Beruflich Dokumente
Kultur Dokumente
Public health is dedicated to the common attainment of the highest level of physical, mental and social
well-being and longevity
GOAL: contribute to the most effective total development and life of the individual and his society.
(Hanlon)
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Through teaching and delivery of care. (Jacobson)
Community health nursing is a service rendered by a professional nurse with the community, groups,
families and individuals
GOAL: promotion of health, prevention of illness, care of the sick at home and rehabilitation (Freeman)
Philosophy of community health nursing is based on the worth and dignity of man. (Shetland)
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Coordinate care / services STEPS:
Utilize community resources Care outcomes
Delegate and supervise Performance appraisal
Monitor health services provided Estimate cost benefit ratio
Provide health education and training Assessment problems
Document responses to nursing action Identify needed alterations
Revise plans as necessary
EVALUATION - process of making judgments as
to the extent the objectives are met
HEALTH THREAT - conditions that are conducive to disease, accident or failure to realize one’s potential
Examples:
Family history of hereditary disease
Threat of cross infection
Accident hazards
Faulty eating habits
Poor environmental sanitation
Unhealthy lifestyle/personal habits
FORESEEABLE CRISIS - anticipated periods of unusual demand on the individual or family in terms of
adjustment/family resources
Examples:
Marriage
Pregnancy
Parenthood
Divorce or separation
Loss of job
Menopause
Death
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PREVENTIVE POTENTIAL –refers to the nature and magnitude of future problems that can be minimized
or totally prevented if intervention is done on the problem under consideration
High 3
Moderate 2
Low attention needed 2
A problem, but not needing immediate attention 1
Not a felt need / problem 0
1
SALIENCE – refers to the family’s perception and evaluation of the problem in terms of seriousness and
urgency of attention needed
A serious problem, immediate
STRUCTURAL ELEMENTS - include the physical settings, instrumentalities and conditions through which
nursing care is given
Components:
Philosophy
Objectives
Building
Organizational structure
Financial resources (budget, equipment, staff)
PROCESS ELEMENTS - steps of the nursing process ( assessment, planning, implementing and evaluating)
Components:
Taking the family health database
Performing physical examination
Making a nursing diagnosis
Determining nursing goals
Writing a nursing care plan
Performing nursing interventions
Coordination of services
Measuring success of nursing actions
OUTCOME ELEMENTS - changes in the client’s health status that result from nursing interventions
COMPONENTS
modification of signs and symptoms
Knowledge
Attitude
Satisfaction
Skill level of client
Compliance with treatment regimen
NURSING PROCEDURES
PRE-CONSULTATION CONFERENCE
1. Greet and make client at ease
2. Take clinical history
3. Take temperature, blood pressure, height and weight
4. Perform physical assessment
5. Do laboratory examinations
6. Write findings on client records
MEDICAL EXAMINATION
1. Assist client before, during and after examination by physician
2. Inform physician of relevant findings gathered in pre-conference
3. Work with the physician during the examination
4. Ensure privacy, safety and comfort of patient throughout procedure
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5. Observe confidentiality of examination results
Nursing Intervention:
1. Carry out physician’s orders as giving medication or injection
2. Explain and reinforce physician’s orders and advises
3. Teach patient measures to promote and maintain health as proper diet, exercise and
Personal hygiene.
4. Seek information regarding health status of other family members
5. Counseling
PRE-CONSULTATION CONFERENCE
1. Explain findings and needed care or intervention
2. Refer patient to other health worker/agency
3. Make appointment for next clinic/home visit
DEPARTMENT OF HEALTH
VISION: Health for all Filipinos
MISSION: Ensure accessibility of health care to improve the quality of life of the Filipinos especially the
poor
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- Sentrong Sigla Movement
ELEMENTS/COMPONENTS of PHC
- Education for Health
- Locally Endemic Disease Control
- Expanded Program on Immunization
- Maternal and Child Health
- Essential Drugs and Elderly Care
- Nutrition
- Treatment of CD and Non-CD
- Sanitation: Water and Environment
ORGANIZATIONAL STRATEGY
Framework for meeting the goal of primary health care
Calls for active and continuing partnership among the communities, private and
government agencies in health development
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