chapter 10: cultural awareness, sensitivity, and respect & chapter 12: care management, case management, and home healthcare
medicare must be renewed every
60 days
cultural humility is an
acknowledgement that everyone's views are culturally influences, that our own are not inherently better than those of our clients, and that our clients can teach us
adovacy in case manage is significant to
advance change
case managers role
advocacy and education, clinical care coordination, continuity/transition management, utilization/financial management, performance and outcomes management, psychosocial management, research and practice development
culture is how people
approach the world
cultural competence is an
attitude of openness to, respect for, and curiosity about different cultural values and traditions
what are 3 nursing actions that are important to implement relating to culture
being open to clients ideas and way of life, exhibit respect and patience, being aware of your own culture
cultural competence ideally includes a
broader critical analysis of power relations affecting health disparities
what is an integrated collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet the client's needs
case management
care management
coordination of a plan or process to bring health services together as a common whole in a cost-effective way
case management
development and coordination of care for a selected client and family
post-visit planning involves
devising a plan of care with outcomes and schedule of planned visits
properties of culture
dynamic - not static, shared-not private, learned - not inherited
what is an assumption that others believe and behave as the dominant culture does, or the belief that the dominant culture is superior to others
ethnocentrism
what does care manage define
evaluation of healthcare interventions
post-visit planning is considered with
expert judgement and insurance constraints
for community health nurses, cultural competence necessitates
familiarizing oneself with cultures that are represented in the communities they serve
what is assimilationism regarding cultural safety
forcing people to adopt the dominant culture
culture affects how people view
health, illness, treatment, regaining and maintaining health, death and dying
medicare criteria for eligibility
homebound, plan of care, skilled needs, intermittend care needs, medical necessity
homebound is defined based on
how difficult it is for patient to leave home, MUST be a taxing effort
what is culture
knowledge, values, practices, customs, and beliefs of a group
what do you need to develop for in-home visit when assessing for risk of medication errors
medication profile
plan of care is guided by
outcome and assessment information set (OASIS)
intermittent care needs is skilled care provided
over several hours during the day, several times during the week for a period of time
termination of the initial visit is important for
patient and caregiver to know how to contact agency at any time and emergency plan is understood
skilled needs of the patient that are accomplished by
professional ability of a RN
cultural safety includes
providing culturally appropriate health services to disadvantaged groups while stressing dignity and avoiding institutional racism, assimilationism, and repressive practices
nursing actions to consider with culture
remain respectful, open, and curious when interacting with people from other cultures than their own
the in-hoe visit includes assessing for
risk of medication errors, risk of falls, and risk of abuse and neglect
medical necessity means that a
service given is reasonable based on status of clients
institutional cultural humility calls organizations to have the capacity to:
value diversity, conduct self-assessment, manage the dynamics of difference, acquire and institutionalize cultural knowledge, adapt to diversity and the cultural contexts of the communities they serve
