Professional Documents
Culture Documents
COLLEGE OF NURSING
Zamboanga City
It is that level of community health care practice directed or focused on the family as a unit,
with health as the goal and the health care worker as the medium, channel or provider of care.
It is the operational framework for health practice that is utilized to systematize the helping
process extended to clients.
The health care process is basically the use of scientific method exploring and analyzing data
to arrive at logical conclusions and rational solutions to problems.
DETAILED DESCRIPTION OF THE STEPS IN THE PROCESS: (Whether applied to the individual,
family or community)
Initiating contact.
Communicating interest in client’s welfare.
Expressing/ showing willingness to help with expressed needs.
Maintaining a two-way communication with the client.
4. EVALUATION OF CARE:
The analysis of the effectiveness of care provided, based on systematic documentation,
monitoring
and observation in relation to:
Accuracy, completeness and regularity of assessment
Individual, family and community participation
Quality, scope and timeliness of care provided
Health outcomes and interpretations of observed differences with suggested changes.
HOME VISIT:
Professional contact made by the health worker or on behalf of a client or family to
further a special activity of the agency.
Face to face professional contact of significant public health content which is recorded.
PRINCIPLES:
1. A home visit should have a purpose or objective.
2. Planning for the home visit should make use of all available information about the client
and his family.
3. Planning should revolve around the essential needs of the individual or family.
4. Planning for continuing care should involve the individual and his family.
5. Determines the frequency of the home visit.
PURPOSES:
1. To give care to the sick; teaching a responsible member of a family to give subsequent
care.
2. To find out living conditions of the client and family in order to fit a health teaching need.
3. To teach health practices, prevention of disease and correction of defects for better living.
4. To detect, help prevent and report of communicable diseases.
5. To establish close relationship between health agencies and the public for the promotion of
public health.
6. To make use of the referral system and use of community services.
4 LEVELS OF CLIENTELE:
1. INDIVIDUAL: client the health worker sees in the health care setting with specific
health problems.
2. FAMILY: problematic/priority/high-risk families
3. GROUP: population group at risks or with a defined health problem to whom the
health worker delivers promotive, preventive, curative or rehabilitative
care.
4. COMMUNITY: the population at large is the recipient of a particular health service.
B. CONDUCTS AN INITIAL ASSESSMENT TO DETERMINE OR IDENTIFY THE
PRESENCE
OF ANY HEALTH PROBLEM.
A family that is able to perform the following health tasks in the face of a health problem
is considered to be coping effectively.
8. Personal habits/practices
a. Excessive smoking
b. Excessive drinking of alcohol
c. Walking barefooted
d. Eating raw meat/fish
e. Self-medication
f. Use of dangerous drugs/narcotics
g. Sexual promiscuity
h. Engaging in dangerous sports
9. Inherent personality characteristics ex. Short temper
10. Health history which may precipitate/induce the occurrence of a health problem
ex. Previous history of difficult labor
11. Inappropriate role assumption ex. Father not assuming his role.
12. Inadequate immunization status especially of children
13. Family Disunity
a. Self-oriented behavior
b. Unresolved conflicts of members
c. Intolerable disagreements
14. Others, specify:______________
3. 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.
4. SALIENCE:
Refers to the family’s perception and evaluation of the problem in terms of
seriousness and urgency of the attention needed.
The health worker evaluates family’s perception of a problem. As a general rule, the
family’s concerns and felt needs require priority attention.
3. CURRENT MANAGEMENT:
Refers to the presence and appropriateness of intervention measures instituted to
remedy the problem.
The institution of appropriate intervention increases the problem’s preventive
potential.
4. EXPOSURE OF ANY HIGH RISK GROUP:
Decreases preventive potential of a problem.
CRITERIA WEIGHT
1. NATURE OF PROBLEM PRESENTED 1
Health Threat 2
Health Deficit 3
Forseeable Crisis 1
2. MODIFIABILITY OF PROBLEM 2
Easily Modifiable 2
Partially Modifiable 1
Not Modifiable
3. PREVENTIVE POTENTIAL 1
High 3
Moderate 2
Low 1
4. SALIENCE 1
Serious Problem, immediate attention 2
needed
Problem not needing immediate attention 1
Not a felt need/ problem 0
Scoring:
1. Decide on score for each criteria.
2. Divide the score by the highest possible score and multiply by weight.
3. Sum up the scores for all the criteria. The highest score is 5
The higher the score of a given problem the more likely it is taken as priority.
EXAMPLE: This scale for prioritizing problems is utilized either for Individual/ Family.
TOTAL SCORE: 4