sundhedsklinikken møllestien the health clinic mØllestien manager of the health clinic: nurse...

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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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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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.


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


• 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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• 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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• 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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• 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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• 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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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.


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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• 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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• 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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In case of wound treatment, there is a sink. This has been placed so as to make the treatment most comfortable to the citizen.


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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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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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


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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The team of the Health Clinic:• Responsible nurse• Regular substitute nurse• Occupational therapist

attached• Ad-hoc


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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sundhedsklinikken møllestien the health clinic mØllestien manager of the health clinic: nurse...

Documents

health system

health visitor

health promotion

healthrelated efforts

healthrelated ideas

health pedagogical effort

regular nurse

nurserelated tasks