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Community Health Nursing

Community Health Nursing

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Published by Dark Avenz

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Published by: Dark Avenz on Feb 04, 2010
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07/12/2013

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COMMUNITY HEALTH NURSING
What is a community ? 
- a group of people with common characteristics or interests living together within aterritory or geographical boundary- place where people under usual conditions are found
What is
community health
?
- part of paramedical and medical intervention/approach which is concernedon the health of the whole population- aims:1. health promotion2. disease prevention3. management of factors affecting health
What is
nursing 
?- assisting sick individuals to become healthy and healthy individuals achieveoptimum wellness.
What is 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 andrehabilitation.”-
Maglaya
, et al 
-
BASIC PRINCIPLES OF CHN
COMMUNITY 
is the
patient
in CHN.
FAMILY 
is the unit of care.The client is considered as an
ACTIVE
partner 
NOT PASSIVE
recipient of care.The
goal 
of CHN is achieved through
MULTI-SECTORAL EFFORTS.
CHN is a part of health care system and the larger human services system.
HEALTH TEACHING
is a primary responsibility of a CHN nurseCHN must be available to all regardless of race, creed and socioeconomicstatus.The CHN Nurse makes use of available community health resources.There must be provision for periodic evaluation of CHN services.
Roles of the PUBLIC HEALTH NURSE
CLINICIAN,
who is a health care provider, taking care of the sick people athome or in the RHU
HEALTH EDUCATOR,
who aims towards health promotion and illnessprevention through dissemination of correct information; educating people
FACILITATOR,
who establishes multi-sectoral linkages by referral system
SUPERVISOR,
who monitors and supervises the performance of midwives
FIVE FOLD MISSION OF CHN
1.Health promotion2.Health protection3.Health balance4.Disease prevention5.Social justice
 
COMMUNITY HEALTH NURSING PROCESSA.Assessment
1.Initiate contact2.Demonstrate caring attitude3.Mutual trust and confidence4.Collect data from all possible sources5.Identify health problemsCategories:
Health deficit- 
occurs when there is a gap between actual and achievablehealth status.
Health threats- 
conditions that promote disease or injury and preventpeople from realizing their health potential.
Foreseeable crisis- 
includes stressful occurrences such as death or illnesses of a family member.
Health need- 
exists when there is a health problem that can be alleviatedwith medical or social technology.
Health problem- 
is a situation in which there is a demonstrated healthneed.6. Assess coping ability.7. Analyze and interpret data.
B. Planning
1.Prioritize needs.2.Establish goals based on needs and capabilities .3.Construct action and operational plan.4.Develop evaluation parameters.
C. Implementation of Planned Care
1.Put plan into action2.Coordinate care/ services3.Utilize community resources4.Delegate, supervise and monitor services provided5.Document responses to nursing actions
D. Evaluation of care and services rendered
1.Monitor outcomes2.Performance appraisal3.Estimate cost benefit ratio4.Assessment problems5.Identify needed alterations6.Revise plan as needed
MODERN CONCEPT OF HEALTH
-
Refers to the optimum level of individuals, families and communitiesFACTORS AFFECTING OLOF:
BHHEPS
BehavioralHeredityHealth Care delivery systemEnvironmentPoliticalSocio-economic
 
TEN DETERMINANTS OF HEALTH
1.Gende2.Genetics3.Education4.Employment5.Culture6.Health services7.Income8.Personal behavior 9.Physical environment10.Social support network
COMMUNITY HEALTH NURSINGGOAL:
To raise the health of the citizenry.
Main activity:
Health teaching (health promotion)
PHILOSOPHY:
Worth and dignity of man.
DEPARTMENT OF HEALTH 
VISION:
 The DOH is the leader, staunch advocate and model in promoting Health for All inthe Philippines.
MISSION:
 NEW- guarantee equitability, sustainability and quality of life for all Filipinosespecially for the poor and shall lead the quest for excellence in heath
OLD:
ensure accessibility and quality of life, for all Filipinos especially the poor 
GOAL:
Health Sector Reform Agenda (HSRA)Framework for implementation of HSRA: FOURmula ONE for Health
GOALS
of FOURmula ONE for Health: (
BEM 
)1.Better health outcomes2.Equitable health care financing3.More responsive health systems
FOUR
elements of the strategy:Health Care FinancingHealth regulationHealth service deliveryGood health governance
ROLES OF DOH (
LEA
)
1.Leadership in Health2.Enabler and Capacity Builder 3.Administrator of specific services

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