1.1 Enhancement (CHN)

• WHO definition of CHN:

  "COMBINATION of nursing skills, sociology, & public health"
• Freeman definition of CHN:

  "a service rendered by a FROFESSIONAL nurse w/ communities, groups, families, & individuals"
• Jacobson definition of CHN:

  "achievement of Optimum level Of Functioning through teaching & delivery of care"
• Hanlon definition of CHN:

  "attainment of HIGHEST level of physical, mental, & social well-being at a given place & time"
• Bailon-Reyes definition of CHN:

  "field of nursing practice where services are delivered OUTSIDE of purely curative institution"
• Maglaya definition of CHN:

  "utilization of NURSING PROCESS to benefit the individual, family, & community"
• Primary goal of CHN:

  "Self-reliance in health"
• Ultimate goal of CHN:

  "Raise the level of health of the citizenry (NISCE)"
• Philosophy of CHN:

  "Uphold the worth & dignity of man (Margaret Shetland)"
• Field of CHN:

  • Public Health Nursing
  • School Health Nursing
  • Occupational Health Nursing
  • Mental Health Nursing
• School health: health and nutrition
• School health is mandated by DepEd: Health & Nutrition Center
• 2 Divisions of the Health & Nutrition Center of DepEd:

  1. Health (Medical, Dental, Nursing, Health Education)
  2. Nutrition
• Focus of School Health:

  "promotion of HEALTH & WELLNESS of the students, teaching, & non-teaching personnel of the school"
• Primary role of Community Health Nurse:

  "support the student in learning & ensure that educational potential is not hampered by unmet health needs"
• Functions of a School Health Nurse:

  1. School Health & Nutrition Survey
  2. Functional School Clinic
  3. Health Assessment
  4. Vision Testing
  5. Ear Examination
  6. Height & Weight Measurement
  7. Medical Referrals
  8. Attendance to Emergency Cases
  9. Student Health Counseling
  10. Health & Nutrition Education Activities
  11. Organization of School Health & Nutrition Councils
  12. Communicable Diseases Control
  13. Establishment of Data Bank on School & Nutrition Activities
  14. School Plant Inspection for Healthy Environment
  15. Rapid Classroom Inspection
  16. Home Visitation
• School Health & Nutrition Survey is done every year, in collaboration with LGU & RHU.
• Functional School Clinic is mandated through RA 124 (School Health Act)
• Functional School Clinic is mandated through RA 124 (School Health Act)
• Health Assessment in school health is done every year.
• Another health assessment is done only during epidemic/outbreak (Rapid Classroom Inspection)
• Another health assessment is done only during epidemic/outbreak (Rapid Classroom Inspection)
• If there's an abnormality with the student's vision or hearing, refer to MHO.
• Tuning Fork - used for ear examination in school health
• To attend to emergency cases, a school health nurse must be trained in first aid & BLS.
• Active case finding - school health nurse goes to school/community to look for s/s of a disease
• Passive case finding - patient comes to the clinic on his own, presenting with s/s
• Home visitation and health counseling by a school health nurse should only be about health & nutrition.
• 1 Nurse : 1 School District
• 1 Clinic Teacher : 1 School

  (trained by nurse)
• e.g. Municipality of Taguig

  • Elementary schools (35), ALS (15): 1 Nurse
  • High School (11), SHS (5): 1 Nurse
• Feeding program is done for a minimum of 120 days.
• Deworming - prerequisite of feeding program
• Go, Grow, Glow - foods for feeding program
• Albendazole & Mebendazole - drugs for deworming

  
  

  *Do not leave px
• Albendazole & Mebendazole are well-tolerated by children because they are chewable.
• Deworming is done twice a year in January and July.
• Why is deworming done 2x/yr?

  Reinfection is possible within 6 months.
• Feeding program is cooked by parents/guardians.
• Budget of feeding program comes from Local School Board (LGU) that is headed by the Mayor