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Primary health care services in the community

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Introduction

Contents Introduction............................................................................ Pg.2 Occupational Therapy............................................................... Pg.3 Physiotherapy..........................................................................Pg.4 Public Health Nurse...................................................................Pg.5 General Practitioner....................................................................Pg.6 Dietician..............................................................................Pg.7 Home Help.............................................................................Pg.8 Day Centre.............................................................................Pg.9 Meals on Wheels.......................................................................Pg.10 Conclusion..............................................................................Pg.10 Reference list...........................................................................Pg.11 Introduction This academic assignment will discuss the various primary health care agencies that are available to Mary who is a 75 year old widowed woman who suffers from diabetes and has just undergone a total hip replacement. She lives in a two-storey house on her own with no downstairs bathroom or bedroom. According to Keleher (2001) Primary Health Care incorporates personal care with health promotion, the prevention of illness and community development. The philosophy of primary health care includes the interconnecting principles of equity, access, empowerment, community self-determination and intersectional collaboration. It encompasses an understanding of the social, economic, cultural and political determinants of health. In order for Mary to live in the community the skills of a multi disciplinary team are required. According to Maginn (1993) teamwork is a group of people with different abilities, talents, experience and backgrounds who come together for a shared purpose or common goal. Before discharge can occur the patient will require a detailed and individualised, documented discharge plan. For the successful and independent discharge of Mary the skills of a vast number of services must be utilised. These include the Occupational Therapist, the physiotherapist, the public health nurse, the general practitioner, the day centre, meals on wheels and also a home help attendant. This academic assignment will attempt to both highlight the services available to Mary and the role which each occupies in ensuring the success of her recovery and her re-integration to the community following her surgery. Occupational Therapy Occupational therapy services are designed to help people who have any form of a disability whether that be physical, social or psychological to try and achieve the maximum degree of independence in order for them to live their daily lives. ...read more.

Middle

For this reason Mary's doctor should attempt to stablise her diabetes to within recommended guidelines. According to Taylor et al (2003) general practitioners are involved in a medical speciality which is concerned with the total health of the individual. It involves the biological, clinical and social sciences and their scope is not limited to a specific age, sex or organ system. The doctor will also take relevant precautions such as the prescribing of antibiotics if Mary acquires any infection which will help fight the infection before it has the opportunity from entering the hip. This is supported by Allgower (1971) (cited by Trohler and Schlich 2006) who stressed that once an infection has been identified a rapid course of treatment can prevent a catastrophe. They can also offer her help in a number of non-medical ways such as giving her any support or advice that she may require about her health post operatively. The general practitioner can help Mary in living successfully in the community by regular health assessments and if required they can refer her to the care of the orthopaedic surgeon if they feel she is not progressing as well as expected. Community Dietician Miller (2008) discussed the dietician's role and how they will assess the nutrional needs and usual eating pattern of the individual and establish a plan of care aimed at attaining and maintaining the person's optimal nutrition. The dietician will educate Mary in the importance and benefits she will experience in her general health if she adapts to eating a balanced healthy diet. Apovian (2006) describes a balanced diet as the intake of appropriate types and adequate amounts of foods and drinks to supply nutrition and energy for the maintenance of body cells, tissues, and organs, and to support normal growth and development. ...read more.

Conclusion

Nursing Adults: The practise of caring, Mosby, United Kingdom Chartered Society of Physiotherapists (2002) What is Physiotherapy?,(online), Available:http://www.thephysiotherapysite.co.uk/physiotherapy/physiotherapists/what-is-physiotherapy (Accessed 9th October 2008). Chitrac, S. (2008) The Importance of Hobbies - Start an interesting hobby in life,(online) Available: http://www.saching.com/Article/The-Importance-of-Hobbies---Start-an-interesting-hobby-in-life/388 (Accessed 11th October 2008) Dealey, C. (2006) The Care of Wounds : A Guide for Nurses (3rd ed), Blackwell Publishing, Oxford Holland, K., Jenkins, J,. Soloman, J. and Whittam, S. (2008) Applying the Roper Logan and Tierney Model in Practise, Churchill Livingstone, United Kingdom Keleher, H. (2001) Why Primary Health Care offers a more Comprehensive Approach to Tackling Health Inequalities than Primary Care. Australian Journal of Primary Health 7 (2): 57-61 Machielse, A. (2006) Social Isolation and the Elderly: Causes and Consequences, Interdisciplinary Social Sciences, Netherlands Maginn, M. (1993) Effective Teamwork: A Practical Guide to Team Membership, McGraw-Hill Professional, New York Meads, G. (2004) Participate, University of Warwick Press, United Kingdom Miller, C. (2008) Nursing for Wellness in Older Adults: Theory and Practise, Lippincott, Williams and Wilkins, Cleveland Nicholson, G. (1985) Effect of Joint Mobilization on Pain and Immobility, Journal of Orthopaedics & Sports Physical Therapy, 24(12), pp.238-246. Nussbaum, J., Pecchioni, L., Robinson, J. and Thompson, T. (2000) Communication and Aging, Lawrence Erlbaum Associates, London Punwar, A. and Peloquin, S. (2000) Occupational Therapy: Principles and Practise (3rd Ed), Lippincott Williams and Wilkins, USA Reed, K. and Sanderson, S. (1999) Concepts of Occupational Therapy (4th ed) Lippincott Williams and Wilkins, USA Rhinehart, E. and Friedman, M. (1999) Infection Control in Homecare, Aspen Publication, Maryland Roper, N., Logan, W. and Tierney, A. (2000) The Roper-Logan-Tierney model of Nursing. Churchill Livingstone, Edinburgh Schlich, T. and Trohler, U. (2006) The Risks of Medical Innovation, Routledge, Great Britain Taylor, B., David, A. and Fields, S. (2003) Family Medicine Principles and Practice, Springer, Atlanta Wiemann, J. and Giles, H. (1988) Interpersonal Communications, Basil Blackwell, Oxford ?? ?? ?? ?? 2 ...read more.

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