Académique Documents
Professionnel Documents
Culture Documents
Improve the general health status of the population (reduce mortality and morbidity rates etc.)
Promote healthy lifestyle through healthy diet and nutrition, physical activity and fitness, personal hygiene,
mental health and less stressful life violent and risk-taking behaviour.
Promote health nutrition of families and especial population through child adolescent, and youth, adult health,
womens health, elders people health, health of indigenous people, health of migrant workers, and health of
the rural and urban poor
Promote Environment health and sustainable development through the promotion of healthy homes, school
workplaces, establishment and community.
DOH GOAL:
Page 5
Specific
Fourmula One for Health will strive, within the medium term, to:
Secure more, better and sustained financing for health
Assure the quality and affordability of health goods and services
Ensure access to and availability of essential and basic health packages
Improve performance of the health system
Basic Principles to Achieve Important in Health:
Page 5
2. Family/Community
a. Supportive family
b. Milk Code vigilantes
c. Lay/Peer counselors
d. IYCF bayanihan spirit
e. Mother-baby friendly public places
3. Working places
a. Maternity leave
b. Lactation/Breastfeeding room
c. Breastfeeding breaks
4. Industry
a. Comply with the Code
5. Schools
a. Introducing the breastfeeding culture
Laws that protects IYCF
1. EO 51, Milk Code
2. Rooming-in and Breastfeeding Act of 1992
3. RA 8976, Food Fortification Law of 2000
CONCEPTS
HEALTH- state of complete physical, mental and social well being, not merely the absence of disease or infirmity
(WHO)
PUBLIC HEALTH
The science and art __________________________________________________________________________________
__________________________________________________________________________________________________
____________________________________________________________ensure everyone a standard of living adequate
for the maintenance of health, so organize to enable every citizen to realize his birthright of health and longevity
(WINSLOW).
Science & art of:
Preventing disease
Prolonging life
Page 5
Public Health is dedicated to the highest levels of physical, mental and social well-being and longetivity consist with
available knowledge and resources at given time and place. It holds this goal as its contribution the most effective total
development and life of the individual and hi level of functioning through teaching s society.
JACOBSON states that CHN is a learned practise discipline with the ultimate goal __________________________
__________________________________________________________________________________________________
________________________________________________________________________________________________
RUTH FREEMAN
Special field of nursing that combines skills in of work Public health Nursing and some phases of social
assistance to further community health.
Is a service rendered by a Professional nurse with community, groups, families and individuals at homes, in health
centers, in clinics, in school, in places for the promotion of health, prevention of illness, care of the sick and rehabilitation.
EC0-SYSTEMS INFLUENCES ON OPTIMUM LEVEL OF FUNCTIONING (OLOF)
Political
Safety
Oppression
Socio
Economics
Empolyment
Education
Environment
Air
Water
Urban/rural
Noise
Radiation
OLOF
INDIVIDAUL
FAMILY/GROU
P
POPULATION
COMMUNITIE
S
Health Care
Delivery
System
Preventive
Curative
rehabilitative
Behavior
Culture
Habits
Mores
Ethnic
Costumes
Heredity
Generic
Endowment
-Defects
-strengths
-Risks:
Familial
Ethnic
Racial
Public Health is a core of governments attempts to improve and promote the health and welfare of their citizens.
It further presented the core business of Public Health as:
1. Disease control
2. Injury prevention
3. Health Protection immunize occupational precaution.
4. Health Public Policy it includes environment hazards in workplace, housing, food, water, etc,
5. It requires everyone to do its ex, public places has a smoking area free, sanitary permit.
NOTES IN PRIMARY HEALTH CARE
Page 5
Poverty
Poor Education
Poor Nutrition
Poor env.
Sanitation
Reduce
Productivity
Prone to illness/
disability
Communicable Diseases
Page 5
Chronic Communicable
Tuberculosis
Leprosy (LCP)
Vector-borne Communicable
Diseases
Malaria (MCP)
Schistosomiasis (SCP)
Filariasis (FCP)
H-Fever (Dengue)
All TB cases must be treated for free, on ambulatory and domiciliary (home) basis, except those with acute complications
and emergencies
All sputum positive and cavitary cases shall be given priority for short course chemotherapy or SCC for 6 mos.
Standard Regimen or SR for a year or intermittent SCC for 6 mos. shall be given to all infiltrative but sputum negative.
Type of TB Patient
New pulmonary smear (+) cases New seriously ill
pulmonary smear (-) cases w/ extensive lung lesions
New severely ill extra-pulmo TB
New pulmonary smear (+) case New seriously ill
pulmonary smear (-) cases w/ extensive lung lesions
New severely ill extra-pulmo TB
New smear(-) but with minimal pulmonary TB on
radiography as confirmed by a medical officer New
extra-pulmo TB (not serious)
2 mos. on
Rifampicin
Isoniazid
Pyrazinamide
Rifampicin
+ 4 mos.
Isoniazid
Page 5
2 mos. on
Rifampicin
Isoniazid
Pyrazinamide
Ethambulol
Streptomycin
+ 4 mos.
Rifampicin
Isoniazid
Ethabutol
+ 5 mos
Rifampicin
Isoniazid
Ethambulol
2 mos. on
Rifampicin
Isoniazid
Pyrazinamide
Rifampicin
+ 2 mos.
Isoniazid
1 - Intensive Phase
2 mos. on
Rifampicin
Isoniazid
Pyrazinamide
+ 4 mos. on
Isoniazid
up to 12 mos. on
Isoniazid
Page 5
laboratory and drug supplies were available to local governments in 1994 aimed to accelerate case finding and
treatment
Strategies done:
Ensure that every microscopy and treatment center has the ff:
Exnal microscope
Microscopist trained within the last 3 years
A 90% agreement rate in microscopy reading between the microscopist and validator
Available NTP manual of procedures
Drugs for at least 6 months supply
Reagents, sputum cups for at least 6 months
Utilization of an itinerant team composing of at least 2 microscopists, nurse, midwife,
and a medical officer who will stay for 2 3 days in far flung communities to identify TB
and start treatment
MDT as the core strategy for the National Leprosy Control Program
Procurement and supply of MDT Drugs, IEC and Training Materials by CDCS
Health education
Supervision and Control of leprosy Control Activities
Health Education
BCG vaccination
Case Finding
Validate old registered cases
Early referral of suspected leprosy patients
Epidemiologic investigation
Ambulatory
Domiciliary chemotherapy through the use of MDT as embodied in RA 4073 which advocates home treatment
Multibacillary
Supervised dose:
1. Rifampicin 600 mg
2. Lamprene 300 mg
3. Dapsone 100 mg
Taken once/month in the clinic
Self-administered dose
1. Lamprene 50 mg
2. Dapsone 100 mg
Take OD, daily at home
Leprosy Patients must be taught ways to prevent secondary injury caused by burns and rough sharp objects
Emphasize importance of sustained therapy, correct dosage, effects of drugs and the need for medical check-up from
time to time
Provide mental and emotional support to the families of leprosy patients
Refer patients as needed
Rehabilitation:
Imbibe patients participation in occupational activities
Family and community health (PD 304)
Page 5
o
o
FILIARIASIS
name for a group of tropical diseases caused by various thread-like parasitic round worms (nematodes) and their
larvae
larvae transmit the disease to humans through a mosquito bite
can progress to include gross enlargement of the limbs and genitalia in a condition called elephantiasis
S/S:
Asymptomatic Stage
Characterized by the presence of microfilariae in the peripheral blood
Page 5
Management:
No treatment can reverse elephantiasis
SCHISTOSOMIASIS parasitic disease caused by a larvae
Causative Agent:
Signs & Symptoms: (BALLIPS)
B
A
L
L
I
P
S
Treatment:
DENGUE is a mosquito-borne infection which in recent years has become a major international public health concern..
It is found in tropical and sub-tropical regions around the world, predominantly in urban and semi-urban areas.
Causative Agent: Dengue fever virus (DENV)
Mode of Transmission: Vector Borne Disease (Mosquito Bite) Aedes aegypti typically Day biting (Early morning and evening)
Aedes albopictus Known as Asian Tiger Mosquito
S/S: (VLINOSPARD)
V
Low platelet
I
N
Onset of fever
Severe headache
Pain of the muscle and joint
Abdominal pain
Rashes
D
TREATMENT:
CONTROL OF CARDIOVASCULAR DISEASE should be controlled on the 1st trimester, last trimester only
premature delivery
NON COMMUNICABLE DISEASE
Birth: CHD (Congenital heart Disease)
Adult: HPN HYPERTENSION
Type: 1
Type: 2
Middle age: CAD (Coronary Artery Disease) and IHD (Ischemic Heart Disease)
NOTES IN PRIMARY HEALTH CARE
Page 5
Page 5
Strategies:
Used of modern and more effective way of contraceptives
Provision of RH services in clinics and hospitals
RH cares focus on adolescent, unmarried, men, etc. Concerned high risk
Strengthen outreach and referrals
Prevent specific RH problems
Ten Elements of RH
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
MATERNAL CARE
Prenatal Care
I-Physical Exam
Wt. Gain - should not exceed 2 lbs. For the first trimester and 11 lbs for the 2 nd trimester and 11 lbs on the 3rd trimester.
BP - should not exceed 30 mm Hg of baseline BP
Heart Rates of Fetus
Respiratory Rates of Mothers
II Prenatal Check Up
First Trimester (1-3rd month)
Services:
1.
2.
3.
4.
_______________________________
_______________________________
_______________________________
_______________________________
Cervical Smear for high risk women with multiple partner to prevent STD
Health Teaching personal hygiene, mental health, Nutrition, exercise, avoids sick individuals, avoid taking medication
without prescription.
II- Prenatal check-up
Second Trimester (4-6th month)
Services:
Page 5
3.
4.
Maternal High Risk Factors
1. Age---------------------2. Parity-------------------3. Weight------------------4. Height------------------5. Hemoglobin-----------5 High Risk Pregnancy:
1.
2.
3.
4.
5.
Child
1.
2.
3.
4.
Succeeding Visits:
Mother
1. Check signs of bleeding and infection
2. Check V/s. Breast Feeding practices
3. P.P counselling birth Spacing
4. Cord Care
5. Hygiene and Nutrition
Child
1. Check sucking reflex and breast feeding practice problem
2. Check umbilical Stump for signs of infection
3. Observes s/s of pathological jaundice
Qualified for Home Delivery
1.
2.
3.
4.
NOTES IN PRIMARY HEALTH CARE
Page 5
Venue of Delivery
1. Home
2. Lying In Centers or Birthing Centers (BEmONC)
3. Hospitals
Principles in Home Deliveries
3Cs
C
C
C
Breast Feeding - Iron is only Lacking
* the high CHON and mineral content of cows milk may overwhelm the newborns kidney, thus it still needs to be
diluted. Casein is more difficult to digest
Maternal Care
DOH policy on maternal Care
All pregnant women shall be given tetanus toxoid immunization
Iron Supplemental Shall be given the 5 th month of pregnancy until 2 months post partum (100-200mg daily p.o for
210 days)
Iodized oil capsule every year to goiter infested areas
Chloroquine (150mg) 2 tablets/week, an anti-malarial drugs prophylaxis given during pregnancy for malarial
areas.
Grassroots Worker:
BHW- Barangay Health Workers
TBA traditional Birth Attendant (HILOT)
Record HBMR-HOME BASED MOTHERS RECORD
Page 5
FAMILY PLANNING
Family Planning Program
Objectives:
A. Increase the number of mother of reproductive age participating to contribute to improvement of mother and
child health and reduction of fertility by:
Expanding the program coverage
Quality Service Provision
B. Promote Value of:
Responsible sexual behaviour
Delayed marriage
Promote safe motherhood
Child survival
Counteracting trend toward abortions
C. Strengthening
Management
Logistics
Research
Training
Important objectives
Reduce High Risk
Reduce total fertility Rate
Components:
1. Service Delivery
2. Information, Education, Communication and Motivation- sustained public awareness on responsible parenthood
and health and family welfare.
3. Training upgrade skills of health workers
4. Research and Development
5. Monitoring and supervision
FAMILY PLANNING METHOD couples decision/ whatever fits/suits with the patient.
1. Permanent
A. Female BTL- Bilateral Tubal Ligation
b. Cutting or blocking two fallopian tubes (BTL)
c. 99.5% of effectiveness
B. Male (Vasectomy)Effective 3 months after sterilization,
B. Non Permanent
A. Pill
d. Hormones estrogen and progesterone
e. Taken daily PO
f. 92.0% to 99.7% effective
B. Male condom
a. Thin sheath of latex
b. Dual protection from STIs including HIV
c. 85% to 98% effective
C. Injectables
a. Synthetic hormone progestin which suppresses ovulation, thickens cervical mucus
b. 97.0% to 99.7% effective
D. LAM
a. Postpartum method of postponing pregnancy based on physiological infertility experienced by breast
feeding women
b. Effective only for a maximum of 6 months postpartum
c. 99.5% to 98% effective
NOTES IN PRIMARY HEALTH CARE
Page 5
E. Mucus/Billings/Ovulation
a. Abstaining from SI during fertile days
b. Can not be used by woman with unusual disease or condition that results in extraordinary vaginal
discharge that makes observation difficult
c. 80% to 97% effective
F. BBT
a. Identifying the fertile and infertile period by daily taking and recording rise in BT during and after
ovulation
b. Temp is taken 3 hours of undisturbed rest (usually morning)
c. 80% to 99% effective
G. Sympto-thermal method
a. Combination of BBT and Billing/Mucus method
b. 9% to 80% effective
H. Two day method
a. Simple fertility awareness based method
i. Cervical secretions as an indicator of fertility
ii. Checking the presence of secretions daily
b. 86% to 96.5% effective
I. Standard days method
a. Users with menstrual cycle between 26 and 32 days are counseled to abstain from SI on days 8-19 to
avoid pregnancy
b. 88% to 95% effective
Factors to Consider in Choosing Methods
1. Safety
2. Effectiveness
3. Convenience
4. Cost
5. Availability
Developmental Goals for F.P
1. Sustainable Growth
2. Alleviation of Poverty
3. Better Education
4. Improved Health and Nutritional status at the level of individual household (specially mother and children)
Principles Concerning Family Planning Program:
Improvement of family well being through population information and education and F.P methods but giving
respect to the couples right conviction based on their morale and religious beliefs
EXPANDED PROGRAM OF IMMUNIZATION (EPI)
Aims to immunize all children against the target Disease:
1.
2.
3.
4.
5.
6.
7.
PD 996 compulsory basic immunization to 8 y.o and below
Expanded program on Immunization
Fully immunized child is ad child who has received 1 dose of BCG, 3 doses of DPT, OPV and 1 dose of AMV
before his first birthday
General principles which apply in vaccinating children
Safe and immunologically effective to administer all EPI vaccine on the same day at different sites of the body
Measles vaccine should be given as soon as the child is 9 months old
9 months 85% protection
1 year above 95% protection
Vaccination schedule should not be restarted from the beginning even if the interval between doses exceeded the
recommended interval by months or years
Page 5
Moderate fever, malnutrition, mild respiratory infection, cough, diarrhea and vomiting are not contraindicated to
vaccination; unless the child is so sick that he needs to be hospitalized
Absolute contraindications to immunizations are:
DPT2 or DPT3 to a child who has had convulsions or shock within 3 days the previous dose
Vaccines containing the whole pertussis component should not be given to children with an evolving neurological
disease
Live vaccines like BCG must not be given to immunosuppressed due to malignant disease (child with clinical
disease), therapy with immunosuppressive agents or irradiation
Safe and effective with mild side effects after vaccination. Local reaction, fever and systemic symptoms can result
as part of the normal immune response
Giving doses of vaccine at less than the recommended 4 weeks interval may lessen the antibody response.
Lengthening the interval between doses of vaccines leads to higher antibody levels
No extra doses must be given to children who missed a dose of DPT/HB/OPV/TT
Strictly follow the principle of never, ever reconstituting the freeze dried vaccines in anything other than the
diluents supplied with them
Repeat BCG vaccination if the child does not develop a scar after the 1 st injection
Use one syringe one needle per child during vaccination
Immunization Guidelines
Dont be burden by the remarks of the mothers on the inconveniences of receiving 3-4 vaccines on the same day.
Continue giving immunization according to the # of doses even if the interval exceeded by weeks, months or
years.
No contraindication in giving immunization moderate fever, cough and colds, diarrhea and malnutrition; not
unless the child is assessed by the physician to be serious enough needing hospitalization.
No BCG to child born positive to clinical AIDS.
No food 30 min. after OPV; if the child vomits after receiving OPV, give additional drop.
Contraindication of Vaccination
Schedule:
1 months:
2 months:
3 months:
Elements of Immunization:
1. Target setting
2. Cold chains logistic management ensure that the vaccines will still be potent
3. Information, education and communication (IEC)
4. Assessment, evaluation of the program
5. Surveillance, studies and research (REB)-reading every barangay
Cold Chain System- a system that ensure the potency f the vaccines from the time of manufacture to the time it is given
to the child or pregnant.
Storage Temp
Page 5
Nutrition Program:
- Garantisadong pambata (Apr. 10-24 2000)
- Micronutrients malnutrition
NOTES IN PRIMARY HEALTH CARE
Page 5
1. VAD-VIT. A DEFICEINCY
Prob:
Signs and symptoms:
Night blindness, bitots spot in the eyes-foamy white spot in the eyes
Dry, hazy rough appearing cornea
Crater like defect on cornea (late s/s) decrease result to permanent blindness
Softened, sometimes bulging cornea
- 100,000 iu- (6-11 mos in infants) 200,000 iu 12-83 mos. Vitamin A capsule
2. IDD-IODINE DEFFICINCY DISEASE (200,000 iu post partum)
Problems:
S/s:
enlarged thyroid gland
Sudden wt. Loss
Tremors
Iodine deficiency Disease
Cause: inadequate intake of iodine
Management:
___________________________________________________________________________________________
__________________________________________________________________________________________
3. IDA-IRON DEFICIENCY DISEASE
Problems:
S/s:
Causes:
1.
2.
Management:
Forms of Malnutrition
Deficiency Diseases
Nutrients
MACRO MALNUTRITION
Marasmus
Kwashiorkor
MICRO MALNUTRITION
Xeropthalmia
Endemic Goiter Pellagra
Beriberi
Rickets
Scurvy
Anemia
Page 5
5. Prevent hypertension
6. Do Physical activity
7. Manage Stress
Page 5
Skin Diseases (dermatitis, scabies, ulcer, eczema) and wounds prepare a decoction of the leaves. Wash and
clean the skin/ wound with the decoction.
Page 5
Rheumatism, sprain, contusion insect bites- pound the leaves and apply on affected part.
Aromatic bath for sick patients - prepare leaf decoction for use in sick and newly delivered patients.
Page 5
Menstrual and gas pain soak a handful of leaves in a glass of boiling water. Drink infusion. It induces
menstrual flow and sweating.
Nausea and fainting crush leaves and apply at nostrils of patients.
Insect bites crush leaves and apply juice on affected part or pound leaves until paste-like. Then rub this on
affected part.
Pruritis- boil plant alone or with eucalyptus in water. Use decoction as wash on affected area.
a. Functionalism
b. Lack of communication
c. Low Morale
d. Burn out Feeling
7.
8.
9.
10.
11.
12.
Sounds, Songs
Stress debriefing
Speak to me
Self Awareness
Social
Sports
BOTIKA NG BARANGAY
GOAL:
To promote equity in health by insuring the availability and accessibility of affordable safe and effective quality
essential drugs to all, with priority for marginalized, underserved, critical and hard to reach areas.
NOTES IN PRIMARY HEALTH CARE
Page 5
LIST OF OVER THE COUNTER (OTC) DRUG PREPARATION FOR BOTICA NG BARANGAY (BnB)
1. ANALGESICS/ANTIPYRETICS
13. SOLUTION CORRECTION WATER AND
2. ANTACIDS
ELECTROLYTE
3. ANTIHELMINTICS
14. LAXATIVE/CATHARTICS
4. ANTI-HISTAMIN
15. ANTI-SCABIES
5. NON-STEROIDAL ANTI-INFLAMATORY
16. ANTI-ANEMIC
6. (NSAIDs)
17. ANTIFUNGAL
7. ANTI-VERTIGO
18. VITAMINS
8. BRONCHODILATORS
19. VITAINS AND MINERALS
9. DIURRETICS
20. MINERALS
10. ANTITUSSIVE
21. ANTI-INFECTIVES
11. NASAL DECONGESTANT
22. MEDICATION FOR CHRONIC DISEASE
12. ANTI MOTILITY
23. TOPICAL NASAL DECONGESTANT
24. DISENFECTANTS
*Community Organizing Participatory Action Research (COPAR) Please refer to your supplemental notes
COMMUNITY DIAGNOSING
Community
Is a group of people sharing common geographical boundaries and common values and interest. It functions
within a particular sociocultural environment. A physical environment so coping and behaviour varies.
Signs of Healthy Community
1. Awareness that we are community
2. Conservation of natural resources
3. Recognition and respect of subgroups
4. Participation in subgroups in community affairs
5. Preparation for crisis management
6. Ability to solve problems
7. Open communication
8. Resources available to all
9. Settling of dispute though legal mechanism
10. Participation of citizens in decision making
11. Wellness in High Degree among the members
COMMUNITY DIAGNOSING
1. Preparation for community diagnosis
2. Data gathering
Spot Map
Key information
Interview
Community survey
Records review
3. Data Presentation
4. Problem Identifications
1st and 2nd level assessment; problem prioritization
5. Preparation of actions
Community Diagnosis:
Descriptive research
Profile general picture of comm., a direct health indicator
Process by which the people in the connection & Health team assess the community. Health problems & needs as
bases for Health programs development.
A learning process for the comm. to identify their own H problems & needs
A profile that deposits the Health problems & potentials of the community
2 Types of Community Dx
Page 5
2. Interview method
Implementation Phase
1. Data collection-uses instruments
2. Data organization/ collation
3. Data Presentation (narrative, tubular, graphical)
4. Data Analysis
Median age decrease young population
Preferred Pop. older populationlonger life span, less people dying
5. Identification of health problems
6. Prioritization of health problems
7. Development of a health plan
8. Validation and feedback- presentation of results
Evaluation Phase
1. Process evaluation
2. Product evaluation
Page 5
3.
4.
5.
6.
7.
8.
9.
10.
11.
SINGLE PARENTBLENDED/RECONSTITUTED-a combination of two families with children from both families and
sometimes children of the newly married couple. It is also a remarriage with children from previous
marriage.
COMPOUND-one man/woman with several spouses
COMMUNAL-more than one monogamous couple sharing resources
COHABITING/LIVE-IN-unmarried couple living together
DYADhusband and wife or other couple living alone without children
GAY/LESBIAN-homosexual couple living together with or without children
NO-KIN- a group of at least two people sharing a relationship and exchange support who have no legal or
blood tie to each other
FOSTER- substitute family for children whose parents are unable to care for them
PATRIARCHAL full authority on the father or any male member of the family e.g. eldest son, grandfather
MATRIARCHAL full authority of the mother or any female member of the family, e.g. eldest sister, grandmother
3.
EGALITARIAN- husband and wife exercise a more or less amount of authority, father and mother decides
4.
5.
AUTHOCRATIC- only the father or the mother has the power with complete control over the family(Strict policey)
6.
7.
MATRICENTRIC- the mother decides/takes charge in absence of the father (e.g. father is working overseas)
8.
CHN PROCESS
I. Assessment
1. Data gathering- first level of assessment
2. initial data(Health Threat, Health Deficit, Foreseeable Crisis, Wellness Deficit)
a.
b.
Health Threat- conditions conducive to disease, accidents or failure to realize ones health potential
- healthy people
- Ex. Family hx of illness- hereditary like DM, HPN
nutritional problems- eating salty foods
personal behavior- smoking, self-medication, sexual practices, drugs, excessive drinking
inherent personality char- short temperedness, short attn span
short cross infectx
poor home env't.
lack/inadequate immunization
hazards- fire, falls, or accidents
family size beyond what resources can provide
Health Deficits- instances of failure in health maintenance ( disease, disability, devtl lag)
3 Types:
a. Disease/ illness- URTI, marasmus, scabies, edema
b. Disabilities- blindness, polio, colorblindness, deafness
c. Developmental Problems like mental retardatx, gigantism, hormonal, dwarfism
c.
( nature situations)
Ex. Entrance in school
adolescents (circumcision, menarche, puberty
courtship (falling in love, breaking up)
marriage, pregnancy, abortion, puerperium
death, unemployment, transfer or relocation, graduation, board exam
3. Collect data and analyze
4. Identity of health needs
II. PLANNING
1. Prioritize the problem
a.
Nature of conditions-wellness state, health treat, health deficits and foreseable crisis
b.
Modifiability of the problem-probability of success in improving conditions
c.
Preventive potentials-refers to probability of minimizing/preventive future problem
Salience
NOTES IN PRIMARY HEALTH CARE
Page 5
-refers to family perception and evaluation of the problem in terms of serious and urgency of attention needed.
Modifiability:
- Current knowledge, technology and intervention
- Resources of the family
- Resources of the nurse
Preventive Potentials
- Gravity and severity
- Duration of the problem
- Current management
- Exposure to any risk group
2. Statement of goals and objectives (smart)
III. IMPLEMENTATION
Guide in the selection of nursing intervention:
1. Analyze with the family current situation and determine choices and possibilities based on lived experiences of
meanings and concerns
2. Development / enhance familys competencies as thinker, doer and feeler
3. Focus on the interventions to help perform the health tasks
4. Catalyst behaviour changes through motivation and support
Types of nursing interventions:
Supplemental doing things for the patient
Facilitative- removing barriers for care
Developmental-improving family capabilities
IV. EVALUATION
HOME VISIT / BAG TECHNIQUE
Home Visit
Definition: a professional face to face contact made by PHN or RHM to the patient or the family to provide necessary
health care to further the objective of the agency.
Phases of Home visit
I. Socialization Phase
1. introducing your name
2.Greetings
3. your purpose of home visit
Page 5
Clinic Visit
Patient visits the Health Center to avail of the services thereto offered by the primarily for the consultation on matters that
allied them physically.
Phases
Phase I: Pre Consultation/ Conference
1. Pt. Records
2. V/S
3. Assessment
4. Record findings
Setting Objectives
Organizing Community leaders
and Community
Program Planning
Giving of Assignments and
Task
Invitations (Brgy. Captain,
principal, etc)
Bag Technique
-steps which are carried out by the nurse to facilitate the performance of nursing procedures with ease and deftness
-a tool making use of the public health bag through which the nurse during the visit can perform nursing procedures with
ease and deftness, saving time and effort at the end in view of rendering effective nursing care.
Public Health Bag- essential and indispensable equipment of the Public Health Nurse
Principles: Should minimize if not totally prevent the spread of infection; should save time and effort
Special Consideration: HAND WASHING
Contents of the Bag: BP apparatus and stethoscope are carried separately; medicines also includeBetadine, 70% alcohol, Benedicts solution
Place waste paper bag outside the work area to prevent contamination of the work area
Remember the :
Bag -and its contents must be protected from any possible contamination
Always wash your hands to prevent the spread of infection
Gather all necessary articles and supplies to answer emergency needs.
Note: Blood Pressure apparatus and stethoscope are carried separately.
Consider the following principles:
1. prevention of contamination
- place waste paper bag outside the work areas
2. protection of the caregiver
- clean and alcoholize all articles after use
3. make articles readily accessible
NOTES IN PRIMARY HEALTH CARE
Page 5
Small Pox
Cholera
Plague
Yellow Fever
Typhoid
Relapsing fever
X 1000
X 1000
MORTALITY RATE
1. Crude Death Rate
_Total # of death in a given calendar year_
X 1000
Estimated population as of July 1 of the same calendar year
2. Infant Mortality Rate
Total # of death below 1 yr in a given calendar year
X 1000
Estimated population as of July 1 of the same calendar year
3. Maternal Mortality Rate
Total # of death among all maternal cases in a given calendar year
Estimated population as of July 1 of the same calendar year
X 1000
Page 5
EPIDEMIOLOGY
Basic Concepts:
1. Epidemiologic Triad: Agent- Host- env't
2. Transmission of CD: Common vehicle, source- serial- transfer- propagated from host to host
3. Incubation period:
4. Herb Immunity:
% of immune pop- some indiv are immune
Dengue- aedes daytime
C
Arthropod
Malaria anopheles- nighttime
L
E
A
Neem tree
Types of Immunity:
1. Passive:
2. Active:
Page 5
- Time of day
- Days of the week
b. Cyclic pattern- regular pattern
Seasonal cyclicity annual cyclicity
Secular cyclicity every other year typhoid, measles
Patterns of Disease Occurrence:
Epidemic
A situation when there is a high incidence of new cases of a specific dse in excess of the expected.
When the proportion of the susceptible are high compared to the proportion of the immunes.
Ex. 20-30 diseases that you dont know
Current number of cases exceeds the usual expectancy.
Endemic
Habitual presence of a disease in a given geographic location accounting for the low number
of both immunes & susceptible.
Causative factor is constantly available or present to the area
Ex. Malaria, constant
Sporadic
Disease occurs every now & then affecting only a small number of people relative to the total pop
Intermittent
On & off
Pandemic
Global occurrence of a disease, bigger population
- Patient epidemic- easily the person can identify the cause
Common Epidemiologic Studies:
Retrospective (Past)
Case Control study
-Show an association bet.
the risk factor & disease
*Dependent
(Effect)
MORBIDITY RATE
1. Prevalence Rate
Total # of new & old cases in a given calendar year
Estimated population as of July 1 of the same calendar year
X 100
2. Incidence Rate
Total # of new cases in a given calendar year_
Estimated population as of July 1 of the same calendar year
3. Attack Rate
Total # of person who are exposed to the disease
Estimated population as of July 1 of the same calendar year
X 100
X 100
Page 5
Feasible
Acceptable, Affordable
Complex
Effective
Safe
Scope-wise
MHO
Tertiary Level
Secondary
PHN
RHM
BHM
SI
NOTES IN PRIMARY HEALTH CARE
Primary
Page 5
Page 5
Page 5