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COMMUNITY HEALTH NURSING
(MIDTERM)
It emphasizes the need to understand the behavior of the family as a dynamic, functioning unit which affects its capability to help itself and maintain system integrity, or its readiness to work with the nurse in enhancing wellness or addressing problems on health and illness? - ✅✅-Family nursing practice Group of people who live together by ties of marriage, blood, or adoption, representing a single household. - ✅✅-Family True or False: It is a basic social unit (universal notion) - ✅✅-True What section states recognizes the Filipino family as the foundation of the nation. Accordingly, it shall strengthen its solidarity and actively promote its total development?
- ✅✅-Section 1 What section states that Marriage, as an inviolable social institution, is the foundation of family and shall be protected by the state? - ✅✅-Section 2 What section states that shall defend -
- the right of spouses to found a family in accordance with their religious convictions and the demands of responsible parenthood - ✅✅-Section 3 True or False: The right of children to assistance including proper care and nutrition, and special protection from all forms of neglect, abuse, cruelty, exploitation and other conditions prejudicial to their development - ✅✅-True True or False: The right of the family to a family living wage income - ✅✅-True True or False:
The right of families or family associations to participate in the planning and implementation of policies and programs of that affect them - ✅✅-True What section states that The family has the duty to care for its elderly members but the state may also do so through just programs of social security. - ✅✅-Section 4 True or False: Universal Characteristics of family, -Basic function is nurturing the offspring - ✅✅-True True or False: Universal Characteristics of family, -Social responsibility is reproducing society, biologically, & socially - ✅✅-True True or False: Universal Characteristics of family, -It is constantly interacting, adapting, changing, or responding to daily events as well as long term challenges & changes inside or outside of its social environment - ✅✅-True True or False: Universal Characteristics of family, -Regarded as health unit w/c transmits health values, beliefs, attitudes & behavior to its members - ✅✅-True True or False: Universal Characteristics of family, -Used as change agent in maintaining & promoting healthful living patterns. - ✅✅-True 11 Types of Family Structure? - ✅✅-1. Dyad Family
- Single Parent Family
- Nuclear Family
- Extended Family
- Blended/Reconstituted Family
- Compound Family
- Communal Family
Types of Family Structure includes substitute family for children whose parents are unable to care for them? - ✅✅-Foster What are the 5 Family Structure based on Residence? - ✅✅-1. Patrilocal
- Matrilocal
- Neolocal
- Avuncolocal
- Bilocal Family Structure based on Residence in which the family unit lives w/in or near the husband's family? - ✅✅-Patrilocal Family Structure based on Residence in which the married couple lives w/ woman's family? - ✅✅-Matrilocal Family Structure based on Residence in which one in w/c a couple lives independently in a new location/home of their own? - ✅✅-Neolocal Family Structure based on Residence in which a married couple traditionally lives with the eldest brother of the husband's mother? - ✅✅-Avuncolocal Family Structure based on Residence in which one in w/c the husband & wife agree to stay in both their families on a time sharing arrangement? - ✅✅-Bilocal A nurse that have been using the family perspective to address individual clients' health needs or problems and enhance family functioning for growth and development, coping with illness or loss, mobilizing resources & maintaining an environment that support wellness and health? - ✅✅-Community health nurses True or False: -In Community, the family is the client - ✅✅-True True or False: -The family is the foreground and individuals are in the background - ✅✅-True True or False:
-Family As a contributor to the etiology of the patient but also as a source of support & affection - ✅✅-True True or False:
- Family, The focus is concentrated on each & every individual as they affect the whole family. - ✅✅-True True or False: -Family as a System - ✅✅-True True or False: -The focus is on the family as client, it is viewed as international system in which the whole is more than the sum of its parts - ✅✅-True True or False: -The approach focuses on the individual and family members. - ✅✅-True True or False: -The interaction among family members become the target for intervention - ✅✅-True True or False: -The family as a biosocial being - ✅✅-True True or False: -The family shares health risks factors(biological, social & cultural) - ✅✅-True It considers & manipulates the human, social, & cultural aspects affecting health & illness through the use of the family as a biosocial agent? - ✅✅-CH Nurse True or False: Family should be viewed as: a. Provider of social support & buffer zone?
- Utilize community resources for health - ✅✅-True 7 C's (Sharon Denham, 2003) Healthy Characteristics of Family? - ✅✅-• Caregiving
- Cathexis
- Celebration
- Change
- Communication
- Connectedness
- Coordination 7 C's (Sharon Denham, 2003) Healthy Characteristics of Family, -Emotional bond between individual & family Celebration Tangible forms of shared meaning - ✅✅-Cathexis 7 C's (Sharon Denham, 2003) Healthy Characteristics of Family, -Tangible forms of shared meanings - ✅✅-Celebration 7 C's (Sharon Denham, 2003) Healthy Characteristics of Family, -Dynamic nonlinear process implying altering or modifying the form, direction, and outcome thru alternative - ✅✅-Change 7 C's (Sharon Denham, 2003) Healthy Characteristics of Family, -Primary ways to socialize children about health beliefs, values, attitudes and behaviors and use information, knowledge & actions applicable to health - ✅✅-Communication 7 C's (Sharon Denham, 2003) Healthy Characteristics of Family, -Ways the family as a system are linked together - ✅✅-Connectedness 7 C's (Sharon Denham, 2003) Healthy Characteristics of Family, -Cooperative sharing resources, skills, abilities, and information within the family and with a larger contextual environment to optimize individual's health potential, potentiate the household production of health & achieve family goals - ✅✅-Coordination What is the meaning of FNCP? - ✅✅-Family Nursing Care Plan
Characteristics of FNCP,
- Focuses on _______ w/c are designed to solve/minimizing existing problem
- A product of deliberate __________ _______
- Relates to the ______
- The ________ are the starting point of the plan
- It is a means to an ___, not an end in ______ - ✅✅-1. Actions
- Systemic Process
- Future
- Problems
- End, Itself Qualities of FNCP,
- Base on _____, explicit definition of the _______(s)
- Plan is _________
- Prepared jointly with the ______
- It is a means of _____________ not only among ______ but also with other members of the ______ ____ ____ - ✅✅-1. Clear, Problem
- Realistic
- Family
- Communication, Nurses, Health Care Team A deliberative, systematic phase using process that involves decision making & problem solving It involves a series of steps in which the nurse and the client set priorities and goals or expected outcomes to resolve or minimize the identified client problems - ✅✅-Planning Desired outcome or change in the client's behavior Broad statements about the effects of nursing intervention example: After nursing intervention, the client's nutritional status will improve - ✅✅-Goal More specific statements about the effects of the nursing intervention.
- After nursing intervention the family will be able to take care of the disabled child competently - ✅✅-Goal Developing the Intervention Requires? - ✅✅-Cognitive skills Interpersonal skills Technical skills Specifying Interventions in FNCP, Selection of appropriate _______ _______ based on the formulated goals & objectives - ✅✅-Nursing Actions Specifying Interventions in FNCP, Decide on appropriate nursing actions among set of ____________, specifying the ____ effective /efficient ______ - ✅✅-Alternatives, Most, Method Specifying Interventions in FNCP, _____-______ _______ & resources must be specified in the ____ to ensure the necessary ____________, coordination are done before the ______________ phase - ✅✅-Nurse family contact, plan, preparations, implementation Guide in selecting appropriate nursing interventions, Analyze with the ______ the _______ situation & determine _______ & possibilities based on a _____ experience of meanings & concerns - ✅✅-Family, current, choices, lived Guide in selecting appropriate nursing interventions, Develop/ enhance family's competencies as _______, ____ and ______ - ✅✅-Thinker, doer, feeler Guide in selecting appropriate nursing interventions, Focus on interventions to help perform the ______ _____ - ✅✅-Health tasks Guide in selecting appropriate nursing interventions,
________ behavior change through motivation & support - ✅✅-Catalyze Interventions to help the family perform the health task,
- ____ the family recognize the _______
- _____ the family on how to ______ on appropriate health _______ to take
- _______ the family's ability and commitment to provide _______ ____ to its members.
- _______ the capability of the family to provide a ____ environment conducive to health ___________ and ________ development
- __________ the family's __________ to utilize community resources for health care.
- Guide, decide, actions
- Develop nursing care
- Enhance, home, maintenance, personal
- Facilitate, capability What are the 3 Standard functions in FNCP? - ✅✅-1. Dependent
- Independent
- Interdependent In 3 Standard functions in FNCP, it monitor, assess, provide, and educate - ✅✅-Independent In 3 Standard functions in FNCP, it is the referrals? - ✅✅-Interdependent What are the 4 Categories of Intervention? - ✅✅-•Promotive •Preventive •Curative •Rehabilitative EXAMPLES OF NURSE-FAMILY CONTACT? - ✅✅-1. Home Visit
- Clinic Conference
- Visit in the work place
- School visit
- Telephone call
- Group approach (health classes)
- Use of mail or letters Developing the Evaluation Plan,
Outcomes Program Monitoring Example of Evaluation tools in FNCP? - ✅✅-•Performance evaluation checklist •Rating scale •Interview guide •Food recall form •Food frequency and food record form INSTRUMENTS/EQUIPMENT use in FNCP? - ✅✅-•Weighing scale •Thermometer •BP apparatus •Tape measure •Glucometer Member of a team working within a system? - ✅✅-Public health nurse In order to function effectively public health nurse has to __________ the healthcare delivery system wherein she is working because it __________ her ______ and _________ - ✅✅-understand, influences, status, functions Public Health Nursing needs to properly ______ with the dynamics of the _________, organizational structure surrounding her ________ in the health care delivery system - ✅✅-Relate, political, position What is the meaning of RHU? - ✅✅-Rural Health Unit Serves as the main source of free basic healthcare for rural communities? - ✅✅-Rural Health Unit At this clinic where one doctor and nurse/s have the sole responsibility of looking after a community of thousands of people? - ✅✅-Rural Health Unit The health team in the RHU are? - ✅✅-•Physician •Nurse •Midwife
RHU provides the basic health services for the population it serves? - ✅✅-A. Maternal and child health work B. Communicable disease control work C. Vital and health statistics work D. Environmental sanitation work, and E. Medical care work ___ recommendation of __ workers per ,_ populations. The physician, nurse and midwife collective ratio is ./10,000 population, while . combined health and allied health professionals serve every __, 000 population - ✅✅-WHO, 24, 10 000 22.67, 24.31, 10 000 To address the mal-distribution of health workers and constraints of health devolution, among the first steps ___ did was to ______ ___ nationwide (For 2014, 215 Doctors to the Barrios, 11, 202 nurses, 2, 700 midwives and soon deployment of dentists), properly distributed with priority to ____ vulnerable areas. With trained and deployed 44, Community Health Teams to reach families with key messages and basic preventive care - ✅✅-DOH, deploy, HRH, poor HRH meaning? - ✅✅-Human Resources for Health _______ is reflected as a distinct ____ in the organizational structure. - ✅✅-Nursing, unit •Works in a health center & acts as frontline health worker •Prime mover for all health programs & activities •Screens cases •Refers cases to physician •Assists the physician during consultation •Examines & gives treatment to patients •Provides health education •Performs home visit •Submits weekly, monthly, quarterly, annual reports. - ✅✅-PHN II •Performs same functions as PHN II, but acts as the nurse-in-charge •Supervises, guides, coordinates, evaluates the work of her nurses
Are mandated to provide primary care, including preventive and promotive health services and other public health programmes through rural health units (RHUs), health centres and barangay health stations (BHSs)? - ✅✅-Municipal Governments •Are given the responsibility for providing both hospital services and primary care services? - ✅✅-Highly Urbanized and Independent Cities HFSRB means? - ✅✅-Health Facilities and Services Regulatory Bureau •Regulates hospitals, clinical laboratories, infirmaries and specialized outpatient facilities such as dialysis clinics, ambulatory surgical clinics, in vitro fertilization centres, stem cell facilities, oncology clinics and medical facilities for overseas workers and seafarers - ✅✅-Government Organizations Responsible for the registration and licensing of all professionals in the Philippines, which includes doctors, nurses, midwives, dentists, pharmacists and other allied health professionals? - ✅✅-•Professional Regulation Commission (PRC) Regulates both public and private institutions of higher learning, which covers colleges and universities offering medical and other professional health degrees? - ✅✅-•Commission on Higher Education Regulates private health insurance companies and oversees the financial viability of health maintenance organizations? - ✅✅-•Insurance Commission (IC) What are the Autonomous Agencies attached to DOH? - ✅✅-•National Nutrition Council (NNC) •Population Commission •PhilHealth, •Philippine Institute of Traditional and Alternative Health Care •Four highly specialized corporate hospitals Who Provide Direct Health Services? - ✅✅-•Department of National Defence (DND) •Philippine National Police, •Department of Education (DepEd) •State colleges and universities, and Department of Labor and Employment (DOLE) Regulated by the Government through a system of standards and guidelines implemented through the licensure procedures of the DOH and the accreditation procedures of PhilHealth? - ✅✅-Private sector and NGOs
Ex. •clinics, infirmaries, laboratories, hospitals, •drug manufacturers and distributors, •drugstores, medical supply companies and distributors, •health insurance companies, •health research institutions and academic institutions - ✅✅-Private sector and NGOs •Philippine Medical Association, •Philippine Nurses Association, •Philippine Dental Association and •Integrated Midwives Association of the Philippines - ✅✅-Private Organizations and NGOs providing staff and volunteers for humanitarian services in times of disasters and natural calamities; ensuring safe and quality blood services through its active role in voluntary blood donation, testing and processing; and promoting health through its primary health care and community based health programmes. - ✅✅-Philippine Red Cross Emphasizes the need to understand the behavior of the family as a dynamic, functioning unit which affects its capability to help itself and maintain system integrity, or its readiness to work with the nurse in enhancing wellness or addressing problems on health & illness? - ✅✅-Family Nursing Practice Practice of nursing directed towards maximizing the health and well-being of all individuals within a family system - ✅✅-FAMILY NURSING A systemic approach of solving an existing problem/ meeting the needs of family - ✅✅-FAMILY HEALTH NURSING PROCESS RAPIE meaning? - ✅✅-Rapport Assessment Planning Intervention Evaluation STEPS IN FAMILY HEALTH NURSING PROCESS,
- Establish a working ____________ with the ______
- Definition of nursing problems ( ) - ✅✅-(end- product of 1st level) (end-product of 2nd level) Data gathering: 4 Tools or instrument used during survey: - ✅✅-Interview Observation Questionnaires Records & reports available Collect questionnaires, tabulate and summarize? - ✅✅-Consolidation/collation What level of Assessment and structure this,
- Members of the household and relationship to the head of the family
- Demographic Data: Age, Sex, Civil Status, Position or Rank in the family
- Place of residence of each member
- Type of family structure
- Dominant family members in terms of decision- making.
- General family relationship/dynamics. - ✅✅-First level Assessment Family structure & characteristics What level of Assessment and characteristics this, Occupation, place of work and income of each working member Adequacy to meet basic necessities (food, clothing and shelter) Who makes decisions about the money and how is it spent? Educational attainment of each member Ethnic Background and Religious Affiliation Significant Others - role they play in the family's life Relationship of the family to larger community - ✅✅-First level Assessment Socio-Economic & Cultural characteristics What level of Assessment and characteristics this,
Housing & sanitation facilities Kind of neighborhood Availability of social, health, communication & transportation facilities in the community.
- ✅✅-First level Assessment Home & Environment What level of Assessment and characteristics this, Present & past health conditions/ illness Beliefs & practices conducive to health & illness Nutritional & developmental status Physical assessment findings Significant results of laboratory/ diagnostic tests/ screening procedures - ✅✅-First level Assessment Health status of each member What level of Assessment and characteristics this, Immunization status Healthy lifestyle related services Adequacy of rest/sleep Exercise, relaxation Stress management Other healthy lifestyle practices - ✅✅-First level Assessment Values and practices on health promotion/maintenance & disease prevention Existing or potential health conditions or problems of the family are determined as well as of the home and environment - ✅✅-First Level Assessment What are the Nature of the Problems in First Level Assessment? - ✅✅--WELLNESS STATES
