CHN Flashcards
A group of people sharing common values, norms and characteristics living and interacting together in a GIVEN ENVIRONMENTAL BOUNDARY
COMMUNITY
Type of Community:
LESS DENSED with SIMPLE structure of interpersonal social relations
RURAL
represented by AGRICULTURAL OCCUPATIONS (ex. farming, fishing, etc.)
Type of Community:
HIGHLY DENSED with COMPLEX structure of interpersonal social relations
URBAN
represented by NON-AGRICULTURAL OCCUPATIONS (ex. trade and commerce)
Type of Community:
COMBINATION of rural and urban communities
RURBAN
Type of Community:
Usually characterized as RESIDENTIAL AREA
SUBURBAN
Type of Community:
Aggregate of EXPANDING urban areas; aka MEGACITY
METROPOLITAN
Modern Concept of a “HEALTHY COMMUNITY”
OPTIMUM LEVEL OF FUCTIONING (OLOF)
What greatly affects the OLOF of the populations?
ECOSYSTEM
Defined Public Health as:
“Science and art of promoting health, preventing disease and prolonging life; Enables every citizen to realize his BIRTHRIGHT OF HEALTH AND LONGEVITY”
WINSLOW
Defined Public Health as:
“Art of applying science in the context of politics so as to reduce in equalities in health while ensuring the BEST HEALTH FOR THE GREATEST NUMBER”
WORLD HEALTH ORGANIZATION (WHO)
Encompasses NURSING PRACTICE in a wide variety of COMMUNITY SERVICES
COMMUNITY HEALTH NURSING
Focus of CHN?
HEALTH PROMOTION
The process of ENABLING people to INCREASE CONTROL over and to improve their health
OTTAWA CHARTER
OH - HAHAHAHA 😂
PRIMARY goal of CHN
ENHANCE THE HEALTH CAPABILITIES OF THE POPULATION
ULTIMATE goal of CHN
Raise the level of health of the CITIZENRY
Clientele:
Unit of ENTRY in CHN
INDIVIDUAL
Clientele:
Unit or SERVICE and FOCUS OF CARE
FAMILY
Clientele:
Aggregate of the People
GROUP
Clientele:
ENTIRE client or the OVERALL FOCUS OF CHN
COMMUNITY
CORE Philosophy of CHN
Based on the WORTH AND DIGNITY of man (MARGARET SHETLAND)
In CHN, what do we aim for the client to achieve?
SELF-RELIANCE
END-VIEW Philosophy of CHN
HUMAN DEVELOPMENT
Does the nurse work FOR or WITH the people?
WORK WITH THE CLIENT
What is the PRIMARY RESPONSIBILITY of a CHN Nurse?
EDUCATION
PD 626
EMPLOYEES COMPENSATION AND STATE INSURANCE FUND
Tax exempt
PD 856
SANITATION CODE OF THE PHILIPPINES
RA 1054
OCCUPATIONAL HEALTH ACT
The practice of nursing in LOCAL or NATIONAL department covered by the PUBLIC SECTOR or the GOVERNMENT
PUBLIC HEALTH NURSING
PRINCIPLE of Public Health Nursing
Establish LINKAGES and COLLABORATIVE RELATIONSHIPS with other health professionals, government agencies, etc. to address the COMMUNITY’S HEALTH PROBLEMS
Assessment of INDIVIDUALS/FAMILIES in the CHN process
INITIAL DATA BASE
Assessment of POPULATION GROUPS/COMMUNITIES in the CHN process
COMMUNITY DIAGNOSIS aka SITUATIONAL ANALYSIS
A situation in which there is a demonstrated HEALTH NEED
HEALTH PROBLEM
A situation wherein there is a HEALTH PROBLEM that can be alleviated with medical or social technology
HEALTH NEED
Care Plan for Individual/Family Client
FAMILY NURSING CARE PLAN
Care Plan for Group/Community Client
COMMUNITY HEALTH PLAN
INITIAL step of plan formulation
GOAL-SETTING
Stage of the CHN Process wherein ACTUAL delivery of care which translates plans into ACTIONS occur
IMPLEMENTATION
Phases of a Clinic Visit
- PRECONSULTATION CONFERENCE
- MEDICAL EXAMINATION
- NURSING INTERVENTION
- POST CONSULTATION CONFERENCE
Phases of a Clinic Visit:
DOING selective laboratory tests and diagnostic procudures
PRECONSULTATION CONFERENCE
R: So that the results will be ready when it’s for the medical examination
FIRST step during actual home visit
GREET THE CLIENT
What is the purpose of Health Education?
To ENHANCE CAPABILITY of the client that would result to SELF RELIANCE
Sequence of Health Education (ICE)
I- NFORMATION
C- OMMUNICATION
E - DUCATION
What is the purpose of ISOLATION TECHNIQUE?
TO PREVENT CROSS INFECTION
For how long should SOILED articles be boiled before laundering?
30 MINUTES
Considerations before checking the patient’s BP
- HAVE RESTED FOR AT LEAST 5 MINS
- NO SMOKING OR CAFFEINE INGESTION 30MINS PRIOR TO BP TAKING
PULSE SOUND heard when deflating the BP cuff
KOROTKOFF SOUNDS
A TOOL making use of a public health bag through which nursing procedures can be performed with ease, deftness, saving time and effort
BAG TECHNIQUE
Rationale behind the Bag Technique
TO RENDER EFFECTIVE NURSING CARE
An essential and indispensable equipment of a public health nurse that contains medications and articles
PUBLIC HEALTH BAG
Why should the articles be arranged in a certain order?
TO FACILITATE EFFICIENCY AND PREVENT CONFUSION
Most important PRINCIPLE for Bag Technique
TO PREVENT THE SPREAD OF INFECTION
Most important POINT to consider
IT SHOULD CONTAIN ALL THE NECESSARY ARTICLES
Purpose of Handwashing in the Bag Technique
TO PREVENT CONTAMINATION OF THE BAG’S CONTENT
Purpose of the Heat and Acetic Acid Test
TO DETERMINE PROTEINURIA
Test Tube 2/3 Urine
3-5 drops of Acetic Acid
Heat and Acetic Acid Result if it is CLOUDY:
POSITIVE
Heat and Acetic Acid Result if it is CLEAR:
NEGATIVE
BENEDICT’S TEST
TO DETERMINE GLUCOSURIA
Difference between Benedict’s Test and Clinitest
URINE SAMPLE FOR CLINITEST SHOULD BE TAKEN BEFORE MEALS
Study of the occurrence of disease and factors affecting disease distribution
EPIDEMIOLOGY
EPIDEMIOLOGY is considered as the ____________ of prevention
BACKBONE
Level of Prevention:
Deals with WELL CLIENTS; primarily focused on PREVENTION and ELIMINATION of risk factors
PRIMARY PREVENTION
Level of Prevention:
Deals with the RESTORATION and MAINTENANCE of client’s after illness; prevention of FURTHER DISABILITY or PERMANENT DAMAGE
TERTIARY PREVENTION
Level of Prevention:
From the DETECTION to TREATMENT of the health problem
SECONDARY PREVENTION
Force of Infection (TRIAD)
AGENT
HOST
ENVIRONMENT
Force of Resistance
IMMUNITY
Occurs when the force of infection is INCREASED compared to the force of resistance
PATHOGENICITY
Patterns of Disease:
ON AND OFF, intermittent, seasonal
SPORADIC
Patterns of Disease:
CONTINUOUS, constant, and regular
ENDEMIC
Patterns of Disease:
Sudden increase, OUTBREAK
EPIDEMIC
Patterns of Disease:
GLOBAL outbreak, WORLDWIDE
PANDEMIC
The state of resistance or level of immunity of a POPULATION GROUP to a particular disease
HERD IMMUNITY
PRIMARY HEALTH CARE according to WHO:
4As of Primary Health Care
AVAILABLE
ACCESSIBLE
ACCEPTABLE
AFFORDABLE
GOAL of Primary Health Care
HEALTH IN THE HANDS OF PEOPLE BY THE YEAR 2020
MISSION of Primary Health Care
INCREASING OPPORTUNITIES and supporting the conditions wherein people will MANAGE THEIR OWN healthcare
LOCATION of first international conference
ALMATY, KAZAKHSTAN (ALMA ATA, USSR)
DATE of first international conference
SEPTEMBER 6-12, 1978
Legal Basis of PHC
LOI 949
When was the legal basis of PHC established?
OCTOBER 19, 1979
MAIN STRATEGY in PHC
COMMUNITY PARTICIPATION
Types of PHC Workers:
Trained VOLUNTEERS, BIRTH ATTENDANTS, HEALERS
VILLAGE OR BARANGAY HEALTH WORKERS
Types of PHC Workers:
Professional medical practitioners which also include PHNs, RURAL SANITARY INSPECTORS, MIDWIVES
INTERMEDIATE LEVEL HEALTH WORKERS
Ratio of Manpower to Population:
Physician, Nurse, Sanitary Inspector, Medtech
1:20,000
Ratio of Manpower to Population:
Midwife
1:5,000
Ratio of Manpower to Population:
Dentist
1:50,000
Level of Health Care Services:
DISTRICT hospital, PROVINCIAL hospital
SECONDARY FACILITIES
Level of Health Care Services:
RURAL health center, BARANGAY health center, PRIVATE CLINICS
PRIMARY FACILITIES
Level of Health Care Services:
REGIONAL hospital, NATIONAL hospital, SPECIALIZED hospital, MEDICAL CENTER
TERTIARY FACILITIES
ROLES of the Department of Health:
L-E-A
L - EADER in health
E - NABLER and capacity builder
A - DMINISTRATOR of specific services
VISION of the Department of Health
PROMOTING HEALTH FOR ALL IN THE PHILIPPINES
MISSION of the Department of Health
To guarantee EQUITABLE, SUSTAINABLE, and QUALITY HEALTH for all Filipinos
GOAL of Department of Health:
HSRA and AHA
- HEALTH SECTOR REFORM AGENDA
2. AQUINO HEALTH AGENDA
FRAMEWORK for HSRA or AHA
FOURmula ONE for Health
- GOOD GOVERNANCE
- HEALTH FINANCING
- HEALTH REGULATION
- HEALTH SERVICE DELIVERY
Legal Basis for the Local Health System
Local Government Unit
RA 7160
160 = lGU
GOAL of Maternal Health Program
To IMPROVE the SURVIVAL, HEALTH, and WELL-BEING of mothers and unborn child through a package of services
When is the SECOND PRENATAL VISIT scheduled?
SECOND TRIMESTER
When is the FIRST PRENATAL VISIT scheduled?
AS EARLY AS POSSIBLE IN THE PREGNANCY
When is the THIRD PRENATAL VISIT scheduled?
THIRD TRIMESTER
When is the PRENATAL VISIT AFTER 8 MONTHS scheduled?
EVERY 2 WEEKS UNTIL DELIVERY
TT1
Interval:
Protection:
Duration of Protection:
Interval: AS EARLY AS POSSIBLE
Protection: 0
Duration of Protection: 0
TT2
Interval:
Protection:
Duration of Protection:
Interval: AFTER 4 WEEKS
Protection: 80%
Duration of Protection: 3 YEARS
TT3
Interval:
Protection:
Duration of Protection:
Interval: AFTER 6 MONTHS
Protection: 95%
Duration of Protection: 5 YEARS
TT4
Interval:
Protection:
Duration of Protection:
Interval: AFTER 1 YEAR
Protection: 99%
Duration of Protection: 10 YEARS
TT5
Interval:
Protection:
Duration of Protection:
Interval: AFTER 1 YEAR
Protection: 99%
Duration of Protection: LIFETIME
When should NEWBORN SCREENING be performed?
WITHIN 48hours to 2weeks POSTPARTUM
1st Postpartum Visit
WITHIN FIRST WEEK AFTER DELIVERY
2nd Postpartum Visit
6 WEEKS POSTPARTUM
Difference of BEMONC and CEMONC
BEMONC - BASIC procedures during delivery without the need of an operating room
CEMONC -Comprehensive/COMPLEX; CESAREAN DELIVERY, BLOOD TRANSFUSION, ALL BEMONC FUNCTIONS
RATIO of EmONC Facilities
BEmONC4: 500k
CEmONC1: 500k
TOOL used to identify the points at which DELAYS can occur in the management of obstetric complications
THREE DELAYS MODEL
Delay in deciding to SEEK care
FIRST DELAY
Delay in RECEIVING care at health facilities
THIRD DELAY
Delay in REACHING appropriate care
SECOND DELAY
Pertains to feeding a baby ONLY BREASTMILK and no other liquids or solids, not even water
EXCLUSIVE BREASTFEEDING
After 6mos of age, all babies require other foods to COMPLEMENT breastmilk
COMPLEMENTARY FEEDING
When is breastfeeding CONTRAINDICATED
AIDS
EO 51
MILK CODE
RA 7600
ROOMING IN AND BREASTFEEDING
RA 10028
MILKBANK
RA 8976
FOOD FORTIFICATION LAW
ATE nine, seven and six
PD 996
COMPULSORY IMMUNIZATION LAW
RA 7846
HEPA B VACCINATION
RA 10152
MANDATORY INFANTS AND CHILDREN HEALTH IMMUNIZATION ACT
What is the purpose of the Rotavirus Vaccine?
FOR RTV-RELATED GASTROENTERITIS
Contraindication for Vaccination (DPT)
Child who has had CONVULSIONS or SHOCK within 3 DAYS OF THE PREVIOUS DOSE
RA 8423
TRADITIONAL AND ALTERNATIVE MEDICINE ACT
Herbal Medicine:
Cough and Asthma
LAGUNDI
Herbal Medicine:
Body Pain
Yerba Buena
Herbal Medicine:
Diuretic, Swelling
SAMBONG
Herbal Medicine:
Sakit sa Tiyan
TSAANG GUBAT
Tsakit tsa Tsyan
Herbal Medicine:
Cleansing of wounds, mouth infection, and swollen gums
BAYABAS
Alternative Health Care Practices:
MASSAGING the ashi points or the painful spots and nodes
ACUPRESSURE
Alternative Health Care Practices:
The application of NEEDLES
ACUPUNCTURE
Alternative Health Care Practices:
NEEDLES applied in the EAR area
AURICULOTHERAPY
Alternative Health Care Practices:
HEAT APPLICATION on the pressure points
MOXIBUSTION
Alternative Health Care Practices:
The use of SUCTION EFFECT
CUPPING (Ventussa)
Alternative Health Care Practices:
STIMULATION of the soles of the foot
RELFEXOLOGY
Alternative Health Care Practices:
Meditation through GENTLE MOVEMENT and DEEP BREATHING
QIGONG
Alternative Health Care Practices:
Meditation through PHYSICAL FITNESS developing strength, flexibility, and endurance
YOGA
Alternative Health Care Practices:
Chinese SHADOW BOXING
TAI CHI
Alternative Health Care Practices:
The use of ESSENTIAL OILS
AROMATHERAPY
Alternative Health Care Practices:
Diluted solutions with PLACEBO EFFECT
HOMEOPATHY
Alternative Health Care Practices:
HUMOR therapy
MIRTHFUL LAUGHING
Considerations AFTER blood donation
- LEAVE adhesive dressing for at least 3 hours but NOT MORE THAN 12 hours
- DO NOT SMOKE for the next 2 hours
- AVOID ALCOHOL INTAKE for the next 12 hours