HOW WE SERVE

Care Transitions Community Health

Our nurses collaborate with a primary care provider or hospital to decrease the number of preventable hospitalizations and emergency room visits for the low income chronic disease adults. Nurses make home visits with clients and provide screenings, educational material and answer questions.

Chronic Care Management

Our Chronic Care Management program is in partnership with several St. Louis healthcare providers. Faith Community Nurses administer non face-to-face service to Medicare recipients with two or more chronic conditions. Through this program, patients get the best care possible from everyone that is involved – physicians to clinical staff.

Congregational Faith Community Nurse

Nurses collaborate with the congregational or house of worship community in taking steps towards healthy lifestyles. Nurses conduct health screenings, health education classes, group classes and support and make referrals to health agencies near the place of worship.

Community Outreach

Health disparities in the St. Louis area are real and have an impact on regions individual and community health. The faith community nurse provides health screenings, education and social service referrals. Nurses serve in areas with great need in food pantries, at community health fairs and group classes.

Senior Health Community Care

Nurses work towards increasing older adults’ knowledge in disease management and leading a healthy lifestyle, properly administering their medications, and keeping them safely and independently in their homes as long as possible.

Read more about programs that DFCNM can provide:

Community Outreach Program

At community faith-based sites such as food pantries, community centers, and daycare facilities, Faith Community Nurses provide low-income adults with whole-person care that addresses physical, mental, and spiritual needs.
The Community Outreach Nurse Program places registered nurses at community-based sites across the Greater St. Louis region. Our nurses focus on preventing illness and promoting wellness by building trusted relationships within these familiar community settings.

Our nurses provide:

    ▪ Health screenings and assessments
    ▪ Social service referrals
    ▪ Health education and disease prevention
    ▪ Chronic disease management
    ▪ Medication management
    ▪ Fall prevention and safety training

Through this work, our nurses help individuals improve health outcomes, manage chronic conditions, and maintain independence in their communities.

If you are interested in any of our programs, we encourage you to contact us to learn more.