The College of Maasin

Nisi Dominus Frustra

College of Nursing
Maasin City, Southern Leyte
SUPPLEMENTAL REVIEW
KEY POINTS IN COMMUNITY HEALTH NURSING
(Prepared by Rhenier S. Ilado RN
Soe !es! !a"ing !e#hni$%es&
A'ssiila!e essen!ial ()in#i(les in !he #a)e of (a!ien!s in !he
#o%ni!*
!hese prin"iples may in"lude#
$. ha%e a purpose or ob&e"ti%e 'hen "ondu"ting home %isit
(. plan ahead
). priority should be gi%en to the re"ogni*ed needs of the family
+. there is no definite rule as to the fre,uen"y of a home %isit
-. fre,uen"y of home %isit should ta.e into a""ount, the physi"al,
psy"hologi"al and edu"ational needs of the indi%idual and family
/. the initial step in "ondu"ting a home %isit is to 0R11! the "lient and
introdu"e yourself
2. soiled arti"les 'ith dis"harge should be boiled in 'ater )3 minutes before
laundering
+' ag Te#hni$%e
4 steps 'hi"h are "arried out by the nurse to fa"ilitate the
performan"e of nursing pro"edures 'ith ease and deafness
Remember the#
+ag and its "ontents must be prote"ted from any possible "ontamination
Al'ays 'ash your hands to pre%ent the spread of infe"tion
Gather all ne"essary arti"les and supplies to ans'er emergen"y needs
No!e& blood pressure apparatus and stethos"ope are "arried
separately
Consider the follo'ing prin"iples#
$. pre%ention of "ontamination
Note# pla"e 'aste paper bag outside the 'or. areas
(. prote"tion of the "aregi%er
Note# "lean and al"oholi*e all arti"les after use
). ma.e arti"les readily a""essible
Note# pla"e the arti"les in one "orner of the 'or. area
+. ma.e follo'4up "are
Note# set the date and time for the ne5t %isit
C' o%ni!* +ase, Reha-ili!a!ion P)og)a
the goal of this program is the impro%ement of ,uality of life and
produ"ti%ity of disabled persons
R.6 2(22, Magna Carta for Disabled Persons, ser%es as the legal basis of
the program
!he "omponents of the program in"lude# so"ial preparations, ser%i"es
preparation, training, information, edu"ation and "ommuni"ation and
monitoring, super%ision and e%aluation
!he 7ISI8N of the Department of 9ealth is# heal!h fo) all .ili(inos
!he MISSI8N of the Department of 9ealth is# Ens%)e a##essi-ili!* of
heal!h #a)e !o i()o/e !he $%ali!* of life of all .ili(inos es(e#iall* !he
(oo)
The -asi# ()in#i(les !o a#hie/e i()o/een! in heal!h in"lude#
1 : nsure uni%ersal a""ess to basi" health ser%i"es
1 : pidemiologi"al shift from infe"tious to degenerati%e disease must
be managed
1 : nhan"e the performan"e of health se"tor
1 : nsure the prioti*ation of health and nutrition of %ulnerable groups
The ()ia)* s!)a!egies !o a#hie/e heal!h goals in"lude#
S : upport for frontline health 'or.ers and to lo"al system
de%elopment
6 : ssuran"e of health "are
I : n"reasing in%estment for primary health "are
D : e%elopment of national standard and ob&e"ti%es for health
P)ia)* heal!h Ca)e (PHC0, a""ording to the ;orld 9ealth organi*ation
is an essential health "are made uni%ersally a""essible to indi%iduals and
families in the "ommunity by means a""eptable to them through their full
parti"ipation and at a "ost that the "ommunity and "ountry "an afford at
e%ery stage of de%elopment
!he goal of P9C is heal!h fo) all .ili(inos an, Heal!h in !he han,s of
!he (eo(le -* !he *ea) 1212
Letter of instru"tion <L8I =+= <8"tober $=, $=2= is the legal basis of
P9C
!he first international "onferen"e on primary health "are 'as held in
6lma, 6ta, >SSR on September /4$(, $=2? sponsored by the ;98 and
>NIC1F
!he frame'or. for meeting the goal of primary health "are is
organi*ational strategy, it "alls for among "ommunities, pri%ate and
go%ernment agen"ies 'ith the end %ie' of health de%elopment
!he fo%) #o)ne)s!one3(illa)s in ()ia)* heal!h #a)e in"ludes#
$. a"ti%e "ommunity parti"ipation
(. intra and inter se"toral lin.ages
). use of appropriate te"hnology
+. support me"hanism made a%ailable
!he e4(an,e, ()og)a on i%ni5a!ion aims to redu"e the morbidity
and mortality among infants and "hildren "aused by the si5 "hildhood
immuni*able diseases. It 'as laun"hed in @uly $=2/.
P676 889 <September $/, $=2/ pro%ides for "ompulsory basi"
immuni*ation for infants and "hildren belo' ? years of age. !he 1PI
program is based on epidemiologi"al situations.
P)esi,en!ial ()o#laa!ion no6 :;< <Mar"h ), $==) de"lares 6pril ($
and May $=, $==) and e%ery third ;ednesday of @anuary and February
thereafter for t'o years as National Immuni*ation Days.
R6A6 <=;9 <De"ember )3, $==+ re,uires "ompulsory immuni*ation
against hepatitis A for infants and "hildren belo' ? years old
the ultimate goal of promotion of reprodu"ti%e health is B>UALITY O.
LI.E?. !he fo"us of the Philippine frame'or. of the program is
Reprodu"ti%e 9ealth status in terms of, its elements. !he ten elements
of Reprodu"ti%e 9ealth in"ludes#
$. maternal and "hild health and nutrition
(. family planning
). pre%ention and management of abortion "ompli"ations
+. pre%ention and treatment of reprodu"ti%e tra"t infe"tion <R!ICs
in"luding S!DCs, 9I7 and 6IDS
-. edu"ation and "ounseling on se5uality and se5ual health
/. breast and reprodu"ti%e tra"t "an"ers and other gyne"ologi"al
"onditions
2. menCs reprodu"ti%e health
?. %iolen"e against 'omen
=. pre%ention and treatment of infertility and se5ual disorders
$3. adoles"ent reprodu"ti%e
the goal of the (333 Nutritional 0uidan"e for Filipinos is the
impro%ement of nutritional status, produ"ti%ity and ,uality of life of the
population through adoption of desirable dietary pra"ti"es and healthy
lifestyle. 6n e5ample is the e5"lusi%e breastfeeding of infants f)o
-i)!h !o ;'9 on!hs and the use of iodi*ed salt.
!he use of fluoride in the pre%ention of tooth de"ay is "arried out by
ma.ing four appli"ation of fluoride about a @ee" a(a)! aong #hil,)en
@ho a)e age, AB <B :2 an, :A -e#a%se a! !hese ages ne@ !ee!h ha/e
e)%(!e,
!he goal for health "are and ser%i"es for older persons is to pro%ide a
longe) ,isa-ili!*'f)ee life. !his is "arried out through a holisti" "are
approa"h
!o redu"e the blindness pre%alen"e rate in the Philippines, the pre%ention
of blindness program 'as "on"ei%ed. It is subdi%ided into four programs
namely, "atara"t program, primary eye "are, %itamin 6 defi"ien"y program
and other eye "are program
!he goals of the mental health program in"lude# ()oo!ion of en!al
heal!hB ,e#)ease, heal!h')ela!e, effe#!s of s!)essf%l lifes!*le an,
)e,%#!ion of ()e/alen#e of en!al ill heal!h an, ,iso),e)s in !he
Phili((ines
!he Sen!)ong sigla o/een! aims to promote a%ailability of ,uality
health ser%i"es in health "enters and hospitals and to ma.e these
ser%i"es a""essible to e%ery Filipino
BSang Mil*ong Se(il*oD is a strategy for so"ial mobili*ation of Dental
health program. It aims to emphasi*e the importan"e of oral health in
relation to total body health to in"rease publi" a'areness on the
pre%ention of "ommon dental diseases
7' OH PROGRAMS
7 ' ental health Program
O' steoporosis pre%ention
H' ealth edu"ation and Community 8rgani*ation
P4 rimary 9ealth Care
R4 eprodu"ti%e health
O4 lder Persons health Ser%i"es
G4 uidelines for 0ood Nutrition
R4 espiratory Infe"tion "ontrol
A4 ""upressures
M4 aternal and Child "are
S4 entrong Sigla Mo%ement
E' (i,eiolog*
Systemati" and s"ientifi" study of the distribution patterns and
determinants of health, disease and "ondition for the purpose of
promoting 'ellness and pre%enting disease "onditions
Aasi" "on"epts that guide epidemiologi"al study in"lude# biostatisti"s,
aggregate at ris., the natural life history of a disease, le%els of
pre%ention, host4agent4en%ironment relationships, multiple "ausation,
person4pla"e4time4relationships
;hen monitoring in"iden"e of infe"tious disease, the term used to
distinguish relati%e fre,uen"y in time and spa"e in"lude the follo'ing#
S(o)a,i# : presen"e of o""asional "ases of the disease
En,ei# : "onstant long4term presen"e of the disease
E(i,ei# : presen"e of the disease at a mu"h higher fre,uen"y o%er a short
period of time
Pan,ei# : presen"e of a disease in many "ountries in a relati%ely short
period of time
1ffe"ti%e implementation of the epidemiologi"al pro"ess re,uires a
multi dis"iplinary approa"h
6 "ommunity health nurse must apply the prin"iples of epidemiology in
order to pro%ide pre%enti%e ser%i"es to the "ommunity
Community health nurses parti"ipate in may epidemiologi"al a"ti%ities
li.e# "ase finding, health tea"hing, "ounseling and follo' up essential
to the pre%ention of diseases and other "onditions
.' o)%las fo) Mo)!ali!* an, Mo)-i,i!* S!a!is!i#s
CRU7E +IRTH RATE (C+R0 : a measure of one "hara"teristi"s of the
natural gro'th or in"rease of a population
CARE total number of li%e births registered in a gi%en "alendar year 5 $333
1stimated population as @uly $ of same year
CRU7E 7EATH RATE (C7R0 : a measure of one mortality from all "auses
'hi"h may result in a de"rease of population
CDRE total number of deaths registered in a gi%en "alendar year 5 $333
1stimated population as of @uly $ of same year
IN.ANT MORTALITY RATE (IMR0 :measure the ris. of dying during the
$
st
year if life
IMRE total number of deaths under $ year of age registered
in a gi%en "alendar year 5 $333
total number of registered li%e births of same "alendar year
MATERNAL MORTALITY RATE (MMR0 : it measures the ris. of dying
from "auses related to pregnan"y, "hildbirth and puerperum
MMRE total number of deaths from maternal "auses registered
For a gi%en year 5 $333
total number of li%e births registered of same year
INCI7ENCE RATE (IR0 :measures the fre,uen"y of o""urren"e of the
phenomenon during a gi%en period of time. Deals only 'ith ne' "ases
IRE no of ne' "ases of a parti"ular disease registered
During a spe"ified period of time 5 $33, 333
1stimated population as of @uly of same year
PREVALENCE RATE (PR0 :measures the proportion of the population 'hi"h
e5hibits a parti"ular disease at a parti"ular time. Deals 'ith total <old and
ne' number "ases
PRE no of ne' and old "ases of a "ertain disease registered
6t a gi%en time 5 $33
!otal no of persons e5amined at same year gi%en time
K' e* Poin!s !o EPI
6 fully immuni*ed "hild should ha%e re"ei%ed one <$ dose of AC0,
three <) doses of DP!, three <) doses of 8P, three <) doses of
hepatitis A and one <$ dose of measles, before the "hildCs birthday
Moderate fe%er, malnutrition, mild respiratory infe"tion, "ough,
diarrhea and %omiting are not "ontraindi"ations to %a""ination
DP!( or DP!) is not gi%en to a "hild 'ho has had "on%ulsion or sho".
'ithin ) days of the per%ious dose
AC0 %a""ine is not gi%en to a "hild 'ith "lini"al 6IDS
Measles and polio %a""ines are most sensiti%e to heat
A7MNISTRATION O. VACCINES
Va##ine 7ose Ro%!e of
A,inis!)a!ion
Si!e of
a,inis!)a!ion
+CG Infant4
S"hool age
entran"e4
Intradermal
Intradermal
Right deltoid
region of the arm
Left deltoid
region of the arm
7PTB
HEPATITIS +
3.- ML Intramus"ular >pper, outer
portion of the
thigh
POLIO ( drops, or
depending on
manufa"turerCs
instru"tions
8ral Mouth
MEASLES 3.- ml Sub"utaneous 8uter Part of the
>pper arm
TETANUS
TOCOI7
3.- ml Deep
Intramus"ular
Deltoid region of
the upper arm
K' e* Poin!s in Va##ine A,inis!)a!ion
+CG4 lay the syringe and needle almost flat along the "hildCs arm
4 if the %a""ine is in&e"ted "orre"tly into the s.in, a flat 'heal
'ith the surfa"e pitted li.e an orange peer 'ill appear at the in&e"tion
site
OPV : if ne"essary open the "hildCs mouth by s,uee*ing the "hee.s
gently bet'een your fingers to ma.e lips point up'ards
4 put drops of %a""ine straight from the dropper onto the "hildCs
tongue but do not let the dropper tou"h the "hildCs tongue
4 if the "hild spit out the %a""ine, gi%e another dose
HEPA an, 7PT : the best in&e"tion site is the outer part of the
"hildCs midthigh
4 as. the mother of the "hild to hold the "hildCs legs
MEASLES :the best in&e"tion site is on the outer side of the upper
arm
TETANUS TOCOI7 :the best in&e"tion site for a 'oman is the outer
side of the left upper arm
Va##ine 7ose Tiing of Va##ina!ion
!!$ -4/ months of pregnan"y
!!( $ monthF + 'ee.s after !!$
!!) at least / months later
!!+ at least $ year later
!!- at least $ year later
No!e& !!$ gi%es initial prote"tion, !!( pro%ides ) years prote"tion for
the mother, !!) pro%ides - years prote"tion, !!+ pro%ides $3 years
prote"tion and !!- pro%ides lifetime prote"tion of the mother
M' e,i#inal Plan!s
He)-al Plan! Use3s
6.apul.o Anti4fungal
6mpalaya 7iabetes Mellitus
Aa'ang Hypertension <to lo'er "holesterol le%els in
the blood
Tootha"he
Remember#
Aa'9a! <Aa'ang for 9ypertension,
tootha"he
AayabasF 0ua%as 7iarrhea
Washing of 'ounds
Gargle to relie%e tootha"he
Lagundi S4.in diseases
H4eada"he
A4sthma, "ough and fe%er
R4heumatism, sprain, inse"t bites
E4"*ema
7ysentery
Niyug4niyogan Anti helminthi"
Sambong Anti4edema
7iureti"
Anti4urolithiasis
!saang 0ubat Remember#
Stoma"h a"he
Tsaang gubat
7iarrhea
Gerba Auena S4'ollen gums
P4ain
I4nse"t bites
T4ootha"he
M4enstrual and gas pain
A4rthritis
N4ausea and fainting
74iarrhea
>lasimang bato Uri" a"id e5"retion
<pansit pansitan Remember#
Ulasimang bato, uri" a"id
REVIEW +ULLETS .OR CHN
A#%()ess%)e
4 traditional Chinese medi"ine belie%es that life is the result of HI or
life energy
4 'hen there is an imbalan"e of GIN and G6N0 for"es, there is illness
4 GIN is the yielding negati%e and feminine for"e# GIN prin"iple# gi%e
Chinese "old deserts after surgery
4 Gang is the dominating, positi%e and mas"uline for"e
4 posture# lying do'n or sitting up
4foods to a%oidI i"ed foodFdrin.s, sour food, al"ohol drin., pepper and
spi"es, seafood, peanuts, salty foods
4 !S>N measurement4 method of lo"ating points in the body using the
patientCs o'n hands or fingers as a base for measurement
4 "ontraindi"ations# pregnan"y, full stoma"h and "ardia" illness
A#%(%n#!%)e
4 stimulating spe"ifi" anatomi" points "alled 9S>19
4 goal# manipulation of energy flo' throughout the body follo'ing as
thorough assessment by a pra"titioner
4 indi"ation# a"ute and "hroni" pain and motion disabilities
4 "ontraindi"ations# pregnan"y, hemophlia, a"ute C7D
A)oa!he)a(*
4 based on olfa"tory stimuli used to help balan"e the D8S96S, the
mediators bet'een physiologi" and psy"hologi" pro"ess
4 done often at night to indu"e sleep
4 use of essential oils of plants to treat symptoms
+ag Te#hni$%e
4 a tool ma.ing use of the publi" health bag through 'hi"h the nurse
during the %isit "an perform nursing pro"edures 'ith ease and deftness,
sa%ing time and effort at the end in %ie' of rendering effe"ti%e nursing
"are
4 PU+LIC HEALTH +AG :essential and indispensable e,uipment of the
publi" health nurse
4 ()in#i(les# should minimi*e if not totally pre%ent the spread of
infe"tion# should sa%e time and effort
4 s(e#ial #onsi,e)a!ion# hand 'ashing
4 #on!en! of !he -ag& Ap apparatus and stethos"ope are "arried
separatelyI medi"ines also in"lude : betadine, 23J al"ohol, benedi"tCs
solution
4 pla"e 'aste paper bag outside of 'or. area to pre%ent "ontamination of
"lean area
Sa(le >%es!ions&
$. this is the tool trough 'hi"h the nurse, during home %isit "an perform
nursing pro"edures 'ith ease and deftness, sa%ing time and effort 'ith
the end of %ie' of rendering effe"ti%e nursing "are#
a. publi" health bag
b. bag te"hni,ue
". home %isit
d. all of the abo%e
( the publi" health bag "ontains basi" medi"ations and arti"les 'hi"h are
ne"essary for gi%ing "are during home %isits. Its "ontents are he
follo'ing 1KC1P!#
a. soap, adhesi%e plaster and tape measure
b. betadine, a"eti" a"id and benedi"tCs solution
". surgi"al s"issors and for"eps
d. stethos"ope and sphygmomanometer
CARE O. THE OL7ER PERSON
4 first "ause of morbidity among the -3L years old# influen*a
4 top "ause of mortality among the /3L years old# Diseases of the heart
4 "ommon health problems# diffi"ulty in 'al.ing, diffi"ulty in "he'ing,
impaired %ision in at least one eye, hearing problem
4 goal# B6 longer disability free lifeC
4 Resolution +/# the >N prin"iple for older persons to add life to years
that ha%e been added to life
COMMUNITY HEALTH NURSING#
4 Goal# promotion of the "lientCs optimum le%el of fun"tioning through
tea"hing and deli%ery of "are
4 Philoso(h*# based on the 'orth and dignity of man
4 the primary fo"us of C9N pra"ti"e is HEALTH PROMOTION
4 "ommunity health nurse are generalists in terms of their pra"ti"e
4 family is the unit of ser%i"e
4 HEALTH TEACHING is the primary responsibility of the "ommunity
health nurse
Sa(le >%es!ion&
$. the .ey role for the "ommunity health nurse in dealing 'ith
"ommunities is to#
a. ma.e sure that people in the "ommunity are empo'ered and able to
parti"ipate
b. pro%ide in"enti%es for "ommunity members to follo' the proto"ols of
any study or drug trial
". establish pro&e"t teams that 'ill "olle"t and analy*e data
d. "losely dire"t "ommunity members so that the "ommunity assessments
are done appropriately
CHN ROLES O. THE NURSE&
' Clini#ian# fo"us on the health of indi%iduals in the larger "onte5t of the
"ommunity
4 A,/o#a!e# ad%o"ates self4"are, peopleCs ability to be a"ti%e parti"ipants
in their o'n health, and self4determination, the right to ma.e their o'n
de"isions
4 Colla-o)a!o)# brings together strengths and resour"es of people
in%ol%ed to'ard a "ommon goal
4 Co%nselo)I .ey tas.s in"lude listening and pro%iding feedba". and
information
4 E,%#a!o)# pro%ides s.ills, .no'ledge and attitudes that the people need
to ma.e appropriate "hoi"es or de"isions
M Hos(i#e #a)e& pro%iding "are s.ills in a home or other setting and
balan"ing the "lientCs needs
Sa(le $%es!ions&
$. the "ommunity health nurse a"ting in the role of "lini"ian 'ould be
more li.ely to#
a. 'or. to parti"ipate the spe"ial needs of a population su"h as homeless
people
b. fo"us on redu"ing the in"iden"e of disease in a population
". address the spiritual needs of a group 'ithout performing any
s"reening or treatment
d. "oordinate the %arious "omponents of "are to different areas of thr
health system
(. the C9N a"ting in the role of ad%o"ate 'ould be most li.ely to
promoteI
a. self4"are and self4determination for the population
b. telling the people in a "ommunity that the medi"al e5perts .no' 'hat is
best for them
". smo.ing "essation
d. that health "are options should be pursued 'ithout the influen"e of
friends or families
). 'hi"h of the follo'ing is not a role for the "ommunity health nurse
pro%iding hospi"e or end of life "areN
a. pro%iding resour"es for "aregi%ers to pre%ent burnout
b. ensuring that the "lient is gi%en e%ery reasonable "han"e to e5tend life
and is en"ouraged not to gi%e up too easily
". 'or.ing as part of a multidis"iplinary team to meet "lientCs, family and
"ommunity needs
d. promoting and "oordinating palliati%e "are and ser%i"es
COMMUNITY ASSESSMENT&
4 pro"ess of e5amining the "ommunity in "ollaboration 'ith the "ommunity
members to de%elop strategies that impro%e health and ,uality of life for
the "ommunity
4 "ommunity "ompeten"e refers to the "ommunityCs ability to identify
needs, a"hie%e 'or.ing "onse,uen"e and agree and 'or. together to meet
goals
4 three dimensions in"lude# status, stru"ture and pro"ess
4 status4 information about morbidity and mortality, life e5pe"tan"y,
"rime rates and edu"ation
4 stru"ture : so"ioe"onomi", age, gender, resour"es
4 pro"ess : ho' the "ommunity operates and fun"tions as a 'hole
Sa(le $%es!ions#
$. a "ommunity is best des"ribed as#
a. people li%ing in the same pla"e
b. organi*ations, family groups and friend groups that intera"t
". groups that ha%e "ommon interest or needs
d. all of the abo%e
(. a "ommunity that is des"ribed as ha%ing "ommunity "ompeten"e has
'hi"h of the follo'ing "hara"teristi"sN
a. the ability to perform their o'n "ross4se"tional epidemiologi"al studies
b. the ability to delegate any "ommunity pro"esses to an outside e5pert
su"h as "ommunity health nurse
". the ability to identify their o'n needs, a"hie%e "onsensus, plan and
implement goals
d. the ability to predi"t morbidity and mortality rates for the population
). all of the follo'ing are part of the "ommunity assessment pro"ess,
1KC1P!#
a. identifying a%ailable resour"es su"h as time, money and team s.ills
b. "olle"ting and analy*ing information
". 'ithholding results from the "ommunity until they "an be statisti"ally
"onfirmed, to a%oid alarming people
d. setting a"tion priorities based on the needs of the "ommunity and
a%ailable resour"es
+. a %alid 'ay to "olle"t data for a "ommunity assessment is#
a. using a library database for literati%e re%ie'
b. reading go%ernment do"uments to find out about pre%ious data
". using sur%eys or ,uestionnaires to gather information from the
"ommunity members
d. all of the abo%e
CHN CLINIC VISIT&
4 PR14C8NS>6!I8N 7ISI!# "lini"al history ta.ing, %ital sings, physi"al
assessments, laboratory e5ams and do"umentation
4 M1DIC6L 1K6MIN6!I8N# ensure pri%a"y, safety and "omfort of the
patient throughout pro"edure
4 P8S!4C8NS>L6!I8N# e5plain findings and needed "are, refer as
needed, ma.e appointment for nest "lini"F home %isit
Sample ,uestions#
$. during "lini" %isits, all of the follo'ing are done in the "onsultation
"onferen"e, 1KC1P!#
a. ta.e "lini"al history after greeting and ma.ing "lient at ease
b. refer "lient to other related staff or agen"y if ne"essary
". ta.e temperature, AP, height and 'eight
d. perform physi"al assessment and sele"ti%e laboratory e5amination
COMMUNITY ORGANIDING#
4 a "ontinuous of a'areness building, organi*ing and mobili*ing "ommunity
members to'ards "ommunity de%elopment
4 phases of a"ti%ities#
PR141N!RG4 preparation of the staff
4 site sele"tion
1N!RG P96S1 : integration 'ith the "ommunity
4 "ourtesy "alls, information "ampaigns, identifi"ation
of potential leaders
C8R140R8>P F8RM6!I8N 6ND M8AILIOIN0
4 integration 'ith the "ore group
8R06NIO6!I84 A>ILDIN0
4 organi*ing barrio health "ommittee, setting up the "ommunity
organi*ation
C8NS8LID6!I8N 6ND 1KP6NSI8N P96S1
4 net'or.ing and establishing lin.ages, implementation of
li%elihood4pro&e"ts and de%eloping se"ondary leaders
Sa(le $%es!ionsI
$. one of the primary tas.s of the "ommunity health nurses during the
pre4entry phase is the sele"tion of the barangay to be"ome the initial
site for their organi*ing efforts. !he follo'ing are the steps in the
sele"tion of the pro&e"t site by the team, 1KC1P!#
a. de%eloping "riteria for site sele"tion
b. identifying potential barangays and "hoosing the final pro&e"t %illage
". identifi"ation of potential leaders
d. identifi"ation of the host family
(. it is during this period that one member of the team formed 'as gi%en
the ole of a "ommunity organi*er#
a. organi*ing4building phase
b. "ore stoup formation phase
". "onsolidation phase
d. e5pansion phase
). for potential leaders to perform their roles effe"ti%ely, they ha%e to
possess "ertain "hara"teristi"s. 6mong these are the follo'ing, 1KC1P!#
a. they must belong to the poor se"tor
b. they must be respe"ted members of the "ommunity
". preferably informal leaders
d. formal leaders 'ith many "ommunity responsibilities
+. this phase signals the start of "ommunity self4management of any
de%elopment program#
a. "onsolidation and e5pansion phase
b. "ore group formation
". entry phase
d. organi*ation building phase
-. under this phase of the edu"ation and training pro"ess, the "ondu"t of
training, monitoring and do"umentation of training are in"luded in#
a. implementation phase
b. planning phase
". e%aluation phase
d. post4training phase
7ENTAL HEALTH PROGRAM&
' /ision# a lifetime oral health and no tooth de"ay for the nest
generations
4o-Ee#!i/e# to pre%ent and "ontrol dental diseases and "onditions
4 BSang milyong SepilyoD4 pro&e"t for so"ial mobili*ation of dental health
program
7EPARTMENT O. HEALTH&
4 Vision& health for all filipinos
4 ission& enhan"e a""essibility and ,uality of health "are to impro%e the
,uality of life of all Filipinos, espe"ially the poor
4 basi" prin"iples to a"hie%e impro%ement of health
$. ensured uni%ersal a""ess to basi" health ser%i"es
(. health and nutrition of %ulnerable groups must be prioriti*ed
). epidemiologi"al shift from infe"tion to degenerati%e diseases must
be managed
+. performan"e of the health se"tor must be enhan"ed
4 primary strategies#
$. assuran"e of health "are
(. in"reased in%estment for primary health "are
). de%elopment of national standards and ob&e"ti%es for health
+. support to lo"al health system de%elopment and frontline health
'or.ers
Sa(le $%es!ions&
Situation# the department of health formulated plan, programs and
pro&e"ts 'ith the %ision, Bhealth for all FilpinosC
$. 'hi"h of the follo'ing is the mission of the department of healthN
a. promote healthy lifestyle
b. ensure a""essibility and ,uality of health "are
". redu"e morbidity and mortality
d. impro%e general health status of the people
(. 'hi"h of the follo'ing is not a basi" prin"iple in the a"hie%ement of
impro%ed healthN
a. health and nutrition priorities
b. uni%ersal a""ess to health ser%i"e
". enhan"ement of performan"e of health se"tor
d. in%estment for primary health "are
). 'hi"h of the follo'ing is not a primary strategies to a"hie%e health
goalsN
a. support of lo"al health system
b. de%elopment of national standards for health
". assuran"e of health "are for all
d. funding from non4go%ernment organi*ation