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Nursing Process - Assessment Notes

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21 views3 pages

Nursing Process - Assessment Notes

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augiejanena
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CHN NOTES

THE NURSING PROCESS IN THE CARE OF THE COMMUNITY


❖ THE NURSING PROCESS IN THE CARE OF THE COMMUNITY
➢ A community is a group of people who:
• Have a common interest or characteristics
• Interact with one another
• Have sense of unity or belonging
• Function collectively within a defined social structure to address common
concerns
➢ A community may be phenomenological (functional) or geopolitical
(territorial)
❖ PRINCIPALS OF COMMUNITY HEALTH NURSING
1. Community is the focus of care; nurse responsibility is to the community as
a whole
2. Give priority to community needs
3. Work with the community as an equal partner of the health team
4. Focus on primary prevention for appropriate activities
5. Promote a healthful physical and psychosocial environment
6. Reach out to all who may benefit from a specific service
7. Promote optimum use of resources
8. Collaborate with others working in the community health
❖ Conditions in the community affecting health
• People
• Location
• Social system
❖ Characteristics of a healthy community
• A shared sense of being a community based on history and values
• A general feeling of empowerment
• Existing structures that allow subgroups within the community to participate
in
decision making
• The ability to cope with change, solve problems, and manage conflicts within
the
community through acceptable means
• Open channels of communication
• Equitable and efficient use of community resources
❖ Aims
1. Achieve a good quality life
2. Create a health supportive environment
3. Provide basic sanitation
4. Supply access to health care
❖ COMMUNITY ASSESSMENT
o the data needed to be collected depend on the objectives of community
assessment.
o In general, the nurse needs to collect data on the three categories of
community health
determinants: people, place, and social system.
❖ DATA COLLECTED FOR THE HEALTH P.A.T.C.H: (Planed Approach To
Community Health)
PROCESS FOR HEALTH PLANINGNursing Care of the Community
(Famorca et al., 2013)
sacrodriguez2020
1. Community Profile
- Demographic educational and economic data
2. Morbidity and Mortality Data
- Including unique health events (e.g., completion of barangay health station,
a
typhoon that caused flooding of residential areas)
3. Behavioral Data
- Focusing on behavioral risk factors, such as smoking, drinking, and leading
a
sedentary lifestyle, and prevailing good health practices in the community,
such
as breast feeding and getting regular exercise
4. Opinion Data
- from community leaders, such as what they think about the main health
problems of the community their causes, measures that may alleviate or
correct them
• Problem-oriented assessment is focused on an aspect of health: focusing on
what’s problem
the community have in mind
❖ TOOLS IN COMMUNITY ASSESSMENT
• Collecting Primary Data
▪ Observation
• Ocular survey/ windshield survey
▪ Survey
▪ Informant interview
• Talks to the community people
• Key informants: consist of formal and informal community leaders or
persons of position and influence
▪ Community forum
• Pulong–pulong sa barangay
• Focus group
o Secondary Data Source
▪ Health records and reports
▪ Field Health Service Information (FHSIS) recording and reporting tools
▪ FHSIS is as basis for:
i.
Priority setting by local governments
ii.
Planning and decision making at different levels (barangay,
municipality, district, provincial, and national)
iii.
Monitoring and evaluating health program implementation
 The FHSIS Manual of Operations
i.
Individual Treatment Record (ITR) – Building block of FHSIS
▪ Health workers are advised not to rely on client-maintained
ii.
Target Client List
▪ Target Client List for prenatal care
▪ Target Client List for postpartum care
▪ Target Client List of under 1-year-old children
▪ Target Client List for family planning
▪ Target Client List for sick children Nursing Care of the Community (Famorca
et al., 2013)
sacrodriguez2020
▪ National Tuberculosis Program Register
▪ National Leprosy Control Program Central Registration Form
iii.
Summary Table (Accomplished by Midwife)
iv.
Monthly Consolidation Table (MTC)
 The Reporting Forms (as Enumerated in The FHSIS Manual of Operations)
i.
Monthly Forms (Regularly prepared by the midwife and summited to the
nurse)
a. Program Report (M1)
▪ Contains indicators categorized as maternal care, childcare, and
family planning
b. Morbidity Report (M2)
▪ contains list of all cases of disease by age and sex.
ii.
Quarterly Forms (Prepared by the nurse)
a. Program Report (Q1)
▪ 3-month total indicators categorized as maternal care, family
planning, childcare, dental health, and disease control
b. Morbidity
iii.
Annual Forms
a. A-BHS
-Demographic, environmental, and natality data
b. Annual Form 1 (A-1)
-Prepared by the nurse and is the report of the RHU or health
center.
- It contains demographic and environmental data and data on
natality and mortality for the entire year.
c. Annual Form 2 (A-2)
- prepared by the nurse, is the yearly morbidity report by age and
sex
d. Annual For 3 (A-3)
- prepared by the nurse, yearly report of all mortality by age and sex
disease registry census data

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