The prayer requests guidance and help from Jesus for an upcoming examination. It asks Jesus to help the person feel at ease, think clearly without panicking or guessing, and give their best effort. It prays for enlightenment, divine assistance, and the best results from working to their full ability with Jesus' help.

1. Prayer Before ExaminationDear 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 RATIOBy: 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 IMPERATIVESChanges exerting pressures on the Public Health Systems:Shift in demographic & epidemiological trends in diseaseNew technologies for health care, communication & informationExisting & emerging environmental hazards associated with globalization.Health Reforms

8. Determinants of Health as listed by WHO:1. Gender-men & women suffer diseases2. Physical Health Environment-safe water supply & clean air3. Personal behavior & coping skills-healthy lifestyle4. Income and social status 5. Employment & working conditions6. Culture-customs & traditions7. Reduced Health Services-access & use8. Inheritance/Genetics9. Education-low education are link to poor health10. Social support network-greater family support better

9. Determinants of Health as listed by WHO:1. Gender-men & women suffer diseases2. Physical Health Environment-safe water supply & clean air3. Personal behavior & coping skills-healthy lifestyle4. Income and social status 5. Employment & working conditions6. Culture-customs & traditions7. Reduced Health Services-access & use8. Inheritance/Genetics9. Education-low education are link to poor health10. 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. POLITICALSafetyOppressionPeople EmpowermentSOCIOECONOMICEmploymentEducationHousingBEHAVIORCultureMoresEthnic CustomsOLOFIndividualsFamily GroupsCommunitiesPopulationsENVIRONMENTAir, FoodWater WasteUrban/RuralNoiseRadiationPollutionHEREDITYGeneric Endowment - Defects -Strengths -Risks Familial ,EthnicRacialHEALTH CAREDEL. SYSTEMPromotivePreventiveCurativeRehabilitative

12. JACOBSON learned practice in a wide/huge variety of community services supports OLOF

13. RUTH FREEMANIs 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 capabilityRole of a Public Health Nursea. 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 Modeli. Recorder/Statistician

15. Level of ClienteleIndividual – 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 decisionsLevel of Clientele Population Group – common characteristics development stagehealth problem need or concern a. infants & young children b. school age c. adolescents vulnerable group d. mothers e. males f. old people

26. HANLONDedicated 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 responsibility8Millennium Development Goals are as follows:Eradicate extreme poverty & hungerAchieve universal primary educationPromote gender equality& empower womenReduce child mortalityImprove maternal healthCombat HIV/AIDS, malaria & other diseasesEnsure environmental sustainabilityDevelop 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 & hungerAchieve universal primary educationPromote gender equality& empower womenReduce child mortalityImprove maternal healthCombat HIV/AIDS, malaria & other diseasesEnsure environmental sustainabilityDevelop a global partnership for development

31. 8 Millennium Development Goals are as follows:Eradicate extreme poverty & hungerAchieve universal primary educationPromote gender equality& empower womenReduce child mortalityImprove maternal healthCombat HIV/AIDS, malaria & other diseasesEnsure environmental sustainabilityDevelop a global partnership for development

32. Core Business of Public HealthDisease ControlHealth ProtectionHealthy Public Policy – EnvironmentInjury PreventionEquitable Health Gain - promotion

36. Participationof all members in the society bothdeveloping and developed countries is required

37. The Health Sector Reform Agenda (HSRA) implemented through FOURmula ONE

38. DOHVision - Leader - staunch advocate - model in promoting health for all Mission - guarantee equitable sustainable HEALTH FOR ALL quality Overriding goal of the DOHHealth 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’sInappropriate health delivery systemInadequate regulatory mechanism (poor health quality)Insufficient financing

40. FOURmulaOne1. 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 COPARCommunity working to solve its own problemDirection is established internally and externallyDevelopment and implementation of a specific project less important than the development of the capacity of the community to establish the projectGOAL: - SELF-RELIANTE COMMUNITY- DEVELOP COMMUNITY

49. Importance of COPARCOPAR maximizes community participation and involvementCOPAR could be an alternative in situations wherein health interventions in Public Health Care do not require direct involvement of modern medical practitionersCOPAR gets people actively involved in selection and support of community health workersThrough COPAR, community resources are mobilized for selected health servicesCOPAR improves both projects effectiveness during implementation

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 otherClientele which will be the GOAL OF CAREIndividualFamilyCommunityPopulation group- Dynamic- Ongoing interpersonal process

56. ASSESSMENT: The first major phase of nursing processMeasure status of the clientSTEPS:Initiate contact, show caring behavior, establish trustCollection of dataIdentify 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 ACTIONBlueprint of the careBased on actual problems potential problems STEPS:Prioritize needsGoal Setting based on needs and capabilities – intent that gives direction to action (SMART)Constructing a Plan of Action – selecting appropriate and available resources for careDeveloping operational plan - Develop evaluation parameters

59. Formula: (Score/Highest Score) x weight

61. IMPLEMENTATION OF PLANNED CAREInterventions

62. Involve the patient and his familyActivities:Put nursing plan to actionCoordinate care/servicesUtilize community resourcesDelegateMonitor health services providedProvide health education and trainingDocument 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 ActivitiesNursing auditOutcome of careAssessment of problemsIdentify needed alterationsRevise plans