L1 FUNDAMENTAL CONCEPT OF COMMUNITY HEALTH NURSING 2.pdf

L1: FUNDAMENTAL CONCEPT OF COMMUNITY HEALTH NURSING 2 Wednesday, August 14, 2024 8:42 PM THE COMMUNITY SCHOOL HEALTH NURSING...

L1: FUNDAMENTAL CONCEPT OF COMMUNITY HEALTH NURSING 2 Wednesday, August 14, 2024 8:42 PM THE COMMUNITY SCHOOL HEALTH NURSING COMMUNITY HEALTH NURSING - School nursing, a specialized practice of public health nursing, protects and - Community Health Nursing, as a Distinct field of nursing, has been aptly - Community comes from the old French word "communite" which is derived from the Latin "communitas" (cum, "with/together" +minus; "gift'); a broad term promotes student health, facilitates normal development, and advances described as any of the following: for fellowship or organized society. A community can be described as: academic success A field of nursing that is blend or synthesis of nursing practice with public health using primary health care as the tool in the delivery A group of people sharing common geographic boundaries and/or common values and interests. - School nurses, grounded in ethical and evidence-based of health service. practice; are the leaders that bridge health care and education, The group which functions within a particular socio -cultural context (no two provide care coordination, advocate for quality student-centered A learned practice discipline with the goal of contributing as communities are alike) and varying physical environment and the people's care: and collaborate to design systems that allow individuals Individuals and in collaboration with others to the promotion of way of behaving and coping differ from one group to another and communities to develop their full potentials the client's optimum level of functioning t hru teaching and delivery of care (Jacobson, 1969). CLASSIFICATIONS OF COMMUNITY - Bill proposes one nurse for every public school (Atienza 2018) is a bill seeking - There is a big difference between urban and rural communities such as the physical to assign one registered nurse for every public school in the country. environment, population size and density economy culture, political dynamics, PHILOSOPHY OF COMMUNITY HEALTH NURSING availability and adequacy of social services, and availability of and accessibility to - Sandoval filed House Bill 7798 or the proposed "Nurse sa Public Schools Act - The philosophy of CHN is based on the worth and dignity of men of 2018" which mandates the Department of Health (DOH) to employ at least health resources. (Shetland, 1958). one registered nurse in every public school.. Rural Urban - This philosophy of care is based on the belief that care directed to the - Nurses engaged under the proposed Act shall have the following minimum Sub urban individual, the family, and the group contributes to the healthcare of the qualifications: population as a whole. must have valid RN license issues by the Professional Regulatory Commission SPECIALIZED FIELD OF COMMUNITY HEALTH NURSING must be willing to relocate to the assigned area for a designated period GOAL OF COMMUNITY HEALTH NURSING 1. Occupational health nursing must have a passion for public health. - The goal of Community Health Nursing is to 2. Mental health nursing assist the individual, family and community 3. School health nursing - Nurses employed under the proposed Act shall be entitled to a monthly in attaining their highest level of holistic stipend equal to Salary Grade 15, ( P33 575) or as otherwise provided by law, health which is attained through consistent with the mandatory minimum entry-level pay for government multidisciplinary effort and to promote OCCUPATIONAL HEALTH NURSING nurses under Republic Act 9173; otherwise known as the Philippine Nursing reciprocally supportive relationship between - Occupational health nursing is the application of nursing principles and procedures Act of 2002 people and their physical and social in conserving the health of workers In all occupation. environment. - It aims to assists the workers in all occupations to cope with actual and potentials stresses in relation to their work environment CONCEPT AND PRINCIPLES 1. Family4 Determinants of occupational health nursing practice 2. Partnership 1. Government Policies and Standards 3. Change a. Department of Labor and Employment (DOLE) 4. Health care delivery system b. Department of Health (DOH) c. Social Security System (SSS) d. Philippine Health Insurance Corporation (PHIC) FAMILY e. Employees Compensation Commission (ECC) - The family is the primary unit of care or basic unit of service of community health care where primary prevention is given priority. 2. Professional Standards The individual client or patient is a member of the family. a. Occupational Health Nurses Association (OHNA) b. Philippine Nurses Association (RNA) The family may be a part of a population group like being members of a regional group (i.e., Visayan or Kapampangan) which in turn is part of the bigger group which is the community. The client of the community health nurse is the community. PARTNERSHIP - The community health nurse works with, not for, the individual patient, family, group or community as active partners and not passive recipients of care. These clients are actively involved in the organizing, planning, implementation, management and evaluation phases of their care. All processes must include partnering with representatives of the RA 1054 OCCUPATIONAL HEALTH ACT people. - RA 1054 stipulates the healthcare requirements for occupations. these are as follows: ○ example : Diarrheal outbreak 1. For business With 30 employees-OHN services are provided by the PHN. 2. for business with 301 employees-OHN, supplies, equipment, physician: CHANGE dentist, permanent clinic (1:100) or accessible hospital within 2km are - The practice of community health nursing is affected by changes in required. society in general, and by developments in the health field particular. - The environment and socio-economic status have been shown to affect MENTAL HEALTH the health of the community. - Mental health is defined as a stage of well-being where a person can realize his or her own abilities: to cope with the normal stresses of life and work productively. ○ Example: Contact tracing - The emotional adjustment that a person can involves the promotion of a healthy state of mind among the whole population through: HEALTH CARE DELIVERY SYSTEM Developing positive outlook in life - Community health nursing is part of the community health system and Strengthening coping mechanisms the larger human services system. - The CHN shares with other members of the health team and other TRENDS IN MENTAL HEALTH sectors in the community the responsibility of delivering health care - The modern trend in the care of the mentally ill is usually home care management services. - Acute cases are referred to and treated at the national center for mental health - "3" E's ( Effective, Efficient and Equitable ) nursing service (NCMH) or hospitals with facilities for psychiatric care/management where they are later discharged or confined if continue supervision or care is needed. VULNERABLE GROUPS - Vulnerable groups to the development of mental illness include women, street children, victims of torture or violence, internal refugees; victims of armed conflicts, and victims of natural and man-made disasters - Community mental health nursing is a unique process which includes an integration of concepts from nursing, mental health, social psychology: psychology community networks and the basic sciences. COMPONENTS OF MENTAL HEALTH NURSING Stress management Drugs and alcohol abuse rehabilitation Treatment and rehabilitation of mentally ill patients Special projects for vulnerable groups NCM113 Page 1