Community Health Nursing (An Overview)

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COMMUNITY HEALTH NURSING: AN OVERVIEW

What is community?
 A group of people with common characteristics or interests living together with in a
territory or geographical boundary.
 Place where people under usual conditions are found.

What is health?
 Health-illness continuum
 High -level wellness
 Agent-host environment
 Health belief
 Evolutionary-based
 Health promotion
 WHO definition

What is community health?


 Part of paramedical and medical intervention/approach which is concerned on the
health of the whole population.

AIMS:
1. Health promotion
2. Disease prevention
3. Management of factors affecting health

What is nursing?
 Assisting sick individuals to become health and healthy individuals achieve optimum
wellness.

Public Health Nursing: the term used before for Community Health Nursing

According to Dr. C.E. Winslow, Public Health is a science & art of 3 P’s:
1. Prevention of disease
2. Prolonging life
3. Promotion of health and efficiency through organized community effort

What is Community Health Nursing?


 The utilization of the nursing process in the different levels of clientele-individuals,
families, population groups and communities, concerned with the promotion of
health, prevention of disease and disability and rehabilitation.” – Maglaya, et al

COMMUNITY HEALTH NURSING (CHN):


 A specialized field of nursing practice
 A science of Public Health combined with Public Health Nursing Skills and Social
Assistance with the goal of raising the level of health of the citizenry, to raise
optimum level of functioning of the citizenry (Characteristic of CHN).
BASIC PRINCIPLES OF CHN
 The community is the patient in CHN, the family is the unit of care and there are four
levels of clientele: individual, family, population group (those who share) common
characteristics, developmental stages and common exposure to health problems –
e.g. children, elderly), and the community.
 In CHH, the client is considered as an ACTIVE partner NOT PASSIVE recipient of care.
 CHN practice is affected by developments in health technology, in particular, changes
in society, in general.
 The goal of CHN is achieved through multi-sectoral efforts
 CHN is a part of health care system and the larger human services system.

ROLES OF THE PUBLIC HEALTH NURSE


 Clinician, who is health care provider, taking care of the sick people at home or in the
RHU
 Health Educator, who aims towards health promotion and illness prevention through
dissemination of correct information; educating people
 Facilitator, who establishes multi-sectoral linkages by referral system
 Supervisor, who monitors and supervises the performance of midwives.

TARGET POPULATION (IFC) ARE:


1. Individual
2. Family
3. Community

3 Elements considered in CHN:


 Science of Public Health (core foundation in CHN).
 Public Health Nursing Skills and
 Social Assistance Functions

OBJECTIVES OF PUBLIC HEALTH: CODES


C ontrol of Communicable Diseases
O rganization of Medical and Nursing Services
D evelopment of Social Machineries
E ducation of IFC on personal Hygiene Health Education is the essential task
of every health worker
S anitation of the environment

3 ELEMENTS IN HEALTH EDUCATION: IEC

 I nformation: to share ideas to keep population group knowledgeable and aware


 E ducation: change within the individual
3 Key Elements of Education:
1. Knowledge
2. Attitude
3. Skills
 C ommunication: Interaction involving 2 or more persons or agencies
3 Elements of Communication:
1. Message
2. Sender
3. Receiver

PUBLIC HEALTH WORKERS (PHW)


 PHW’s: are members of the health team who are professionals namely:
o Medical Officer (MO)-Physician
o Public Health Nurse (PHN)-Registered Nurse
o Rural Health Midwife (RHM)-Registered Midwife-
o Dentist
o Nutritionist
o Medical Technologist
o Pharmacist
o Rural Sanitary Inspector (RSI)-must be a sanitary engineer

DEPARTMENT OF HEALTH
5 MAJOR FUNCTIONS:
1. Ensue equal access to basic health services
2. Ensure formulation of national policies for proper division of labor and proper
coordination of operations among the government agency jurisdictions
3. Ensure a minimum level of implementation nationwide of services regarded as public
health goods
4. Plan and establish arrangements for the public health systems to achieve economies
of scale
5. Maintain a medium of regulations and standards to protect consumers and guide
providers.

BASIC HEALTH SERVICES UNDER OPHS OF DOH


E ducation regarding Health
L ocal Endemic Diseases
E xpanded Program on Immunization
M aternal & Child Health Services
E ssential drugs and Herbal plants
N utritional Health services (PD 491): Creation of Nutrition Council of the Phils.
T reatment of Communicable & Non communicable Diseases
S anitation of the environment (PD 856): Sanitary Code of the Philippines
D ental Health Promotion
A ccess to and use of hospitals as Centers of Wellness
M ental Health Promotion

VISION BY 2030 (DREAM OF DOH)


A Global Leader for attaining better health outcomes, competitive and responsive health
care systems, and equitable health financing.

MISSION
To guarantee EQUITABLE, SUSTAINABLE and QUALITY health for all Filipinos, especially the
poor and to lead the quest for excellence in health.

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