OVERVIEW OF PHN Flashcards
A state of complete physical, mental, and social well-being and not merely
the absence of disease or infirmity.
The extent to which individual is able to realize aspirations & satisfy needs;
to change or cope with the environment.
Health
Community vitality and a result of positive interaction among groups
within the community with emphasis on health promotion & illness
prevention.
Social Health
▪ Family, community, society, and environment are interrelated and have
an impact on health.
▪ Illness, health and peak of wellness are on a continuum
Concept of Wellness
Is a group of people sharing common geographic boundaries or values
and interests.
a collection of people who interact with one another and whose common interests or characteristics form the basis for a sense of unity or belonging
Community
part of paramedical and medical intervention/ approach which is concerned on the health of the whole population
➢ aims:
1. health promotion
2. disease prevention
3. management of factors affecting health
Community Health
- defined by its geographical boundaries
- made up of institutions
- a common or shared
- are with fluid boundaries
- population aggregate concept
Characteristics of a Community
What are the types of community?
Geopolitical
Phenomenological
Type of community that is natural & man-made boundaries (barangays, municipalities, cities, provinces, regions)
Geopolitical
Type of community that is relational/interactive groups, in which the setting is more abstract & people share a perspective or identity based on culture, values, interests, goals, history (schools, churches, mosques, org
Phenomenological
the synthesis of nursing practice & public health practice applied to
promoting & preserving the health of the populations
CHN
the practice of promoting & protecting the health of populations using
knowledge from nursing, social & public health sciences
PHN
Application of the nursing process in caring for individuals, families, &
groups where they lie, work or go to school or as they move through the
health care system.
Community-based nursing
emphasis is on preservation and protection of health; primary client is community
CHN
emphasizes managing acute or chronic conditions; primary clients are individual and the family.
Community-based nursing
➢ is the science and art
▪ of preventing disease, prolonging life, and promoting health efficiency
THROUGH organized community effort;
▪ to ensure everyone a standard of living adequate for the maintenance of health,
▪ to enable every citizen to realize his
birthright of health and longevity.”
Public health
PHN gives emphasis on the __ level of prevention.
primary
What are the advantages of PHN?
- gives nurse a vivid picture of overall health status of community
- learn, conceive, and implement the DOH programs
- nurses appreciate their role in nation building
PHN
It focuses on care from the ___
individual to the family and the community.
What are the qualities of a good PHN?
Knowledgeable
Skillful
Good judgment
Right attitude
___ practice, promotes and preserves the health of populations by integrating the skills and knowledge relevant to both nursing and public health.
The practice is comprehensive and general.
CHN
is a specialized field of nursing practice w/c are anchored on nursing theories and important concepts from the science of public health such as:
* emphasis on the importance of the “greatest good for the greatest number”;
* priority of health-promotive and
disease-preventive strategies over curative interventions;
Community Health Nursing
Who are the clients of CHN?
Individual
Family
Population groups
Community
What are the levels of health care and referral system?
- National Health Services Medical Centers
- Regional and Training Hospital
- City/Provincial Hospital
- District Hospitals
- Rural Health Unit
- Barangay Health Unit
A type of public health nursing that
focuses on the promotion of health and wellness of the pupils/students, teaching and non-teaching personnel of the schools.
School Health Nursing
The ___ of the Department of Education (DepED) is mandated to
safeguard the health and nutritional well being of the total school population.
HNC (Health and Nutrition Center)
What are the two divisions of HNC?
Health
Nutrition
What are the 4 sections under the Health division?
Medical
Dental
Nursing
Health education
The practice focuses on promotion, protection, and restoration of worker’s health within the context of a safe and healthy work environment.
▪ Is autonomous, and occupational health nurses make independent nursing judgments in providing occupational health services.
Occupational Nursing
Started in the US (1960) with belief that a person gets better faster if he or
she is placed in an environment familiar to him or her.
The patient does not need to be hospitalized away from home and community.
Children, adults and older people suffering from various types of mental health problems
Community mental health nursing
Opened a medical dispensary in Intramuros(the old walled City in Manila) for the indigent.
Franciscan Friar Juan Clemente
When did the evolution of PHN start?
1577 - Spanish Regimen
Worked toward installing a water system in San Juan del Monte (now San Juan City, Metro Manila) and Manila.
Dominican Father Juan de Pergero - 1690
▪ First, appointed by the Spanish government
▪ worked as provincial health officer
▪ A 2 year course consisting of Fundamental Medical & Dental
sunjects was offered in UST in 1888
▪ A graduate of this course known as Cirujanos Ministrantes
▪ Serve as Male Nurses and Sanitation Inspectors
Medicos Titulares - 1876
▪ The US Philippine Commission through Act 157, created the
Board of Health of the Philippine Islands, with a Commission
of Public Health, as its chief executive officer.
▪ The Board of Health eventually evolved into what is now the
Department of Health.
▪ Subsequently, provincial and municipal boards of health were
formed.
1901
▪ Created sanitary divisions made up of one to four municipalities
Each sanitary division had a “president”, who had to be a
physician
▪ A Sanitation inspector, A nurse
Fajardo Act of 1912
▪ the Philippine General Hospital began to extend public health
nursing services in the homes of patients by organizing a unit
called SOCIAL AND HOME CARE SERVICE, with 2 nurses as staff.
1915
was the first center dedicated to the service of mothers and babies
La Gota de Leche
▪ La Gota de Leche was the first center dedicated to the service of
mothers and babies.
▪ In addition to puericulture centers, just before the WWII broke
out, municipal and charity clinics were also set up, manned either
by a physician, nurse or midwife.
Association Feminista Filipina in 1905
▪ DOH was reorganized into bureaus:
▪ Quarantine hospitals that took charge of the municipal and charity clinics.
▪ Health with sanitary divisions under it
1947
▪ Rural Health Act –provided for the creation of a rural health unit
in every municipality.
▪ Provided for the employment of physicians to serve as municipal
health officers, health nurse, midwives and sanitation inspectors
in the rural health units
▪ It also provided for a provincial health officer for each province
and a public health dentist for each congressional district
Congress passed RA 1082 - 1954
Amended certain provisions in the Rural Health Act.
▪ This law created 8 categories of rural health units corresponding
to the population size of the municipalities.
▪ Regional health offices were created as a result of
decentralization efforts in 1958.
RA 1891 enacted in 1957
Philippine Health Care Delivery System was restructured, paving the way for the health care system that exist to this day were health care services are classified into
▪ primary
▪ Secondary
▪ Tertiary levels
1970
This law mandated devolution of basic services, including health services, to local government units and the establishment of a local health board in every province and city or municipality.
RA 7160 Local Government Code enacted in 1991
The Philippines is a signatory to the United Nations Millennium Declaration adopted during the World Summit in September.
▪ 8 MDGs.
▪ DOH has committed to attainment of the health MDGs to reduce
child mortality, to improve maternal health and to combat
HIV/AIDS, malaria and other diseases.
2000
this aims to achieve the health system goals of better health outcomes, sustained health financing and responsive health system that will provide equitable access to health reform implementation deliberately focused on economically disadvantaged Filipinos to ensure that they are given risk protection through enrolment in Philhealth (Philippine Health Insurance Corporation) and they are able to access affordable
and quality health services
Universal Health Care in 2010
The DOH has directed efforts toward
comprehensive reforms in health care with the health Sector Reform Agenda launched in ___
1999
It’s implementation framework FOURmula one (F1) for health in __
2005
created the Board of Health of the Philippine Islands, with a Commission
of Public Health, as its chief executive officer
Act 157
provided for the creation of a rural health unit
in every municipality
Rural Health Act
