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Comhealth Nursing

Comhealth Nursing



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Published by Jamil Lorca

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Categories:Types, School Work
Published by: Jamil Lorca on Jan 11, 2009
Copyright:Attribution Non-commercial


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 Nurse Licensure Examination Review Handouts
I - Definition of Terms
- derived from a latin word “comunicas” which means a group of people. · a group of people with common characteristics or interests living together within a territory or geographical boundary · place where people under usual conditions are found
- is the OLOF (Optimum Level of Functioning)
Community Health
- part of paramedical and medical intervention/approach which is concerned on thehealth of the whole population
1. health promotion 2. disease prevention 3. management of factors affecting health
- both profession & a vocation. Assisting sick individuals to become healthy and healthyindividuals achieve optimum wellness
II - Community Health Nursing
The utilization of the nursing process in the different levels of clientele-individuals, families,population groups and communities, concerned with the promotion of health, prevention of disease and disability and rehabilitation.
“To raise the level of citizenry by helping communities and families to cope with the discontinuitiesin and threats to health in such a way as to maximize their potential for high-level wellness”
· Health Promotion – activities related to enhancement of health· Health Protection – activities designed to protect the people· Health Balance – activities designed to maintain well being· Disease prevention – activities relate to avoid complication· Social Justice – activities related to practice equity among clientsPHILOSOPHY OF CHN ACCORDING TO DR. MARGARET SHETLAND
The philosophy of CHN is based on the worth and dignity on the worth and dignity of man.
Principles of Community Health:
 1. The community is the patient in CHN, the family is the unit of care and there are four levels of clientele:individual, family, population group (those who share common characteristics, developmental stages andcommon exposure to health problems – e.g. children, elderly), and the community.
 Nurse Licensure Examination Review Handouts
2. In CHN, the client is considered as an ACTIVE partner NOT PASSIVE recipient of care3. CHN practice is affected by developments in health technology, in particular, changes in society, ingeneral4. The goal of CHN is achieved through multi-sectoral efforts5. CHN is a part of health care system and the larger human services system.
Role of CH Nurse:
 · Clinician - who is a health care provider, taking care of the sick people at home or in the RHU· Health Advocator – speaks on behalf of the client· Advocator – act on behalf of the client· Supervisor - who monitors and supervises the performance of midwives· Facilitator - who establishes multi-sectoral linkages by referral system· Collaborator – working with other health team member 
· HOME VISIT· BAG TECHNIQUE· STERILIZATION· SPECIMEN COLLECTION- URINE – sterile bottle; midstream collection- FECES - clean container; small amount of feces only- SPUTUM - NPO midnight 1st collection early AM then submit at the health center immediatelythen 2nd collection following day early in the Am then submit at the health center then collect the3rd sputum; instruct patient to take a deep breath 4 times then cough out
Levels of Client in CHN:
1. Application of Nursing Process to:
1.a Family
1.a.1 Family Coping Index
 · Physical Independence - ability of the family to move in & out of bed & performed activities of daily living· Therapeutic Independence - ability of the family to comply with the therapeutic regimen (diet, medication& usage of appliances)· Knowledge of Health Condition- wisdom of the family to understand the disease process· Application of General &Personal Hygiene- ability of the family to perform hygiene & maintainenvironment conducive for living· Emotional Competence – ability of the family to make decision maturely & appropriately (facing thereality of life)· Family Living Pattern- the relationship of the family towards each other with love, respect & trust· Utilization of Community Resources – ability of the family to know the function & existence of resourceswithin the vicinity· Health Care Attitude – relationship of the family with the health care provider · Physical Environment – ability of the family to maintain environment conducive for living
1.a.2 Family Life Cycle
 · Stage I – Beginning Family (newly wed couples)TASK: compliance with the PD 965 & acceptance of the new member of the family· Stage II – Early Child Bearing Family(0-30 months old)
 Nurse Licensure Examination Review Handouts
TASK: emphasize the importance of pregnancy & immunization & learn the concept of parenting· Stage III –Family with Pre- school Children (3-6yrs old)TASK: learn the concept of responsible parenthood· Stage IV – Family with School age Children (6-12yrs old)TASK: Reinforce the concept of responsible parenthood· Stage V - Family with Teen Agers (13-25yrs old)TASK: Parents to learn the concept of “let go system” and understands the “generation gap”· Stage VI – Launching Center (1st child will get married up to the last child)TASK: compliance with the PD 965 & acceptance of the new member of the family· Stage VII -Family with Middle Adult parents (36-60yrs old)TASK: provide a healthy environment, adjust with a new lifestyle and adjust with the financial aspect· Stage VIII – Aging Family (61yrs old up to death)TASK: learn the concept of death positively
· Status – information about morbidity, mortality & life expectancy ·Structure – information about age, gender and socio economic · Process – information about how thecommunity function
A process by which the nurse collects data about the community in order to identify factors which mayinfluence the deaths and illnesses of the population, to formulate a community health nursing diagnosisand develop and implement community health nursing interventions and strategies.
2 Types:
Comprehensive Community DiagnosisProblem-Oriented Community Diagnosis-
aims to obtain general information aboutthe community- type of assessment responds to a particular need
Preparatory Phase1.site selection2.preparation of the community3.statement of the objectives4.determine the data to be collected5.identify methods and instruments for data collection6.finalize sampling design and methods7.make a timetable· Implementation Phase1.data utilization2.data collection3.data organization/collation4.data presentation5.data analysis· Evaluation Phase

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