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Unit 1: Overview of Public Health Nursing in Thephilippines
Unit 1: Overview of Public Health Nursing in Thephilippines
Learning Outcomes
Pretest
True or False
Directions: On the space provided before each item, write TRUE when the statement
is factual and FALSE when it is erroneous.
1. Location:
Every physical community carries out its daily existence in a specific
geographical location. The health of the community is affected by this
location,including the placement of the service and the geographical features.
2. Population:
Consists of specialized aggregates, but all of the diversed people who live with in
the boundary of the community.
3. Social system:
The various parts of communities’ social system that interact and include the
heath system, family system, economic system and educational system.
Eight characteristics of CHN are particularly salient to the practice of this specialty:
1) It is a field of nursing;
2) It combines public health with nursing;
3) It is population focused;
4) It emphasizes prevention, health promotion, and wellness;
5) It promotes client responsibility and self-care;
6) It uses aggregate measurement and analysis;
7) It uses principles of organizational theory; and
8) It involves interprofessional collaboration
Educator
Advocate
Managerial
Collaborator
Leader
Researcher
Learning Activities
Activity 1: Specification
Directions: Specify the seven major roles of a Community Health Nurse on the table
provided with corresponding examples (minimum of 3 per role).
Activity 2 : Paraphrasing
Direction: Paraphrase the principles of public health nursing in a minimum of 100
words. Use the space provided for your writing. Please access the rubric in writing on
Appendix B.
Activity 3
Directions: Create a Printed Educational Material (PEM) on the three levels of disease
prevention. Use the space below as your draft. For your guidance kindly view the rubric
on Appendix B and submit your work to our google class.
Format:
Paper Size: Short
Font size: 12
Font: Century Gothic
Margin: All sides 1 inch
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Mastery Test
Direction: Underline only the letter of the statement that answers the question
correctly.
5. It is the ability to make and maintain relationship with others and interact well
with people and the environment…
6. It is a positive idea that emphasizes social and personal resources and physical
inabilities…
a. Wellness c. Health
b. Wellbeing d. Illness
8. The following are the main goals of community health nursing, EXCEPT…
10.It is a procedure through which individuals, particularly those with risk factors for
a disease, are treated in order to prevent a disease from occurring…
Learning Outcomes
Specify the roles of the different entities related to the Philippine health care
delivery system
Compare and contrast MDGs from SDGs
Explain the basic concepts of the family in the community setting
Pretest
True or False
Directions: On the space provided before each item, write TRUE when the statement
is factual and FALSE when it is erroneous.
People-centred care is care that is focused and organized around the health
needs and expectations of people and communities, rather than on diseases. Whereas
patient-centred care is commonly understood as focusing on the individual seeking care
(the patient), people-centred care encompasses these clinical encounters and also
includes attention to the health of people in their communities and their crucial role in
shaping health policy and health services (WHO, 2020). The following are the different
system related to the Philippine health care delivery system:
In the Philippines the components of the health care delivery system as mandate
of the Department of Health (DOH) is to be responsible for the following:
formulation and development of national health policies, guidelines, standards and
manual of operations for health services and programs; issuance of rules and
regulations, licenses and accreditations; promulgation of national health standards,
goals, priorities and indicators; development of special health programs and projects
and advocacy for legislation on health policies and programs. The primary function of
the Department of Health is the promotion, protection, preservation or restoration of
the health of the people through the provision and delivery of health services and
through the regulation and encouragement of providers of health goods and services
(E.O. No. 119, Sec. 3).
(For the supplementation of this topic, please read the attached PDF on
Edmodo/Google class)
VISION
Filipinos are among the healthiest people in Southeast Asia by 2022, and Asia by
2040.
MISSION
To lead the country in the development of a productive,
resilient, equitable and people-centered health system.
The essential health care made universally acceptable to individuals and families
in the community by means acceptable to them through their full participation
and at a cost that the community and country and can afford at every stage of
development.
The WHO defines Primary Health Care an essential health care made
universally acceptable to individuals and families in the community by means
acceptable to them through their full participation and at a cost that the
community and country and afford at every stage of development.
Marriage Patterns
Endogamy – marriage between people of the same social category
(gender, age, class, race, religion)
Exogamy– marriage between people of different social categories
Monogamy – marriage that unites two partners
Polygamy:
marriage that unites three or more
Polygyny – man & 2+ women
Polyandry – woman and 2+ men
1) Structural-Functional:
The family performs vital tasks:
Socialization
Regulation of sexual activity
Social placement (the social class you’re born into)
Material & emotional security
Society depends on families
2) Social-Conflict:
The family perpetuates social inequality:
Property & inheritance; Patriarchy
Racial, ethnic & gender inequality
Family plays a role in social stratification.
3) Micro-Level Analysis:
Symbolic-Interaction Approach:
Examines roles of family members
Explores how individuals shape and experience family life
Social-Exchange Approach:
Family life can be analyzed using social-exchange theory
People seek what they can reap from a relationship after
contributing to it
(For the supplementation of this topic, please read the attached PDF
on Edmodo/Google class)
Learning Activities
Activity 1
Directions: Specify the roles of the different entities related to the Philippine health
care delivery system. Fill-in the table provided below. Indicate atleast 2 roles per entity.
b.
2. a.
b.
3. a.
b.
4. a.
b.
5. a.
b.
Activity 2
Directions: Compare and contrast MDGs from SDGs. Evaluate the different
components of MDGs and SDGs by indicating their advantages and disadvantages. Fill-
up the table below.
MDGs SDGs
Advantages: Advantages:
Disadvantages: Disadvantages:
Common Attributes
Activity 3
Directions: Explain the basic concepts of the family in the community setting. Limit
your content to a minimum of 100 words. Please see Appendix B for the rubric in
writing.
Conclusion
Mastery Test:
Direction: Underline only the letter of the statement that answers the question
correctly.
1. The following are the different entities related to PHC delivery system, EXCEPT…
a. WHO c. DOH
b. CHC d. UHC
2. The attainment by all peoples of the highest possible level of health is its main
objective…
a. WHO c. DOH
b. CHC d. UHC
3. A health care system in which all residents of a region are assured access to
health care…
a. WHO c. DOH
b. CHC d. UHC
4. A care that is focused on the health needs of the people and the community as
well…
a. Patient-centered care c. people-centered care
b. Client-centered care d. all of the above
5. The following are the primary fucntion of DOH, EXCEPT…
a. Promotion of health c. restoration of health
b. Health education d. health protection
6. It is the governments over-all technical support on health…
a. WHO c. DOH
b. PHC d. UHC
7. It is the essential health care tool made universally acceptable to the community
setting…
a. WHO c. DOH
b. PHC d. UHC
8. A theoretical analysis about a family entailing gender inequality…
a. Structural-functional c. social-conflict
b. Micro-level d. all of the above
9. A theoretical analysis about a family entailing emotional security…
a. Structural-functional c. social-conflict
b. Micro-level d. all of the above
10. A theoretical analysis about a family entailing inheritance and property…
a. Structural-functional c. social-conflict
b. Micro-level d. all of the above
UNIT 2: FAMILY NURSING PROCESS
Learning Outcomes
At the end of this lesson, you will be able to:
Pretest
Direction: Outline the importance of planning a family nursing care on the space provided below.
The nursing health assessment is an incredibly valuable tool nurses have in their arsenal of
skills. A thorough and skilled assessment allows you, the nurse, to obtain descriptions about your
patient’s symptoms, how the symptoms developed, and a process to discover any associated physical
findings that will aid in the development of differential diagnoses. Assessment uses both subjective and
objective data. Subjective assessment factors are those that are reported by the patient. Objective
assessment data includes that which is observable and measurable (Berman, 2010).
The Family Care Plan is the blueprint of the care that the nurse designs to systematically
minimize or eliminate the identified health and family nursing problems through explicitly formulated
outcomes of care (goals and objectives) and deliberately chosen of interventions, resources and
evaluation criteria, standards, methods and tools.
Desirable qualities of a Family NursingCare Plan (FNCP) It should be based on clear, explicit
definition of the problems.
For the supplementation of this topic, please read the attached PDF on Edmodo/ Google classroom.
The bag technique is a tool by which the nurse, during her visit will enable her to perform a
nursing procedure with ease and deftness, to save time and effort with the end view of rendering
effective nursing care to clients (Wordpress, 2015).
A nursing bag — also known as a healthcare bag, public health bag, medicalbag, visiting bag,
or supply bag — is a critical part of at-home patient care and has been a staple part of home visits for
decades. The public health bag is an essential and indispensable equipment of a public health nurse
which she has to carry along during her home visits. It contains basic medication and articles which are
necessary for giving care.
Principles:
o Performing the bag technique will minimize, if not, prevent the spread of any infection.
o It saves time and effort in the performance of nursing procedures.
o The bag technique can be performed in a variety of ways depending on the agency’s policy,
the home situation, or as long as principles of avoiding transfer of infection is always
observed.
Contents
The following are the contents of a Public Health Nurse
bag:
✓Paper lining
*BP apparatus and stethoscope are carried separately and arenever placed in
the bag.
Points to consider
➢ The bag should contain all the necessary articles, supplies and equipment that will be used to
answer the emergency needs
➢ The bag and its contents should be cleaned very often, the supplies replaced and ready for use
anytime.
➢ The bag and its contents should be well protected from contact with any article in the patient’s
home.
➢ Consider the bag and its contents clean and sterile, while articles that belong to the patients as
dirty and contaminated.
➢ The arrangement of the contents of the bag should be the one most convenient to the user, to
facilitate efficiency and avoid confusion.
After Care
➢ Before keeping all articles in the bag, clean and alcoholize them.
➢ Get the bag from the table, fold the paper lining (and insert), and place in between the flaps
and cover the bag.
Evaluation and Documentation
✓ Record all relevant findings about the client and members of the family.
✓ Take note of environmental factors which affect the clients/family health.
✓ Include quality of nurse-patient relationship.
✓ Assess effectiveness of nursing care provided.
Records are necessary for the continuation of delivery of family health care services and its
evaluation while evaluation of family health services is necessary to identify the new and continuing
family health needs (Brar, 2015).
Family Records include information based on factual events, observation results or measurements
taken (e.g. height, weight, body circumference or laboratory examinations).
Health Records refer to forms on which information about an individual and family is noted.
Information varies from socio-economic, psychological, and environmental factors.
Reports are based on records and registers. It can be compiled daily, weekly, monthly, quarterly and
annually. Report summarizes the services of the nurse and/ or the agency.
Types of Records
1. Cumulative Records
2. Family Records
Types of Reports
1. Oral Reports
2. Written Reports
Reports used in Hospital Setting
1. 24 hours report
2. Transfer report
3. Incidental report
4. Census report
5. Birth and death report
6. Anecdotal report
https://www.slideshare.net/jasleenbrar03/nursing -records-reports
Learning Activities
Activity 1
Direction: Review and outline the principles of CHN bag technique utilizing the space provided.
Performing the bag technique will minimize, if not, prevent the spread of any infection.
The bag technique can be performed in a variety of ways depending on the agency’s policy, the
home situation, or as long as principles of avoiding transfer of infection is always observed.
Activity 2
Direction: Recall the types of records and reports in Family Health Nursing. Fill-
up the tables below with the corresponding answers.
Mastery Test
Direction: Underline only the letter of the statement that answers the question correctly.
2. A type of nurse-family contact allowing input from other community members aside from one
family…
a. group visit c. school visit
b. clinic visit d. home visit
3.A type of nurse-family contact necessary to monitor the health-related attitude, behavior
and practice of school children…
a. group visit c. school visit
b. clinic visit d. home visit
4. It is one of the most important aspects of public health service…
a. group visit c. school visit
b. clinic visit d. home visit
5. The following are the common names for nursing bag, EXCEPT…
a. health bag c. public health bag
6. It is a tool by which the nurse during home visit perform for rendering
Effective nursing care to clients…
10. The prioritization of health conditions and problems are based on the following, EXCEPT…
a. Preventive, potential c. salience, modifiability
b. Methods/ tools d. nature of problem