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PHN meaning, vaccines, OLOF model, devolution and decentralization of healthcare, restructuring of healthcare
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Public Health Care
General umbrella term
Covers the ff:
Community Health
Community Health Nursing
School Health Nursing
Occupational Health Nursing
Epidemiology
Environmental Health - sanitation
Maternal and Child Health
Psychiatric Health
Community Services and Programs - DOH Programs
Emergency and Disaster
Epidemiology
study of the occurrences and patterns of diseases
WORLD HEALTH ORGANIZATION
Public Health Nursing definition
Combination of nursing skills, sociology, public health
Sociology - study of the society
AMERICAN NURSES ASSOCIATION
Public Health Nursing definition
There is a synthesis of public health practices and nursing practices towards the promotion and preservation of health
MARGARET JACOBSON
Public Health Nursing definition
Achievement of optimum level of functioning by teaching and delivery of care
OLOF Model
Political Factors
Political Factors
Socio-Economic Factors
Environment Factors
Heredity
Healthcare Delivery Services
Factors of OLOF Model by Margaret Jacobson
Political Factors
OLOF Factors
Safety
Oppression
People empowerment
optimum level of functioning
OLOF meaning
Behavior Factors
OLOF Factors
Lifestyle
Socio-Economic Factors
OLOF Factors
Education, employment, housing
Environment Factors
OLOF Factors
Ecological system, co-existing with the organisms
Humans are the highest forms of organisms in this planet
Heredity
OLOF Factors
Genetics (familial diseases affects morbidity and mortality rate)
Promotive
Preventive
Curative
Rehabilitative
4 healthcare delivery services (OLOF model)
bats
OLOF MODEL: ENVIRONMENTAL HEALTH FACTORS
carriers of the most fatal diseases d/t high virulence rate (ebola, rabies, corona)
SEVERE ACUTE RESPIRATORY SYNDROME (SARS)
MIDDLE EAST RESPIRATORY SYNDROME (MERS)
CORONAVIRUS DISEASE 2019 (COVID-19)
Corona diseases
SEVERE ACUTE RESPIRATORY SYNDROME (SARS)
Causative agent: SARS-COV
droplets
MOT of corona diseases
civets
carrier of SARS
bats to _____
2002, Guangdong China
SARS incidence (year and place)
none
SARS and MERS vaccine and treatment
MERS-COV
causative agent of MIDDLE EAST RESPIRATORY SYNDROME (MERS)
camel
MIDDLE EAST RESPIRATORY SYNDROME (MERS) carrier
bats to_____
2012, Riyadh, Saudi Arabia
MERS incidence (year and place)
SARS-COV 2
causative agent of CORONAVIRUS DISEASE 2019 (COVID-19)
5-6
According to CDC, the SARS-COV 2 can circulate in the air for how many hours
nCOV
1st name of COVID-19
airborne precautions
Precaution for COVID-19
Medical-grade masks
Hospitals: N95
false
T or F: COVID-19 is airborne
true
T or F: new/unknown disease → stricter control/protocols
R-naught
Computation of reproductivity of a disease (gaano nakakahawa, nanganganak)
Determines how effective the management of the government
virus nuclei is lighter than the particle of air
when will a disease be airborne
1-3
R₀ of COVID-19 now
12
R₀ of COVID-19 before
d/t out of control, no vaccine or treatment yet, unknown disease
19
R₀ of measles
Nov. 2019, Wuhan, Hubei, China
Incidence of COVID-19 (year, place)
Patient 0
Dec. 2019
when did they report about nCOV?
Jan 2020
WHO issued a global alert because of COVID-19
Urged the govt to create protocols
Jan. 30, 2020
1st recorded case in the PH = Patient 1
Wuhan resident
Cebu → Ilo-ilo → Dumaguete → Manila
SPUTNIK V
COVID-19 vaccine
First COVID-19 vaccine undergoes trial
Made in Russia
1st to undergo clinical trial
-18°C
temperature requirement of SPUTNIK V
SINOVAC
COVID-19 vaccine
Made in China
BHARAT BIOTECH
SINOPHARMA
ASTRAZENECA
SINOVAC
COVID-19 vaccines temperature requirement of +2 to +8°C
mRNA vaccines
new technology/scientific breakthrough in vaccines
FDA-approved
All vaccines need a cold temperature because it contains Antigen→ Antibodies→ Immunity
Because of COVID-19, scientists proved that this is good to become a vaccine (sample population is worldwide)
spliced microbe
Pfizer and moderna
COMIRNATY
name of Pfizer
-60 to -80°C
Pfizer temperature requirement
ultracold storage system
SPIKEVAX
name of Moderna
-15 to -25°C
Pfizer temperature requirement
antigens
vaccines are made up of what
from microbes
antibodies
from humans
activate immune response
herd immunity
goal of vaccines
Spanish Flu (Influenza A)
1918
H1N1 —> flu vaccine
HIV
Retrovirus, viral RNA
Antigen is inside the surface protein which is a very thick layer that covers the virus
REMDESIVIR
COVID-19 Tx
Antiviral
P15-30k/vial
TOCILIZUMAB
COVID-19 Tx
mAb (monoclonal antibodies: genetically engineered drug, from patients who recovered)
Monoclonal antibodies (mAbs)
Lab-produced proteins that mimic the body's natural antibodies, acting as targeted therapies. They are designed to bind to specific antigens, like those found on cancer cells or viruses, and can be used to diagnose, treat, and research diseases.
MOLNUPIRAVIR/LAGEVREO
COVID-19 Tx
Updated DOC for COVID-19
PAXLOVID
COVID-19 Tx
MOST updated DOC for COVID-19
From Pfizer
promotive and preventive services
OLOF MODEL: HEALTHCARE DELIVERY SYSTEM
CHN focus
health promotion
primary focus of CHN
Health Teaching
health promotion could be achieved through
EDUCATOR
Primary ROLE of nurse in CHN
GENERALIST
Primary FUNCTION of nurse in CHN
Role model
ROLE OF NURSES IN THE COMMUNITY (RT PCR MO NURSE)
R stands for
Role model, trainer, planner, coordinator of services, reporting and recording, manager, organizer, nurse care provider
ROLE OF NURSES IN THE COMMUNITY (RT PCR MO NURSE)
Field Health Service Information system (FHSIS)
official recording and reporting of the DOH
under reporting and recording role of nurses in the community
BHS
Where does the first recording take place?
figures/numbers/data
You only pass these to the DOH
daily
Frequency of recording
BHS (midwife) → RHU (PHN) → Provincial Health Office (Provincial FHSIS coordinator) → Regional Health Office Regional FHSIS coordinator → DOH
sequence of recording and reporting
Annual FHSIS Report of the Philippines
output of the reporting and recording of data
reported by DOH
by region
how does DOH present data in annual FHSIS
COPAR (Community Organizing Participatory Action Research)
Aims to develop self-reliance of the community members
People themselves are the researchers
Nurses will guide (role of nurse is to organize)
RA 7160: Local Government Code of the Philippines
DEVOLUTION AND DECENTRALIZATION OF HEALTHCARE
Law: Creation of LGUs
Signed by Corazon Aquino
LGUs
focus of the delivery of health services
RA 7610
Anti-Child Abuse Law
Ferdinand Marcos Sr.
RESTRUCTURING OF THE HEALTHCARE SYSTEM
signed by who
Primary
Secondary
Tertiary
levels of care
Hanlon
Public Health Nursing is defined as:
Attainment of total development
All aspect of humanity
Holistic
Who defined this
Purdom
Public health nursing is the survival of human species according to
Freeman
Public health nursing is the service rendered by the professional nurses to the four levels of clientele in different health settings as mentioned by who?
four levels of clientele: individual, family, aggregate, community
different health settings: home & clinic (PHN: RA 7305), work (OHN: RA 1054, updated; RA 11058: OSHSA), and school
BAILON REYES
Public Health Nursing defined by?
nursing services rendered or provided outside a purely curative institution
Curative = hospital
MAGLAYA
Public Health Nursing defined by?
utilization of the nursing process to benefit the individual, the family, and the community
Contributed to the Family Health Nursing Practice
Focus: nursing process
APIE (not ADPIE); dx is part of the assessment
INITIAL DATA BASE
tool for that is used for the assessment of family health nursing
created by Maglaya
PROBLEM IDENTIFICATION
end result of assessment based on Maglaya