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Community Health nursing Board Exam

Community Health nursing Board Exam

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Published by rhenier_ilado
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Published by: rhenier_ilado on May 13, 2010
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10/11/2013

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The College of Maasin
Nisi Dominus FrustraCollege of NursingMaasin City, Southern Leyte
SUPPLEMENTAL REVIEWKEY POINTS IN COMMUNITY HEALTH NURSING(
Prepared by Rhenier S. Ilado RN)
Some test taking techniques:A-ssimilate essential principles in the care of patients in thecommunity
These principles may include:1. have a purpose or objective when conducting home visit2. plan ahead3. priority should be given to the recognized needs of the family4. there is no definite rule as to the frequency of a home visit5. frequency of home visit should take into account, the physical,psychological and educational needs of the individual and family6. the initial step in conducting a home visit is to GREET the client andintroduce yourself7. soiled articles with discharge should be boiled in water 30 minutes beforelaundering
B- ag Technique
- steps which are carried out by the nurse to facilitate theperformance of nursing procedures with ease and deafness
Remember the 
:
B
ag and its contents must be protected from any possible contamination
A
lways wash your hands to prevent the spread of infection
G
ather all necessary articles and supplies to answer emergency needs
Note:
blood pressure apparatus and stethoscope are carriedseparatelyConsider the following principles:1. prevention of contaminationNote: place waste paper bag outside the work areas2. protection of the caregiverNote: clean and alcoholize all articles after use3. make articles readily accessibleNote: place the articles in one corner of the work area4. make follow-up careNote: set the date and time for the next visit
 
C- ommunity Based Rehabilitation Program
the goal of this program is the improvement of quality of life andproductivity of disabled persons
R.A 7277, Magna Carta for Disabled Persons, serves as the legal basis ofthe program
The components of the program include: social preparations, servicespreparation, training, information, education and communication andmonitoring, supervision and evaluation
The VISION of the Department of Health is:
health for all Filipinos
The MISSION of the Department of Health is:
Ensure accessibility ofhealth care to improve the quality of life of all Filipinos especially thepoor
The basic principles to achieve improvement in health
include:E – nsure universal access to basic health servicesE – pidemiological shift from infectious to degenerative disease mustbe managedE – nhance the performance of health sectorE – nsure the priotization of health and nutrition of vulnerable groups
The primary strategies to achieve health goals
include:S upport for frontline health workers and to local systemdevelopmentA – ssurance of health careI – ncreasing investment for primary health careD – evelopment of national standard and objectives for health
Primary health Care (PHC)
,
according to the World Health organization is an essential health care made universally accessible to individuals and families in the community by means acceptable to them through their full participation and at a cost that the community and country can afford at every stage of development 
The goal of PHC is
health for all Filipinos and Health in the hands ofthe people by the year 2020
Letter of instruction (LOI) 949 (October 19, 1979) is the legal basis ofPHC
The first international conference on primary health care was held inAlma, Ata, USSR on September 6-12, 1978 sponsored by the WHO andUNICEF
The framework for meeting the goal of primary health care isorganizational strategy, it calls for among communities, private andgovernment agencies with the end view of health development
The
four cornerstone/pillars in primary health care 
includes:1. active community participation2. intra and inter sectoral linkages3. use of appropriate technology4. support mechanism made available
The
expanded program on immunization
aims to reduce the morbidityand mortality among infants and children caused by the six childhoodimmunizable diseases. It was launched in July 1976.
 
P.D. 996
(September 16, 1976) provides for compulsory basicimmunization for infants and children below 8 years of age. The EPIprogram is based on epidemiological situations.
Presidential proclamation no. 147
(March 3, 1993) declares April 21and May 19, 1993 and every third Wednesday of January and Februarythereafter for two years as National Immunization Days.
R.A. 7846
(December 30, 1994) requires compulsory immunizationagainst hepatitis B for infants and children below 8 years old
the ultimate goal of promotion of reproductive health is “
QUALITY OFLIFE”
. The focus of the Philippine framework of the program isReproductive Health status in terms of, its elements. The ten elementsof Reproductive Health includes:1. maternal and child health and nutrition2. family planning3. prevention and management of abortion complications4. prevention and treatment of reproductive tract infection (RTI’s)including STD’s, HIV and AIDS5. education and counseling on sexuality and sexual health6. breast and reproductive tract cancers and other gynecologicalconditions7. men’s reproductive health8. violence against women9. prevention and treatment of infertility and sexual disorders10. adolescent reproductive
the goal of the 2000 Nutritional Guidance for Filipinos is theimprovement of nutritional status, productivity and quality of life of thepopulation through adoption of desirable dietary practices and healthylifestyle. An example is the exclusive breastfeeding of infants
frombirth to 4-6 months
and the use of iodized salt.
The use of fluoride in the prevention of tooth decay is carried out bymaking four application of fluoride about
a week apart among childrenwho are aged 3, 7, 10 and 13 because at these ages new teeth haveerupted
The goal for health care and services for older persons is to provide a
longer disability-free life
. This is carried out through a holistic careapproach
To reduce the blindness prevalence rate in the Philippines, the preventionof blindness program was conceived. It is subdivided into four programsnamely, cataract program, primary eye care, vitamin A deficiency programand other eye care program
The goals of the mental health program include:
promotion of mentalhealth, decreased health-related effects of stressful lifestyle andreduction of prevalence of mental ill health and disorders in thePhilippines
The
Sentrong sigla movement
aims to promote availability of qualityhealth services in health centers and hospitals and to make theseservices accessible to every Filipino

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