Community Health Nursing CHW group of people with common chrematistics or interest within a territory or geographical boundary Community

y 1. Patient/Client 2. Setting outside curati!e institutions o home family H"Sg o school SHSg o places of wor# occupational H"Sg World Views: 1. Community integral part of society compose of families $g. poor community o o o under nutrition poor food supply le!el of #nowledge 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. '. Condition in the family is always changing Health 1. Wellness (llness continuum )ptimum internal Wellness e*ternal $*ternal +acro system death

o o o mass media

political economic socio cultural education, customs, beliefs, practices, tradition,

2. High -e!el Wellness o maintain continuum balance and purpose direction with en!ironment o progress toward a high le!el of ./0, lice to the fullest potential '. 1gent Host $n!ironmental +odel o $pidemiologic model 1gent %$tiologic .acts& a. b. c. d. e. f. g. h. (nfections/biological factor +echanical Physical Carcinogenetics pringels, tobleron %2+)3s chemical Poison eg. +S2 1llergies "utriti!e elements Psychological

Host intrinsic factor age, se* o o resistance en!ironment e*trinsic factor 4. Health 5elief +odel o relationship bet a person3s belief and his beha!ior in health 3 components 1. Susceptibility to illness 2. Seriousness of an illness '. 5enefits ta#ing the action N! "#S e*posure response susceptibility

Common in 1. Commercial Se* Wor#er unprotacti!e penetrated se* 2. Sea farers '. 6eligious "ums 7aginal male and female 18999 )ral male to male also common in male to female 18299 .elacio mouth to penis )ral cumaningus mount to !agina 1ningus mouth to amus $reventive : 1. 5. C. :. abstinence se* %safe& 5e .aithful +utual/+onogamy Correct continous consistent use of condom :o no penetrate

;. $!olutionary 5ased +odel o illness and death sometimes ser!es an e!olutionary function $lements8 o o o o o life e!ents life style determinants control perception !iability emotions health out comes <. Health Promotion +odel o client3s won being =. WH) :efinition 1>=? 1lma 1ta o health is not merely the absence of :S$ illness of infirmity o state of complete physical mental, and social wen being Health 1. Social phenomenon Health outcome is interplay of different societal factors

outcome with interplay of different factors and society8 o o o o o o biological physical ecologic multiple causation @heory political %Holistic& economic socio cultural Community Health Part of medical paramedical intrapersonal which is concerned and the heath of the whole population. %a&or Concept 1 health promotion A :S$ pre!ention 2 people participation "ndividual Client pplied Community 1s Client demography Sociology epidemiology

Study

1natomy Physio Patho

structure functions malfunction

$ublic Health ' (ongetirity )C*+, W("S-)W contribution to the most effecti!e total de!elopment and life on the (ndi!idual and the society. H1"-)" priority the sur!i!al of the species the pre!ention of condition which lead to the structure destruction or retardation of human function and potential in early year of life. Communication Health Nursing

special field of nursing that combines the s#ills of nursing public health, and some phases of social assistance and ./0S as part of the total health proBect and promotion of health. C1C)5S)" is a learned practice discipline with the ultimate goal of contributing as indi!idual and in collaboration with others, promotions of clients3 optimum le!el of fractioning through teaching and deli!ery care. -acobson %a&or .oles 1. Health $ducator 2. Pro!ider of "ursing Care .6$$+1" aimed de!eloping and enhancing health capability of people, (ndi!idual, families and communities. Community $eople /rgani0ation )$/, 1gency 1. "go 2. 2) :)H "ational 6egional Pro!ince +unicipal 5HW 61 ='9; +agna Corta of PHWor#er 61 =1<9 -ocal 2o!ernment Code :e!olution of Health Ser!ices CHN C/NC1$2S: 1. 19 .ocus on CH" is an heath promotion 2. CH" practice is e*tended to benefit not only indi!idual but whole A family '. CH" are generalist in terms of their practice throughout life3s continuum its full range of Health problems and need. 4. Contact with client may continue o!er a long period of time which includes all ages and types of HC

(evels Primary HC community 29 HC 6egimal, Pro!incial, +unicipal A :istrict @ertiary sophisticated medical center ssessment: Community :* o o health problems and needs sources of sol!e to problem $rinciple of Community Health Nursing 1. 6ecogniDe needs of indi!idual 2. Enowledge and understanding of agency and policies facilitates goal achie!ement '. @he family is the unit of ser!ice $lanning 1. PrioritiDation 2. 2oal setting '. )bBecti!es 4. 1ctions/(nter!ention ;. $!aluation out come8 criteria standard Health 1ducation and Counseling o 5asic :ifferent common goal beha!ior change or modification

Health $ducation di!e ad!ice Counseling pro!ide all option (mplementation8 Community family focus of /unit of care 4. 6espect !alues, customs and beliefs of clients as nurse we should not be Budgmental ;. Health education and counseling are !ital parts of CH" <. Collaborati!e wor#ing relationship with the health team facilitates goals achie!ement. =. Continuing staff education ensures Fuality client care and upgrade nursing practice. ?. (ndigenous and communication resources appropriate tech methods and tech both scientifically sound and socially and acceptable >. (ndi!idual families and communities must acti!ely participate in decision ma#ing 19. Super!ising of nursing ser!ices be Fualified personnel pro!ides guidance and direction to wor#. 11. 1ccurate recording and reporting ser!e as bases for e!aluation and guide for future actions. 12. Periodic and continuing education board Fuest how would you e!aluate obBecti!e if both present answer this criteria H1 (2H S"23 2"/N 1. Health (ndices 1. 5asic (ndicators 1. "utrition 1nemia

4?G of .ilipinos

2. :S$ Pattern morbidity mortality

;?G of pregnant women

infant mortality rate according to :)H 1?.= life e*pectancy8 .emale <>.2 +ale <'.= H1 (2H $./%/2"/N Consist of acti!ities directed towards increasing the fe!er of well being and actualiDing the health potential of indi!iduals families communication and societies. :ifferent with pre!ention o o o o not desl dysi*y or health problem financial Happroach H beha!ior not a!oidance beha!ior see#s to e*pand %I& potential for health +ultidimensional "ature of Health Promotion 1. (ndi!idual lifestyle personal habits A practices affecting health lifestyle lifestyle responsibility 2. .amily health beha!ior and belief '. Community norms 4. $n!ironment harmony and bal bet human and surroundings ;. Society basic human needs H1 (2H $./%/2"/N %12H/#S health education

2ood standard nutrition adBusted to de!elopment phases of life 1ttention to personality de!elopment Pro!ision of adeFuate housing 6ecreation and agreeable wor#ing condition 2enetics counseling Periodic selecti!e e*amination self breast e*amination %S5$& SC.11N"N4 %12H/# Presumpti!e identification of unorganiDed dse or defect by the application of test, e*amination or other procedures that can be applied rapidly and ine*pensi!ely population.

o o o o o

mass screening case finding contact tracing multi phasic screening eg H(7 antibody testing sur!eillance 61 ='9; Con reporting of communicable dse @ertiary Pre!ention

methods :* @* +* 6ehabilitation Community )rganiDing

1wareness raising )rganiDing +obiliDing / responsible action Eey Concepts and Principles 1. )bBecti!e analysis of obBecti!e condition scientific 2. 5asic trust among people '. 5y the people from the people, for the people 4. People want and can change ;. Self willed changes will ha!e mo!e meaning and performance than imposed changes.

$rimary Health Care $ssential care based on scientifically sound and socially acceptable methods and technology made uni!ersally a!ailable to indi!iduals families and communities at the cost they can afford at any gi!en stage de!elopment than their full participation towards self reliance and self determination. 5 $rimary Health Care 1. Health $ducation 2. .ood Supply and "utrition '. (mmuniDation 4. Hw and 5asic Sanitation ;. Pre!ent A control of common dse <. @* of endemic dse =. +CH including .P "ndividual 1. 1ssessment a. :ata collection 2 types data subBect A obBecti!e 2 methods inter!iew A obser!ation 4 (nstruments 1. "ursing History %subBecti!e& 2. Physical $*amination '. -aboratory $*am 4. Process 6ecording b. :ata 1nalysis

2. "sg. :* Health Care 7/$ $tiology '. Planning a. PrioritiDation b. 2oal c. )bBecti!e d. "sg. (nter!ention e. $!aluation )utcomes Criteria , standard 4. (mplementation health educator pro!ider of HC super!isor researcher health organiDer CH, +onitor 5 *asic 2as6s: 1. Physical +aintenance 2. 1llocation of 6esources '. :i!ision of -abor 4. SocialiDation of .amily +embers ;. 6eproduction, recruitment and releases <. +aintenance of order =. Placement of members in larger society production of good member Client /Patient 1d!ocate

?. +aintenance of moti!ation and morale "uclear .amily +other, .ather, son A daughter $*tended grandparent relation or daughter in law. 7irst (evel ssessment o o o 7amily 2as6s 1. 1bility to recogniDe the presence of the problem 2. 1bility to ma#e decisions. '. 1bility to perform nursing care to sic# 4. 1bility to pro!ide home en!ironment ;. 1bility to utiliDe community resources (ncubation Pd entry of Pathogen to appearance of 1st SE "%%3N"28 Passi!e Fuic# to come/to go acti!e slow to come / to go 1. "atural getting the dse Health @hreats Health :eficits .orcible Crisis/Stresspoints

1. natural utero, breast feeding

2. 1rtificial se!um prob. 1ntito*in 2. 1rtificial utanus to*oid Pregnant @@1 4th month @@2 ?th month Pregnancy 2 @@' booster 1st Pregnancy '

@@4 booster 2nd Pregnancy 4 @@; booster lifelong immuniDation Community +ental Health "ursing 1. 1 uniFue process which includes an integration of concepts from nursing mental health, social psychology community networ#. )ccupational Health "ursing 1pplication of "ursing principles and procedure conser!ing health of the healthwor#ers. School Health "ursing Components 1. School Health Ser!ices 2. Health (nstruction a. direct nurse doing the school teaching b. indirect '. Health School -i!ing 4. School Community -in#age +edian age of .ilipinos is 29 yrs old ;9 G 29 years old ;9G abo!e 29 years old 7ital Statistics application of statiscal measure to !ital e!ents fertility , mortality, morbidity 61 '=;' Ci!il 6egistry -aw 6eFuires the registration of births and deaths to local registrars 61 ';=' -aw on reporting notifiable disease

7amily $lanning $rogram 2oal (mpro!e material A child through8 o o o Pregnancy 8 (deal age8 '9 '9 yrs. 29 1? '9 '; with ris# 1? '; high ris# (deal inter!al ' years 2 years with ris# 4 years high ris# ideal "o ' 4 with ris# 4 ris# 7amily $lanning %ethod 1. Spacing Hormones, %pills inBectable&, (0:, Condoms, "atural, Standard 5ase bead 2. Permanent @ubal ligation, 7ascetomy, 2; to 49 eBaculation to #now sterility proper timing of pregnancy proper spacing of pregnancy number of pregnancies