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Community health nursing is a learned practice discipline
Ultimate Goal : contribute to the promotion of client’s optimum level of
functioning
Through teaching and delivery of care. (Jacobson)
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Collect data from all Put nursing plan to action
possible sources Coordinate care / services
Identify problems Utilize community resources
Analyze and interpret data Delegate and supervise
Monitor health services
provided
PL PLANNING - formulation of steps to be Provide health education
undertaken to achieve desired end and training
STEPS: Document responses to
Prioritize needs nursing action
Establish goals based on
needs and capabilities EVALUATION - process of making
Construct action and judgments as to the extent the
operation plan objectives are met
Devise evaluation STEPS:
parameters Care outcomes
Revise plan as needed Performance appraisal
Estimate cost benefit ratio
IMPLEMENTATION - Assessment problems
translation of care plan into Identify needed alterations
action Revise plans as necessary
STEPS:
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PRIORITIZING HEALTH PROBLEMS
NATURE OF THE PROBLEM – categorized into health deficit, health threat and
foreseeable crisis
Health deficit 3
Health threat 2
Foreseeable crisis 1
OUTCOME ELEMENTS - changes in the client’s health status that result from
nursing interventions
COMPONENTS
modification of signs and symptoms
Knowledge
Attitude
Satisfaction
Skill level of client
Compliance with treatment regimen
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NURSING PROCEDURES
PRE-CONSULTATION CONFERENCE
1. Greet and make client at ease
2. Take clinical history
3. Take temperature, blood pressure, height and weight
4. Perform physical assessment
5. Do laboratory examinations
6. Write findings on client records
MEDICAL EXAMINATION
1. Assist client before, during and after examination by physician
2. Inform physician of relevant findings gathered in pre-conference
3. Work with the physician during the examination
4. Ensure privacy, safety and comfort of patient throughout procedure
5. Observe confidentiality of examination results
Nursing Intervention:
1. Carry out physician’s orders as giving medication or injection
2. Explain and reinforce physician’s orders and advises
3. Teach patient measures to promote and maintain health as proper
diet, exercise and
Personal hygiene.
4. Seek information regarding health status of other family members
5. Counseling
PRE-CONSULTATION CONFERENCE
1. Explain findings and needed care or intervention
2. Refer patient to other health worker/agency
3. Make appointment for next clinic/home visit
DEPARTMENT OF HEALTH
VISION: Health for all Filipinos
MISSION: Ensure accessibility of health care to improve the quality of life of the
Filipinos especially the poor
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Development of national standards and objectives for health
ELEMENTS/COMPONENTS of PHC
- Education for Health
- Locally Endemic Disease Control
- Expanded Program on Immunization
- Maternal and Child Health
- Essential Drugs and Elderly Care
- Nutrition
- Treatment of CD and Non-CD
- Sanitation: Water and Environment
ORGANIZATIONAL STRATEGY
Framework for meeting the goal of primary health care
Calls for active and continuing partnership among the communities,
private and government agencies in health development
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Rural Health Unit Regional Medical Centers
SECONDARY and Training Hospitals
Emergency/District National Medical Centers
Hospitals Teaching and Training
Provincial/City Hospitals Hospital
TERTIARY
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