CHN

History
Act No. 157- Creation of Board of Health of the Philippine (BON)
Act No. 147- A!olish BOH to "#$%
1&1& 'rs. Car(en "el )osario * 1
st
+ilipino N,rse -,per.isor
1&&-1&&/ * $ocal )e.ol,tionary Code of 1&&10 )A 711 )e.ol,tion Code National to local
"efinition
Health * (2HO) state of co(plete physical0 (ental and social 3ell !ein40 not (erely the a!sence of
disease or infir(ity
P,!lic health * ("r. C.5. 2inslo3) the science and art of pre.entin4 disease0 prolon4in4 life0
pro(otin4 health and efficiency thro,4h or4ani6ed co((,nity effeort.
Co((,nity Health N,rsin4 (7aco!son)- is a learned practice discipline 3ith the ,lti(ate 4oal of
contri!,tin4 as indi.id,al and in colla!oration 3ith others to the pro(otion of clients opti(,( le.el
of f,nction thro,4h teachin4 and deli.ery of care.
+actors affectin4 Opti(,( $e.el of +,nction (O$O+)
1. Political
/. Beha.ioral
8. hereditary
4. Health Care "eli.ery -yste(
5. 5n.iron(ental #nfl,ences
1. -ocio econo(ic #nfl,ences
Concepts
1. 9he pri(ary foc,s of co((,nity health n,rsin4 practice is on health pro(otion.
/. Co((,nity health n,rses are 4eneralist in ter( of their practice thro,4h life !,t the 3hole
co((,nity.
8. Co((,nity health n,rses are 4eneralist in ter(s of their practice thro,4h life contin,ity in
its f,ll ran4e of health pro!le(s and needs.
4. 9he nat,re of CHN practice re:,ires that c,rrent ;no3led4e deri.ed fro( the !iolo4ical0
social science0 ecolo4y0 clinical n,rsin4 and co((,nity health or4ani6ations !e ,tili6ed
5. Contact 3ith the client and or fa(ily (ay contin,e o.er a lon4 period of ti(e 3hich incl,des
all a4es and all types of health care.
1. 9he dyna(ic process of assessin40 plannin40 i(ple(entin4 and inter.enin4 pro.ide
(eas,re(ents of pro4ress0 e.al,ation and a contin,,( of the cycle ,ntil the ter(ination of
n,rsin4 is i(plicit in the practice of co((,nity health n,rsin4.
Principles
1. CHN is !ased on reco4ni6ed needs of co((,nities0 fa(ilies0 4ro,ps and indi.id,als.
/. 9he co((,nity health n,rse (,st ,nderstand f,lly the o!<ecti.es and policies of the
a4ency she represents.
8. #n CHN0 the fa(ily is the =nit of ser.ices.
4. CHN (,st !e a.aila!le to all re4ardless of race0 creed and socioecono(ic stat,s
5. Health teachin4 is a pri(ary responsi!ility of the CHN.
1. 9he co((,nity health n,rse 3or;s as a (e(!er of the health tea(.
7. 9here (,st !e a pro.ision for period>s e.al,ation of co((,nity health tea(.
?. Opport,nities for contin,ation staff ed,cation pro4ra(s n,rses (,st !e pro.ided !y the
CHN a4ency. 9he co((,nity health n,rse also has a responsi!ility for his@her o3n
professional 4ro3th.
&. 9he co((,nity health n,rse (a;es ,se of a.aila!le co((,nity health reso,rces.
1. 9he co((,nity health n,rse ,tili6es the already eAistin4 acti.e or4ani6ed 4ro,ps in the
co((,nity.
11. 9here (,st !e pro.ision for ed,cati.e s,per.ision CHN
1/. 9here sho,ld !e acc,rate recordin4 and reportin4 in CHN.
P,!lic Health N,rse
1. Planner@pro4ra((er
/. Pro.ide of N,rsin4 Care@Care4i.er
8. 'ana4er@-,per.isor
4. Co((,nity Or4ani6er
5. Coordinator of -er.ice
1. 9rainer@ Health 5d,cator@ Co,nselor
7. Health (onitor
?. )ole 'odel
&. Chan4e A4ent
1. )ecorder@ )eporter@ -tatistician
11. )esearcher
Co((,nity Health Process
Assess(ent
Collection of data0 collected fro( fa(ily0 4ro,ps and co((,nity.
5Aa(plesB "e(o4raphic "ata
Cital Health -tatistics
Co((,nity "yna(ics
Health -tat,s
5d,cation
'ethodsB Co((,nity -,r.ey
#nter.ie3
-tatistics
5pide(iolo4ical st,dies
Co((on indicators of health stat,s
D 'or!idity
D 'ortality
Cate4ories of Health Pro!le(s
D Health "eficit (H")
D Health 9reat (H9)
D +oreseea!le Crisis (+C)
5AB Acti.e 9B- H"
45 yr0 old (ale s(o;e- H9
-edi(entary health style- Ht
5arly pre4nancy- +C
+ather of fa(ily losses his <o! +C
"eath in the fa(ily- +C
Patient is sic; d,e to pne,(onia- H"
Children 3ho are not i((,ni6ed- H9
$ac; of prenatal chec; * ,p- H9
5cla(psia- H"
2or;in4 ha6ard- H9
Hypertensi.e- H"
2ith (easles EchildF- H"
+a(ily (e(!ers has liprosy ((icro!actria liporea)- H"
'arria4e- +C
Co((,nity dia4nosis
A. Physical Characteristics
B. Pop,lation Characteristics
C. 5n.iron(ental factors
". Gno3led4e0 attit,de0 practices of the people
5. Co((,nity reso,rces and facilities
Plannin4B Based on the act,al and potential pro!le(s that 3ere identified and prioriti6ed
%oalB "eclaration of p,rpose or intent0 4i.es essential direction to action
-pecific o!<ecti.esB 'ade in ter(s of acti.ities of daily li.in4
#(ple(entationB
D Carries o,t n,rsin4 proced,res 3hich are consistent 3ith n,rsin4 3ith n,rsin4 care plans.
D #n.ol.e the patient 3ith his@her fa(ily
D =tili6ed s,pport syste(
5.al,ation
+ra(e 3or;s
a. -tr,ct,ral ele(ents
!. Process ele(ents
c. O,tco(e ele(ents
N,rsin4 Proced,res
Clinic Cisit
1. Pre-cons,ltation conference
/. 'edical eAa(ination
8. N,rsin4 inter.ention
4. Post cons,ltation conference
Ho(e Cisit- face to face contact 3ith the client
Principles
1. A ho(e .isit sho,ld ha.e a p,rpose or o!<ecti.e
/. Plannin4 for a ho(e .isit sho,ld ,se e.ery a.aila!le infor(ation a!o,t the fa(ily0 and
indi.id,al
8. Plannin4 sho,ld re.ol.e aro,nd the essential needs of the indi.id,al
4. Plannin4 of a contin,in4 care in.ol.e the indi.id,al or fa(ily
5. Plannin4 sho,ld !e fleAi!le and practical
Ba4 techni:,e- 9ool
P,!lic health !a4- is an indispensa!le e:,ip(ent of the p,!lic health n,rse
Principles
1. Pre.ent the spread of infection
/. -a.e ti(e and effort
8. sho,ld not shado3 the concern for the patient
4. Can !e perfor(er in a .ariety of 3ays
Hippira( sol,tion- disinfectant