Community and Public Health Nursing (CHN/PHN) Review

Flashcards covering the core concepts of Community Health Nursing, public health legislations, maternal and child health, primary health care (PHC), and DOH reporting systems as outlined in the lecture notes.

Community Health Nursing (CHN)

A synthesis of nursing skills, sociology, and public health practices focused on achieving OLOF by teaching and delivering care to individuals, families, aggregates, and communities.

OLOF

Optimum level of functioning.

Jacobson's Four Pillars of Health

The health of the population is determined by Political (safety/oppression), Behavior (lifestyle), Heredity (genetics), and Health Care Delivery System (devolution/decentralization).

RA 7160

The Local Government Code of the Philippines which created the LGU (Local Government Unit).

RA 7610

The Anti-child abuse law.

FHSIS

Field Health Service Information System; the official reporting and recording system of the DOH under EO 352.

BMI Formula

$$\text{BMI} = \frac{\text{Wt. in kg}}{(\text{Ht. in m})^2}$$

Deworming Protocol for Albendazole ($400\,mg$)

Children $< 2$ years old receive a half tablet, while children $> 2$ years old receive 1 full tablet.

Visual Acuity Screening

Conducted using the Snellen chart; a normal result is $20/20$. If results are $20/40$ or higher, the child should be referred for observation.

CHN vs. CBN

CHN targets the community/family for wellness and prevention (Primary level), while Community Based Nursing (CBN) targets sick individuals for diagnosis and cure (Secondary/Tertiary levels).

TB DOTS Intensive Phase

A $2$-month period requiring daily treatment observed by a BHW or relative.

Genogram

A tool for presenting family structure by genealogy, using a SQUARE for Male and a CIRCLE for Female.

Blended Family

A family type consisting of children from a previous marriage.

Family Cycle School-Age Stage

Families with children aged $6$ to $13$ years old; the oldest child serves as the basis for the stage.

Bitot’s Spot

A whitish/grayish triangular patch on the eye indicative of Vitamin A deficiency and Xerophthalmia.

Micronutrient Supplementation Timing

Targeted for children $5$ years and below during GP 1 (April) and GP 2 (October) with a $6\,month$ interval.

Vitamin A Supplementation Dosage

For children $6-11$ months: $100,000\,IUs$; for children $1-5$ years: $200,000\,IUs$ every $6$ months.

RA 8976

The Food Fortification Program which utilizes the Sangkap Pinoy Seal (Yellow for Vit A, Green for Iron, Red for Iodine).

RA 11148

The Kalusugan at Nutrisyon ng Mag Nanay act of 2018, also known as the First 1000 days law.

RA 7600

The Rooming-in and Breastfeeding Act of 1992.

Guthrie Card

Filter paper used to collect the blood specimen (via heel prick) for the Newborn Screening Test.

Newborn Screening Timeline

Best performed between $48-72$ hours of life, though it can be done from $24$ hours up to $2$ weeks.

Basic 6 Newborn Screening Disorders

Congenital hypothyroidism, Congenital adrenal hyperplasia, Galactosemia, Phenylketonuria, G6PD deficiency, and Maple syrup urine disease.

Tetanus Toxoid 2 (TT2)

Administered $1\,month$ after TT1, providing $3\,years$ of protection at an $80\%$ success rate.

BEMONC Functions

Basic Emergency Obstetrics and Neonatal Care functions including parenteral oxytocin, anticonvulsants, antibiotics, assisted delivery (forceps), and removal of retained products/placenta.

SHE BUBBLE

A postpartum assessment acronym: Skin, Homan’s Sign, Episiotomy, Bladder, Uterus, Bowel, Breast, Lochia, and Emotional changes.

RA 11223

The Universal Healthcare Act (UHC).

SDG 3

The Sustainable Development Goal for Health and Well-being, covering immunization and maternal/child health.

D CRIBS

Ottawa Charter action areas: Develop personal skill, Create supportive environment, Reorient public health services, Interdisciplinary partnership, Building public health policy, and Strengthening community action.

Bag Technique Guidelines

MESH: Minimize spread of infection, Effectiveness of total care, Save time and effort, and Handwashing/Avoid contamination.

Public Health Personnel Ratios

1 MD per $20,000$ population; 1 RN per $10,000$ population; 1 Midwife per $5,000$ population; 1 Dentist per $5,000$ population.

Primary Level of Care

Focuses on promotion and prevention for the well and at-risk population at facilities like the RHU or Lying-in.

Alma Ata Declaration

The 1978 declaration from the first international conference for Primary Health Care (PHC) with the goal "Health for all by year 2000."

I USA (PHC Pillars)

Intra/Inter-sectoral linkages, Use of appropriate technology, Support mechanisms made available, and Active community participation.

RA 8423

The Traditional Alternative and Medicine Act (TAMA) of the Philippines.

Lagundi

A herbal plant used for asthma, cough, colds, flu, and fever.

MOSTH-V

Vaccines sensitive to heat that must be kept in a freezer at $-15\,^{\circ}C$ to $-25\,^{\circ}C$: Measles, OPV, and Varicella.

VVM

Vaccine Vial Monitor; a tool where the inner square indicates heat exposure. If the inner square is darker than the outer circle, do not administer.

Sanitation Color Coding

Black (Non-hazardous, non-biodegradable), Green (Non-hazardous, biodegradable), Yellow (Infectious/Pathological), and Orange (Radioactive).

FHSIS Record Types

Treatment Record (ITR/FTR), Target Client List (TCL), and Tally Reports.