NCM 113 (Community Health Nursing 2)

Instructor: Ma’am Sabio

NURSING PROCESS IN THE CARE OF POPULATION GROUPS AND COMMUNITY

Nursing Process
- Logical, systematic, organized, and dynamic method of providing care to clients or
patients.
- Methodical and orderly approach to planning and delivery of nursing care.

Parts of Nursing Process

1. Assessment
2. Nursing Diagnosis
3. Planning
4. Implementation
5. Evaluation

Two levels of Assessment

1. 1st Level of Assessment

- Determine the status or condition of the patient

(1) Family structure, characteristics, and dynamics

(2) Socio-economic cultural characteristics
(3) Home and environment
(4) Health status of each member
(5) Values and practices of health promotion or maintenance and disease prevention

2. 2nd Level of Assessment

- Health assumptions
- Family health tasks
- Digs deeper information about the client

(1) Determine if family recognizes the existence of the condition or problem

(2) If the family recognizes the presence of the condition or problem, determine if
something has been done
(3) Determine if the family encounters other problems in implementing interventions
(4) Determine how all the other members are affected by the wellness threat or stress
point

End of Assessment Phase

- List health problems and needs
- Priorities the health problems and needs

Formulation of Diagnosis
 - If the focus is the family or individual, formulate nursing diagnosis
- If the focus is the community, formulate community diagnosis

ASSESSMENT TOOLS

Collect the data on the community health determinants:

1. People
2. Place
3. Social System

DATA COLLECTED FOR THE PATCH (PLANNED APPROACH TO COMMUNITY HEALTH)

PROCESS FOR HEALTH PLANNING
1. Community Profile
- Demographic, educational, economic
2. Morbidity and Mortality Data
3. Behavioral Data
- Focus on behavioral risk factors
4. Opinion Data
- Obtained from community leaders

COMPREHENSIVE NEEDS ASSESSMENT

- Requires much time and effort
- Information about the entire community using systematic process to identify actual and
potential health problems
- Used when there is no available data about the community

PROBLEM-ORIENTED ASSESSMENT
- Used when the nurse is familiar with the community
- The nurse collects information with a certain problem in mind

COLLECTING DATA

1. Primary Data
- Have not been gathered before by the nurse
(1) Observation
- Ocular survey
(2) Survey
- Can be written or oral
- Consists of series of questions
- Used when there is no available information about the community
(3) Informant Interview
- Formal or informal purposeful talks with community leaders
(4) Community Forum
- Open meeting with the members of the community
 2. Secondary Data
- Taken from existing data sources

CIVIL REGISTRATION LAW (ACT. 3753) BY THE PHILIPPINE LEGISLATIVE

1. Registry of Vital Events

- Data on vital events such as birth and deaths

2. Health Records and Reports

- Recording and reporting system of the Department of Health (DOH)

Basis for:
a. Priority setting by the local government
b. Planning and decision-making of different levels
Levels:
● Barangay
● Municipality
● District
● Provincial
● National
c. Monitoring and evaluating health programs

Recording tools and forms

a. Individual Treatment Record
- Data of the patient
b. Target Client List
- Prenatal, postpartum, family planning
c. Monthly Consolidation
- Based on the summary table
- Consists of accomplishments as well as the morbidity and
diseases
d. Summary Table
- Timeline (of a whole year) columns

Reporting Forms
(1) Monthly
(2) Quarterly
(3) Annual

3. Disease Registries

4. Census Data
- Periodic governmental enumeration of population