ATI Community Health Nursing
Proctored Focus. Rated A
Care of specific populations: Migrants
Migrant workers health problems include:
- 1. Dental disease
2. TB
3. Chronic conditions
4. Stress, anxiety, & other mental health conditions
5. Leukemia
6. Iron deficiency anemia
7. Stomach, uterine, & cervical cancers
8. Lack of prenatal care
9. Higher infant mortality rates
Primary Prevention for Rural or Migrant Health care: - -educate on measures to reduce exposure to
pesticides
-teach on accident prevention
-prenatal care
-mobilize preventative services (dental, immunizations)
Secondary Prevention measures for Rural/Migrant Health care: - SCREENING! screen for:
-pesticide exposure
-skin cancer
-chronic preventable diseases
-communicable diseases
Tertiary Prevention measures for Rural/Migrant Health care: - -treat for symptoms of pesticide exposure
-mobilize primary care and emergency services
,Client's rights include... - -right to info disclosure
-privacy
-informed consent
-info confidentiality
-participation in treatment decisions
Autonomy - respecting a client's right to choose (i.e. refusing chemo)
Nonmaleficence - doing no harm
Beneficence - maximize benefits and minimize possible harms
Justice situation: - determining eligibility for health care services based on income and fiscal resources
HIPAA rules about information security: - -only staff assigned to the patient may view/read client's
health record (no other nurses or doctors)
-client's have the right to read or obtain a copy of their health record
-nurses may not photocopy any part of med record except for authorized exchange of docs between
facilities & providers
-staff must keep records/names of client in secured place
-electronic records are password protected
-no sharing info to family members w/out code in person, email, or phone call
-talking about a client must be in a private setting so no one can overhear
HIPAA info security protocols include: -
-log off computer before leaving workstation
-never share ID or password
-never leave med records where ppl can see it
, -shred any printed info about client after use
-don't use or view social media in clinical settings
-no posting about clinical stuff
Caring for a client with gonorrhea: - -nationally notifiable disease
-women are frequently asymptomatic
-CDC recommends yearly screening for all sexually active women 25 yrs or older or w/risk factors
-at risk pregnant women must be screened at first prenatal visit
-identify & treat all partners
-admin erythromycin to all infants following delivery
-ceftriaxone IM or azithromycin PO
-it is the responsibility of the provider to report gonorrhea to local health dept
-state notification to CDC is voluntary
-if left untreated in women it can lead to PID which can cause infertility
Referrals: Client barriers include: -
-lack of motivation
-inadequate info about community resources
-inadequate understanding of the need for referral
-accessibility needs
-priorites
-finances
-cultural factors
Referrals: Resource barriers include: -
-attitudes of health care personnel
-costs of services
-physical accessibility of resources
-time limitations
Proctored Focus. Rated A
Care of specific populations: Migrants
Migrant workers health problems include:
- 1. Dental disease
2. TB
3. Chronic conditions
4. Stress, anxiety, & other mental health conditions
5. Leukemia
6. Iron deficiency anemia
7. Stomach, uterine, & cervical cancers
8. Lack of prenatal care
9. Higher infant mortality rates
Primary Prevention for Rural or Migrant Health care: - -educate on measures to reduce exposure to
pesticides
-teach on accident prevention
-prenatal care
-mobilize preventative services (dental, immunizations)
Secondary Prevention measures for Rural/Migrant Health care: - SCREENING! screen for:
-pesticide exposure
-skin cancer
-chronic preventable diseases
-communicable diseases
Tertiary Prevention measures for Rural/Migrant Health care: - -treat for symptoms of pesticide exposure
-mobilize primary care and emergency services
,Client's rights include... - -right to info disclosure
-privacy
-informed consent
-info confidentiality
-participation in treatment decisions
Autonomy - respecting a client's right to choose (i.e. refusing chemo)
Nonmaleficence - doing no harm
Beneficence - maximize benefits and minimize possible harms
Justice situation: - determining eligibility for health care services based on income and fiscal resources
HIPAA rules about information security: - -only staff assigned to the patient may view/read client's
health record (no other nurses or doctors)
-client's have the right to read or obtain a copy of their health record
-nurses may not photocopy any part of med record except for authorized exchange of docs between
facilities & providers
-staff must keep records/names of client in secured place
-electronic records are password protected
-no sharing info to family members w/out code in person, email, or phone call
-talking about a client must be in a private setting so no one can overhear
HIPAA info security protocols include: -
-log off computer before leaving workstation
-never share ID or password
-never leave med records where ppl can see it
, -shred any printed info about client after use
-don't use or view social media in clinical settings
-no posting about clinical stuff
Caring for a client with gonorrhea: - -nationally notifiable disease
-women are frequently asymptomatic
-CDC recommends yearly screening for all sexually active women 25 yrs or older or w/risk factors
-at risk pregnant women must be screened at first prenatal visit
-identify & treat all partners
-admin erythromycin to all infants following delivery
-ceftriaxone IM or azithromycin PO
-it is the responsibility of the provider to report gonorrhea to local health dept
-state notification to CDC is voluntary
-if left untreated in women it can lead to PID which can cause infertility
Referrals: Client barriers include: -
-lack of motivation
-inadequate info about community resources
-inadequate understanding of the need for referral
-accessibility needs
-priorites
-finances
-cultural factors
Referrals: Resource barriers include: -
-attitudes of health care personnel
-costs of services
-physical accessibility of resources
-time limitations
