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Community Health Nursing Process

Community Health Nursing Process

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Published by R.A.A.V., RN, MN

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Published by: R.A.A.V., RN, MN on Jul 26, 2010
Copyright:Attribution Non-commercial


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Community Health Nursing Process
Community health purposes and goals are realizedthrough the application of a series of steps that lead to describedresults.
Nursing Process
Is a systematic, scientific, dynamic, on goinginterpersonal process in which the nurses and the clients areviewed as a system with each affecting the other and both beingaffected by the factors within the behavior.
The process is a series of actions that lead toward aparticular result.
This process of decision making results in theoptimal health care for the clients to whom the nurse applies theprocess.
1. Assessment
Provides an estimate of the degree to which afamily, group, community is achieving the level of healthpossible for them.
Identifies specific deficiencies or guidance needed.
Estimates the possible effects of the nursinginterventions.
Involves the following steps which are taken withthe active participation of the clients especially in decisionsmade:a.Collection of data
Demographic data
Vital health statistics
Utilization of health services
Health status
Family dynamics
Patterns of coping
Community dynamics
Education, socio-cultural, religious, occupationalbackground
Methods of collecting data
Community surveys
Interview of individuals, families and groups
Observation of health related behaviors andenvironment
Review of statistics: epidemiological and relevantstudies
Individual and family health records
Screening tests and P.E. of individualsc.Categories of health problems
Health deficit – occurs when there is a gapbetween actual and achievable health status.
Health threats – are conditions that promotedisease or injury and prevent people fromrealizing their health potential.
Foreseeable crises – anticipated periods of unusual demand on the individual or family interms of adjustment/ family resources.Note:
Health need – exists when there is a healthproblem that can be alleviated with medical orsocial technology.
Health problem – is a situation in which there is ademonstrated health need combined with actualor potential resources to apply remedial measuresand a commitment to act on the part of theprovider or the client.
2. Planning Nursing Action
Is based on the actual and potential problemsthat were identified and prioritized.
Includes the following steps:a.Goal setting
Goal – is a declaration of purpose or intent thatgives essential direction to action.
Specific objectives – are made with the individualfamily in terms of:a.Activities of daily livingb.Adaptive functioning based on remainingcapabilities resulting from their condition orenvironmentc.Stated in behavioral terms: SMARTb.Construction of a plan of action
Choosing from among the possible courses of action
Selecting the appropriate types of nursingintervention
Identifying appropriate and available resources forcare
Developing an operational planc.Developing an operational plan
PHN must establish priorities phase andcoordinate activities
Plans of care are prioritized according to urgencydown to manageable units and properlysequenced
Periodic evaluation must be done in order todetermine whether re-planning or modification of the plan is necessary
The plan and activities should be coordinated towith the various services to synchronize with thetotal health program of the community.
Development of evaluation parameters based onthe standard of nursing services, problemsidentified, goals and priorities in the plan orprogram of nursing care for the client.
3. Implementation of Planned Care
Involves various nursing interventions which havebeen determined by the goals/ objectives previously set.
Involves the patient and his family in the careprovided in order to motivate them to assume responsibilityfor his/her care and to be able to reach and maintain desiredlevel of functioning at a specified time.
Demonstration, repetition, explanation, answeringquestions to clarify doubts, maximizing the client’s confidenceand ability to self-care.
Utilization of client support system provides aharmonious, orderly care to enable the client to functionoptimally.
Community health nurses monitor health servicesprovided, making proper referrals as necessary
Provides data which is needed in planningpatient’s care and ensure continuity.
Important communication tool for the heath team
Furnishes a written evidence of the quality of carethat clients received and then response
Provides a legal record to protect the agency andhealth care provider or the client
Provides data for research and education
4. Evaluation of Care and Services Rendered

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