Mastering: Community Health Nursing

Mastering
COMMUNITY
HEALTH
NURSING
By: Rusell Fernandez Peralta, RN, MAN
By Rusell F. Peralta, RN
PNLE 2017 CHN TOPICS
FHSIS
CLIMATE CHANGE
GLOBAL WARMING
GREENHOUSE EFFECT
AROMATHERAPY
REFLEXOLOGY
TERRORISM
PHILHEALTH
LEVELS OF PREVENTION
CHN BASICS – COMMON
HERBAL MEDICINES
AROMATHERAPY
ACCUPRESSURE
REFLEXOLOGY
DOH PROGRAMS AND ACTIVITIES
MILLENIAL DEVELOPMENT GOALS
DENGUE – DENGVAXIA
HIV/AIDS
ANTHRAX -TERRORISM
CLIMATE CHANGE
GLOBAL WARMING
GREENHOUSE EFFECT
VOLCANIC ERUPTION – NSG. ROLES
NURSING IN THE PHILIPPINE REVOLUTION
• Josephine Bracken – installed field hospital
in estate house in Tejeros; provided nursing
care to the wounded night and day.
• Dona Hilaria de Aguinaldo – organized
Filipino Red Cross under inspiration of
Mabini.
• Dona Maria Agoncillo de Aguinaldo –
provided nursing care to Filipino soldiers
during revolution.
NURSING IN THE PHILIPPINE REVOLUTION
• Melchora Aquino– nurse the wounded
Filipino soldiers. “Nurse ng Katipunan”
• Trinidad Tecson – “Nurse ng Biak na
Bato”, stayed in hospital at Biak na bato to
care for wounded soldiers.
• Agueda Kahabagan – revolutionary leader
in Laguna, provided nursing services to her
troop.
CHN Basics
• HEALTH - WHO: “complete physical,
mental, and social well being, not merely
the absence of diseases or infirmity”
• PUBLIC HEALTH – C.E. WINSLOW:
“Science and art of preventing disease,
prolonging life, promoting health and
efficiency through organized community
effort”
CHN Basics
• CHN - Jacobson: “learned practice
discipline with the ultimate goal of
contributing , as individuals and in
collaboration with others, to the
promotion of client’s optimum level
of functioning through teaching and
delivery of care ”
CHN Basics
• CHN - Ruth Freeman: “service rendered
by professional nurse with the
community, groups, families, and
individuals at home, in health centers,
clinics, school, workplace for the
promotion of health, prevention of
illness, care of sick at home and
rehabilitation”.
CHN Basics
• Philosophy of CHN: -
• Dr. Margareth Shetland: “The worth and
dignity of man”.
• Primary Focus: The promotion
of health
CHN Basics
• Concepts of CHN:
CHN is not only for individual but for the
whole family and community
CHNurses acts as Generalist- in full range of
health problems and needs
Contact with client/ family continue over
long period of time include all ages and all
types of health care
CHN Basics
• Concepts of CHN:
It requires current knowledge derived
from biological and social sciences,
ecology, clinical nursing and community
health organizations be utilized.
Dynamic Process – Assessing, Planning,
Implementing and Intervening, evaluating.
OLOF – OPTIMUM LEVEL
OF FUNCTIONING
• FACTORS (Ecosystem Influences)
• PoSoBeHeHE
• Political – safety, oppresion,
people empowerment, government
• Socio-Economic- Employment,
Education, Housing
• FACTORS (Ecosystem Influences)
• Behavior – culture, habits, chores, ethnic
customs
• Heredity- Genetics, endowment, defects,
strengths, risk, familial, racial
• Health Care Delivery System – Preventive,
promotive, curative, rehabilitative
• Environment- Air, Food, Water waste,
Urban, Rural, Radiation, and pollution
PoSoBeHeHE
• GOAL
• ULTIMATE GOAL – To raise the level
of health of the citizenry
• OBJECTIVES
1. To participate in the development of an
over-all health plan for the community –
implementation and evaluation.
2. To provide quality nursing services to IFC
• OBJECTIVES
• 3. To coordinate nursing services with
various members of the health team,
community leaders, Govt and Non Govt
Agencies/Orgs in achieving the aims of
health services within community.
• 4. To participate in, conduct
researches relevant to community
health and CHN services.
• OBJECTIVES
• 5. To provide CHN personnel with
oppurtunities for continuing education
and professional growth through staff
development
SUM IT UP!
• Goal: To Raise Level of Health
• Objectives:
• Development of health Plan
• Provide Quality Nursing Services
• Coordinate to Organizations/Agencies
• Participate and Conduct Researches
• Staff Development
• PRINCIPLES
• (Mary S. Gardner and by Leahy, Cobb and Jones)
1. CHN is based on recognized NEEDS of
communities, families, groups, and
individuals.
2. CH Nurse must full understand fully the
objectives and policies of the agency she
represents.
3. FAMILY is the UNIT OF SERVICE
4. CHN must be available to all regardless of
race, creed, and socio-economic status.
• PRINCIPLES
5. HEALTH TEACHING is a primary
responsibility of the CH Nurse.
6. The CHN works as a MEMBER of the
Health team.
7. There must be PROVISION for PERIODIC
EVALUATION of CHN Services
8. Continuing staff education programs for
nurses must be provided by CHN agency.
CHNurse responsible for PROF. GROWTH.
• PRINCIPLES
9. CH Nurse makes use of AVAILABLE
Community health resources.
10. CH Nurse utilizes the already existing
active organized groups in the
community.
11. There must be PROVISION for
EDUCATIVE SUPERVISION in CHN
12. There should be ACCURATE RECORDING
and REPORTING in CHN
FOCUS OF CHN
HEALTH PROMOTION
PRINCIPLES (IDCAA)
• I- INVOLVES THE POPULATION AS AS WHOLE.
• D-DIRECTED TOWARDS ACTION ON DETERMINANTS OF
HEALTH
• C-COMBINES DIVERSE—INCLUDING COMMUNICATION,
EDUCATION, LEGISLATION, AND LOCAL ACTIVITIES OF
HEALTH
• A-AIMS EFFECTIVE AND CONCRETE PUBLIC
PARTICIPATION
• A-A SOCIETAL AND POLITICAL VENTURE AND DECISION
MAKING AND NOT MEDICAL SERVICE
GOAL OF CHN
PRIMARY GOAL:
ENHANCE HEALTH CAPABILITIES OF THE POPULATION (MAXIMIZING POTENTIAL FOR HIGH LEVEL OF WELLNESS
ULTIMATE GOAL
RAISE THE LEVEL OF HEALTH IN CETIZENRY
LEVELS OF CLIENTELE
INDIVIDUAL - UNIT OF ENTRY

FAMILY- UNIT OF SERVICE, FOCUS OF CARE
GROUP – AGGREGATE OF PEOPLE POPULATION WITH COMMON CHARACTERISTICS WHO ARE VULNERABLE TO
CERTAIN HEALTH PROBLEMS.
COMMUNITY – Entire client/OVERALL FOCUS OF CHN
PRINCIPLES
BAILON-REYES, GARNER, LEAHY,
COBB AND JONES
CHN PRINCIPLES
• C- OMMUNITY ORGANIZED GROUPS FOR HEALTH
AND DEVELPOMENT AND SELF RELIANCE
• H-EALTH RESOURCES AVAILABLE SHOULD BE USED
• N-URSING PROCESS AS BASIS FOR PROFESSIONAL
PRACTICE
• P-ERIODIC EVALUATION OF SERVICES WITH
ACCURATE REPORTING AND RECORDING
• R-ECOGNIZED NEEDS OF THE PEOPLE AND SERVICES
AVAILABLE FOR ALL
CHN PRINCIPLES
• I-IMPROVE COMMUNITY HEALTH AS BASIC PURPOSE,
WITH CHN AS INTEGRAL PART OF THE COMMUNITY
HEALTH SERVICE SYSTEM
• N-URSE WORKS WITH, AND NOT FOR THE PEOPLE ,
INVOLVING CLIENTS AS ACTIVE PARTNERS
• C-CONTINUING STAFF EDUCATION PROGRAM,
OPPURTUNITIES AS PROVIDED BY NURSING AGENCY
• I-INTERSECTORAL EFFORTS WITH THE NURSE AS
MEMBERS OF THE HEALTH TEAM
CHN PRINCIPLES
• P-OLICY AND OBJECTIVES SHOULD BE UNDERSTOOD
BY THE NURSE
• L-ARGELY AFFECTED BY CHANGES IN COMMUNITY
SITUATION INFLUENCING CHN PRACTICE
• E-DUCATION AS PRIMARY RESPONSIBILTY OF THE
NURSE
• S-ERVICE UNIT IS THE FAMILY, COMMUNITY AS THE
OVERALL
SUB-SPECIAL
FIELDS OF CHN
• SCHOOL HEALTH NURSING
• Focused on promotion of health and
prevention of health problems that
would hinder the learning process and
performance of school children’s
developmental task
• PRINCIPLE
- EVERY CHILD DESERVE TO BE AS FIT
AND AS HEALTHY AS POSSIBLE TO GAIN
MAXIMUM BENEFITS FROM HIS
EDUCATION
• OBJECTIVE
- TO PROMOTE AND MAINTAIN THE
HEALTH OF THE SCHOOL POPULACE BY
PROVIDING COMPREHENSIVE AND
QUALITY NURSING CARE.
• DUTIES AND RESPONSIBILITIES
1. HEALTH ADVOCACY
2. HEALTH AND NUTRITION
ASSESSMENT
3. SUPERVISION OF THE HEALTH
AND SAFETY OF THE SCHOOL
PLANT By Rusell F. Peralta, RN
• DUTIES AND RESPONSIBILITIES
4. TREATMENT OF SCHOOL
AILMENTS
5. ATTENDING EMERGENCY
CASES
6. REFERRALS AND FOLLOW UPS
7. HOME VISITS
8. COMMUNITY OUTREACH
9. RECORDING AND REPORTING
OF ACCOMPLISHMENTS
10. MONITORING AND
EVALUATION OF PROGRAMS
• OCCUPATIONAL HEALTH
NURSING
• FOCUSED ON PROMOTION,
PROTECTION, AND RESTORATION OF
WORKER’S HEALTH WITHIN THE
CONTEXT OF A SAFE AND HEALTHY
WORK ENVIRONMENT.
• DETERMINANTS
• 1. GOVERNMENT POLICIES AND
STANDARDS
• PROFESSIONAL STANDARDS
• CATEGORIES OF WORKPLACE
HAZARDS
• 1. PHYSICAL
• 2. CHEMICAL
• 3. BIOLOGICAL
• 4. MECHANICAL
• 5. PSYCHOSOCIAL
• FUNCTIONS
• 1. COMMUNITY ASSESSMENT
• 2. WORKER ASSESSMENT
• 3. APPLICATION OF EPIDEMIOLOGY
PRINCIPLES
• 4. PROGRAM PLANNING,
IMPLEMENTATION, AND EVALUATION
• FUNCTIONS
• 5. PRIMARY, SECONDARY, AND
TERTIARY PREVENTION
• 6. REFERRAL TO COMMUNITY
RESOURCES
• FUNCTIONS AND
QUALIFICATION OF OHN
• 1. ASSISTS OR PARTICIPATES IN
DEVELOPING ADEQUATE HEALTH
PROGRAMS FOR WORKERS
• BSN, RN, WITH UNITS OF OH NURSING
• PROFESSIONAL ORG: OHNAP
• OH LAWS
• RA1054 /OCCUPATIONAL HEALTH ACT
• Determines the number of
occupational health service providers
and required facilities according to the
number of employees and location of
the workplace
PUBLIC HEALTH NURSING
• THE PRACTICE IN NURSING IN LOCAL
AND NATIONAL DEPARTMENT
COVERED BY THE PUBLIC SECTOR
PRINCIPLE
• TO ESTABLISH LINKAGES AND
COLLABORATIVE RELATIONSHIPS WITH
OTHER HEALTH PROFESSIONALS, GOVT.
AGENCIES, PRIVATE SECTOR, NGOs,
AND PEOPLE’S ORGANIZATION TO
ADDRESS COMMUNITY’S HEALTH
PROBLEMS.
DETERMINANTS
1. Devolved govt. system
2. Political climate and enactment of
health legislations
3. New technologies and programs
4. Govt. budgetary allocation
5. Client’s financial capability
DETERMINANTS
6. Client’s values, culture, and readiness
or willingness to do something about
their problems
7. Professional standards
8. Rapid turnover of health workers
Position, functions, and
qualifications of PHN
1. Entry level position
2. BSN, RN
CHN
PROCESS
1. ASSESSMENT
-DATA GATHERING ABOUT THE
CONDITION OF THE CLIENT
• Individuals/Families- Initial Data Base
• Population group/ communities-
Community Diagnosis
Methods of Data Gathering
1. Observation
2. Ocular inspection
3. Physical examination
4. Laboratory tests
5. Dx procedures
6. Interview
7. Records review
Systematic process
1. Collection
2. Collation
3. Presentation
4. Interpretation
5. analysis
INDIVIDUAL/FAMILY
• INITIAL DATA BASE
1. FAMILY STRUCTURE,
CHARACTERISTICS, AND
DYNAMICS
2. SOCIO-ECONOMIC AND
CULTURURAL CHARACTERISTICS
3. HOME AND ENVIRONMENT
4. HEALTH STATUS OF EACH MEMBER
5. PROMOTIVE AND PREVENTIVE
VALUES AND PRACTICES
COMMUNITY DIAGNOSIS
(CDx)
1. DEMOGRAPHIC VARIABLES
2. GEOGRAPHIC VARIABLES
3. SOCIAL VARIABLES
4. ECONOMIC VARIABLES
5. CULTURAL
6. ENVIRONMENTAL
COMMUNITY DIAGNOSIS
(CDx)
7. HEALTH PRACTICES
8. HEALTH AND ILLNESS PATTERNS
9. HEALTH RESOURCES
10. POLITICAL AND LEADERSHIP
PATTERNS
2. DIAGNOSIS
-DETERMINING THE HEALTH STATUS OF
THE CLIENT AND IT’S ABILITY TO
MAINTAIN ITSELF, AND RESOLVE
PROBLEMS.
- IT INVOLVES DATA UTILZATION OF
GATHERED FACTS
HEALTH PROBLEM
- SITUATION IN WHICH THERE IS A
DEMONSTRATED HEALTH NEED WITH
ACTUAL OR POTENCIAL RESOURCES TO
APPLY REMEDIAL MEASURES, THAT
INTERFERES WITH THE BALANCE OF
HEALTH
FAMILY HEALTH PROBLEMS
- Level 1 Assessment
a. Wellness state
b. Health deficit
c. Health threat
d. Foreseeable crisis
FAMILY HEALTH PROBLEMS
- Level 2 Assessment
a. Nursing Problem : the family’s failure
or inability to perform health tasks of
a particular problem
COMMUNITY HEALTH PROBLEMS
a. Health status
b. Health resources
c. Health-related
HEALTH NEED
-SITUATION IN WHICH THERE IS A
HEALTH PROBLEM THAT CAN BE
ALLEVIATED WITH MEDICAL OR SOCIAL
TECHNOLOGY
3. PLANNING
- Summarizing problems or needs
- Establishing priorities of care
- Formulation of blueprint of care or
action plan
- FNCP/ CHP
CRITERIA FOR PRIORITIZATION
OF HEALTH NEEDS
-INCP
1. NATURE X1
2. MODIFIABILITY X 2
3. PREVENTIVE POTENTIAL X 1
4. SALIENCE X1
CRITERIA FOR PRIORITIZATION
OF HEALTH NEEDS
-CHP
1. NATURE X1
2. MAGNITUDE X 3
3. MODIFIABILITY X 4
4. PREVENTIVE POTENTIAL X 1
5. SOCIAL CONCERN X 1
4. IMPLEMENTATION
- ACTUAL DELIVERY OF CARE WHICH
TRANSLATES PLAN INTO ACTION
- INSTITUTING PLANNED INTERVENTIONS
- UTILIZING COMMUNITY RESOURCES
- DOCUMENTING RESPONSES TO NURSING
ACTIONS
5. EVALUATION
- MAKING JUDGEMENTS THROUGH AUDIT
OR APPRAISAL USING THE FF ELEMENTS:
• STRUCTURAL
• PROCESS
• OUTCOME
5. EVALUATION
- ESTIMATING COST-BENEFIT RATIO
- IDENTFYING NEEDED ALTERATIONS
- REVISING THE PLAN AS NECESSARY
ROLES and
FUNCTIONS
• ROLES and FUNCTIONS
ROLES FUNCTIONS
1. Planner/ - Identifies NEED, PRIORITIES,
Programmer PROBLEMS of IFC.
- Formulate Community Health Plan
- Interprets and Implements the
Nursing Plan, Program policies
2. Provider - Give direct nursing care to the sick,

of Nursing disabled in home, clinic, school,
Care and workplace
- Provides continuity of patient care
ROLES FUNCTIONS
3. Manager/ - Formulates centered Care Plan

Supervisor - Organizes workforce, resources,
and supplies and delivery care
- Requisitions, allocates medicines/
medical equipment,
- Provides technical and
administrative support to Rural
Health Midwife
- Conducts regular supervisory
visits and meetings to different
RHMs and gives feedback
ROLES FUNCTIONS
4. Community - Motivates and enhance
Organizer Community participation in
terms of POIE – Planning,
Organizing, Implementing,
Evaluating of health programs/
services
- Initiates and participates in
community development
activities.
ROLES FUNCTIONS
5. Coordina- - Coordinate with IFC for health and
tor of related health services provided
Services by agencies. GO, NGO
- Coordinates NSG PROGRAMS with
other health programs as
environmental sanitation, health
education, dental health, and
mental health.
ROLES FUNCTIONS
6. Trainer/ - Identifies training needs of RHM,
Health BHW
Educator/ - Conducts Training for RHMs on
Counselor Health Promotion and Illness
Prevention
- Formulates appropriate training
program designs
- Conducts pre and post
consultation conferences for
clinic patients.
ROLES FUNCTIONS
6. Trainer/ - Facilitates training for BHWs
Health - Organizes training/orientation of
Educator/ concerned groups inc. GO/NGO
Counselor - Acts as resource speaker/person
on health and health related
services
- Participates in development and
distribution of Information,
Education, Communication (IEC)
materials
ROLES FUNCTIONS
6. Trainer/ - Conducts IEC orientation for
Health selected group on specific
Educator/ programs
Counselor - Initiates use of tri-media
(radio/TV, CINEMA, PRINT ADS,
other indigenous resources
- Conducts pre-marital counseling
ROLES FUNCTIONS
7.
Health - Detects deviation from health of
Monitor IFC of the community through
contact/visits with them
- Uses symptomatic and objective
observation and other forms of
data gathering like morbidity,
registry, questionnaire, checklist,
report/record to monitor health
status of IFC.
ROLES FUNCTIONS
8.
Role - Provides good example of
healthful living to the
Model community/public
9. - Motivate changes in
Change health behavior of IFC
including lifestyle in order
Agent to promote and maintain
health
ROLES FUNCTIONS
10. - Prepares and submits
Recorder/ required reports and records
Reporter/ - Maintains adequate,
Statisticia accurate and complete
n recording/reporting
- Reviews, validates,
consolidates, analyzes,
interprets records
- Data presentation
ROLES FUNCTIONS
11. - Participates/assists in
Researcher conduct of surveys studies
and researches on nursing
and health related
subjects
- Coordinates with govt.
and non-govt. in
implementation of
studies/research.
SUM IT UP!
HEALTH EDUCATION
• It is the Primary Responsibility of CH
Nurse
• Process whereby knowledge , attitude, and
practice of people are changed to improve
IFC’s Health.
• It is a basic health service
• It is means of improving the health of the
people by employing various methods of
scientific procedures.
HEALTH EDUCATION
• STEPS include
1. Create awareness
2. Motivation and;
3. Decision making action
a. INFORMATION- provision of knowledge
b. EDUCATION- exchange of information
c. COMMUNICATION- change in
knowledge, attitude and skills
HEALTH EDUCATION
• PRINCIPLES:
1. It considers Health status of the people.
2. Health education is learning.
3. It includes motivation, experience and
change in conduct and thinking.
4. Should be recognized as basic function of all
health workers.
5. It takes place in home, school, and
community. (anywhere)
• PRINCIPLES:
6. Health education is cooperative effort.
7. It meets the needs, interests, and problems
of the people affected.
8. Health education is achieved by doing.
9. It is slow and continuous process.
10. It makes use of supplementary aids and
services.
11. It utilizes community resources
12. Health education is a creative process
• PRINCIPLES:
13. Health education helps people
attain health through their own
efforts.
14. Health education makes careful
evaluation of the planning,
organization and implementation of all
health programs.
GIVE STRATEGIES
and METHODS
HEALTH EDUCATION
• STRATEGIES
AND METHODS:
1. Interviewing 6. Case study
2. Counseling 7. Role play
3. Lecture 8. Symposium
4. Open forum 9. Use of IEC
5. Workshop 10. Group session
HEALTH EDUCATION
• QUALITIES
7. Creative
1. Knowledgeable
8. motivator
2. Credible
9. Summarize
3. Good listener
10. Encourage group
4. Emphasizer
participation
5. Flexible
11. Good sense of
6. Patience humor
LEVELS OF PREVENTION
LEVEL 1 PRIMARY –
LEVEL 2 SECONDARY-
LEVEL 3 TERTIARY-
LET’S ANSWER
1. OPERATION TIMBANG
2. HIV TESTING
3. MASS VACCINATION
4. ISOLATING A MEASLE PATIENT
5. SEMINAR ON HERBAL MEDICINES
6. IMMUNIZATION
7. ASO MO TALI MO
8. GIVING BAWANG TO HYPERTENSIVE
9. CBG FOR DIABETIC CLIENT
10. ORESOL PREPARATION
TRADITIONAL AND
ALTERNATIVE
HEALTH CARE
PRACTICE
HERBAL MEDICINES
• DOH ADVOCATED HERBAL MEDICINES
1. Lagundi – Asthma, cough, fever
2. Bawang – hypertension, toothache
3. Ampalaya- Diabetes mellitus (Mild
NIDD)
4. Bayabas- Washing wounds,
diarrhea
HERBAL MEDICINES
• DOH ADVOCATED HERBAL MEDICINES
5. Yerba PAINa – Mentha cordifelia -
pain
6. E-sambong – edema, anti-diuretic
7. D-Gubat – Diarrhea, stomachache
8. Hiyog-hiyugan- anti Helmenthic,
acariasis
REMINDERS
OF USING HERBAL MEDICINES
1. Avoid use of insecticides it may leave
poison
2. In preparing, use clay pot and remove
cover while boiling at low heat
3. Use only the part of plant being
advocated
4. Follow accurate dose
REMINDERS
OF USING HERBAL MEDICINES
5. Use only one of herbal plant for
each type of symptoms or sickness
6. Stop giving the herbal med. In case
of untoward reaction
7. If sign and symptoms not relieve
after 2-3 doses. Consult a doctor.
ACUPRESSURE
• A method of maintaining health,
treating disease, and alleviating
pain by applying pressure or
massaging certain points on body
surfaces.
ACUPRESSURE
• Traditional Chinese Medicine believes
that life is the result of Qi, or Life
Energy.
• 2 ASPECTS – YIN & YANG
• YIN – negative and feminine force
• YANG- dominating, positive, masculine
force
• Balance – Healthy ; Imbalance-Illness
APPLICATION
• POSTURE
LYING DOWN/SITTING
MUST BE RELAXED, COMFORTABLE
AND NATURAL
PRACTITIONER MUST BE ABLE TO
UTILIZE FULLY HIS/HER
FINGER/HANDS
APPLICATION
• MANIPULATION
THUMB PRESSURE (1 OR 2 THUMBS)
HYPOTHENAR PRESSURE
THENAR PRESSURE
ELBOW PRESSURE
It must be tolerable , firm but not heavy
enough to cause pain.
Press using small circular movt, 2-3 cycles per
second. Count 60-300 (1-5 mins per point)
APPLICATION
• FREQUENCY
AS FREQUENT AS EVERY 4 HOURS
USUALLY ONCE A DAY
2-3 TIMES A WEEK IN CHRONIC
DISEASE
APPLICATION
• PRECAUTIONS
Room should be warm and well-
ventilated
Practitioner’s hands should be clean and
warm, nails should be trimmed.
Never massage subject with full stomach
Don’t massage pregnant women and
cardiac patients
APPLICATION
• FOODS TO AVOID DURING TREATMENT
Iced food or drink
Sour foods (vinegar, pickle, lemon)
Alcohol drink
Irritating foods (pepper, hot sauce, spices)
Seafoods (lobster, shrimps, crab)
Peanuts
Salty foods By Rusell F. Peralta, RN
APPLICATION
• SELECTION OF POINTS
1. Use of Prescribed Points- these are
given sets of points which could be
used for specific diseases.
2. Use of Ashi Points – painful spots or
nodes which appear when a person
has an illness.
APPLICATION
• Location of Acupressure Points
1. Use of Anatomical landmarks-
certain parts of the body
2. Use of Tsun measurement-using
patient’s own hands or fingers
as basis – 1, 1.5, 2,3 Tsun
Common Illnesses
1. Abd. Pain 8. Fainting
2. Back pain 9. Headache
3. Diarrhea 10. Hiccups
4. Dizziness 11. Hypertension
5. Lung diseases 12. Joint pain
6. Sinusitis 13. Stiff neck
7. Toothache 14. Common cold
REMINDERS
OF USING ACUPRESSURE
1. Is only given for common and
simple ailments. More difficult
cases should be properly referred
2. If symptoms persist, seek medical
help. Chronic patients are advised
to continue medication.
SUM IT UP!
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INDIVIDUAL - UNIT OF ENTRY

2. Provider - Give direct nursing care to the sick,

3. Manager/ - Formulates centered Care Plan

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