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1. Patient/Client 2. Setting - outside curative institutions o home – family HNSg o school – SHSg o places of work – occupational HNSg World Views: 1. Community integral part of society compose of families Eg. – poor community o o o under nutrition poor food supply level of knowledge – poor 2. Conflicts/contradiction – always present in the community o intrapersonal conflict – choosing what to wear o intrapersonal family o intrapersonal community (interfamilial) regionalism – parochial o intra sociedad (inter societal) Note: Should be positive in dealing with conflict. 3. Condition in the family is always changing Health 1. Wellness – Illness continuum Optimum – internal ------------- death Wellness - external External Macro system
h. e. tradition. 2.resistance environment – extrinsic factor 4. beliefs. tobleron (GMO’s – chemical Poison – eg. c. MSG Allergies Nutritive elements Psychological Host – intrinsic factor – age.o o o mass media political economic socio cultural – education. d. Infections/biological factor Mechanical Physical Carcinogenetics – pringels. lice to the fullest potential 3. b. Susceptibility to illness 2. sex o o . g. practices. Benefits taking the action AN/AIDS exposure response – susceptibility . customs. Agent Host Environmental Model o Epidemiologic model Agent (Etiologic Facts) a. High Level Wellness o maintain continuum balance and purpose direction with environment o progress toward a high level of FXU. Seriousness of an illness 3. f. Health Belief Model o relationship bet a person’s belief and his behavior in health 3 components 1.
Sea farers 3. and social wen being Health 1. abstinence – sex (safe) Be Faithful – Mutual/Monogamy Correct continous consistent use of condom Do no penetrate 5. Social phenomenon – Health outcome is interplay of different societal factors . C. Evolutionary Based Model o illness and death sometimes serves an evolutionary function Elements: o o o o o life events life style determinants control perception viability emotions health out comes 6.Common in 1. Commercial Sex Worker – unprotactive penetrated sex 2. WHO – Definition 1978 – Alma Ata o health is not merely the absence of DSE illness of infirmity o state of complete physical mental. Health Promotion Model o client’s won being 7. Religious Nums Vaginal – male and female 1:000 Oral – male to male also common in male to female 1:200 Felacio – mouth to penis Oral – cumaningus – mount to vagina Aningus – mouth to amus Preventive : A. D. B.
Patho . Major Concept 1-health promotion & DSE prevention 2.Physio . HANLON – priority the survival of the species the prevention of condition which lead to the structure destruction or retardation of human function and potential in early year of life.Anatomy . Communication Health Nursing .structure .functions .outcome with interplay of different factors and society: o o o o o o biological physical ecologic multiple causation Theory political (Holistic) economic socio-cultural Community Health Part of medical paramedical intrapersonal which is concerned and the heath of the whole population.demography Study .Sociology .epidemiology Public Health & Longetirity (CBQ) WINSLOW – contribution to the most effective total development and life on the Individual and the society.malfunction .people participation Individual Client Applied Community As Client .
Health Educator 2.special field of nursing that combines the skills of nursing public health. 10 Focus on CHN is an heath promotion 2.. GO – DOH – National – Regional – Province – Municipal – BHW RA – 7305 – Magna Corta of PHWorker RA – 7160 – Local Government Code Devolution of Health Services CHN CONCEPTS: 1. Contact with client may continue over a long period of time which includes all ages and types of HC . CHN practice is extended to benefit not only individual but whole & family 3. 4. Provider of Nursing Care FREEMAN – aimed developing and enhancing health capability of people. Individual. Jacobson Major Roles 1. families and communities. CHN are generalist in terms of their practice throughout life’s continuum – its full range of Health problems and need. promotions of clients’ optimum level of fractioning through teaching and delivery care. Community People Organization (PO) Agency 1. and some phases of social assistance and FXUS as part of the total health project and promotion of health. JACOBSON – is a learned practice discipline with the ultimate goal of contributing as individual and in collaboration with others. Ngo 2.
standard Health Education and Counseling o Basic Different common goal – behavior change or modification . Evaluation out come: . Provincial. Recognize needs of individual 2. Actions/Intervention 5.Levels Primary HC – community 20 HC – Regimal.criteria . Goal setting 3. The family is the unit of service Planning 1. Prioritization 2. Municipal & District Tertiary – sophisticated medical center Assessment: Community Dx o o health problems and needs sources of solve to problem Principle of Community Health Nursing 1. Objectives 4. Knowledge and understanding of agency and policies facilitates goal achievement 3.
7. Respect values. 12. 11. 8. Health Indices A. Continuing staff education ensures quality client care and upgrade nursing practice. Health education and counseling are vital parts of CHN 6. Individual families and communities must actively participate in decision making 10. customs and beliefs of clients – as nurse we should not be judgmental 5.Health Education – dive advice Counseling – provide all option Implementation: Community – family focus of /unit of care 4. Nutrition Anemia 48% of Filipinos . Indigenous and communication resources appropriate tech – methods and tech both scientifically sound and socially and acceptable 9. Supervising of nursing services be qualified personnel provides guidance and direction to work. Collaborative working relationship with the health team facilitates goals achievement. Basic Indicators 1. Accurate recording and reporting serve as bases for evaluation and guide for future actions. Periodic and continuing education board quest how would you evaluate – objective – if both present answer this criteria HEALTH SITUATION 1.
DSE Pattern . Society – basic human needs HEALTH PROMOTION METHODS • health education .personal habits & practices affecting health -lifestyle .2. Family – health behavior and belief 3.lifestyle responsibility 2. Community – norms 4.2 Male 63. Different with prevention o o o o not desl dysixy or health problem financial “approach “ behavior not avoidance behavior seeks to expand (+) potential for health Multidimensional Nature of Health Promotion 1.mortality 58% of pregnant women infant mortality rate according to DOH – 18. Environment – harmony and bal bet human and surroundings 5.morbidity .7 HEALTH PROMOTION Consist of activities directed towards increasing the fever of well being and actualizing the health potential of individuals families communication and societies. Individual – lifestyle .7 life expectancy: Female 69.
examination or other procedures that can be applied rapidly and inexpensively population. Self-willed changes will have move meaning and performance than imposed changes. o o o o o mass screening case finding contact tracing multi phasic screening eg HIV antibody testing surveillance RA 7305 – Jon reporting of communicable dse Tertiary Prevention • • • • • methods Dx Tx Mx Rehabilitation Community Organizing • • • Awareness raising Organizing Mobilizing / responsible action Key Concepts and Principles 1. People want and can change 5. By the people from the people. for the people 4. Basic trust among people 3. . Objective analysis of objective condition – scientific 2.• • • • • • Good standard nutrition adjusted to development phases of life Attention to personality development Provision of adequate housing Recreation and agreeable working condition Genetics counseling Periodic selective examination – self breast examination (SBE) SCREENING METHOD Presumptive identification of unorganized dse or defect by the application of test.
Tx of endemic dse 7. Food Supply and Nutrition 3. MCH including FP Individual 1.Essential care based on scientifically – sound and socially acceptable methods and technology made universally available to individuals families and communities at the cost they can afford at any given stage development than their full participation towards self-reliance and self determination. Process Recording b. Health Education 2. Laboratory Exam 4. 8 Primary Health Care 1. Data collection 2 types data – subject & objective 2 methods – interview & observation 4 Instruments 1. Immunization 4. Data Analysis .Primary Health Care . Nursing History (subjective) 2. Assessment a. Hw and Basic Sanitation 5. Prevent & control of common dse 6. Physical Examination 3.
recruitment and releases 6. Maintenance of order 7. Planning a. Socialization of Family Members 5.Criteria . Allocation of Resources 3. Division of Labor 4. Goal c. Objective d. Evaluation Outcomes .2. Intervention e. Reproduction. Nsg.health organizer . standard 4.researcher . Placement of members in larger society – production of good member Client /Patient Advocate .supervisor .CH. Physical Maintenance 2.provider of HC . Implementation .health educator . Prioritization b. Nsg. Monitor 8 Basic Tasks: 1. Dx Health Care V/E Etiology 3.
Antitoxin 2. Artificial – utanus toxoid Pregnant TT1 – 4th month TT2 – 8th month Pregnancy 2 TT3 – booster 1st Pregnancy 3 . First Level Assessment o o o Family Tasks 1. Artificial – sevum prob. Maintenance of motivation and morale Nuclear Family – Mother. Ability to make decisions. Father.8.entry of Pathogen to appearance of 1st SK IMMUNITY Passive – quick to come/to go active – slow to come / to go 1. Ability to perform nursing care to sick 4. breast feeding 2. 3. son & daughter Extended – grandparent relation or daughter in law. Natural – getting the dse Health Threats Health Deficits Forcible Crisis/Stresspoints 1. Ability to provide home environment 5. Ability to recognize the presence of the problem 2. natural – utero. Ability to utilize community resources Incubation Pd.
School Health Nursing Components 1. morbidity RA 3753 – Civil Registry Law Requires the registration of births and deaths to local registrars RA 3573 – Law on reporting notifiable disease . Health School Living 4. A unique process which includes an integration of concepts from nursing mental health. social psychology community network. indirect 3. direct – nurse doing the school teaching b.Application of Nursing principles and procedure conserving health of the healthworkers.above 20 years old Vital Statistics – application of statiscal measure to vital events fertility . Health Instruction a. mortality.TT4 – booster 2nd Pregnancy 4 TT5 – booster – lifelong immunization Community Mental Health Nursing 1. School Health Services 2. Occupational Health Nursing . School – Community Linkage Median age of Filipinos is 20 yrs old 50 % .20 years old 50% .
Family Planning Program Goal Improve material & child through: o o o Pregnancy : Ideal age: 30-30.to know sterility proper timing of pregnancy proper spacing of pregnancy number of pregnancies . Standard Base bead 2.30 – 35 with risk 18 – 35 – high risk Ideal interval – 3 years 2 years – with risk 4 years – high risk ideal No – 3 4 – with risk 4 – risk Family Planning Method 1. (pills injectable). Condoms. Vascetomy. Natural.yrs. Permanent – Tubal ligation. 25 to 40 ejaculation . IUD. 20 -18 . Spacing – Hormones.
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