CHN 1 LEC - WEEK 2

• PUBLIC HEALTH NURSING

  The science and art of preventing disease, prolonging life and efficiency through organized community effort for:
• Roles of PHN

  • clinician
  • health educator
  • facilitator
  • health advocator
  • collaborator
  • supervisor
• CHARACTERISTICS OF CHNP - DELIBERATIVE

  • requires judgement
  • independent thinking
  • difficult decision making
• COMMUNITY HEALTH NURSING PROCESS

  • systematic, scientific, dynamic, on-going interpersonal process
• enables the nurse to adjust to each situation and be flexible in applying the process to the individual needs

  ADAPTABILITY
• • engages continual interaction, data collection, analysis, intervention, and evaluation
  • steps are repeated over and over

  cyclical
• CATEGORIES OF FIRST LEVEL ASSESSMENT

  • Presence of wellness condition
  • health threats
  • health deficits
  • foreseeable crisis situations
• "peer practice"

  INTERACTIVE
• What are the 6 characteristics of CHNP

  1. deliberative
  2. adaptable
  3. cyclical
  4. interactive
  5. client-focused
  6. need-oriented
• level of assessment:

  • conditions that exist or will exist are determined.
  • determined by the nurse

  FIRST LEVEL OF ASSESSMENT
• levels of assessment:

  • conditions determined by the family

  SECOND LEVEL ASSESSMENT
• INABILITY TO RECOGNIZE THE PRESENCE OF PROBLEM OR CONDITION DUE TO:

  • lack of adequate knowledge
  • denial of its existence as a result of fear of consequences of diagnosis
  • attitude or philosophy in life
• INABILITY TO MAKE DECISION IN TAKING APPROPRIATE HEALTH ACTIONS DUE TO:

  • failure to comprehend the magnitude of the problem/condition
  • salience of the problem
  • feeling of confusion or helplessness due to perceive magnitude of the problem
• INABILITY TO PROVIDE ADEQUATE CARE TO THE DISABLED FAMILY MEMBER DUE TO:

  • Lack of knowledge about the disease
  • lack of knowledge about child development
  • lack of knowledge about nursing care needed
  • lack of necessary equipment
  • lack of knowledge/skill in carrying out necessary intervention
  • inadequate family resources
  • unexpressed feelings that hinders with capacities to provide care
• INABILITY TO PROVIDE A HOME ENVIRONMENT CONDUCIVE TO HEALTH MAINTENANCE AND PERSONAL DEVELOPMENT DUE TO:

  • inadequate family resources
  • failure to see the benefits of investing in home improvement
  • lack of knowledge about preventive measures
  • lack of skill in home improvement
  • ineffective communication pattern within the family
  • lack of supportive relationships among family members
  • negative attitude in life
• FAILURE TO UTILIZE COMMUNITY RESOURCES FOR HEALTH CARE DUE TO:

  • lack of knowledge about community resources for healthcare
  • failure to perceive the benefits of healthcare services
  • fear of consequences of actions
  • unavailability of resources
  • inaccessibility of required services
  • lack of adequate family resources
  • feeling of alienation from the community
  • negative attitude
• PRESENCE OF WELLNESS CONDITION

  • clinical judgment about a client in transition from a specific level of wellness or capability to a higher level
  • either potential or readiness