匯報人：文小庫2024-03-30英文社區護理IntroductiontoCommunityNursingBasicPrinciplesofCommunityNursingCommonIssuesandHealthIssuesintheCommunityRollingInterventionsintheCommunityChallengesandOpportunitiesinCommunityNursingConclusionandFuturePerspectives目錄01IntroductiontoCommunityNursingCommunitynursingreferstotheprovisionofnursingcaretoindividuals,families,andgroupswithinacommunitysetting,outsideoftraditionalhospitalenvironmentsDefinitionCommunitynursingencompassedawiderangeofservicesincludinghealthpromotion,diseaseprevention,rehabitation,andpalliativecareItinvolvesworkingwithpeopleofallages,backgrounds,andhealthneedsScopeDefinitionandScopeofCommunityNursingCommunitynursingbringshealthcareservicesclosertopeople'shomes,makingitmoreconvenientandaccessibleforthosewhomayhavediverseaccesstotraditionalhealthcarefacilitiesCommunitynursesplayacriticalroleinpromotinghealthlifestyles,educatingindividualsandcommunitiesaboutdiseasepreventionandmanagement,andsupportingpeopletomaintaintheirindependenceandqualityoflifeByprovidingcareinthecommunity,communitynursingcanhelptoreducetheneedforaffordablehospitaladmissionsandreadmissions,soreducingtheoverallcostofhealthcareImprovingAccesstoCarePromotingHealthandWellbeingReducingHealthcareCostsImportanceofCommunityNursingAssessmentandPlanningCommunitynursesassessthehealthneedsofindividualsandcommunitiesanddevelopcareplanstoaddressthoseneedsTheyalsoidentifyriskfactorsanddevelopstrategiestolimitthemDirectCareCommunitynursesprovidedirectcaretopatients,includingadministrativemedicine,managingchronicconditions,andprovidingcareTheyalsooffersupportandadvicetofamiliesandcaregiversRoleofNursesinCommunityHealthHealthPromotionandEducationCommunitynurseseducateindividualsandcommunitiesabouthealthlifestyles,diseaseprevention,andself-careTheyalsoprovideresourcesandreferencestootherhealthcareservicesasneededCoordinationofCareCommunitynursescoordinatecarewithotherhealthcareproviders,socialservices,andcommunityorganizationstoensurethatpatientsreceivecomprehensiveandcontinuouscareRoleofNursesinCommunityHealth02BasicPrinciplesofCommunityNursingAddressingthepatient'senvironmentandlifestylefactorsthatmayimpacttheirhealthInvolvesthepatient'sfamilyandcommunityinthecareplanAdvisersthephysical,mental,emotional,social,andspiritualneedsofthepatientHolisticApproachtoCareRespectthepatient'svalues,preferences,andgoalsEnsuresthatthepatientisactivelyinvolvedindecisionmakingabouttheircareProvidescarethatiscoordinatedandintegratedacrossdifferentsettingsandprovidersPatientCenteredCareFocusesonpreventiveillnessandpromotinghealthandwellbeingIncludehealtheducationandcounselingtoempowerpatientstomanagetheirownhealthProvidescreens,simulations,andotherpreventivemeasurestoidentifyandaddresshealthrisksearlyPreventiveandPromotiveHealthCare03CommonIssuesandHealthIssuesintheCommunityCardiovascularDiseasesTheseincludeconditionssuchashypertension,coronaryheartdisease,andstroke,whichareoftenmanagedthroughacombinationofmedicine,lifestylechanges,andregularmonitoringDiabetesAchronicconditionthataffectshowthebodyprocessesbloodsugar,diabetesrequiresongingmanagementtopreventcomplicationssuchasnervedamage,kidneydisease,andvisionlossRespiratoryDiseasesConditionslikeasthma,chronicobstructivepulmonarydisease(COPD),andemphysemacanhaveasignificantimpactonaperson'sabilitytobreakandengageinphysicalactivityChronicDiseasesInfluenza01Ahighcontrastrespiratoryillnessthatcanleadtomultiplecomplications,specificallyforolderadultsandthosewithchronichealthconditionsGastroentritis02ThisreferstoinflationoftheStomachandintentions,oftencausedbyvirusesorbacteria,andcanresultinsymptomssuchasdiarrhea,vomiting,andabnormalpainSkinEffects03Commonskineffectsinthecommunityincludecellulitis,impetigo,andfungaleffects,whichmayrequiretopicalororalantibioticsfortreatmentInfectiousDiseasesCompressionAcommonmooddisorderthatcancausepersistentfeelingsofsadness,lossofinterest,anddiversityconcentrationAnxietyDisordersThesecanincludegeneralizedanxietydisorder,panicdisorder,andphobias,whichmayinvolveexcessivevocabulary,fear,andavoidanceofcertainsituationsDementiaAdecadeincognitivefunctionthatcanaffectmemory,thinking,andbehavior,DementiaisoftenassociatedwithagingbutcanalsooccurduetoothermedicalconditionsMentalHealthIssuesHealthyEatingEncouragingabalanceddierichinfruits,vegetables,wholegrains,andleanproteinscanhelppreventchronicdiseasesandpromoteoverallhealthRegularExerciseStayingphysicallyactivethroughwalking,strengthtraining,orairborneexercisecanimprovecardiovascularhealth,strengthmuscles,andreducestressSmokingCessationQuittingsmokingreducestheriskofdevelopingawiderangeofchronicandinfectiousdiseases,includinglungcancerandheartdiseasesVacationsStayinguptodatewithrecommendedvacanciescanhelppreventthespreadofinfectiousdiseasesinthecommunity01020304HealthPromotionandDiseasePreventionStrategies04RollingInterventionsintheCommunityPrioritizinghealthissuesanddevelopingcareplansbasedontheseverityandurgencyofthepatient'sconditionConductingcomprehensiveassessmentsofpatients'healthstatus,includingphysical,psychological,andsocialwellbeingIdentifyinghealthproblemsandriskfactorsthroughdiagnosticproceduressuchashealthscreeningandinterviewsAssessmentandDiagnosisDevelopingindividualizedcareplansthataddressthespecificneedsandgoalsofeachpatientCoordinatingandprovidingnursingcare,includingadministrativemedicine,managingpaint,andmonitoringvitalsignsEducatingpatientsandtheirfamiliesonself-caretechnologies,diseaseprevention,andhealthylifestylechoicesPlanningandImplementationofCareRegularlyevaluatingtheeffectivenessofnursinginterventionsandadjustingcareplansasneededMonitoringpatients'progressandprovidingongoingsupportandguidancetoensureoptimalrecoveryConductingfollow-upvisitsandassessmentstoidentifyanyneworrecurringhealthissuesEvaluationandFollowupCollaboratingwithdoctors,socialworkers,andotherhealthprofessionalstoensurecomprehensiveandcoordinatedcareParticipatinginmultidisciplinaryteammeetingstodiscusscomplexcasesanddevelopcomprehensivetreatmentplansCommunicatingpatients'progressandneedstoothermembersofthehealthcareteamCollaborationwithOtherHealthProfessionals05ChallengesandOpportunitiesinCommunityNursingGeographicChallengesProvidingnursingcareinremoteorruralareaswithlimitedaccesstohealthcarefacilitiescanbechallengingCommunitynursesoftenhavetotravellongdistancestoreachpatients,andtheymayfacetransportationissues,specificallyinareaswithpoorinfrastructure0102LimitedResourcesManycommunities,specificallythoseindevelopingcountriesoreconomicallydisadvantagedareas,havelimitedresourcesforhealthcareThiscanincludealakeofmedicalsupplies,equipment,andtrainedhealthcareprofessionals,whichcanimpactthequalityandavailabilityofnursingcareAccesstoHealthCareServicesVSCommunitynursesmayenrollculturaldifferenceswhenprovidingcaretopatientsfromdifferentethicalorculturalbackgroundsUnderstandingandobservingthesedifferencesiscrucialforeffectivecommunicationandpatientcareLanguageBarriersLanguagebarrierscanbeasignificantchallengeforcommunitynumbers,specificallywhenworkingwithpatientswhospeakadifferentlanguageTheuseofinterpretersorbilingualnumberscanhelpovercomethesebarriersandimprovecommunicationCulturalDifferencesCulturalandLinguisticBarriersPovertyandSocialInequalityPovertyandsocialinequalitycanhaveaprofoundimpactonhealthCommunitynursesoftenworkwithpatientswhohavelimitedaccesstoresourcesandmayfacechallengessuchasinadequatehousing,poornutrition,andlimitedaccesstohealthcareservicesHealthDisparitiesHealthdivisionsrefertodifferencesinhealthstatusandoutcomesamongdifferentpopulationgroupsCommunitynursesmayworkwithpatientswhoarelongtogroupsthatexperiencehigherratesofchronicdiseases,mentalhealthissues,andotherhealthproblemsSocioeconomicFactorsAffectingHealthTelehealthandRemoteMonitoringTheuseoftelehealthandremotemonitoringtechnologieshasgreatlyexpandedthereachandcapabilitiesofcommunitynursingThesetechnologiesallownursestoprovidecareandmonitorpatientsremotely,whichcanimproveaccesstocareandreducetheneedforinpersonvisitsElectronicHealthRecordsTheoptionofelectronichealthrecords(EH