Discuss How Community Nursing Can Enhance the Care Given to Service Users and Their Carers
In the United Kingdom community care has developed as an extensive political aim for 35 years. It wasn’t until the late 1980’s the change of direction was predisposed by the audit commission in 1986 and then the Griffiths report in 1988. The NHS and community care act was formed within the UK in 1990 (DOH 1990). This enabled local health and social services to take charge over their own budgets, therefore assisting them in becoming the consumer and supplier of care. (Ryan, A. A. et al).
This essay will discuss how community nursing can enhance the care given to service users and their carers '. It will discuss key terms such as the community nurse, the population group and how community nursing will enhance their care. Statistics will be used to support the findings. The essay will look into the shift to community care from the hospital and the role of the district nurse within this. This will be supported with political decisions and policies. This essay will discuss the role of the community nurse in providing health promotion for the service users and carers. A description of a carer, their role within the community care services and how a nurse/patient therapeutic relationship can develop and benefit the service user. This essay will also focus on the district nurse as part of the community nursing team.
Northern Ireland is an ageing society. Since the early 1930’s those aged over 65 has more than doubled, therefore making a fifth of the population over 60. People over 80 are set to increase by almost half and those over 90 will double by 2025. Older people continue to have a greater need for social care services. As a result most of the social care resources are directed at their needs (DoH, 2001).
“Old age and older people” are terms that are used every day and define a particular period in an individual’s lifetime. A definition of old age requires more than a physical outlook; even though “old” can be described as certain physical changes in life.
This essay will discuss how community nursing can enhance the care given to service users and their carers '. It will discuss key terms such as the community nurse, the population group and how community nursing will enhance their care. Statistics will be used to support the findings. The essay will look into the shift to community care from the hospital and the role of the district nurse within this. This will be supported with political decisions and policies. This essay will discuss the role of the community nurse in providing health promotion for the service users and carers. A description of a carer, their role within the community care services and how a nurse/patient therapeutic relationship can develop and benefit the service user. This essay will also focus on the district nurse as part of the community nursing team.
Northern Ireland is an ageing society. Since the early 1930’s those aged over 65 has more than doubled, therefore making a fifth of the population over 60. People over 80 are set to increase by almost half and those over 90 will double by 2025. Older people continue to have a greater need for social care services. As a result most of the social care resources are directed at their needs (DoH, 2001).
“Old age and older people” are terms that are used every day and define a particular period in an individual’s lifetime. A definition of old age requires more than a physical outlook; even though “old” can be described as certain physical changes in life.
References: Audit Commission (1986) Making a Reality of Community Care, London: HMSO. Audit Commission (1999) First Assessment: a Review of district Nursing Services in England and Wales. London: Audit Commission. Bliss, J. (2005) 'Working in partnership with adult informal carers: policy and practice ', British Journal of Community Nursing, 10(5), pp. 233-235. Bliss, J. (2006) 'What do Informal Carers need from District Nursing Services? ', British Journal of Community Nursing, 11(6), pp. 251-256. Chilton, S., Bain H., Clarridge A. and Melling K. (2012) A Textbook of Community Nursing, 1st edn., London: Hodder Arnold. Department of Health (DoH) (1990) National Health Service and Community Care Act 1990, London UK: TSO. Department of Health (2001) National Service Framework for Older People, London: Department of Health. Department of Health (DoH) (2008) NHS Next Stage Review: Our Vision for Primary and Community Care, London UK: DoH. Department of Health (DoH) (2006) Our Health, Our Care, Our Say: A new direction for community services, London UK: TSO. Department of Health (DoH) (2004a) The NHS Improvement Plan: Putting people at the heart of public services, London: Department of Health. Department of Health (2000) The NHS Plan: a plan for investment, a plan for reform, London: Department of Health. Henwood, M. (1998) Ignorant and Invisible? Carers ' Experience of the NHS, London UK: Carers National Association. Martin, J. (2007) 'Caring for Carers ', Practice Nursing, 18(3), pp. 109. McCormack, B. and McCance, T. (2006) 'Development of a framework for person-centred nursing ', Journal of Advanced Nursing, 55(5), pp. 472-479. McGregor, W. (2008) 'Impact of the 2004 GMS contract on practice nurses: a qualitative study ', British Journal of General Practice, 55(558), pp. 711-719. NI Direct Government Services (2010) The Carers and Direct Payment Act NI 2002, Available at: http://www.nidirect.gov.uk/the-carers-and-direct-payments-act (Accessed: 1st September 2012). Nursing and Midwifery Council (2009) Guidance for the Care of Older People, London UK: NMC Peplau, H.E Pickering, S. and Thompson, J.S. (1998) Promoting Positive Practice in Nursing Older People. Perspectives on Quality of Life., 1st edn., London: Baillière Tindall. Public Health Agency (2012) Public Health: Improving your Health and Wellbeing. Available at: http://www.publichealth.hscni.net/about-us (Accessed: 13th September 2012). Rawlinson, M., Baker, D. and Fergus, M. (2012) 'Public Health and the Promotion of Wellbeing ', in Chilton, S., Bain, H., Clarridge, A. and Melling, Karen. (ed.) A Textbook of Community Nursing. London UK: Hodder Arnold, pp. 20-35. The Royal Collage of Nursing (2011) District Nursing-Changing and Challenging: A Framework for the 21st Century, London: The Royal Collage of Nursing. Royal Collage of Nursing (2010) Pillars in the Community: the RCN 'S UK Position on the Development of the Registered Nursing Workforce in the Community, London: Royal Collage of Nursing. Ryan, A. A., McCann, S. and McKenna, H. (2009) 'Impact of community care in enabling older people with complex needs to remain at home ', International Journal of Older People Nursing, 4(1), pp. 22-32. Scriven, A Sines, D., Saunder, M. and Forbes-Burford, J. (2009) Community Health Care Nursing, 4th edn., West Sussex: Blackwell Publishing Ltd.. World Health Organisation (WHO) (1974) Expert Committee on Community Health Nursing, Geneva: World Health Organisation. World Health Organisation (WHO) (1984) Health Promotion: A Discussion on the Concepts and Principles. Copenhagen: World Health Organisation.