CHN 1 Flashcards
according to _____CHN a special field of nursing that combines nursing, public health, social assistance
WHO
according to _____ it
oFocuses on health promotion and disease prevention
o Areas: nursing and public health
o Clients: general population
o Time: continuous
o Scope: comprehensive and general
ANA (American nurses association)
Primary goal of CHN
“To enhance health capabilities of the population”
Ultimate Goal of CHN
To raise the level of health
Practice/exercise to obtain primary & ultimate goal of CHN
SELF-RELIANCE (of the people)
Role of nurse
Facilitator: trust the people’s capabilities
Primary Responsibility of nurse
Health Education & Health teaching
Promotive & Preventive
Primary
Curative & Rehabilitative
Secondary
Palliative
Tertiary
increase/promote wellness (healthy lifestyle)
Promotive
Health protection/Preservation
Preventive
early detection, prompt treatment,health maintenance = early sick
curative
health restoration (prevent further injury)
Rehabilitative
End of life care; Hospice care;
Nrsng Responsibility:
-Respect Right
-Maintain the dignity of the dying
Palliative
healthy
primary
at-risk
primary
well
primary
crisis intervention
secondary
acute illness
secondary
asymptomatic
secondary
simple illness
secondary
emergency
secondary
first-aid
secondary
Self-breast examination
secondary
x-ray
secondary
check-up
secondary
operation timbang
secondary
chronic
Tertiary
dying
Tertiary
terminally ill
Tertiary
recovery
Tertiary
complicated illness
Tertiary
Modern concept of health
Optimum level of functioning (OLOF)
Affected by changing ecosystem
OLOF ECOSYSTEM FACTORS?
B-S-P-H2-E
Behavioural
Socioeconomic: education, employment, housing
Political
Hereditary
Healthcare Delivery System: program, services, facilities
Environmental: sanitation and vegetation
lifestyle related (smoking, alcohol) OLOF FACTOR
Behavioral
education, employment, housing: OLOF FACTOR
Socio-economic
Power, system, authority, oppression : OLOF factor
e.g., Crying in the street
Political
Genetic : OLOF Factor
Hereditary
OLOF Factor: program, services, facilities
Healthcare Delivery System
sanitation and vegetation
Environmental
3 P’s of Public Health
Promote Health
Prevent Disease
Prolonged life
According to____
3 P’s of Public Health and Bright right health and longevity (life expectancy)
C.E. Winslow
Life expectancy 50’s
More 50’s= Timely
Less 50’s= Untimely
Swaroop’s Index
What is the formula of swaroop’s index
No. of deaths among 50 y.o. & above /
Total No. of death X 100
Life expectancy of male
66
Life expectancy of female
73
Male and Female Life expectancy combined
- 6 (2002)
72.75 (2022)
Unit of entry/ access
individual
unit of care/service: focus of care
Family
Aggregate of people with common characteristics
Population Group
Overall client/ client as a whole
Community
Immediate members of family
Nuclear
Together with relatives
Extended
Family of more than 4 generations
Beanpole
Living together without sanctitity of marriage
Cohabitating
Recognized by the law
Single parent
Respected; but not recognized by the law
Same sex
uphold the worth and dignity of man
-no discrimination
-biased towards the poor
Margaret Shetland
less people, more land (agriculture)
rural
more people, less land (commercial)
urban
combination of rural & urban
rurban
located in the periphery which ( residential) is accessible within commuting distance
suburban
highly urbanized expanding areas
metropolitan
with more than 10 million population (manila population= 14M)
megapolitan
Requires appropriate technologies
PHC
Indigenous resources: 6A’s
Available
Accessible
Acceptable
Affordable
Appropriate
Adequate
resources: present at all imes
Available
resources: <5km or <30 minutes of travel
accessible
resources: commonly practiced based on tradition, norms, & culture
acceptable
resources: Low cost; cheaper but not free
Affordable
resources: Scientifically based practices (10 medicinal plants)
Appropriate
resources: should be enough (4 M’s)
Adequate
Medicinal Plant: Asthma, Cough Fever
Lagundi
Vitex negundo
Lagundi
Medicinal Plant: Lowers Uric Acid
Ulasimang bato/ Pansit-Pansitan
Pepperoma Pellucida
Ulasimang Bato/ Pansit2xan
Medicinal Plant: washing of wound, Anti-septic, Diarrhea
bayabas
psidjum guavaja
bayabas
Medicinal Plant: pain, rhuematism, arthritis, analgesics
Yerba Buena
Mentha Cordifolia
Yerba Buena
Medicinal Plant: diuretic for edema; lithiasis (stones)
sambong
blumea balsamifera
sambong
Medicinal Plant: antifungal
alkapulko
cassia alata
alkapulko
Medicinal Plant: antihelmentic; parasites;
-uses the seeds only
nyog-nyogan
quisqualis indica
nyog-nyogan
Medicinal Plant: diarrhea
tsaang gubat
ehretia microphylla
tsaang gubat
Medicinal Plant: non-insulin dependent; DM; DM type 2
Ampalaya
momordica charantia
ampalaya
10 medicinal plants
LUBBY SANTA
4m’s: nurse, mayor,doctor, midwife, etc.
manpower
4m’s: budget
money
4m’s: vaccine, needle, cotton
materials
4m’s: organized structure:
health team, city government, LGU etc.
machinery
AKA situational analysis or Problem identification
community diagnosis
comprehensive and problem-oriented
community dx
best way to collect data; Primary source
interview
Family: readiness/ potential to perform capabilities
wellness state
Family: deviation from normal health
e.g., disease, illness, abnormalties, infection, gingivitis, asthma, rabies
health deficit
Family: existing factors (no disease yet)
e.g, contamination, trash, breeding site
health threats
Family: anticipated problems
Foreseeable crisis/ Stress point
Community: deviation from the normal health
health status
community: related to 4 M’s
Health resources problem
community: other existing factors (no disease); non 4m’s related problem
Health related
community: Ability of the community to recognized problems
social concern
Family: ability to recognize the problem
Salience
ASSSESSMENT: DATA GATHERING
- Data Collection
- Data Collation
- Data Presentation
- Data Interpretation
- Data Analysis
- Data Utilization
CCPIAU
Dx: problem identification (Inference)
Data utilization
Criteria (family) : type or category of the problem
nature (x1)
Criteria (family) :probability of success in providing solutions/interventions
modifiability (x2)
Criteria (family) : probability in reducing the effects of a problem to prevent complications
preventive potential (x1)
Criteria (family) : perception/ability to recognize the problem
salience (x1)
level/ referral system:
RHU, HC, BHS ==> COMMUNITY HOSPITAL
PRIMARY
level/ referral system:
District hospital ==> Provincial hospital
(General emergency)
SECONDARY
level/ referral system:
Regional & National Hospital
specialized provincial & district hospital
TERTIARY
DOH retained facilities
TERTIARY
DOH retained facilities is facilitated by?
National government
devolved health facilities?
secondary
devolved facilities are facilitated by?
LGU
Nurses in CHN is
GENERALIST
Social mobilization
networking
linkages
referral
Family assessment: Clinic data?
individual/ family treatment record (I/FTR)
Family assessment: Home data?
initial data base (IDB)
community assessment:
community dx/ situational analysis/ community health analysis
program based case (with protocol)
manage case
non-program based case (without protocol)
refer to MD/DR
***not hospital, it would lead to subordination
Emergency case (life saving actions)
first-aid
Form 102
COLB (certificate of livebirth)
Form 103
COD (certificate of Death)
Signatory of form 102
Birth attendant
FORM 102/ COLB
Signatory of form 103
-Health officer (MD)
-Mayor
-LEU (Embalsamor)
When to report COD/ FORM 103?
report within 30 days
Law regarding birth registration within 30 days
PD 651
New cases only: Acute
Incidence
Old & new: Chronic
Prevalence
New cases: Total population x 100
Incidence rate
-New cases
-suscpetible or at risk or exposed x 100
-Dtermines the magnitude of a problem during an epidemic
ATTACK RATE
Determines the leading cause of death in community
PMR (Proportional mortality rate)
-Determines the killing power of the disease
-% how will you survive
CFR (Cases fatality rate)
Notification of death
E1
Maternal death
E2
Perinatal death
E3
E1
Event report
E2
Weekly reports
E3
monthly reports
3 months
Quarterly
Once
Annually report
building block or foundation FHSIS
Family Treatment Record:
second building blocks; summary of program
Target Client List
-summary of services in the clinic/ community
-Transmitting data
Tally/Reporting Forms:
overall/final summary of the FHSIS
Output Reports:
Lowest level of reporting unit
BHS (Brgy health station)
system of recording and reporting
FIELD HEALTH SERVICES AND SURVEILLANCE SYSTEM (FHSIS)
PIDSAR
Philippines integrated disease surveillance & response
PIDSAR Process
-Disease occurence
-Outbreak potential
-activate sentinel
-hospital based monitoring
-identify & verify disease
-dx/ diagnosis: clinical & Laboratory
-confirmed cases
-reporting: NEW: RA 11332 ;OLD: RA 3573
CATEGORY I CATEGORY II
-immediately -Weekly
-within 24 hours -every Friday
-uncommon cases -CRF (cases report
-Common cases, form)
but contagious
-part of an epidemic
-CIF (case investigation form)
allocating people based on place: Place of origin
De jure
allocating people based on place: CURRENT LOCATION
De facto
Discharge plan begins
assessment
Conduct Rehabilitation
admission
Terminally ill patient (4th stage) is in pain doctor ordered medication stat order, what will u do?
COMFORT
Who will you visit last during home visit?
A.Healthy newborn
B.Pregnant mother w/ edema
C.Tuberculosis
D.Post-stroke
C.Tuberculosis
(Priority: WELL to ILL)
The People should identify the Problems
by the people, with the people, among the people”
EKIS ANG “for the people”
Tricycle drivers and jeepney drivers (TDC TOTJA) Problem:
Air Pollution
Maria with her daughter susan and its child, long with its aunt and uncle is living with them, what type of family stucture is that?
EXTENDED
Common Loe Husband; Common Loe Wife
COHABITATING
Anna is a post-partum mother, she asked the nurse what will she used to wash her vagina
BAYABAS
Tupi & koronadal
Linkages
National Help
Referral
(Nurse;Population)
1: 20,000
Devolution: Municipality & City
MAYOR
Devolution: Province
GOVERNOR
Monkey Pox outbreak
Presidents fault (Respondial Superior)
After Feeding activity in municipality/city where will the nurse go to give feedbacks?
MAYOR
You took the board exam and you passed and topped the board exam (top 8) , who give appointment for your job application in provincial Hospital?
GOVERNOR
While conducting symposium about breastfeeding, no one showed up and the nurse discovered that the mothers are heading towards the Ilog to wash their clothers, as a nurse what will you do?
GO TO ILOG WITH THEM.
GO KARAOKE WITH THEM but avoid chismis and joining tongits.
One resident ask you to be the Ninang/Ninong what will you do?
GO! I’LL JOIN AND BE A NINONG
One resident complains that there is a vampire attack, supported by bite on the neck and arms, they went to you and ask for your help. What will you do?
GATHER THE BEREAVEMENT IN THE COMMUNITY AND LOOK FOR THE VAMPIRE!
As a new nurse, resident compliment you “Ang ganda mo naman, join ka kaya beauty contest”. What will you do?
CREATE BEAUTY PAGEANT AND BE THE JUDGE (Make the people the antagonist/bida)
Community diagnosis AKA
Situational Analysis
We don’t answer QUESTIONNAIRE in the Board exam (Limited answers & Illiterate people) choose
SURVEY.
If there is no offer among family
RETURN. Otherwise, Accept the offer.
Atleast how many times does the nurse conduct home visit?
NO DEFINITE RULES REGARDING FREQUENCY
AVAILABILITY and ACCEPTANCE TO HOME VISIT.
FREQUENCY
An Equipment with basic medications and article
phn bag
Mcaroni Salad was prepared and placed at the top of the table covered.
IT SHOULD BE REFRIGERATED.
Political rally and the food served was spaghetti, little did they know that spaghetti was contaminated and it result to Gastrointeritis among people
POINT SOURCE.
