Community Health Online Practice 2019 A

Focused Review Management of Care (1 Question) Establishing Priorities - (1) ● Managing Client Care: Planning Order of Home Health Visits (Active Learning Template Basic Concept) ○ The ABC framework identifies, in order, the three basic needs for sustaining life ○ An open airway is necessary for breathing so it is the highest priority ○ Breathing is necessary for oxygenations of the blood to occur ○ Circulation is necessary for oxygenated blood to reach the body’s tissue ○ Status asthmaticus: this life-threatening episode of airway obstruction that is often unresponsive to common treatment. It involved extreme wheezing, labored breathing, use of accessory muscles, distended neck veins, and creates a risk for cardiac and or respiratory arrest Safety and Infection Control (3 Questions) Accident/Error/Injury Prevention - (1) ● Pulmonary Embolism: Prevention Strategies Based on Activity Levels (Active Learning Template - Basic Concept) ○ Prevent DVT by encouraging clients to do leg exercises, wear compression stocking, and avoid sitting for long period of time ○ Look for a safety risk. For example, is there a risk for airway obstruction? ○ Next ask, What’s the risk to the client?” and “How significant is the risk compared to other posed risks?” Home Safety - (1) ● Home Safety: Assessing the Need for Home Modification (Active Learning Template Basic Concept) ○ When the client demonstaters factors that increase the risk for injury (regardless of age), a home hazard evaluation should be conducted by a nurse, physical therapist, and or occupational therapist. The client is made aware of the environmental factors that can pose a risk to safety and suggestion modifications to be made ○ Many older adults are able to maintain a lifestyle that promotes independence and the ability to protect themselves from safety hazard ○ Prevention is important because eldery clients can have longer recovery times from injuries and the risk of complications Standard Precautions/Transmission-Based Precautions/Surgical Asepsis - (1) ● Communicable Diseases: Teaching About Pertussis (Active Learning Template - Basic Concept) ○ Pertussis (whooping cough) spread by direct contact, droplet, and indirect contact with freshly contaminated articles ○ Incubation: 6 to 20 days, usually 7 to 10 days ○ Communicability: greatest during catarrhal stage before onset of paroxysmal stage Health Promotion and Maintenance (1 Question) Developmental Stages and Transitions - (1) ● Pain Management: Interventions During Injections for a Preschooler (Active Learning Template - Growth and Development) ○ Use distraction (balloon) ○ Encourage guardians to hold the child after ○ Secure the child firmly to decrease movement of the needle ○ Offer praise and play therapy ○ Use the smallest gauge of needle possible Psychosocial Integrity (2 Questions) Abuse/Neglect - (1) ● Family and Community Violence: Risk Factors for Partner Violence (Active Learning Template - Basic Concept) ○ Look for a safety risk. For example, is there a risk for airway obstruction? ○ Next ask, What’s the risk to the client?” and “How significant is the risk compared to other posed risks?” ○ Vulnerable persons are at the greatest risk for violence when they try to leave the relationship Substance Use and Other Disorders and Dependencies - (1) ● Care of Specific Populations: Substance Use Disorder Support Programs (Active Learning Template - Basic Concept) ○ ○ Encourage the client and family to attend a 12-step program (Alcoholics Anonymous (AA), Narcotics Anonymous, Gambler’s Anonymous) and family groups Teach: ■ Abstinence is necessary for recovery ■ A higher power is needed to assist in recovery ■ Clients are not responsible for their disease but are responsible for their recovery ■ Other people cannot be blamed for the client’s addictions, and they must acknowledge their feelings and problems