The bag technique involves using a community health bag carried by nurses to provide care outside of clinical settings. The bag contains basic medications, supplies, and equipment needed for procedures like eye irrigation and wound dressing. It allows nurses to demonstrate care and treatments to patients and families while preventing infection spread. Proper bag cleaning and organization helps ensure supplies are accessible and contamination is minimized during home visits. The bag technique aims to provide total patient and family care through procedures, education, and follow-up outside of clinical facilities.
A home visit is one of the essential parts of the community health services because most of the people are found in a home.
Home visit fulfils the needs of individual, family and community in general for nursing service and health counseling.
A home visit is one of the essential parts of the community health services because most of the people are found in a home.
Home visit fulfils the needs of individual, family and community in general for nursing service and health counseling.
Unit -I : Community Health IntroductionSMVDCoN ,J&K
Special field of nursing that combines the skill of nursing, public health and same phase of social assistance and function as part of the total public health program for the promotion of health, the improvement of the condition in the social & physical environment, rehabilitation of illness & Disability.
Family health services are the central point of health services.
It is an important component of “Health for All” goal.
Health of each individual affects the health of other member of family.
Unit -I : Community Health IntroductionSMVDCoN ,J&K
Special field of nursing that combines the skill of nursing, public health and same phase of social assistance and function as part of the total public health program for the promotion of health, the improvement of the condition in the social & physical environment, rehabilitation of illness & Disability.
Family health services are the central point of health services.
It is an important component of “Health for All” goal.
Health of each individual affects the health of other member of family.
Bag Technique, its Introduction, Definition, objectives, its purposes, principles, indications followed by its supply and equipments in all pockets of the bag
Menstrual waste refers to blood, bodily tissues, and used menstrual absorbents, including cloth, disposable sanitary napkins and other materials used to capture or absorb blood during menstruation. Government and NGOs need to find a way to discover proper emthods to dispose this waste as it can cause various diseases and infections to people coming in contact. See More: https://www.wateraidindia.in/
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According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
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Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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3. DEFINITION
The Community health bag is designed to
carry equipment and material needed
during a visit to the home, school or
factory. Equipment and material are
needed to make tests and to demonstrate
patient care such as eye irrigation,
application of ointments ,medications.
(TNAI)
It contains basic medications and articles
which are necessary for giving care.
4. OBJECTIVES
• The overall objective of using community
health bag in a systematic method is “to be
able to carry out nursing procedures in the
family with improvised equipments articles
available at home, maintaining scientific
and nursing principles which can also be
practiced by the family in her absence”.
5. PURPOSE:
• To prevent spread of infection from one patient
to another and from one place to another by
keeping bag and its contents as clean as
possible.
• To demonstrate the principles of cleanliness to
patients and family members by using the bag
in orderly way.
• To carry out selected procedure,
demonstrations, teaching and follow up
services for patients and family members
6. PRINCIPLES:
• The use of the bag technique should minimize
if not totally prevent the spread of infection
from individuals to families, hence, to the
community.
• Bag technique should save time and effort on
the part of the nurse in the performance of
nursing procedures.
• Bag technique should not overshadow concern
for the patient rather should show the
effectiveness of total care given to an
individual or family.
7. INDICATIONS:
The public health bag is used by public health
nurse to-
• Provide antenatal, intranatal and postnatal
care to mother and child.
• Perform certain diagnostic procedures such
as Hb testing, urine testing for early
detection of high risk cases and provide
timely treatment.
8. CONTD....
• Demonstarte certain Procedures to family
members or community such as preparing
oral dehydration solution (ORS),baby
bath,application of benzyl benzoate in
cases of scabies.
• Provide emergency and first aid services
(+) in case of accidents and minor
ailments.
• Provide and demonstrate care in case of
communicable diseases such as
chickenpox.
9. • Provide follow up services in chronic
illness such as diabetes,paraplegia
or amputation.
• Access the need of individual and
families and give health education
in care of
malnutrition,environmental
hazards,home accidents and
immunization etc
10. The contents of the bag;
Outer pocket: is used f
dairy to maintain
records, clean
paper bags and a
square piece of
newspaper or plastic
sheet to keep the bag
on.
The other one is used
for keeping things for
hand washing
17. Internal compartment:
• These are used for keeping solutions
and medicines for internal and external
use, simple instruments for dressing,
articles for certain procedures such as
temperature taking, urine testing,
antenatal examination and few
additional things for health teaching
32. procedure continue…
After procedure, wash hands under tap
water.
Close the bag.
Remove needed equipment’s.
Remove the apron from the bag and put
it on.
34. procedure continue…
Write a report of what was
observed, what was done,
instructions given.
Close the bag.
Fold used newspaper with
used side inside, and return
to outside pocket.
35. Evaluation and Documentation
• Record all relevant findings about the
client and members of the family.
• Take note of environmental factors which
affect the clients/family health.
• Include quality of nurse-patient
relationship.
• Assess effectiveness of nursing care
provided.
36. Care of the bag
In order to keep the bag ready for use at any
time, observe some of the following
instructions.
• Clean the bag daily,protect from excessive
heat or rain to reserve it in a good condition.
• Replace the drugs,dressing and linen daily in
the bag.
• Empty all the contents,wash the bag with soap
and water once in a week or more frequently
depending on how much it has been used and
dry it the sun.
37. • Wash the non-expendable articles such
as instruments,linen and utensils with
soap and water and boil them.
• Repalce cotton or plastic bags
containing swabs and dressing with
sterile one.
• Check gloves,catheters,thermometer
and glass articles,replace if spoilt or
broken.
• Repack the bag in an orderly way;keep
articles in their usual places to make
them easily traceble.
38. Nurse’s responsibility:-
The bag should
contain all
necessary articles,
supplies and
equipment.
The bag and its
contents should be
cleaned.
The bag and its
contents should be
well protected.