CHN lecture Flashcards
Saan nagtatrabaho ang CHN nurse?
Outside the hospital
Are the patients outside the hospital healthy?
Yes
Give examples of a CHN nurse
School nurse, company nurse, nurse na nagho-home visit
Since patients are healthy outside the hospital, what can we still do?
Health education
What is the focus of home care?
Rehabilitation like px who just recovered from a heart attack
What is the goal of CHN?
Help patient achieve optimum level of functioning or OLOF or high level of wellness
Example of high level of wellness
Exercise - Inaangat natin kalusugqn nila
If patient is healthy, what is our focus?
Health promotion and illness prevention
It pertains sa pag increase natin ng level ng health. You are healthy today, tomorrow healthier ka.
Health promotion
How about maintain health?
Illness prevention
We help clients achieve OLOF through healthy lifestyle. True or false.
True. With that, we can educate them woth the way of life through the pneumonic DERS.
Give four components na we can educate patient sa way of life.
Tip: DERS
Diet
Exercise
Rest
Stop or avoid smoking
As a nurse, we are an advocate. T or F.
True
Nutrition guidelines under diet: ABC
Aim ideal body weight.
Build healthy nutrition practices.
Choose food wisely.
What is the basis for ideal body weight? Also give its normal range and formula.
BMI (18-23) - asian criteria
18.5-24.9 WHO criteria
W (kg)
————-
H (m^2)
What is the standard for BMI?
Asia Pacific Obesity Guidelines (APOG)
Cumulative exercise is good. T or F.
How many mins yung total ng exercise neto per day also?
True.
30 mins (10 each sa umaga, hapon, gabi)
Anong intensity mg exercise yung almost daily/everyday? Also give examples.
Moderate
Jogging, biking, brisk walking
How may times per week ginagawa ang vigorous exercise? Give examples
3x week
Biking uphill, swimming in laps, boxing
What type of exercise is healthy since it promotes circulation?
Aerobic exercise
How many hours should an adult sleep per day?
6-8 hrs
It is synthesis of nursing practice and public health applied to promoting and preserving the health of populations (ANA,1980)
Community health nursing
Who is the focus of the community health nursing?
Community
According to____ it refers to a service rendered by a professional nurse with communities, group, families, individuals at home, in health centers, in clinics, in schools, in places of work for the:
Ruth B. Freeman - CHN definition din to as a whole
- Promotion of health
- Prevention of illness
- Care of the sick at home and rehabilitation
What are the four levels of clientele?
Individual, family, population, community
It is a philosophy of care in which the care is provided as clients and their families move among various service outside of hospitals
Community based nursing
Cigarette has certain chemicals, what are they?
Nicotine, carbon monoxide, and tar
Nicotine ang addictive chemical ng cigarette, T or F
True
A chemical component ng cigarette that interferes with oxygenation kaya they also have _____ hence, mabilis silang mapagod
Carbon monoxide, hypoxia
Since tar paralyzes cilia ng lungs, saan naman sila prone na magkaroon? And reason why
Respiratory infection, hindi nawawalis microbes
There are two ways to help people quit smoking, what are they?
Education and legislation
What are the 4a’s under education? (IN ORDER TO SA BOARDS)
pneumonic: SDSR
Ask, advice, assist, and arrange
One of the main reasons bakit hindi makatigil sa pagi-smoke ang smokers?
Nicotine content
Also known as follow-up, madalas makalimutan to and important to know para malaman anong nangyayari
Arrange
Yosi is regulated and legal na binebenta. Walang kinikita DOH from cigs. T or F (2 ans dito)
Legal and regulated true
False, may kita DOH from taxes
Also called as Tobacco Regulations Act
RA 9211 (2002)
Ano ang bawal sa yosi (3 conditions) and accdg sa Tobacco Regulations Act (RA 9211 of 2002) need nila ng ____
Need ng designated smoking area!
bawal:
public place
advertise
sell w/n 100 m school premises
PHN stands for public health nursing, sino ang nagbabayad sayo?
Government
Give examples ng isang PHN
nurse sa loob ng health center, nurse sa public hospital
It is a philosophy of care in which the care is provided as clients and their families move among various service outside of hospitals.
Community based care
a special field of nursing that combines the skills of nursing, public health and some phases of social assistance according to _____
Public health nursing (WHO)
T or F
Public health nursing doesn’t function as part ng total public health programme sa promotion ng health, improvement ng conditions (social and physical) and rehabilitation ng illness or injury
False
Public health is the science and art according to: ____
then give yung tatlo na under dito
Dr. CE Winslow
- preventing dx
- prolonging life
- promoting health and efficiency
Refers to nurses in the local/national health departments or public schools whether their official position title is ____ or nurse school nurse. Also, hindi nagwo-work outside ng hosp.
Public health nurse
Sino ang nagbabayad sa isang public health nurse?
Government
Ano ang salary grade ng isang public health nurse?
SG 15 - 35k
What is RA 7305? Also define this one.
Magna carta for healthworkers, basta lahat ng staff sa hospital kasama like janitors, kahera, admin staff.
Also, may benefits ang PHW
What are the two benefits under RA 7305 for PHW? Explain.
Night differential - for night shift, +10%
and tenure 5% every 5 years
Who is the National Authority for Health? Basta matters sa health, heto ang tinatawag
DOH
Vision is ___. What is the vision of DOH? It is also based on _______.
Flilpinos are the healthiest in SEA by 2022; in Asia by 2040
- life expectancy
Average life expectancy ng isang Fil
71 years old (2019)
Who is the healthiest sa SEA and sa Asia? Also give their life expectancies.
SEA - Singaporeans (83.8)
Asia - Hongkong (85)
Mission is ____. What is the mission of DOH?
(mission is ano gagawin to attain ang vision mo)
Specific
To lead the country in the devt of a productive, resilient, equitable, and people centered health system. (PREP system)
What is the poverty index of Ph?
23.7
What is the goal of DOH?
Health sector reform agenda (HSRA)
What is the overriding goal of DOH?
Health sector reform
According to ___, DOH has 3 functions. What are they?
CLUE: LEA
EO 102
- Leadership in health
- Enabler and capacity builder
- Administrative function
One of the functions of DOH that has policies in health ang give examples
Leadership in health (face masks, face shields)
One of the functions of DOH that pertains to new strategies amd training for health. EBP to. Also cite some examples
Enabler and capacity builder (unang yakap, we dont shave pubic hair na)
DOH manages tertiary functions and emergency services
Administrative function
Ano lang ang hawak ng DOH?
Tertiary functions
PHCDS stands for?
Philippine healthcare delivery system
PHCDS is divided into 3, what are they?
Primary, secondary, tertiary
Sino ang in charge sa primary, secondary, and tertiary?
Primary - mayor
Secondary - governor
Tertiary - DOH
This involves basic healthcare services lang, meaning mga simple cases
Primary
T or F. Barangay health center ang smallest unit
False, barangay health station siya!
Ano ang under primary?
BHS, RHU/HC
Basic services pa rin but may common medical, surgical, & lab procedures na.
Secondary
T or F. RHU/ health center ang under secondary. Also, bigay under secondary.
False!! RHU/Health center falls under primary
- District, emergency, and provincial hospital
Advanced procedures na rito. Also cite some examples under this one.
Tertiary
- Regional hospital
- Medical centers for priv
- Specialty hosp (Heart center, lung center, kidney institute. Philippine children hospital)
- National hospital
PGH is under what level?
Tertiary (National hosp ang PGH)
Who mans the barangay health station? Sino ang nakapaloob dito?
Public health midwife mans the BHS. Under ditio, we have yung:
- Midwife
- Brgy health worker
It is considered as a satellite station.
BHS because extension station siya
It is considered as a satellite station.
BHS because extension station siya
It is also known as ‘intermediate primary’, kung saan di na kaya sa BHS kaya ita-transfer sila rito.
RHU/Health center
RHU/Health center is also known as?
Main primary center hence, “intermediate primary”
T or F. Hindi complete ang health care team under RHU/HC. Sino lahat din ang nasa healthcare team?
False, complete sila rito.
- PHM
- PHN
- Rural health physician/ health officer
- Sanitary inspector
- Medtech
- Dentist
Sino ang tumatanggap ng patients under secondary?
PHM, sila ay frontline workers
Who oversees the acvtivity ng midwife? And is also known as __
PHN - supervisor
T or F. In a doctorless HC, the nurse becomes the manager and supervisor?
T
T or F. Tinitignan and ginagabayan works ng midwife ang isang PHN, hence, coach lang siya
T
Responsible sa overall activities of the health center, hence he is the ___.
RHP/HO - manager
Sino ang nagpapatupad ng programs, or if magsasara health center?
RHP/HO
If need ng sanitary permit, saan tayo pupunta?
Health center because nandiyan si sanitary inspector
He is the one who is in charge sa environmental sanitation ng buong community.
sanitary inspector
T or F. City hall handles business permit.
T
Also known as the Local Government Code. Explain din to.
RA 7160 pertains sa decentralization and devolution ng entire government. Tinransfer natin ang power sa LGU’s and ang goal natin is makamit ng tao ang ‘self-reliance’
T or F. Before RA 7160, nasa DOH lahat ng kapangyarihan
T, nagbago after RA 7160 and ang minamanage ng DOH nalang ang tertiary functions
DOH ___ programs while LGU ___ programs.
DOH formulates
LGU implements
LGU is divided into two, what are they?
Provincial govt - secondary
Municipal/city govt - primary
Isa kang nurse sa health center, sino ang boss mo?
Health center is under primary, ang boss mo is ang mayor
Sino ang nagpapamahala ng primary?
Mayor
Who is the chairman and vice-chairman ng municipal govt?
Chairman - mayor
Vice-chairman - MHO/ CHO
Sino ang nagpapamahala ng secondary?
Gov!!
Who is the chairman and vice-chairman ng provincial govt?
Chairman - governor
Vice-chairman - PHO
T or F. Sa community, our patient’s are healthy, hence we call them as clients
True
We have four clients sa CHN, name them all.
Individual
family
group/aggregate/population
community
Kapag nagho-home visit, sino ang patient natin?
Whole fam, we talk to them and inaalagaan kahit walang sakit
Who is considered as the basic unit of service?
Family
These share similar/common characteristics. Name some examples
Group/aggregate.population
- buntis, senior, newborns, hs students, womenm PWD, smokers
Heto ang pinaka primary client natin sa COPAR.
Community since kapag natulungan mo na sila, natrulungan mo na ang lahat.
Sino ang may pinaka greatest influence sa anak? Sino ang magi-initiate ng sex educ sa bata?
Family - parents since they are respected by kids and sinususnod
If parents ang walang alam sa sex educ, who still should teach the child?
Parents pa rin! As a nurse, we can teach them naman
These share similar/common characteristics. Name some examples
Group/aggregate.population
- buntis, senior, newborns, hs students, womenm PWD, smoker
It is considered as the country health indicator
Life exepctancy
The goal of DOH is listed under ___ and is evaluated every __ years
Lister under NOH (National objectives for health)
evaluated every 5 years
Philhealth benefit inclusions depend on the __
Final diagnosis
RA 11223 or Universal Healthcare Act of 2019, ano ang included under case rate method? Yung tatlo
- case rate
- professional fee
- healthcare institution fee`
Subspecialties like school nursig, occupational health nursing, community mental health nursing, and public health nursing belong to?
Community health nursing
Identify roles and functions of a PHN.
Identifies the health needs, priorities and problems of individuals, families, and community
Planner/Programmer
Provides nursing care to the sick, disabled in the home, clinic, school, or place of work
Nursing care provider
Identify sa roles ng PHN. Who formulates and implements nursing plan for individual, family, group, community?
Manager or supervisor
A manager/supervisor leads and encourages them to address their health needs and solve their health problems. T or F.
True!
Identify.
1. Motivates and enhances community participation
2. Initiates and participates in community development activities.
3. Collaborates with individuals, families, and groups for health and health services
4. Uses observation, interview, survey questionnaire, physical exam, and other methods in the assessment of individuals, families, and community.
5. Motivates changes in the health behavior.
6. Records every nursing interventions! updates existing data base, and makes statistical analysis of data for interpretation.
7. Acts as a resource speaker on health and health related services.
8. Sets as good example of healthful, living.
9. Conducts health teaching, training and counseling. Also trains and educates ___
10. Monitors the status of the individuals, families and groups through various contacts
- Planner/Programmer
- Comm. organizer
- Service coordinator
- Researcher
- Change agent
- Recorder/reporter/statistician
- Health educator/counselor/trainer
- Role model
- Health educator/counselor/trainer; trains
- Health monitor
