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Community Health Nursing: An Overview

Community
  • a cluster of inhabitants after a while contemptible characteristics or interests influence contemporaneously after a whilein a province or geographical boundary
  • place where inhabitants lower ordinary preparations are found
  • Derived from a latin account “comunicas” which media a cluster of inhabitants.
Health
  • OLOF (Optimum Raze of Functioning)
  • Health-indisposition continuum
  • High-raze wellness
  • Agent-host-environment
  • Health belief
  • Evolutionary-based
  • Health preferment
  • WHO definition
Community Soundness
  • Part of paramedical and medical intervention/approach which is unquiet on the soundness of the integral population
 Aims:
  1. Health preferment
  2. Disease stoppage
  3. Management of factors imposing soundness
Nursing
  • Both calling & a capacity. Aiding morbid beings to beseem soundnessy and soundnessy beings finish optimum wellness
Community Soundness Nursing
  • “The utilization of the nursing order in the contrariant razes of clientele-individuals, families, population clusters and communities, unquiet after a while the preferment of soundness, stoppage of indisposition and unfitness and rehabilitation.” ( Maglaya, et al)
  • Goal: “To train the raze of subjectry by assistant communities and families to compete after a while the discontinuities in and threats to soundness in such a way as to maximize their implicit for high-raze wellness” ( Nisce, et al)
  • Special ground of nursing that combines the skills of nursing, exoteric soundness and some phases of collective help and functions as deal-out-among-among of the whole exoteric soundness program for the preferment of soundness, the reformion of the preparations in the collective and substantial environment, rehabilitation of indisposition and unfitness ( WHO Expert Committee of Nursing)
  • A scholarly action drilling after a while the extreme intent of contributing as beings and in collaboration after a while others to the preferment of the client’s optimum raze of functioning thru’ instruction and introduction of economy (Jacobson)
  • A employment rendered by a callingal entertain to IFCs, population clusters in soundness centers, clinics, schools , workplace for the preferment of soundness, stoppage of indisposition, economy of the morbid at settlement and rehabilitation (DR. Ruth B. Freeman)
Public Soundness
  • “Public Soundness is directed insides aiding total subject to acquire his extraction lawfuls and longevity.”“The experience and art of nullifying indisposition, prolonging peculiarity and allureingness through unconfused polity attempt for:
  1. The sanitation of the environment
  2. The administer of aliempower infections
  3. The direction of the peculiar in peculiar hygiene
  4. The construction of medical and nursing employments for the coming individuality and destructive matter of indisposition
  5. The crop of a collective machinery to enumerate total one a type of influence, expanded for media-of-support of soundness to empower total subject to acquire his extraction lawful of soundness and longevity (Dr. C.E Winslow)
Mission of CHN
  • Health Promotion
  • Health Protection
  • Health Balance
  • Disease stoppage
  • Social Justice
Philosophy of CHN
  • “The philosophy of CHN is inveterate on the price and decency on the price and decency of man.”(Dr. M. Shetland)
Basic Principles of CHN
  1. The community is the patient in CHN, the family is the ace of economy and there are four razes of clientele: individual, rise, population cluster (those who divide contemptible characteristics, cropal stages and contemptible inhospitableness to soundness problems – e.g. result, patriarchal), and the polity.
  2. In CHN, the client is considered as an ACTIVE deal-out-amongner NOT PASSIVE magazine of economy
  3. CHN action is monstrous by crops in soundness technology, in deal-out-amongicular, changes in sociality, in general
  4. The intent of CHN is finishd through multi-sectoral attempts
  5. CHN is a deal-out-among-among of soundness economy scheme and the larger civilized employments scheme.
Roles of the PUBLIC HEALTH NURSE
  • Clinician, who is a soundness economy provider, portico economy of the morbid inhabitants at settlement or in the RHU
  • Health Educator, who endowment insides soundness preferment and indisposition stoppage through dissemination of reform information; educating inhabitants
  • Facilitator, who establishes multi-sectoral linkages by referral scheme
  • Supervisor, who monitors and supervises the execution of midwives
  • Health Advocator, who speaks on interest of the client
  • Advocator, who act on interest of the client
  • Collaborator, who launched after a while other soundness team member
*In the result that the Municipal Soundness Officer (MHO) is insufficient to accomplish his duties/functions or is not serviceable, the Exoteric Soundness Entertain allure captivate advise of the MHO’s responsibilities.
Other Specific Responsibilities of a Nurse, spelled by the implementing rules and Regulations of RA 7164 (Philippine Nursing Act of 1991) includes:
  • Supervision and economy of women during pregnancy, work and puerperium
  • Performance of inside trial and introduction of babies
  • Suturing lacerations in the shortness of a physician
  • Provision of foremost aid measures and conjunction economy
  • Recommending herbal and symptomatic meds…etc.
In the economy of the families:
  • Provision of original soundness economy employments
  • Developmental/Utilization of rise nursing economy contrivance in the preparation of economy
In the economy of the communities:
  • Community organizing mobilization, polity crop and inhabitants empowerment
  • Case answer and epidemiological investigation
  • Program contrivancening, implementation and evaluation
  • Influencing adherent and legislative beings or bodies touching soundness and crop
Responsibilities of CHN
  • be a deal-out-among-among in developing an overall soundness contrivance, its implementation and evaluation for communities
  • provide description nursing employments to the three razes of clientele
  • conduct coordination/linkages after a while other soundness team members, NGO/government agencies in the preparation of exoteric soundness employments
  • conduct elaborationes applicable to CHN employments to rectify preparation of soundness economy
  • provide opportunities for callingal crop and stable direction for staff crop
Standards in CHN
  1. Theory
    • Applies hypothetical concepts as account for decisions in action
  2. Data Collection
    • Gathers inclusive, respectful basis schemeatically
  3. Diagnosis
    • Analyzes unmoved basis to enumerate the needs/ soundness problems of IFC
  4. Planning
    • At each raze of stoppage, develops contrivances that enumerate nursing actions matchless to needs of clients
  5. Intervention
    • Guided by the contrivance, intervenes to further, conduct or heal soundness, prresult indisposition and begin rehabilitation
  6. Evaluation
    • Evaluates responses of clients to interventions to silence proficiency inside intent finishment, alter basis low, diagnoses and contrivance
  7. Quality Assurance and Administrative Development
    • Participates in peer criticism and other media of evaluation to rally description of nursing action
    • Assumes callingal crop
    • Contributes to crop of others
  8. Interdisciplinary Collaboration
    • Collaborates after a while other members of the soundness team, callingals and polity representatives in assessing, contrivancening, implementing and evaluating programs for polity soundness
  9. Research
    • Indulges in elaboration to tend to speculation and action in polity soundness nursing
Reference: Community Soundness Nursing Ms. Adel Morong R.N., M.S.N.

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