Part 12
Approaches for Primary Prevention
Population
High Risk
Secondary prevention
In this level of prevention activities are done to stop the progress of disease in primary stage.
Specific intervention are ___
# early diagnosis
# treatment
Early diagnosis and treatment
The earlier a diseases is diagnosed and treated the better is prognosis of the case.
Tertiary prevention
# the actions taken in later phase to reduce disability.
# It is used when disease process has advanced beyond its early stage.
# it is the stage in which all measures are taken to the conditions.
Intervention taken____
a) Rehabilitation
It is is combined and coordinate use of medical, social, educational measures for
Nursing Care Delivery System
A nursing care delivery system organizes the work of caring for patients.
# The decision of using this system is based on the needs of patients and availability of staff
# In planning for general staffing of ward, the head nurse must know the nursing needs of patients for 24 hours. She must balance, number and type of person available.
Methods
Several methods of assignment are used to plan for patient care in hospital.
Some methods are as follows____
Functional nursing
Case method
Team nursing
Case management
Progressive patient
Primary Nursing
Functional nursing
The nursing care is divided into task and each staff member is assigned to perform one or two task for all patients.
A particular job was assigned for the available staff like vital signs, treatment, medication.
The person who has complete responsibility of client is Head Nurse.
Advantages
Disadvantages
2. Case method
It is oldest mode of organizing patients care.
In this method , nurses assume total responsibility of assigned nurses.
Advantages
May client feel secure.
Family become better known by the nurse.
Disadvantages
Nurses may feel overworked.
Nurses may tensed.
3. Team nursing
# Team nursing care was introduced in 1950.
# It is the delivery of individualised nursing care to patient by a team of professional nurses.
4. Case management
# It involves responsibility of planning assisment, implementing and evaluating.
# It can be defined as a process that assess, plan implement and evaluate services to meet individuals health.
# The case manager is assigned responsibility of patients care from hospital and back to home care.
# he/she identify delay and discuss with doctors and patients.
Advantages
It ensures quality care.
In this method we can collaborate with other health professionals.
Disadvantages
Lack of coordination
5. Progressive patients care
It is defined as the organisation of hospital facilitate, services and staff as per medical and nursing needs.
It is a method in which different levels of care is provided.
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