Community Health Nursing -I

Introduction

Community:
Group of people living together in a particular
geographical area.
Community Health:
Health of peoples in terms of physical, mental, social
and spiritual health.
Definition :
1. Community health nurses provide preventive,
promotive,curative and rehabilitative services to the people
.they provide these services directly to individual, family or
community.

2.Community Health Nursing is learned practice with ultimate

goal of contributing ,as individuals and in collaboration with
others to the promotion of patient optimum functioning
through teaching and delivery care.
AIMS :
To reduce
risk factors

To improve
quality of
life
AIMS of
CHN

To improve
standard of
living

To strengthen
self care
activity of
individuals

Principles of community Health Nursing :

Appraisal
and
evaluation
Based on of services
community
No needs

Job
satisfacti
on

No
discriminati
on of
age,sex

acceptance
of bribe
/gift

Communit
y
participati
on,IPR
Awarenes
s through
education

Consider
nursing ethics

Principle
s

Family
as a
basic
unit
Assist family in
making
decisions
related to
health

Colloboratio
n and
coordination

Follow up
Defined
objectives and
purposes

Community Health NursingCollect

Process:
data

Proble
m
solved

Search
another
health
problem

Goal not
achieved

Evaluate activities
-Evaluate the
outcome
-draw inferences

Implement
activities
-nursing
interventions

-Demographic,
Geographic
-social,environment

Establish and maintain

IPR
-Trust
worthy,listener,empat
hetic,confident

Plan activities:
-establish
priorities,preventive,
promotive, curative
and
restorative,rehabilitat
ive

Assessment:
Observation,
Interview,survey,qu
estionnaire

Community
diagnosis
-analyse the
data,Derive
inferences,identif
y needs
Set goals
-To decrease
mortality,morbidit
y
-To reduce
incidence

Trust worthy

Offer
assistance
For developing
and establishing
IPR

Empathy
Confident

Listener

Concept of Health:
1.Bio medical concept :
Micro organism

2.Ecological concept
3.Psycho social concept
4.Holistic concept

Enters

Huma
n body

Cause

Illness/disea
se

Factors affecting Health:

Human biology
-genetic inheritance,
developmental process

External environment
-Physical
-Biological
-Psychological

Availability of health
services

Socio economic factor

Occupation,education,po
litical system

Health

Social support
Structure
,function

Socio cultural factors

Norms,culture,attitude

Dimensions of Health :
Physical
Vocation
al

Health
services

Ment
al

social
Dimensions

Environmen
tal
Emotional

spiritual

Ill Health and responsible factors :

Poor nutrition
Stress
smoking

Poor
social
interactio
ns at
home

Physical illness

Alcohol intake
Prolonged
illness
Poor personal and
environmental hygiene

Mental illness

Decreased
purchasing
power

Mental illness and physical illness :

Mental illness
-Depression

Poor nutrition
intake

Poor hygiene

Decreased
immune system

Prone to
infection

Physical illness

Health education Health Promotion

Restructuring health
services according to
need

Health
education

Individual
empowerment
Through conscious
raising
Community
empowerment through
conscious raising

Safe environment

Health

Healthy public
policies

Community
participation

Health maintenance strategies :

Good nutrition
Ex: eating balanced
diet

Hygienic
conditions
-personal
hygiene, food
hygiene

Reduction in
stress

Health
maintenance
required

Health services

Exercises to
keep physically
fit
Safe environment