Levels of Clientele in CHN

Individual Basic approaches in looking at the individual: 1. Atomistic 2. Holistic Perspectives in understanding the individual: 1. Biological o unified whole o holon o dimorphism 2. Anthropological o essentialism o social constructionism o culture 3. Psychological o psychosexual o psychosocial o behaviorism o social learning 4. Sociological o family and kinship o social groups

Family Models: 1.Developmental Stages of Family Development Stage I Beginning Family (newly wed couples) TASK: compliance with the PD 965 & acceptance of the new member of the family Stage II Early Child Bearing Family (0-30 months old) TASK: emphasize the importance of pregnancy & immunization & learn the concept of parenting Stage III Family with Pre- school Children (3-6yrs old) TASK: learn the concept of responsible parenthood Stage IV Family with School age Children (6-12yrs old) TASK: Reinforce the concept of responsible parenthood Stage V - Family with Teen Agers (13-25yrs old) TASK: Parents to learn the concept of let go system and understands the generation gap Stage VI Launching Center (1st child will get married up to the last child) TASK: compliance with the PD 965 & acceptance of the new member of the family Stage VII -Family with Middle Adult parents (36-60yrs old) TASK: provide a healthy environment, adjust with a new lifestyle and adjust with the financial aspect

Stage VIII Aging Family (61yrs old up to death) TASK: learn the concept of death positively 2.Structural-Functional Initial Data Base Family structure and Characteristics Socio-economic and Cultural Factors Environmental Factors Health Assessment of Each Member Value Placed on Prevention of Disease First Level Assessment Health threats:
o

conditions that are conducive to disease, accident or failure to realize ones health potential

Health deficits:
o

instances of failure in health maintenance (disease, disability, developmental lag)

Stress points/ Foreseeable crisis situation:

o

anticipated periods of unusual demand on the individual or family in terms of adjustment or family resources

Second Level Assessment: Recognition of the problem Decision on appropriate health action Care to affected family member Provision of healthy home environment Utilization of community resources for health care Problem Prioritization: Nature of the problem Health deficit Health threat Foreseeable Crisis Preventive potential High Moderate Low Modifiability Easily modifiable Partially modifiable Not modifiable Salience High

Moderate Low Family Service and Progress Record Population Group Vulnerable Groups: Infants and Young Children School age Adolescents Mothers Males Old People Specialized Fields: Community Mental Health Nursing A unique clinical process which includes an integration of concepts from nursing, mental health, social psychology, psychology, community networks, and the basic sciences Occupational Health Nursing The application of nursing principles and procedures in conserving the health of workers in all occupations School Health Nursing The application of nursing theories and principles in the care of the school population

Reference: Community Health Nursing Ms. Adel Morong R.N., M.S.N.