Community Health Nursing Overview
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Questions and Answers

What is the main focus of secondary prevention?

  • Advanced treatment of complicated health conditions
  • General health promotion for all individuals
  • Early detection and prompt treatment of diseases (correct)
  • Rehabilitation of patients with chronic illnesses

What type of care involves specialized medical services typically provided on referral?

  • Primary Care
  • Tertiary Care
  • Preventive Care
  • Secondary Care (correct)

Which of the following is an example of secondary prevention?

  • Surgery for chronic conditions
  • Cancer rehabilitation programs
  • Mammography screenings (correct)
  • Antibiotic treatment for infections

Which statement best describes tertiary prevention?

<p>It focuses on managing already existing conditions. (B)</p> Signup and view all the answers

Which type of examination is part of secondary prevention initiatives?

<p>Routine blood pressure checks (B)</p> Signup and view all the answers

When do patients typically enter secondary care?

<p>Following a referral or self-referral for further diagnosis (A)</p> Signup and view all the answers

What distinguishes tertiary care from secondary care?

<p>It deals with complicated and life-threatening conditions. (C)</p> Signup and view all the answers

Which of the following activities is NOT related to secondary prevention?

<p>Rehabilitation after surgery (D)</p> Signup and view all the answers

What primarily influences the practice of Community Health Nursing (CHN) in different geographical areas?

<p>The geographical feature of the area (A)</p> Signup and view all the answers

Which of the following best defines Community Health Nursing?

<p>The systematic use of nursing process to promote health and prevent illness (A)</p> Signup and view all the answers

How does Community Health Nursing differ from Public Health Nursing (PHN)?

<p>CHN is broader in scope than PHN (B)</p> Signup and view all the answers

Which of the following components is NOT part of a community's social system?

<p>Environmental policy (C)</p> Signup and view all the answers

What is one of the primary roles of a nurse in Community Health Nursing?

<p>To facilitate optimal wellness for individuals (D)</p> Signup and view all the answers

What is the essence of nursing as described in the content?

<p>A synthesis of nursing knowledge and practice (B)</p> Signup and view all the answers

In the context of Community Health Nursing, which aspect does NOT influence health problems?

<p>Political opinions of community leaders (A)</p> Signup and view all the answers

What is crucial for improving not just health but also the ability to deal with health problems?

<p>Caring interactions and communication (C)</p> Signup and view all the answers

What is one of the main goals of the health initiative described?

<p>Improve financial protection for healthcare (A)</p> Signup and view all the answers

Which value emphasizes fairness in the healthcare system?

<p>Equity (D)</p> Signup and view all the answers

What aspect of healthcare does transparency focus on?

<p>Open and honest operations (B)</p> Signup and view all the answers

What does the term 'resilience' refer to in the context of healthcare values?

<p>Ability to recover quickly from difficulties (C)</p> Signup and view all the answers

Which demographic does adolescent health primarily target?

<p>Individuals aged 10 to 19 (A)</p> Signup and view all the answers

What is a key focus of geriatric health services?

<p>Enhancing the quality of life for older persons (C)</p> Signup and view all the answers

What is the primary goal of the National Health Insurance Program?

<p>To guarantee health insurance coverage for all Filipino citizens. (A)</p> Signup and view all the answers

What does the term 'sustainability' imply in healthcare?

<p>Maintaining a certain level of healthcare services (A)</p> Signup and view all the answers

By what year does the F1 vision aim for Filipinos to be among the healthiest people in Southeast Asia?

<p>2022 (C)</p> Signup and view all the answers

What is included in the 'First 1000 days' initiative?

<p>Support for prenatal to the second year of life (D)</p> Signup and view all the answers

What is meant by the 'leadership' role of the F1 mission in health care?

<p>It aims to direct the development of a resilient and equitable health system. (C)</p> Signup and view all the answers

Which of the following is NOT included in the initial framework of the National Health Insurance Program?

<p>Subsidies for private health care systems (A)</p> Signup and view all the answers

What is one of the roles of the executive department of the Government of the Philippines in the health sector?

<p>To regulate all health services and products. (A)</p> Signup and view all the answers

How does the National Health Insurance Program intend to fund its operations?

<p>By collecting and managing funds in a sustainable manner. (B)</p> Signup and view all the answers

Who is expected to subsidize the care of those who cannot afford medical care under the F1 mission?

<p>Those who can afford medical care. (C)</p> Signup and view all the answers

What does the term 'people-centered health system' refer to in the context of the F1 mission?

<p>Prioritizing the needs and well-being of individuals and communities. (C)</p> Signup and view all the answers

What is the recommended duration for exclusive breastfeeding?

<p>6 months (D)</p> Signup and view all the answers

Which micronutrient is specifically mentioned as important for pregnant mothers to avoid low birthweight babies?

<p>Folic Acid (D)</p> Signup and view all the answers

What is the primary aim of the National Immunization Program?

<p>To reduce morbidity and mortality among children (C)</p> Signup and view all the answers

Which of the following diseases is NOT listed as part of the National Immunization Program's focus?

<p>Hepatitis B (B)</p> Signup and view all the answers

What is a significant issue contributing to the disease of globalization and urbanization?

<p>High population density and poverty (C)</p> Signup and view all the answers

Which of the following micronutrients is included in food products to prevent malnutrition?

<p>Zinc (A)</p> Signup and view all the answers

What is the main purpose of scheduled deworming?

<p>To reduce infections (D)</p> Signup and view all the answers

What role does the Department of Health (DOH) play in relation to drug dependence?

<p>Providing treatment and rehabilitation services (C)</p> Signup and view all the answers

What characterizes the family as a primary social agent in health promotion?

<p>Encouraging self-monitoring of health (C)</p> Signup and view all the answers

Which of the following defines a nuclear family?

<p>Married man and woman with their children (D)</p> Signup and view all the answers

How do Filipino older adults commonly manage their health issues before professional intervention?

<p>Self-monitoring and traditional remedies (A)</p> Signup and view all the answers

What is a common coping style among Filipinos when faced with adversity?

<p>Utilizing humor to cope (A)</p> Signup and view all the answers

What does the term 'fatalistic resignation' imply in Filipino culture?

<p>Belief that suffering is predetermined and unavoidable (D)</p> Signup and view all the answers

In the context of household classifications, how is an extended family defined?

<p>Comprises multiple nuclear families linked by kinship (D)</p> Signup and view all the answers

What role do family members often take in the health management of senior relatives?

<p>They share medical knowledge from their own practices (C)</p> Signup and view all the answers

What is one element that distinguishes household classification?

<p>Living arrangements (B)</p> Signup and view all the answers

Flashcards

Community Health Nursing (CHN)

A nursing practice focusing on community health needs. It involves promoting health and preventing illness in populations.

Community

A group of people living in a defined area, with interacting social systems and diverse health needs.

Scope of CHN Practice

CHN practice varies based on local laws, policies, and health standards.

CHN vs. PHN

Community Health Nursing (CHN) is broader than Public Health Nursing (PHN), encompassing other specialties.

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Nursing as an Art

The interpersonal skills and communication in nursing, focused on overall well-being and ability to handle health problems.

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Nursing Process

A systematic approach used in CHN to address and promote health and prevent illness in groups.

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Population in CHN

Groups of individuals within a community having diverse health needs.

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Community Determinants

Factors affecting people's health in a particular community, including healthcare systems, families, and economics.

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Secondary Prevention

Early detection and treatment of health hazards to prevent worsening conditions.

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Secondary Care Level

Specialized medical services for patients with diagnosed or suspected problems.

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Early Detection (diagnosis) of disease

Recognizing signs/symptoms of a disease early.

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Prompt Treatment

Immediate action after detecting a disease.

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Tertiary Care Level

Specialized, complex care for serious, life-threatening conditions.

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Tertiary Prevention

Preventing further decline of an existing problem.

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Hospitalization (Secondary Care)

Usually in a community or district hospital during secondary care.

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Examples of Secondary Prevention

Methods used in secondary prevention, e.g., BP screening, breast self-exams, and Pap smears.

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Exclusive Breastfeeding

Feeding only breast milk for the first six months of a baby's life.

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Complementary Foods

Foods given in addition to breast milk after six months to provide additional nutrition.

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Micronutrient Supplementation

Providing additional vitamins and minerals to prevent deficiencies, especially in children and pregnant women.

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Iodine Deficiency

A lack of iodine, leading to problems like goiter (enlarged thyroid) and developmental issues.

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Iron Deficiency

A lack of iron, causing anemia and fatigue, especially common in children and pregnant women.

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Folic Acid Deficiency

Lack of folic acid, vital for cell growth and development, particularly during pregnancy.

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Vitamin A Deficiency

Lack of Vitamin A, affecting vision, growth, and immunity.

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National Immunization Program

A program aimed at reducing disease and death in children through vaccination.

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National Health Insurance Program (NHIP)

A program in the Philippines to provide health insurance coverage and affordable healthcare to all citizens.

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Vision of F1

Filipinos will be among the healthiest in Southeast Asia by 2022 and Asia by 2040.

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Mission of F1

To build a strong health system that's just, productive, resilient, and helps people.

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Executive Department's role

Ensures access to basic public health services by Filipinos through quality care and regulation of health services/products.

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Universal health insurance

A health insurance program for the entire population in the Philippines.

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Program I and II (Medicare)

Initial programs of the National Health Insurance Program for healthcare.

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Affordable Healthcare

Healthcare accessible and affordable to all Filipinos.

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Health System Sustainability

A system to secure funding, manage finances, and pay for health care.

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RA 7875

A Philippine law focusing on health care, particularly in relation to the National Health Insurance Program (PhilHealth) and its goals.

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Health for All

This concept represents the goal of ensuring everyone, regardless of their background, has access to quality healthcare and achieves the best possible health outcomes.

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Financial Protection

Protecting Filipinos from exorbitant healthcare costs, allowing them to access quality healthcare without facing financial hardship.

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Equity in Healthcare

Ensuring everyone has fair and impartial access to healthcare services, regardless of their social status, income, or other factors.

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Adolescent Health

A branch of healthcare focusing on the specific health needs of individuals aged 10 to 19, providing them with accessible and friendly services.

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Geriatric Health

Healthcare specifically for older people, focused on promoting their well-being, managing age-related conditions, and improving their quality of life.

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First 1000 Days

The crucial period from conception to a child's second birthday, highly influential for their physical and cognitive development.

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PhilHealth Premium Subsidies

Financial assistance by the government to help Filipinos afford their PhilHealth premiums, increasing access to healthcare services.

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Filipino Family

The foundation of social life for most Filipinos, considered the primary social agent in health promotion by WHO.

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Household

A group of people who live together, share a kitchen, and housekeeping arrangements, but may not be related by blood, marriage, or adoption.

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Nuclear Family

A family unit typically consisting of a married couple and their children, considered the basic building block of family structures.

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Extended Family

A group of nuclear families linked by blood, marriage, or adoption, extending across generations.

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Filipino Illness Management

Filipinos often manage illness by self-monitoring symptoms, considering financial burden, and utilizing traditional remedies before seeking professional help.

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Patience and Endurance (Tiyaga)

Filipinos often exhibit patience and endurance when facing challenging or uncertain situations.

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Flexibility (Lakas ng Loob)

Filipino coping style emphasizing honesty with oneself and respect for others, especially when dealing with difficulties.

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Humor (Tatawanan ang Problema)

Filipinos often use humor as a coping mechanism to deal with adversity, laughing at themselves in tough situations.

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Study Notes

Public Health Nursing in the Philippines

  • Practice varies geographically, influenced by scope of practice (nursing law, WHO standards), community needs, and other factors.
  • Community Health Nursing (CHN) is a major field in the Philippines, alongside hospital nursing.
  • CHN is a synthesis of nursing knowledge, public health practice, and the nursing process to promote health and prevent illness in populations.
  • CHN and Public Health Nursing (PHN) are often used interchangeably, but CHN is broader. It includes PHN, occupational health nursing, and school nursing.

What is a Community?

  • Groups of people with shared characteristics or interests living together in a territory or geographical area.
  • Shared values and interests define a community.
  • Communities function within a socio-cultural context.
  • People share cultural heritage and physical characteristics of the environment impacting economic production.
  • Key characteristics of a community include geographic boundaries, organized institutions, shared interests, flexible boundaries, and a population aggregate.

Nursing

  • Assists sick individuals to achieve wellness and healthy individuals to achieve optimum wellness.
  • Nursing is the science and art of caring.
  • Involves interactions and communication with clients to improve their health and ability to manage determinants of health.

Community Health Nursing Levels of Clientele

  • Individual: CHN addresses individual health problems intertwined with those of family/community (e.g., Covid).
  • Family: Families are groups of integrated, interacting, and interdependent individuals. Family actions impact all members.
  • Population Group: People sharing characteristics (e.g., age, exposure), including those with common health problems/issues/concerns.

Community Health Nursing

  • Focuses on services outside the hospital.
  • Works to promote health, prevent disease, and provide rehabilitation services.

History of Public Health Nursing

  • Rooted in the Department of Health.
  • Established as Department of Public Works, Education and Hygiene in 1898.
  • Key focus areas in public health nursing evolved over time focusing on public needs, families, and lastly, population health.

Specialized Fields of Nursing

  • Community Mental Health Nursing (CMHN): Collaborates with community-based support services for people with mental illness and addiction.
  • Occupational Health Nursing: Provides healthcare to workers.
  • School Health Nursing: Focuses on student well-being, academic success, and lifelong achievement.

Levels of Healthcare and Disease Prevention

  • Primary Prevention: Health promotion, protection against illness (e.g., balanced diet, exercise).
  • Secondary Prevention: Early detection of actual or potential health hazards. This allows for prompt intervention and prevention of further decline.
  • Tertiary Prevention: Preventing deterioration of current health problems. This entails rehabilitation and return to maximum function.

Philippine Health Care Delivery System

  • Organized system of health facilities and personnel to deliver healthcare services.
  • Driven by the Department of Health (DOH) with a vision for better health outcomes/equitable health financing/competitive and responsive healthcare system by 2030.
  • DOH mission: guarantee equitable, sustainable, quality health for all Filipinos, with emphasis on the poor.
  • Core DOH values include integrity, excellence, compassion, respect for human dignity, commitment, professionalism, stewardship, and teamwork

Philippine Development Plan 2017-2022

  • Framework for a more inclusive growth, high-trust society, and globally-competitive knowledge economy in the Philippines.
  • Aimed at specific outcomes including promoting lower poverty rates and high human development levels by 2022.

Indigenous Health Beliefs and Theories of Illness

  • Balance: Filipino health beliefs center on maintaining balance in the body, mind, and spirit. Imbalance can cause illness.
  • Mystical Causes: Illness linked to spiritual forces or ancestral retribution for unfinished tasks.
  • Personalistic Causes: Attribution of illness to evil spirits. This leads people to seek help from faith healers and traditional methods like holy oils, amulets.
  • Naturalistic Causes: Illness viewed as a result of natural factors (such as thunder, environmental issues), excessive stress, food/drug incompatibilities, infections.

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Description

Explore key concepts in Community Health Nursing with this quiz. Test your understanding of secondary and tertiary prevention, as well as the roles of nurses and the distinctions between Community Health Nursing and Public Health Nursing. Engage with questions that highlight the importance of specialized care and community social systems.

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