Professional Documents
Culture Documents
ENVIRONMENTAL INFLUENCES
HEALTH CARE DELIVERY SYSTEM - One
Components
component of this factor is the primary health
■ Air
care which is a partnership approach
■ Food
Goal: Effective provision of health services that
■ Water waste
are community-based and accessible
■ Urban/rural noise
Components:
■ Radiation
■ Promotive
■ Pollution
■ Preventive
■ Curative
HEREDITY
■ Rehabilitative
Components
■ Genetic endowment
BEHAVIORAL
■ Defects
Components
■ Strengths
■ Culture
■ Risks:
■ Habits
■ Ethnic customs ▪ Familial
Examples
▪ Ethnic
■ Smoking
■ Intake of alcoholic drinks ▪ Racial
■ Substance abuse
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)
______________________________________________________________
Ultimate Goal : contribute to the promotion of client’s optimum level of functioning
Through teaching and delivery of care. (Jacobson)
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)
______________________________________________________________
■ Delegate and supervise STEPS:
■ Monitor health services provided ■ Care outcomes
■ Provide health education and training ■ Performance appraisal
■ Document responses to nursing action ■ Estimate cost benefit ratio
■ Assessment problems
EVALUATION - process of making judgments as ■ Identify needed alterations
to the extent the objectives are met ■ Revise plans as necessary
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
FORESEEABLE CRISIS - anticipated periods of unusual demand on the individual or family in terms of
adjustment/family resources
Examples:
■ Marriage
■ Pregnancy
■ Parenthood
■ Divorce or separation
■ Loss of job
■ Menopause
■ Death
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
STRUCTURAL ELEMENTS - include the physical settings, instrumentalities and conditions through which
nursing care is given
Components:
■ Philosophy
■ Objectives
■ Building
■ Organizational structure
■ Financial resources (budget, equipment, staff)
PROCESS ELEMENTS - steps of the nursing process ( assessment, planning, implementing and evaluating)
Components:
■ Taking the family health database
■ Performing physical examination
■ Making a nursing diagnosis
■ Determining nursing goals
■ Writing a nursing care plan
■ Performing nursing interventions
■ Coordination of services
■ Measuring success of nursing actions
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
______________________________________________________________