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CHN Module 3 and 4

The document discusses epidemiology and the phases of the epidemiologic approach including descriptive, analytical, experimental, and evaluative phases. It also discusses disease surveillance and registration systems in the Philippines. Patterns of disease occurrence are described as sporadic, epidemic, endemic, and pandemic. Activities in community health nursing are outlined including clinic visits, home visits, and the principles of COPAR (Community Organizing Participatory Action Research). COPAR involves community organizing and participatory action research through various phases from pre-entry to turn over.

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Zanesville Lymont L. Subido
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202 views4 pages

CHN Module 3 and 4

The document discusses epidemiology and the phases of the epidemiologic approach including descriptive, analytical, experimental, and evaluative phases. It also discusses disease surveillance and registration systems in the Philippines. Patterns of disease occurrence are described as sporadic, epidemic, endemic, and pandemic. Activities in community health nursing are outlined including clinic visits, home visits, and the principles of COPAR (Community Organizing Participatory Action Research). COPAR involves community organizing and participatory action research through various phases from pre-entry to turn over.

Uploaded by

Zanesville Lymont L. Subido
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Module 3

RESEARCH IN CHN
Epidemiology – study of occurrence and distribution of a disease and factors affecting the disease
occurrence and distribution.
1. PHASES OF EPIDEMIOLOGIC APPROACH

a. DESCRIPTIVE
- Frequency and distribution of a disease
(Bibilangin and may case ng corona virus)

b. ANALYTICAL
- Causes and determinants of a disease
(Aalamin kung anong dahilan kung bakit dumadami ang kaso at mga namamatay)

c. EXPERIMENTAL
- New approach in dealing with a disease

d. EVALUATIVE
- Effective of the program/services

2. DIESEASE SURVEILLANCE AND REGISTRATION

a) NESS (National Epidemic Sentinel Surveillance System)


- Monitor of all infectious diseases with outbreak potential.

b) FHSIS (Field Health Services and Information System)


- Reporting and recording system of all cases in the health sector

c)
- R.A 3573 – Reporting of the communicable disease
- R.A 11332 of 2020 – Mandatory Reporting of Notifiable Disease and Health Events of Public
Health concerns.
- PD 651 – Registration law (Birth, Death)

3. PATTERNS OF OCCURRENCE AND DISTRIBUTION

1. SPORADIC
- On and off occurrence
- Cases are few and scattered

2. EPIDEMIC
- increase in occurrence/outbreak

3. ENDEMIC
- Continues in occurrence
- Cases are constant in a period of time

4. PANDEMIC
- Simultaneous epidemic of a same disease in several countries
ACTIVITIES IN CHN
1. CLINIC VISIT
A. TWO PROGRAMS
1. Program based  Nurse manages the case
2. Non-program based  Medical intervention is needed

B. STANDARD PROCEDURE
1. Registration/Admission
2. Waiting time
3. Triaging
4. Medical assessment/investigation
5. Laboratory
6. Referral note
7. Prescription
8. Health education

2. HOME VISIT
A. Principles in HOME VISIT
- Involve the family/individual
- Prioritize essential needs
- Plan should be flexible
- Use of available information
- There should be a purpose and objectives

B. Factors affecting the Frequency in HOME VISIT


- Delivered/rendered previous health services
- Acceptance of the family
- Manpower (RN)
- Policy of a given agency (school)
- Other agency involves (Institution etc.)
- The needs are recognized

C. Resources in Conducting the HOME VISIT

1. PH BAG
- Essential and indispensable equipment in rendering nursing care in the community.

2. BAG TECHNIQUE
- Is a tool being used in rendering effective and efficient care with ease and deftness

PRINCIPLES IN BAG TECHNIQUE


1. Prevent the spread of disease/infection
2. To save time and effort
3. Show effectiveness of total care
4. Can be performed in variety of ways.
COPAR – COMMUNITY ORGANIZING PARTICIPATORY ACTION RESEARCH
COMMUNITY ORGANIZING
- Process and structure where in the people become more organized in participation in
healthcare and development of activities.
Goal: Community Development
Goal of Community Development: Better life

PARTICIPATORY ACTION RESEARCH


- Community directed process in collecting, organizing and analysis for change.

1. PRE-ENTRY PHASE – initial phase of the organizing process.

A. Formulation of programs: Goals and Objectives based on the Vision, Mission and Goals of
the Institution.

B. Conduct COPAR Staff Training


COPAR Staff:
- Community organizer  RN (Head/Team Leader)
- Training coordinator
- Health services coordinator

C. Conduct PSI (Preliminary Social Investigation)


- Gathering of information of different barangays for potential adapted community (POOR,
DEPRESS, UNDERSERVE)

D. Meet the Key Leaders


- AcceptSupportParticipate

E. Spot Mapping
- Vulnerable groups (Health status, Health resources)

2. ENTRY PHASE
Other name: Integration Phase

A. Community Integration
- Courtesy call (Most important) – upon entry the communitySign of respect (Leaders)
- Participate in direct production

B. Conduct DSI (Deepening Social Investigation)


- Identify pressing needs

C. Provide Basic Healthcare Services


- PHC implementation

D. Conduct SALT (Self Awareness Leadership Training)


- Intended for potential leaders
E. Core Group Formation
- Pinagsama same
Ex. Group of Indigenous people

3. COMMUNITY STUDY/ COMMUNITY DIAGNOSIS PHASE


- profiling of the community

2 Types of community Diagnosis


 Comprehensive – complete profile
 Problem Oriented – specific needs

A. Training on Data collection, organization and analysis


B. Plan when to conduct the actual survey
C. Actual data gathering
D. Data organization
E. Data presentation
- Local researcher (community) should be present not the student

4. COMMUNITY ORGANIZING AND CAPABILITY BUILDING


- planning is the main activity

A. Develop management
B. Election of officers and members
C. Discuss their rules functions
D. Action, Reflection, Action, Session (Meeting and planning)

5. COMMUNITY ACTION
A. Program Implementation Monitoring and Evaluation (PIME)
B. Identify other resources
C. Set-up linkages and networks
D. Organize and Training of Community Health workers

6. SUSTENANCE AND STREGNTHENING PHASE


- Occurs when the community organization has already been established and the community
members are already participating in community wide undertakings.

A. Development of medium and long term goals


B. Continue education and training of officers and BHW’s

7. TURN OVER/PHASE OUT


- The community achieve self-reliance

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