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Community & District Nursing Association. EXPANDING ROLES. In Community & District Nursing Rowena Smith Chair, CDNA. Community & District Nursing Association.
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Community & District Nursing Association EXPANDING ROLES In Community & District Nursing Rowena Smith Chair, CDNA
Community & District Nursing Association • The Community & District Nursing Association believes that the ward without walls has been operating since the time of Florence Nightingale in the 1950’s.
Community & District Nursing Association • Florence Nightingale wrote nursing notes in 1860, which set out some guidelines… • “Careful observation” and “sensitivity to the patient’s needs” is the bedrock of nursing.
Community & District Nursing Association • There have been extensive changes to our role since Florence Nightingale was nursing, with the expectation of patients increasing and health needs more challenging. • Today nurses are expected to be leaders and pioneers in community nursing.
Community & District Nursing Association • There are approximately 12,000 community nurses in the UK (ref DoH 2007) District Nurse Continence Care Nurse Nurse Specialist Heart Failure Nurse Paediatric Nurse School Nurse Palliative Care Nurse Healthcare Assistant Community Mental Health Nurse Community Matron Prison Nurse Practice Nurse Parkinsons Nurse MS Nurse Tissue Viability Nurse Learning Disability Nurse Health Visitor AND MORE…………….. Respiratory Nurse
Community & District Nursing Association • Continual Assessment • Pain Management • Chronic Disease Management • Budget Holders • Educators • Patient Advocates • 24 Hour Care • Nurse Prescribers • HIV/AIDS • Homeless • Safeguarding adults
Community & District Nursing Association • Teams designed to meet the needs of their community • Sensitivity to diversity of society • Partnership with Social Services and other agencies • Identifying & reporting abuse
Community & District Nursing Association • Nursing at home gives a patients choice. • High-tech equipment is now used. • Community nurses are responsible for this equipment.
Community & District Nursing Association • District & Community Nurses are in an enviable position to influence change and to take a lead in delivering and supervising the delivery of nursing care in the community.