CHN Flashcards
the utilization of the nursing process in the different levels of clientele
Community Health Nursing
concerned with the promotion of health, prevention of disease and disability and rehabilitation.
Maglaya
It is a learned practice discipline with the ultimate goal of contributing to the promotion of the client’s
Optimum level of function (OLOF) teaching and delivery of care
Jacobson
high level of wellness in all aspect of development (mental, emotional, spiritual, physical, and social)
Optimum level of function (OLOF)
water, air, noise, pollution
Environmental
safety, protection, in community, oppression, free from violence
Political
- illiterate, employment, status, education
Socioeconomic status
genetic predisposition
Hereditary
Promotive, Preventive, Curative, and Rehabilitative
Healthcare deliver system
Service rendered by a professional nurse for the promotion of health, prevention of illness and care of the sick and rehabilitation.
Ruth Freeman
“To raise the level of citizenry by helping communities and families to cope with the discontinuities in and threats to health
Goal of CHN:
According to Nisce,
RA 11223 “Universal Health Care Law”
Health Protection
Health Protection
RA 11223 “Universal Health Care Law”
health teaching - heart of CHN
Health Prevention
balance between leisure and work
Health BalancE
lifestyle
Disease Prevention
equity and equality of healthcare service accessible to all
Social Justice
The philosophy of CHN is based on the worth and dignity of man
Central to human “worth and dignity”
PHILOSOPHY OF CHN
According to Margaret Shetland
12 PRINCIPLES OF COMMUNITY HEALTH NURSING
Family is the unit of service
Recognized needs of the individual and families
Health Teaching
Availability of the community health nurse
Member of the health team
Periodic Evaluation
Accurate recording and reporting
Continuing Staff Education Program
Available Community Health Resources
Make use/ utilize the Existing and active or organize groups in the community active participation of the individual, family, and community
Establish trusting relationship
Based on the objective and policies of the DOH being the lead agency
Science and art of preventing disease, promoting health and efficiency
PUBLIC HEALTH NURSING by C.E. WINSLOW
to enable every citizen to realize his birthright of health and longevity
PUBLIC HEALTH NURSING by C.E. WINSLOW
Promotion of OLOF?
JACOBSON
CHN as service rendered?
FREEMAN
To raise the level of citizenry?
NISCE
Worth and dignity of man?
SHETLAND
Public health nursing as science and art?
WINSLOW
EMPLOYMENT?
SOCIOECONOMIC
PEOPLE EMPOWERMENT?
BEHAVIOR OR POLITICAL?
EDUCATION?
SOCIOECONOMIC
CUSTOMS AND MORES?
BEHAVIOR
OPPRESSION?
POLITICAL
The PHN as a health care provider, takes care of the sick people at home or in the RHU
Clinician
Work hand in hand with cooperation with other healthcare workers
Collaborator
Disseminate health education
Health Educator-
Protects rights of the patient, assists the patient, represents the patient
Health Advocate
Utilize referral system
Facilitator
Supervise the performance of the rural health midwives
Supervisor
In the event that the Municipal Health Officer (MHO) is unable to perform his duties/functions or is not available, the _______will take charge of the MHO’s responsibilities.
public Health Nurse
The PHN as a health care provider, takes care of the sick people at home or in the RH
CLINICIAN
The PHN who aims towards health promotion and illness prevention through dissemination of correct information; educating people
HEALTH EDUCATOR
. The PHN who establishes multi-sectoral linkages by referral system
FACILITATOR
The PHN who monitors and supervises the performance of midwives
SUPERVISOR
The PHN who speaks on behalf of the client
ADVOCATOR
educate significance of healthy lifestyle, immunization, stress reduction
Concern with health promotion and disease prevention
Primary Prevention
. The PHN who works with other health team member
COLLABORATOR
Lab results
Secondary Prevention
REGULAR EXERCISE AND MAINTENANCE OF IDEAL BODY WEIGHT
PP
Rehabilitation
Tertiary Prevention
SPEECH THERAPY AFTER STROKE
TP
LIFETIME INJECTION OF VITAMIN B12
TP
. MANTOUX TEST-
SS
DAILY ADMINISTRATION OF INSULIN-
TP
DAILY INTAKE OF ANTI- HPN DRUGS
TP
CHEST X-RAY-
SP
AVOIDANCE OF CIGARETTE SMOKING AND EXCESSIVE ALCOHOL USE
PP
PHYSICAL THERAPY-
TP
MAMMOGRAPHY
SP
Supervising PHN/ NUrse supervisor at the Provincial level
* * BSN-RN
- 5 years of supervisory experience in public health
- Master’s degree in public health or nursing (major in nursing administration
- Assesses needs for CHN services at the provincial or city level
- Assesses training needs and conducts training for nursing and midwifery staff
Nurse Instructor II
❑BSN-RN
❑MA in Nursing
❑ 3 years as a community health nurse
❑Training programs
Staff development programs
Training of students
Regional Training Nurse
❑BSN-RN
❑MA in Nursing/Public Health
❑ 6 years nursing experience
❑ 3 years of which are training or nursing education
Regional Nurse Supervisor
❑Regional public health nurse
❑Nurse V
❑BSN-RN
❑ 5 years experience in CHN
❑ 3 years in supervisory position
❑MA in Public Health
❑Master of Arts in Nursing, major in CHN Administration and Supervision
Nursing Program Supervisor
❑Nurse VI
❑BSN-RN
❑ 7 years experience in CHN/training
❑Masters degree in Public Health
❑Masters degree in Nursing-major in Public Health administration and Supervision
Assistant Chief Nurse
❑BSN-RN
❑MA n Nursing, major in CHN
❑MA in Public Health major in CHN Administration
❑ 5 years experience in CHN
❑ 2 years in supervisory or CAN position
❑With demonstrated leadership ability
Chief Nurse
❑Nurse VII
❑BSN-RN
❑MA in Nursing, major in CHN
❑MA in Public Health major in CHN Administration
❑ 5 years experience in CHN
❑ 3 years in supervisory or ACN position
❑With demonstrated leadership ability
Occupational Health Nurse
*BSN-RN
*Training or units in Occupational Health Nursing
*Health programs for laborers and workers
genuine and meaningful local autonomy to enable them to attain their fullest development as self- reliant communities and make them more effective partners in the attainment of national goals.
PHILIPPINE HEALTH CARE DELIVERY SYSTEM
RA 7160
transfer of services administration into the hands of the LGU- Provincial and Municipal Local Level. Then, the LGU will independently handle the utilization of the resources
Devolution
❑The first contact between community members and the health facility
PRIMARY LEVEL OF CARE
❑Provided by: center physician, PHN, CHN, RHM, BHU, Trained hilots
PRIMARY LEVEL OF CARE
❑Examples: BHU, RHU, immunization IMCI
PRIMARY LEVEL OF CARE
❑This is the referral center for the primary health facilities
SECONDARY LEVEL OF CARE
❑Given by Physician with basic training
SECONDARY LEVEL OF CARE
❑Given in health facilities such as private-owned/ government hospitals in the city and municipal, District hospitals, Out-patient Department of Provincial Hospitals, Infirmaries
SECONDARY LEVEL OF CARE
❑Functions: Diagnostic Procedures, Lab exams, Minor Surgeries
SECONDARY LEVEL OF CARE
❑This is the referral center for the secondary care Facilities.
TERTIARY LEVEL OF CARE
❑Rendered by Specialists in health facilities such as Medical centers. Provincial Hospitals, Regional Center/ Hospitals, R2TMC, St. Luke’s Hospital, NCMH, Philippine Heart Center
TERTIARY LEVEL OF CARE
❑Functions: Complicated cases- Intensive Care, Major Surgery, Intensive Care
TERTIARY LEVEL OF CARE
district hospitals
SLOC
Infirmaries
SLOC
BHU- P
PLOC
Lung center of the Philippines- T
TLOC
RHU- P
PLOC
St Luke’s Medical Center- T
TLON
Minor surgeries and some dx procedures- S
SLOC
complicated cases- T
TLOC
regional hospitals- S
SLOC
National insurance program (RA7875) | Universal Health Care Law (RA 11223)- automatic membership in Philhealth
Health Financing
Roles and Functions ( EO 102)
❑ Leadership in Health
❑ Enabler and Capacity Builder- innovate new strategies and methods to deliver basic health services
❑Administrator of Direct Services- EPI, Family planning, IMCI, REproductive Health
provincial hospitals- S
SLOC
❑ a single package backed by effective management infrastructure and financing arrangement on a sector-wide approach
FOURMula ONE for Health (President Gloria Macapagal Arroyo)
4 ELEMENTS
- Health Financing- National insurance program (RA7875) | Universal Health Care Law (RA 11223)- automatic membership in Philhealth
- Health Regulation- quality and availability of basic health services
- Health Service Delivery- accessibility of basic health service of the DOH
- Good Governance- enough budgetary allocation of the DOH
quality and availability of basic health services
Health Regulation
accessibility of basic health service of the DOH
Health Service Delivery
Goals OF 4mula ONE for Health (BME)
- Better Health Outcomes- dealing with locally/ regionally diseases. The statistics of death, immunization
- Equitable Health Care Financing- equity and equality ( RA 11223)
- More Responsive Health Systems- immediate care and attention and control are given to diseases
enough budgetary allocation of the DOH
Good Governance
Universal Health Care Law: RA 11223
❑All Filipinos are automatically members of PhilHealth and are immediately entitled to benefits. Families and households are also given the freedom to choose the primary care provider they prefer and trust
❑Automatic enrolment in Phil. National health Insurance program
17 Goals
- NO HUNGER
- ZERO POVERTY
- GOOD HEALTH AND WELL-BEING
- GENDER EQUALITY AND WOMEN EMPOWERMENT
- QUALITY EDUCATION
- CLEAN WATER AND SANITATION
- AFFORDABLE AND SAFE ENERGY
- DECENT WORK AND ECONOMIC GROWTH
- INDUSTRY, INNOVATION, AND INFRASTRUCTURE
- REDUCE INEQUALITIES
- SUSTAINABLE CITIES AND COMMUNITIES
- RESPONSIBLE CONSUMPTION PRODUCTION
- CLIMATE ACTION
- LIFE BELOW WATER
- LIFE ON LAND
- PEACE, JUSTICE, AND 17. STRONG COMMUNITIES
PARTNERSHIP FOR THE GOALS
The Millennium Development Goals (MDGs)
Goal 1 ERADICATE EXTREME POVERTY AND HUNGER
Goal 2 ACHIEVE UNIVERSAL PRIMARY EDUCATION
Goal 3 PROMOTE GENDER EQUALITY AND WOMEN EMPOWERMENT
Goal 4 REDUCE CHILD MORTALITY
Goal 5 IMPROVE MATERNAL HEALTH CARE
Goal 6 COMBAT HIV/ AIDS/ MALARIA, AND OTHER ENDEMIC DISEASES
Goal 7 ENSURE ENVIRONMENTAL SUSTAINABILITY
Goal 8 DEVELOP GLOBAL PARTNERSHIP FOR DEVELOPMENT
OLD VISION
DOH IS THE LEADER, STAUNCH ADVOCATE AND MODEL IN PROMOTING HEALTH FOR ALL IN THE PHILIPPINES
OLD MISSION
Guarantee EQUITABLE, SUSTAINABLE, and quality health for all Filipinos especially the poor and shall lead the quest for excellence in health
CURRENT VISION
Filipinos are among the healthiest people in Southeast Asia by 2020, and the whole Asia by 2040
CURRENT MISSION
To lead the country in the development of a productive, RESILIENT, EQUITABLE, and PEOPLE-CENTERED health system for Universal Healthcare
Basic Principles to AchieveImprovement in Health
❑Universal access to basic health services
❑Health and Nutrition of the vulnerable groups must be emphasized
❑Epidemiological shift from infectious diseases to degenerative group diseases
❑Performance of the Health Sector must be enhanced
Primary Strategies to Achieve Goals
❑Increasing investment in primary healthcare- budgetary allocation> safe, affordable, and accessible
❑Development of National Health Standards and objectives
❑Assurance of Health Care
❑Support for local systems development
❑Support for frontline health workers
*Essential health care based on practical, scientifically sound and society acceptable methods and
technologies made universally accessible to individual and family in the community through their full participation, and at a cost that community can afford to maintain at every stage of their development in the spirit of self-reliance and self- Determination
PRIMARY HEALTH CARE
Historical Background
❑WHEN:
❑First international conference on PHC by WHO
❑Where;
❑Goal:
❑Theme:
❑ADOPTED IN THE PHILIPPINES THROUGH
September 6-12, 1978
Alma Ata, Kazakhstan
Health for All by year 2000
Health in the hands of the people by year 2020
Letter of Instruction 949 by then President Ferdinand E. Marcos on October 19, 1979
CONCEPT of PHC:
❑ Partnership and Empowerment
STRATEGY
❑Full Participation and Active Involvement by the People and
❑Self-Reliance
Strategies of PHC
❑ Reorganization and Re-orientation
❑ Mobilization of the People (Full participation or active involvement of the people)
❑ Efficient Planning and Enabling Process
❑ Organization of Communities by way of COPAR
❑ Community Participation
❑ Multi-sectoral linkages
❑ Partnership between the health workers and community leaders and members
9 ELEMENTS OF PRIMARY HEALTH CARE
❑ Environmental Sanitation
❑ Control of Communicable Disease
❑ Expanded Program on Immunization
❑ Health Education
❑ Maternal and Child Nurse and Family Planning
❑ Adequate Food and Proper Nutrition
❑ Provision of Medical Care and Emergency Treatment
❑ Treatment of Locally Endemic Diseases
❑ Provision of Essential Drugs
Four CORNERSTONES / PILLARS of PHC
❑ Active Community Participation
❑ Intersectoral and Intersectoral Linkages
❑ Use/ Utilization of Appropriate Technology *herbal medicine
❑ Support mechanisms made available
