Professional Documents
Culture Documents
Health Nursing
Mr. Jhessie L. Abella RN,RM,MAN
Course Content
I. Overview of Community Health Nursing II. Community Health and Development Concepts, Principles and Strategies III. The Community Health Nursing Process IV. Implementing the Community Health Nursing Services V. Evaluating Community Health Nursing Services VI. Recording and Reporting
Course Description: This course focuses on the care of population groups and community as clients utilizing concepts and principles in community health development. It also describes problems, trends and issues in the Philippine and global health care systems affecting community health nursing practice. Course Objectives: At the end of the course the student will be able to:
1. Apply concepts and principles of community health development in the care of communities and population groups. 2. Utilizes the nursing process in the care of communities and population groups. a. Assess the health status of communities and population groups to identify existing and potential problems. b. Plans relevant and comprehensive interventions and programs based on identified priority problems. c. Implements appropriate plan of care to improve the health status of the communities and population groups. d. Evaluates the progress and outcomes of community health nursing interventions and programs. 3. Ensure a well-organized recording and reporting system. 4. Share leadership/relate effectively with others in work situations related to nursing and health.
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Characteristics of COMMUNITY
It is defined by its geographical boundaries within certain identifiable characteristics It is made up of institution organized into a social system with the institution and organizations linked in a complex network A common or shared interest that binds the member together Population aggregated concept
A Healthy Community
Awareness that we are a community Conservation of the natural resources Recognition and respect Participation of subgroups in community affairs Preparation to meet crisis Ability to problem-solve Community through open channels Resource available to all Settings of disputes through legitimate mechanism Participation of citizen in decision making Wellness of a high degree among its members
FAMILY is
Community Structure:
FACTS of CHN
Focus : Area of Content: promotion and preservation of health skills and knowledge relevant to both nursing and public health general populations (individuals, families, communities) continual, not limited to episodic care
comprehensive and general, not limited to a particular age or group
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2. What Is Health?
A state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity (WHO, 1995).
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What is Health?
It carries the mandate that health is a basic human right. It is seen as a spectrum or a continuum The modern concept of health refers to Optimum Level of Functioning (OLOF) of individuals, families, and communities, which is influenced by the ecosystem through a myriad of factors.
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3. What is Nursing?
The diagnosis and treatment of human responses to actual or potential health problems (ANA, 1980). Nursing, together with public health, is one of the helping professions in the health care system which operates at three levels of clientele individuals, families or groups, and communities
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It operates within the realm of health care both independently and interdependently. The objective of nursing is to assist clients to achieve, maintain, or recover a high level of functioning. Assisting sick individuals to become healthy and healthy individuals achieve optimum wellness (Henderson)
Community Health Nursing is one of the two major fields of nursing in the Philippines: the other is hospital nursing. Those who work in the RHU or health centers are Community Health Nurses and are official called PUBLIC HEALTH NURSES. Occupational health nurse and school nurses are classified as CHN. According to ANA: Community Health Nursing practice
population as a whole.
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What is the sign that the client understand the health teaching?
When client practices the health teaching that was shared, which can be confirmed through home visit.
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30 per 1,000 36 per 1,000 livebirths livebirths 2003 (official estimate)1998 (official estimate)
93.4% (2003) 88.84% SY 2007-2008 61.91% SY 2007-2008 P173,000 (2006) P147,000 (2006) P15,057 (2006) 26.9% of total families 2006 92.3% (2000) 83.22% SY 2006-2007 58.59% SY 2006-2007 P148,616 (2003) P124,377 (2003) P14,196 (2005) 24.4% of total families 2003
POPULATION: 101,833,938 CAPITAL WITH POPULATION: Manila - 1,654,761 LARGEST CITY WITH POPULATION: Quezon City - 2,173,831
INDICATOR Underemployment Rate LATEST 17.8% Apr 2010 8.0% Apr 2010 YEAR-AGO 18.9% Apr 2009 7.5% Apr 2009 PREVIOUS 19.7% Jan 2010 7.3% Jan 2010
Unemployment Rate
2006 Contraceptive preva lence rate (Based on currently married women aged 15-49 years)
2005
2004
50.6%
49.3%
49.3%
35.9%
14.8%
36.0%
13.2%
35.1%
14.2%
MORBIDITY: 10 Leading Causes, Number and Rate* 5-Year Average (2000-2004) & 2005 5-Year Average (20002004) Number 1. Acute Lower Respiratory Tract Infection and Pneumonia** 2. Bronchitis/Bronchiolitis 3. Acute watery diarrhea 4. Influenza 5. Hypertension 6. TB Respiratory 7. Diseases of the Heart 8. Malaria 9. Chicken Pox 10. Dengue fever * ** per 100,000 population Does not include ALRI, Pneumonia cases only from 2000-2002 Rate
Diseases
694,209
669,800 726,211 459,624 314,175 109,369 43,945 35,970 79,236 15,383
884.6
854.7 928.3 587.0 400.5 139.7 56.1 46.1 41.1 19.6
690,566
616,041 603,287 406,237 382,662 114,360 43,898 36,090 30,063 20,107
809.9
722.5 707.6 476.5 448.8 134.1 51.5 42.3 36.3 23.6
MORTALITY: TEN (10) LEADING CAUSES NUMBER AND RATE/100,000 POPULATION Philippines 5-Year Average (2000-2004) & 2005 CAUSES
1. Diseases of the Heart 2. Diseases of the Vascular System 3. Malignant Neoplasms 4. Pneumonia 5. Accidents** 6. Tuberculosis 7. Chronic lower respiratory diseases 5-Year Average (2000-2004) Number Rate 66,412 83.3 50,886 63.9 38,578 48.4 32,989 41.4 33,455 42.0 27,211 34.2 18,015 22.6
2005*
Number 77,060 54,372 41,697 36,510 33,327 26,588 20,951 18,441 12,368 11,056 Rate 90.4 63.8 48.9 42.8 39.1 31.2 24.6 21.6 14.5 13.0
8. Diabetes Mellitus 13,584 17.0 9.Certain conditions originating in the 14,477 18.2 perinatal period 10. Nephritis, nephrotic syndrome 9,166 11.5 and nephrosis Note: Excludes ill-defined and unknown causes of mortality *reference year ** External Causes of Mortality
Nurses
Midwives
4,945
4,724
4,819
4,720
4,735
4,435
4,519
4,374
4,577
4,576
...
... ...
16,173 16,451 16,612 16,534 17,196 16,967 17,300 16,857 16,821 17,437
Barangay 14,416 15,204 15,107 15,283 14,490 15,099 15,436 16,191 16,219 17,018 Health Stations Rural Health Units a/ 2,212 2,218 1,773 1,974 2,259 2,258 2,266
...
Public health nurses in the Philippines have made a great contribution to the improvement of the health of the people for more than a century now. In the light of the changing national and global health situation and the acknowledgement that nursing is a significant contributor to health, the PHN is strategically positioned to make difference in the health outcomes of individuals, families and communities cared for.
MILLENIUM DEVELOPMENT GOALS Eradicate extreme poverty and hunger Achieve universal primary education Promote gender equality and empower women Reduce child mortality Improve maternal health Combat HIV/AIDS, malaria and other diseases Ensure environmental sustainability Develop a global partnership for development
Determinants of Health
Employment
Culture
Genetics
Physical Environme nt
Education
Health Services
HEALTH
Gender
Safety, Oppression,
People Empowerment
Environmental
OLOF
Board Question
Isolation of a child with measles belongs to what level of prevention? A. Primary B. Secondary C. Intermediate D. Tertiary
Board Question
On the other hand, Operation Timbang is_____ prevention? A. Primary B. Secondary C. Intermediate D. Tertiary
Board Question
RA 7160 mandates devolution of basic services from the national government to local government units. Which of the following is the major goal of devolution?
A. To strengthen local government units B. To allow greater autonomy to local government units. C. To empower the people and promote their selfreliance D. To make basic services more accessible to the people
Board Question
"Public health services are given free of charge". Is this statement true or false? A. The statement is true; it is the responsibility of government to provide haste services B. The statement is false; people pay indirectly for public health services C. The statement may be true or false; depending on the Specific service required D. The statement may be true or false; depending on policies of the government concerned.
Board Question
Who is the Chairman of the Municipal Health Board? A. Mayor B. Municipal Health Officer C. Public Health Nurse D. Any qualified physician
Board Question
Which level of health facility is the usual point of entry of a client into the health care delivery system? A. Primary B. Secondary C. Intermediate D. Tertiary
SECTION 2. Declaration of Policy. (a) It is hereby declared the policy of the State that the territorial and political subdivisions of the State shall enjoy genuine and meaningful local autonomy to enable them to attain their fullest development as self-reliant communities and make them more effective partners in the attainment of national goals. Toward this end, the State shall provide for a mare responsive and accountable local government structure instituted through a system of decentralization whereby local government units shall be given more powers, authority, responsibilities and resources. The process of decentralization shall proceed from the national government to the local government units.
(b) It is also the policy of the state to ensure the accountability of local government units through the institution of effective mechanisms of recall, initiative and referendum. (c) It is likewise the policy of the State to require all national agencies and offices to conduct periodic consultations with appropriate local government units, nongovernmental and peoples organizations, and other concerned sectors of the community before any project or program is implemented in their respective jurisdictions.
The DEVOLUTION made local government executives responsible to operate Each center controls a portion of the health care system as part of its political and administrative Provincial City/Municipal Government Government mandate
District Hospital Provincial Hospital
HC/RHU
BHS
Board Question
Which of the following government agency is the sole provider of technical and other resources assistance to concerned group as mandated by the EC 102? A. Department of Interior and Local Government B. DOJ C. DOH D. DPWH
Department of Health
Executive Order 102 identified the DOH as the national authority on health providing technical and other resource assistance to concerned group. EO 102 mandates the DOH to provide assistance to local government units, peoples organization, and other member of civic society in effectively implementing programs, projects and services that will promote the health and well being of every Filipino; prevent and control diseases among population at risk; protect individual, families and communities exposed to
Department of Health
All but which of the following is not the general functions/role of the health sector? 1. provides leadership in the formulation, monitoring and evaluating of national health policies, plans, and programs 2. Innovate new strategies in health to improve the effectiveness of health programs, initiate public discussion on health issues 3. Manage selected national health facilities and hospitals with modern and advanced facilities that shall serve as national referral centers.
Department of Health
Role and Functions of the DOH Leadership in Health Enabler and Capacity Builder Administrator of Specific Services Vision: The DOH is the leader of health, staunch advocate and model in promoting Health for ALL in the Philippines. Goal: HSRA
Board Question
Which of the following is not the rationale of the Health Sector Reform? A. Burden of diseases is heaviest on the Class A society B. Slowing of IMR and MMR C. Persistent large variations in health status across population group and high burden from infectious diseases D. Rising burden from chronic and degenerative disease
Board Question
There has been a significant improvement in the health status of Filipinos for the last 50 years. But failing health condition is still emerging problem of the DOH. The following are the reason why these condition still emerge except; A. Inappropriate health delivery system B. Inadequate regulatory mechanism for health services resulting to poor quality of health C. Poor health care financing and inefficient sourcing or generation of funds fro
Board Question
What is the priority program of the DOH? A. Reproductive Health B. Maternal and Child Health C. Nutrition Programs D. Environmental sanitation
D ental Health
Programs of DOH
O perations for Environmental Sanitation H ealth Education and Community Organizing P revention and Control of Communicable Diseases R eproductive Health O lder Persons Health Services G uidelines for Nutrition
Board Question
You are working in the RHU which is staff with 1 RHM. Who is the direct supervisor of the RHM? A. Physician B. Mayor C. RHN D. BHW
You are the public health nurse in a municipality with a total population of about 20,000. There are 3 health midwives among the RHU personnel. How many more midwife items will the RHU need? A. 1 B. 2 C. 3 D. 4
Ideally:
For every 5 000 population there should be I RHM (Rural Health Midwife) For every 20 000 population there should be 1 RHN (Rural Health Nurse) For every 20 000 population there should be 1 RHP (Rural Health Physician)
The RHP (Rural Health Physician) - is the manager or chairman and administrative supervisor of the rural health unit.
The technical supervisor of the RHM (Rural Health Midwife) is the RHN (Rural Health Nurse) The head of the RSI (Rural Sanitary Inspector) is the
Sanitary Engineer.
Board Question
What is the legal basis of Primary Health Care approach in the Philippines? A. Alma Ata Declaration of PHC B. Letter of Instruction No 949 C. Presidential Decree No. 147 D. Presidential Decree 996
Affordable
Accessible
PHC
Acceptable
Sustainable
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Framework
People Empowerment
Health for All Filipinos by the Year 2000 and Health in the Hands of the People by 2020
Partnership
sustainable
It is a strategy, which focuses responsibility for health on the individual, families and the communities. full participation
C O M M U N I T Y P A R T I C I P A T I O N
I N T R A A N D I N T E R SEC L I N K
A P P R O P R I A T E
S U P P O R T M E C H A N I S M
T E C H N O L O G Y
REPUBLIC ACT NO 8423 Traditional and Alternative Medicine Act (TAMA) of 1997.
REPUBLIC ACT NO. 8423 - AN ACT CREATING THE PHILIPPINE INSTITUTE OF TRADITIONAL AND ALTERNATIVE HEALTH CARE (PITAHC) TO ACCELERATE THE DEVELOPMENT OF TRADITIONAL AND ALTERNATIVE HEALTH CARE IN THE PHILIPPINES, PROVIDING FOR A TRADITIONAL AND ALTERNATIVE HEALTH CARE DEVELOPMENT FUND AND FOR OTHER PURPOSES
Section 1. Short Title This Act shall be known as the Traditional and Alternative Medicine Act (TAMA) of 1997.
Section 2. Declaration of Policy It is hereby declared the policy of the State to improve the quality and delivery of health care services to the Filipino people through the development of traditional and alternative health care and its integration into the national health care delivery system.
REPUBLIC ACT NO 8423 Traditional and Alternative Medicine Act (TAMA) of 1997.
It shall also be the policy of the State to seek a legally workable basis by which indigenous societies would own their knowledge of traditional medicine. When such knowledge is used by outsiders, the indigenous societies can require the permitted users to acknowledge its source and can demand a share of any financial return that may come from its authorized commercial use.
REPUBLIC ACT NO 8423 Traditional and Alternative Medicine Act (TAMA) of 1997.
1) Bawang-anti cholesterol
2) Ulasimang-Bato-lowers uric
acid
REPUBLIC ACT NO 8423 Traditional and Alternative Medicine Act (TAMA) of 1997. 1. Bayabas (Psidium Guajava) - for washing of wounds, for those with diarrhea, can be use as gargle for toothache.
Uses of Bayabas: Antiseptic, astringent, & anti helmintic Kills bacteria, fungi, and ameba Used to treat diarrhea in children For hypertension, diabetes and Asthma Promotes menstruation
REPUBLIC ACT NO 8423 Traditional and Alternative Medicine Act (TAMA) of 1997.
2, Lagundi (Vitex Negunda) - for cough and fever, asthma, dysentery (blood in the stool) headache, aromatic bath for sick patients, occasionally for patient with rheumatism, treat skin disease. Benefits:
Relief of asthma & pharyngitis Recommended relief of rheumatism, dyspepsia, boils, diarrhea Treatment of coughs, colds, fever and flu
REPUBLIC ACT NO 8423 Traditional and Alternative Medicine Act (TAMA) of 1997.
3. Yerba Buena (Clinopodium douglasii) for rheumatism, cough and cold, aromatic herb that can be use for body ache and pain.
Benefits & Treatment of:
Arthritis Headaches Toothaches Mouth wash Relief of intestinal gas Stomach aches Indigestion Drink as tea for general good health
REPUBLIC ACT NO 8423 Traditional and Alternative Medicine Act (TAMA) of 1997.
REPUBLIC ACT NO 8423 Traditional and Alternative Medicine Act (TAMA) of 1997. 5. Akapulko (Cassia alata) anti fungal, ringworm, scabies, athletes foot. Uses of Akapulko:
Treatment of skin diseases: Tinea infection, insects bites, ringworms, eczema, scabies and itchiness. Internal: Expectorant for bronchitis and dyspnoea, mouthwash in stomatitis, alleviation of asthma symptoms, used as diuretic and purgative, for cough and fever, as a laxative to expel intestinal parasites and other
REPUBLIC ACT NO 8423 Traditional and Alternative Medicine Act (TAMA) of 1997.
6. Ampalaya (Momordica Charantia) - for those with non-insulin diabetes mellitus, non-ketosis prone diabetes, maturity onset or juvenile diabetes. Herbal Benefits of Ampalaya:
Good for rheumatism and gout And diseases of the spleen and liver Aids in lowering blood sugar levels Helps in lowering blood pressure Relieves headaches Disinfects and heals wounds and burns Can be used as a cough & fever remedy Treatment of intestinal worms, diarrhea Helps prevent some type of cancer Enhance immune system to fight infection
REPUBLIC ACT NO 8423 Traditional and Alternative Medicine Act (TAMA) of 1997. 7. Bawang (Allium sativum) - for those with hypertension, toothache, it also lowers cholesterol
Benefits of Bawang:
Good for the heart Helps lower bad cholesterol levels (LDL) Aids in lowering blood pressure Remedy for arterioclorosis May help prevent certain types of cancer Boosts immune system to fight infection With anti oxidant properties Cough and cold remedy Relieves sore throat, toothache Aids in treatment of tuberculosis
REPUBLIC ACT NO 8423 Traditional and Alternative Medicine Act (TAMA) of 1997.
8. Niyog-niyogan (Quisqualis indica L.)
- anti helmintic 9. Tsaang Gubat (Ehretia microphylla Lam.) - for those with diarrhea, stomach ache, can be used as mouthwash because it is rich in fluoride.
Benefits and Treatment of: Stomach pains Gastroenteritis Intestinal motility Dysentery Diarrhea or Loose Bowel Movement
REPUBLIC ACT NO 8423 Traditional and Alternative Medicine Act (TAMA) of 1997. 10. Ulasimang bato / pansit-pansitan (Peperomia peliucida) - lowers uric acid, rheumatism, gout, tophi (buko - bukol) Pansit pansitan is used as an herbal medicine for the treatment of:
Arthritis Gout Skin boils, abscesses, pimples Headache Abdominal pains Kidney problems
REPUBLIC ACT NO 8423 Traditional and Alternative Medicine Act (TAMA) of 1997.
Tips on Handling Medical Plants / Herbs: If possible, buy herbs that are grown organically without pesticides. Medicinal parts of plants are best harvested on sunny mornings. Avoid picking leaves, fruits or nuts during and after heavy rainfall. Leaves, fruits, flowers or nuts must be mature before harvesting. Less medicinal substances are found on young parts.
After harvesting, if drying is required, it is advisable to dry the plant parts either in the oven or air-dried on screens above ground and never on concrete floors.
Store plant parts in sealed plastic bags or brown
What is the law that govern the practice of nursing and PHN in the Philippines? a. RA 8423 b. RA 7160 c. RA 9173 d. RA 7164
The National League of Philippine Government Nurse in 2005 describe the qualification and function of a PHN. The PHN must be professionally qualified and licensed to practice in the arena of PHN just like any other professional health worker.
PHN must posses the following qualities; Personal qualities and people skills Resourcefulness Creativity Honesty Integrity Interest and willingness to work with the people
When the patient came in to the clinic the nurse should do which of the following first? a. Ask the patient his/her name for registration b. Greet the client upon entry c. Perform first level assessment d. Give priority number to clients
Clinic Visit the patient visit the Health Center to avail the services thereto offered by the facility primarily for consultation that ailed them physically. The nurse plays a very important role in building a closer ties with the patient to gain their trust and confidence. Pre-Consultation Conference is usually conducted prior to the admission of patients, which is one way of providing
It is a family nurse contact which allows the health worker to assess the home and family situation in order to provide necessary nursing care and health related activities? a. Clinic Visit b. Nursing Visit c. Home Visit d. Pre Consultation Visit
When planning a home visit it is necessary to ; 1. Have a purpose and objective 2. Home visit should make use of all available information abput the patient and his family 3. Plan should be flexible 4. Consider and give priority to the essential needs of thr individual in his family A. 1,2,4 B. 1,2 C. 1,2,3,4 D. 2,3,4
Nurse Mila knows that the most important consideration in the frequency of the home visit is; a. Acceptance of the family and their interest to cooperate b. The weather c. The distance of the RHU d. Availability of medicines and other supply
Nurse Kimi a PHN of Barangay Sugbo is about to visit a mother who is in her 5th day post partum. Nurse Kimi is correct if she will perform which of the following first? a. Put the bag in a convenient place to prevent microbial contamination b. State the purpose of the visit c. Make sure you have an ID d. Greet the patient and introduce yourself
It is an essential and indispensible equipment of a public health nurse which she carry along during her home visit. a. PHN Bag b. Bag technique c. Bag and bag technique d. Sphygmomanometer and Stethoscope
It is a tool by which the nurse, during her visit will enable her to perform a nursing procedure with ease and deftness; a. Bag Technique b. PHN Bag c. Bag and bag technique d. Sphygmomanometer and Stethoscope
Bag technique a tool making use of public health bag through which the nurse, during his/her home visit, can perform nursing procedures with ease and deftness, saving time and effort with the end in view of rendering effective nursing care.
Public health bag - is an essential and indispensable equipment of the public health nurse which he/she has to carry along when he/she goes out home visiting. It contains basic medications and articles which are necessary for giving care.
What is the rationale of performing appropriate bag technique? a. To save time and effort with the end view of rendering effective nursing care to client b. To practice aseptic technique c. Nursing is an art d. Because the bag is essential equipment
Hand washing is done as frequently as the situation calls for, helps in minimizing or avoiding contamination of the bag and its contents.
The bag when used for a communicable case should be thoroughly cleaned and disinfected before keeping and re-using.
Paper lining Extra paper for making bag for waste materials (paper bag) Plastic linen/lining Apron Hand towel in plastic bag Soap in soap dish Thermometers in case [one oral and rectal] 2 pairs of scissors [1 surgical and 1 bandage] 2 pairs of forceps [ curved and straight] Syringes [5 ml and 2 ml] Hypodermic needles g. 19, 22, 23, 25 Sterile dressings [OS, C.B] Sterile Cord Tie Adhesive Plaster Dressing [OS, cotton ball] Alcohol lamp Tape Measure
Babys scale 1 pair of rubber gloves 2 test tubes Test tube holder Medicines
betadine 70% alcohol ophthalmic ointment (antibiotic) zephiran solution hydrogen peroxide spirit of ammonia acetic acid benedicts solution
To be used for handwashing. To protect the work field from being wet. To make a non-contaminated work field or area.
Actions 5. Do handwashing. Wipe, dry with towel. Leave the plastic wrappers of the towel in a soap dish in the bag. 6. Put on apron right side out and wrong side with crease touching the body, sliding the head into the neck strap. Neatly tie the straps at the back. 7. Put out things most needed for the specific case (e.g.) thermometer, kidney basin, cotton ball, waste paper bag) and place at one corner of the work area. 8. Place waste paper bag outside of work area. 9. Close the bag. 10. Proceed to the specific nursing care or treatment. 11. After completing nursing care or treatment, clean and alcoholize the things used. 12. Do handwashing again.
Rationale Handwashing prevents possible infection from one care provider to the client.
To protect the nurses uniform. Keeping the crease creates aesthetic appearance.
Actions Rationale 13. Open the bag and put back all articles in their proper places. 14. Remove apron folding away from the body, with soiled sidefolded inwards, and the clean side out. Place it in the bag. 15. Fold the linen/plastic lining, clean; place it in the bag and close the bag. 16. Make post-visit conference on matters To be used as reference for future visit. relevant to health care, taking anecdotal notes preparatory to final reporting. 17. Make appointment for the next visit ( For follow-up care. either home or clinic), taking note of the date, time and purpose.
o All articles used by the patient should not be mixed with the articles used by the rest of the members of the households. o Frequent hand washing and airing of beddings and other articles and disinfection of rooms are imperative. Abundant use of soap, water, sunlight and some chemical disinfectants is necessary. o The one who is caring for the sick should be provided with a protective gown that should be used only within the room of the sick o All discharges, especially from the nose and throat of a communicable disease patient should be carefully discarded o Articles soiled with discharges should first be boiled in water 30 minutes before laundering.
o SECOND LEVEL ASSESSMENT define the nature or type of nursing problems that the family encounters in performing the health task with respect to a given health condition or problems, and the etiology or barriers to the familys assumptions of these tasks.
Data Collection
1. Family structure, characteristics and dynamics includes the composition and demographic data of the family/household, their relationship to the head and place of residence, the type of and family interaction/communication and decision making patterns and dynamics 2. Socio economic and cultural characteristics includes occupation, place of work, and income of each working member, educational attainment pf each family member, ethnic background and religious affiliations, significant roles they play in the familys life and the relationship of the family to the larger community.
knowledge
Rina contracted scabies is due to Inability to provide adequate weather condition nursing care to preschooler
Weight
1
Divide the score by the highest possible score and multiply by the weight.
_______________
is one who provides basic community health care services for promotion of health, prevention of illness, simple treatment and rehabilitation. The service utilizes the philosophy, content, method and skills of a public health care.
Qualities of Health Worker: OPEN 1. Accepts needs for joint planning and decision relative to health 2. TACTFUL Does not embarrass people but gives constructive criticism 3. OBJECTIVE Unbiased and fair 4. GOOD LISTENER Always available and attentive to the clients 5. EFFICIENT Produces the expected output with consideration to cost and time 6. FLEXIBLE Adapts easily and makes necessary adjustment appropriately 7. CRITICAL THINKER Decides on what has been analyzed
Health Education
any combination of learning experiences designed to facilitate voluntary adoptions of behaviors conducive to health the process of assisting individuals, acting separately or collectively, to make informed decisions about matters affecting the personal health and that of others Health education can take place in various setting, either formally or informally/incidentally.
Epidemiology
Is the study of the occurrence and distribution of diseases as well as the distribution and determinants of health state or events in specified population, and the application of this study to the control of health problems Backbone of the prevention of the disease Uses of Epidemiology 1. Study the history of the health of the population 2. To diagnose the health of the community 3. Study the work of the health services 4. Estimate the risk of disease, accident and the chances of avoiding them 5. Complete the clinical picture of chronic disease 6. Search for causes of health and disease
Epidemiologic Triangle
HOST
AGENT
ENVIRONMENT
For the purpose of analyzing epidemiology data, it has been found helpful to organize the data according to the following variables
TIME
refers to both to the period during the cases of the disease being studied were exposed to the source of infection and the period during which the illness occurred. EPIDEMIC PERIOD YEAR PERIOD OF CONSECUTIVE YEARS
PERSON
refers to the characteristics of individual who were exposed and who contracted the infections
AGE SEX AND OCCUPATION
PLACE
refers to the features or factors or conditions which existed in or described the environment
URBAN/RURAL SOCIO ECONOMIC AREA
Branches of Epidemiology
Descriptive Epidemiology concerned with the disease frequency and distribution Analytic Epidemiology analysis of the causes or determinants of disease Intervention Epidemiology study the effectiveness of new methods of prevention/treatment of disease Evaluation Epidemiology measurement of the effectiveness of different health programs
Vital Statistics
Statistics refers to the systematic approach of obtaining, organizing and analyzing numerical facts so that conclusion may be drawn from them Vital Statistics refers to the systematic study of vital events in the community Uses if Vital Statistics Indices of the health and illness status of a community Serves as bases for planning, implementing, monitoring and evaluating health nursing programs and services Sources of Data
Population Census Registration of vital Data Health Survey Studies and Researches
Vital Statistics
Rate shows the relationship between a vital event and those persons
exposed to the occurrence of said event , within a given area and during specified unit in time
Specific Rate
Vital Statistics
A. Fertility Rate 1. CBR measure of one characteristics of the natural growth or increase of a population. CBR=Total Number of live birth registered in a given calendar year X 1000 Estimated Population as of July 1 of the same year
Factors that can affect the crude birth rate: 1. Accuracy of registered live birth. 2. Influence of the fertility status of the female population. 3 Number of female in the child bearing stage 4. The cultural or social practice (ex family planning practices)
Menarche- time or onset when a female can conceive.
GFR =
*The General Fertility Rate relates birth to the segment of population who are actually at risk of giving birth. *MACRA - marriageable couple of reproductive age (15 to 44 years old)
B. Mortality Rate Morbidity
The state of being disease or ill (Latin morbidus: sick, unhealthy) The degree or severity of a disease. The prevalence of a disease: the total number of cases in a particular population at a particular point in time. The incidence of a disease: the number of new cases in a particular population during a particular time interval. Disability in respect of cause (e.g. disability caused by accidents).
3. Attack Rate more accurate measure of the risk of exposure AR = Number of person acquiring a disease registered in given year Number of exposed to the same disease in the same year
x 100
C. Mortality Rates
Kinds of Mortality Rate:
1. Crude Death Rate a measure of one mortality from all causes which may result in a decrease population.
CDR = Total number of deaths in a given year x 1,000 Estimated mid year population for the same year
2. Specific Death Rate determines the specific cause of death. Describes more accurately the risk of exposure of certain classes or groups to particular disease. Deaths in specific class/group in a given year x 100,000 Estimated mid year population for the same year specified class/group Age Specific Death Rate Sex Specific Death Rate Cause Specific Death Rate 3. Proportionate Mortality Rate shows the numerical relationship between death from all causes (group of causes),age etc..and the total death from all causes in all ages taken together SDR =
PMR=
No. of death from specific cause/age x 100 No. of registration death from all causes/all ages
Swaroopss Index
Swaroops Index = Number of death among 50 years old and above x 100 Total deaths for all causes *If there is an increase in the result of the Swaroops index, this indicates a better health status.
2. Neonatal Mortality Rate NMR = Number deaths less than 1 month age x 1,000 Number of registered live birth during the same year
3. Maternal Mortality Rate measure the risk of dying from causes related to pregnancy childbirth and puerperium. MMR = Number deaths from causes related to pregnancyU Number of registered have birth during the same year x1,000
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