Sundhedsklinikken Møllestien THE HEALTH CLINIC MØLLESTIEN Manager of the Health Clinic: Nurse...
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Transcript of Sundhedsklinikken Møllestien THE HEALTH CLINIC MØLLESTIEN Manager of the Health Clinic: Nurse...
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Sundhedsklinikken Møllestien Sundhedsklinikken Møllestien
THE HEALTH CLINIC
MØLLESTIEN Manager of the Health Clinic: Nurse Inger Pedersen
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Sundhedsklinikken Møllestien
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Sundhedsklinikken Møllestien
Purpose (the Municipality of Aarhus):
• To promote the health of the citizen
• To simplify the citizen’s meeting with the health system
• To strengthen the cooperation between private practices, hospitals and the local community
• To promote the health and competence development of the staff
Objective (the Municipality of Aarhus):
• To be able to master one’s own life
• To gain confidence in one’s own resources
• To get a network• To become less dependent of the
public authorities• To feel that he/she has freedom
of action
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Sundhedsklinikken Møllestien
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Sundhedsklinikken Møllestien
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There is a take-a-ticket queue management system where the citizen must take a ticket.
If there is a queue, he/she can visit the café while waiting.
In the café, the citizen will be able to see which ticket will be next for visiting the nurse.
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Sundhedsklinikken Møllestien
The nurse’s field of responsibility:
The nurse is responsible for complying with legislation, instructions, guidelines, objectives and frameworks within the field of nursing.
• The nurse-related tasks as regards the citizen.
• To carry out treatments prescribed by the doctor in cooperation with the general practitioner, a specialist or the hospital ward.
• To ensure quality assurance and development of nursing/health efforts in cooperation
with the citizen and relevant staff.6
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Sundhedsklinikken Møllestien
• To draw up and document aims and agreements as regards the nursing and health-related efforts and ensure that these are evaluated on an ongoing basis in relation to quality standards and overall objectives.
• To ensure that the proper care is identified and message is passed on to the relevant people or authorities if changes occur with regard to the citizen’s condition.
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Sundhedsklinikken Møllestien
• To coordinate the interdisciplinary health efforts in relation to the citizen’s needs.
• To work in a health promoting and disease preventive with regard to the citizens.
• Capacity to inform and teach citizens about health and illness.
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Sundhedsklinikken Møllestien
• To carry through lifestyle and motivational interviewing to support the citizen’s options and basis for making decisions and become responsible for his/her own life via a health pedagogical effort and the ”You decide”-method.
The nurse’s field of responsibility: The nurse is responsible for complying with legislation, instructions, guidelines, objectives and frameworks within the field of nursing.
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Sundhedsklinikken Møllestien
• To carry through preventive interviewing focusing on motivating and supporting the citizen to make a behavioural change.
• To contribute to promoting health-related ideas in the mind of the staff via information and teaching. The teaching can be directed towards the staff’s efforts as regards the citizens and/or directed towards the staff.
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Sundhedsklinikken Møllestien
• To initiate, support and/or contribute to health promoting and preventive initiatives such as projects, seminars, campaigns and the like.
• To contribute to ensuring coherence in the health promoting and preventive efforts carried out at the inner city’s residential homes and other efforts made by the Municipality of Aarhus.
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Sundhedsklinikken Møllestien Inger Pedersen’s visions before the start-up of
the health clinic
• To create a health clinic that citizens like to visit
• To make the health clinic a success
• To create a health clinic which has a health promoting approach
• To create a health clinic in a nurse-related, developing capacity
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Sundhedsklinikken Møllestien • To create a health clinic which has an interdisciplinary approach
• To create a health clinic which can be informative on health and illnesses
• To create a health clinic which is actively involved in health promoting and preventive projects/themes
• To create a health clinic which can contribute to health promotion
among staff
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Sundhedsklinikken Møllestien
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The furnishing of the health clinic
There is a comfortable chair for the citizen to sit in if any nurse-related tasks must be carried out.
There is a small table where citizen and nurse can sit and talk.
There are always candles and flowers in the room to create a nice atmosphere along with colourful pictures on the walls.
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Sundhedsklinikken Møllestien
Minimum requests made by the Municipality of Aarhus:
• The clinic must be open to citizens and next-of-kins, and it should be possible to walk right in from the street
• Staff should be allowed to enquire
• General practitioners and hospitals should be able to refer patients to the health visitor
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Sundhedsklinikken Møllestien
• Out of respect for the tasks one nurse should be the continuous figure at the health clinic
• Out of consideration for the citizen, he/she should meet the same nurse each time, i.e. there should be one regular nurse with one regular substitute nurse
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Sundhedsklinikken Møllestien
• A therapist is attached to the health clinic for sparring
• The nurse answers phone calls from citizens at least one hour per day every weekday
• Staff with specialist knowledge must be attached to the health clinic on ad-hoc basis
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Sundhedsklinikken Møllestien
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In case of wound treatment, there is a sink. This has been placed so as to make the treatment most comfortable to the citizen.
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Sundhedsklinikken Møllestien
Everyday life in the health clinic:8 am – 9 am The nurse answers phone calls9 am – noon Open without appointment1 pm – 3 pm Open with appointment
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Sundhedsklinikken Møllestien
Types of visits to the clinic:• Wound treatment• Drug-related treatment
– Dosage– Antabuse treatment– Injections
• Measurings– Blood pressure– Blood sugar– Weight/fat
• Eye problems
• Hearing problems• Urination problems
– Catheter– Specimens of urine– Diapers
• Health interviewing/guidance– Health– Psycological support
• ”Emergency section”• ”Gate keeper”
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Sundhedsklinikken Møllestien
Number of visits:
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The Health ClinicMøllestien
37 nurse hours After 5½ months258 visits/4 weeks
= 13 visits/day
The Health ClinicMarselis
67 nurse hours After approx. 1 year ca. 200 visits/month
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Sundhedsklinikken Møllestien
Study January 2008:
The Municipality of Aarhus
• The health clinics serve 17% of the citizens who receive visits from the health visitor.
The Health Clinic Møllestien• The health clinic serves 20% of the citizens
who receive visits from the health visitor.
• Week 5 • Citizens who receive visits in the local district 343• Citizens who visit the health clinic 67
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Sundhedsklinikken Møllestien
The team of the Health Clinic:• Responsible nurse• Regular substitute nurse• Occupational therapist
attached• Ad-hoc
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Sundhedsklinikken Møllestien
Challenges concerning the Health Clinic:
• Decoration• Finances• PR• Documentation• Hygiene• Cooperation between the health visitors + interdisciplinary
cooperation• Visibility towards citizens and colleagues• Reception of colleagues in the clinic
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