The document discusses health promotion and primary health care. It describes how health promotion emerged in the early 20th century to focus on individual health beyond just disease control. Primary health care was later established based on principles of equity, community participation, and multi-sectoral involvement. The key elements of primary health care include health education, nutrition, sanitation, maternal/child services, immunization, treatment, and essential drugs. Nurses play an important role in primary health care through health education, nutrition programs, sanitation, maternal/child services, immunization, and treating minor ailments. Problems implementing primary health care in India include lack of resources, large population, and inequitable distribution of health services between rural and urban
Telenursing; a current trend in nursing practiceArowojolu Samuel
Telenursing: A seminar presentation by Amu Justina. telenursing in nigeria, challenges of telenursing, components of telenursing. telenursing as a current trend in nursing practice. telemedicine, telenursing.
Nursing Education programs can include one or two practicum courses in nursing education and leadership. In a typical practicum, you might be expected to work with a nurse educator or administrator in an educational setting and help design, implement, and evaluate nursing education programs. Ed.D. practicums are built to accommodate working nurses.
Nursing Education is designed to guide students into high-level nursing education careers. Graduates of this type of program are nurse scholars who go on to find employment in academic institutions, research environments, and other education-based roles.
Telenursing; a current trend in nursing practiceArowojolu Samuel
Telenursing: A seminar presentation by Amu Justina. telenursing in nigeria, challenges of telenursing, components of telenursing. telenursing as a current trend in nursing practice. telemedicine, telenursing.
Nursing Education programs can include one or two practicum courses in nursing education and leadership. In a typical practicum, you might be expected to work with a nurse educator or administrator in an educational setting and help design, implement, and evaluate nursing education programs. Ed.D. practicums are built to accommodate working nurses.
Nursing Education is designed to guide students into high-level nursing education careers. Graduates of this type of program are nurse scholars who go on to find employment in academic institutions, research environments, and other education-based roles.
Introduction to public health, definition, Preventive medicine vs public health, social medicine, community medicine, role of public health, public health practices, core activities
are increasing the importance of environmental ethics has started to take pre...KhalidMdBahauddin
are increasing the importance of environmental ethics has started to take precedence making its global issue. as this issue do not respect National boundaries
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
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
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
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CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
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India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
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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.
2. HEALTH PROMOTION AND PRIMARY HEALTH
CARE
HEALTH PROMOTION
At the beginning of the 20th century, a new concept, the concept of
health “promotion” began to take shape.
It was realized that public health had neglected the citizen as an
individual, and that the state had a direct responsibility for the health
of the individual.
Consequently in addition to disease control activities, one more goal
was added to public health i.e health promotion of the individuals.
It was initiated as personal health services, such as mother and child
health services, mental health and rehabilitation services.
Public health departments began expanding their programmes towards
health promotional activities.
Since the state had assumed direct responsible for the health of the
individual, two great movements were initiated for human
development during the first half of the present century namely
a. Provision of “basic health services” through the medium of
primary health centres and sub centres for rural and urban areas.
b. The second great movement was the community development
programmes to promote village development through the active
participation of the whole community and on the initiative of the
community.
This programme tried to do too much too quickly with
inadequate resources. It was a great opportunity lost, because it
failed to survive. However, the establishment of primary health
Centres and sub centres provided the much needed infrastructure
of health services, especially in the rural areas.
3. Health promotion is the process of enabling people to
increase control over, and to improve health. it is not directed
against any particular disease, but is intended to strengthen the
host through a variety of approaches (interventions).
The well known interventions in this area are
Health education
Environmental modification
Nutritional modification
Life style and behavioural changes
HEALTH EDUCATION
This is one of the most effective interventions. A large number of
diseases could be prevented with little or no medical interventions. If
people were adequately informed about them and if they were
encourage to take necessary precautions in time “the extension to all
people of the benefits of medical, psychological and related
knowledge is essential to the fullest attainment of health”.the targets
of educational efforts may include the general public,patients,priority
groups, health providers, community leaders and decision makers.
ENVIRONMENTAL MODIFICATION
A comprehensive approach to the health promotion requires
environmental modifications such as provision of safe water,
installation of sanitary latrines, control of insects and rodents,
improvement of housing etc. the history of medicine has shown that
many infectious diseases have successfully controlled in many
countries through environmental modification, even prior to the
development of the specific vaccines or chemotherapeutic drugs.
Environmental interventions are non clinical and do not involve any
physician.
4. NUTRITIONAL INTERVENTION
These comprise food distribution and nutrition improvement of
vulnerable groups, child feeding programmes, food fortification,
nutrition education etc.
LIFE STYLE AND BEHAVIORAL CHANGES
The conventional public health measures and interventions have not
been successful in making inroads into life style reform. The action of
prevention in this case is one of the individual and community
responsibilities for health. The physician and in fact each health team
worker acts as an educator than the therapist. Health education is the
basic element of all health activity. It is of paramount importance in
changing the views, behaviour and habits of people.
Hence health promotion consist of a broad spectrum of activities, a
well conceived health promotion programme would attempt first to
identify the target groups or at risk individuals in a population and
then direct more appropriate message to them. Goals must be defined.
Means and alternative means of accomplishing them must be
explored. It involves organizational, social, political and economic
interventions designed to facilitate environmental and behavioural
adaptations that will improve to protect health.
Primary health care
The concept of primary health care came into limelight in 1978
following an international conference in alma Ata, USSR. It has been
5. defind as
"essential health care based on practical, scientifically sound and
socially acceptable methods and technology made universally
accessible to individuals and families in the community through their
full participation and at a cost that the community and the country can
afford to maintain at every stage of their development in the spirit of
self-reliance and self-determination"
The primary health care approach is based on the principal of
social equity nationwide coverage, self reliance, intersectoral
coordination and people’s involvement in the planning and
implementation of health programmes in the pursuit of common
health goals. The approach has been described as “health by the
people” and placing people’s health in people’s hands”. Primary
health care was accepted by the member countries of WHO as
the key in achieving the goals of “health for all”by they year
2000AD
The declaration of Alma-Ata stated the primary health care
Education about prevailing health problems and methods
of preventing and controlling them.
Promotion of food supply and proper nutrition.
An adequate supply of safe water and basic sanitation.
Maternal and child health care including family
planning.
Immunization against infectious diseases.
Prevention and control of endemic diseases.
Appropriate treatment of common diseases and injuries.
Provision of essential drugs.
The concept of primary health care involves a concerted
effort to provide the rural population of developing
countries with at least the bare minimum of health
services. The list can be modified to fit local
circumstances. for example: some countries have
specifically included mental health, physical handicaps,
6. and the health and social care of the elderly. The primary
health care approach integrates at the community level
all the factors required for improving the health status of
the population
PRINCIPLESOF PRIMARY HEALTH CARE
Equitable distributionof health care –
according this principle, primary care and other services to
meet the main health problems in a community must be
provided equally to all individuals irrespective of their gender,
age, caste, color, urban/rural location and social class.
Community participation –
in order to make the fullest use of local, national and other
available resources. Community participation was also a
reaction to unsustainable vertical health-approaches which refers
to when a wealthier country funds a poorer country's health care.
This model is unsustainble while a grass roots, community
based Primary Health Care system is sustainable due to its
emphasis on self-sufficiency.[11]
Health workforce development –
comprehensive health care relies on adequate numbers and
distribution of trained physicians, nurses, allied health
professions, community health workers and others working as a
health team and supported at the local and referral levels.
Use of appropriatetechnology–
medical technology should be provided that is accessible,
affordable, feasible and culturally acceptable to the community
(e.g. the use of refrigerators for vaccine cold storage).
Appropriate technology, which is the concept of health tool that
7. is used for socioeconomic development, is the opposite to
medical elitism. Some example of un appropriate technology
include disease-oriented technology and urban hospitals. The
former referred to such technology as body scanners or heart-
lung machines. These machine are rarely used or needed by the
poor. Urban hospital are institution created in developing
countries. These hospitals only served and benefited a minority
but draw a large share of scares source and manpower.[12]
Multi-sectional approach–
recognition that health cannot be improved by intervention
within just the formal health sector; other sectors are equally
important in promoting the health and self-reliance of
communities. These sectors include, at least: agriculture (e.g.
food security); education; communication (e.g. concerning
prevailing health problems and the methods of preventing and
controlling them); housing; public works (e.g. ensuring an
adequate supply of safe water and basic sanitation); rural
development; industry; community organizations (including
Panchayats or local governments, voluntary organizations, etc.).
Health work was no longer a short-lived intervention but an on-
going process of improving people's live conditions in poor.
There should be a link, which had political implications,
between health and development. Health is a tool that helped
people that increase their life, and it should not be the result of
improved economic.[12]
Role of nurse in primary health care
1.health education
It is an integral part of all health services and hence all health
personnel, including nurses are responsible for educating people as to
how they can improve their own health.
8. The community nurse has to play an important role in organizing
appropriate health education programmes according to needs of
community, collaborating and coordinating with intradisciplinary
And interdisciplinary terms. Health education to community should
be a prime function of the health workers and village level
functionaries.
2. food supply and proper nutrition
The community health nurse has to provide essential health services.
These include surveillance and case finding through use of growth
charts in children, making provision for supply of iodized salt,
vitamin A supplements in collaboration with other members of the
health team.
*community health nurse also take suitable measures for prevention
and treatment of diarrhoeal diseases.
* Health promotional measures like encouraging adequate child
spacing, promote longer breast feeding, and safe weaning practices.
*Teaching community members to cook the supplementary food for
malnourished children.
3] water supply and basic sanitation
Sanitary and male health workers are responsible for safe and garbage
disposal. Community health nurse has to cooperate with the sanitary
inspectors and health workers to inform people about germ theory,
hygienic personal habits, causes of insanitation, benefits of sanitary
regulations and so on.
4] Maternal and child health care including family planning
Community health nurses are assigned to carry out maternal and child
health care, which includes antenatal prenatal and postnatal care.
9. 5] Immunization
Nurses and nursing team plans immunization programmes for adults
and children particularly infants and pregnant women.
Encouragement and persuation are strategies used in monitoring and
scheduling immunization.
6] Prevention and control of endemic diseases
The nurses and the nursing team collects and record data about
communicable diseases, provide care for ill, offer health education
Visit and follow up cases, and provide surveillance over the target
population to ensure that communicable diseases are eradicated or
controlled.
7] Treatment of minor ailments
Nurses have been trained to treat patient under a doctor’s standing
order. The emergency treatment and primary care provided by nurses
help to reduce morbidity and mortality rate.
8] Provision of essential drugs
The community health nurse has to procure and keep and also utilize
whenever necessary the essential drugs to treat minor ailments. She
should be aware of the resources and facilities for getting essential
drugs to inform the client within a short distance.
With regards to the role of nurse and primary health care who
identified four self explanatory roles of the nurses as
1. Nurse as a direct care provider.
10. 2. Nurse as a teacher and educator.
3. Nurse as a supervisor and manager.
4. Nurse as a researcher and evaluator.
These self explanatory roles enable the nurses to contribute to
the better establishment of the primary health care to the people
of the country.
Problem in implementing primary health care
in India
1. Resources
The basic resources are
a. Health man power
b. Money, material and time
Resources are needed to meet the vast needs of the
community. The lack of resources which is very acute in
some states, certainly a contributing factor to the poor
performance of primary health care system. In poor states
spending levels are low while an expectation for coverage
remains high.
2. Population problem
Biggest problem faced by the country by today is its
inevitable consequences on aspects of development,
Especially employment, education, housing, health care
sanitation of environment. The country’s population has
already reached one billion.
3. Absence of political support and lack of interest in the
problems of rural areas
4. Medical care problems
80/ of health care facilities are concentrated in urban areas.
Even in urban areas there is an unequal distribution of
doctors. The rural areas were nearly 74/ of the population line
do not enjoy benefits of the modern curative and preventive
health services. The major medical problem in india is
11. inequitable distribution of available health resources between
below and rural areas.
5. Other factors
The rising cost of health care
Nursing and other health worker’s shortage.
Natural and manmade disasters.
Increased globalization.
Poverty.
Climate changes.
Inadequate supervision and follow up.
Failure to restore medical supplies on a higher basis.
Lack of cooperation on the part of health services.
Communicable and non-communicable diseases.
Illiteracy, life span, overcrowding etc
Conclusion
It will be seen from the above discussion that primary
Care is qualitatively a different approach to deal with
the health problems of a community. This approach
signifies a new dynamism in health care and has been
described as health by the people, placing people’
hands.
12. General objective:
At the end of presentation the group will be able to understand health
promotion, primary health care, definition, principles & role of nurse
in primary health care.
Specific objectives:
At the end of presentation the group should,
1) Explain the health promotion
2) Define the primary health care
3) Enlist the elements of primary health care
4) Discuss the principle of primary health care
5) Describe the role of nurse in primary health care