ROLE OF NURING
HEALTH IS A STATE OF COMPLETE PHYSICAL
MENTAL SOCIAL WELLBEING AND NOT
MERELY ABSENCE OF DISEASE OR INFIRMITY
AND ITS LEADS TO SOCIALLY & ECONOMICALLY
Causes of poor health
Lack of health facilities
GOALS OF COMMUNITY HEALTH
1.To decrease morbidity and mortality rate.
2.To increase the life span for individuals.
Concept of health
AIMS OF 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
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
OBJECTIVES OF COMMUNITY
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;
-advice on nutrition and child care
-treatment of minor aliments
-providing encouragement and support to mothers
3.provide clinics for treating adults and children for
-referral of major illness
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
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
9.teach and demonstrate healthy ways of living
10.assist in the prevention and control of
11.visit people in their own homes and village to
identify health needs and priorities, and deal with
12.promote the health of school children through
1o.promote the health of the worker-occupational health
14.maintain and promote the health of the elderly and
15.work in close co operation with government and
other local organizations to promote health and
welfare of individuals, families and communities
FUNCTION OF CHN
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
7.collection of information or data from the community
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
11.CHNshould organize a periodic in service education
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
15.CHN assists the family or commuity in making
decisions related to health.
16.CHN should maintain the proper records and
Philosophy of community health
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
4.The great capacity for growth with in all social
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
Characteristics of community
1.Caring relationships and partnerships with families
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. 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.
SCOPE OF COMMUNITY HEALTH
MENTAL HEALTH NURSING
SCHOOL HEALTH NURSING
MCH AND FAMILY PLANNING SERVICES
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
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
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
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
-early diagnosis of disease
-school sanitation,maintenance of health records,follow up and
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.
COMMUNITY HEALTH NURSING
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.
In other words the scope of CHN it is concerned with
the physical, mental, social well being of the whole
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.....
2.Regular health check up
3.Care of the sick and injured
5.rehabilitation of the ill and disabled workers.
7.organization of services to women and children.
7.DOMICILLARY NURSING SERVICES
The areas where domiciliary nursing is practiced in
this country are
-diseases prevention services
-services for illness and accidents
-the scope is limitless for organizing domicillary visits
8.MENTAL HEALTH NURSING
Many developing countries have mental health
These services include
-early diagnosis and treatment
-use of mordern psychotropic drugs and after care
-MHN is yet to be developed in india
9.GERIATRIC NURSING SERVICES
The number of old people increasing in the world
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.
Rehabilitation means restoration of all treated cases to
the highest level of functionalability
Nursing is an important component in the
rehabilitation of the disabled.
DIMENSIONS OF COMMUNITY
A] phyical dimension
i]socio economic dimension
DIMENSION OF COMMUNITY
DETERMINANTS OF COMMUNITY
Behavioural and sociocultural condition
Aging of the population
Science and technology
Information and communication
Equity and social justice
Determinants of health
General socio -
Living and working
Individual life style
factors, age, sex