LESSON PLAN

ON
Seek Health Services for routine health
checkups, immunization, counseling,
diagnosis, treatment, follow up
GENERAL OBJECTIVES:

Student will be able to gain in depth knowledge regarding seek health services for routine health checkups
and develop desirable attitude, skills in identifying the needs of the community and provide services to meet the
health status.

SPECIFIC OBJECTIVES:

The student will be able to:

1. introduce the topic?

2. define
3. enumerate
4. enlist
5. describe
6. enumerate
7. list out
8. describe
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5min Introduce Write on
BRINGING BACK TO LIFE:
1. the topic Introduce health
Health-seeking behaviour has been defined as a the topic seeking
“sequence of remedial actions that individuals with the behavior
undertake to rectify perceived ill-health.” In help of the
particular, health-seeking behaviour can be illustration
described with data collected from information such
as the time difference between the onset of an
illness and getting in contact with a healthcare Write White
professional, type of healthcare provider patients down the board
sought help from, how compliant patient is with the topic
recommended treatment, reasons for choice of
healthcare professional and reasons for not seeking
help from healthcare professionals.

In the broadest sense, health behaviour includes all

behaviours associated with establishing and
maintaining a healthy physical and mental state,
(Primary Prevention). Health-seeking behaviours
also include behaviours that deals with any
digression from the healthy state, such as
controlling (Secondary Prevention) and reducing
impact and progression of an illness (Tertiary
prevention).
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BLOCK BASED LEARNING:

Block based learning is a dedicated learning of

one subject at a time
YEAR: B.SC(N) IV YEAR

SUBJECT:COMMUNITY HEALTH NURSING

What are
UNIT:V
Listens the
Explanatio and write White importance
2 2mts Enumerate Regular health check-ups can identify any early n down the board of health
importanc signs of health issues. Finding problems early notes check ups
e of health means that chances for effective treatment are
check ups increased. Many factors, such as age, health,
family history and lifestyle choices, impact on
how often need check-ups.
Importance of regular health checkups
It is a good idea to visit a doctor regularly, even
if feel healthy. The purpose of these visits is
to:
 check for current or emerging medical
problems
 assess risk of future medical issues
 prompt to maintain a healthy lifestyle
 update vaccinations.

Health checks are usually incorporated into

routine medical care. doctor will often perform
these checks when are visiting for another
condition, such as a cold or another problem.
doctor will then tell how often need to have a
health check.
Having a health check is also a time to examine
lifestyle to see what improvements can be
made. This may be something regularly do self
or discuss with a healthcare professional.
Health checks at home can do a basic health
check at home to review health in relation to:
 Alcohol – people who have at least two
alcohol-free days per week and stick to no more
than two standard drinks per drinking day have
better long-term health.
 Dental care – cleaning teeth regularly and
eating a low-sugar diet can reduce risk of tooth
decay, gum disease and tooth loss. Visit a
dentist or other oral health professional at least
once a year for a dental examination and
 professional cleaning, or more frequently as
advised by dentist.
 Diet – a healthy diet improves general health
and wellbeing. Have at least two serves of fruit
and five serves of vegetables each day.
 Physical activity – regular physical activity is
good for mental health, heart and bones, and
can prevent many diseases. Aim for 30 minutes
to an hour of moderate physical activity a day.
Moderate physical activity takes some effort,
but still allows a conversation to be held (for
example, brisk walking, gentle swimming,
social tennis).
 Skin checks – check skin regularly for unusual
moles or freckles, and see doctor if notice
anything unusual. People who work outdoors
need a yearly examination by their doctor or a
dermatologist.
 Smoking – smoking increases risk of many
diseases, including heart disease, stroke, lung
disease and thin bones. If smoke, quitting as
soon as possible helps reduce the harm.
 Weight – maintaining a healthy weight range
helps prevent longer-term diseases, such as
diabetes and arthritis.
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3 3 Describe White What is
min health Explaining Listening board health
checkups Regular health checks for adults and checkups
for adults writing for adults
Regular health checks can help to identify early
the notes
warning signs of disease or illness. Heart
disease, diabetes and some cancers can often be
picked up in their early stages, when treatment
may be more successful.

These are some common tests, but doctor may

recommend others according to situation.

Health checks for heart

Health check-ups for heart disease may

include:
 Blood pressure – have blood pressure
checked every two years if it is normal, are
aged under 40 years, and there is no family
history of high blood pressure. Have it checked
yearly if are over 40, blood pressure is on the
high side, or have a personal or family history
of high blood pressure, stroke or heart attack.
 Be advised by doctor.
 Blood tests – check cholesterol levels and
blood triglycerides, among other things. High
levels may indicate an increased risk of various
health problems, including heart disease. If are
over 45, should have these blood tests once
every five years. If are at high risk of heart
disease and have a family history, should be
tested every year from the age of 40.
 Electrocardiogram (ECG) – this is a non-
invasive and painless medical test that detects
cardiac (heart) abnormalities by measuring the
electrical activity generated by the heart as it
contracts.
 Obesity tests – being overweight is a
significant risk factor for many health
conditions, including cardiovascular disease
and diabetes. Ask doctor to check body mass
index (BMI) and waist measurement every two
years. If are at a higher risk, should have
weight checked more frequently.
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4 3min Enumerate Health checks for diabetes Explaining Listening white What is
health board the health
checkups Tests for diabetes include a fasting blood sugar checkups
for level test, which measures the amount of glucose in for
diabetes the blood after fasting (not eating for an amount of diabetes
mellitus time). It is usually done before have breakfast. mellitus
Depending on risk level, will need to be tested
annually or once every three years.

Risk factors for type 2 diabetes include:

 family history of diabetes
 pre-diabetes (slightly elevated blood glucose levels)
 age over 45 years
 overweight or obesity
 high blood pressure
 high blood cholesterol
 smoking
 inactive lifestyle
 history of angina (chest pain), heart attack or stroke
 belonging to certain ethnic groups, including Pacific
Islander and Aboriginal or Torres Strait Islander
 peoples
 in women, a history of gestational diabetes in
pregnancy
 in women, a history of polycystic ovarian syndrome
(PCOS).

Health checks for bowel cancer

The faecal occult blood test (FOBT) uses chemicals

to check a bowel motion sample for blood, which
may be a sign of bowel cancer. If are over 50,
should have this test once every two years, or after
turn 40 if have a family history.

People at high risk of bowel cancer may need a

colonoscopy every five years. During this test, the
doctor inserts a slender instrument called a
colonoscope through the anus to visually check the
rectum and large bowel for any abnormalities.
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3. 3 list out Health checks for eye conditions Explaining listening leaflet What are
min the the
Health Eyesight tends to deteriorate with age. Serious eye Health
checks for conditions such as glaucoma, cataracts, diabetic checks for
eye retinopathy and macular degeneration are more eye
conditions common with age. conditions

People older than 65 years should have an annual

examination. However, more frequent testing may
be recommended for those with certain risk factors,
such as:
 a family history of eye disease
 a personal history of eye disease or injury
 certain medical conditions such as high blood
pressure or diabetes
 taking certain medications.

If already wear prescription glasses or contact

lenses, should have eyes tested every year. Adults
who do not wear prescription glasses or contact
lenses should have an eye test every two years.
Health checks for bones

Advancing age is a significant risk factor

for osteoporosis in both men and women. A bone
density test helps to determine the health of bones.
Generally speaking, people over the age of 50 should
be assessed for the need to have a bone density test.

Health checks for women

In order to stay in good health and identify possible

health issues at an early stage, it is important for
women to have regular health checks. There are a
number of specific tests that should make part of
regular routine.
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Breast cancer screening

It’s recommended that women between the ages of 50–

69 years attend the Breast Screen Australia Program
every two years for screening mammograms. There is
no evidence that clinical examination or self-
examination offers any health benefits to women.
Cervical Screening Test
Discussing Listening LCD What is
4. 5 The Pap test has been replaced with a new Cervical the
min describe Screening Test (CST) every five years. The CST is safe, Cervical
the more accurate and detects human papilloma Screenin
4 Cervical virus (HPV) infection, the main cause of cervical g Test
. Screening cancer. first CST is due at 25 years of age or two years
Test after last Pap test. If result is normal will be due in
five years to have next test. Even if have been
vaccinated against HPV, should continue to have
regular screening as the vaccine doesn't protect against
all types of HPV infection known to cause cervical
cancer. Have any questions? We recommend speaking
to healthcare provider.
STI screening

If are sexually active, should get tested for chlamydia

every year between the ages of 15 and 29, using a
simple urine test. Chlamydia is very common and does
not always show symptoms. If are at risk of other
sexually transmissible infections, such
as HIV/AIDS or herpes, ask doctor about further
testing.

Pregnancy

A general check-up before becoming pregnant to

discuss any health risks during pregnancy. Once are
pregnant, regular antenatal checks help monitor baby’s
development, pick up abnormalities and assess health.

Tests related to pregnancy may include ultrasound

scans, urine tests, blood tests and genetic testing. Some
antenatal tests are recommended for all pregnant
women, while others are only necessary for women at
increased risk of complications. Be advised by doctor.
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Health checks for men

It's a good idea to make regular health checks part of

regular routine. This will help stay healthy and pick up
potential problems early.

Health checks for prostate cancer

Discuss testing with doctor. It is not recommended that

all men are routinely tested for prostate cancer. will Discussing Listening LCD
5 5 need to consider the benefits, risks and uncertainties of
min testing, as well as risk of developing the disease. What is
describe the
4 the Health
. Health Health checks for older people checks
checks for older
for older As get older, keeping an eye on health becomes more people
people important. Speak to doctor about:
 abdominal aortic aneurysm screening – former and
current smokers (particularly older men) can consider
having an ultrasound to screen for abdominal aortic
aneurysms, a blood-filled bulge in a major blood vessel
in abdomen called the aorta
 blood pressure screening – every year. If have diabetes,
heart disease, kidney problems, or certain other
conditions, may need to be checked more often
 bowel cancer screening – a simple test for signs of
bowel cancer is recommended once every two years if
are over 50
 cholesterol screening and heart disease prevention –
every five years if levels are normal. If have high
cholesterol, diabetes, heart disease, kidney problems or
certain other conditions, may need to be checked more
often
 diabetes screening – every three years. If are
overweight and have other risk factors for diabetes, ask
doctor if should be screened more often
 lung cancer screening – for current smokers and those
who have quit within the past 15 years
 osteoporosis screening – if have risk factors for
osteoporosis, should check with doctor about
screening. Risk factors can include long-term steroid
use, low body weight, smoking, heavy alcohol use or a
family history of osteoporosis
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 a physical exam – every year or as recommended by
doctor. doctor will check and record weight, height
and body mass index (BMI).

 a pneumococcal vaccine if have never had one, or

if it has been more than five years since had the
vaccine an annual flu shot
 a tetanus-diphtheria-pertussis booster every 10 years
 a shingles or herpes zoster vaccine.

Check-ups with other health professionals may

include:
 a dental exam – every year or so, or more often if
recommended by dentist.
 an eye test – every one to two years if have vision
problems or glaucoma risk

a hearing test – if have symptoms of hearing loss.

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6. IMMUNIZATION explaining Listening chart What is
10 enumerat and write seeking
min e Immunization is the process whereby a person is down the help for
seeking mdiseasese immune or resistant to an infectious notes immunizat
help for disease, typically by the diseasesministration of a ion
immuniz vaccine. Vaccines stimulate the body’s own immune
ation system to protect the person against subsequent
infection or disease.

Immunization is a proven tool for controlling and

eliminating life-threatening infectious diseases and is
estimated to avert between 2 and 3 million deaths each
year. It is one of the most cost-effective health
investments, with proven strategies that make it
accessible to even the most hard-to-reach and
vulnerable populations. It has clearly defined target
groups; it can be delivered effectively through outreach
activities; and vaccination does not require any major
lifestyle change.

 Measles (Rubeola) – must provide proof of one

of the following:
o

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 TWO measles (or MMR)
immunizations (one after r first
birthday and one at least 28 days
later), OR
 Documentation of positive measles
titer (blood test), OR
 Documentation of date of measles
disease by r health care provider on
the Health History Form.
 Rubella – must provide proof of one of the
following:
o
 TWO rubella immunization after
first birthday, and one at least 28
days later), OR
 Documentation of positive rubella
titer, OR
 Documentation of date of rubella
disease by r health care provider on
the Health History Form.
 Mumps – must provide proof of one
of the following: TWO mumps (or
MMR) immunizations (one after r
first birthday and one at least 28 days
later), OR
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 Documentation of positive mumps
titer (blood test), OR
 Documentation of date of mumps
disease by r health care provider on
the Health History Form.
 Varicella (Chicken Pox) – If were born after
01/01/1980, must provide proof of one of the
following:
o
 TWO varicella immunizations (one
after r first birthday and one at least
28 days later), OR
 Documentation of positive varicella
titer (blood test), OR
 Documentation of date of varicella
disease by r health care provider on
the Health History Form.

 Tuberculosis Screening – Complete the

“Tuberculosis (TB) risk assessment” that is on the
health history form. If answer “yes” to questions
B, C or D will need a TB test. All Tuberculosis
testing must be done within 6 months of r
matriculation date
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7 5 Enumerate explaining Listening White What is
min meningitis board meningitis
vaccination  Meningitis – Students living in university- vaccination
owned housing must provide proof of
receiving at least one dose
of meningococcal conjugate vaccine not
more than 5 years before enrollment.

 Hepatitis B – This is not a requirement,

however we recommend be immunized
against Hepatitis B.

Hepatitis B is a serious liver infection which may

be asymptomatic; it is common in many countries
of the world, especially countries in sub-Saharan
Africa, in the Amazon basin of South America,
and in countries in eastern and southeastern Asia.
It is strongly recommended that all students
(even those who have been immunized) who
were born in any of these countries, or whose
mothers were born in any of these countries, be
screened for prior infection with a Hepatitis B
surface antigen test
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8 5min list out the  Meningitis Serogroup B – This is not a discussing Listens LCD What are
vaccination requirement, however we recommend be and write the
for immunized given the recent outbreaks on down the vaccination
meningitis three college campuses in the Northeast. notes for
o In February 2015, ACIP recommended meningitis
routine use of MenB vaccines in
certain groups of persons at increased
risk for serogroup B meningococcal
disease, including during outbreaks of
serogroup B meningococcal disease.
 Tetanus and Diphtheria – This is not a
requirement, however vaccination against
tetanus and diphtheria has markedly reduced
the number of cases and deaths from tetanus
and diphtheria in the United States in all age
groups. A booster every 10 years is
recommended.
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COUNSELLING Counselling can help with all
sorts of different issues. It can help with positive
events such as choosing a direction in life or
reaching your full potential. Perhaps you are
feeling a ‘bit stuck’ and would value the viewpoint
of a counsellor. There may be things from your
past that you would like to tackle or there may be
things in the present that you want to try and
change. Perhaps you are experiencing significant
events in your life such as getting married and
starting a family, leaving home for the first time or Explaining Listening LCD
coming to terms with the death of a loved one.

Counselling services may be able to help with all

of the above and issues such as those listed below:

Abortion
Counselling will give you a safe space to talk about
either a planned, or a previous abortion in complete
confidence. Your counsellor will not tell you what
to do – they will give you the chance to talk
through your thoughts and feelings.
 Abuse – Emotional, Physical, Sexual
Abuse means that you have experienced behaviour
that is harmful to you. It may be in the past or in
the present and can be physical, emotional or
sexual abuse. Talking to a counsellor will help you
to identify how this abuse is affecting you and help
you feel positive about your life now and in the
future. The confidential nature of counselling
means you can safely talk about difficult events or
relationships.

Diseases adiction (e.g. Alcohol, Computer

games, Drugs, Food, Gambling, Sex, Smoking)
If you are Diseases adicted to certain behaviours or
substances – it is likely that something that you
originally did for enjoyment or to feel better now
feels out of your control. It may affect all areas of
your life in a negative way. Talking to a counsellor
will be a first step towards identifying how to build
coping skills to help you regain control of your
life.

 Adolescence

 There are many different changes in a young

 person’s life as they move from childhood to
diseases adulthood. From mood swings and
frustration to all the pressures of social media –
although diseases adolescence is something
everyone experiences – those experiences are
different for everyone. You may not want to talk
to your family or friends – and it can be very
reassuring to talk to a counsellor to share your
feelings

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REFLECTIVE LEARNING:
At the end of the class the student will do a self
reflective evaluation to understand if student has learnt
.
thoroughly, the learning outcome of the subject as
expected

EVALUATION:-
MULTIPLE CHOICE QUESTIONS:- 10m
 1. UNICEF [ ] a)
1948
2. WHO [ ] b)
New york city
3. Head quarters of UNICEF [ ] c)
1946
4. Head quarters of WHO [ ] d)
AntonyLake
5. UNICEF [ ] e)
Geneva
KEY:-
1. c
2. a
3. b
4. e
5. d

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RESEARCH BASED LEARNING:

Ngamvithayapong J1, Yanai H, Winkvist

A, Diwan V (2011) conducted a study on Health
seeking behaviour and diagnosis for pulmonary
tuberculosis in an HIV-epidemic mountainous
area of Thailand.
SETTING:
Chiang Rai Hospital, Chiang Rai Province, the
epicentre of the human immunodeficiency virus Explaining Listening LCD
(HIV) in Thailand.
OBJECTIVE:
To describe the health seeking behaviour among
tuberculosis (TB) patients, to measure patient and
provider delays and to analyse factors determining
these delays.
DESIGN:
All patients aged over 15 years with new smear-
positive pulmonary TB detected in Chiang Rai
Hospital (n = 557) were interviewed using a
structured questionnaire.
RESULTS:
The median patient delays for HlV-positive and
HIV-negative patients and those whose HIV status
was unknown were 10, 15 and 15 days respectively,
while provider delays were respectively 7, 7.5 and 10
days. HIV-positive patients suffered more symptoms
and had a shorter patient's delay. Risk factors of long
patient delay (>21 days) included being HIV-
negative, having no health insurance, hill tribe
ethnicity, no previous visits to the hospital, and
borrowing money for hospital visits. Multivariate
logistic analysis suggested that being married or
widowed and being HIV-positive led to the shortest
patient delay. Provider delay was significantly longer
in female patients than male patients.
CONCLUSION:
Although patient and provider delays were
favourably short, certain specific groups require
further attention. Hill tribe people should be targeted
to improve accessibility to TB treatment. Active
case-finding services for people known to be HIV-
positive should be encouraged. The reasons for the
longer provider delay in female patients require
further investigation.

INTERNET BASED LEARNING:

1. https://www.bcm.edu/healthcare/care-
centers/alzheimers/for-patients/memory-
dementia/importance-early-diagnosis-
treatment
 2. https://www1.health.gov.au/internet/main/publ
ishing.nsf/Content/mbsprimarycare_mbsitem1
0987

INTERACTIVE LEARNING:
Total batch divided in to 10 groups and discussed
regarding various committees and their report in
understandable manner
CONTEXTUAL LEARNING:
ASSIGNMENT : 10 marks
Write assignment on World health days
CAPSTONE PROJECT:
Students write their own knowledge related to
committees and their report gland about 200 words
SUPERVISED LERNING:
Students divided in to 3 groups given1st group, 2 nd
group 3rd group regarding committees and their
report for about 100 own words of their knowledge
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SUMMATIVE AND CONTINUOUS

ASSESSMENT

It comprises continuous online quizzes, final term

exams, project, and university exams.

Conducting online tutorials, weekly exams, term

test, MCQs, quiz programme, university exam.
Explaining Listening LCD
SUMMERY:

Till now we discussed about

CONCLUSIONS:

Now a days. So as a nurse we have to create awareness among the people by participating in the
programmes.
BIBLIOGRAPHY:
BIBLIOGRAPHY

Teacher reference:
1. K. PARK,” PREVENTIVE AND SOCIAL MEDICINE”, 18th EDITION,BHANOT
PUBLISHERS,P.P-676-679.
2. NEELAM KUMARI,’’ ESSENTIALS OF COMMUNITY HEALTH NURSING’’, S. VIKAS &
COMPANY MEDICAL PUBLISHERS,P.P 330-335
3. GULLANI , ‘’COMMUNITY HEALTH NURSING AND PRACTICES ‘’, MOSBY
PUBLICATIONS, P.P443-448
4. KASTURI SUNDARARAO’’ COMMUNITY HEALTH NURSING’’ 4th EDITION , B.I
PUBLICATIONS,P.P 300-312.
5. S.KAMALAM, ‘’COMMUNITY HEALTH NURSING’’,JAYPEE PUBLICATIONS,P.P545-547
6. Dr. T. VASUNDHARATHULASI,G.GNANA PRASUNA, ‘’COMMUNITY HEALTH NURSIN-
II’’,FRONT LINE PUBLICATIONS,FIRST EDITION,2O11,P.P-101-106.

JOURNAL REFERENCE

Journal Of Nursing times

NET REFERENCE

 www. community health centre. Com

 www.pubmed.com

Student reference
1. K. PARK,” PREVENTIVE AND SOCIAL MEDICINE”, 18th EDITION,BHANOT
PUBLISHERS,P.P 676-679.
2. Dr. T. VASUNDHARATHULASI,G.GNANA PRASUNA, ‘’COMMUNITY HEALTH NURSIN-
II’’,FRONT LINE PUBLICATIONS,FIRST EDITION,2O11,P.P-101-106.