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Community Health Nursing p[1]

Community Health Nursing p[1]

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Far Eastern University-Institute of Nursing
In-House Nursing Review
COMMUNITY HEALTH NURSING
I - Definition of Terms
Community- derived from a latin word \u201ccomunicas\u201d which means
a group of people.
\u2022
a group of people with common characteristics or interests
living together within a territory or geographical boundary
\u2022
place where people under usual conditions are found
Health - is the OLOF (Optimum Level of Functioning)
Community Health - part of paramedical and medical intervention/approach which is concerned
on the health of the whole population
Aims:
1. health promotion
2. disease prevention
3. management of factors affecting health
Nursing - both profession & a vocation. Assisting sick individuals to become healthy and healthy
individuals achieve optimum wellness
II - Community Health Nursing
\u2022

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.

Goal: \u201cTo raise the level of citizenry by helping communities and families to cope with the
discontinuities in and threats to health in such a way as to maximize their potential for
high-level wellness\u201d
MISSION OF CHN
\u2022
Health Promotion
\u2022
Health Protection
\u2022
Health Balance
\u2022
Disease prevention
\u2022
Social Justice
PHILOSOPHY OF CHN
\u2022
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 and common exposure to health problems \u2013 e.g. children, elderly), and the community.

2. In CHN, the client is considered as an ACTIVE partner NOT PASSIVE recipient of care
3. CHN practice is affected by developments in health technology, in particular, changes in

society, in general
4. The goal of CHN is achieved through multi-sectoral efforts
5. CHN is a part of health care system and the larger human services system.

Role of CH Nurse:
\u2022
Clinician - who is a health care provider, taking care of the sick people at home or in
the RHU
\u2022
Health Advocator \u2013 speaks on behalf of the client
\u2022
Advocator \u2013 act on behalf of the client
\u2022
Supervisor - who monitors and supervises the performance of midwives
\u2022
Facilitator - who establishes multi-sectoral linkages by referral system
\u2022
Collaborator \u2013 working with other health team member
COMMON PROCEDURE IN CHN:
\u2022
HOME VISIT
\u2022
BAG TECHNIQUE
CHN by Ms. Ma. Adelaida Morong31
Far Eastern University-Institute of Nursing
In-House Nursing Review
\u2022
STERILIZATION
\u2022
SPECIMEN COLLECTION

- URINE
- FECES
- SPUTUM

Levels of Client in CHN:
1. Application of Nursing Process to:
1.a Family
1.a.1 Family Coping Index
\u2022
Physical Independence - ability of the family to move in & out of bed &
performed activities of daily living
\u2022
Therapeutic Independence - ability of the family to comply with the therapeutic
regimen (diet, medication & usage of appliances)
\u2022
Knowledge of Health Condition- wisdom of the family to understand the disease
process
\u2022
Application of General &Personal Hygiene- ability of the family to perform
hygiene & maintain environment conducive for living
\u2022
Emotional Competence \u2013 ability of the family to make decision maturely &
appropriately (facing the reality of life)
\u2022
Family Living Pattern- the relationship of the family towards each other with love,
respect & trust
\u2022
Utilization of Community Resources \u2013 ability of the family to know the function &
existence of resources within the vicinity
\u2022
Health Care Attitude \u2013 relationship of the family with the health care provider
\u2022
Physical Environment \u2013 ability of the family to maintain environment conducive
for living
1.a.2 Family Life Cycle
\u2022
Stage I \u2013 Beginning Family (newly wed couples)
TASK: compliance with the PD 965 & acceptance of the new member of the family
\u2022

Stage II \u2013 Early Child Bearing Family(0-30 months old)
TASK: emphasize the importance of pregnancy & immunization & learn the concept
of parenting

\u2022
Stage III \u2013Family with Pre- school Children (3-6yrs old)
TASK: learn the concept of responsible parenthood
\u2022
Stage IV \u2013 Family with School age Children (6-12yrs old)
TASK: Reinforce the concept of responsible parenthood
\u2022

Stage V - Family with Teen Agers (13-25yrs old)
TASK: Parents to learn the concept of \u201clet go system\u201d and understands the
\u201cgeneration gap\u201d

\u2022
Stage VI \u2013 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
\u2022

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

\u2022
Stage VIII \u2013 Aging Family (61yrs old up to death)
TASK: learn the concept of death positively
1.bCommunit y
COMMUNITY ASSESSMENT:
\u2022
Status
\u2022
Structure
\u2022
Process
TYPES OF COMMUNITY ASSESSMENT:
1. COMMUNITY DIAGNOSIS
\u2022

A process by which the nurse collects data about the community in order to
identify factors which may influence the deaths and illnesses of the population, to
formulate a community health nursing diagnosis and develop and implement
community health nursing interventions and strategies.

CHN by Ms. Ma. Adelaida Morong32
Far Eastern University-Institute of Nursing
In-House Nursing Review
2 Types:
Comprehensive Community Diagnosis
Problem-Oriented Community Diagnosis
- aims to obtain general information about the
community
- type of assessment responds to a particular
need
STEPS:
\u2022
Preparatory Phase
1. site selection

2. preparation of the community
3. statement of the objectives
4. determine the data to be collected
5. identify methods and instruments for data collection
6. finalize sampling design and methods
7. make a timetable

\u2022
Implementation Phase

1. data collection
2. data organization/collation
3. data presentation
4. data analysis

5. identification of health problems
6. priority zation of health problems
7. development of a health plan
8. validation and feedback

\u2022
Evaluation Phase
BIOSTATISTICS
2.1 DEMOGRAPHY - study of population size, composition and spatial distribution as affected by
births, deaths and migration.
Sources :Census \u2013 complete enumeration of the population
2 Ways of Assigning People:
1. De Jure- People were assigned to the place where assigned to the place they
usually live regardless of where they are at the time of census.
2.De Facto - People were assigned to the place where they are physically present at are
at the time of census regardless, of their usual place of residence.
COMPONENTS:
1. Population size

2. Population composition * Age Distribution * Sex Ratio

* Population Pyramid

* Median age - age below which 50% of the population fall and above
which 50% of the population fall. The lower the median
age, the younger the population (high fertility, high death rates).

* Age \u2013 Dependency Ratio - used as an index of age-induced economic drain on
human
resources

* Other characteristics:
- occupational groups
- economic groups
- educational attainment
- ethnic group

3. Population Distribution
CHN by Ms. Ma. Adelaida Morong33

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