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CHN lectue and rationale

CHN lectue and rationale

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  • Hello, Sir Randel! Can you send me a copy of this? I'm currently reviewing for December NLE. Here's my email address: rcdelossantos.1992@ymail.com

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  • can u send me a copy?badly needed. thnx. vicoi_13@yahoo.com
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  • 1. Prayer Before Examination
    Dear Jesus,
    Today I will have my examination.
    You know how important this is to me.
    So, I am humbly asking Your gracious help and divine assistance.
     
    I pray to You, my dear Jesus.
    Please never let me panic nor get nervous.
    Just let me be at ease and give my very best.
    Please never let me guess nor rely on pure luck, but enlighten my mind and let me think clearly.
  • 2. Today, O my Jesus,
    I will take my examination.
    Let me, with Your help, give my best effort.
    Let me, because of You, receive the best and
    Fruitful results, Amen.
  • 3. Please never let me resort to chances, nor to dishonesty, but let me work to the best of my ability.
    I pray for Your guidance so that I may be able to answer correctly the questions, and solve the difficult problems.
    I ask, O Lord, Your intercession so that, I may not be careless or overconfident as I write, I may not be more distracted but be more concentrated, I may not be in hurry nor take the exams too lightly.
  • 4. 17.A nurse is assessing a child admitted to the hospital with a diagnosis rheumatic fever. The child is accompanied by the mother. The initial nursing question that the nurse would ask during assessment is which of the following?
    “Has the child had difficulty urinating?”
    “ Has any family member had a sore throat within the past few weeks?”
    “Has any family member had gastrointestinal disorder in the past few weeks?”
    “Has the child been exposed to anyone with chikenpox
  • 5. CHN RATIO
    By: RandelDalauta
  • 6. Public Health Nursing (Winslow)-”science and art of preventing disease, prolonging life, promoting health and efficiency through organized community effort for the sanitation of the environment, control of communicable disease, the education of individuals in personal hygiene, the organization of medical and nursing services for the early diagnosis and preventive treatment of disease & the development of social machinery to ensure everyone a standard of living adequate for the maintenance of health, so organizing these benefits as toenable every citizen to realize his birthright of health and longevity.”
  • 7. GLOBAL & COUNTRY HEALTH IMPERATIVES
    Changes exerting pressures on the Public Health Systems:
    Shift in demographic & epidemiological trends in disease
    New technologies for health care, communication & information
    Existing & emerging environmental hazards associated with globalization.
    Health Reforms
  • 8. Determinants of Health as listed by WHO:
    1. Gender-men & women suffer diseases
    2. Physical Health Environment-safe water supply & clean air
    3. Personal behavior & coping skills-healthy lifestyle
    4. Income and social status
    5. Employment & working conditions
    6. Culture-customs & traditions
    7. Reduced Health Services-access & use
    8. Inheritance/Genetics
    9. Education-low education are link to poor health
    10. Social support network-greater family support better
  • 9. Determinants of Health as listed by WHO:
    1. Gender-men & women suffer diseases
    2. Physical Health Environment-safe water supply & clean air
    3. Personal behavior & coping skills-healthy lifestyle
    4. Income and social status
    5. Employment & working conditions
    6. Culture-customs & traditions
    7. Reduced Health Services-access & use
    8. Inheritance/Genetics
    9. Education-low education are link to poor health
    10. Social support network-greater family support better
  • 10. WHO
    ”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.”
  • 11. POLITICAL
    Safety
    Oppression
    People Empowerment
    SOCIO
    ECONOMIC
    Employment
    Education
    Housing
    BEHAVIOR
    Culture
    Mores
    Ethnic Customs
    OLOF
    Individuals
    Family Groups
    Communities
    Populations
    ENVIRONMENT
    Air, Food
    Water Waste
    Urban/Rural
    Noise
    Radiation
    Pollution
    HEREDITY
    Generic Endowment
    - Defects
    -Strengths
    -Risks
    Familial ,Ethnic
    Racial
    HEALTH CARE
    DEL. SYSTEM
    Promotive
    Preventive
    Curative
    Rehabilitative
  • 12. JACOBSON
    learned practice in a wide/huge variety of community services
    supports OLOF
  • 13. RUTH FREEMAN
    Is a service rendered by a professional nurse with the community, groups, families and individuals at home, in health centers, in clinics, in school, in places of work for the promotion of health, prevention of illness, care of the sick at home & rehabilitation
    • comprehensive - no discrimination; free for all
    • 14. general - enhancing people capability
  • Role of a Public Health Nurse
    a. Planner/Programmer
    b. Provider of Nursing Care
    c. Manager/Supervisor
    d. Community Organizer
    e. Coordinator of Services GENERALIST
    f. Trainer/Health Educator
    g. Health Monitor
    h. Role Model
    i. Recorder/Statistician
  • 15. Level of Clientele
    Individual – entry point to the family and care
    - least important
    Family – basic unit of a society
    - basic unit of care
    - main caregiver for primary levels of care
    - may not be bound by marriage, blood or adoption
    - sharing emotional closeness and who identified themselves as family
    *main function:
    a. Reproduction
    b. socialization
  • 16. Level of Clientele
    Community – common geographical boundaries
    values
    interest
    - no 2 are alike
    - one affects the other
    - changes is always frequent
    - most important
    characteristics: ( criteria used in intervening)
    • awareness that they are community
    • 17. conserve natural resources
    • 18. recognition of subgroups
    • 19. participation of subgroups
    • 20. prepared to meet crisis
    • 21. ability to solve problems
    • 22. channels of communication
    • 23. available resources
    • 24. resolve disputes
    • 25. allow citizen to participate in decisions
  • Level of Clientele
    Population Group – common characteristics
    development stage
    health problem
    need or concern
    a. infants & young children
    b. school age
    c. adolescents vulnerable group
    d. mothers
    e. males
    f. old people
  • 26. HANLON
    Dedicated to the highest level of physical, mental, social well being
    3 A’s - Accessible DEVELOPMENT OF HEALTH IN ALL ASPECT
    - Acceptable holistic
    - Affordable
  • 27. United Nations General Assemblyadopted a common vision of poverty reduction and sustainable development in September 2000 exemplified by the
    Millennium Development Goals(MDG) based on:freedom,equality,solidarity,tolerance,health respect for nature and shared responsibility
    8Millennium Development Goals are as follows:
    Eradicate extreme poverty & hunger
    Achieve universal primary education
    Promote gender equality& empower women
    Reduce child mortality
    Improve maternal health
    Combat HIV/AIDS, malaria & other diseases
    Ensure environmental sustainability
    Develop a global partnership for development
  • 28. Primary Health Care(Alma Ata, USSR Sept. 1978)
    Main concepts:
    • essential health care based on practical, scientifically
    sound and socially acceptable methods and appropriate technology made universally accessible through the community’s full participation and at cost that is affordable in the spirit of self reliance and self determination.
    4 cornerstones/pillars in PHC
    Intra and inter- sectoral linkages
    Support Mechanism Available
    Active Community Participation
    Appropriate technology use
  • 29. Primary Health Care(Alma Ata, USSR Sept. 1978)
    “health for all by year 2000,
    health in the hands of the people by 2020”
  • 30. 8 Millennium Development Goals are as follows:
    Eradicate extreme poverty & hunger
    Achieve universal primary education
    Promote gender equality& empower women
    Reduce child mortality
    Improve maternal health
    Combat HIV/AIDS, malaria & other diseases
    Ensure environmental sustainability
    Develop a global partnership for development
  • 31. 8 Millennium Development Goals are as follows:
    Eradicate extreme poverty & hunger
    Achieve universal primary education
    Promote gender equality& empower women
    Reduce child mortality
    Improve maternal health
    Combat HIV/AIDS, malaria & other diseases
    Ensure environmental sustainability
    Develop a global partnership for development
  • 32. Core Business of Public Health
    Disease Control
    Health Protection
    Healthy Public Policy – Environment
    Injury Prevention
    Equitable Health Gain - promotion
  • 33.
  • 34.
  • 35.
  • 36. Participationof all members in the society both
    developing and developed countries is required
  • 37. The Health Sector Reform Agenda (HSRA) implemented through FOURmula ONE
  • 38. DOH
    Vision - Leader
    - staunch advocate
    - model in promoting health for all
    Mission - guarantee equitable
    sustainable HEALTH FOR ALL
    quality
    Overriding goal of the DOH
    Health Sector Reform Agenda (HSRA)
  • 39. Health Sector Reform Agenda (HSRA)
    RATIONALE :
    1. Heavy burden on the poor in maintaining health
    2. Sudden rise in diseases
    3. Rise in IMR and MMR
    4. Abrupt increase in chronic and degenerative disease
    REASON: 3 I’s
    Inappropriate health delivery system
    Inadequate regulatory mechanism (poor health quality)
    Insufficient financing
  • 40. FOURmulaOne
    1. Health financing
    2. Health regulation - quality & affordability
    3. Health service delivery - accessibility
    - availability
    4. Health good governance
  • 41. Health promotion (1980’s)
    • process of enabling people to increase control over their health and its determinants, so ultimately to improve their health
    • 42. an approach to fulfill alma ata goals which is health for all in 2000
    • 43. Focuses on determinants of health and not the manifestations of illness
    • 44. recognizes that people’s health is affected by a broad range of factors (determinants) beyond their individual genetic makeup
    • 45. helping poor people protect their health and prevent illness
    • 46. Goal: increase wellness level in which enhance health full potential
  • 47. GAYLORD
    Organized community program designed to PROLONGED LIFE by preventing unnecessary illness
  • 48. COPAR
    (Community Organizing Participatory Action Research)
    • is a social development approach that aims to transform the apathetic, individualistic and voiceless poor into dynamic, participatory and politically responsive community.
  • Emphasis of COPAR
    Community working to solve its own problem
    Direction is established internally and externally
    Development and implementation of a specific project less important than the development of the capacity of the community to establish the project
    GOAL: - SELF-RELIANTE COMMUNITY
    - DEVELOP COMMUNITY
  • 49. Importance of COPAR
    COPAR maximizes community participation and involvement
    COPAR could be an alternative in situations wherein health interventions in Public Health Care do not require direct involvement of modern medical practitioners
    COPAR gets people actively involved in selection and support of community health workers
    Through COPAR, community resources are mobilized for selected health services
    COPAR improves both projects effectiveness during implementation
  • 50.
  • 51.
  • 52.
  • 53. PURDOM
    Public health pertains to all phases of human development
  • 54. MAGLAYA
    utilization of nursing process
    APIE, FNCP
  • 55. Community Health Nursing Process
    - Systemic
    - Scientific nurses and client as a system affecting each other
    Clientele which will be the GOAL OF CARE
    Individual
    Family
    Community
    Population group
    - Dynamic
    - Ongoing interpersonal process
  • 56. ASSESSMENT:
    The first major phase of nursing process
    Measure status of the client
    STEPS:
    Initiate contact, show caring behavior, establish trust
    Collection of data
    Identify and categorizes health problems
    -base on typology
    - categorize as:
    a. Health deficit
    b. Health Threat
    c. Foreseeable crisis
  • 57. Foreseeable crisis
    1. Marriage
    2. Pregnancy
    3. Parenthood
    4. Additional family
    5. Entrance at school
    6. Adolescence
    7. Divorce or separation
    8. Loss of job
    9. Death of a member
    10. Resettlement in a new community
  • 58. PLANNING NURSING ACTION
    Blueprint of the care
    Based on actual problems
    potential problems
      
    STEPS:
    Prioritize needs
    Goal Setting based on needs and capabilities – intent that gives direction to action (SMART)
    Constructing a Plan of Action – selecting appropriate and available resources for care
    Developing operational plan -
    Develop evaluation parameters
  • 59. Formula: (Score/Highest Score) x weight
  • 60.
  • 61. IMPLEMENTATION OF PLANNED CARE
    • Interventions
    • 62. Involve the patient and his family
    Activities:
    Put nursing plan to action
    Coordinate care/services
    Utilize community resources
    Delegate
    Monitor health services provided
    Provide health education and training
    Document responses to nursing action
  • 63. EVALUATION OF CARE & SERVICES PROVIDED
     
    Framework:
    S-tructural elements- physical setting, instruments, condition, financial resources/budget, org structure, objectives
    P-rocess elements- steps of nursing process ( involves nursing process APIE)
    O-utcome elements- changes in clients health status resulted from nursing intervention
     
    Activities
    Nursing audit
    Outcome of care
    Assessment of problems
    Identify needed alterations
    Revise plans
  • 64. National Health Situation
    MMR - a major indicator of health status of women
    - death of women while pregnant or with in 42 days of pregnancy termination.
    IMR – one of the most sensitive indicator of health status of a country or community
    TB – poverty index
    SwaroopIndex – another sensitive indicator Health
    - measure death above 50 y.o.
    • new trend from Infectious diseases now are the lifestyle diseases.
  • SANTA LUBBY
    SAMBONG
    (BluMeaBalsaMifera)
    ACAPULKO
    (CAsiaAlata)
    NIYOG-NIYOGAN
    (QuasQualisIndica)
    TSAANG GUBAT
    (cArmonAretusA)
    AMPALAYA
    (mamordicacharantia)
  • 65. LAGUNDI
    (VitexneGUNDO)
    ULASIMANG BATO
    (PeperoniaPellucida)
    BAYABAS
    (PsidiumGUAJAVA)
    BAWANG
    (alliuMsativuM)
    YERBA BUENA
    (MenthaCordifeliA)
  • 66. EPIDEMIOLOGY
    study of the occurrence and spread/distribution of the disease in the community
    Pattern of Disease Occurrence
    Sporadic
    Intermittent occurrence or on-and-off presence of a disease
    Endemic
    Continuous or constant occurrence of a disease in a certain area
    Epidemic
    Sudden increase in the number of cases in a short period of time in a certain area
    outbreak
    Pandemic
    Worldwide epidemic or global outbreak
  • 67. Summary
    • Health Promotion- primary focus of PHN
    • 68. Health teachings- primary responsibility
    • 69. Generalist – in terms of PHN practice
    • 70. referral system – longer period of time contact with the client
    • 71. CHN is population based
    • 72. Mass approach – community focused not individual
    • 73. Health promotion & Health education – goal of CHN/PHN
    • 74. FNCP – focused on Family problems
    • 75. NHCP – entire Country
    • 76. Level of clientele- individual – least important,; entry point of care
    family – basic unit of care
    community – most important
    population group – vulnerable group
    • Comprehensive – available to all regardless of race, color, creed or socio economic
    • 77. Health education/Counseling – integral part of CHN
    • 78. CHN philosophy – upholding the worth & dignity of man
  • * Generalist – function of chn in terms of practice
    * Goal of phn – raise level of health of the citizenry
    * FNCP – blue print in defining family health care
    * NHCP – blue print in defining country’s health care
  • 79. * STI’s 4 C’s
    Counseling Contact tracing
    Compliance Condom
  • 80. * ABC of AIDS
    Abstinence
    Be Faithful
    Condom
    Don’t use drugs
    Education
  • 81. * 3 C’s of DOH clean and safe delivery
    a. clean cord
    b. clean hands
    c. clean surface.
  • 82. *5 Too’s of Pregnancy
    1. too young – 18 y.o
    2. too old – 35 to 65 y.o.
    3. too close – 2 years ( ideal 3 yrs.)
    4. too many – 4 pregnancies ( ideal 3 pregnancies)
    5. too sickly – Hpn, anemia, toxemia
  • 83. Best for baby
    Reduced Allergens
    Easily established
    Always available
    Safe
    Temperature is always right
    Fresh
    Emotional bonding
    Economical
    Digestible
    Immunity
    Nutritious
    GIT d/o decreases
  • 84. Host (man)
    1.change peoples behavior
    (food safety practices)
    3. increase man’s immunity (EPI)
    Agent
    Environment
    2. prevent production of disease agents
    (treatment of waste water)