Level of care

Preventive care Education

preventive

Primary care Early Detection

Routine care

Secondary( acute care ) Emergency treatment

Critical care ( Intense and diagnosis ,treatment )

Tertiary care (special care) Special care ( highly technical area )

Restorative care Intermediate

follow up care (post operative - routine
care
Rehabilitation
Home care

Continuing care Long – Term Care

Chronic care
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2 Ami-BSN,RN,N.Educator 03:32 PM 03:32 PM
 Preventive and Primary Care

: Definition of preventive care

Reducing and controlling risk factors “

for disease through activities such as
”..……, immunization

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 Primary Health Care
: Definition
Is an approach for building interventions that (
lead to improved health outcomes for an entire
. ) population

: Essential elements of primary health care

. Health education -1
. Proper nutrition -2
. Maternal / Child health care-3
. Family planning -4
. Immunization -5
. Control of endemic diseases -6

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 Primary Health Care
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 Setting of primary , preventive care

 school health
 occupational health

 physician office

 Clinics

 nursing centers

 and primary health care

in the community

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8 Ami-BSN,RN,N.Educator 03:32 PM 03:32 PM
 School Health Services
The American Nurses Association (ANA)
published Standards of School Nursing
: Practice , which addresses issues such as

. Program management
. Interdisciplinary collaboration
.Community health systems

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 School Health Services
:School nurse programs roles

• Foster children’s growth .

• Positive life skills for successful coping .
• Acquisition of knowledge and skills for self
care
• Reinforce positive health attitudes .

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11 Ami-BSN,RN,N.Educator 03:32 PM 03:32 PM
 Specific nursing interventions in
school setting include :

1. Health education .
2. Parent programming and counseling .
3. Communicable disease control .
4. Physical assessment .
5. Screening .
6. Crisis intervention .
7. Environmental safety
8. Nutrition planning .
9. Emergency care.

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13 Ami-BSN,RN,N.Educator 03:32 PM 03:32 PM
 Occupational Health Services
Is a national concern , affecting individuals
. , families , and communities

: Aims

• Health promotion .
• Accident or illness prevention .
• Increase worker productivity .
• Decrease absenteeism .
• Reduce use of expensive medical care .

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15 Ami-BSN,RN,N.Educator 03:32 PM 03:32 PM
 : Occupational health nurses role include

• Conduct environmental surveillance .

• Direct nursing care ( physical assessment ,

screening , emergencies ).

• Health education .

• Communicable disease control .

• Administration .

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 Physician’s Offices
It tends to focus on the diagnosis and
treatment of specific illness rather than on
health promotion

: Aims
• Screen for possible health promotion.
• Identify client’s health promotion practices.
• Make recommendations to minimize or control
risk factors.
• Education.
• Counseling.
•17 Community referrals.
Ami-BSN,RN,N.Educator 03:32 PM 03:32 PM
 Clinic
Are often called ambulatory health services

Clinics that may affiliated with hospital , medical -1

school , group , practice , Church .( Hospital clinics
. offer diagnostic and treatment services)

A Clinic in immunizations or screening services -2

) high blood pressure , TB , Glaucoma testing(

Clinics that offer comprehensive care to specific -3

Clients populations ( Mental Health , Well- baby
. Emergency )
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 Nursing Centers
Role of nursing Centers

Provide high quality nursing services -1

with a focus health promotion and
. health education
. Disease prevention -2
. Chronic disease management -3
.Support for self care and caregivers -4

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 Nursing Centers
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 Three Criteria for Nursing Centers

Direct access by the client to the -1

. nurse
. Nursing model of care -2
. Holistic reimbursed services -3

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 Secondary and Tertiary Care

Diagnostic and treatment services are

generally the most commonly used
services of the health care delivery
system .

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 Sites where secondary and tertiary levels of care are
provided

• Hospital emergency departments

• Urgent care centers
• Critical care units
• In patient medical – surgical units

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 Hospitals
Role of Nurse in Hospital

Provide comprehensive nursing and -1

. medical therapies
. Educate clients and families -2
. Facilitate family support -3
. Coordinate health care services -4
. Coordinate discharge planning -5

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 Intensive Care
An intensive care unit or critical
care unit in which clients receive close
monitoring and intensive medical care

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27 Ami-BSN,RN,N.Educator 03:32 PM 03:32 PM
 Sub acute Care
They are designated sites that
provide medical specialty care for
clients who need a greater intensity of
care than generally provided in a skilled
.nursing

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 Examples

• Client suffer an acute illness .

• Worsening of chronic disease .
• Cerebrovascular Accidents.
• Trauma .
• Respiratory failure .

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 Psychiatric Facilities
Care of clients who suffer emotional and
behavioral problems such as ---
depression , violent behavior
eating disorder that require special
. counseling

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31 Ami-BSN,RN,N.Educator 03:32 PM 03:32 PM
 Rural Hospitals
. Provides 24 hour emergency care
. No more than six inpatient beds
Providing temporary care for 72 hours
for stabilization before transfer to a
. large hospital

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 Restorative Care
Clients recovering from acute or
chronic illnesses or who have
disabilities usually require a continuing
. level of care

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 Home Health Care
Are provided to individuals
and families in their home for
the purpose of promoting ,
maintaining , or rest orating
. health

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 Home Health Care
Medical- Surgical
Nursing

Psychiatric – mental Community Health

Nursing Nursing
Home Health
Nursing

Parent – Child
Gerontological nursing Nursing

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 Examples of Home Health Care

- Wound Care
- Rehabilitation
- Respiratory Care
- Medications
- Vital Signs
- Intravenous Therapy
- Elimination
- Laboratory Studies
- Nutrition

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 Rehabilitation
: Definition
Is the restoration of a person to the
fullest physical , mental , social ,
vocational , and economic usefulness
. possible

: Examples
. Physical Therapy
.Occupational Therapy
. Speech Therapy
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38 Ami-BSN,RN,N.Educator 03:32 PM 03:32 PM
 Rehabilitation
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 Extended Care Facilities
An extended care facility provides
intermediate medical , nursing ,or custodial
care for clients recovering from acute or
. chronic illness or disabilities

: Example

A young client who has experienced a

traumatic accident may be transfer to
extended care facility for rehabilitative or
. supportive care until discharge to home
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 Nurse Role

•Administration of I.V fluid .

•Wound Care.
•Long – Term ventilator management .
•Physical rehabilitation .

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 Continuing Care
Long term health care needs as a result
of developing disabilities , progression of
. chronic disease

The individuals require personal , social ,

and health care services to maintain
quality of life that offer security and
. dignity
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