COMMUNITY HEALTH NURSING (NOTES) o Community

 Identifies and Defined 12 public

health Interventions Surveillance
Intro to CHN (GOALS) o Surveillance
o Disease and other health
 Preventing of disease
event investigators
 Promote health
o Outreach
 Prolonging life span
o Screening
 Disability and rehab
o Case finding
What is Nursing? o Referral and follow up
o Case management
 Assisting sick individual =healthy
o Delegated functions
 Healthy individual=optimum wellness
o Health trading
What is community? o Consultation*
o Collaboration
 Allender- sense of unity
 Lundy and James- exhibit o Coalition building
commitment o Advocacy
 Clark- function collectively o Community organizing
 Shuster and Geopinger-society o Social marketing
Institutional o Policy development and
enforcement
Definition of Health
*Counseling-intrapersonal relationship=
 WHO- complete and not merely the selfcare
absence of disease or infirmity
 Murray- Purposeful, adaptive,
responses and processes Family
 Pender- goal directed behavior
competent t self-care and satisfying  Unit of service in CHN
relationship with others  Living together by blood, marriage, or
adoption
*Public health nursing before community  Social unit interacting with the larger
health nursing. society

Types of Family
Ultimate Goal of CHN  Nuclear Family
 To raise the leel of health of the  Extended Family
citizenry  Single Parent
 Enhance the capacity individuals,  Bi-nuclear
family, and community to cope with family/Blended/Reconstituted
their health need  Step family
 Compound Family
Elements of CHN  Cohabiting Family
 Population bases/ focused  Dyad
 Contains 3 levels of clientele  Homosexual Family
o Individual  Communal Family
o Family  No kin
 Traditional
Family Nurse Contact  Appropriation
 Adequacy
 Telephone Contact
 Efficiency
 Written Community
 Home visit Roles of PHN
 First Hand assessment of the home
 Clinician
situation
 Health educator
 Able to seek out previous
 Facilitator
unidentified needs
 Supervisor
 Promotes fam participation and
 Leader, role model, change model
teaching
 Researcher
 Sense of confidence
Fields of CHN
Phases of Home Visit
 School health nurse
 Pre visit
 Home health care
 In home phase
 Hospice health care
 Initiation
 Entrepreneurs
 Implementation
 Occupational
 Termination
 Post-visit phase Nursing Bag (PHN)
Assessment tool  Soap, disposable paper towel, apron
bottles of antiseptic, and hand
 Genogram
sanitizer
 Family health tree
 Thermometer, measuring tape,
 Eco map
newborn weighing scale, glucometer,
Family Functional Assessment medicine dropper, test tube holder,
alcohol lamp
 Instrumental functioning
 Dressing, cotton balls, cotton tip
 Expressive Functioning
applicators, Syringe (2ml and 5ml)
 Emotional Communication
with needles, surgical gloves, cord
 Verbal Communication
clamp, one basin, two pairs of forceps
 Non-verbal Communication
(straight and curved)
 Circular Communication
 Adhesive tape (micropore), bandage
 Problem Solving
scissors.
 Roles
 Influence PRIMARY HEALTH CARE
 Beliefs
 Basic care without hospital
 Alliances coalitions

Aspects of Evaluation
OLOF
 Manners
 Therapeutic questions  Optimum level of functioning
 Therapeutic conversation (Jocobson, 1969)
 Genogram and ecomap
 Commending Family of Individual COMMUNITY HEALTH NURSING

Aspect of Evaluation  Field of nursing that is a blend or

synthesis of nursing practice with
 Effectiveness public health using primary health
 care as the tool in the delivery of
health service
 Learned practice discipline with the
ultimate goal of contributing as
individual with others to the
promotion of the clients optimum
level of functioning thru teaching and
delivery of care (Johnsons 1969)
 A service rendered by a professional
nurse to individuals, families,
communities, and populations in
health centers, clinics, schools and the
workplace in order to promote,
prevent illness.
Philosophy of Community Health Nursing
 Based on the worth and dignity of
men (Shetland 1958)
Goal of Community
 To assist IFC to its optimum level of
functioning
Basic Principles of CHN
 Development in health technology
affected by
 Achieved through multi-sectoral
efforts
Concepts and Principles
 Family-primary unit of care, primary
prevention is given priority
 Partnership- CH Nurse works with not
for. Active partners with IFC not
passive recipients
 Change- changes in society and
development in health field
 Health care delivery system- part of
the community health and the larger
human service system
Salient Features of CHN
 Population-Aggregate focused- while
community is the patient/client.
a. Priorities for care when resources
or supplies are primary allotted
for health needs.
b. Population-based assessment,
policy development and
assurance processes are
systematic and comprehensive.
 Greatest Good for the Greatest
Number- needs and problems of the
community- than individual/family
 Utilizes the Nursing Process-
assessment of health needs, planning,
implementation, evaluation, problem
solving methods.
 Promotive- Preventive by Nature-
Health promoting and disease-
preventing strategies or creative
intervention
 Uses a variety of instruments- tools
for measurement and analyzing
community health problems
 Requires management skills-
principles of management-organizing
nursing service in the local health
agency.
Recipients of care in CHN
 The individual- specific person or
client
 The Family- Types of family
 Population Group- vulnerable groups
or those at risk
 Community- Same geographic
boundaries and common values or
interest
- Socio cultural context (behaving,
and coping differ from one group
to another
Sustainable Development Goals
 Adopted by all UN member in 2015
 Peace and prosperity
 17 SDG
 Improve health and education, reduce
inequality
1. No poverty
2. 0 hunger
3. Good health and well being
4. Quality Education
5. Gender Equality
 6. Clean water and sanitation
7. Adaptable and Clean Energy
8. Decent and Economic Growth
9. Industry Innovation and infrastructure
10. Reduce Inequalities
11. Sustainable Cities and Communities
12. Responsible Consumption and
Production
13. Climate Action
14. Life below water
15. Life on land
16. Peace, Justice and Strong institution
17. Partnership for the Goals
Historical Background of the PHN in the
Philippines
1912-The Fajardo act (Act no. 2156)- created
sanitary Division
1914- School nursing was rendered by a nurse
employed by the bureau of health of
Tacloban, Leyte,
1916-1918- Miss Perlita Clark took charge of
the Public Health Nursing
- 1 supervisor, 1 American
dietician, 36 filipino nurses
(province)
1917- Graduate nurses paid by City of manila
to work in the City school provinces
1918-Office of Miss Clark was abolished due
to lack of funds
1919- 1st Filipino nurse supervisor under the
Bureau of Health
1923- 2 government schools of nursing:
Zamboanga General Hospital School of
Nursing, Baguio General Hospital School on
Northern Luzon
- Intended to train non-Christian
women to prepare them service
to people
- Later 4 more government schools-
1 southern Luzon (quezon
province) and three in Visayan
Islands of Cebu, Bohol and Leyte.
July 1 1926
 Mas carmen leogardo and Miss
Genera S. Manongdo- ranking
supervisor the America Red Cross.
Philippine Chapter was appointed in
her place
1927- District Nursing under the office of
general inspection.
- Philippine Health Service was
abolished and supplanted by
sector of Public health nursing
1928- First Convention of Nurses was held
- Yearly conventions until WWII
- Pre service training as pre-
requisite for appointment
1930- Section of Public health nursing was
converted into section of nursing due to
pressing need for guidance in phn and hn and
ne
1933- Reorganization Act No. 4007
transferred the Division of maternal and child
health of the office of Public Welfare
Commission to the bureau of health
July 1942- 31 nurses were taken prisoners of
war by the Japanese army and confirmed at
the Bilibid Prison in Manila.
October 7 1947- Executive Order No. 94 reorg
government offices and created the hiv of
nursing under the office of the secretary of
Health
1948- The first training Center of the bureau
of health
- Coop with the Pasay Health Dept.
1950- Rural health demonstration and
Training Center (RHDTC)
1953- Office of the health educ and personnel
training forerunner of Health Man power
Development and Training Services.
1957- R.A. 1891 was approved amending
sections 2,3,4,7, and 8 of R.A. 1082
“strengthening dental services in the Rural was started and is in the last stages of
Areas and provides funds, finalization\

1956-1965- R.A 1977, congress 1954 was Nursing Act 2002 R.R 9173- Philippipne
implemented Nurses of 1991

1967- Bureau of Disease control Mrs-Zenaida Republic Act No. 7305- Magna Carta of Public
Panislo Nisa was approved as Nursing health Nurses
program supervisor and served as consultant
in the nursing aspects of the 5 spec disease
TB, Leprosy, Venereal Disease, Cancer,
Filariasis and mortal health

1974- project management staff was

organized as part of the population loan II of
the Philippine Government with Dr. Francisco
Aguilars Project Man

1975- Reconstructing of the health care

delivery system. Operations for research
(WHO).

- Provine of rizal

1976-1986-Nursing consultant and nursing

program supervisor of the office of the
secretary health

- Req 2 months in the rural areas of

the country before license are
issued by PRC (professional
Regulation Commission)

1986- Reorganization of DOH

- Placed the position of Nursing

consultant and created several
offices and services with the DOH

1987-1989- executive order no.119 re org

DOH and created several offices and services
with DOH

1990-1992-Number of position and nursing

program supervisor (Nurse VI) was increased
as there were 3 or more appointed in each
service

May 24-1999-Excecutive order no. 102 was

signed by pres joseph estrala, redirecting, the
function and operations of DOH

2005-2006-Development of the rationalizing

plan to streamline the bureaucracy further