Community Health Nursing 1 PDF - 1st Semester AY 2024-2025

COMMUNITY HEALTH NURSING 1 1st Semester A.Y. 2024 - 2025 PILLARS OF THE 2020 NATIONAL HEALTH GOALS Bureaus and the Administration of City Health Departments was placed at 1. Counselling for health promoti...

COMMUNITY HEALTH NURSING 1 1st Semester A.Y. 2024 - 2025 PILLARS OF THE 2020 NATIONAL HEALTH GOALS Bureaus and the Administration of City Health Departments was placed at 1. Counselling for health promotion and disease bureau level prevention 1954 Congress passed R.A. 1082 The most important role of the nurse aside from Rural Health Unit Act patient care is to educate the client on health provided RHU in every municipality promotion and disease prevention 1957 R.A. 1891 Cultural Diversity – appreciating that society is more equitable distribution of heath personnel made up of different groups with different 1958 Regional Health Offices were created interests, skills, talent and needs, different 1970 Philippine health care delivery system religious beliefs, sexual orientation from others was restructured Evaluation of health science literature 1991 R.A. 7160 or the Local Government Code - Aims to improve treatment of patient The Devolution of Basic Services - Study of improving healthcare systems and 1999 Health Sector Reform Agenda policies with knowledge from “STEM” 2005 FOURmula One (F1) for health 2. Environmental Health 2010 Universal Health Care Aspects of human health that is determined by environmental factors CHARACTERISTICS OF A COMMUNITY - Pollution Has one or more roles that define its identity - Sanitation within a society - Safe use of chemicals Has a sense of goals which provides a sense of - Health and safe workplaces direction - Preserve nature It is organized within a set of formal/informal HISTORY OF PUBLIC HEALTH NURSING IN THE beliefs, values, expectations and behaviors that PHILIPPINES defines the boundary of the community 1577 Friar Juan Clement The boundary may be explicit or implicit Medical Dispensary in Intramuros There is some form of communication between members 1690 Dominican Father Juan de Pergero Water System in San Juan Del Monte, Has skills and resources that are shared between Manila the members 1805 Dr. Francisco de Balmis Has skills and resources that are shared Smallpox Vaccination Balance the need of the community with the needs of the members 1876 The First Medicos Titulares Often has clubs, groups within the community Provincial Health Officers 4 DEFINING ATTRIBUTES – Maurer & Smith 1888 University of Santo Tomas People Cirujanos Ministrantes course to produce Place male nurses and sanitary inspectors Interaction 1901 Board of Health of the Philippine Islands Common characteristics/goal/interest ACT 157 2 Main Types of Community evolved into the Department of Health - Geopolitical Community (DOH) - Phenomenological Community 1912 Fajardo Act Law WHAT IS HEALTH? Sanitary Divisions “Health is a state of complete physical, mental, 1905 Asociacion de Feminista Filipina and social well-being and not merely the absence La Gota de Leche of a disease or infirmity” – WHO first center dedicated to the service of mothers and babies “Health is a state of enough physical, mental and 1947 DOH was reorganized social well-being of an individual to participate actively and productively in the social and COMMUNITY HEALTH NURSING 1 1st Semester A.Y. 2024 - 2025 economic life in the community in which he lives The enjoyment of the highest attainable standard in” – PHC of health one of the fundamental rights of every MODELS OF HEALTH IN CHN human being without distinction of a race, Nightingale’s Theory of the Environment religion, political belief, economic or social Orem’s Self Care Model condition Neuman’s Health Care Systems Model The health of all peoples is fundamental to the King’s Theory of Goal Attainment attainment of peace and security and is Pender’s Health Promotion Model dependent on the fullest cooperation of Roy’s Adaptation Model individuals and states Salmon’s Construct for Public Health Nursing The achievement of any state in the promotion EPIDEMIOLOGICAL TRIANGLE and protection of health is a value to all Unequal development in different countries in the promotion of health and control of diseases, especially communicable disease is a common danger Healthy development of the child is of basic importance, the ability to live harmoniously in a changing total environment is essential to such development The extension to all peoples of the benefits of medical, psychological and related knowledge is essential to the fullest attainment of health Informed opinion and active cooperation on the part of the public are the utmost importance in the improvement of the health of the people Governments have a responsibility for the health of their people which can be fulfilled only by the provision of adequate health and social measures FACTRORS AFFECTING HEALTH 1. Genetic Make – Up 2. Environment 3. Lifestyle HEALTH – ILLNESS CONTINUUM MODEL 4. Socio-economic conditions Is a graphic illustration of a well-being 5. Education John W. Travis (1972) 6. Occupation Health Services HEALTH PROMOTION Enables people to increase control over their own health Covers a wide range of social and environmental interventions that are designed to benefit and protect individual people’s health and quality of life by addressing and prevention the root cause of ill health ELEMENTS OF HEALTH PROMOTIONS 1. Good governance for health Requires policy makers across all government departments to make health a central line of PRINCIPLES OF HEALTH government policy 2. Health Literacy COMMUNITY HEALTH NURSING 1 1st Semester A.Y. 2024 - 2025 People need to acquire knowledge, skills and - “Health in the hands of people by 2020” information to make healthy choices Partnership and empowerment of people that 3. Healthy Cities shall permeate as the core strategy ineffective Cities have a key role to play in promotion good provision of essential health care services health; strong leadership and commitment at the First contact a person has with the health care municipal level is essential to health urban system when they have a problem planning and to build up preventive measures in General Practitioner – primary health care communities provider COMMUNITY HEALTH Is a discipline concerned with the study and improvement of the health characteristics of different communities PUBLIC HEALTH Refers to all organized measures (public or private) to prevent disease, promote health, and prolong life among the population as a whole. GLOBAL AND NATIONAL HEALTH GOALS HFA - 1981 to 2000 AD 4 CORNERSTONES / PILLARS OF PHC - 12 global indicators Active community participation MIDG’s Intra and Inter sectoral linkages - 2000 – 2015 Use of appropriate technology - 8 goals, 18 targets and 48 indicators Support mechanism made available SDG’s - 2016 to 2030 LEVELS OF PRIMARY HEALTH WORKERS - 17 goals and 169 targets and a UN Statistical Barangay Health Workers Commission will finalize around 300 indicators - Trained community health workers, auxiliary Healthy People (2030) volunteers Intermediate Level Health Workers - Includes the public health nurse, rural sanitary inspectors, and midwives LEVELS OF HEALTHCARE AND HEALTH REFERRAL SYSTEM Primary Level of Care Devolved to the cities and municipalities Barangay health stations Rural health unit Community hospital Healthcare centers Secondary Level of Care Given by physician with basic health training Referral center for PHC facilities PRIMARY HEALTH CARE Performs minor surgeries and laboratory Letter of instruction (LOI) 949, signed by Pres. Tertiary Level of Care Marcos on October 19, 1979 Care is rendered by specialists in health facilities Underlying theme Referral center for secondary healthcare facilities COMMUNITY HEALTH NURSING 1 1st Semester A.Y. 2024 - 2025 Complicated case ad intensive care IMPORTANT REASONS FOR NURSES TO WORK WITH FAMILIES LEVELS OF PREVENTION Family is a critical resource Primary Prevention Case finding Focuses on health promotion and disease Improving nursing care prevention immunization Any dysfunction that affects one or more family Promotes healthy lifestyle members will affect the members as a whole Secondary Prevention Focuses on early detection of diseases Breast self-examination Diagnostic test Cancer signs and symptoms Tertiary Prevention Rehabilitation Prevents disability Restores client’s optimum level of functioning Mental health Physical therapy FAMILY HEALTH NURSING Family is a group of persons usually living together and composed of the health and other persons related to the head by blood, marriage, adoption Family is 2 or more persons who are joined together by bons – Friedman, Bowden, Jones (2023) FAMILY FORMS Nuclear Family – family of marriage; composed of husband, wife, and children (natural or adopted) Dyad – consisting only of husband and wife; newly married Extended Family – consist of 3 generation, may include marriage, siblings and grandparents Blended Family – where one or both spouses bring a child Compound Family – where a man has more than one spouse Cohabiting Family – live-in arrangement Single Parent – death of spouse or separation, pregnancy out of wedlock Gay or Lesbian Family – same sex relationship FUNCTIONS OF A FAMILY Procreation Socialization Status placement Economic function