CHN Flashcards
the client/patient in the CHN
no two communities are alike
COMMUNITY
▪complete physical, mental, social well-being and not merely the absence of infirmity (WHO)
▪dynamic – fluctuating either towards death/OLOF
HEALTH
it is concerned to health of the whole population (community)
COMMUNITY HEALTH
assisting an individual sick/well in the performance of those activities contributing to health or its recovery; if not, assisting to a peaceful death
NURSING
STAGES OF FAMILY DEVELOPMENT
▪marital and sexual adjustment
▪functional communication
▪adjustment to the role
▪prenatal education
The Beginning Family
STAGES OF FAMILY DEVELOPMENT
▪starts when the first child is born
▪“mag-anak”
▪changing roles (parenthood)
The Early Child-bearing Family
STAGES OF FAMILY DEVELOPMENT
▪discipline
▪child-rearing (bringing up a child)
▪be cautious for accidents, poisoning, communicable diseases
The Family with Pre-school Children
STAGES OF FAMILY DEVELOPMENT
▪balancing time for work and family
▪return to social interest
▪continuing intimacy
The Family with School-Aged Children
STAGES OF FAMILY DEVELOPMENT
concerns: peer-pressure, sex education, reward vs. reinforcement
The Family with Teenagers
STAGES OF FAMILY DEVELOPMENT
▪releasing children as adults
▪reestablishing marital dyad
▪postpartal interest
▪divorce/separation
▪menopause
The Family as Launching Center
STAGES OF FAMILY DEVELOPMENT
▪rebuilding marriage
▪retirement plans
▪health
▪new career
The Middle-Aged Family
STAGES OF FAMILY DEVELOPMENT
▪maintenance of family relations (bonding)
▪income changes
▪physiologic aspects of aging
▪death of spouse
The Aging Family
a family-nurse contact
HOME VISIT
DEVELOPING A FAMILY CARE PLAN
determination of the failure of the family to perform their family task
Second Level of Assessment
DEVELOPING A FAMILY CARE PLAN
identify existing/potential health conditions of the family
WELLNESS CONDITION
HEALTH THREATS
HEALTH DEFICIT
STRESS POINTS/ FORESEEABLE CRISIS
First Level Assessment
Health Deficit - DDD
D-isease
D-isability
D-evelopmental Delay
Health Threats - HICE
H-azards
I-nadequate/lack of immunization or breastfeeding
C-ross infection
E-nvironmental sanitation is poor
STRESS POINTS/ FORESEEABLE CRISIS - SACCIPDA
S-chool entrance
A-dolesence
C-ourtship/Marriage
C-ircumcision
I-llegitimacy
P-regnancy
D-eath
A-ddiction
WHO ARE THE 5 VULNERABLE POPULATION GROUP AS A CLIENT
1.infants and young children – immunocompromised and unable to communicate
2.school-aged – prone to accidents, communicable diseases and most neglected
3.adolescent – STD/STI and peer pressure
4.mothers – due to pregnancy
5.old people – weak immune system
COMMUNITY AS A CLIENT
Levels of Referral System
▪caters: simple cases
▪carried by LGU specifically MAYOR
▪facilities: BHS, HV, RHU
PRIMARY LEVEL
COMMUNITY AS A CLIENT
Levels of Referral System
▪caters: simple laboratory and common medical and surgical procedure (e.g. appendectomy)
▪carried by LGU specifically GOVERNOR
▪facilities: Provincial Hospital, District Hospital, Emergency Hospital
SECONDARY LEVEL
COMMUNITY AS A CLIENT
Levels of Referral System
▪caters: advanced procedure
▪carried by the DOH
▪facilities: Regional Hospital, Medical Center, National Hospitals, Specialty Hospitals (National Kidney Transplant Institute, Philippine Heart Center
TERTIARY LEVEL
Type of Community Diagnosis
-general information about the community
COMPREHENSIVE COMMUNITY DIAGNOSIS
Type of Community Diagnosis
-it responds to a particular need (no steps)
PROBLEM ORIENTED COMMUNITY DIAGNOSIS
a process by which a CHN collects data about the community and identify factors which may influence the health (research-like)
Community Diagnosis
HSUEH POINTS: anatomic points being stimulated
accupuncture
ASHI POINTS: indicates a painful spot due to illness
accupressure