CHN 3RD YEAR

FCKING CHN

Health (WHO):

A complete state of physical, mental, and social well-being, not merely the absence of disease or infirmity.

Nursing (ANA):

PROMOTE, PREVENTIVE, CURATIVE, REHABILITATIVE, PROTECTIVE

Winslow:

Health is a "Birthright."

Shetland:

Based on the "Worth and Dignity of Man."

Freeman:

CHN is a "Service" rendered by a professional nurse.

Jacobson:

Goal is "OLOF" (Optimum Level of Functioning).

Hanlon:

Goal is the "Highest Level" of well-being and longevity.

PRINCIPLES OF COMMUNITY HEALTH NURSING (EMPOWERMENT)

E – EDUCATION

M – MADE AVAILABLE TO ALL

P – PEOPLE’S INITIATIVE

O – ORGANIZING FOR HEALTH

W – WORKS WITH THE FAMILY AS A UNIT

E – EXISTING ORGANIZATIONS OF SERVICE

R – RECORDING AND REPORTING

M – MONITORING AND RECORDING

E – EXISTING INDIGENOUS RESOURCES

N – NEEDS RECOGNIZED BY COMMUNITY

T – TEAM EFFORT

LEVELS OF CLIENTELE

1. Individual: The entry point.

2. Family: The Basic Unit of Service.

3. Community: A group of people sharing common interests and a geographic area.

4. Population Group: Groups sharing common characteristics (e.g., elderly, pregnant women).

E-CODES

• Early Diagnosis & Treatment.

• Control of Communicable Diseases.

• Organization of Medical/Nursing Services.

• Development of Social Machineries.

• Education on Personal Hygiene.

• Sanitation of the Environment.

Types of Communities

• Geographic: Defined by boundaries (Barangay, City).

• Functional: United by common interests/functions (School, Church, Workplace).

Rural vs. Urban:

• Rural: Agriculture-based, low density, limited services.

• Urban: Highly populated, better access to facilities, more environmental issues.

Healthy Community (CHASEGAP Mnemonic)

• Clean and safe environment.

• Healthy lifestyle practices.

• Accessible health services.

• Sustainable resources.

• Effective leadership.

• Good sanitation.

• Active community participation.

• Peace and order.

Factors Affecting Community Health

1. Biological Factors

2. Environmental Factors

3. Socioeconomic Factors

4. Behavioral Factors

5. Health Services

• Crude Birth Rate (CBR)

(Number of live births ÷ Total population) × 1,000

• Crude Death Rate (CDR)

(Number of deaths ÷ Total population) × 1,000

• General Fertility Rate (GFR)

(Number of live births ÷ Number of women aged 15–49) × 1,000

• Morbidity Rate

(Number of people with disease ÷ Total population) × 1,000 or 100,000

• Mortality Rate

(Number of deaths ÷ Total population) × 1,000 or 100,000

The DOH Structural Shift

• GIDA (Geographically Isolated and Disadvantaged Areas): Traditional focus on physical isolation.

• UUC (Unserved and Underserved Communities): Modern metric under the Universal Health Care (UHC) Act.

DEMOGRAPHY

the statistical and scientific study of human populations, including their size, composition, distribution, and changes over time.

FHSIS

(Field Health Services and Information System) – the official nationwide facility-based recording and reporting system of the DOH.

SOURCES OF FHSIS DATA

• Individual/Family Health Record

• Target/Client List

• Tally Report

• Output Report

Life Expectancy – the average number of years a person is expected to live based on current death rates.

Male: 64.10 years

Female: 70.10 years

Epidemiology

the study of how diseases and health problems occur, spread, and affect people in a population.

The Epidemiological Triad

• Agent: The cause (Biologic, Chemical, Physical, Nutritional).

• Host: The recipient (Age, Sex, Genetics, Immune status).

• Environment: External factors (Air quality, Crowding, Water supply).

Primary Prevention (Pre-pathogenesis)

= Aims to prevent disease from occurring.

= Activities: Health education, Immunization, Nutrition counseling.

Secondary Prevention (Pathogenesis/Early Lesions):

= Aims for early diagnosis and prompt treatment.

= Activities: Screening (e.g., Sputum exam), Case-finding, Selective exams.

Levels of Health Care:

Primary Care – Basic and first-contact care.

Example: Health center, vaccination, check-up.

Secondary Care – Specialized care, usually by referral.

Example: Pediatrician, OB-GYN, specialist consultation.

Tertiary Care – Highly specialized and complex care.

Example: ICU, cancer treatment, major surgery.

Sustainable Development Goals (SDGs)

1. No Poverty

2. Zero Hunger

3. Good Health and Well-Being

4. Quality Education

5. Gender Equality

6. Clean Water and Sanitation

7. Affordable and Clean Energy

8. Decent Work and Economic Growth

9. Industry, Innovation and Infrastructure

10. Reduced Inequalities

11. Sustainable Cities and Communities

12. Responsible Consumption and Production

13. Climate Action

14. Life Below Water

15. Life on Land

16. Peace, Justice and Strong Institutions

17. Partnerships for the Goals