Community Review of Healthcare Services

Community Review of Healthcare Services: Community Review

The community experience this term has increased my awareness of the social determinants that affect the population of the Comox valley and Campbell River. While patient’s needs in the hospital are addressed and managed, the ongoing care for the client often extends past the hospital borders into the community and home setting. The change in the client’s environment is based on the need to manage costs. The need to be fiscally responsible is of utmost importance if the health care system is to function for the immediate and long term future. One key piece to maintain fiscal responsibility is to move the client from the hospital to their home. The change in environment has exposed gaps in client care with vulnerable populations. Most of the clients facing health challenges suffered from numerous social determinants, but finances that were imposed on their care were a common between the varying community experiences. This is one of the main reasons for discharge from hospital to community. It is not a one sided view, as both the hospital and client do benefit in the discharge, as clients tend to heal or be more relaxed in their own environment.

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The aspect of my perception and how I am being perceived in order to develop my ability to communicate with others is absolutely crucial help others in the community. I found in my experiences that obtaining information was not as easy as asking a question. I was always cognizant of how I am being perceived so that I could create trust even at the superficial level. The reason for the huge relational component is that without the gained trust providing the proper avenues for care would be difficult. Many clients are referred to the community programs and thus without the nurse relating to the client the care may not be received or the client may defer from treatment. In knowing the client, nurses can setup appropriate discharge support that meets the clients’ needs.

Another aspect of the discharge is the ability to work with other interdisciplines. The transition from institutional to community care may present more complex patients that in the past, and thus nurses must be able to use other sources of knowledge. This was evident in home care nursing. Many of the resources in Campbell River can be utilized when preparing a client for discharge. Often nurses act as a medium between physicians, physiotherapists, social workers and dieticians while providing care for clients. Working with other disciplines allows nurses to understand potential problems and anticipate challenges prior to discharge.

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