NSG3PHN Primary Healthcare Nursing


Pick a particular primary health care (PHC), role that interests you (e.g. prison nurse, home based nursing, school nurse, women’s health nurse, men’s health nurse, sexual health nurse, substance use nurse, chronic illness nursing, rural health nursing, OH&S nursing, refugee nurse).

Please make sure that the role chosen is different from what you will do on clinical placement.

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Explain the key attributes and reasons for this role as a PHC-nursing role.2.

Describe the general characteristics, as well as relevant demographic information, of the clientele to whom this nurse is likely.

If the clientele is a general population group identify a geographical area such as a LGA and discuss this using the LGA data.3. Consider the characteristics/demographic data of the nurse’s client group to identify a relevant health issue of concern.

Explain how you identified this concern as relevant to your clientele.

Please explain why the PHC nurse would act to address this concern.4. Identify three resources/initiativescurrently available or in place to support health promotion activity in relation the health issue of concern, which do not focus on the development of personal skills.

These are related to the Ottawa Charter’s promotion strategies.5.

The PHC nurse may propose two solutions to the identified health problem for their client. Only one of these responses could be related to personal skill development.

Explain the rationale for each intervention.

Explain the purpose, objectives, and strategies for each initiative. Justify them.

Answer to Question: NSG3PHN Primary Healthcare Nursing

Rural Nurse1.

This is the specific role for which a PHC nursing nurse has been selected: rural nurse

It is their ability to identify the needs of rural communities that are key characteristics of rural nurses.

Rural nurses must be able understand survival rates, morbidity, as well as how to create the appropriate nursing care in communities with different resources and needs.

You should also be able to identify and comprehend the constraints to care within local social norms.

Rural nurses may need to have the ability to deliver care in remote, sparsely populated locations.

The Victoria rural health nurse noted that they can diagnose, treat and manage minor ailments.

These nurses can provide services alone or with other medical professionals (Cant. Birks Porter Jacob, Cooper, 2011).

PHC nursing roles are also considered rural health nursing because nurses play a vital role in improving health in the communities.

Over time, rural nursing has become more focused on the health of the population and community-based health services.

Rural nurses usually work in partnership and with their communities.

Most often, rural nurses provide health care services to patients who require multiple interventions.

Primary health care and emergency care are the most common interventions.

Rural nurses offer health services, often with the support of medical professionals on-call or part time.

Because rural nurses provide preventive healthcare services, they are also known as PHC nursing roles (Fooladi and 2015).2.

This nursing job is for the general population.

So, the selected local governance area (LGA), includes the city greater dandenong.

There is a high rate of diseases in this LGA, including mental health and infectious disease.

The most common diseases are depression, anxiety, obstetric issues, and tuberculosis.

Despite the large disease burden, only 6 percent of the population is seen in an emergency department and 7 percent are admitted to hospitals (Cheng Russell Bailes, Bailes, and Block, 2011,).

With a ratio between 4:3, the clientele includes more men than women.

The community has low levels of English proficiency, secondary education achievement, and is largely uninformed.

This community is more likely to have higher unemployment than the rest of its population and has lower incomes.

The statistics indicate that the clientele is at high risk of being unemployed, having low incomes, or not being well-literate in terms of their health.

59% speak a language that is not English.

14% of people lack fluency in English.

The median weekly income in the city of Greater Dandenong is $34.3

The unemployment rate for Greater Dandenong residents is 9.4%. This is lower than that of metropolitan Melbourne and Casey.

In metropolitan Melbourne, the unemployment rate is 5.3% (Cheng Russell Bailes & Block 2011).

In Greater Dandenong, there are many people who were born overseas.

The access to health care may be affected depending on the beliefs and culture of the people who were born abroad.3.

The prevalence of infectious diseases is the key health issue in Greater Dandenong.

Because of several factors, infectious diseases have been identified as a serious health problem.

There are many refugees in this LGA who have come from different parts of the world, such as Africa, Afghanistan and Asia.

It is obvious that Australia has a high number of refugees who have been infected by infectious diseases.

Tuberculosis was the most common infection in this LGA.

Other infectious diseases include tuberculosis (Murray and Davis, 2009), malaria, schistosomiasis as well as sexually transmitted infections like helminth infections and blood-borne viruses.

The low level of health literacy within the population may be another risk factor for spreading infectious diseases (Yelland and al., 2015).

The PHC nurse would initiate actions to address the concern as it is a matter of community health.

Because infectious diseases negatively impact the community, rural nurses will help.

There will be high rates of death if the infectious disease problem in Greater Dandenong isn’t addressed.

Infectious diseases are now a major health concern (Dye, 2015).4.

A number of practical strategies have been created to aid the Greater Dandenong area in weight control.

The Community Health Service was the first intervention.

This service will address the issue of regional disease burden.

It also targets the poorest communities in remote regions to lower inequalities (Carey Wakerman Humphreys Buykx and Lindeman, 2013,).

To address the health and well-being of refugees in the area south east, particularly the Greater Dandenong, the Victorian government launched the Refugee Health & Wellbeing Action Plan 2008-2010.

The initiative of the government in Victoria aims at addressing several health problems, including chronic illnesses.

There is also a Refugee Healthcare Nurse program (Riggs and al. 2012).

The Ottawa Charter outlines the importance of creating a supportive environment for healthy public policy.

Based on the definition of health policy, health promotion encompasses many aspects including legislation, taxation and organizational changes (Kumar, Preetha 2012).

Both the Refugee Health Nursing Program and Refugee Wellbeing Action Plan 2008-2010 demonstrate how health policies can be used to promote health.

The Community Health Service also focuses on creating a supportive environment. (Munster, 2008).

According to the Ottawa Charter principle, the community can be seen as a complex institution that includes both social and environment factors.

Ottawa Charter also mentions the need to strengthen community actions.

By encouraging community providers to care about people with infectious disease in their communities, community action can be strengthened.

These initiatives demonstrate the characteristics of moving into the future, reorienting health service based on the Ottawa Charter.

The initiatives will reorient the Australian healthcare system to meet the needs of the diverse culture.5.

The PHC nurse could offer two options: personal development and improving community outreach.

Development of personal skills: PHC nurses can educate clients on how to prevent infections by developing personal skills.

The nurses could be focused on information on infectious diseases, ways to prevent them spreading and what they are.

Simple actions such as hand washing are able to help reduce the spread and severity of infectious diseases (Mathur (2011).

Goals and Objectives: The development of personal skills initiative will aim to enhance the clientele’s understanding of how to control and prevent infectious disease.

A second goal is to encourage clients to embrace their current condition, and to take action to make it better.

Strategies: These strategies include the creation of a website and mobile app as well as a helpline.

These options offer information about the disease and self-management.

According to Barber & Stark (2015), online resources are more effective at providing education about infectious disease (Barber & Stark).

Enhancing community outreach: This can include reaching the community to advocate for the use and expansion of existing health services.

Outreach programs in the community will be available to clients suffering from infections.

CBIs are effective in addressing HIV (Salam Haroon Ahmed Das & Bhutta),

Objectives and goals: The response will prevent and reduce the incidence of adverse health conditions related to infectious disease.

The nurse will be able to assess the severity of any health complications that may result from infectious diseases.

Strategies: PHC nurses, in collaboration avec metropolitan Melbourne and Casey, will establish Greater Dandenong care centres.

Nurses will also promote self-monitoring and treatment for infectious diseases.

The clientele may use mobile technologies such as Pocket Medicine Infectious Diseases.

Refer toBarber, N., & Stark, L. (2015).

Online resources for understanding epidemics and infectious diseases.

CBE Life Sciences Education, 14 (1). fe1.Cant, R., Birks, M., Porter, J., Jacob, E., & Cooper, S. (2011).

Development of advanced rural nursing practices: A whole new range of responsibility.

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What primary care services should rural and remote residents have access to?

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Influence of community-based intervention on HIV knowledge, attitudes, transmission.

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