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INTRODUCTION
The period of growth and development extends throughout the life cycle.the scope of community
health is very extensive,and community health services have different aspects. Providing
community health services to every class or group of the community is the chief aim of community
health nursing.community health nurse provided their services at different stages of life that are as
follow:-
The young middle adulthood is a period of challenges,reward and crises. The population in
adult primary care practice includes adolescents and young, middle, and older adults.
1. Obtains and accurately documents a relevant health history for adolescents and adults.
2. perform and accurately documents complete, system, or symptom-specific physical
examinations on adults (including developmental evaluations, physical system
evaluations, and behavioral evaluations.
3. Assesses the impact of family, community, environment, home, economic, work
environments on an individual’s health status.
4. Performs screening evaluations for mental health, substance abuse, and violence.
5. Distinguishes between normal and abnormal change with aging
6. Assesses adolescents and adults throughout the stages of chronic illness.
7. Assesses for common occupational, home, and recreational exposures that affect
health.
8. Assesses the effect of illness and/or injury on the individual:
a. Functional status.
b. Ability to work or return to work/school.
c. Physical and mental status.
d. Social relationships.
9. Assesses the changing impact and reciprocal effects of acute illness and known chronic
health problems in adults.
10. Analyzes the multiple effects of pharmacologic agents, including over-the-counter
(OTC) preparations and folk remedies, in adolescents and adults with multiple health
problems.
11. Assesses the impact of family transitions, such as death, divorce, marriage,
employment and retirement, on the health issues of adolescents and adults
12. Distinguishes ethnic and gender differences in presentation and progression of
common acute and chronic health problems in adolescents and adults
13. Assesses for psychological manifestations of health problems in adolescents and
adults.
Within this the nurse synthesizes theoretical, scientific, and contemporary clinical
knowledge for the assessment and management of both health and illness states. These
competencies incorporate the health promotion, health protection, disease prevention, and
treatment focus of gerontological practice.
These competencies describe the role in assessing all aspects of the patient’s health status,
including for purposes of health promotion, health protection, and disease prevention. The
gerontological nurse practitioner employs evidence-based clinical practice guidelines to
guide screening activities, identifies health promotion needs, and provides anticipatory
guidance and counseling addressing environmental, lifestyle, and developmental issues.
1. Analyzes the relationship between normal physiology and specific system alterations
produced by aging and disease processes.
2. Assesses the developmental status regarding maintenance of self-identity through
later and final stages of life.
3. Assesses the dynamic interaction between acute illness and known chronic health
problems in older adults.
4. Assesses elders and caregivers for abuse and/or neglect.
5. Assesses for addictive behavior.
6. Assesses health/illness by conducting a complete health history in light of
physiologic and psychosocial changes of aging.
7. Performs a comprehensive physical exam considering physiologic changes of aging.
8. Performs a comprehensive functional assessment, including mental status, social
support, and nutrition.
9. Assesses special risks of institutionalized older adults for common patterns of illness
and communicable disease.
10. Assesses sexual function and sexual well-being in older adults.
1. Treats acute and chronic illness and geriatric syndromes frequently manifested in
older adults such as incontinence, falls, constipation, loss of functional abilities,
dehydration, dementia, depression,delirium, and malnutrition.
2. Adapts interventions to meet the complex needs of older adults and frail elders
arising from normal changes of aging, multiple system problems, psychosocial, and
financial issues.
3. Plans therapeutic interventions to restore or maintain optimal level of functioning and
when appropriate plans for palliative care.
4. Prescribes medications with knowledge of pharmacodynamics and pharmacokinetic
processes in older adults with high potential for adverse drug outcomes and
polypharmacy.
5. Works with an interdisciplinary health care team to plan and deliver skilled
gerontological care to older adults.
6. Prescribes and monitors ancillary therapies for older adults in various settings (e.g.
physical therapy and nutritional therapy).
7. Formulates and implements a plan of care related to sexual health and functioning in
older men and women.
8. Applies research that is older adult-centered and contributes to positive change in
the health of or health care delivered to older adults.
1. Facilitates informed and appropriate transition of older adults from one level of care
to another.
2. Assesses the impact of congregate/institutional living upon health/wellness of the
residents and family.
3. Assists older adults and their families dealing with grief and bereavement.
4. Assists older adults, family members, and caregivers in maintaning the older adult’s
sense of autonomy.
1. Assesses the impact of ageism and sexism on health care policies and systems.
2. Advocates for access to quality, cost-effective health care for older adults.
1. Adapts the nurse practitioner-patient relationship to the changing nature of the child’s
cognitive and psycho-social development.
2. Communicates effectively with children of all developmental levels.
3. Communicates effectively with family members, including multigenerational family
members.
1. Maintains current knowledge regarding state and federal programs for child and
family health care.
VI. MONITORING AND ENSURING THE QUALITY OF HEALTH CARE PRACTICE
1. Monitors public issues that impact the delivery of health services for children and
their families
.
VII. CULTURAL
1. Recognizes the influence of cultural variations on child health practices, including
child rearing.
B.Diagnosis of Health Status:- This diagnostic process includes critical thinking, differential
diagnosis, and the integration and interpretation of various forms of data.
1. Provides health promotion and disease prevention services to women across the life
cycle, taking into account age, developmental status, disability, culture, ethnicity,
sexual orientation, spiritual/religious affiliation, and lifestyle and psychosocial issues.
2. Provides prenatal and postnatal care including, but not limited to, maternal/fetal
health, parent/infant relationships, lactation and parenting skills.
3. Collaborates with other health care providers for management or referral of high-risk
pregnancies.
4. Provides anticipatory guidance and counseling to pregnant women and their
significant others.
5. Treats women for selected obstetric and gynecologic problems/needs, including, but
not limited to,pregnancy, common gynecologic conditions, contraception, sexually
transmitted infections, peri- and postmenopause, and other gender specific illnesses.
6. Provides management and education for women and men in need of family planning
and fertility control.
7. Manages the treatment of sexually transmitted infections for patients and their
partners.
8. Formulates and implements a plan of care for women in violent/abusive relationships
and victims of sexual assault, and considers legal reporting guidelines.
9. Treats men with selected reproductive health needs or problems, such as
contraception and sexually transmitted infections.
10. Manages and/or refers for primary care conditions, including, but not limited to,
headaches, hypertension,urinary tract infections, upper respiratory infections, and
common dermatological conditions.
11. Performs primary care procedures, including, but not limited to, pap smears,
microscopy, post-coital tests, intrauterine device (IUD) insertion, and endometrial
biopsies.
12. Prescribes therapies, including medications, considering pregnancy, lactation,
sociocultural background, and financial resources.
13. Applies theories from the social sciences and humanities, as well as natural
sciences and nursing,including feminist and culturally relevant frameworks.
14. Applies research that is women-centered and contributes to positive change in the
health of women or the health care delivered to women.
15. Facilitates access to reproductive health care services and provides referrals that
are provided in an unbiased, timely, and sensitive manner.
The coaching function involves the skills of interpreting and individualizing therapies through
the activities of advocacy, modeling, and tutoring.
1.These describe the women’s health nurse practitioner’s role in ensuring quality of care
through consultation, collaboration, continuing education, certification, and evaluation. The
monitoring function of the role is also addressed relative to monitoring one’s own practice as
well as engaging in interdisciplinary peer and systems review.
1.providing culturally competent care, delivering patient care with respect to cultural and
spiritual beliefs, and making health care resources available to patients from diverse
cultures.
SUMMARY
Today we have discussed about the nursing care of special group like childhood
.adolecsent,woman,geriatric etc.at community level or at large .their special care,need,rights,and
provided services by community health nursing.and about the responsibilities of nurse as community
health nurse.
CONCLUSION
After deep study of my topic that is nursing care of special groups i come on this result that
community health nursing touches each and every aspect of human life whether its is begning of life
or last stairs of life,it gives strength every stage of growth and development of human life and
provide preventive,promotive and curative services.without community health nursing it is
impossible to give a healthy population to the nation.
BIBLIOGRAPHY:-
1.K.K.Gulani,”community health nursing”(principle & practices),first edition 2007,pitam pura New
Delhi,p.no.469-490.
5.WWW.google.com