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Community health nursing gihs

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community health nursing,public health,health

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Community health nursing gihs

  1. 1. COMMUNITY HEALTH NURSING K. THILAGAVATHI VIMALA , M.sc (N) LECTURER , DEPARTMENT OF COMMUNITY HEALTH NURSING , GANGA INSTITUTE OF HEALTH SCIENCES , COIMBATORE
  2. 2. OUT LINE  DEFINITION  CAUSES  GOALS  CONCEPTS  AIMS  FUNCTIONS  OBJECTIVES  PRINCIPLES  PHILOSOPHY
  3. 3. OUT LINE  CHARECTERISTICS  SCOPE  DIMENSIONS  DETERMINANTS  ROLE OF NURING
  4. 4. HEALTH IS A STATE OF COMPLETE PHYSICAL MENTAL SOCIAL WELLBEING AND NOT MERELY ABSENCE OF DISEASE OR INFIRMITY AND ITS LEADS TO SOCIALLY & ECONOMICALLY PRODUCTIVE LIFE
  5. 5. Causes of poor health Socio- economical Lack of health facilities envirnomental
  6. 6. GOALS OF COMMUNITY HEALTH  1.To decrease morbidity and mortality rate.  2.To increase the life span for individuals.
  7. 7. Concept of health Concept of health Biomedical ecological psychological holistic
  8. 8. AIMS OF COMMUNITY HEALTH NURSING AIMS CH TO IMPROVE QUALITY OF LIFE TO IMPROVE STANDARD OF LIVING TO STRENGTHEN SELFCARE ACTIVITES OF INDIVIDUALS TO REDUCE RISK FACTORS
  9. 9. COMMUNITY HEALTH  COMMUITY HEALTH-refers to the healthy status of the member of the community to solve the problems affecting their health and to the totality of a health care provided for the community
  10. 10. COMMUNITY HEALTH NURSING  COMMUNITY HEALTH NURSING is a synthesis of nursing and public health practice applied to promoting and preserving the health of the people
  11. 11. OBJECTIVES OF COMMUNITY HEALTH 1.Provide antenatal, maternity and postnatal care to ensure safe pregnancy ,delivery and puerperium for the mother and child. 2.Provide under fives’clinics for; -immunization -Developmental assessment -advice on nutrition and child care -treatment of minor aliments -providing encouragement and support to mothers
  12. 12.  3.provide clinics for treating adults and children for  -minor aliments  -referral of major illness  4.Health education  5.provide facilities for family planning  6.teach the correct use of common medicines and drugs and the dangers of buying medicines at the chemist and market
  13. 13.  7.explain and promote the use of local health services in the community ,advising people to seek health care from safe ,qualified health personnel  8.promote projects in the community that will improve life for the people there eg.women’s cooperatives,literacy programmes,provision of safe water.  9.teach and demonstrate healthy ways of living  10.assist in the prevention and control of communicable disease.
  14. 14.  11.visit people in their own homes and village to identify health needs and priorities, and deal with the,effectively.  12.promote the health of school children through health services. 1o.promote the health of the worker-occupational health
  15. 15.  14.maintain and promote the health of the elderly and handicapped  15.work in close co operation with government and other local organizations to promote health and welfare of individuals, families and communities
  16. 16. FUNCTION OF CHN  1.home visiting  2.running child welfare clinic  3.running family planning clinic or assisting  4.assist in running ANC andPNC  5 conducts school health services  6.carries out or assist the PHN in inspection of day care centres  7.collection of information or data from the community  8.health education  9.record keeping
  17. 17. PRINCIPLES OF CHN  1.Community health nursing services should be planned according to the needs of the community  2.community health nurse should be qualified either as diploma or graduate or post graduate in nursing  3.community health nurse should not accept any gift or bribes from the patient and their relatives  4.CHN should follow the policy of the agency,where she/he appointed  5.CHN should not not belongs to political group.  6.there should be proper facilities andjob conditions  7CHNshould function/serve as important member of health team.  8.CHN should maintain professional relationship with all the leaders of the community  9.CHN should follow ethics while working in the community  10.CHN should keep continuous contact with the individual,family,community.
  18. 18. Con...t  11.CHNshould organize a periodic in service education programme  12.supervision and guidance are needed to help the workers to produce a high quality of work.(follow up)  13.health services are available and acceptable to all people with out any discrimination.  14.CHN should create an awareness among community througth education to promote the health of the community.  15.CHN assists the family or commuity in making decisions related to health.
  19. 19. Con..t  16.CHN should maintain the proper records and reports
  20. 20. Philosophy of community health nursing  1.The essential dignity and worth of the individuals.  2.The possession by individuals of potentialities and resources for managing their own lives.  3.The importance of freedom to express one’s individuality.  4.The great capacity for growth with in all social beings
  21. 21. Con..t  5.The light of an individual for basic necessities.  6.The need for individuals to struggle and strive to improve their life and envirnment.  7.The right of the individuals to be helped in times of need and crisis
  22. 22. Characteristics of community health nursing  1.Caring relationships and partnerships with families and communities.  2.People are seen as essential participants in the process of promoting health and preventing illness.  3.participant and facilitator rather than just a dispenser of medications or information.  4Focus on empowerment of families and community.Allows the communities and families acquire skills and knowledge so that they can participate in discision making about their health.  5.
  23. 23. Con..t  5. Focus on the population and sub populations  6.mutual respect and cooperation from both care giver and receiver of care to help empower the people.
  24. 24. SCOPE OF COMMUNITY HEALTH NURSING  INDUSTRIAL NURSING  DOMICILIARY NURSING  MENTAL HEALTH NURSING  SCHOOL HEALTH NURSING  MCH AND FAMILY PLANNING SERVICES  NURSING CARE  HOME CARE  GERIATRIC CARE  REHABILITATION CENTRE
  25. 25. Scope  The scope of community health nursing includes health promotion ,illness prevention and restoration of health of individuals,families,and communities  The scope of nursing is wide;there is still a much wider scope for a nurse .  Nurse can work in different place, such as home care, nursing home ,school health centre,old age home,industries.
  26. 26. HOME CARE  Extended nursing care services are received by number of patient at their home when hospital are overcrowded for admitting the patients who reguire indoor care or when a patient is in need of isolated treatment.even preventive and promotive services are provided to the people at their home to maintain and achieve health.
  27. 27. NURSING HOME The nursing home are privately run .they have better medical care facilities than the goverment hospitals because they charge more fees.the nursing component in nursing home is generally well catered for .
  28. 28. SCHOOL HEALTH NURSING  The nurse she can also work as SHN in school.  The SHN renders services  1.to prevent diseases.  2.to promote and maintain good health of the school children’s  The school health programmes are carried out by PHC .  The nurse provides her services in the area likes –health education, -early diagnosis of disease -immunization. -first aid -dental health -school sanitation,maintenance of health records,follow up and referral services.
  29. 29. MCH AND FAMILY PLANNING  The public health nurse plays a major role in the MCH and FP services  It consists antenatal,post natel ,child care services.  Nurse can easily motivate the mothers to accept the FP methods and gain their cooperation in adopting to a small family norm.
  30. 30. COMMUNITY HEALTH NURSING SERVICES  The CHN includes nursing care of the family in sickness and health .  The CHN should be able to .....  1.to provide PHC in the community  2.to conduct routine antenatal and postnatal visits and to conduct deliveries when required 3.to carry out immunization  4.to promote health of the children by conducting under five clinic.and referring cases who require medical care.  5.to assess the social envirnomental and nutritional needs of the community. And get the help of social workers to meet these needs.
  31. 31. SCOPE CHN  In other words the scope of CHN it is concerned with the physical, mental, social well being of the whole community.
  32. 32. INDUSTRIAL NURSING SERVICES  the nurse can also work in industries. So many nurse are work in industries, where 500 are more worker are employed. In industries –there is necessary for appointment of medical staff and nursing staff in factories. The nursing services in industries are..... 1.First aid 2.Regular health check up 3.Care of the sick and injured 4industrial safety.
  33. 33.  5.rehabilitation of the ill and disabled workers.  6.administration  7.organization of services to women and children.
  34. 34. 7.DOMICILLARY NURSING SERVICES  The areas where domiciliary nursing is practiced in this country are  -maternity services  -health supervision  -diseases prevention services  -services for illness and accidents  -the scope is limitless for organizing domicillary visits
  35. 35. 8.MENTAL HEALTH NURSING SERVICES  Many developing countries have mental health services today.  These services include  -early diagnosis and treatment  -rehabilitation  -psychotherapy  -use of mordern psychotropic drugs and after care services  -MHN is yet to be developed in india
  36. 36. 9.GERIATRIC NURSING SERVICES  The number of old people increasing in the world today.  The need of old is different and they need more care than the younger age groups.  In many countries the old age people are visited by the nurses and other health care workers.
  37. 37. 10.REHABILITATION CENTRES  Rehabilitation means restoration of all treated cases to the highest level of functionalability  Nursing is an important component in the rehabilitation of the disabled.
  38. 38. DIMENSIONS OF COMMUNITY HEALTH A] phyical dimension B]mental dimension C]social dimension D]spiritual dimension E]emotional dimension F]vocational dimention G]philosophical dimention H]cultural dimention i]socio economic dimension
  39. 39. DIMENSION OF COMMUNITY HEALTH  J]environmental dimension  K]educational dimension  L]nutritional dimension  M]curative dimension  N]prevention dimension
  40. 40. DETERMINANTS OF COMMUNITY HEALTH  Biological determinants  Behavioural and sociocultural condition  Envirnoment  Socioeconomic condition  Health services  Aging of the population Gender Otherfactors are  Science and technology  Information and communication  Equity and social justice  Human right
  41. 41. Determinants of health General socio - economic, cultural and environmental condition Living and working condition Social and community influences Individual life style factors, age, sex ,hereditary factors
  42. 42. ROLE OF NURSE
  43. 43. THANK YOU

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