosis and treatment of disease, palliative care, and rehabilitation.