CHO: Community Health Nursing Orientation
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CHO: Community Health Nursing Orientation



this is included in our Prelim Exam.

this is included in our Prelim Exam.



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CHO: Community Health Nursing Orientation CHO: Community Health Nursing Orientation Presentation Transcript

    • “ Healthy,Empowered and Productive Kagay-anons”.
  • VISION :
    • “ Healthy, Empowered and Productive Kagay-anons”
  • City Health Office – Cagayan de Oro City
    • MISSION :
    • We, the Health Care Manager and Providers pledge to provide QUALITY HEALTH CARE through regulative preventive, curative and rehabilitative services.
  • To attain our MISSION, we subscribed to the following values :
    • Equality/Liberation
    • Knowledge/Insight
    • Self-Actualization
    • Human Dignity
    • Service/Vocation
    • Prenatal Care :
    • assessment of pregnancy
    • Early detection of problem
    • Education
    • Advice on proper breastfeedinig
    • Nutritional supplementation & couseling
    • Tetanus toxoid immunization
    • Post Natal Care
  • Child Health Care :
    • Promotion of breasfeeding
    • Expanded program on immunization
    • Weighing of 0-71 mos. old children
    • Micronutrient Supplementation
    • a. Vit. A - 9-11 mos. old – 100,000iu
    • - 12-59 mos. old – 200,000iu
    • - pregnant mothers – 10,000iu
    • - post partum mothers
    • 200,000iu (w/in 1 mo. After delivery)
    • - children w/ chronic diarrhea
    • - children w/ measles
    • b. Iron supplementation
    • - low birth weight babies (LBW)
    • - IDA cases
    • - severe & moderate malnourished
    • children
    • - pregnant mothers
    • - lactating mothers
    • c. Iodine Supplementation :
    • - Promotion of iodized salt
    • Deworming - 3-7 yrs. old children
    • Nutrition Education & Diet Counselling
    • Food Supplementation (if food supplements are available – for malnourished children )
    • Growth Monitoring Area
    • - 3 rd important area for child health care. The child’growth is monitored and recorded using the Growth Monitoring Chart/Card which is given to the mother as soon as the newborn is registered. The card shows the programs of the child’s growth and other information about the child such as illness, immunization, supplemental, feeding, vitamin supplementation etc.
    • The Life span of a smear positive case is about 2 years during which- time he can infect about twenty other people. On the other hand, during the first 2 weeks of the D.O.T.S 6-month treatment, 6 out of 10 patients are rendered non-infectious .
  • D.O.T.S strategy consists of 4 elements which include :
    • Adequate supply of drugs
    • Treatment partners who see to it that TB clients are taking their medications daily
    • Training of all health implementors
    • Political will of the Local Gov’t Executives as committed partners of this strategy.
    • Smear + TB patients are referred to physician who explains his disease & determines his category of treatment.
    • The patients then go to the nurse for initiation of treatment, who gives additional information about his medications, possible side effects & schedule of sputum follow-up examination.
    • A treatment partner (nurse, midwife, BHW) assigned to each patient who will supervise him as he takes his medicaiton everyday once treatment is started.
    • Each TB patient is allocated complete set of anti-TB drugs for the whole duration of treatment.
    • Assessment of treatment is done for all patients to determine cure.
  • EXPANDED PROGRAM ON IMMUNIZATION 1 9 months Measles Measles 3 6 weeks Hepatitis B Hepatitis B 4 weeks 3 6 weeks Oral Polio Polio 4 weeks 3 6 weeks DPT Diptheria, Pertussis, Tetanus 1 Birth or anytime after Birth BCG Tuberculosis Minimum Interval Bet. Doses No. of Doses Minimum Age at 1 st Dose Vaccine Disease
    • Family Planning is the voluntary and positive act of couples to plan and decide the number of children they want and when they want to have them.
    • It is deciding :
    • The number of children a married couple wants
    • When to have the next baby
    • To use responsible means to achieve the couples desired number of children
    • To seek help so the childless couple will have children
    • Program Methods :
    • A. Temporary Methods :
    • Natural Family Planning Methods
    • 1.a Cervical Mucus Method
    • 1.b Basal Body Temperature
    • 1.c Symptothermal Method
    • Pills
    • Intra Uterine Devise
    • DMPA
    • Condom
    • Lactaional Amenorrhea Method (LAM)
  • B. Permanent Methods :
    • Bilateral Tubal Ligation
    • (BTL- Femal Stelization)
    • 2. Vasectomy
    • Other Services/
    • Reproductive Health Care :
    • Knowing & Treating Reproductive Tract Infections
    • PAP Smear
    • Breast Examination
    • Counseling in Family Planning
    • Water sanitation – assist in the provision and maintenance of safe and adequate water supply to the community.
    • Excreta and sewage disposal-Assists in the provision and maintenance of sanitary disposal facilities for human excrement and sewage.
    • c.) Food sanitation – Assists in the provision of safe and wholesome food to consumers through proper enforcement of sanitary rules and regulation and training of food operators and food handlers.
    • d.) Solid waste management – Helps and promotes in the provision of sanitary storage facilities, and proper collection and disposal of solid waste either by individual, group or municipal system.
    • e.) Insect and vermin control – Assists in the elimination of breeding and harborage places and conducts of guides organized control program.
    • f.) Public place sanitation - Assists in the provision of sanitary facilities and maintenance of the sanitary condition in public places such as schools, public buildings, parks, playground, public transports, air and sea ports, swimming pools, bars, hotels, amusement and recreational centers, etc.
    • g .) Environmental protection – Establishes close working relation with the environmental protection agencies such as the National Air and Water Pollution Control Commission, Industrial Hygiene Division, Bureau of Health Services and other related agencies.
    • h.) Routine inspection – Carries our routine inspection in accordance with the standard frequency for the different fields of environmental sanitation, using the prescribed non-routine inspection from time to time as the need arises.
  • i.) Health Education – Assists in the implementaiton of health education activities. j.) Referral – Gives technical advice and guidance along environmental health to midwives/public health nurses in their assignment areas, when needed.
    • Active Case Finding (Weekly Smearing)
    • Treatment of Positive Cases
    • Counselling/Contact Tracing/Partner Notification
    • Health Educatoin (Seminar-Orientation STD-HIV/AIDS Prevention and Control
    • Weekly monitoring of females working in establishments
    • Special Surveillance activities
    • a) HIV Serologic Surveillance (HSS)
    • b) HIV Behavioral Sentinel Surveillance (BSS)
    • Active case finding (night blood examination)
    • Treatment of cases
    • Health Education on Filariasis Transmission Prevention and Control
    • A.) Preventive :
    • a.1 Oral Health Examination
    • (chairside instructions, proper ` toothbrushing techniques)
    • a.2 Oral Prophylaxis
    • (periodic cleaning of teeth done
    • usually every after 6 mos.)
  • a.3. Pit & Fissure Sealant Application (school children ages 6 & above) a.4 Flouridization (mouth rinsing of flouride to school children)
    • B.) Curative
    • b.1 Dental Extraction/tooth extraction
    • b.2 Restorative filling
    • (temporary & permanent restoration of decayed teeth)
  • Integrated Management of Childhood Illness (IMCI) Addressing the overall health of the child
    • A Joint WHO/UNICEF initiative since 1992
    • Currently focused on first level health facilities
    • Comes as a generic guidelines for management which have been adapted to each country
  • Objectives
    • To reduce death and the frequency and severity of illness and disability
    • To contribute to improved growth and development of children
  • IMCI components and intervention areas
    • Case management standards & guidelines
    • Training of facility-based public health care providers
    • IMCI roles for private providers
    • Maintaining competence among trained health workers
    • District planning and management
    • Availability of IMCI drugs
    • Organization of work at healht facilities
    • Quality improvement and supervision at health facilities
    • Referral pathways and services
    • Health information Systems
    • IMCI and health sector reforms
    • Appropriate careseeking
    • Nutrition
    • Home case management and adherence to recommended treatment
    • Community involvement in health services planning and monitoring
    Improving health worker skills Improving Health Systems Improving family & community practices
    • Exclusively breastfeed infants up to about six months. (Mothers found to be HIV positive require counseling about possible alternatives to breastfeeding.
    • Starting at about six months of age, feed children freshly prepared energy and nutrient rich complementary foods, while continuing to breastfeed up to two years or longer.
    • 3. Ensure that children receive adequate amounts of micro-nutrients (Vitamin A and iodized salt) through supplementation.
    • Dispose feces, including that of the children, safely and properly.
    • Wash hands with soap and water : before and after preparing meals; before and after eating meals; before and after feeding children; after defecation and disposal of feces.
    • 6 . Prevent Dengue Fever by:
    • Proper disposal of unwanted containers
    • which collect water
    • Regular emptying and cleaning of usable water containers in the house
    • Cover all water containers with tight lids.
    • 7. Take children for immunization as scheduled to be fully immunized (BCG, 3 doses of DPT and OPV and measles) before the first birthday.
    • Protect children in malaria-endemic areas by ensuring that they sleep under insecticide-treated mosquito nets.
    • Promote mental and social development by responding to a child’s needs for care through talking and providing a stimulating environment as early as the first trimester of pregnancy.
    • Continue to feed complete complementary food and offer more fluids including breastmilk to children when they are sick
    • 11. Give children appropriate home treatment for common illnesses.
    • 12. Recognize when to bring sick children for treatment and care from appropriate health providers.
    • Follow the health worker’s advice about treatment, follow-up and referral.
    • Ensure that every pregnant woman ahs adequate prenatal check-up at least once in every trimester an once on the ninth month with an appropriate health care provider and receiving the recommended doses of tetanus toxoid vaccination. The mother also needs support form her family and community in seeking care at the time of delivery and during the postpartum and lactation period .