|Community Matron - |
Community matrons are highly experienced senior nurses who work closely with patients in the community to provide, plan and organise their care. They mainly work with those with a serious long term or complex range of conditions.
As well as providing nursing care, community matrons act as case managers. They are a single point of contact for care, support or advice, typically for a caseload of around 50 very high intensity users.
Community matrons are usually deemed to be working as advanced nurse practitioners. These highly-skilled nurses have a variety of tasks and responsibilites, including:
- carrying out physical examinations
- decide on and carry out treatment, including the prescribing medicines, or refer patients to an appropriate specialist
- using their expert knowledge and clinical judgement to identify the potential diagnosis and where appropriate make a final diagnosis
- use their extensive practice experience to plan and provide skilled and competent care that meets patients' health and social care needs, involving other members of the healthcare team as appropriate
- ensure the provision of continuity of care, including follow-up visits
- assess and evaluate, with patients, the effectiveness of the treatment and care provided and make changes as needed
- work independently, although often as part of a healthcare team
- provide leadership
- make sure that each patient's treatment and care is based on best practice
Community Nurses also known as District nurses-
District nurses play a crucial role in the primary health care team. They visit people in their own homes or in residential care homes, providing increasingly complex care for patients and supporting family members. As well as providing direct patient care, district nurses also have a teaching and support role, working with patients to enable them to care for themselves or with family members teaching them how to give care to their relatives. They are also accountable for their own patient caseloads.
District nurses play a vital role in keeping hospital admissions and readmissions to a minimum and ensuring that patients can return to their own homes as soon as possible.