Principles of Public Health Nursing The client is the population
Primary obligation is greatest good for population as a whole
Working with the population as an equal partner
Primary prevention is the priority
Creates healthy environments (physical, social, and economic) in which populations ma...
Medicare Part A Coverage ✅- Hospitalization (per episode of illness (DRG)- cost for
person goes up the longer they are there)
- Skilled nursing facility (no coverage beyond 100 days)
- home (skilled) health care (100 visits per illness)
- hospice care
- does NOT cover unskilled nursing home care
Medicaid Challenges ✅1. Variability in eligibility, plan structure/coverage, managed
care enrollment
2. Access to providers in many areas
3. Inadequate payments to providers
4. Primary payer of long term care services
, disease prevention ✅the process of reducing risks and alleviating disease to promote,
preserve, and restore health and minimize suffering and distress
prolonging life ✅Increasing our life expectancy and improving quality of life
Assessment (nursing process) ✅diagnose and investigate, inform, educate, and
empower
Planning (nursing process) ✅-establish priorities
-develop outcomes
-set timelines for outcomes
-identify interventions
-integrate evidence-based trends and research
-document plan of care
implementation nursing process ✅- Implement in a safe and timely manner
- Use evidence-based interventions
- Collaborate with colleagues
- Use community resources
- Coordinate care delivery
- Provide health teaching and health promotion
- Document implementation and any modification
Evaluation (nursing process) ✅- Progress toward outcomes
- Conduct systematic, ongoing, criterion-based evaluation
- Include patient and significant others
- Use ongoing assessment to revise diagnoses, outcomes, plan
- Disseminate results to patient and family
medicare ✅A federal program of health insurance for persons 65 years of age and
older
Medicaid eligibility ✅low income families with children, elderly and disabled who
qualify, children under 6 and pregnant women with family incomes below 133% of
FEDERAL poverty level, school age children under 18 in family with incomes below
FEDERAL poverty level; all other people covered varies by state depending on income
(covers 50 million low-income Americans, pays physicians less than 70% of Medicare
fees -> take patients at a loss)
Medicare Part B covers ✅durable medical equipment, physicians, social workers,
psychologists therapists, NP, laboratory tests
Medicare Part D coverage ✅Prescription drug coverage
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