CHN lectue and rationale

1. Prayer Before Examination Dear 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 RATIO By: 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 IMPERATIVES Changes exerting pressures on the Public Health Systems: Shift in demographic & epidemiological trends in disease New technologies for health care, communication & information Existing & emerging environmental hazards associated with globalization. Health Reforms

8. Determinants of Health as listed by WHO: 1. Gender-men & women suffer diseases 2. Physical Health Environment-safe water supply & clean air 3. Personal behavior & coping skills-healthy lifestyle 4. Income and social status 5. Employment & working conditions 6. Culture-customs & traditions 7. Reduced Health Services-access & use 8. Inheritance/Genetics 9. Education-low education are link to poor health 10. Social support network-greater family support better

9. Determinants of Health as listed by WHO: 1. Gender-men & women suffer diseases 2. Physical Health Environment-safe water supply & clean air 3. Personal behavior & coping skills-healthy lifestyle 4. Income and social status 5. Employment & working conditions 6. Culture-customs & traditions 7. Reduced Health Services-access & use 8. Inheritance/Genetics 9. Education-low education are link to poor health 10. 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. POLITICAL Safety Oppression People Empowerment SOCIO ECONOMIC Employment Education Housing BEHAVIOR Culture Mores Ethnic Customs OLOF Individuals Family Groups Communities Populations ENVIRONMENT Air, Food Water Waste Urban/Rural Noise Radiation Pollution HEREDITY Generic Endowment - Defects -Strengths -Risks Familial ,Ethnic Racial HEALTH CARE DEL. SYSTEM Promotive Preventive Curative Rehabilitative

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

15. Level of Clientele Individual – 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

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

26. HANLON Dedicated 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 responsibility 8Millennium Development Goals are as follows: Eradicate extreme poverty & hunger Achieve universal primary education Promote gender equality& empower women Reduce child mortality Improve maternal health Combat HIV/AIDS, malaria & other diseases Ensure environmental sustainability Develop a global partnership for development

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 & hunger Achieve universal primary education Promote gender equality& empower women Reduce child mortality Improve maternal health Combat HIV/AIDS, malaria & other diseases Ensure environmental sustainability Develop a global partnership for development

31. 8 Millennium Development Goals are as follows: Eradicate extreme poverty & hunger Achieve universal primary education Promote gender equality& empower women Reduce child mortality Improve maternal health Combat HIV/AIDS, malaria & other diseases Ensure environmental sustainability Develop a global partnership for development

32. Core Business of Public Health Disease Control Health Protection Healthy Public Policy – Environment Injury Prevention Equitable Health Gain - promotion

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

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

38. DOH Vision - Leader - staunch advocate - model in promoting health for all Mission - guarantee equitable sustainable HEALTH FOR ALL quality Overriding goal of the DOH Health 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’s Inappropriate health delivery system Inadequate regulatory mechanism (poor health quality) Insufficient financing

40. FOURmulaOne 1. Health financing 2. Health regulation - quality & affordability 3. Health service delivery - accessibility - availability 4. Health good governance

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

47. GAYLORD Organized community program designed to PROLONGED LIFE by preventing unnecessary illness

49. Importance of COPAR COPAR maximizes community participation and involvement COPAR could be an alternative in situations wherein health interventions in Public Health Care do not require direct involvement of modern medical practitioners COPAR gets people actively involved in selection and support of community health workers Through COPAR, community resources are mobilized for selected health services COPAR 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 other Clientele which will be the GOAL OF CARE Individual Family Community Population group - Dynamic - Ongoing interpersonal process

56. ASSESSMENT: The first major phase of nursing process Measure status of the client STEPS: Initiate contact, show caring behavior, establish trust Collection of data Identify 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 ACTION Blueprint of the care Based on actual problems potential problems STEPS: Prioritize needs Goal Setting based on needs and capabilities – intent that gives direction to action (SMART) Constructing a Plan of Action – selecting appropriate and available resources for care Developing operational plan - Develop evaluation parameters

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

62. Involve the patient and his familyActivities: Put nursing plan to action Coordinate care/services Utilize community resources Delegate Monitor health services provided Provide health education and training Document 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 Activities Nursing audit Outcome of care Assessment of problems Identify needed alterations Revise plans

65. LAGUNDI (VitexneGUNDO) ULASIMANG BATO (PeperoniaPellucida) BAYABAS (PsidiumGUAJAVA) BAWANG (alliuMsativuM) YERBA BUENA (MenthaCordifeliA)

66. EPIDEMIOLOGY study of the occurrence and spread/distribution of the disease in the community Pattern of Disease Occurrence Sporadic Intermittent occurrence or on-and-off presence of a disease Endemic Continuous or constant occurrence of a disease in a certain area Epidemic Sudden increase in the number of cases in a short period of time in a certain area outbreak Pandemic Worldwide epidemic or global outbreak

68. Health teachings- primary responsibility

69. Generalist – in terms of PHN practice

70. referral system – longer period of time contact with the client

71. CHN is population based

72. Mass approach – community focused not individual

73. Health promotion & Health education – goal of CHN/PHN

74. FNCP – focused on Family problems

75. NHCP – entire Country

77. Health education/Counseling – integral part of CHN

79. * STI’s 4 C’s Counseling Contact tracing Compliance Condom

80. * ABC of AIDS Abstinence Be Faithful Condom Don’t use drugs Education

81. * 3 C’s of DOH clean and safe delivery a. clean cord b. clean hands c. clean surface.

82. *5 Too’s of Pregnancy 1. too young – 18 y.o 2. too old – 35 to 65 y.o. 3. too close – 2 years ( ideal 3 yrs.) 4. too many – 4 pregnancies ( ideal 3 pregnancies) 5. too sickly – Hpn, anemia, toxemia

83. Best for baby Reduced Allergens Easily established Always available Safe Temperature is always right Fresh Emotional bonding Economical Digestible Immunity Nutritious GIT d/o decreases

84. Host (man) 1.change peoples behavior (food safety practices) 3. increase man’s immunity (EPI) Agent Environment 2. prevent production of disease agents (treatment of waste water)