CHN REVIEWER (PRELIMS) Flashcards
pioneered the process of vaccination or
immunization.
* Father of Immunology.
Dr. Edward Jenner
Medicinal Herbs Amulets Ceremonies
SHAMANS
- Secretary of the England’s Poor Law Commission
- Wrote “Report on the Inquiry into Sanitary Condition’s
Study of the Laboring Population of Great Britain
John Snow - Father of Epidemiology
- He elucidates how Cholera was transmitted.
Edwin Chadwick
On its part, the Department of Health (DOH) has
committed to the attainment of the health MDGs to
reduce child mortality, to improve maternal health,
and to combat HIV/AIDS, malaria and other
diseases
- People
- Place
- Interaction
- Common Characteristics, Interests or Goals
4 Defining Attributes ( Maurer and Smith, 2009
– defined by both manmade and natural
boundaries. Boundaries include the barangay,
municipalities, cities, provinces, regions and nations.
Geopolitical –
Relational, interactive groups, in
which the place or setting is more abstract,
Phenomenological
- Refer to all the people in a defined
community.
Population
these are subgroups or subpopulations
that have common characteristics or concerns.
Aggregate-
What is the classification of these?
- Culture * Health Services
- Employment and Working conditions
*Physical Environment * Social Support Network
Indicators of Health and Illness
Those who work in RHU’s or health center –
called community health nurses/ Public health
nurses(PHN’s).
Public Health Nursing
Company Nurses.
Occupational Health Nursing
practice that involves providing care to
individuals/ families in their own place of
residence to minimize the effects of illness and
disability
Home Health Care
home care rendered to the terminally ill patient
intended to provide comfort, improve quality of
life and support family members as they go
through the process of dying and grieving.
Hospice Care
What is the Goal of CHN
To preserve the health of the community by focusing
on health promotion, health maintenance and disease
prevention of individuals, families and groups within
the community
behavior that is motivated
by the desire to increase well-being and to
reach the best possible health potential.
Health Promotion
activities directed at
preventing a problem before it occurs.
Primary Prevention
refers to early detection
and prompt intervention during the period of
early disease pathogenesis.
Secondary Prevention-
- targets population that
have experienced disease or injury and focuses
on limitation of disability and rehabilitation
Tertiary Prevention-
Community Based Nursing is setting-specific, and
the emphasis is on
acute and chronic care
COMMUNITY HEALTH NURSING
Philosophy is based on
the worth and dignity
of man.
Levels of Clientele
Individual
Family
Population Group
Community
primary focus of CHN practice is on
health
promotion.
CH nurses are
generalists.
The ___________of assessing, planning,
implementing and intervening provide periodic
measurements of progress, evaluation and continuum of
the cycle until the termination of nursing is implicit in the
practice of CHN.
dynamic process
To participate in the development of an over-all health
plan
To provide quality nursing services
To coordinate nursing services
To participate in and/or conduct researches relevant to
community health
To provide CHN personnel with opportunities for
continuing education and professional growth
Objectives of CHN
Is the science and art of preventing disease,
prolonging life and promoting healthand efficiency
through organized community effort. (C.E.
Winslow)
“The art of applying science in the context of
politicsso as to reduce inequalities in health while
ensuring the best health for the greatest number.”
–WHO
PUBLIC HEALTH NURSING
PHN was coined by
Lilian Wald.
refer to the nurses in the
local/national health departments or public schools
whether their official position title is PHN/Nurse /School
Nurse.
Public Health Nurses (PHNs) r
grefers to the practice of nursing in
national and local government health departments (which
includes health centers and rural health units). It is the
community health nursing practiced in the public sector
Public Health Nursing
IRR of RA 7164 (Philippine Nursing Act of 1991):
Supervision and care of women during pregnancy,
labor and puerperium.
Performance of IE and delivery of babies
* Suturing lacerationsin the absence of s physician.
* Provision of first aidmeasure and emergency care
* Recommending herbal an symptomatic medicines
*which are composed of: National level in which DOH plays
the lead agency.
*Under local level, the health system is run by Local
Government Unit (LGU)
PUBLIC SECTOR
What Level of PHC Municipal Health Office, Rural Health Units, Barangay
Health Centers. Barangay Health Stations
PRIMARY
What Level of PHC Provincial Health Office, District Hospitals, Emergency
Hospitals, Provincial Hospitals, Provincial Medical Centers
SECONDARY
What level of PHC National Hospitals, National Medical Centers, National
Specialized Hospitals, Regional Hospitals, Regional Medical
Centers Teaching and Training Hospitals
Tertiary
is the leader, staunch advocate and model in
promoting health for all in the Philippines
The Department of Health
DOH VISION:
global leader for responsible health outcomes
DOH MISSION:
guarantee equitable, sustainable and quality health
Major Roles: of doh
Leadership in Health
Enabler and Capacity Builder
Administration of Specific Services
also
called the Aquino Health Agenda is the latest in the series
of continuing efforts of the government to bring out health
sector reform.
Universal Health Care (KalusugangPangkalahatan)
known as the Local Government Code states
that all structures, personnel and budgetary allocations
from the provincial health level down to the barangay
were devol
R.A. 7160 k
Refers to the act by which the national
government confers power and authority upon
the various LGUs to perform specific functions and
responsibilities.
DEVOLUTION
infirmary, lying in, clinics
Primary Care Facility –
psychiatric facility, rehab,
sanitarium
Custodial Care Facility
laboratory facility
(drug testing), Radiologic facility (x-ray, ct scan),
Nuclear Medicine (cancer patients, radiotherapy)
Diagnostic/Therapeutic Facility
Dialysis Center,
Ambulatory Surgical Clinics, Cancer Therapeutic
Clinics.
Specialized Outpatient Facility
Along the Inter-local Health Zone/System, it is defined to
be any form or organized arrangement for coordinating the
operations of an array and hierarchy of health providers
and facilities which typically includes
INTER-LOCAL HEALTH SYSTEM
Composition of the Inter-local Health Zone:
People
Boundaries
Health Facilities
Health Workers
- within health facility
Midwife-nurse-doctor
Internal Referral
Barangay Health Center to Rural
Center
-Vertical –
– Primary Level Care to Tertiary
Care to Primary Care
Horizontal
- It is the implementation framework for health
sectorreforms in the Philippines for the medium term
covering 2005-2010.
FOURmula ONE PLUS
- It is the implementation framework for health
sectorreforms in the Philippines for the medium term
covering 2005-2010.
FOURmula ONE PLUS
Health Financing
2. Health Regulation
3. Health Service Delivery
4. Good Governance
Four Elements of Strategy for FOURmula One Plus
for Health:
The International Conference on Primary
Healthcare meeting in Alma Ata, September 12,
1978 expressing the need for urgent action by all
government, all health and development
workers, and the word community to protect and
promote the health of all the people of the
world.
ALMA ATA DECLARATION
s an organized and systematic
articulation of a set of statements related to
questions in the discipline of nursing.
NURSING THEORY
notes that each
person has unique personal characteristics and
experiences that affect subsequent actions.
“a positive dynamic state not merely
the absence of disease.”
Health Promotion Model
stimulate a behavioral change that results in a
positive health outcome
The goal of the health promotion model
behaviors
sometimes being influenced outside of the
individual i.e. media campaigns for ‘health’
medications.
L i festy le (Env ironment ) -
recognition of impact ,
based on the premise that
just as a medical diagnosis
precedes a treatment, so
should an educational
diagnosis precede an
intervention plan. The Precede-Proceed model is a tool for
designing, implementing, and evaluating health
behavior change programs
Green’s Precede-Proceed Mode
Nancy Milio a nurse and leader in public health
policy and public health education developed a
framework for prevention that includes
concepts of communityoriented, population
focused care (1976, 1981)
Milio’s Framework for Prevention
