HISTORY OF CHN 1901- Act # 157 ( Board of Health of thePhilippines) ; Act # 309 ( Provincial andMunicipal Boards of Health) were

e created. 1905 - Board of Health was abolished; functions were transferred to the Bureau of Health. 1912 Act # 2156 or Fajardo Act created the Sanitary Divisions, the forerunners of present MHOs; male nurses performs the functions of doctors 1919 Act # 2808 (Nurses Law was created)- Carmen del Rosario , 1 st Fil. Nursesupervisor under Bureau of Health Oct. 22, 1922 Filipino Nurses Organization (Philippine Nurses Organization) wasorganized. 1923 Zamboanga General Hospital School of Nursing & Baguio General Hospital wereestablished; other government schools of nursing were organized several years after. 1928- 1 st Nursing convention was held 1940 Manila Health Department was created. 1941 Dr. Mariano Icasiano became the first city health officer; Office of Nursing wascreated through the effort of VicentaPonce (chief nurse) and Rosario Ordiz (assistantchief nurse) Dec. 8, 1941 Victims of World War II were treated by the nurses of Manila. July 1942 Nursing Office was created; Dr. Eusebio Aguilar helped in the release of 31Filipino nurses in Bilibid Prison as prisoners of war by the Japanese. Feb. 1946 Number of nurses decreased from 556 308. 1948 First training center of the Bureau of Health was organized by the Pasay CityHealth Department. Trinidad Gomez, Marcela Gabatin, Costancia Tuazon, Ms. Bugarin, Ms.Ramos, and Zenaida Nisce composed the training staff. 1950 Rural Health Demonstration and Training Center was created. 1953 The first 81 rural health units were organized. 1957 RA 1891 amended some sections of RA 1082 and created the eight categories of rural health unit causing an increase in the demand for the community health personnel. 1958-1965 Division of Nursing was abolished (RA 977) and Reorganization Act (EO 288) 1961 Annie Sand organized the National League of Nurses of DOH.

 1967 Zenaida Nisce became the nursing program supervisor and consultant on the sixspecial diseases (TB, leprosy, V.D., cancer, filariasis, and mental health illness). 1975 Scope of responsibility of nurses and midwives became wider due to restructuringof the health care delivery system. 1976-1986 The need for Rural Health Practice Program was implemented. 1990- 1992- Local Government Code of 1991 (RA 7160) 1993-1998 Office of Nursing did not materialize in spite of persistent recommendationof the officers, board members, and advisers of the National League of NursesInc. Jan. 1999 Nelia Hizon was positioned as the nursing adviser at the Office of Public HealthServices through Department Order # 29. May 24, 1999 EO # 102, which redirects the functions and operations of DOH, wassigned by former President Joseph Estrada. LAWS AFFECTING PUBLIC HEALTH AND PRACTICE OF COMMUNITY HEALTH NURSING R.A. 7160 - or the Local Government Code. This involves the devolution of powers, functions andresponsibilities to the local government both rural & urban.The Code aims to transform localgovernment units into self-reliant communities and active partners in the attainment of nationalgoals thru a more responsive and accountable local government structure instituted thru asystem of decentralization. Hence, each province, city and municipality has a LOCAL HEALTHBOARD ( LHB ) which is mandated to propose annual budgetary allocations for the operation andmaintenance of their own health facilities

FAMILY CARE PLAN is the blueprint of the care that the nurse designs to systematically minimize or eliminatethe identified health and family nursing problems through explicitly formulated outcomesof care (goals and objectives) and deliberately chosen set of interventions, resources, andevaluation criteria, methods and tools. Features : based on the concept of planning as a process.1.The NCP focuses on actions which are designed to solve or minimize existing problem.2.The NCP is a product of a deliberate systematic process.3. The NCP, as with all other plans, relates to the future.4. The NCP is based upon identified health and nursing problems.5. The NCP is a means to an end, not an end in itself.6. The NCPlanning is a continuous process, not a one-shot-deal. STEPS IN DEVELOPING A FNCP : 1.The prioritized condition/s or problems;2.The goals and objectives of nursing care;3 . T h e p l a n o f i n t e r v e n t i o n s ; a n d , 4 . T h e p l a n f o r e v a l u a t i n g c a r e Family Coping Index Purpose: To provide a basis for estimating the nursing needs of a particular family. Health Care Need A family health care need is present when:1 . T h e f a m i l y h a s a h e a l t h p r o b l e m w i t h w h i c h t h e y a r e u n a b l e t o c o p e . 2.There is a reasonable likelihood that nursing will make a difference in the in the familys ability to cope. Relation to Coping Nursing Need: COPING may be defined as dealing with problems associated with health care with reasonable success. When the family is unable to cope with one or another aspect of health care, it may be said to have a copingdeficit Direction for Scaling Two parts of the Coping index:1 . A p o i n t o n t h e s c a l e 2 . A j u s t i f i c a t i o n statement The scale enables you to place the family in relation to their ability to cope with the nine areas of family nursing atthe time observed and as you would expect it to be in 3 months or at the time of discharge if nursing care wereprovided. Coping capacity is rated from 1 (totally unable to manage this aspect of family care) to 5 (able to handlethis aspect of care without help from community sources). Check no problem if the particular category is notrelevant to the situation. The justification consists of brief statement or phrases that explain why you have rated the family as you have. General Considerations

1.It is the coping capacity and not the underlying problem that is being rated.2.It is the family and not the individual that is being rated.3.Rating should be done after 2-3 home visits when the nurse is more acquainted with the family. 4 . T h e scale is as follows: o 0-2 or no competence o 3-5 coping in some fashion but poorly o 6-8 moderately competent o 9 fairly competent5.Justification- a brief statement that explains why you have rated the family as you have. These statements should be expressed in terms of behavior of observable facts. Example: Family nutrition includes basic 4 rather thangood diet.6.Terminal rating is done at the end of the given period of time. This enables the nurse to see progress the familyhas made in their competence; whether the prognosis was reasonable; and whether the family needs further nursing service and where emphasis should be placed. Scaling Cues The following descriptive statements are cues to help you as you rate family coping. They are limited to threepoints 1 or no competence, 3 for moderate competence and 5 for complete competence.

Areas to Be Assessed 1. Physical independence: This category is concerned with the ability to move about to get out of bed, to take careof daily grooming, walking and other things which involves the daily activities. 2. Therapeutic Competence: This category includes all the procedures or treatment prescribed for the care of ill,such as giving medication, dressings, exercise and relaxation, special diets. 3. Knowledge of Health Condition: This system is concerned with the particular health condition that is theoccasion of care 4. Application of the Principles of General Hygiene: This is concerned with the family action in relation tomaintaining family nutrition, securing adequate rest and relaxation for family members, carrying out acceptedpreventive measures, such as immunization. 5. Health Attitudes: This category is concerned with the way the family feels about health care in general, includingpreventive services, care of illness and public health measures. 6. Emotional Competence: This category has to do with the maturity and integrity with which the members of thefamily are able to meet the usual stresses and problems of life, and to plan for happy and fruitful living.

7. Family Living: This category is concerned largely with the interpersonal with the interpersonal or group aspectsof family life how well the members of the family get along with one another, the ways in which they takedecisions affecting the family as a whole. 8. Physical Environment: This is concerned with the home, the community and the work environment as it affectsfamily health. 9. Use of Community Facilities: generally keeps appointments. Follows through referrals. Tells others aboutHealth Departments service