CHN2 MIDTERM REVIEWER

• Community Health Nursing


  The aim is to improve the health status of the community in general, utilizing the nursing process in a cyclical process of assessment, diagnosis, planning, intervention, and evaluation
• Community


  A group of people who have a common interest or characteristics, interact with one another, have a sense of unity or belonging, and function collectively within a defined social structure to address common concerns
• Community


  • Can be phenomenological (functional) or geopolitical (territorial)
• Characteristics of a Healthy Community


  • A shared sense of being a community based on history and values

  2. A general feeling of empowerment and control over matters that affect the community as a whole

  3. Existing structures that allow subgroups within the community to participate in decision making in community matters

  4. The ability to cope with change, solve problems and manage conflicts within the community through acceptable means

  5. Open channels of communication and cooperation among members of the community

  6. Equitable and efficient use of community resources with the view towards sustaining resources
• A healthy community is the context of health promotion defined in the Ottawa Charter (WHO, 1986) as "the process of enabling people to increase control over, and to improve their health."
• A healthy city is one that is continually creating and improving those physical and social environments and expanding those community resources that enable people to mutually support each other in performing all the functions of life.
• Healthy community


  The context of health promotion defined in the Ottawa Charter (WHO, 1986) as "the process of enabling people to increase control over, and to improve their health."
• To reach a state of complete physical, mental and social well-being, an individual or group must be able to identify and to realize aspirations, to satisfy needs, and to change or cope with the environment
• Health


  A resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources, as well as physical capacities.
• Health promotion is not just the responsibility of the health sector, but goes beyond healthy life-styles to well-being
• Healthy city


  One that is continually creating and improving those physical and social environments and expanding those community resources that enable people to mutually support each other in performing all the functions of life and developing to their maximum potential.
• Healthy city


  • Aims to (1) achieve a good quality of life, (2) create a health-supportive environment, (3) provide basic sanitation and hygiene needs, and (4) supply access to health care.
• Being a healthy city does not depend on existing structures, but a commitment to improve the city environment and create the necessary networks for health.
• The Philippines is a member nation of the WHO Western Pacific Region, which has advocated for the Healthy Cities and Healthy Islands movement, especially because of rapid economic, environmental, and social changes.
• Effectively functioning systems within the community go a long way toward health promotion, disease prevention, and access to resources needed for health.
• Knowing that a healthy community is essential to health promotion gives the community health nurses further motivation in their work.
• Urban community


  High density, socially homogenous population and a complex structure, non-agricultural occupation; something different from an area characterized by complex interpersonal social relations.
• Rural community


  Usually small and the occupation of the people is usually farming, fishing and food gathering. It is peopled by simple folks characterized by primary group relation, well-knit and having high degree of group feeling.
• Rurban community


  A combination of a rural and an urban community.
• People

  The core that makes up a community
• 8 Sub-systems of a community(CHEF REPH)


  • Housing
  • Education
  • Fire and safety
  • Politics and government
  • Health
  • Communication
  • Economics
  • Recreation
• Social system


  The patterned series of interrelationships existing between individuals, groups, and institutions and forming a coherent whole
• (FRREE-CPL-HS)Social system components that affect health include the family, economic, educational, communication, political, legal, religious, recreational, and health systems
• Individuals serve as a part of several social system components at the same time
• Organizations within the social system can be formal or informal
• Because of the multifactorial nature of health, all the components of the social system of a community influence its health
• The health care delivery system is considered of central importance precisely because of its social role in community health promotion and maintenance and risk reduction
• Development of community


  • Every human community has institutions for socialization of its members
  • Development of community is a reflection of all functional relationships that occur among its members
  • A community or a group can change because of conflict among members
  • Family is the primary group
  • Peer group
  • Group membership
  • Type of leadership in a group
  • Types and role assumed by members of the group
• Community


  A social organization that is considered the individual's secondary group
• Role of the community


  • Plays an influential role in individual growth and maturation
  • Partners in health and wellness
  • Influences others' health choices
  • Consumers of health services
• Health


  Health is intrinsic to social and economic development - as a determinant, a measure of progress and an outcome
• Health institution


  An institution (other than a hospital) by or at which health services or health support services are provided, either public or private
• Delivery of health services: responsibility of the community

  • Healthy communities are those that have well-integrated, interdependent sectors that share responsibility to resolve problems and enhance the well-being of the community
  • Community must: Avail the health services provided, Give feedback of the services, Report any health-related concern, Be responsible in the equitable use of services, Efficiently use health services
• Hospital


  Takes charge when a sick individual needs remedies that is beyond the capacity of the community, for health restoration, disease treatment, and rehabilitation
• Economic development


  Business and commercial investment can improve the stability of local economies through job creation and enhanced access to goods and services, which increases household income and positive health outcomes
• Infrastructure


  The physical attributes of the community like streets, parks and other recreational areas influences physical activities, social interactions and sense of safety, therefore affecting health outcome physically and psychologically
• Community organizing


  Mobilizing people with shared values and concerns to influence institutions, policies, and government decision making can facilitate health promoting changes in the community, civic participation and strengthen relationships among residents can affect range of health outcomes including
• Capital


  Takes charge until the sick individual recovers
• Responsibilities of capital


  • Health restoration
  • Disease treatment
  • Rehabilitation
• Community development


  Relationship with health