CHN Flashcards

1
Q

the client/patient in the CHN
no two communities are alike

A

COMMUNITY

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2
Q

▪complete physical, mental, social well-being and not merely the absence of infirmity (WHO)

▪dynamic – fluctuating either towards death/OLOF

A

HEALTH

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2
Q

it is concerned to health of the whole population (community)

A

COMMUNITY HEALTH

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3
Q

assisting an individual sick/well in the performance of those activities contributing to health or its recovery; if not, assisting to a peaceful death

A

NURSING

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3
Q

STAGES OF FAMILY DEVELOPMENT

▪marital and sexual adjustment
▪functional communication
▪adjustment to the role
▪prenatal education

A

The Beginning Family

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3
Q

STAGES OF FAMILY DEVELOPMENT

▪starts when the first child is born
▪“mag-anak”
▪changing roles (parenthood)

A

The Early Child-bearing Family

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4
Q

STAGES OF FAMILY DEVELOPMENT

▪discipline
▪child-rearing (bringing up a child)
▪be cautious for accidents, poisoning, communicable diseases

A

The Family with Pre-school Children

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4
Q

STAGES OF FAMILY DEVELOPMENT

▪balancing time for work and family
▪return to social interest
▪continuing intimacy

A

The Family with School-Aged Children

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5
Q

STAGES OF FAMILY DEVELOPMENT

concerns: peer-pressure, sex education, reward vs. reinforcement

A

The Family with Teenagers

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5
Q

STAGES OF FAMILY DEVELOPMENT

▪releasing children as adults
▪reestablishing marital dyad
▪postpartal interest
▪divorce/separation
▪menopause

A

The Family as Launching Center

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5
Q

STAGES OF FAMILY DEVELOPMENT

▪rebuilding marriage
▪retirement plans
▪health
▪new career

A

The Middle-Aged Family

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6
Q

STAGES OF FAMILY DEVELOPMENT

▪maintenance of family relations (bonding)
▪income changes
▪physiologic aspects of aging
▪death of spouse

A

The Aging Family

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6
Q

a family-nurse contact

A

HOME VISIT

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6
Q

DEVELOPING A FAMILY CARE PLAN

determination of the failure of the family to perform their family task

A

Second Level of Assessment

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7
Q

DEVELOPING A FAMILY CARE PLAN

identify existing/potential health conditions of the family

WELLNESS CONDITION
HEALTH THREATS
HEALTH DEFICIT
STRESS POINTS/ FORESEEABLE CRISIS

A

First Level Assessment

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8
Q

Health Deficit - DDD

A

D-isease
D-isability
D-evelopmental Delay

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9
Q

Health Threats - HICE

A

H-azards
I-nadequate/lack of immunization or breastfeeding
C-ross infection
E-nvironmental sanitation is poor

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10
Q

STRESS POINTS/ FORESEEABLE CRISIS - SACCIPDA

A

S-chool entrance
A-dolesence
C-ourtship/Marriage
C-ircumcision
I-llegitimacy
P-regnancy
D-eath
A-ddiction

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11
Q

WHO ARE THE 5 VULNERABLE POPULATION GROUP AS A CLIENT

A

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

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11
Q

COMMUNITY AS A CLIENT
Levels of Referral System

▪caters: simple cases
▪carried by LGU specifically MAYOR
▪facilities: BHS, HV, RHU

A

PRIMARY LEVEL

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12
Q

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

A

SECONDARY LEVEL

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12
Q

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

A

TERTIARY LEVEL

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13
Q

Type of Community Diagnosis

-general information about the community

A

COMPREHENSIVE COMMUNITY DIAGNOSIS

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14
Q

Type of Community Diagnosis

-it responds to a particular need (no steps)

A

PROBLEM ORIENTED COMMUNITY DIAGNOSIS

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15
Q

a process by which a CHN collects data about the community and identify factors which may influence the health (research-like)

A

Community Diagnosis

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16
Q

HSUEH POINTS: anatomic points being stimulated

A

accupuncture

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16
Q

ASHI POINTS: indicates a painful spot due to illness

A

accupressure

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17
Q

DEPARTMENT OF HEALTH VISION

A

Filipinos are considered as healthiest in Southeast Asia by 2022, healthiest in Asia by the year 2040

18
Q

DEPARTMENT OF HEALTH MISSION

A

PPRE

Productive
People-Centered
Resilient
Equitable Health Care System

19
Q

EO 102 – 3 MAIN FUNCTIONS OF DOH

A

Nurse LEA
▪Leadership in Health – creates policy regarding health
▪Enabler and Capacity Builder – strategies and training
▪Administrative Function – manages tertiary hospitals

20
Q

its purpose is to watch how the money allocated for health is being spent

A

HEALTH SECTOR REFORM AGENDA

21
Q

Core Values of HEALTH SECTOR REFORM AGENDA

A

PRICE

▪Professionalism
▪Responsiveness
▪Integrity
▪Compassion
▪Excellence

22
Q

Health sector reform agenda made by Former Pres. Gloria Macapagal Arroyo

A

FOURmula 1 For Health:

23
Q

Health sector reform agenda made by Former Pres. Benigno Aquino III

A

Aquino Health Agenda (AHA)
theme: Universal Healthcare/ Pangkalahatang Kalusugan

24
Q

Health sector reform agenda made by Former Pres. Rodrigo Duterte

A

FOURmula 1 plus For Health
– theme: Boosting Universal Healthcare

25
Q

FRS GG PA

A

1.Health Financing
2.Health Regulation
3.Health Service Delivery
4.Good Governance
5.Performance Accountability

26
Q

-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

A

Case Rate Method

26
Q

law that suggests all Filipinos are automatically enrolled in PhilHealth

A

RA 11223 – UNIVERSAL HEALTH CARE LAW

26
Q

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

A

Direct Contributor

27
Q

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

A

Indirect Contributor

28
Q

Health Regulation
▪characteristics:

A

-
affordable and quality
-
vaccines have bidding

29
Q

Health Service Delivery characteristics

A

accessible and available

30
Q

What is Nurse Deployment Program (NDP)?

A

newly grad nurses are deployed in farflung communities

31
Q

PRIMARY HEALTH CARE by WHO is signed by __ on ___

A

signed by: FPres. Ferdinand Marcos Sr.

October 19, 1979

31
Q

Good Governance

characteristics:

A

-
Transparent
-
Accountable
-
Efficient

32
Q

legal basis of primary health care

A

LEGAL BASIS: LOI 949

33
Q

Primary Health Care vision:

A

to achieve health in the hands of the people

34
Q

Primary Health Care Mission:

A

increase opportunity where people will manage their own healthcare

35
Q

FOUR PILLARS OF HEALTHCARE (AIUS)

A

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

35
Q

two core principles of primary health care

A

1.partnership with the people, active participation

2.empowerment (transfer KSA; Knowledge, Skills, Attitude)

35
Q

CHARACTERISTICS OF PHC (CASASA)

A

▪Community-based
▪Accessible (within 3-5 km radius)
▪Sustainable (e.g. Halamang Gamot)
▪Affordable
▪Self-reliance (independent)
▪Available

36
Q

4 main elements of reproductive health (FAMS)

A

Family planning
Adolescent
Maternal and Child
STD/STI

37
Q

other elements of reproductive health

SIMVAR

A

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

38
Q

when should be the secondpost partum visit?

A

2nd pp visit – after 1 week

38
Q

when should be the first post partum visit?

A

after 24 hours/ 24 hours after discharge

39
Q

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

A

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

40
Q

vaccines that are most sensitive to heat - stored in the freezer (-15 to -25)

A

Varicella, OPV, MMR

41
Q

WATER FACILITY
▪provides the cleanest water
▪suited for urban areas
▪best to recommend
▪piping system

A

Level 3 – Individual Household

41
Q

WATER FACILITY

▪protected well
▪developed spring
▪no distribution system
▪not more than 250m from the farthest house
▪houses are scattered

A

Level 1 – Point Source

41
Q

Food Sanitation
SPCS – RIGHTS

A

▪Right Source
▪Right Preparation
▪Right Cooking
▪Right Storage

42
Q

WATER FACILITY

▪stand post
▪1 bomba/poso = 4-5 houses
▪clustered densely
▪best to use
▪free of cost

A

Level 2 – Communal Faucet

42
Q

TOILET FACILITY
connected to sewerage system to a treatment plant

A

Level 3

42
Q

TOILET FACILITY
▪pit latrines
▪reed odorless earth closet
▪bored hole latrine
▪compost
▪pour flush and aqua privis (needs little water)

A

Level 1 – Non-water Carriage

43
Q

TOILET FACILITY

▪septic tank

A

Level 2 – Water Carriage Type with Water Sealed

44
Q

PRC DOC (characteristics)

A

-
Poor Person
-
Respectable
-
Communicator
-
Desire for change
-
Open-minded
-
Charismatic (famous)

45
Q

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

A

ORGANIZATION/ BUILDING PHASE/ ACTIVITY PHASE

46
Q

PHASES IN COMMUNITY DIAGNOSIS

1.Continue training and education of officers and BHW
2.Creation of short and long-term goals

A

SUSTENANCE AND STRENGTHENING PHASE/ MAINTENANCE

47
Q

PHASES IN COMMUNITY DIAGNOSIS

1.IMPLEMENTATION OF PLPANS
2.GROUNDWORKING (house to house to encourage people to participate)

A

ACTION PHASE

48
Q

PHASES IN COMMUNITY DIAGNOSIS

1.DOCUMENTATION – proof of organizing
2.FOLLOW UP – once a year
3.DISSEMINATION

A

TURN OVER/PHASE-OUT PHASE