CHN in House Module 2

COMMUNITY HEALTH NURSING 2:Levels of Clientele in CHN
- MR. GERARDO “DYERI” P. ANDAMO R.N.
 Individual
Basic approaches in looking at the individual:
 Holistic

 Atomistic
 Family
Structural-Functional Model
Initial Data Base
 Family structure and Characteristics
 Socio-economic and Cultural Factors
 Environmental Factors
 Health Assessment of Each Member
 Value Placed on Prevention of Disease
First Level Assessment
 Health threats:
conditions that are conducive to disease, accident or failure to realize one’s health potential
 Health deficits:
instances of failure in health maintenance (disease, disability, developmental lag)
 Stress points/ Foreseeable crisis situation:
anticipated periods of unusual demand on the individual or family in terms of adjustment or
family resources
Second Level Assessment:
FAMILY TASKS:
 Recognition of the problem
 Decision on appropriate health action
 Care to affected family member
 Provision of healthy home environment
 Utilization of community resources for health care
Problem Prioritization:
 Nature of the problem
Health deficit
Health threat
Foreseeable Crisis
 Preventive potential
High
Moderate
Low
 Modifiability
Easily modifiable
Partially modifiable
Not modifiable
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 Salience
High
Moderate
Low
The Family Service and Progress Record

The Family Case Study
 Population Group
Vulnerable Groups:
 Infants and Young Children
 School age
 Adolescents
 Mothers
 Males
 Old People
Specialized Fields:
Community Mental Health Nursing

A unique clinical process which includes an integration of concepts from nursing, mental
health, social psychology, psychology, community networks, and the basic sciences
Focus:
Occupational Health Nursing
The application of nursing principles and procedures in conserving the health of workers
in all occupations
Aims:
School Health Nursing
The application of nursing theories and principles in the care of the school population
Components:
1. School health services
2. School health instruction
3. Healthful school living
4. School community linkage
 Community
 Community Diagnosis
- A process by which the nurse collects data about the community in order to identify factors
which may influence the deaths and illnesses of the population, to formulate a community health
nursing diagnosis and develop and implement community health nursing interventions and
strategies
2 Types of Community Diagnosis
Comprehensive Community Diagnosis Problem-Oriented Community Diagnosis
- aims to obtain general information about the - type of assessment responds to a particular
community need
STEPS:
 Preparatory Phase
1. site selection
2. preparation of the community
3. statement of the objectives
4. determine the data to be collected
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5. identify methods and instruments for data collection
6. finalize sampling design and methods
7. make a timetable
 Implementation Phase
1. data collection
2. data organization/collation
3. data presentation
4. data analysis
5. identification of health problems
6. prioritization of health problems
7. development of a health plan
8. validation and feedback
 Evaluation Phase
1. Process evaluation
2. Product evaluation
 Biostatistics
DEMOGRAPHY
- Is the study of population size, composition and spatial distribution as affected by major
processes like births, deaths and migration
Sources of demographic data:
1. Census – complete enumeration of the population
2. Continuing population registers
3. Other sources
VITAL STATISTICS
the application of statistical measures to vital events (births, deaths and common illnesses) that is
utilized to gauge the levels of health, illness and health services of a community.
 Fertility Rate
Crude Birth Rate
General Fertility Rate
 Mortality Rates
Crude Death Rate
Specific Mortality Rate
Infant Mortality Rate
Neonatal Mortality Rate
Post-neonatal Mortality Rate
Maternal Mortality Rate
Proportionate Mortality Rate A
Swaroop’s Index
Proportionate Mortality Rate B
Case Fatality Rate
Cause-of- Death Rate
 Morbidity Rates
Prevalence Rate
Incidence Rate
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COMMUNITY HEALTH NURSING 2:Levels of Clientele in CHN

- MR. GERARDO “DYERI” P. ANDAMO R.N.

Basic approaches in looking at the individual:

The Family Service and Progress Record

Community Mental Health Nursing

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