Community Health Nursing PDF

N tOHO: 12-95 10M10zTy HEALTN NURING BH hm) 4G, (54)...

N tOHO: 12-95 10M10zTy HEALTN NURING BH hm) 4G, (54) Buid Mcolthy > outide Horpitol Mojony ore Heothy Diet (4Ai ideol body ucight Ubon choore ppod wincky) Pimarg Reiponcibiliny PEALrN EDUCA TION Exercirc (30minfret Moderoie:Amot Dog High: 34fuoeck) Rest HEALTH » fLevcl oF Health Stop mouing 4 CIENTS: PROMOTION Encourogc to Fo#ow hothy Littyle " Jndividuoi HeolthyHalthier kereiting "omily Borie unlt of seric AWEcs Nointoin Heolth Grouplnggregok/Populotion PREVENTION Neotthy Hcalthy condom Wic imiorfcomnon charocterirtic Devetopmentol utnObi cPEcIFIC PROTecrtoN Comunity PRINCEPLEr: cDilab Prinory cient Farminy Nember s a teonm CECONDAAY AN Active :l Common Laborötorier. Hedicoh sungiol Toching Needr " Dietrict MOupitol/ Emergency Hospilol FAHILY : Monevt o rovinciot Houpitol i FOrmitq Nurc con tact.TERTTARY Principiee: Purporcjobjective l Acvanccd Hkolth core DOH Vio: hipinos o amorg hc Roplein louthot UrFooiiabe Nccdr inpormotion Complex cosct hooltncondoria by 304o o RegionolHorpitai Jovole thc client- Foriiiaii o Hcdico enter dveopent ro prctcbies Ficxible Notional Hopitol: PGH SAG TECHNIaUE: hothtem" o MOionOl Medical ccn ter kA tool uti f2cd by the nqre to rcnder o(peiolty Horpiol fective nurting core uhaR Tead the que or cccmenee GOAL OF CHN: PUBLIC HEALTH NURIE OPSHUM LEVEL ArGH LEVEL OF WELLNECI NEALH. oory Grode 15. OF 36n To choletterol, For HPN, For Toothoche Prcvenion of other."09 humidiplcotion ompliationt Trachcotomy eore Antiicptic, For warhing wourd, Wouth woih, otarhe Mointcnoncc proviion 9ERBA BUENA "Pppermint" NYoG-NEYOGAN Vale eradt 2hr egtri Poliative/supportive core For pain, Coughl ouuh leove L For pPoraititm bulote meal ENINEhouytucKe LoCAEY ENDENIc DrEALe SAMBONG BLUnEA BAUAHFEA fecde! 2hrt apker dinner udy op LFor Edema, idncy (tonet TIAANG GUBAd cARnONA AETUrA EDIOEH1oLOGY: Ourencc and dittribution " ARAPUko L For Abdominol Drorthea, Indigerlion, "NUngog Aoin.* t Bockbone oF Preventing olcoter For Fungo1 npection "AMPALAYA - containt FuAVANOrD PDUS1: atmulale Ciouipicobion: Regittotion o Birth: by birth Okendant L> For Typca DH the poncsor to relebic lnruin Regitrotion o oeath :cii Regittrar 7zmmunc regulor intervol oF wjthin 4 hourt. HERAAL uIE PRINCIPLE: Foneeptibie cot, (cottercd Procloimcd by Phyricion VUe CIOy Pot ENDEMIc cocr Oluoy preICnt>g / Do NOt Cover /ue low Heat Stop i alur oF ONergy opPpear Vutc only onc herbt oto time Oecurt whcn there'r on outbrak vuie frcth leoer; hot cxpord to 7uceptible Q.A.7000Rooming in Act lntectioler immonity MATERNAL ANO CHILO HEALTN 4 PANDEMIC GOAL: Reduce Hoternal Mortaity gate(NMR) wortd wide epidemic. TRATEGIEC: Prenotol yirit everol coun trier one oFpeeked Aorsing te: DON- tentiong igla =Clcort 4 Prena fot Vxit WHO :8 Prenaloi Checkup EVIOENCED AATD PRACICE: ERNC. SENTA ONG SIGLA sntoporlol buring lakor qnd Octiverg: Lquolty ouuranac program NPO l4 no longer cquired A veol ir 6iven too heolth cenler (having pubic hoir ie no longcr rcqtired ip it provieler quotily vetvicer pphiea bk to public fodiiee J" Bod rert no longer advircd AMbuo lion 4+ N inc no longer nceded EPIOEMIoIOGY NURIE : GNO longerT nceded to be in ithokomy pauition foiow up coer andcontoctr VAny porition op comport 6 Ailowed to hovc companion of choicc 1 Eplnotomy no longei reguircd Acititive Epiiotomy  Eticntia Newbom corc UNNEEgy: Priority tntcrvenllont BpOD TERVII 54) OMiRing of Cord VDry Ingant Immcdio bely VErythromgjein Vvitamin Kvounc Immediote ciom ping tory kin to kin contoct Hepa 9 vocinc gnoplctimuiote VOcloyed cord clomping 8co vocine gAntincptic (tump) VBrrostpecding Exelutive ! VAPOAR coring corer stump VAnthropomctic meorucmcnt owarh immcdiotely Height Heod cine øpot Printing weight Chell Gre EP- XPANDED PRoGRAH tHMUNIATtON PD9RGI "an chitcren below yo. VACCINE 1910 Voccinet are pee Nott teniive to Hcot: Free ler: 3to-25 °c RA 30152: MOndatory zmmunioion (VorlccnO.,0PN, MMR) bciouo 5yo Lert cnitive ko Heat: Body oF Reprigerotor SELEMENTT OF VACeINATION (Bco,Nepa BspV, PeV Roto VPentovolent, Tr)Hib hoemophitu inplueno typeb lo brT Hepo 8. SuRVETUANCE TOrCh For cotcr or pormof evaluation louttlcp TF Brgy Heoth elotion docen'! TNFORAATON EDULATION CONMUNIANON : Naiongl tmmunisOion Day- irdrerdoy hove oAe to vtove rocciner COLo CHAIN and loGrIc MAANAGEHENTt Proper toroge and Transport oF voclnct then uwil be donc mOnthlgi AECMENT and EvALUATION8CG NEPA1Brrth Z0O.o5 on the doy of var deliyery TARGETJEnING I4 O.5 k Primary Flemcnt o FPr PENTAVo sh7h,3h H o5 p: GIDA (eogrophicoiy )1h, 2h.sh orol 2gtr solated Dircdvantogd Acot Lo Fhgi ble Populo tion npant: Pv 1h,2h3 IM05 St thould be done aUARTERL RoTAV Tota Populatiao K2-1o 4h12Oral 45ml cvery 3 monthr M0S Pregnane: MMR SPN Jnoctivoted Poio voinc Totol Fauationx3.5% Pev-meumococeol Conjugote Voccine HEPA 8- Recombinont RNA PENTAYALENT - 5ins vorcinC VACCIE VIAL MONITOR Incicolor that eon be a barit to dcterminc ir Ahe vaccinc har been ndt Fpcct: CHpoted to cumulOtivc heot FRVER Poracctomol qth conval FOr hourr within 3doyr sF the guoie iv tighter thon the circle O Hib LOCAL 7ENDEDNELC -dcold Lo jndieolee ENCEPHALO PATWY SIF the qUarc ir donker ihan thc circle compret ØPenta 2,3 couIe ? S The guare ond circie'r color are equal l p berore adminirotion: RIGM FEVED: Hold FIFÒ - (X) FEFO - (39.5c) Fitt In. Firct out Firet Expiny. Firt Oui OPV-Orat Polio 1Plnoctivo ted NNR"Meaiet. Mumpt RubellO BCG tiye ottenuo fed vocinc vaccine poio voccinc Live atlenuoled vacinc loALR v. BErporue to prcgnont Leuhemia- NIV Live atlcnuotcd Hinrd virue MMA i kero togenic por lhom Cndergaing Rod Jherapy weohenr VTinutusok lo Givcn to prevent T9 meningitir Vtniinom ond bEPAort Dropped on thc tongue Poraceta mol /elcan injeetion ite with under the tonguc warrAGE woter beçorc injecting F pt-pitrivGive ano ther AVR-ANNUAL VACeINE AEQUIRENENT WF MCIOA o uc oF olcohol mog kin 1hc tive Ocine SF pt vonitled! Eligible Dore uortoge ide E}recti kocw't PNENOHENON wehin 30 mint Give Populaion pactor koep the roher diy Apter 30 min: Givc heal on it own wAIAGe % ABECETSvwarm compret vtfoniaiid Pouder do for acute gotoenteritie MA PCV JOPanct Endzp 1Dorc JIhision Roto virur OPV Droinoge +luonioid ouder, 35° Hepa B 608cG Hu vox  Opprooch Outcomc-boscd L Aceountobility Arrpormance. vEFFlcicnt VAccountabie Tronporent ALN V HcolGovenancc h Oood 4- 1*o0 RATI0: PODULAEON MIDWIFE cvchongeof oCholorehip in 40.00o : OLD. Progran Barriar thc Doctor to DIT3"( 20.000 WuRIGPopuATION RATIO: 1: avoiiablc aecetlblc oncd L Dclive rg fervice Hcolth J PORuLANON PtCesvPECAMC CARE: iect heatth quonty OFFordobie and L JNDrgDUAL znterocting,anterd pendent FAMSW:ntegrated PotPONTMT : ÉNTRY FocAL Regulaion Heolth 2. 10,00o Denguc togorcomnagnd diagnorle peMETHOD r RATE CACE OFFrCER NEALTH cY OFFtCER HEAUH Philholth OFRCER. HEACTN Provincio! CHAIRMAN: VICE utomobeony ed RNpinor arc L,"ANJn AUMETN CNALAMAN: vICE 11223 R"A ACI CARE HEALTA REAL JNIVE Pimory the monoging ccondorg s>Perpontibic in the manoging reqponnibke in Lo cxcecutive: chief Locol Program Inruronce Heajth(NOWONal CHAIRNAN:GOVEANOR-logoapprovc MAYOACHARRMAN: heolth invertment por better enrurer Finoncing N-3. GovERNENTHUNICIPALJcmy GOVERNHENT PROVINCIAL PrLLARt: S LGu:Implemeht LGu corüptlon (bantoy Reform felor Jmplement Heoth Framcwork for Implementation L> Formulote DOH: PRESENT Formuiatt DOW: PAT: progrom PLUS-a Fs poüer goCtnmeNË cntircDEVOLUTION F DOH oF goolOverniding b DECENTRALI2ATION L RA) AGENDA AEFDRM KECTOR HEALTH GoVERNMENT CODE L0CAL RA-716O- DOH, HealthVtakchodert oF ALU por Guide ko Aoodmap) DOH oF Goal s Faciitier Teriorg monGgc FUNCiON: DOH ADMINIITRATIVE HEALTH OQJECTIVE FOR NoN-ATIONAL gokap UnengProgrami. urcr complex Advanced 3.7EATIARY Heoth training for firotcgict and tinine tica eporin New crcoter ButLDER CAPACITY ENABLER and Ppendeetenny) heolth Policict for ictr HEALTH LEADER¯HIP IN B ctomy. mojor: ct, Sometime monoged byLithc TIONS: FUNC urgerict minor Houtly 72ycore E.0.102 PH: 1 - al.x Mcdieol common 2-SECONDARY countriet 1/su cxpeetancy Ph- tipeBoir: coughheodoche, poin-tlomach 2040oio"in wholc Healthicrt in thc bc "iipinor wiil VISION: erviceC Health impie heolth) tmollen vjA Heolth Authority for NoHanol DOH - rervicct care Health BaricPAIMARY 3" YTEM DELIVEN2Y 36.00o/month GRADE 35 sAARYgoveInmcnt the bgoid CARE NEALTAPHILIPPINE PHCDS- NURLE EALTH PUBLIC PHN 11O30 RAAct: Hcolth Mental Hygicnc Mentos FOcur: NUArTNG HEALTH MENJAL NOsar dciaL ORgcko Haadímuteutoueie injury tat ONcchanicol HasardoChemical Nasord Biotogicol NajardOPAyical Employecr Heolth op andspcty Focur: Nurting COmpany NURIING HEALTH ocCUMTIONAL Sludcntr Hcalth oF Nutriion ond Fout NURSING HOOL FILOS: 10 1:01 NURELNG HEALTH COMNUNITY  FAMLY CARE PLAN Attecmcn: Daib-ilee10, FIArr LEVEL OF ACTEthNI "whot orc theprobicmr 3 Wellncrt stote Healthy FORHULA: 3- Heolth Degicit it) Dicorcpaticn scorc + Dirobinty 3Halth hreot: T Rick por twnealsnjury Inadegate tmunskon highert rcore Alcoholiem.tmo uing.awet Floor, InéFtetlvt BF. SituoHoni Fother HYpertention Brokcnctoirt. lack os tightc, Fire holadtiPotuted 4 ForreeobBe Criitret Poinle i Anticipatd aietnppr Probicm Developmcntal/ociol in nature Abgdodalogoj Agbibinata. Prrgnoncy StcOND EvEL ALrECENENT why ir thcre a Plaaningi problcm!" VGoAL SETTING 1t cicpectting Vonrtrucing PLAN oF QciOn Chooc yrcing intervcntion VDcveioP on operOtionol Plon 4 Prioritiac problcm CRITtRIAC SN PRIORITrnING: wellncu ctotc: 3 HCalth Degicit:3 FNatuIC oF the problcm w:1-Type oF the probicm-Hcolth Thrcot2 2-Hodigiobitity of the probicm u:3 Mort FOriccOblc criit:14 Earily Hodigiable :2 mporiont 3Prcvcnthc Potentiol :Futurc Receurencc olution of the problcm Aartialy Hodipiabkk1 4-s0licnce we:3 Pcrcepion of elicnt Mighi3 Not Modieioblc :o Modciotct2 about thc problcm Low:1 Jmmediote roblcm ia Not thot immediote :1 Not O problcm :'o Implemen totion: DEPENDENT nccd prz order vIIAL ATIOTICt tudy of vital evcnte OINDEPENOENT CRUDE 6JRTH RATE. INTEROEPENDENT colloborative meaUet the ooturot TOtOI Population Evoluaionchedat çor the oulcomc OF COe incrcose in popuiaion 4 QUALIT ASUAANCE GLEENI! Totot ocoth CAUDE DEATH RArE 3 1p00 31ELEMENTE L>mcorurer the noural Totol Populotion 3.sIRUcTURAL ELEMENT decconc in population OPhyuicol setling oMoncy MATERNAL MORTALITY RATE Tololdeot de ko pregnonc x,0o OHOnpower "HOtenolijeguiprnent Lo DrOth reloted to prcgnoncy Llvc Birth 2. 0urcOHE ELEMFNT Chongel reoIting from N-T. NEONATAL MORALITY RATE Tolal dco th 29doyts 4.000 Live Birth 3-PROCEII ELEMENI L Deoth of newbornt flept of Nurring procert AOPIf Peutpetum carc index TOtat death 43year 2day 1000 JNPANT MORTALY RATE : Livc Birth L0coth os Ingonte 100 o, ROtio, Fcw popuIOIOn Aeotth ctotes oF the whols 9,000 tondard octor Communily indeN TOtoI Sntrouteral deo th FETAL DEATH RATE 00O Note! Ihe rûctor olwo. ve Birth 900.O00 per to thedenoniolor orcgnoncy wortoge Pun Totol Populotionl ! Totol tiveeAirth  HeGith INCIDENCE RATE PREVALENCE RASE mogn ltude oFProblemt Lelgd to meorore Acute Dlcorct ursgogcofos yonic Dirc9e 10 hc comm Diseatce thot Dincorct ihol areomonthe 4Gmonthr Ncotee, Denguc. Aumpe Diabclet. Nyperkenion, Arthritie Totai No. oF NEw CAIS Totor O. oF OLD NEW ArES400 Totat Populotion Totai Pereon Eamined SEx RATIO sWAROOPr JNDEN Neolth Bttindica tor oF fiatu Lo Aalonce of NOC Ond Femolc o Longevitg of tipc i; Lipertyle I> Jndex oF MEALTH TATUI in the Malc wholc community 100 Fcmalc Totai beath î 50 TOtOI 100 1.5003so0 Total Dcath Note! The output e 42.9 9) the ume Toto Abputotion: B0.o00 cpert to TOLOI Deoth: A900 Jalerpretaion: fherc ore 43 moed for cvetg t4000 5-43 3920 109 Female. 25-49 y.o. :98 BEmoc 3.990 NOtct The oUlput 4.000 BACIC EMERGENCY o8rTETR1CAL CARE Ohaogr NFer to the t ue conrider thot on awomcn ore High Rick Pregnancy nAmciator InterpctOtion: 96o oF deoth are 50 y0"0bove AIM: Provide arc) oddien common problemr OF prcgnancy Modomi umogbot ro longipeGOOD CAPABNnY BusLDING (Training) VPorenteral oxyYTOcIN ACIVIIES (eeijsNF) Porcnerol ANTIgioTIC 3- MC BooRLET Mothcr-Chitd Bookict Parenteral ANTIcONVULANT contain it oF an activi tiet;t ac tivcpartieipotion VPorentcral 1EROID! 9. MICAONuIRIÊNr sUPPLEMENTATION Aseirted Deivery /vIIAMIN A (Retinol ) MONNOl Aemovol oF Ploccntal/ Reloincd Productt oF conception Ath mondh:10.000 sus2/weck CEmOc Post-PARTUN: 200,0OorUionce within GweeHe apter prcgnoncy COM PREHENEINE EHEAGENCY /TRON: GOmg 400ug FoL;C AcID ; Daig OBITETRICAL CAAE Empty ctomoch v ondnge 7uic 8lood Tronspuion JtoDINE (Potarium fodinc ) i Once oniy for thc whole prcgnoncy :Preventi Goiter Vceioreon cction 3.TETANut TOXOID(TT)/TD(T4 DIPHTHERIA TOnoid )VAccINATION TT Adeninjrtroion MOTHER (Acllvc BABY Paiivc (1) Anytimc/5th Gth monthe protection Active 3 yeor protectian 1mmunity (2) 3month the T7s optcr protcction ths non (3) Gmonthi artq 5 yearc 95% Boorta thc 12 prolection Dorce (4) 1ycor oyter r3 10 yeore protcction cOn be giecn in subrquent (5) 1ycorapter Tr4 'LIFETIMHE pregnoney Protecion 4 EINC unong yoap s.NEWBORN SCAFÉNING " dckectr genctic dirordere /Donc 24-hout ofier delivcry congcnilat #ypolhgroiditm Newborn ferccning kowi R.A 9229 ytic Fibrorie Congenital Adirenai Myperpratio GAEIC eKPANDED organic Aid Derieicncy Galactotemia 11300 Amino acid depieingy GGPD deieicncy DetccttG Drtectt 2 28 Genetie Dirordert Folly Acid clcpiaienoy Phcnyiketonuria Gençoic D-o Oenetie -o. Maple vyrup Dicorder  WATAGE FACTOR thould oluagr be grto ker than Pentavolcnt MMR 4.00 1:0110l4.05/ 3-wo -5% o.46 12so 0.15 HePA B 6CG 1.3164.48/ 1-w% 1-15Yo 0.85o ANNGAL VACCINE QEQUIAENENT ADS AUTO DIIP04ABLE tYAINGE :Pentavolen 7otolPopulotion: t0,000 contlot Elglblc. pore Wariage tockt 9.160 3 1-05 b.204 docalycar Populotion Pentavolcnt Total Abpoloton:4s, oo0 Totot Poputotion pO.o00 RO,00ox 9.1:2,100 3u 141 2 1,128 ryringertyear ra CoNCUle por monthlgy va rg MMR Total Population: 40,000 NuTRITION: MALNurRiTION E90.O0 2.1930*9 &-33 G.4N doscrlycor 19 MICROAwutAIENt MACRONUTAI ENT *334 dôrclmonth CHO () VHAMING MTNERALS Total Popuration: S3,o00 ARACHuc RWACH10RKOA 55-00O $ 1A25 nx -19: 4,543 doreyear OThin: chinondBonet Note! Protein ir importont n o wrinkted in Mureke oid bolonce o Apothy Thin exremitiet NON COMMUNICABLE DIEACE o Edema Noon facciter Lo Bchovioroli iestyle reiated Discac OThin ponehhair AUE OF PEATH : 3- Dircorc og thc heort DIAGNOTICe: Mid-uppcr arm circumperenec 3- D'vcotc of the Biood venCE REDICverc Mainutrition 2115mm 3Concer 9ELLOW- Moderole Holutriion: 15-12smm Rik FOciore: DÍIATER LAW: RA10123 GREEN NO malnutntion 195 mm oPhyticol Inoctivity l creoted the NORAMC Fmergenc RUnd MANAGSMENT: Feeding program UNNeOlthy Diet AUIF ^Reody to uue Theropeutic Food oumoking L>.Tinapoy na gawa apeaut Guttef EMERGENCY SERNICEC o Tünk FÖOd i» Empty colorier'-vit. Min Puro coloric= DLIACTERr: picruption in sociely POOD FORILFICATION PROGRAM Portisicd-Adckd NATURAL MAN-M DE ACUTE CHAONIGjerecping SANGRAP PINOY o within doye LPuithin montht L celebrotcd 2lyeor to wcckr ko yeorr Aprll. octobr Principlcei vIAHINA NOrmol &it Adeprciency G-11 mor 10.000 1U 400:0001U Copo biiEy buiidirg Dioiter drlme bepore the Impoct 200.00014 200.0o010 3- Pirct Priodty' PEOPU 3-5 yeart Today"Tomorrow fecond' RELOURCEC ohcdulet Todoy/ Gmor orter 2 wee oFter Night indnctt Xerophthalmio uper de  SANITATION: Environmenlal rANITATION CODE PO8.o,. 1:02Food10tanitation GARBAGE DroA 40 55 FoOD tNASLICHMINP CLAS RATING: SANITAAY PERAtt L ocqulied by ouner cLAMEA Enceilent NEAT CEAIFICA IE CLACt B : Yery otiegoctory Lo by pood handlete (4) RIGNTC OF FOOD CAFETY water Facillky Level 1 Levci Leve3 4. RrGHT OURCE Frh COMMUNAL FAUCE WATER WORME NITEM PoJNI SouReE RIGNT PREPARArSON Woh OPoleeted well STANO PorTS WOuIchOd 3.RIGN coowING : 70°c. AIGN TORAGE: heure Roum Temp beveloped ping dsa5o owoy "Nabatde"Aots 145 HouLehold fndiien varmt 60°c vCoo!: t0° Toilct Facihty COPAR GOAL: COMMUNIN HEALTH PEVELOPMENT CoicoMMUNITY ORGANIIATION tLevel 2 (tocioi tranrçormoion WON-WATER M TERRALEO wATEQ-SEALEO DuRytf: o dentiey and Pon olu tiont ARRIAGE to commnity probieme ORuthed rype Purhca rype PAR: PAATICt PATORY ACTION REIEARCH Otinct fonk MALL AMOLINT eptieTonle Lp Qn 0Pprooch ued to soNe the probicme wATEA TorLET tage ytem i Promote activc participa tion FACnIN Treatment plont t Pcople orc 4olving Lhcirown problcme Pour Furh LThe peopie one condderedor the vcacoreher : They do the invertiga Toitct (Evpert oF their own cality Li PeopBe ote contidercd ar our porther Note! It lsole 5ycart t develop commUnity ROLES: NURIE PEOPLE OFocititator PHASES op cOPAA Airt AIetemCnt o Teach PIan PAE ENTRY EMTaY/octAL PREPARATION OImplemcnt CoMMUNITY TUDY oluote AtIELSENT DIAGNOts PRE-ENTRY: timplicet Phare AUATIONAL ANALYEIS wN chootcO comnmunity na tutuiungan ORGANI2ATION PRELIMINAAY OCtAL INVEnGANON AcnON i cother dota prom diçrercnt barangog SuTENANCE and (MENGTENING Importont jor vite lcchon: TuRNOVER/ PHACE OUT Bare tine inpormaion diucmino tion prçcend VCourlery col: icodet-thow respcct Poór Netaorking linkoget ENIRY: tocial Preporation Evpiolicd Goof: tnoblith thegiound por the oganinayon Sapc Vourkery co: Leodett to show repcet CONNCINIry sTUDYA, Dx tA VDeepening focioi Iherhgotion PROFTUNG OF TNE cOMMUNYdonc by thc people:R7 dentiry Aeaing Needr REreAQCN TEAM-Iemporaryi w jusk gother dota Tmmeriion| 1ntegroion od hoc commitlce Imbibe thc lpe op propicIn the Communiy GOAMUNIIY DlAGANOIC done by retcorch team Look por Potcnlicol leader tore aon:S PROBLEM-OAIENED coMPASHENCIVE Chororteritict: SenErallnfotmotion FOCUIcd ona poIicuor ltruc Poor Deriree por hepectecd Ocmograophic pouipic Necdr Ghoritmotic Communicotor Phyeicfioai L kiuala I0 Iugor Fovironmontal Self"aarcnct Lcadcchip raining NdOconomic. ultual For the telected eodert pOH TVPEt OF cOMMUNITv PROBLEMc: "Primary Heolth coe leaderthip 1-HEALIH IAIUC iMorbidity/Morlorieg MEALIN ARrOURCECi MOnpower Moncy Moterio Durpouei ndeond deepiy the cuiture LHEALN AFLArED! fodo-economie CuIRUrOl and tiertyic lh the community9 Environmental Politieal  ORGANI2ArION : Pranning Nurec communiy organiacr PLAN OLUn010,muniey probiemt nities aukiAgivPLP Bnhonce, Kibtobch vBulding op cHO(Communiy Weoth ogoniotion) fPIOEMIOLOGIC TRIAD: VEIcction of oFficert. Formal itoderr " futernOI Agcnt Vnoinin9 op Fricer VTeombuilolng of offNCert "fuIccptibie Nort fnvironment ACTHON MOgLrANON Exercuc of people'rpower VITAL TATLEUC- ioot urd by the nurc in vProgromJmplementONON: BHw the commdnity cing or owcelng heath nede Monitonng andcoping probcm index op fomiiet thol it dmitor to pomiy VEvOuOtion suuIENANCE and RENGTTNING FORMULA ONE FOR HEALIN VContinue cduotion ond training OF FFce JtnON! To ochicve Uhc end goalr belter healeh outcomc Gegl: Tumagai and kumokor ong organiaion a rponie hoglth ytein.and euttaklo Aeath Ocvelop medium ond long term goal coe pinaning adepted ar implencntotion promework Promoe vELf A6LSANCE RA-T14q-"Notionol Brood cericet Aes op 1994n Required oge: 16-6s yearf dd (5)CRIrERLA LO prioritlae community problenm wcight: ‘4$ ks eon donsket gsOmL COMMUwSTY: NOLUC oF PrOblem o Modipiabllity of Problem 4 mortinporta nt Prevcntivc Potentiol focial contemcañencc Magnilude Problem 3 L o oF population OFFected 10  IMCI 10 AE MANAGEMENr PAOCese To oddrerr the problem in IHC AErCMENT Acrt common ehildhood probicmiFevER,EAn PAoBLEML ; OLAQRHEA CLACCEFY 1DENTTF9 TAEATHENT Decmine if cate it mild. moderate.feverc TREATMENT COUNELLING FOMOw-up |AtrescuENT Note! de ong necd one donger igo 9ArE MANAGEHENT CHART vEAY (EVERE DUEA(E contoin danget ign DANGEQ tiGN (4) O frCu INFANT:0-9month clotr op Dengue: D 1CR CHILD: month5 yeart old cONVULrtONeI2UAE.CEVEREDENGUE HEMORAHAGIC FEvA UNABLE TO FEED/ DAINK ACrECe: O(+> Tounequct Tect T7 c: Exoctly 2 montht peerictent Headochc worning ignt vOMIC EVERYTHING 3coLOR CLASEIFICATIONE ABNORMAL KLEEPINeCA Pertictent vomiting oF dengue PIUR Sevenc Rcper.to HOrpltal LETHARGv) TuPOR oBlccding "MAIN syMPTOMs (4) osow copinory refill ocptreverc dchydration ù:Rcturnrwithin 3mint ar it con be treatodin Heal th cen ber DOB/ Cough TREATMGNT! 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