Community health

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  • 1. COMMUNITY HEALTH/ PUBLIC HEALTHDR. C.E. WINSLOWsci and art of preventing dse, prolonging life,promoting health & efficiency throughorganized community effort….…so organizing these benefits as TOENABLE EVERY CITIZEN TO REALIZE HISBIRTHRIGHT TO HEALTH ANDLONGEVITY.
  • 2. According to WHO PUBLIC HEALTH - the ART OF APPLYING SCIENCE in the CONTEXT OF POLITICS so as to REDUCE INEQUALITIES IN HEALTH while ensuring the best health for the greatest number.
  • 3. PUBLIC HEALTHNURSING The practice of nursing in national and local government health departments (which include health centers and rural health units), and public schools. - Standards of Public Health Nursing in the Philippines, 2005
  • 4. Major concepts:  Health promotion  People’s participation towards self- reliance
  • 5. HANLON most effective total dev & life of the indiv & his society
  • 6. PURDOM applies holism in early years of life, young, adults, mid year & later prioritizes the survival of human being
  • 7. Theoretical bases of CHNpracticeTheories and principles:  Nursing  PH
  • 8. Community health nsg—byDr. Araceli Maglaya  the utilization of the nsg process in the diff levels of clientele- individual, families, pop grps, and comm. concerned with  promotion of health  prevention of dses  disability and rehabilatation
  • 9. Goal:  to raise the level of health of the citizenry by helping comm. & families to cope with the discontinuities in & threats to health in such a way as to maximize their potential for high-level wellness.
  • 10. WHO CHN  Special field of nursing that combines the skills of nsg, PH, and some phases of social assistance & functions as part of the total PH program for the: promotion of health improvement of the conditions in the social and physical environment rehab of illness and disability
  • 11. Jacobson  CHN is learned practice discipline with the ultimate goal of contributing, as individual and in collaboration with others, to the promotion of the client’s optimum level of functioning through teaching & delivery of care.
  • 12. Freeman  CHN is service rendered by a professional nurse with the comm., groups, families, and individual at home, in Health Centers, in clinics, in school, in places of work for the ff:  promo of health  prevention of illness  care of the sick at home and rehab
  • 13. Philosophy Dr. Margaret Shetland philosophy of CHN is based on the WORTH AND DIGNITY of man
  • 14. Basic concepts of CHN primary focus/ emphasis- health promo 7 dses prevention primary goal- self reliance in health or enhanced capabilities ultimate goal- raise level of # of citizenry Philo of CHN- Worth and dignity of man
  • 15.  CHN practices -to benefit ( indiv, fam, special pop, comm.) CHN is integrated and comprehensive CHN are generalists- matter of comm. health work all types and levels of HC
  • 16. Levels of HC:  PHC- comm.  SHC- regional, provincial, district, municipal, and local hosp (complicated sx)  THC- sophisticated med ctr—heart ctr, QI, NKI
  • 17.  Nature of CHN practice requires knowledge on biological, social sciences Implicit in CHN is the nsg practice (ADPIE)
  • 18. Basic principles ofCHN:  The comm. is the patient in CHN, the family is the unit of care and the 4 levels of clientele are:  individual  Pop. grp ( those who share common char, dev stages and common exposure to the problems ex. Children, elderly)  family  community.
  • 19.  In CHN, the client is considered as an ACTIVE partner NOT PASSIVE recipient of care-participatory approach Client- active participant, full involvement recipient care
  • 20.  CHN practice is affected by devts in Health technology, in particular, changes in society, in general. The goal of CHN is achieved through multisectoral efforts- coordinated with other sectors. CHN is a part of health care system and the larger human services system.- Nsg practice, human service
  • 21. Basic Concepts of CHN Primary focus is on health promotx. The comm. H nurse by the nature of her work has the opportunity & responsibility for eval the health status of people & groups & relating them to practice. CHN practice is extended to benefit not only the indiv but the whole family and community. Community health nurses are generalists in terms of their practice through life’s continuum- its full range of health problems and needs.
  • 22.  Contact with the client and/or family may continue over a long period of time which includes all ages and all types of health care. the nature of CHN practice requires that current knowledge derived fr the biological and social sciences, ecology, clinical nsg, and community health organizations be utilized.
  • 23.  The dynamic process of assessing, planning, implementing and intervening, provide periodic measurements of progress, eval, and a continuum of the cycle until the termination of nsg is implicit in the practice of CHN.