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Community Health Nursing > Community Health Nursing - Day 1 > Flashcards

Community Health Nursing - Day 1 Flashcards

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1
Q

Where do CHN works?

A

outside the hospital

Ex: school nurse

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2
Q

What is the GOAL of CHN?

A
  • to achieve the optimum level of functioning (OLOF)/high level wellness of the client
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3
Q

What are the two main focus of CHN if the clients are healthy?

A
  1. Health promotion

2. Illness prevention

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4
Q

one of the main focus of CHN:

  • increase level of health
  • HEALTHY becomes HEALTHIER
  • help to achieve OLOF and change to healthy lifestyle
A

Health promotion

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5
Q

“D” of Health promotion

What are its 3 Nutrition Guidelines?
A
B
C

A

D-iet (well-balanced diet); “you are what you eat”

Nutrition Guidelines:
A - im ideal body weight (IBW) thru body mass index (BMI); Formula: wt(kg)/ht(m)2
Asia Pacific Obesity Guidelines (APOG)
- Normal BMI = 18-23
- Overweight = 23-25
- Obese = > 30

B - uild a healthy nutrition practices
- eat on time

C - hoose food wisely

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6
Q

“E” of Health promotion

What are the two types of its intensity?

A

Exercise

Type:
- Cumulative - 10 mins morning, afternoon, night = 30mins/day

*Do not ask how many times, instead ask how’s the intensity
Intensity:
1. Moderate - almost everyday (Ex. jogging, biking)
2. Vigorous - 3x/week (Ex: biking on the hills)

*Aerobic exercise - promotes circulation

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7
Q

“R” of Health promotion

What are the its two types?

A

R - est

  1. Stress management
  2. Sleep
    - Adults: 6-8 hrs/day
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8
Q

“S” of Health promotion

What are the chemicals of cigarettes?

What are the 2 ways to quit smoking?

A

S - top/Avoid smoking

Chemicals of cigarettes:

a. Nicotine - addictive
b. Carbon monoxide - interferes oxygenation = Hypoxia (mabilis mapagod)
c. Tar - paralyzes the cilia of the lungs = respiratory infection

2 ways to quit smoking
1. Education - 4A's
- Ask, Advise, Assist, Arrange
2. Legislation
RA 9211 (2022) = Tobacco Regulations Act
- not allowed in public places
- not allowed to advertise
- not allowed to sell (within 100m) of school premise
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9
Q

one of the main focus of CHN:

  • maintain health
  • HEALTHY becomes HEALTHY
  • specific
  • protection
A

Illness prevention

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10
Q

What is the Vision of DOH?

A 
Vision: 
1. Filipinos will be the healthiest in the Southeast Asia (2022)
- based on life expectancy
Life expectancy:
- HK: 85 y.o.
- Singapore: 83.8 y.o
- Filipinos: 71 y.o (2019)
  1. Filipinos will be the healthiest in Asia by 2040
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11
Q

What is the Mission of DOH?

A 
Mission:
- develop "PREP" health system
P - roductive
R - esilient
E - quitable
P - eople-centered
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12
Q

What are the 3 functions of DOH?

A 
E.O. 102 (Executive Order?)
1. L - eadership in health: Policies
2. E - nabler and capacity builder
- creates new strategies and trainings for health
Ex. Unang Yakap
3. Administrative function:
- manages tertiary
a. primary
b. secondary
c. tertiary - handled by DOH, including ER services
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13
Q

Philippine Healthcare Delivery System:

  • basic health care services/simple cases
  • Who handles this?
A

Philippine Healthcare Delivery System:
Primary

Mayor

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14
Q

Philippine Healthcare Delivery System:

What are the two under Primary?

A
  1. Barangay Health Station (BHS)
    - manned by public health midwife (PHM)
    - satellite station

*if hindi kaya icure, proceed to
2. Rural Health Unit/Health Center
- main primary center
- complete health care team
Ex: nurses, doctors

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15
Q

What are the roles of these complete healthcare team in RHU/Health Center?

  1. Public Health Midwife (PHM)
  2. Public Health Nurse (PHN)
  3. Rural Health Physician (RHP)/ Health Officer
  4. Sanitary Inspector
  5. Medtech
  6. Dentist
A
  1. Public Health Midwife (PHM) - frontline (tumatanggap ng pts)
  2. Public Health Nurse (PHN) - supervisor/coach (oversee the activities)
  3. Rural Health Physician (RHP)/ Health Officer - manager (responsible for overall activities inside the center)
  4. Sanitary Inspector - environmental sanitation; Ex: sanitary permit (health center)
  5. Medtech - laboratory
  6. Dentist - dental health program
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16
Q

Philippine Healthcare Delivery System:

  • common lab. and medical procedures
  • who handles this?
A

Philippine Healthcare Delivery System:
Secondary

Governor

17
Q

Philippine Healthcare Delivery System:

What are the two under Secondary?

A
  1. District Hospital/ER hospital

2. Provincial Hospital

18
Q

Philippine Healthcare Delivery System:

  • advanced
  • who handles this?
A

Philippine Healthcare Delivery System:
Tertiary

DOH

19
Q

Philippine Healthcare Delivery System:

What are the two under Tertiary?

A
  1. Regional Hospital/Medical Center
    Ex: Asian Hospital and Medical Center
  2. National Hospital/National Medical Center/Specialty Hospital
    Ex: PGH, Lung/Heart Center
20
Q

What is the Law called Local Government Code?

these two means transfer of power:

  1. Decentralization
  2. Devolution
A

R.A. 7160

  • Before 7160, the DOH both formulates and implements
  • In R.A. 7160, there’s sharing
  • DOH: formulates programs
  • LGU: implements
21
Q

In provincial government,
1. Who is the Chairman/Local Chief Executive - responsible for SECONDARY facilities

  1. Who is the Vice-Chairman?
A

In provincial government,

  1. GOVERNOR
  2. Provincial Health Officer
22
Q

In municipal government,
1. Who is the Chairman/Local Chief Executive - responsible for PRIMARY facilities

  1. Who is the Vice-Chairman?
A

In municipal government,

  1. MAYOR
  2. Municipal health officer (MHO)/City health officer (CHO)

*Municipal health office = for recommendation

23
Q

Give the 3 Vice-Chairman

A
  1. MHO
  2. CHO
  3. PHO (Provincial health officer)
24
Q

Who are the 4 clients in CHN?

A
  1. I - ndividual
    Ex: masakit tiyan, pumuntang health center mag-isa
  2. F - amily - basic unit of service
    Ex: home visit
    Ex: nurses can teach parents about sex educ; parents teaches children
  3. G - roup - people who share same characteristics
    Ex: pregnant, seniors, pwd
    Purpose: maximize health teaching
  4. C - ommunity - primary client/whole clients
    Ex: matutulungan lahat
25
Q
  • concept stated by WHO on 1978
A

Primary Health Care

vs.
Ottawa Charter (1986) - health promotion; Canada
Ex: An apple a day keeps the doctor away

Additional notes:
Alma Ata Conference by USSR; happened in Kazakhstan
- LOI 949 (accepted by Ph) - legal basis of primary healthcare (PHC)
- signed on Oct. 1979. by Pres. Ferdinand Marcos

26
Q

What is the Vision of the Primary Health Care?

A

Vision:
health in the hands of the people
Goal: Self-reliance
Ex: in the future, kaya na nila

27
Q

What is the Mission of the Primary Health Care?

A

Mission:

to increase opportunity so that people will manage their own healthcare

28
Q

What are the two core principles of the Primary Health Care?

A
  1. P - artnership (with the people)
    - ACTIVE partnership
  2. E - mpowerment
    Ex: When our knolwedge is passed to them, they will feel empowered

*Empowerment is the key to Self-reliance

29
Q

What is the first pillar of the Primary Health Care?

*most important

A

A - ctive community participation
Ex: sino ang pipitas, magpapakulo and papatay ng boiled herbal = client
-clients presence and observation make them feel empowered

30
Q

What is the second pillar of the Primary Health Care?

What are its difference?

A

I - ntra and Inter sectoral linkages

Intra - WITHIN the healthcare delivery system
Ex: Galing HC, pinapuntang (secondary?)
this means = two-way referral system; from primary to secondary to tertiary then from tertiary to secondary to primary to home

Inter - OUTSIDE the healthcare delivery system
a. Non-government Organization (NGO)
Ex: PhilHealth, DOH, Foundations

b. Government Organization (GO)
Ex: DEPED, DSWD, DPWH, TESDA, DFA, DOLE

31
Q

What is the third pillar of the Primary Health Care?

A

U - se of appropriate technology
- local indigenous resources

Ex: Board exam question
A poor family has 5 children with Risk for Kwashiorkor (lack of protein), what is the appropriate food should you teach to the mother to prepare?
A. green leafy vegetables - no protein
B. beef and ampalaya - too pricey
C. Tofu - good source of protein, not pricey
D. Puto

32
Q

What is the fourth pillar of the Primary Health Care?

A

S - upport mechanism made available

- support from government is needed

Community Health Nursing (3 decks)

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