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Trends in healthcare
- Knowledge explosion
- Complementary therapies
- Content related to cost containment
- -> and shifting demographics with older population with more chronic illnesses
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The future of nursing care
- Family larger role in administering complex treatment under distant medical supervision
- need for skilled nurses for surveillance to identify clients conditions
- Continuous improvement of care, continuous education, -> independent clinical judgment, appropriate referrals, detailed documentation to ensure payment, decreased specialization , cross-trained in a seamless environment, increase in practitioners, competent case managers and health educators, APN's advanced practiced nurses can directly bill with Medicare, most of them can prescribe medications
- Underinsured or uninsured-> increased funding in community health centers, school-based health centers, nurse-managed health clinics
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Educational preparation and APN's
- Wider range of responsibilities
- Increased knowledge and skill because community based care demands a more proficient and autonomous practitioner,
- High demand of nursing teachers,
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Cost containment
- US health care system most expensive in the world 15% of gross national product
- Ranks behind most other industrialized countries in virtually every measure of health
- Health care as a part of a market driven economy, it is not a right
Managed care-> focus on cost containment-> here to stay
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Technologic development
- globalization-> practice across boarders, health care organizations can export expertise, sharing of information, collabortation
- Maintain comprehensive health care databases
- For disease management programs and clinical protocols, access of information around the clock, electronic personal health records
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Knowledge explosion
- Human genome project-> pharmacogenomics (meds for specific genetic profiles)
- Rapid development-> ethical questions arise
- Rise in consumer demands and expectations
- Information overwhelming, difficult to see what is up to date or outdated
Information literate is an ongoing process
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Nursing implications
- Health history from birth to death
- Technology improves efficiency
- Tracking o costs, instant interaction,
- Online orders, self care becomes a social norm,
- Must be informed about alternative therapies
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