CHN Flashcards by Calen Avelino

the client/patient in the CHN
no two communities are alike

COMMUNITY

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▪complete physical, mental, social well-being and not merely the absence of infirmity (WHO)

▪dynamic – fluctuating either towards death/OLOF

HEALTH

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it is concerned to health of the whole population (community)

COMMUNITY HEALTH

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assisting an individual sick/well in the performance of those activities contributing to health or its recovery; if not, assisting to a peaceful death

NURSING

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STAGES OF FAMILY DEVELOPMENT

▪marital and sexual adjustment
▪functional communication
▪adjustment to the role
▪prenatal education

The Beginning Family

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STAGES OF FAMILY DEVELOPMENT

▪starts when the first child is born
▪“mag-anak”
▪changing roles (parenthood)

The Early Child-bearing Family

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STAGES OF FAMILY DEVELOPMENT

▪discipline
▪child-rearing (bringing up a child)
▪be cautious for accidents, poisoning, communicable diseases

The Family with Pre-school Children

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STAGES OF FAMILY DEVELOPMENT

▪balancing time for work and family
▪return to social interest
▪continuing intimacy

The Family with School-Aged Children

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STAGES OF FAMILY DEVELOPMENT

concerns: peer-pressure, sex education, reward vs. reinforcement

The Family with Teenagers

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STAGES OF FAMILY DEVELOPMENT

▪releasing children as adults
▪reestablishing marital dyad
▪postpartal interest
▪divorce/separation
▪menopause

The Family as Launching Center

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STAGES OF FAMILY DEVELOPMENT

▪rebuilding marriage
▪retirement plans
▪health
▪new career

The Middle-Aged Family

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STAGES OF FAMILY DEVELOPMENT

▪maintenance of family relations (bonding)
▪income changes
▪physiologic aspects of aging
▪death of spouse

The Aging Family

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a family-nurse contact

HOME VISIT

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DEVELOPING A FAMILY CARE PLAN

determination of the failure of the family to perform their family task

Second Level of Assessment

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DEVELOPING A FAMILY CARE PLAN

identify existing/potential health conditions of the family

WELLNESS CONDITION
HEALTH THREATS
HEALTH DEFICIT
STRESS POINTS/ FORESEEABLE CRISIS

First Level Assessment

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Health Deficit - DDD

D-isease
D-isability
D-evelopmental Delay

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Health Threats - HICE

H-azards
I-nadequate/lack of immunization or breastfeeding
C-ross infection
E-nvironmental sanitation is poor

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STRESS POINTS/ FORESEEABLE CRISIS - SACCIPDA

S-chool entrance
A-dolesence
C-ourtship/Marriage
C-ircumcision
I-llegitimacy
P-regnancy
D-eath
A-ddiction

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WHO ARE THE 5 VULNERABLE POPULATION GROUP AS A CLIENT

1.infants and young children – immunocompromised and unable to communicate
2.school-aged – prone to accidents, communicable diseases and most neglected
3.adolescent – STD/STI and peer pressure
4.mothers – due to pregnancy
5.old people – weak immune system

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COMMUNITY AS A CLIENT
Levels of Referral System

▪caters: simple cases
▪carried by LGU specifically MAYOR
▪facilities: BHS, HV, RHU

PRIMARY LEVEL

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COMMUNITY AS A CLIENT
Levels of Referral System

▪caters: simple laboratory and common medical and surgical procedure (e.g. appendectomy)
▪carried by LGU specifically GOVERNOR
▪facilities: Provincial Hospital, District Hospital, Emergency Hospital

SECONDARY LEVEL

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COMMUNITY AS A CLIENT
Levels of Referral System

▪caters: advanced procedure
▪carried by the DOH
▪facilities: Regional Hospital, Medical Center, National Hospitals, Specialty Hospitals (National Kidney Transplant Institute, Philippine Heart Center

TERTIARY LEVEL

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Type of Community Diagnosis

-general information about the community

COMPREHENSIVE COMMUNITY DIAGNOSIS

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Type of Community Diagnosis

-it responds to a particular need (no steps)

PROBLEM ORIENTED COMMUNITY DIAGNOSIS

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a process by which a CHN collects data about the community and identify factors which may influence the health (research-like)

Community Diagnosis

HSUEH POINTS: anatomic points being stimulated

accupuncture

ASHI POINTS: indicates a painful spot due to illness

accupressure

DEPARTMENT OF HEALTH VISION

Filipinos are considered as healthiest in Southeast Asia by 2022, healthiest in Asia by the year 2040

DEPARTMENT OF HEALTH MISSION

PPRE Productive People-Centered Resilient Equitable Health Care System

EO 102 – 3 MAIN FUNCTIONS OF DOH

Nurse LEA ▪Leadership in Health – creates policy regarding health ▪Enabler and Capacity Builder – strategies and training ▪Administrative Function – manages tertiary hospitals

its purpose is to watch how the money allocated for health is being spent

HEALTH SECTOR REFORM AGENDA

Core Values of HEALTH SECTOR REFORM AGENDA

PRICE ▪Professionalism ▪Responsiveness ▪Integrity ▪Compassion ▪Excellence

Health sector reform agenda made by Former Pres. Gloria Macapagal Arroyo

FOURmula 1 For Health:

Health sector reform agenda made by Former Pres. Benigno Aquino III

Aquino Health Agenda (AHA) theme: Universal Healthcare/ Pangkalahatang Kalusugan

Health sector reform agenda made by Former Pres. Rodrigo Duterte

FOURmula 1 plus For Health – theme: Boosting Universal Healthcare

FRS GG PA

1.Health Financing 2.Health Regulation 3.Health Service Delivery 4.Good Governance 5.Performance Accountability

-system of PhilHealth to know the coverage of the bill -computes the total bill (regular) -e.g. Dengue Fever – P10,000; Severe Dengue – P16,000; Pneumonia – P32,000

Case Rate Method

law that suggests all Filipinos are automatically enrolled in PhilHealth

RA 11223 – UNIVERSAL HEALTH CARE LAW

type of Philhealth member -employees with formal employment, -kasambahay, -self-earning individuals or professionals, -practitioners -OFW (5%) -Filipinos with dual citizen -all Filipinos aged 21 and above with capacity to pay

Direct Contributor

type of Philhealth member -indigents identified by DSWD -4ps beneficiaries -senior citizens -PWDs -SKs -previously appointed point person/point of service -Filipinos aged 21 and above without capacity to pay

Indirect Contributor

Health Regulation ▪characteristics:

- affordable and quality - vaccines have bidding

Health Service Delivery characteristics

accessible and available

What is Nurse Deployment Program (NDP)?

newly grad nurses are deployed in farflung communities

PRIMARY HEALTH CARE by WHO is signed by __ on ___

signed by: FPres. Ferdinand Marcos Sr. October 19, 1979

Good Governance characteristics:

- Transparent - Accountable - Efficient

legal basis of primary health care

LEGAL BASIS: LOI 949

Primary Health Care vision:

to achieve health in the hands of the people

Primary Health Care Mission:

increase opportunity where people will manage their own healthcare

FOUR PILLARS OF HEALTHCARE (AIUS)

1.Active Community Participation – involvement of the community people 2.Inter/intra-sectoral Linkages – collaboration outside healthcare 3.Use of Appropriate Technology – utilization of locally available resources 4.Support Mechanism Made Available

two core principles of primary health care

1.partnership with the people, active participation 2.empowerment (transfer KSA; Knowledge, Skills, Attitude)

CHARACTERISTICS OF PHC (CASASA)

▪Community-based ▪Accessible (within 3-5 km radius) ▪Sustainable (e.g. Halamang Gamot) ▪Affordable ▪Self-reliance (independent) ▪Available

4 main elements of reproductive health (FAMS)

Family planning Adolescent Maternal and Child STD/STI

other elements of reproductive health SIMVAR

1.Sexuality – respectful, no discrimination 2. Infertility – check male first (infertile if 1 year trying no condoms but no baby) 3. Men’s Reproductive Health – impotence, pre-mature ejaculation 4. Violence Against Women and Children (RA 9262) – physical abuse, psychological abuse, sexual abuse, economic abuse (hindi binibigyan ng pera ng husband) 5. Abortion and its Complications 6. Reproductive Tract Cancer – cervical cancer, breast cancer, prostate cancer

when should be the secondpost partum visit?

2nd pp visit – after 1 week

when should be the first post partum visit?

after 24 hours/ 24 hours after discharge

STORAGE OF VACCINE (time frame) ▪6 months – regional level ▪3 months – provincial level/ district level ▪1 month – main health center ▪not more than 5 days in health center or BHU

vaccines that are most sensitive to heat - stored in the freezer (-15 to -25)

Varicella, OPV, MMR

WATER FACILITY ▪provides the cleanest water ▪suited for urban areas ▪best to recommend ▪piping system

Level 3 – Individual Household

WATER FACILITY ▪protected well ▪developed spring ▪no distribution system ▪not more than 250m from the farthest house ▪houses are scattered

Level 1 – Point Source

Food Sanitation SPCS – RIGHTS

▪Right Source ▪Right Preparation ▪Right Cooking ▪Right Storage

WATER FACILITY ▪stand post ▪1 bomba/poso = 4-5 houses ▪clustered densely ▪best to use ▪free of cost

Level 2 – Communal Faucet

TOILET FACILITY connected to sewerage system to a treatment plant

Level 3

TOILET FACILITY ▪pit latrines ▪reed odorless earth closet ▪bored hole latrine ▪compost ▪pour flush and aqua privis (needs little water)

Level 1 – Non-water Carriage

TOILET FACILITY ▪septic tank

Level 2 – Water Carriage Type with Water Sealed

SPOTTING POTENTIAL LEADERS - PRC DOC (characteristics)

- Poor Person - Respectable - Communicator - Desire for change - Open-minded - Charismatic (famous)

PHASES IN COMMUNITY DIAGNOSIS 1.FORMATION OF ORGANIZATION 2.ELECTION OF OFFICERS (formal leaders) 3.BUILD COMMUNITY HEALTH ORGANIZATION (CHO) 4.TRAINING/ TEAM BUILDING OF OFFICERS 5.PLANNING

ORGANIZATION/ BUILDING PHASE/ ACTIVITY PHASE

PHASES IN COMMUNITY DIAGNOSIS 1.Continue training and education of officers and BHW 2.Creation of short and long-term goals

SUSTENANCE AND STRENGTHENING PHASE/ MAINTENANCE

PHASES IN COMMUNITY DIAGNOSIS 1.IMPLEMENTATION OF PLPANS 2.GROUNDWORKING (house to house to encourage people to participate)

ACTION PHASE

PHASES IN COMMUNITY DIAGNOSIS 1.DOCUMENTATION – proof of organizing 2.FOLLOW UP – once a year 3.DISSEMINATION

TURN OVER/PHASE-OUT PHASE

CHN Flashcards

(69 cards)