FINALS-HEALTH CARE PROCESS P2 Flashcards
Reporting Forms
Monthly
Quarterly
Annual
are regularly prepared by the midwife and submitted to the nurse who then uses the data to prepare the quarterly forms
Monthly Forms
contains indicators categorized as maternal care, child care, family planning and disease control. The midwife copies the data from the Summary Table.
Program Report (M1)
contains a list of all cases of disease by age and sex
Morbidity Report (M2)
are usually prepared by the nurse.
Quarterly Forms
Where do Quarterly Forms are submitted
Provincial Health Office
contains the 3-month total of indicators categorized as maternal care, family planning, child care, dental health, and disease control
Program Report (QI)
is a 3-month consolidation of Morbidity Report (M2)
Morbidity Report (Q2)
a report by the midwife that contains demographic, environmental and natality data
A-BHS
is prepared by the nurse and is the report of the RHU or health center contains demographic and environmental data, and data on natality and mortality for the entire year
Annual Form 1 (A-1)
prepared by the nurse. Is the yearly morbidity by age and sex
Annual Form 2 (A-2)
also prepared by the nurse. Is the yearly report of all deaths (mortality) by age and sex
Annual Form 3 (A3)
listing of persons diagnosed with a specific type of disease in a defined population
Disease Registries
the official and periodic enumeration of population
Census Data
is done when people are assigned to the place they usually live in regardless of where they are at the time of the census
De jure method
is done when people are assigned to the place where they are physically present at the time of the census regardless of their usual place of resident
De facto method
Community data are presented to the health team and the members of the community for the following purposes:
1.To inform the health team and members of the community of existing health and health related conditions in the community in an easily understandable manner.
2.To make members of the community appreciate the significance and relevance of health information to their lives
3.To solicit broader support and participation in the community health process
4.To validate findings
5.To allow for a wider perspective in the analysis of data
6.To provide a basis for better decision making
Methods to present data
Descriptive Data
Numerical Data
Presented in narrative form
Examples: geographic data, history of a place, beliefs regarding illness
Descriptive data
Presented in tables, graphs and charts
Numerical Data
are useful in showing key information making it easier to show comparisons including patterns and trends.
Tables and graphs
are a graphical device for understanding the shapes of distributions. They serve the same purpose as histograms, but are especially helpful for comparing sets of data. It is also a good choice for displaying cumulative frequency distributions.
Frequency polygons
is a quantitative and qualitative description of the health of the citizens and the factors which influence their health. (WHO)
Community Diagnosis
it is the process of determining the health status of the community and the factors responsible for it
Community Diagnosis
Types of Community Diagnosis
Comprehensive
Problem-Oriented
aims to obtain general information about the community
Comprehensive Community Diagnosis
respond to a particular need
Problem Oriented Community Diagnosis
defines nursing diagnosis as a clinical judgment about individual, community or family responses to community to actual or potential health problems or life processes.
The North American Nursing Diagnosis Association (NANDA)
Categories of Community Health Nursing Problems
Health Status Problems
Health Resources Problems
Health-Related Problems
They may be described in terms of increased or decreased morbidity, mortality, fertility or reduced capability for wellness.
Health Status Problems
They may be described in terms of lack of or absence of manpower, money, materials or institutions necessary to solve health problems.
Health Resources Problems
They may be described in terms of existence of social, economic, environmental and political factors that aggravate the illness-including situations in the community.
Health-Related Problems
Prioritize which health problems can be attended to considering the resources available at the moment
Priority Setting
Criteria use in priority setting
*Nature of the condition/problem presented
*Magnitude of the problem
*Modifiability of the problem
*Preventive potential
*Social Concern
the problems are classified by the nurse as health status, health resources or health -related problems.
Nature of the condition/problem presented
this refers to the severity of the problem which can be measured in terms of the proportion of the population affected by the problem
Magnitude of the problem
this refers to the probability of reducing, controlling or eradicating the problem
Modifiability of the problem
this refers to the probability of controlling or reducing the effects posed by the problem.
Preventive potential
this refers to the perception of the population or the community as they are affected by the problem and their readiness to act on the problem.
Social Concern
There are 4 parts to a community diagnosis
- A description of the problem, response, or state (risk, concern, issue, potential or actual),
- A statement of the aggregate, population, community, or focus (boundaries).
- An identification of factors etiologically related to the problem (factors), and
- Those signs and symptoms (manifestations) that is characteristic of the problem.
The WHO has suggested the following criteria to decide on a community health concern for intervention:
- Significance of the problem
- Community awareness
- Ability to reduce risk
- Cost of reducing risk
- Ability to identify the target population for intervention
- Availability of resources
is based on the number of people in the community affected by the problem or condition
Significance of the problem
The level of awareness and the priority its members give to the health concern
Community awareness
is related to the availability of expertise among the health team and community itself
Ability to reduce risk
the nurse has to consider economic, social and ethical requisites and consequences of planned actions
Cost of reducing risk
is a matter of availability of data sources, such as FHSIS, census, survey reports, case findings or screening tools
Ability to identify the target population for intervention
entails technological, financial and other material resources of the community, the nurse and the health agency.
Availability of resources
the desired outcomes at the end of interventions
Goals
are the short-term changes in the community that are observed as the health team and the community work towards the attainment of goals
Objectives
Characteristics of a good objective:
Specific
Measurable
Achievable
Realistic
Time Bound
clear about what, where, when, and how the situation will be changed
Specific
able to quantify the targets and benefits
measurable
able to attain the objectives
Achievable
able to obtain the level of change reflected in the objective
Realistic
stating the time period in which they will each be accomplished
Time bound
