CONCEPT, OBJECTIVES ,SCOPE, PRINCIPLES, Philosophy OF COMMUNITY HEALTH NURSE

1. CONCEPT, OBJECTIVES ,SCOPE, PRINCIPLES,
Philosopy OF COMMUNITY HEALTH NURSE
Dr. KAILASH NAGAR
ASSIT. PROF
DEPT. OF COMMUNITY HEALTH

3. Concept of Health
• Biomedical concept
• Ecological concept
• Psychosocial concept
• Holistic concept

4. Biomedical concept
• Health is “absence of disease” ie if one is free
from disease than he is considered healthy.
• Based on germ theory of disease.
• Question – malnutrition, chronic disease,
accidents, drug abuse, mental illness ,
environmental pollution etc which lead to
ecological concept

5. Ecological concept
• Ecologists – health is dynamic equilibrium between
man and his environment, and disease is
maladjustment of the human organism to his
environment.
• “Health implies the relative absence of pain and
discomfort and a continuous adaptation and
adjustment to the environment to ensure optimal
function”

6. Ecological concept
• Raised two questions
– Imperfect man
– Imperfect environment
• History shows that improvement in human
adaptation to natural environment can lead to
longer and better quality of life- even with the
absence of modern health delivery services.

7. Psychosocial concept
• Development in social science – Health is not only
a biomedical phenomenon, but it is influenced by
• social,
• psychological,
• cultural,
• economic and
• political factors of the people concerned,
• “Health is both a biological and social
phenomenon”

30. Philosophy:
1) Philosophy of individual’s right of being healthy-
• Health is believed to be one of the rights of all human
beings nationally and internationally according to the
WHO charter.
• Goal of health for all is based on the philosophy of individual’s
right of being healthy. This philosophy encompasses all the
aspects of the society i.e sociocultural,economic.
• aspects, so that there is no hindrance of any kind to attain these
rights.

31. 2)Philosophy of working together under a competent
leader for the common good
It is from the primitive ages of human ages, man has learnt to live
together to meet their needs.
The basis of modern community health nursing is to share
responsibility of helping each other.
When it comes to considering a organization, equal participation of
the people working through the community groups/people with the
people, for the people for their mutual benefit, change in behavior
and health practices.
A democratic team functioning is essential for effective delivery
of health care services.

32. 3. Philosophy that people in the community have the
potential for continual development and are capable
of dealing with their own problems if educated and
helped.
An individual with average intelligence can learn and deal with
his/her own needs, modify his/her lifestyles adjust to his or her
changing enviournment i.e he can learn to solve his or her
problems.
On the basis of this philosophy ,emphasis is placed on health
education projected towards individuals in home, health centre,
place of work, school, community places or hospital.
This helps to modify their behaviours respective to health.

33. 4. Philosophy of Socialism