prelim - week 1

• Goal: Raise level of health of the

NCM 104 - Community citizenry by helping communities and
Health Nursing families cope with the discontinuities in
and threats to health and maximize their
potential for high-level wellness.
INTRODUCTION TO CHN - Goal is achieved through Multi-
Sectoral E orts
- PUBLIC HEALTH • CHN Practice is a ected by
- is the science and art of preventing developments in:
disease, prolonging life and promoting - Health Technology
health and e ciency thru organized - Changes in society
community e ort.
- To enable every citizen to realize his - BASIC PRINCIPLES OF CHN: 4
birthright to health and longevity. (Dr. C. E. LEVELS OF CLIENTELE
Winslow)
- The art of applying science in the context - Individual
of politics so as to reduce inequalities in • Sick or Well
health while ensuring the best health for • Seek consultation *Di erent settings
the greater number (WHO) • “entry point” in the family

- Public Health Nursing - Family

• The practice of nursing in national and • Unit of care
local government health departments • Small social system
(which include health centers and rural • 2 or more persons living together
health units) and public schools. • Bound by blood / marriage / adoption /
• It is community health nursing practiced arrangement
in the public sector. • Over period of time

- Community Health Nursing • Family Composition

• is part of the health care system and the
larger human services system.
• The utilization of the nursing process in
the 4 di erent levels of clientele:
- Individuals
- Families
- Population Groups
- Communities
• Concerned with promotion of Health
Prevention of Disease and Disability
Rehabilitation
1. Nuclear Family – composed of
father, mother, child/children
2. Extended Family – composed of
the nuclear family plus the
relatives of one of both spouses.
3. Blended Family – composed of
one separated/divorced or
widowed adult with his/her
children, they live together in one
household.
4. Single-parent – composed of
either father or mother with his or
her biological or adopted children.

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 5. Same sex / Homosexual Family – - Population Group
composed of gay or lesbian • A group of people
partners living together. • Sharing same:
6. Cohabiting / Communal Family – - Characteristics
consists of unrelated individuals - Developmental stage
or families who live together - Exposure to environment
under one roof for purposes of • Common health problems
companionship, desiring to
achieve a sense of family. - Community
• Patient
• Based on Locus of Power • Group of people
1. Patrifocal or Patriarchal Family – a • Sharing:
union in which the man has the - Geographic boundaries
main authority and decision- - Values and interests
making power. - Cultural heritage
2. 2. Matrifocal or Matriarchal – a • Each is unique
union in which the woman has the
main authority and decision- 1. Geographic Boundaries
making power. 2. Institutions + Network +
3. 3. Egalitarian – a union in which Communication
the husband and the wife exercise 3. Common Interest
more or less an equal amount of 4. Problem can be identi ed = solved
authority. 5. Populations
4. 4. Matricentric – the prolonged
absence of the father as in the
case of families of overseas
Filipino workers (OFWs) gives the
mother a dominant position in the
family, although the father may in
a way share the decision making
power with the mother.
• Family Health Tasks
- Achieve Wellness
1. Recognize problems
2. Decision-making
3. Nursing care
4. Home environment
5. Community resources.
- It is the nurse’s responsibility to
assess whether the family is able to
attend to these tasks or not.
- Failure: Family Nursing Problems

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