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Prayer Before Examination<br />Dear Jesus,<br />Today I will have my examination.<br />You know how important this is to m...
Today, O my Jesus,<br />I will take my examination.<br />Let me, with Your help, give my best effort.<br />Let me, because...
Please never let me resort to chances, nor to dishonesty, but let me work to the best of my ability.<br />I pray for Your ...
17.A nurse is assessing a child admitted to the hospital with a diagnosis rheumatic fever. The child is accompanied by the...
CHN RATIO<br />By: RandelDalauta<br />
Public Health Nursing (Winslow)-”science and art of preventing disease, prolonging life, promoting health and efficiency t...
GLOBAL & COUNTRY HEALTH IMPERATIVES<br />Changes exerting pressures on the Public Health Systems:<br />Shift in demographi...
Determinants of Health as listed by WHO:<br />1. Gender-men & women suffer diseases<br />2. Physical Health Environment-sa...
Determinants of Health as listed by WHO:<br />1. Gender-men & women suffer diseases<br />2. Physical Health Environment-sa...
WHO<br /> ”the art of applying science in the context of politics so as to reduce inequalities in health while ensuring th...
POLITICAL<br />Safety<br />Oppression<br />People Empowerment<br />SOCIO<br />ECONOMIC<br />Employment<br />Education<br /...
JACOBSON<br />  learned practice in a wide/huge variety of community services<br /> supports OLOF<br />
RUTH FREEMAN<br />Is a service rendered by a professional nurse with the community, groups, families and individuals at ho...
 general			- enhancing people capability</li></li></ul><li>Role of a Public Health Nurse<br />a. Planner/Programmer<br />	...
Level of Clientele<br />Individual – entry point to the family and care<br />- least important<br /> Family – basic unit o...
Level of Clientele<br /> Community –  common   	    geographical boundaries<br />					    values<br />					    interest<br...
  conserve natural resources
  recognition of subgroups
  participation of subgroups
  prepared to meet crisis
  ability to solve problems
  channels of communication
  available resources
  resolve disputes
  allow citizen to participate in decisions</li></li></ul><li>Level of Clientele<br />  Population Group – common   charac...
HANLON<br />Dedicated  to the highest level of physical, mental, social well being<br /> 3 A’s  - Accessible	DEVELOPMENT O...
United Nations General Assemblyadopted a common vision of poverty reduction and sustainable development in September 2000 ...
Primary Health Care(Alma Ata, USSR Sept. 1978)<br />Main concepts:<br /><ul><li>essential health care based on practical, ...
Primary Health Care(Alma Ata, USSR Sept. 1978)<br /> “health for all by year 2000,<br />		health in the hands of the peopl...
8 Millennium Development  Goals are as follows:<br />Eradicate extreme poverty & hunger<br />Achieve universal primary edu...
8 Millennium Development  Goals are as follows:<br />Eradicate extreme poverty & hunger<br />Achieve universal primary edu...
Core Business of Public Health<br />Disease Control<br />Health Protection<br />Healthy Public Policy – Environment<br />I...
Participationof all members in the society both<br />developing and developed countries is required<br />
The Health Sector Reform Agenda (HSRA) implemented through FOURmula ONE<br />
DOH<br />Vision    -  Leader<br />		        -  staunch advocate<br />		        -  model in promoting health for all  <br /...
Health Sector Reform Agenda (HSRA)<br />RATIONALE :<br /> 1. Heavy burden on the poor in maintaining health<br /> 2. Sudde...
FOURmulaOne<br />1. Health financing<br /> 2. Health regulation - quality & affordability<br /> 3. Health service delivery...
Health promotion (1980’s)<br /><ul><li>process of enabling people to increase control over their health and its  determina...
 an approach to  fulfill alma ata goals which is health for all in 2000
Focuses on determinants of health and not the manifestations of illness
recognizes that people’s health is affected by a broad range of factors (determinants) beyond their individual genetic makeup
 helping poor people protect their health and prevent illness
Goal: increase wellness level in which enhance health full potential</li></li></ul><li>
GAYLORD<br /> Organized community program designed to PROLONGED LIFE by preventing unnecessary illness<br />
COPAR<br />(Community Organizing Participatory Action Research) <br /><ul><li>is a social development approach that aims t...
 	Importance of COPAR<br />COPAR maximizes community participation and involvement<br />COPAR could be an alternative in s...
PURDOM<br />  Public health pertains to all phases of human development<br />
 MAGLAYA<br />  utilization of nursing process<br />  APIE, FNCP<br />
Community Health Nursing Process  <br />	-  Systemic<br />	-  Scientific				      nurses and client as a 					           s...
ASSESSMENT:<br /> The first major phase of nursing process<br />Measure status of the client<br />STEPS:<br />Initiate con...
Foreseeable crisis <br />	1. Marriage<br />	2. Pregnancy<br />	3. Parenthood<br />	4. Additional family<br />	5. Entrance ...
PLANNING NURSING ACTION<br />Blueprint of the care<br />Based on        actual problems<br />	                   potential...
Formula: (Score/Highest Score) x weight<br />
IMPLEMENTATION OF PLANNED CARE<br /><ul><li>Interventions
Involve the patient and his family</li></ul>Activities:<br />Put nursing plan to action<br />Coordinate care/services<br /...
 EVALUATION OF CARE & SERVICES PROVIDED<br /> <br />Framework:<br />	S-tructural elements- physical setting, instruments, ...
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Chn Ratio

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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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Transcript of "Chn Ratio"

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

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