TY - CHAP M1 - Book, Section TI - COMPETENCY #12 Demonstrates Leadership in Public Health Nursing With Communities, Systems, Individuals, and Families A1 - Schoon, Patricia M. A1 - Brueshoff, Bonnie A1 - Karsten, Erin A1 - Schaffer, Marjorie A. A2 - Schoon, Patricia M. A2 - Porta, Carolyn M. A2 - Schaffer, Marjorie A. PY - 2019 T2 - Population-Based Public Health Clinical Manual: The Henry Street Model for Nurses, 3e AB - José is with the Elders at Home Program for his public health nursing clinical. He is assigned to Mr. and Mrs. Santos, a couple in their 70s struggling to manage their healthcare needs and stay in their home in an older inner-city neighborhood. Mrs. Santos provides primary assistance for her husband, who has advanced chronic obstructive pulmonary disease (COPD). After a recent hospitalization, Mr. Santos received home care services from a home care nurse, respiratory therapist, occupational therapist, and home health aide. These services were reimbursed by Medicare because Mr. Santos met the criteria of potential for rehabilitation and progress toward independent living. All went well. Then a 60-day health assessment resulted in a determination that Mr. Santos was no longer eligible for home care services. He was referred to the county public health. Elders at Home Program but has been resisting a home visit. José wonders, “I am just a student nurse. What can I do?” He sighs, “Well, it looks like my preceptor has handed me a challenge I can't avoid. Isn't there a chapter we are supposed to read on leadership in public health nursing? SN - PB - Sigma Theta Tau International CY - New York, NY Y2 - 2024/12/11 UR - apn.mhmedical.com/content.aspx?aid=1189290694 ER -