Top Rank: CHN Notes Flashcards
Four Levels of Clientele
Individuals
Family
Population
Community
Subspecialties of CHN
School Nursing
Occupational Health Nursing
Community Mental Health Nursing
Public Health Nursing
It is a special field of nursing that combines the skills of nursing, public health and some phases of social assistance
(World Health Organization)
Public Health Nursing
The overriding goal of DOH
HSRA (Health Sector Reform Agenda)
Local Government Code: All structures, personnel, and budgetary allocations from the provincial health level down to the barangays were
DEVOLVED to the Local Government Units to facilitate health service delivery
RA 7160
How is the Primary Health Care (PHC) adopted in the Philippines?
Letter of Instruction (LOI) 949
Signed by President Marcos on October 19, 1979
Letter of instruction (LOI) 949
Levels of Health Care and Health Referral System
- Primary Level of care
- Secondary Level of Care
- Tertiary Level of Care
- Devolved to the cities and municipalities
- Health care provided by center physicians, public health nurses, rural health midwiwes, barangay health
workers, traditional healers
Primary Level of Care
Secondary care is given by physicians with basic health training
• Serves as a referral center for the primary health facilities
• Capable of performing minor surgeries and perform some simple laboratory examinations
Secondary Level of Care
Tertiary care is rendered by specialists in health facilities
• Referral center for the secondary care facilities
• Complicated cases and intensive care requires tertiary care
Tertiary Level of Care
Focuses on health promotion and disease prevention
Primary prevention
Focuses on early detection of disease and prompt treatment for individual experiencing health problems
Secondary Prevention
Rehabilitation (prevent further disability)
• Restore client’s optimum level of functioning
Tertiary Prevention
While the cuff is deflating, listen for pulse sounds.
ü 1st Clear tapping sound (Korotkoff Phase I: Systolic BP)
ü Disappearance of sound (Korotkoff Phase V: Diastolic BP
Factors influencing Frequency of Home Visits
• Needs of the (most important)
• Acceptance of the family 2nd most important
• Policy of a Specific agency
• Other health agencies involved
• Past services given to family
• Ability to recognize own needs
An essential and indispensable equipment of a public health nurse which she has to carry along during her home
visits
Public Health Bag
Epidemiological Approach: Concerned with disease distribution and frequency
Descriptive Epidemiology
Epidemiological Approach: Attempts to analyze causes or determinants of disease through hypothesis testing
Analytical Approach
Epidemiological Approach: Answers questions about the effectiveness of new methods for controlling diseases or for improving underling conditions
Intervention or Experimental Epidemiology