Florida National University Social Health Determinants Paper

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lnavp0412

Health Medical

Florida National University

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Chapter 12: Care Management, Case Management, and Home Healthcare

1. In thinking of five social determinants of health as identified in Healthy People 2020, identify the social determinants specifically that may be barriers to home care and case or care management services. Explain your answer.

· Follow the discussion questions participation and submission guidelines.

· Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

· All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

· Minimum of two references, not older than 2015.

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Chapter 11: Community Assessment Chapter Highlights ❖ Components of a community assessment ❖ Defining a community ❖ Frameworks of community assessment ❖ Different approaches to community assessment Copyright © 2020 Wolters Kluwer · All Rights Reserved Question #1 Is the following statement true or false? Community assessment includes examination of biologic, psychological, and sociocultural influences of the environment that surrounds a specific group of people. Copyright © 2020 Wolters Kluwer · All Rights Reserved Answer to Question #1 True Rationale: Community assessment includes examination of biologic, psychological, and sociocultural influences of the environment that surrounds a specific group of people. Copyright © 2020 Wolters Kluwer · All Rights Reserved Community ❖ Geopolitical, sharing geographic boundaries and governing structures ❖ Phenomenologic, sharing common interests or beliefs ❖ Communities of solution, formed by a group of people to address common interests, beliefs, or needs ❖ A society, nation, or international or global communities Copyright © 2020 Wolters Kluwer · All Rights Reserved Defining the Community and Its Boundaries ❖ Geopolitical communities ❖ Phenomenologic communities ❖ Societal, national, or international communities Copyright © 2020 Wolters Kluwer · All Rights Reserved Community Assessment ❖ Community assessment includes examination of biologic, psychological, and sociocultural influences of the environment that surrounds a specific group of people. Copyright © 2020 Wolters Kluwer · All Rights Reserved Windshield Survey ❖ Observation of a community while driving a car or riding public transit to collect data for a community assessment Copyright © 2020 Wolters Kluwer · All Rights Reserved Question #2 Is the following statement true or false? The functional health status approach uses a retrospective historical approach to understand cultural changes over time to provide information for future initiatives. Copyright © 2020 Wolters Kluwer · All Rights Reserved Answer to Question #2 False Rationale: The functional health status approach evaluates health patterns in the community. The developmental approaches use a retrospective historical approach to understand cultural changes over time to provide information for future initiatives. Copyright © 2020 Wolters Kluwer · All Rights Reserved Frameworks for Community Assessment ❖ Epidemiologic approach to community assessment o Describing the disease or disability o Determining relationships that can predict health status ❖ Geographic information systems o Developing and testing interventions Copyright © 2020 Wolters Kluwer · All Rights Reserved Community as Partner Framework ❖ The community as partner framework uses a systems approach with a focus on partnerships to effect change. Copyright © 2020 Wolters Kluwer · All Rights Reserved Functional Health Status Approach ❖ The functional health status approach evaluates health patterns in the community. Copyright © 2020 Wolters Kluwer · All Rights Reserved Developmental Models and Approaches ❖ The developmental approaches use a retrospective historical approach to understand cultural changes over time to provide information for future initiatives. Copyright © 2020 Wolters Kluwer · All Rights Reserved Community Assessment Asset-based Approach ❖ The asset-based approach identifies community resources and strengths along with community needs. Copyright © 2020 Wolters Kluwer · All Rights Reserved Collaborative Model ❖ The collaborative model involves assessment by an interdisciplinary team and members of the community. Copyright © 2020 Wolters Kluwer · All Rights Reserved Chapter 12: Care Management, Case Management, and Home Healthcare Chapter Highlights #1 ❖ Defining care management and case management ❖ Situating case management as a key component of home visiting ❖ Historical overview and definition of home care practice ❖ Description of the home care provision of services Copyright © 2020 Wolters Kluwer · All Rights Reserved Chapter Highlights #2 ❖ Examining types of home care agencies, services, and reimbursement ❖ Exploring role and scope of home care nursing practice during a home visit ❖ Identifying interprofessional roles in models of care delivery and use of telehealth ❖ Describing types of chronic care conditions found in home care patients ❖ Review of current healthcare reform and home healthcare delivery Copyright © 2020 Wolters Kluwer · All Rights Reserved Question #1 Is the following statement true or false? Case management is the development and coordination of care for a selected client and family. Copyright © 2020 Wolters Kluwer · All Rights Reserved Answer to Question #1 True Rationale: Case management—development and coordination of care for a selected client and family. Care management—coordination of a plan or process to bring health services together as a common whole in a cost-effective way. Copyright © 2020 Wolters Kluwer · All Rights Reserved Care and Case Management ❖ Care management—coordination of a plan or process to bring health services together as a common whole in a cost-effective way ❖ Case management—development and coordination of care for a selected client and family Copyright © 2020 Wolters Kluwer · All Rights Reserved Home Healthcare #1 ❖ Home care is part of a continuum of care where clients have the opportunity to live and move through the experiences of subacute, chronic, and end-of-life care. ❖ The care given in home care settings is often managed and directed by a registered nurse. Copyright © 2020 Wolters Kluwer · All Rights Reserved Home Healthcare #2 ❖ Many aspects of the care in both generic and hospice home care are part of a larger care management plan that is individualized using a case management approach. ❖ The care given in home care settings is interdisciplinary in nature. Copyright © 2020 Wolters Kluwer · All Rights Reserved Question #2 Is the following statement true or false? Home healthcare is part of a continuum of care where clients have the opportunity to live through the experiences of subacute, chronic, and end-of-life care. Copyright © 2020 Wolters Kluwer · All Rights Reserved Answer to Question #2 True Rationale: Home healthcare is part of a continuum of care where clients have the opportunity to live through the experiences of subacute, chronic, and end-of-life care. Copyright © 2020 Wolters Kluwer · All Rights Reserved Role and Scope of Home Health Practice #1 ❖ Assessment by collecting data about home care clients ❖ Diagnosis through the analysis of these data ❖ Outcome identification that helps home care nurses identify nurse-sensitive measures Copyright © 2020 Wolters Kluwer · All Rights Reserved Role and Scope of Home Health Practice #2 ❖ Planning in the form of nurse-sensitive interventions directed to the identified outcomes ❖ Implementation-identified nurse-centered actions in collaboration with clients and families ❖ Evaluation outcome accomplishment through nursesensitive interventions Copyright © 2020 Wolters Kluwer · All Rights Reserved Interdisciplinary Care ❖ Various members of the healthcare team, not just nurses, contribute their expertise to client management in the home. Copyright © 2020 Wolters Kluwer · All Rights Reserved Types of Agencies ❖ Private/voluntary (not-for-profit) ❖ Hospital-based ❖ Proprietary (for-profit) ❖ Official Copyright © 2020 Wolters Kluwer · All Rights Reserved Financing and Regulation of Home Care o Homebound o Plan of care o Skilled needs o Intermittent care needs o Necessity Copyright © 2020 Wolters Kluwer · All Rights Reserved Role and Scope of Home Health Practice ❖ ANA’s Scope and Standards of Home Health Nursing Practice o Key elements of nursing process o Standards of professional performance Copyright © 2020 Wolters Kluwer · All Rights Reserved Interprofessional Care ❖ Interprofessional collaboration ❖ Medical home model ❖ Population health management Copyright © 2020 Wolters Kluwer · All Rights Reserved Question #3 Is the following statement true or false? Telehealth is a form of electronic communication to deliver chronic care and specialty consultations. Copyright © 2020 Wolters Kluwer · All Rights Reserved Answer to Question #3 False Rationale: Telehealth is a form of electronic communication to deliver acute care, not chronic care, and specialty consultations. Copyright © 2020 Wolters Kluwer · All Rights Reserved Telehealth ❖ Telehealth is a form of electronic communication used to deliver o Acute care and specialty consultations o Home telenursing o Electronic referrals to specialists in expert health facilities Copyright © 2020 Wolters Kluwer · All Rights Reserved Home Care Models ❖ Assisted living ❖ Home visits to the homeless ❖ Parish/faith community nursing Copyright © 2020 Wolters Kluwer · All Rights Reserved Home Visit #1 ❖ Initiating the visit ❖ Preparation o Equipment o Directions o Personal safety Copyright © 2020 Wolters Kluwer · All Rights Reserved Home Visit #2 ❖ The in-home visit o Assessing for risk of medication errors o Assessing for risk of falls o Assessing for risk of abuse and neglect ❖ Termination of the visit ❖ Post-visit planning Copyright © 2020 Wolters Kluwer · All Rights Reserved Nurse–Family Interactions in Home Care ❖ Culture ❖ Contracting ❖ Privacy, confidentiality, and security Copyright © 2020 Wolters Kluwer · All Rights Reserved Key Chronic Conditions and Quality Improvement in Home Care ❖ Family ❖ Environment ❖ Nurse’s capacity to attend to assessment and intervention criteria Copyright © 2020 Wolters Kluwer · All Rights Reserved Case Management, Home Healthcare, and Current Healthcare Reform ❖ Medicare ❖ Healthcare home model (PCMH) Copyright © 2020 Wolters Kluwer · All Rights Reserved
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Explanation & Answer

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Running head: SOCIAL HEALTH DETERMINANTS

Social Health Determinants
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SOCIAL HEALTH DETERMINANTS
Social Health Determinants
Social determinants of health entail societal conditions surrounding people that influence
their health (Healthy people, 2020). Some of the social determinants of health include the
availability of resources that cater to their daily needs, access to healthcare services, quality of
education and job training, government social suppor...


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