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
DEPARTMENT OF HEALTH VISION
Filipinos are considered as healthiest in Southeast Asia by 2022, healthiest in Asia by the year 2040
DEPARTMENT OF HEALTH MISSION
PPRE
Productive
People-Centered
Resilient
Equitable Health Care System
EO 102 – 3 MAIN FUNCTIONS OF DOH
Nurse LEA
▪Leadership in Health – creates policy regarding health
▪Enabler and Capacity Builder – strategies and training
▪Administrative Function – manages tertiary hospitals
its purpose is to watch how the money allocated for health is being spent
HEALTH SECTOR REFORM AGENDA
Core Values of HEALTH SECTOR REFORM AGENDA
PRICE
▪Professionalism
▪Responsiveness
▪Integrity
▪Compassion
▪Excellence
Health sector reform agenda made by Former Pres. Gloria Macapagal Arroyo
FOURmula 1 For Health:
Health sector reform agenda made by Former Pres. Benigno Aquino III
Aquino Health Agenda (AHA)
theme: Universal Healthcare/ Pangkalahatang Kalusugan
Health sector reform agenda made by Former Pres. Rodrigo Duterte
FOURmula 1 plus For Health
– theme: Boosting Universal Healthcare
FRS GG PA
1.Health Financing
2.Health Regulation
3.Health Service Delivery
4.Good Governance
5.Performance Accountability
-system of PhilHealth to know the coverage of the bill
-computes the total bill (regular)
-e.g. Dengue Fever – P10,000; Severe Dengue – P16,000; Pneumonia – P32,000
Case Rate Method
law that suggests all Filipinos are automatically enrolled in PhilHealth
RA 11223 – UNIVERSAL HEALTH CARE LAW
type of Philhealth member
-employees with formal employment,
-kasambahay,
-self-earning individuals or professionals,
-practitioners
-OFW (5%)
-Filipinos with dual citizen
-all Filipinos aged 21 and above with capacity to pay
Direct Contributor
type of Philhealth member
-indigents identified by DSWD
-4ps beneficiaries
-senior citizens
-PWDs
-SKs
-previously appointed point person/point of service
-Filipinos aged 21 and above without capacity to pay
Indirect Contributor
Health Regulation
▪characteristics:
-
affordable and quality
-
vaccines have bidding
Health Service Delivery characteristics
accessible and available
What is Nurse Deployment Program (NDP)?
newly grad nurses are deployed in farflung communities
PRIMARY HEALTH CARE by WHO is signed by __ on ___
signed by: FPres. Ferdinand Marcos Sr.
October 19, 1979
Good Governance
characteristics:
-
Transparent
-
Accountable
-
Efficient
legal basis of primary health care
LEGAL BASIS: LOI 949
Primary Health Care vision:
to achieve health in the hands of the people
Primary Health Care Mission:
increase opportunity where people will manage their own healthcare
FOUR PILLARS OF HEALTHCARE (AIUS)
1.Active Community Participation – involvement of the community people
2.Inter/intra-sectoral Linkages – collaboration outside healthcare
3.Use of Appropriate Technology – utilization of locally available resources
4.Support Mechanism Made Available
two core principles of primary health care
1.partnership with the people, active participation
2.empowerment (transfer KSA; Knowledge, Skills, Attitude)
CHARACTERISTICS OF PHC (CASASA)
▪Community-based
▪Accessible (within 3-5 km radius)
▪Sustainable (e.g. Halamang Gamot)
▪Affordable
▪Self-reliance (independent)
▪Available
4 main elements of reproductive health (FAMS)
Family planning
Adolescent
Maternal and Child
STD/STI
other elements of reproductive health
SIMVAR
1.Sexuality – respectful, no discrimination
2. Infertility – check male first (infertile if 1 year trying no condoms but no baby)
3. Men’s Reproductive Health – impotence, pre-mature ejaculation
4. Violence Against Women and Children (RA 9262) – physical abuse, psychological abuse, sexual abuse, economic abuse (hindi binibigyan ng pera ng husband)
5. Abortion and its Complications
6. Reproductive Tract Cancer – cervical cancer, breast cancer, prostate cancer
when should be the secondpost partum visit?
2nd pp visit – after 1 week
when should be the first post partum visit?
after 24 hours/ 24 hours after discharge
STORAGE OF VACCINE (time frame)
▪6 months – regional level
▪3 months – provincial level/ district level
▪1 month – main health center
▪not more than 5 days in health center or BHU
STORAGE OF VACCINE (time frame)
▪6 months – regional level
▪3 months – provincial level/ district level
▪1 month – main health center
▪not more than 5 days in health center or BHU
vaccines that are most sensitive to heat - stored in the freezer (-15 to -25)
Varicella, OPV, MMR
WATER FACILITY
▪provides the cleanest water
▪suited for urban areas
▪best to recommend
▪piping system
Level 3 – Individual Household
WATER FACILITY
▪protected well
▪developed spring
▪no distribution system
▪not more than 250m from the farthest house
▪houses are scattered
Level 1 – Point Source
Food Sanitation
SPCS – RIGHTS
▪Right Source
▪Right Preparation
▪Right Cooking
▪Right Storage
WATER FACILITY
▪stand post
▪1 bomba/poso = 4-5 houses
▪clustered densely
▪best to use
▪free of cost
Level 2 – Communal Faucet
TOILET FACILITY
connected to sewerage system to a treatment plant
Level 3
TOILET FACILITY
▪pit latrines
▪reed odorless earth closet
▪bored hole latrine
▪compost
▪pour flush and aqua privis (needs little water)
Level 1 – Non-water Carriage
TOILET FACILITY
▪septic tank
Level 2 – Water Carriage Type with Water Sealed
PRC DOC (characteristics)
-
Poor Person
-
Respectable
-
Communicator
-
Desire for change
-
Open-minded
-
Charismatic (famous)
PHASES IN COMMUNITY DIAGNOSIS
1.FORMATION OF ORGANIZATION
2.ELECTION OF OFFICERS (formal leaders)
3.BUILD COMMUNITY HEALTH ORGANIZATION (CHO)
4.TRAINING/ TEAM BUILDING OF OFFICERS
5.PLANNING
ORGANIZATION/ BUILDING PHASE/ ACTIVITY PHASE
PHASES IN COMMUNITY DIAGNOSIS
1.Continue training and education of officers and BHW
2.Creation of short and long-term goals
SUSTENANCE AND STRENGTHENING PHASE/ MAINTENANCE
PHASES IN COMMUNITY DIAGNOSIS
1.IMPLEMENTATION OF PLPANS
2.GROUNDWORKING (house to house to encourage people to participate)
ACTION PHASE
PHASES IN COMMUNITY DIAGNOSIS
1.DOCUMENTATION – proof of organizing
2.FOLLOW UP – once a year
3.DISSEMINATION
TURN OVER/PHASE-OUT PHASE
