According is not the same education that occurs

According to Nies, and McEwen (2015), Community/Public
health focuses on health and wellness. The goal is to prevent disease through prevention.
Primary prevention focuses on the educating and or providing resources to the
community to prevent illness, disease, and premature death by targeting the vulnerable
population with the intent the elimination of risk factors. The focus is community
based, thus the term community nursing (p 7). Hospital based nursing focusing
treatment of acute illnesses with the intent to restore the patient back to baseline,
and or manage symptoms. Although education on disease management occurs during
the discharge planning process of a hospital stay and continues up through
discharge, this is not the same education that occurs with community health nurses,
who may make several trips to a patient’s home to make sure the patient has an
understanding as well as all of the necessary community resources that the
patient needs in order to prevent further illness. According to American Nurses
Association (2013), the second focus of public/community health is secondary
prevention which focus on early detection with quick interventions before the
signs and symptoms appear and targets the population that have risk factors (p
2). In hospital based nurses does teach their patient’s to look out for signs
and symptoms of disease exacerbation and other probable issues that can be
secondary to the original illness (such as teaching of signs and symptoms of
infection after surgery) to contact their primary care physician right away,
but this is not the same as with public health’s secondary prevention. Lastly, public/community
nursing focus of tertiary prevention. This focuses on rehabilitation. This
occurs after the disease process has occurred and the focus is to limit the
disability effect of the disease and to get the patient back to as close to
baseline as possible. It’s important to remember that hospital nurses community
is limited to the patients admitted to the hospital and public/community nurses’
community is based on a geographical location.

I am a home health nurse, and in my practice, my
primary focus is prevention, education and teaching. I educate my patient’s
about disease management, safety, medication management and other needs. The
goal of my interventions are to prevent the patient from being re-admitted to
the hospital, have the patient’s savvy enough to understand their disease processes,
and to be able to recognize any signs and symptoms of exacerbation and to know
when to contact their primary care physician, as well as to provide my patient’s
with the community resources they need so that they will be able to function at
their best level of health. 


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