Professional Documents
Culture Documents
Community Health Nursing
Community Health Nursing
CHW – group of people with common chrematistics or interest within a territory or geographical
boundary
Community
1. Patient/Client
2. Setting - outside curative institutions
o home – family HNSg
o school – SHSg
o places of work – occupational HNSg
World Views:
o under nutrition
o poor food supply
o level of knowledge – poor
Health
Wellness - external
External
Macro system
o political
o economic
o socio cultural – education, customs, beliefs, practices, tradition,
mass media
a. Infections/biological factor
b. Mechanical
c. Physical
d. Carcinogenetics – pringels, tobleron (GMO’s – chemical
e. Poison – eg. MSG
f. Allergies
g. Nutritive elements
h. Psychological
o exposure
o response – susceptibility
- resistance
3 components
1. Susceptibility to illness
2. Seriousness of an illness
AN/AIDS
Common in
Preventive :
Elements:
o life events
o life style determinants
o control perception
o viability emotions
o health out comes
Health
o biological
o physical
o ecologic multiple causation Theory
o political (Holistic)
o economic
o socio-cultural
Community Health
Part of medical paramedical intrapersonal which is concerned and the heath of the whole
population.
Major Concept
2- people participation
WINSLOW – contribution to the most effective total development and life on the
HANLON – priority the survival of the species the prevention of condition which
JACOBSON – is a learned practice discipline with the ultimate goal of contributing as individual
and in collaboration with others, promotions of clients’ optimum level of fractioning through
teaching and delivery care.
1. Health Educator
Community
Agency
1. Ngo
CHN CONCEPTS:
2. CHN practice is extended to benefit not only individual but whole & family
3. CHN are generalist in terms of their practice throughout life’s continuum – its full range of
Health problems and need.
4. Contact with client may continue over a long period of time which includes all ages and types
of HC
Levels
Primary HC – community
Assessment:
Community Dx
Planning
1. Prioritization
2. Goal setting
3. Objectives
4. Actions/Intervention
- criteria
- standard
Basic Different
Health Education – dive advice
Implementation:
4. Respect values, customs and beliefs of clients – as nurse we should not be judgmental
6. Collaborative working relationship with the health team facilitates goals achievement.
7. Continuing staff education ensures quality client care and upgrade nursing practice.
appropriate tech – methods and tech both scientifically sound and socially
and acceptable
10. Supervising of nursing services be qualified personnel provides guidance and direction to
work.
11. Accurate recording and reporting serve as bases for evaluation and guide for future actions.
board quest
criteria
HEALTH SITUATION
1. Health Indices
- morbidity
- mortality
Male 63.7
HEALTH PROMOTION
Consist of activities directed towards increasing the fever of well being and actualizing the health
potential of individuals families communication and societies.
1. Individual – lifestyle
-lifestyle
- lifestyle responsibility
3. Community – norms
• health education
• Good standard nutrition adjusted to development phases of life
• Attention to personality development
• Provision of adequate housing
• Recreation and agreeable working condition
• Genetics counseling
• Periodic selective examination – self breast examination (SBE)
SCREENING METHOD
o mass screening
o case finding
o contact tracing
o multi phasic screening eg HIV antibody testing
o surveillance
Tertiary Prevention
• methods
• Dx
• Tx
• Mx
• Rehabilitation
Community Organizing
• Awareness raising
• Organizing
• Mobilizing / responsible action
5. Self-willed changes will have move meaning and performance than imposed changes.
Primary Health Care
- Essential care based on scientifically – sound and socially acceptable methods and technology
made universally available to individuals families and communities at the cost they can afford at
any given stage development than their full participation towards self-reliance and self
determination.
1. Health Education
3. Immunization
6. Tx of endemic dse
7. MCH including FP
Individual
1. Assessment
a. Data collection
4 Instruments
2. Physical Examination
3. Laboratory Exam
4. Process Recording
b. Data Analysis
2. Nsg. Dx
3. Planning
a. Prioritization
b. Goal
c. Objective
d. Nsg. Intervention
4. Implementation
- health educator
- provider of HC
- researcher
- health organizer
- CH, Monitor
8 Basic Tasks:
1. Physical Maintenance
2. Allocation of Resources
3. Division of Labor
6. Maintenance of order
o Health Threats
o Health Deficits
o Forcible Crisis/Stresspoints
Family Tasks
IMMUNITY
Pregnant
Pregnancy 2
Pregnancy 3
TT4 – booster 2nd
Pregnancy 4
1. A unique process which includes an integration of concepts from nursing mental health, social
psychology community network.
Components
2. Health Instruction
b. indirect
50 % - 20 years old
Vital Statistics – application of statiscal measure to vital events fertility , mortality, morbidity
Pregnancy :
18 – 35 – high risk
ideal No – 3
4 – with risk
4 – risk
1. Spacing – Hormones, (pills injectable), IUD, Condoms, Natural, Standard Base bead