Community-based practice means providing care to people in theri own
natural environments: home, school, and workplace, for example.
-Public health services are given free of charge. -B!-" C#! $enable to be C#! apply at baranggays% -&atio $'(): municipal% -*ayor $chairman of the municipality% -*unicipal Physician $ the one who looks over everyone% &oles of the commun ity health nurse -Clinician +" utili,es teh !x process in the care of client +" conducts referral of pts to appropriate levels of care hwen neseccary. - -acilitator - upervisor---" the midwives manages ---" monitors and supervises the performance - .ducator +" utili,es teaching skills to improve health knowledge skills and attitude of the individual, family and the community. - #ealth Planner Elements in health education: -/nformation -.ducation --" kills, knowledge, attitude -Communication---" they are the sender, receiver, messages in between ---" could be verbal or non-verbal Target Population: - -amily --" number of persons 0oine to gether by bonds of sharing and emotional closeness and who identify themselves as being part of the family. ---" group of people sharing common geographic boundaries and( or common valves 1 interests. -individual ---" could be sick or well ---" seen both as client and patient. ---" can be used as entry poknt in working with the family. - Community Elements considered in CHN: -cience of Pulioc health - Public health nursing skills - ocial assistance functions Public Health workers: -*edical o23cers -Public #ealth !urses -&ural health *idwife -4entists -!utritionists -*ed. 5ech -Pharmacist -&ural healths inspector Challenges of community Health Nurse: -tubborn patients - 6ack of supplies and materials7 the resources are limited 8alary 8Compensation 8urroundings $area(location% 8!ature of work 8ecure and check the medicines 89dmits the patient7 #ealth center 8 :iving information $health teachings% eg. $rabies% /-C chools Barangay 84ealing with di2erent kidns fo people 8 5eamwork and linkages 8-ree medicines given 8 :oing to far ;ung places of the community &.P<!/B/6/5. <- C#! - participates in the development of an overall health plan, its implementation, and evaluation for communities -provides =uality nursing services to the > levels of clientele -*aintain coordination( linkages with other health team members !:<( 6?: in the provvision of public health services -initiates and conducts researches relevant to C#! services to improve provision of helath care. -/nitiates and proved opportunity for profession growth and continuing education for sta2 development + in the care of the families -provisions of P#C services - 4evelopmetn( ?tili,ation of -!CP in the provision of care + in the caer of communities - community organi,ing, mobil,ation, community development, and people empowerment -case 3nding and epidemiological investiong -Program planning implentatopon and evaluation - /n;uencing executive and legilative individuals or bodies concrning health and development *?5 5< @!<A: +the public health nurse will take cahrge of teh *#<Bs responsibilities in the even tthat the *#< is unable to perform his duties(functions or is not available. P.C/96 -/.64 <- C#!: '% <ccupational #ealth )% chool >% *ental health OCCP!T"ON!# HE!#TH N$: Cprovides for and delivers health care servies to workers and worker population - focuses on promton, protection, and restorationo f workersB health with in the context of a safe and healthy work environment. %!&O' !'E!( O) CONCE'N: - dissemination of health info(edu - family planning - counseling - implementation - environmental sanitation -work safety -disaster prevention and control -orrientation of new employees (CHOO# N'("N*: - 9ims of promoting the health of school children and preventing health problems that would hinder their learning perfomance of their developmental tasks. - 5hey visit and assist the students and teachers to any health related task in school. - 5hey visit rooms for regular check-up and see for students if they are okay and have lice or anything like that. %ENT!# HE!#TH N$: - ?ni=ue clinical process which includes as integration of concepts from nursing, mental health, social psychology, community networks and sciences. DE(DF()D'G Primary health Care: -an essentiakl health care made univesally accessible to individuals and 3ly of the community by means acceptable to them through their full participation at the cost that the family and the country can a2ord *O!#: -health for al the 3lipino and health the hand of people by )D)D .-education, information, advocacy 6-locally endemic diseases .- expanded program on immuni,ation $3rst immmuni,ation that a baby would get is BC:% *- maternal and child health program .- essential 4rugs !- nutrition program $ feeding program in schools% 5- treatmena dn control of disease - sanitaiton and environment #e+els of PCH: ,- le+els of Health care facilities -Primary le+el - indi+iduals in fair health - dpatients with diseases int eh early symptomatic stages - 'H. brgy/ Helath center. lying- in clinic - usually the 0rst contact between the community and other le+e of health facility - (econdary #e+el - ser+ices po1ered to patienst iwth symptimatic stages of diseases which re2uire moderatly speciali3ed knowledge and technical reousces for ade2uate treatment/ - City/ pri+incial health serces or hospital labs -Tertiary le+el - (er+ices rendered at this le+el are for clients a4icted with diseases which seriously threaten their health and which rwe2uireer highly technical and speciali3ed knowldege faciliteand and personnel to that e1ecti+ely -'egional medical centers 5- #e+els of Pre+ention Primary pre+entions - No illneses - focuses on health promotion and speci0c pre+ention against diseases -applied to health indi+iduals -Eg/ %arriage conseling and familey plannibng (econdary pre+ention -emphasi3es son ealry diagnosis. case 0nding prmpt t6 for indi+ual e6periencing dfhealth problems - !pplied to peipel with signs nad sysmptnms 7 screeening sru+ey. check up. dental. breast testicular e6ams. !'". acute respiratory m diarrhea- Tertiary Pre+ention - 'ehabilitation 8tohelp indi+iduals restore their ptimum le+el of functioning 9 paralysis- - Community based rehab program - 'eferring client dto supprt group and rehab center CO%PONENT( O) PHC: Herbal medicine: ,: appro+ed by ;OH -#agundi//// 7777CHEC< ON#"NE7777 -asthma. colds. coughs Philippines: 7albularyo= Hilot - in the hierarchy of healers and specialists in Philippine fold medicne. the albularyo may be re1ered to as the >general practioner> knowledge able in most of the folloric modalities//// 6- The H"#OT ambiuously refers both to the manghihilot/ the manghihilot speciali3es in techni2ues and tretments applicable top speains. fractures. and musculoske?letal conditions/ 6- The magpapaanak 9hilot-. besides prenatal +isits and deli+ering babies. often performs the suob ritual/ - (O@ is a post partume car or t6 modality/ it has been used to dri+e way e+il spirirts away 6- The mangluluop speciali3ed in diagnostic techni2ues 9 surgery-. usually referring the patients after diagnosis/// 7herbal medicines #- #!*N;" - #!("%!N* @!TO @- @!A!@!( @- @!B!N* A- ( ! N T ! P#!NT"N*: - O'*!N"C *!;EN"N* (E ON#A N!T'!# )ET"#"CEE'( - 9H</4 P.5/C/4. - harvesting - collect only healthy parts of the plants, also from healthy plants - harvest when ;owering -drying -spatuyuin sa hangin at malilim na lugar - avoid sund dryig - torage -plastic - use colored containers Charcoal at the bottom of the container -close tightly 2Basic Principles: avoid the use fo insecticides on palnts ?se clay pot and remove cover while boiling at low heat in preparing(cookign teh herbal medicine. Corect dose use only the part of the plant being advocated use oodne kind of herb for each disease top use of herbal medicine at the 3rst sign of untoward sreacion $ allergy% Hitex negundo - 5he ;owers are blu and bell shaped indications: - 4ysneterm cold and pain - skin disesase and wounds -headache, ,rheumatism, contusions #agundi: 9ge 6eaves needed -resh 4ried 9dult I5BP G5BP J-') y(o >5BP )5BP )-I y(o '-K5BP '5BP P&.P9&95/<!: -wash leaves and rins -boil in ) cups of water - simmer in low 3re $ 'K mins% - 4o not cover the pot $clay pot% -9ll ow to cool -<& 95#*9 9!4 C<?:#: -drink in > parts $ am, nn, pm% -<& -.H.&: -4rink every Ghrs #!("%!N* @!TO: -Peperonia pellucida -9 weed with heart-shaped leave sthat grow in shay poart sof the garden and yard /ndication: gouty arthritis P&.P9&95/<!: 9694: '() cup 5/4 Decoction[means nilalaga] $ same as lagundi% @!B!N*: -allium sativum /!4/C95/<!: &egulatin gBP 4ecreasing cholesterol level 5oothache P&.P9&95/<!: - -ried - &<asted - oak in vinegar - blanched ein boiled water 88!?&/!: 96.&588 C9?5/<!: take on a full somach to prevent stomach and intestinal ulcers... @!A!@!( 9*ua+a- Psidium gua0ava l. - 9 tree about G-K meters highw ith tiny white ;owers with round ro oval fruit. -its for dressing of wound -for toothache /!4/C95/<!: -antiseptic cleaner - mouth infection and gingivitis - 5oothache - 4iarrhea $ >-G times a day % P&.P9&95/<!: -decoction -use to clean wound at least B/4 -gargle - warm decoction $meaning ng decoction is nilalaga% AE'@! @EN! -%entha Codifelia -"N;"C!T"ON: *eneral @ody pains. cough and colds. swollen gums and toothache. nausea Dfainting -P'EP!'!T"ON: decoction 9same as lagundi-. Paultice 9apply tio a1ected area (!%@ON* -@lumea balsamifera -"N;"C!T"ON: diuretic e1ect. anti-urolithiasis -P'EP!'!T"ON: decoction 9same as lagundi- !%P!#!A! -mamordica ;ECOCT"ON: boil = steam N""A*-N"AO*!N -2uis -"N;"C!T"ON: )Or ascariasis 9eat seeds 5hrs before going to bed- stomch -NOT TO @E *"EEN @E#OB N;E' F y=o T(!!N* *@!T -"N;"C!T"ON: stomach disease ;iarrhea !<!P#<O 7777 (C"ENT")"C N!%E B"TH P"CT'E ;E(C'"PT"ON O) P#!NT 9 @'"E)- "N;"C!T"ON=( CONT'!"N;"C!TE; P'EP!'!T"ON 9 (TEP @A (TEP- %(T @E "N POBE'PO"NT (#";E