Lack of social support can be detrimental to the

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much needed medication. Lack of social support can be detrimental to the patient’s mental health and decrease transportation options. Community health nurses or public health nurses “use the Nursing Intervention Wheel to define the scope of public health nursing practice by the type of intervention and the level of practice” (Wisconsin Department of Health Services 2016). The intervention that I chose to discuss is collaboration. According to Nies and McEwen (2015) collaboration “commits two or more persons or organizations to achieve a common goal through enhancing the capacity of one or more of the members to promote and protect health” (p. 15). In home health is a form of community nursing. The nurse in the home completes assessments, educates patients on disease processes, case manages all the care the patient receives. The nurse or case manager places a variety of clinicians in the home to help meet the needs of the patient. The patient can receive physical therapy, occupational therapy, speech therapy, a home health aide, and a medical social worker. All of the disciplines collaborate to ensure that all the social determinants to the patient’s health and healthcare are addressed. The collaboration of
the multi-disciplinary team under the supervision of the CHN can address physical barriers, provide meal options such as meal on wheels for healthy food options, and assist in Medicaid and other community resources for transportation needs and other financial assistance. References: Nies, M., McEwen, M (2015). Community/Public Health Nursing: Promoting the Health of the Population (6 th ed). St Louis, MO: Elsevier Inc. U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion (2018). Healthy People 2020: About Determinants of Health. Retrieved from - Health. Wisconsin Department of Health Service (2016). Public health nursing: the public health intervention wheel. Retrieved from

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