CHAPTER 1 (Part 1) Flashcards
“Synthesis of nursing knowledge and practice and the science and practice of public health, implemented via a systematic use of the nursing process and other process to promote health and prevent illness in population group”.
David B. Clark
Two major fields of nursing in the Philippines
- Community Health Nursing
- Hospital
Community health nurses in RHU or Health centers are called?
Public Health Nurses (PHNs)
Other nurses that are classified as Community Health Nurses
- Occupational Nurses (Company Nurses)
- School Health Nurses
ANA
American Nurses Association
Promotes and preserves the health of populations by integrating the skills and knowledge relevant to both nursing and public health.
Community Health Nursing by ANA
The practice is comprehensive and general, and is not limited to a particular age or diagnostic group.
Community Health Nursing by ANA
It is continual, and it is not limited to episodic care.
Community Health Nursing by ANA
Community health nursing practice includes nursing directed
Individuals and families
The dominant responsibility of CHN is to the
Population as a whole
Ultimate goal of CHN
to raise the level of health of the citizenry
The goal of CHN
to help communities and families to cope with the discontinuities in health and threats
Characteristics or Distinguishing Attributes of Community Health Nursing
- greater control for both the nurse and the client in making decisions related to health care;
- collaboration between nurse and client as equals;
- recognition of the impact of different factors on health;
- Nurses greater awareness of their client’s lives and situations.
The six basic elements of nursing practice incorporated in community health programs and services are:
- Promotion of healthful living
- Prevention of health problems
- Treatment of disorders
- Rehabilitation
- Evaluation
- Research
is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity
Health according to WHO
Health is just and absent of diseases
Medical Standpoint
Health Factors
- Environment
- Cultural Practices
- Heredity (Genes)
- Political
- Socio-Economic
NEDA
National Economic and Development Authority
List of Socio Economic Status
NEDA
Health care delivery system of 1 Doctor
20,000 people within the km range
Health care delivery system of 1 Nurse
10,000 people within the km range
Health care delivery system of 1 Midwife
5,000 people within the range
CHN Aspects of care
- Preventive
- Promotive
- Curative
- Rehabilitative
are physical, mental, and behavioral changes that follow a 24-hour cycle. it is where sleep revolves aorund
Circadian Rythm
Controls cyclic nature of sleep
Mesencephalic portion of the reticular portion
Promotive Health
- Exercise
- Sleep
- Good nutrition
- Avoid Vices
- Proper Hygiene
Preventive Health
Immunization
Secondary Level of Prevention
Early Detection and Diagnosis until yield a good prognosis:
1. Case finding
2. Laboratory exams
3. Monitoring
4. Pap smear
5. Self breast exam
Warning signs of cancer
CAUTIONS
1. Change in the bowel or bladder habit
2. A sore that does not heal
3. Unusual bleeding
4. Thickening or lump in the breast or elsewhere
5. Indigestion of difficulty of swallowing
6. Obvious change in the warts or mole
7. Nagging cough or hoarseness of the voice
8. Unexplained anemia
9. Sudden weightloss
Tertiary Level of Prevention
Rehabilitation
Linkages of Health
- Intrasectoral
- Intersectoral
Working within the same health agency
Intrasectoral
Different agencies
Intersectoral
CHN
For the people
By the people
With the people
Intrinsic role of a nurse
Care provider
Multiple roles of nursing
- Care provider
- Educator
- Advocate
- Manager
- Collaborator
- Leader
- Researcher
Major Settings;
Settings for community health nursing can be grouped into six categories:
- Homes
- Ambulatory care setting
- Schools
- Occupational health settings
- Residential institutions
- The community at large
Clients of the Community Health Nurse:
- Individual
- Family
- Population Group
- Community
Sick or well on a daily basis. These are the people who consult at the health center and receive health services such as prenatal supervision, well-child follow-ups and morbidity services.
Individual
These also include clients with chronic illnesses such as diabetes mellitus and hypertension who go to the health center for blood sugar and blood pressure monitoring.
Individual
are also seen during home follow-ups, school health consultation, workplace visit-conference and other community-based activities such as case finding, screening, health education class, nutrition campaign and promotion of healthy lifestyle.
Individuals as clients
is a very important social institution. It is generally considered as the basic unit of care in community health nursing.
Family
Two major functions of family
Reproduction
Socialization
Is a group of people who share common characteristics, developmental stage or common exposure to particular environmental factors.
Population Group
Population Group are also called:
Aggregate
These includes children, men, women, farmers, factory workers, commercial workers, prisoners, military men and elderly.
Population group
is a group of people sharing common geographic boundaries and/or common values and interests.
Community
