CHN TOP RANK REVIEWER SUMMARY BY RESURRECCION, CRYSTAL JADE R.

N
● Family - Basic unit of care/service.
Community Health Nursing ● Group/Aggregate/Population - People who share
- Work outside hospital common characteristics
Healthy patient: Health Education Example: Common in developmental
stage, vulnerable
What is PHN? (Public Health Nurse) ● Community - Share common geographical
- Government type of work boundaries.
- The Magna Carta of Public Health Workers Example: Manila or ilo-ilo, Also isang
(Republic Act No. 7305) was signed into law almost barangay/community.
30 years ago "to promote and improve the social and Also note: Primary client is COMMUNITY.
economic well-being of the health workers, their
living and working conditions and terms of Goal of CHN
employment”. OLOF : Optimum level of function or higher level of
- Salary Grade 15: 36k/Months wellness.
FOLLOW: Healthy Lifestyle

✔️
DERS LIFESTYLE Goal of PHC (Primary Health Care)

❌
Diet - Variety of food based on food guide pyramid Self Reliance in terms of HEALTH in the hands of
Saturated fats, Unit sweets people.
MEN WOMEN
Goal of COPAR
2500 Kcal 2000 Kcal C - Community
Preg - +300kcal H - Health
Lac - +500kcal
✔️ Exercise - Regular Exercise
D - Development

CHD - Social Transformation

MODERATE I VIGOROUS I
PHCDS - Philippine Health care Delivery system
Almost everyday 3x A week (Two Way Referral System)
✔️ Rest
✔️Smoking - Avoid smoking
EDUCATION: 4 A’s LEGISLATION

Ask: Do you smoke? No smoking in public

A rice: For body effect places
Assist Do not advertise
Arrange: Follow up smoking
Sell with in 100 meter
apart

Ottawa Charter - Guidelines for healthy promotion

1. Building health public policy
2. Creative supportive environments
3. Reorienting health services
4. Developing personal skills Function: EO 102
5. Strengthening community actions 3 Main functions:
● Leadership in health - set policy
4 Clients in CHN - IFGC ● Enable and capacity builder - develop new strategy
● Individual - solo or you and training for health. E.g.IMCI, Unang Yakap

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CHN TOP RANK REVIEWER SUMMARY BY RESURRECCION, CRYSTAL JADE R.N
● Administrative Fcn - Manage Tertiary Facility. - Health sector reform deals with equity, efficiency,
quality, financing, and sustainability in the provision of
health care, and also in defining the priorities, refining
the policies and reforming the institutions through
which policies are implemented.
Ex President GMA: Formula 1 for health
Ex President NA: AHA Achieving Universal Health
Care for all Filipinos
Ex President RD: F1 Plus 5 pillars
- Boosting Universal Health Care

5 Pillars of Health:
1. Health Financing
- Better Investment for health.
- NHIP (Nat’l Health insurance Program)
2. Health Regulation RAQ
- Affordable Quality
3. Health care Delivery
- Accessible, Available
- Note: NDP nurse deployment program)
4. Good governance
- Stakeholders (the one has the money of govt)
Two way referral system - Intra-sectoral linkages
Transparent
Inter-sectoral linkages- GO/NGO
Accountable
Another Important:
● Use of Appropriate Technology - 3 Local Efficient
indigenous Resources 5. Performance Accountability
Affordable (low cost) - Outcome Based Approached
Not free, low cost only
RA 11223 Universal Health Care Law - All Filipinos are
DOH - National authority for health automatically enrolled in Philhealth. Est 2018
Vision: (General) Filipinos will be the healthiest in Case Rate Method - Basis is per Diagnosis.
southeast asia in 2022. Filipinos will be the healthiest
in Asia 2040.
● Basis Life expectancy: 72 y/o
● Longest LE in SEA: Singapore (83-84 y/o)
● Longest in Asia: Hongkong 1st, Japan 2nd
● Poverty Rate: 23%
Mission: (Specific) To lead/develop a country of
Resilient, equitable and people centered/oriented
health system.

NOH - Nat’l objective/goal for health

HSRA - Health Sector Reform Agenda (Overriding
goal of DOH) Healthcare workers/Public Health is exempted in paying
for medical bills when hospitalized due to covid.

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CHN TOP RANK REVIEWER SUMMARY BY RESURRECCION, CRYSTAL JADE R.N
Develop an operational plan - prioritize.
Family Care Plan - Use of Nursing Process (APIE) SMART - Specific, Measurable, Attainable, Realistic and
ASSESSMENT - Interview, Observation Time bound.
1st Level Assessment - Determine what are the
problems.
4 Categories: Criteria in Score Weight
1. Wellness state - Healthy Individual Prioritization
Eg. Exercise, Healthy diet, Regular BF
2. Health Deficit - (+) Disability/Dse ● Nature of the W.S 3 1
problem H.D 3
- Problems occur when there is a gap between ● “Type of fam H.T 2
achievable health status. prob” FC 1
3. Health Threat - Situations increase risk for illness and
● Modifiability of EASILY 2 2
injury; problems not related to health.
the problem PARTIALLY 1
- There is no presence of Disease. ● Soln to the NOT 0
- Eg. Taking drugs and alcohol, Family Hx, Strained prob
Marital Relationship.
● Preventive HIGH 3 1
potential MOD 2
● Future LOW 1
recurrence

● Salience IMMED 2 4
● Perceptive of NOT THAT
the client about IMMED 1
4. Foreseeable crisis/Stress point - Anticipated problems the prob NOT A PROB 0
which are developmental or social in nature.
total: 5
- Stress points - happen in our life sudden
- Normal occurrence in life.
- E.g Financial Incapacity of the family can lead to Note: The highest score receive the highest priority -5
poverty to malnutrition Note: Lowest score receive the lowest priority - ⅔
- Loss of job
- Migration to other country
- 1st time breastfeeding
2nd Level Assessment - Determine why the problems
are.
1. Inability to recognize the presence of Example problem:
condition/problem due to.. History reported TB - Health Deficit
2. Inability to make decisions with respect to taking Strained family relationship - Health Threat
appropriate health reactions due to.. Poor impulse control - Health Threat
3. Inability to provide nursing care to the sick, disabled,
dependent or at risk member of the fam due to.. COMMUNITY CARE PLAN (CCP)
4. Inability to provide a home environment which is
conducive to health maintenance and personal Criteria in Prioritization Weight
development due to..
5. Failure to utilize community resources for health care ● Nature of the 1
problem
to..
● Modifiability of the 4
PLANNING - Goal setting - 1st step problem
Construction plan of action - Choosing nsg intervention.

3 CJSR
CHN TOP RANK REVIEWER SUMMARY BY RESURRECCION, CRYSTAL JADE R.N
● Preventive potential
Eg. VS, HW, Isolation Control
1
- Concept was proposed by WHO 1978 called ALMA
● Magnitude of the 3 ATA CONFERENCE - USSR
problem - LOI Letter of Instructions 949 - legal basis of PHC
● Social concern
- October 19, 1979 – Letter of Instruction (LOI) 949,
1
the legal basis of PHC was signed by Pres. Ferdinand
TOTAL: 10 E. Marcos, which adopted PHC as an approach
towards the design, development and implementation
● Nature of the problem - category of the problem of programs focusing on health development at
● Health status - problem focus on morbidity and community level.
mortality (ex: covid, death) - PH VISION: Health in the Hands of people Self
● Health Resources - Material , money, Manpower (ex: Reliance
Shortage of nurses) - PH MISSION: Opportunities that people will manage
● Health Related prob - Political, socio-economic their own health care.
environmental, climate change, pollution. 2 CORE:
Partnership -
IMPLEMENTATION - Implementing plans Empowerment - Transfer knowledge, skills, attitude.
Dependent - Doctor’s orders 4 PILLARS
Independent - Scope of nursing practice - Most important: Active community participation - Goal
Interdependent - Referral is to empower the people and make them self reliant
- E.g Herbal - who is responsible for pipitas,
EVALUATION - Assess the implementation magtitimpla and preparation - PT.
Quality Assurance Elements (QAE) - Intra/Inter (doh) sectoral linkages
● Structural Elements - Physical Settings (hospital, - Use of appropriate tech
health center) - Support mechanism made available (support from
- Manpower, Money, Material, Equipment local government)
- Eg. DOH Budget, Antibiotics in health center, Elements of primary health care:
checking if there is TB machine in health center, Education - Health Teaching - Primary responsibility
Tozilizumab in the hosp. of the nurse
● Outcome Elements - Changes resulting from nursing To know if its effective there’s a change in behavior
intervention to PT.
- Checking the effectiveness Competency Based teaching and learning
- Eg. Pt with Fever - (N) perform TSB - dec of fever Principles:
culture and sensitivity test. Learning is an intellectual and emotional process
- Checking of BP after administration of HPM drugs Learning is facilitated when it has meaning to the
- Auscultate after suctioning. learner.
- Expert TB machine checking after medication Learning is an individual matter.
- After Administration of meds improvement of pt
condition.
● Process elements - steps of nursing process
- APIE
- Eg. Administration of meds with meal, checking of BP
before administering HPN drugs
- Eg. Positioning of pt before feeding assessment renal
fxn before administration of meds.

Primary Health care - Basic Health care

4 CJSR