Assessing Community Health Needs Flashcards
the community health nurse regard the __ as their primary client
community
give the two important reasons why community is seen as the primary client
- the community has a direct influence on the health of the individuals, families, and sub-populations
- it is at this level that most health service provision occurs
community health nurses need to know the ___ of a community because these __ the stage for understanding the different aspects that directly or indirectly influence the health status of the community
defining characteristics, “set”
caring for the community as a client starts with determining its __
health status
the nurse collects data - proceeds to analyze and seek explanations - the diagnoses are then derived - basis for implementing community health nursing interventions
community diagnosis / community assessment / situational analysis
is a product of the various interacting elements such as population, physical and topographical characteristics, socio-economic and cultural factors, health and basic social services, and the power structure within the community.
health status of the community
aims to obtain general information about the community
comprehensive community diagnosis
what are the elements of a comprehensive community diagnosis (DSHHP)
- demographic variables
- socio-economic and cultural variables
- health and illness patterns
- health resources
- political/leadership patterns
The analysis of the community’s demographic characteristics should show the size, composition, and geographical distribution of the population
demographic variables
what are the indicators of demographic variables (TASPP)
- Total population and geographical distribution (including population density)
- Age and sex composition
- Selected vital indicators (CBR, CDR, Life Expectancy)
- Patterns of migration
- Population projections
what are the essential information (indicators) under socio-economic and cultural variables (SEEC)
- Social
- Economic
- Environmental
- Cultural
socio-economic and cultural variables
social indicators: CTEH
- communication network
- transportation system
- educational level
- housing conditions
socio-economic and cultural variables
economic indicators: PUPTO
- poverty level income
- unemployment and underemployment rates
- proportion of salaried and wage earners to total economically active population
- types of industry present in the community
- occupation common in the community
socio-economic and cultural variables
environmental indicators: PWWA
- physical/geographical/topographical characteristics of the community
- water supply
- waste disposal
- air, water, and land pollution
socio-economic and cultural variables
cultural factors:
- variables that may break up the people into groups within the community (ethnicity, social class. language, religion)
- cultural beliefs and practices that affect health
- concepts about health and illness
the nurse may collect primary data about the leading causes of illness and deaths and their respective rates of occurence
health and illness patterns
what are the health and illness patterns: MMIMH
- Leading causes of mortality
- Leading causes of morbidity
- Leading Causes of infant mortality
- Leading causes of maternal mortality
- Leading causes of hospital admission
that are available in the community is an important element of the community diagnosis mainly because they are the essential ingredients in the delivery of basic health services
health resources
health resources
the nurse needs to determine m, i, m__.
- manpower resources
- institutional resources
- material resources
is a vital element in achieving the goal of high-level wellness among the people
political/leadership patterns
It reflects the action potential of the state and its people to address the health needs and problems of the community.
political/leadership patterns
It also mirrors the sensitivity of the government to the people’s struggle for better lives.
political/leadership patterns
political/leadership patterns
the nurse describes the following: PACP
- Power structures in the community (formal and informal)
- Attitudes of people toward authority
- Conditions/events/issue that causes social conflict/upheaval or that lead to social bonding/unification
- Practices/Approaches that are effective in settling issues and concerns within the community
