nursing community 7
elmau815
ommunityCHNChapter28.pptxChapter 28 Chronic Illness and Disability
Chronic Illness in the United States
Epidemic
70% of all deaths
Cost: $1 trillion annually
Three-quarters of all healthcare expenditures
Prevention Measures
Caregivers for individuals with chronic conditions.
Chronic conditions affect both individuals and the larger society.
U.S. healthcare costs are greatly affected by chronic illness.
Vulnerable Populations
Disability
Disability versus chronic illness
Experiences of chronic illness
Paradox and loss
Suffering
Depression
Power and powerlessness
The Chronic Care Model
Community
Health system
Self-management system
Delivery system design
Decision support
Clinical information systems
Roles for Community Health Nurses
Change agent
Advocate
Professional caregiver
Role Models
Smoking cessation
Weight control
Physical fitness
Interdisciplinary roles and responsibilities
Financing Costs of Chronic Illness
By 2020, nearly 157 million Americans are expected to have a chronic condition.
Direct medical costs are expected to exceed more than $10 trillion.
80% of total U.S healthcare spending
Uninsured and underinsured Americans
Sensitivity in Community-Based Caring
Ethnic sensitive
Culturally sensitive
Gender-specific considerations
Self-determination: patient as partner
Issues Community Health Nurses Encounter
Supporting community-based caregivers
The advanced practice nurse with a community health focus
Palliative and hospice care
Institutionalization
Health promotion in chronic illness and disability
The Future Role of Community Health in Chronic Illness and Disability
Surveillance
Environmental modifications
Regulation
Clinical care and monitoring
Outbreak detection
Case management
Immunizations
Health education
