COMMUNITY AS A CLIENT MODEL

Community as a client model deals with a community as a recipient of nursing process or the community
as a nursing services in attention.

It is nowadays called a Community as a partner model, this is because the community nurses and the
community both shares the relationship and goals of solving the health needs and both participates on.

FOCUS

The main focus of the Community as a client model is HEALTH PROMOTION. So the relationship of the
community and community nurses mainly contributes to promote health and solving the health
problems.

DIMENSIONS OF COMMUNITY AS A CLIENT MODEL

1. Location

This is the geographical area in which the physical community carries out their daily existence. It
includes community boundaries, geographical features, Climate, Flora and Fauna and human made
environment.

2. Population

This is the group of people living in a particular geographical location. In this model, the focus are not
only the specialized people but also the diverse people living in that area. The community nurse must
consider size, density, composition, Rate of growth or decline, Cultural difference, mobility, Social class
and education level.

3. Social services

Example health services, education services, water services, economic services, religious services,
welfare services, electricity services, legal, communication services and political services

CENTRALLY FACTORS (PARTS OF COMMUNITY AS CLIENT MODEL )

1. Community assessing wheel

2. Application of Nursing process

1. COMMUNITY ASSESSING WHEEL

It involves community goal and community subsystems.

COMMUNITY GOAL

Pillars of Community goal

- history of Community

- demographics like age, sex, ratio, distribution, vital statistics can be obtained through census and
survey

- Values and believes means culture of the society like norms and taboos

COMMUNITY SUBSYSTEM

METHODS USED TO ASSESS SUBSYSTEMS

* Community observation

--- participatory observation

--- Non participatory observation

* Interview

* Questionaire

--- open questionaire

--- closed questionnaire

* Records

SUBSYSTEMS

♡︎ Recreation eg. Recreation facilities like traditional dancing, play grounds, swimming pools, bars and
participants and you need to know the specific time for Recreation

♡︎Education eg. School, colleges, University their affordability, accessibility and gender discrimination

♡︎Safety nd and transportation eg. Police station and primary means of transport nd and roads

♡︎physical environment and economics eg. 1. geographical features like mountains, water bodies,
boundaries and valleys, 2. Climate 3. Flora and Fauna eg poisonous plants in the community 4. Human
made environment

♡︎Communication eg. Formal like official posters or letters and informal communication like face to face
communication. How people communicate eg. Various communication methods like radios and
televisions.
♡︎Politics nd and government eg. Presence of meetings

♡︎Health and social services eg. Hospitals, dispensaries including its affordability and availability. In
social systems home care, nursing home, special needs in the community.

2. APPLICATION OF NURSING PROCESS

Intervention, goal directed, Community participation

a. Assessment

Partnership formation and use of leaders in getting details

- Gathering data

- Data analysis

- Description of data or validation of data

b. Diagnosis

Factors for community diagnosis

- Magnitude of problem

- Severity of problem

- Resources available for intervention

XX Actual and potential (risk) nursing diagnosis

c. Planning and implementation

what, when and how

d. Evaluation

Effectiveness of the intervention by reobservation

- Review the objectives

- How to do evaluation to the community through observation, questions

- How to report the effectiveness

IMPORTANCE OF COMMUNITY AS A CLIENT MODEL

-✔︎Provide overview of theories and principles a primary health care

✔︎ Provide guide to a nursing process

✔︎ It helps to identify vulnerable groups to a problem

DISADVANTAGES OF COMMUNITY AS A CLIENT MODEL

✔︎ It can give a conclusion which generalise the whole community