NCM 104 Community Health Nursing (Individual and Family) Module 5 PDF

COLLEGE OF NURSING, NUTRITION AND DIETETICS NURSING PROGRAM NCM 104: COMMUNITY HEALTH NURSING (INDIVIDUAL AND FAMILY) Module 5: FAMILY NURSING PROCESS PART 2 CONTINUATION...

COLLEGE OF NURSING, NUTRITION AND DIETETICS NURSING PROGRAM NCM 104: COMMUNITY HEALTH NURSING (INDIVIDUAL AND FAMILY) Module 5: FAMILY NURSING PROCESS PART 2 CONTINUATION Module Content Module 5:Family Nursing Process (cont.) 1. Implementing Family Care Plan A. Categories of Intervention ⚫ Promotive ⚫ Preventive ⚫ Curative ⚫ Rehabilitative 2. Tools of Public Health Nursing PHN Bag and Contents Principles and Techniques in the Use of PHN Bag 3. Types of Family Nurse Contact Clinical Visit Home Visit Group Conference Telephone Calls Written Communications B. Family Health Care Researches 1. Related Studies 2. Evidence – Based Practices C. Interprofessional Care in the Community 1. Rural Health Unit Personnel 2. Local Government Units 3. Government Organizations DSWD Nutrition Council Population Commission 4. Non-Governmental Organization Socio- Civic Organizations Religious Organizations Schools D. Evaluation of Family Nursing Care 1. Evaluation Process and Outcomes Re-assessment 120 YEARS OF AUGUSTINIAN EXCELLENCE IN VIRTUS ET SCIENTIA Contact No.: 0939-278-9080 |Fax No.: (033) 337-4403 Email: [email protected] | Website: www.usa.edu.ph  COLLEGE OF NURSING, NUTRITION AND DIETETICS NURSING PROGRAM Discussion: IMPLEMENTING FAMILY CARE PLAN Promotion of health ▪ Behavior motivated by the desire to increase well-being and actualize human health potential ▪ Not disease oriented ▪ Motivated by personal “approach” to wellness ▪ Seeks to expand positive potential for health Prevention of disease/injury ▪ Also known as health protection ▪ Behavior motivated by a desire to actively avoid illness, detect it early or maintain functioning within the constraints of illness ▪ Illness/injury specific ▪ Motivated by avoidance of illness ▪ Seeks to thwart the occurrence of insults to health and well-being 120 YEARS OF AUGUSTINIAN EXCELLENCE IN VIRTUS ET SCIENTIA Contact No.: 0939-278-9080 |Fax No.: (033) 337-4403 Email: [email protected] | Website: www.usa.edu.ph  COLLEGE OF NURSING, NUTRITION AND DIETETICS NURSING PROGRAM Curative ▪ To provide treatment ▪ Basic first aid and initial treatment in the community Rehabilitative ▪ Emphasizes the importance of assisting clients to function adequately in the physical, mental, social, economic and vocational areas of their lives ▪ Assist to return to former function ▪ Assist clients in adjusting how to perform activities in order to achieve maximum abilities Tools of Public Health Nursing The PHN Bag Bag technique Tool by which the nurse, during her visit, will enable her to perform nursing procedure with ease and deftness, to save time and effort, with the end view of rendering effective nursing care to clients. 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 ❖ Rationale- to render effective nursing care to clients and /or members of the family during home visit 120 YEARS OF AUGUSTINIAN EXCELLENCE IN VIRTUS ET SCIENTIA Contact No.: 0939-278-9080 |Fax No.: (033) 337-4403 Email: [email protected] | Website: www.usa.edu.ph  COLLEGE OF NURSING, NUTRITION AND DIETETICS NURSING PROGRAM Principles 1. The use of the bag technique should minimize if not totally prevent the spread of infection from individuals to families, hence, to the community. 2. Bag technique should save time and effort on the part of the nurse in the performance of nursing procedures. 3. Bag technique should not overshadow concern for the patient rather should show the effectiveness of total care given to an individual or family. 4. Bag technique can be performed in a variety of ways depending upon agency policies, actual home situation, etc., as long as principles of avoiding transfer of infection is carried out Special Considerations 1. The bag should contain all necessary articles, supplies and equipment which may be used to answer emergency needs. 2. The bag and its contents should be cleaned as often as possible, supplies replaced and ready for use at any time. 3. The bag and its contents should be well protected from contact with any article in the home of the patients. Consider the bag and its contents clean and /or sterile while any article belonging to the patient as dirty and contaminated. 4. The arrangement of the contents of the bag should be the one most convenient to the user to facilitate the efficiency and avoid confusion. 5. Hand washing is done as frequently as the situation calls for, helps in minimizing or avoiding contamination of the bag and its contents. 6. The bag when used for a communicable case should be thoroughly cleaned and disinfected before keeping and reusing 120 YEARS OF AUGUSTINIAN EXCELLENCE IN VIRTUS ET SCIENTIA Contact No.: 0939-278-9080 |Fax No.: (033) 337-4403 Email: [email protected] | Website: www.usa.edu.ph  COLLEGE OF NURSING, NUTRITION AND DIETETICS NURSING PROGRAM Contents of the bag Paper lining Extra paper for making waste bag Plastic/linen lining Apron Hand towel Soap in a soap dish Thermometers (oral and rectal) 2 pairs of scissors (surgical and bandage) 2 pairs of forceps (curved and straight) Disposable syringes with needles (g. 23 & 25) Hypodermic needles (g. 19, 22, 23, 25) Sterile dressing Cotton balls Cord clamp Micropore plaster Tape measure 1 pair of sterile gloves Baby’s scale Alcohol lamp 2 test tubes Test tube holders Solutions of: Betadine 70% alcohol 120 YEARS OF AUGUSTINIAN EXCELLENCE IN VIRTUS ET SCIENTIA Contact No.: 0939-278-9080 |Fax No.: (033) 337-4403 Email: [email protected] | Website: www.usa.edu.ph  COLLEGE OF NURSING, NUTRITION AND DIETETICS NURSING PROGRAM Zephiran solution Hydrogen peroxide Spirit of ammonia Ophthalmic ointment Acetic acid Benedict’s solution Types of Family-Nurse Contact ✓ Clinical visit ✓ Home visit ✓ Group conference ✓ Telephone calls ✓ Written communications Clinical visit ▪ When the client goes to the Barangay Health Station or Rural Health Unit ▪ Less expensive for the nurse ▪ Provides opportunity for the use of equipment that cannot be taken to the home ▪ Other team members in the clinic may be consulted or called in to provide additional service ▪ Emphasizes the importance of empowerment and assuming responsibility for self-help 120 YEARS OF AUGUSTINIAN EXCELLENCE IN VIRTUS ET SCIENTIA Contact No.: 0939-278-9080 |Fax No.: (033) 337-4403 Email: [email protected] | Website: www.usa.edu.ph  COLLEGE OF NURSING, NUTRITION AND DIETETICS NURSING PROGRAM Home visit ▪ Expensive in terms of time, effort and logistics for the nurse ▪ Effective and appropriate type of family-nurse contact if the objectives and outcomes of care require accurate appraisal of family relationships, home and environment and family competencies Group conference ▪ Certain group of targets are gathered together in one common place for discussions and health service provision ▪ Less effort and time needed for the nurse than conducting house visits ▪ Usually used for advocates and health education sessions Telephone conference ▪ May be effective, efficient and appropriate if the objectives require immediate access to data, given problems on distance or travel time ▪ Data includes monitoring health status during acute phase of illness, change in schedule of visit or family decision, and updates on outcomes or responses to care or treatment Written communication ▪ Less time-consuming option for the nurse in instances when there are many families needing follow-up on top problems of distance and travel time ▪ Effective if the family is independent and motivated enough 120 YEARS OF AUGUSTINIAN EXCELLENCE IN VIRTUS ET SCIENTIA Contact No.: 0939-278-9080 |Fax No.: (033) 337-4403 Email: [email protected] | Website: www.usa.edu.ph  COLLEGE OF NURSING, NUTRITION AND DIETETICS NURSING PROGRAM INTER-PROFESSIONAL CARE IN THE COMMUNITY 1. Rural Health Unit Personnel The health care services of the municipality are generally provided by the municipality’s Rural Health Unit with its municipal health center and Barangay Health Stations (BHS). The BHS is the initial unit, which dispenses basic health care, i.e. maternal and childcare, immunizations, treatment of simple medical conditions, nutrition, family planning, sanitary health care, emergency treatment and health education. 2. Local Government Units are institutional units whose fiscal, legislative and executive authority extending over the smallest geographical areas distinguished for administrative and political purposes. It is responsible for delivering a broad range of services in relation to roads; traffic; planning; housing; economic and community development; environment, recreation and amenity services; fire services and maintaining the register of electors. 3. Government Organizations It is the primary government agency mandated to develop, implement, and coordinate social protection and poverty-reduction solutions for and with the poor, vulnerable, and disadvantaged. National Nutrition Council (NNC) It is an agency of the Philippine government under the Department of Health (DOH) responsible for creating a conducive policy environment for national and local nutrition planning, implementation, monitoring and evaluation, and surveillance using state-of the art technology and approaches. Commission on Population (POPCOM) 120 YEARS OF AUGUSTINIAN EXCELLENCE IN VIRTUS ET SCIENTIA Contact No.: 0939-278-9080 |Fax No.: (033) 337-4403 Email: [email protected] | Website: www.usa.edu.ph  COLLEGE OF NURSING, NUTRITION AND DIETETICS NURSING PROGRAM It is a government agency mandated as the over-all coordinating, monitoring and policy making body of the population program. It is the lead agency promoting population activities. Non-Government Organizations It is a non-profit, citizen-based group that functions independently of government. NGOs, sometimes called civil societies, are organized on community, national and international levels to serve specific social or political purposes, and are cooperative, rather than commercial, in nature. Civic Organization It means any local service club, veterans' post, fraternal society or association, volunteer fire or rescue groups, or local civic league or association of 10 or more persons not proprietary but operated exclusively for educational and charitable purposes, including the promotion of community welfare, and the net earnings are devoted exclusively to charitable, educational, recreational or social welfare purposes. Religious Organization ⚫ It is defined by federal and state laws, which vary by state. ⚫ For example, one state defines a religious organization for health insurance purposes as is defined as an entity that is set up exclusively for religious purposes and has obtained nonprofit tax status. School The language of education contributes heavily to the self-identification of individuals. NGOs, can be defined as "formal organizations, and as such, they emerge when a group of people organizes themselves into a social unit “that was established with the explicit objective of achieving certain ends and 120 YEARS OF AUGUSTINIAN EXCELLENCE IN VIRTUS ET SCIENTIA Contact No.: 0939-278-9080 |Fax No.: (033) 337-4403 Email: [email protected] | Website: www.usa.edu.ph  COLLEGE OF NURSING, NUTRITION AND DIETETICS NURSING PROGRAM formulating rules to govern the relations among the members of the organization and the duties of each member” (Blau and Scott, 1970)" Evaluation of Family Nursing Care Plan Lecture Discussion: EVALUATION Specifies how the nurse will determine changes in health status, condition and achievement of outcomes of care specified in the objectives of family nursing care plan. Ongoing Evaluation – done while or immediately after implementing an order; enables nurse to make on-the-spot modifications in an intervention. Intermittent Evaluation- performed at specific time intervals to show the extent of progress towards the goal and enables nurse to correct any deficiencies and modify care plan; also called PROCESS Evaluation. Terminal Evaluation – indicates client’s condition at the time of discharge; includes status of goal achievement and an evaluation of the client’s self-care abilities with regard to follow-up care Example: Diarrhea (undiagnosed) as health deficit related to eating of contaminated & unclean food. Evaluation: After 1 day of Health teaching and Nursing Care, the goal is partially met as evidenced 120 YEARS OF AUGUSTINIAN EXCELLENCE IN VIRTUS ET SCIENTIA Contact No.: 0939-278-9080 |Fax No.: (033) 337-4403 Email: [email protected] | Website: www.usa.edu.ph  COLLEGE OF NURSING, NUTRITION AND DIETETICS NURSING PROGRAM by soft formed stool 2x per day and the parents now provides proper care to Rosario. REFERENCES: Cuevas, et.al., Public Health Nursing in the Philippines., 10th Edition, Publications Committee, National League of Philippine Government Nurses Inc., 2007 Maglaya, Araceli., Nursing Practice in the Community; 5th ed., Argonauta Corp., Marikina City., 2007 Public Health Nursing in the Philippines by DOH https://www.doh.gov.ph/ https://www.nurseslab.com/ https://www.scribd.com/ https://www.mdgfund.org/ 120 YEARS OF AUGUSTINIAN EXCELLENCE IN VIRTUS ET SCIENTIA Contact No.: 0939-278-9080 |Fax No.: (033) 337-4403 Email: [email protected] | Website: www.usa.edu.ph