CLASS POLICY Attendance is a must- 2 days Active participation in the class discussion is expected Short quiz will be given

Copy of written report should reach the professor w/in 5 working days from the day the class ended (Feb. 22, 2008) deadline of submission
Can be sent thru e-mail kissin_couple2000@yahoo.com Thru courier Ms. Ma. Luisa S. Orezca DOH-NCR, Welfareville Compound, Acacia Lane Shaw Blvd., Mandaluyong City

Group Report Presentation on the 2nd day of the class

15 min.-presentation 10 min.-critiquing

GRADING SYSTEM Class Participation-60%

Active cooperation during class discussion-20% Group report/members involvement-40%

Out put-40%
Short quiz-15% Written report25%

MAN 605-ADVANCED PRIMARY HEALTH NURSING

EDGARDO H. BENGZON, M.D. MA. LUISA S. OREZCA, BSE-HEALTH, MPA

PRIMARY HEALTH NURSING

Is the protection, promotion and optimization of health and abilities, prevention of illness & injury, alleviation of suffering through the diagnosis and treatment of human responses, & advocacy in health care for individuals, families, communities & populations. American Nurses Association

NURSING PROCESS
Is the method used to assess and diagnose needs, plan and implement interventions, and evaluate the outcomes of the care provided.

NURSE PRACTICE SETTINGS

Hospitals Homes-visiting people Schools-caring for the people Occupational Health/Industrial Health Clinics Physician Offices Military Service

Insurance Industries-consultants to health care Attorneys Offices-act as consultant, to review patients records and testify in court TEMPORARY BASIS Per diems nursing Agency nursing or travel nursing

MAJOR DIVISION OF SETTINGS

Nursing of people with mental health problemspsychiatric & mental health nursing Nursing of people w/ learning or developmental disabilities-learning disability nursing (U.K.) Nursing of children-Pediatric nursing Nursing older adults-Geriatric nursing Nursing people in their own homes-Home Health Nursing (U.S.) Live-in Nursing Cardiac Nursing Orthopedic Nursing Oncology Nursing Specialties Areas

ROLES OF THE PRIMARY HEALTH NURSE

Assess, plan and provide for the nursing needs of patients in the community, ensuring a holistic approach is being utilized Recognizes the continuity of role over time, even when being absent from the care setting Leads the team, delegating, liaising and coordinating with other members of the Primary Health Care Term to provide an effective interrelated service Ensure appropriate communication, education and support of patients and their significant others, those people who care for them , whether family, friends or neighbors

ADVANCED PRIMARY HEALTH NURSING ROLES DEFINED Clinician-designer/coordinator/evaluator of care to individuals, families, groups, communities and population; able to understand the rationale for care and competently deliver this care to an increasingly complex and diverse population in multiple environments Outcomes Manager-synthesized data, information and knowledge to evaluate and achieve optional client outcomes Client Advocate-adept at ensuring that clients, families and communities are well-informed and included in care planning and is an informed leader for improving care

Educator-uses appropriate teaching, principles and strategies as well as current information, materials and technologies to teach clients, groups and other health care professionals under their supervision Information Manager-able to use information systems and technology that put knowledge at the point of care to improve health care outcomes

Systems Analyst/Risk Anticipator-able to participate in systems review to improve quality of client care delivery and at the individual level to critically evaluate and anticipate risks to client safety with the aim of preventing medical error Member of a Profession-accountable for the ongoing acquisition of knowledge and skills to effect change in health care practice and outcomes and in the profession

CORE COMPETENCIES
Critical thinking-includes the ability to use evidence gathered through personal experiences and through the research of others in evaluating and designing models and plans of care Communication- acquisition of skills necessary to interact and collaborate with other members of the interdisciplinary health care team Assessment- understanding the family, community or population and using data from organizations and systems in planning and delivery care Nursing Technology and Resource Managementacquisition and use client care technology and nursing procedures are required for the delivery of nursing care

CORE KNOWLEDGE
Health Promotion, Risk Reduction and Disease Prevention-theoretical foundation in health promotion, illness prevention and maintenance of the clients (individuals ,family ,group or community) functions in health and illness Illness and Disease Management-knowledge about the social, physical, psychological and spiritual response of the individual and family or caregiver to disease and illness Information and Health Care Technologiestraditional and developing methods of discovering, retrieving, and using information in nursing practice

Ethics-values, codes, and principles that govern discussions in nursing practice, conduct and relationship. Skill and knowledge in resolving conflict related to role obligations and personal beliefs are necessary Human Diversity-understanding the ways cultural, ethic, socioeconomic, linguistic, religious, and lifestyle variations are exposed Global Health Care-understanding of the implications of living with transportation and information technology that link all parts of the world Health Care System and Policy-understanding of the organization and environment in which nursing and health care is provided. (Health Care Policy-shapes health care systems and helps determine accessibility, accountability and affordability.)

PRIMARY HEALTH CARE (WHO DEFINITION)

Essential care based on practical, scientifically and socially acceptable methods and technology, made universally accessible to individuals and families in the community throughout their full participation and at a cost that the community and country can afford to maintain at every stage in their development, in the spirit of self reliance and self determination

COMMUNITY
A social group of organisms sharing an environment, normally with shared interests. In human communities, intent, belief, resources, preferences, needs, risks, and a number of other conditions may be present and common, affecting the identity of the participants and their degree of cohesiveness

The word community is derived from communitas (meaning the same) which is in turn derived from communis, which means common, public, shared by all or many. Communis comes from a combination of the Latin prefix con(which means together) and the word munis-(which has to do with performing services).

Wikipedia (Free Encyclopedia)

COMMUNITY HEALTH NURSING (ROYAL COLLEGE OF NURSING 1992) Professional nursing directed towards communities or population group as well as individuals living in the community It includes assessment of the environment, social and personal factors, which influence the health status of the targeted population Its practice incorporates the identification of groups and individual within the community who require help in maintaining or achieving optimal health

FEATURES OF A HEALTHY COMMUNITY (Hunt and Zurek, 1997) Awareness that we are community Conservation of natural resource Recognition of, and respect for, the existence of subgroups Preparation to meet crises Ability to problem solve

Communication through channels Resources available to all Setting disputes through legitimate mechanisms Participation of citizens in decision making A high degree of wellness among the members

HEALTH
(WHO, 1946)

A complete state of physical, mental, and social well-being not necessarily always excluding disease.

FOUR (4) ASSUMPTIONS SUPPORTING THE PHILOSOPHY OF PRIMARY HEALTH CARE 1. Health is political and social right. Equity is fundamental and universal coverage is the norm, with care provided according to need. 2. The community as a whole, rather than the individual, is client, and the community determines its greatest priority and resources allocation in health care. Thus, the overall public goal is promoted, but needs of individuals may go unmet.

3. Because conditions in many sectors of communities affect health, multisectoral cooperation is necessary to promote, maintain, or improve health of the community 4. The philosophy of primary health care can be applied to any country or community on the globe.