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Med Surge Review
Med Surge Review
Public health is dedicated to the common attainment of the highest level of physical, mental
and social well-being and longevity
GOAL: contribute to the most effective total development and life of the individual and his
society. (Hanlon)
Community health nursing is a service rendered by a professional nurse with the community,
groups, families and individuals
GOAL: promotion of health, prevention of illness, care of the sick at home and rehabilitation
(Freeman)
Philosophy of community health nursing is based on the worth and dignity of man. (Shetland)
IMPLEMENTATION - translation of
care plan into action
STEPS:
Put nursing plan to action
THE NURSING PROCESS Coordinate care / services
ASSESSMENT - Process of collecting and Utilize community resources
processing data/information about the Delegate and supervise
client Monitor health services provided
STEPS: Provide health education and
Initiate contact training
Demonstrate caring attitudes Document responses to nursing
Develop mutual trust and action
confidence
Collect data from all possible EVALUATION - process of making
sources judgments as to the extent the objectives
Identify problems are met
Analyze and interpret data STEPS:
Care outcomes
Performance appraisal
PL PLANNING - formulation of steps to be Estimate cost benefit ratio
undertaken to achieve desired end Assessment problems
STEPS: Identify needed alterations
Prioritize needs Revise plans as necessary
Establish goals based on needs and
capabilities
HEALTH DEFICIT
A gap between actual and achievable health status
Instances of failure in health maintenance
Possible precursors of health deficit:
History of repeated infections or miscarriages
No regular health check-up
Examples:
ILLNESS states, diagnosed or undiagnosed
Failure to thrive/develop
Disability
Transient (aphasia or temporary paralysis after a CVA)
Permanent (leg amputation secondary to diabetes, blindness from
measles, lameness from polio)
HEALTH THREAT - conditions that are conducive to disease, accident or failure to realize one’s
potential
Examples:
Family history of hereditary disease
Threat of cross infection
Accident hazards
Faulty eating habits
Poor environmental sanitation
Unhealthy lifestyle/personal habits
PREVENTIVE POTENTIAL –refers to the nature and magnitude of future problems that can be
minimized or totally prevented if intervention is done on the problem under consideration
High 3
Moderate 2
Low 1
SALIENCE – refers to the family’s perception and evaluation of the problem in terms of
seriousness and urgency of attention needed
A serious problem, immediate attention needed 2
A problem, but not needing immediate attention 1
Not a felt need / problem 0
OUTCOME ELEMENTS - changes in the client’s health status that result from nursing
interventions
COMPONENTS
modification of signs and symptoms
Knowledge
Attitude
Satisfaction
Skill level of client
Compliance with treatment regimen
NURSING PROCEDURES
PRE-CONSULTATION CONFERENCE
1. Greet and make client at ease
2. Take clinical history
3. Take temperature, blood pressure, height and weight
4. Perform physical assessment
5. Do laboratory examinations
6. Write findings on client records
MEDICAL EXAMINATION
1. Assist client before, during and after examination by physician
2. Inform physician of relevant findings gathered in pre-conference
3. Work with the physician during the examination
4. Ensure privacy, safety and comfort of patient throughout procedure
5. Observe confidentiality of examination results
Nursing Intervention:
1. Carry out physician’s orders as giving medication or injection
2. Explain and reinforce physician’s orders and advises
3. Teach patient measures to promote and maintain health as proper diet, exercise
and
Personal hygiene.
4. Seek information regarding health status of other family members
5. Counseling
PRE-CONSULTATION CONFERENCE
1. Explain findings and needed care or intervention
2. Refer patient to other health worker/agency
3. Make appointment for next clinic/home visit
DEPARTMENT OF HEALTH
VISION: Health for all Filipinos
MISSION: Ensure accessibility of health care to improve the quality of life of the Filipinos
especially the poor
ELEMENTS/COMPONENTS of PHC
- Education for Health
- Locally Endemic Disease Control
- Expanded Program on Immunization
- Maternal and Child Health
- Essential Drugs and Elderly Care
- Nutrition
- Treatment of CD and Non-CD
- Sanitation: Water and Environment
ORGANIZATIONAL STRATEGY
Framework for meeting the goal of primary health care
Calls for active and continuing partnership among the communities, private and
government agencies in health development