COMMUNITY HEALTH NURSING - Flexible

 Outside the hospital Public Health Bag

 Remember:
 Carry with equipment
 Healthy patients:
 Primary Responsibility: Health Education Bag Technique

FOCUS:  Tool utilizes by the nurse tor ender effective nursing

care
Health Promotion Illness Prevention
 Before placing the bag on the table, put paper linen
 ↑ level of health:  Maintain Health
first
 Follow Healthy  Specific Protection
 Greet the patient – open the bag – get the towel –
Lifestyle/Living:
- Diet (well balanced) close the bag – handwashing
 Aim Ideal Body Public Health Nurse
Weight (18 – 23 asia)
 Build a healthy  Paid by the government
nutrition practices  Salary grade 15 (36k a month)
 Choose food wisely
- Exercise (regular) PHCDS: Philippine Health Care Delivery System
- Rest
- Stop Smoking
National
Medical
GOAL: Help to reach Optimum Level of Functioning  Center

High Level Wellness

Regional Health/
Medical Center
4 Clients in CHN:

 Individual Provincial Health Common

Diagnosis/
 Family – Basic Unit of service (have relationship w/ Medical/Surgica
each other) Dist H./Emergency Health l Procedures
 Group/Population/Aggregate (share common
characteristics) – vulnerability
Rural Health Center
 Community  Primary Client
Principles in CHN: Accessible: Barangay Health Canter
Within 3-5 mins
 Family w/in 30 mins
 Available to all Basic Health
 Teaching – primary responsibility Care Services

 Member of the team – collaborate and coordinate Barangay Health Rural Health Center
health activities Center
 Active Participation – involve the client to be self- Satellite Station Main center
reliant Manned by: Complete Health Care
 Needs of the patient – should be addressed (health  Public Health M Team:
needs)  Barangay Health  PHM: frontline
Worker  PHN: supervisor
Family: Home Visit  Health
officer/Manager
 Family-Nurse Contact
 Rural Health Physician
 Principles:
 MedTech: Laboratory
- Purpose/Objective – to help the client
 Sanitary Inspector
- Use of available information  Environment Sanitary
- Needs (health)
- Involve client (active participation)
Health Promotion: by Ohawa Charater - 1986 Canada Education:
3 Level of Prevention
Primary Health Care
Primary Secondary Tertiary
- Basic Health Care WHO Healthy High Risk Post
- WHO: 1978 Treatment
- Alma Ata Conference – USSR (Kazakhstan) Act: Health Screening Rehabilitation
- LOI 949: Legal Basis of Primary Health Care Promotion Treatment (prevent other
Illness complications,
- Oct. 1979 – President Marcos
prevention maintenance)
Vision: Health in the Hands of the People (SELF)
Palliative
Mission: ↑ opportunity that people will manage their (supportive,
own health care (RELIANCE) terminally ill,
quality of life)
2 CORES: Isolation - Clonidine – Daily Beta
 Partnership TB hypertensive Blockers –
crisis HPN
 Empowerment
Daily Insulin
- Transfer – Diabetes
- Knowledge Regular
- Skills Insulin -
- Attitude Hyperglycemia
Operation
4 Pillars:
Timbang
 Active – Common Participant
 Intra & Intersectoral linkages Locally Endemic Diseases
 Used Appropriate Technology (Local Indigenous
Resources) Epidemiology:
 Support Mechanism – made available
 Occurrence & distribution of Diseases
Character:  Backbone of preventing diseases

 Community Based Classification:

 Accessible (w/in 30 mins, w/in 3-5km) 1. Sporadic – occasionally
 Sustainable - ↑ Immune
 Affordable (low cost) - ↓ susceptible
 Self-Reliant - Herd Immunity – Large proportion
 Available
2. Endemic – always present
Elements:
- Immune = susceptible
 Education - TB, Dengue, Malaria, Schistosomiasis
 Locally Endemic DS - Filariasis
 Essential Drugs
 Maternal Child Health 3. Epidemic – outbreak
 Expanded Program Immunization - Sudden ↑in a short period of time
 Nutrition
4. Pandemic – worldwide epidemic; several countries
 Treatment of Communicable Disease, Non-
Communicable Diseases, Emergency Services
 Sanitation
PD 657:
- Birth Registration w/in 30 days
- Death Registration w/in 48 hours
- Where: civil registrar
Essential Drugs Clay POT

 Herbal Medicine - Decoction

 RA 8423: Traditional Alternative Medicine Act - Do not cover
 RITM: Research Institute Tropical Medicine - Low heat

10 Herbal Medicine MCH: Maternal Child Health

1. Lagundi Strategies:
 Fever 4 Prenatal Visit according to DOH
 Headache
 Cough Evidence-Based Practice
 Asthma EINC: Essential Intraportal Newborn Care
 Body malaise
 Stomach ache - During labor/delivery
 Diarrhea - NPO
 Skin disease (scabies) - Shave pubic hair
- IVF
 Arthritis
- Ambulate
 Insect bites
- Lithotomy position/ Any Position of comfort
 Sprain
- Restrictive Episiotomy
 Contusion
2. Ulasiman Bato (Pansit-Pansitan) Essential Newborn Care (Unang Yakap)
 Uric-acid
Time Bound Non Time Unnecessary
3. Bayabas
Priority Four Bound
 Antiseptic Dry Infant  Erythromycin Removed
 WASH (w/in 30 sec) ointment  Suctioning
4. Bawang Ealy skin to  Vitamin K  Milking cord
 ↓ cholesterol (HPN) skin contact (1-  Hepatitis B  Immediate
 Toothache 3 mins)  BCG clamping
5. Yierba Buena (peppermint) Delayed Cord  Apgar Scoring  Stimulate
 Pain Clamping  Anthropometric Heel/ Slap
Breastfeeding Measurement  Cover stump
 cough
6. Sambong  Antiseptic
 Diuretic  Foot printing
 Edema  Wash
Immediately
 Kidney stones
7. Akapulko
 Fungal infections EPI: Expanded Program Immunization
 scabies
1976 PD 996: All children below 8 y/o
8. Nyog-Nyogan
 Seeds 2011 RA 10152: Mandatory Immunization below 5 y/o
 2 hrs after dinner (interval – 1 week
5 Elements
9. Tsaang Gubat
 Abdominal pain Surveillance – Search Evaluation
 Indigestion
IEC – Info Education Communication – National
 Diarrhea
Immunization Day
10. Ampalaya
 DM 2 Most Sensitive: (Freezer -15 to -25 degree)
 Flavonoid – stimulate pancreas to release insulin
 Varicella
 OPV
 MMR
Least Sensitive: (Body +2 to +8 degree)

 BCG
 Hepa B
 Pentavalent
 PCV
 Rota V
 IPV
Assessment & Evaluation
DOSE SCHED ROUTE DOSAGE
BCG 1 Birth ID 0.05
HEPA B 1 Birth IM 0.5
PENTAVALENT 3 1 ½, 2 IM 0.5
½, 3 ½
OPV 3 1 ½, 2 ORAL 2gtts
½, 3 ½
PCV 3 1 ½, 2 IM 0.5
½, 3 ½
ROTA V 2 1 ½, 2 ORAL 1.5
½,
IPV 2 3 ½, 4 ½ IM 0.5
MMR 2 9M, SQ 0.5
12M

Target Setting
Primary Element
Eligible Population
Infant: Total Population x 2/7%
Pregant: Total Population x 3.5%