Advanced Primary Health Nursing

7/28/2019 Advanced Primary Health Nursing

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CLASS POLICY

Attendance is a must- 2 days

Active participation in the class discussion is expected

Short quiz will be given

Copy of written report should reach the professor w/in

5 working days from the day the class ended(Feb. 22, 2008) deadline of submission

Can be sent thru e-mail

[email protected]

Thru courier

Ms. Ma. Luisa S. Orezca

DOH-NCR, Welfareville Compound, Acacia Lane

Shaw Blvd., Mandaluyong City


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Group Report Presentation on the

2nd day of the class

15 min.-presentation

10 min.-critiquing

GRADING SYSTEMClass Participation-60%

Active cooperation during class discussion-20%

Group report/members involvement-40%

Out put-40% Short quiz-15%

Written report25%


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MAN 605-ADVANCED PRIMARY

HEALTH NURSING

EDGARDO H. BENGZON, M.D.

MA. LUISA S. OREZCA, BSE-HEALTH, MPA


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PRIMARY HEALTH NURSING

Is the protection, promotion and

optimization of health and abilities,

prevention of illness & injury, alleviationof suffering through the diagnosis and

treatment of human responses, &

advocacy in health care for individuals,

families, communities & populations.

American Nurses Association


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NURSING PROCESS

Is the method used to assess and

diagnose needs, plan and implementinterventions, and evaluate the

outcomes of the care provided.


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NURSE PRACTICE SETTINGS

Hospitals

Homes-visiting people

Schools-caring for the people

Occupational Health/Industrial Health

Clinics

Physician OfficesMilitary Service


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Insurance Industries-consultants to

health care

Attorneys Offices-act as consultant, to

review patients records and testify in

courtTEMPORARY BASIS

Per diems nursing

Agency nursing or travel nursing


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MAJOR DIVISION OF SETTINGSNursing of people with mental health problems-

psychiatric & mental health nursingNursing of people w/ learning or developmental

disabilities-learning disability nursing (U.K.)

Nursing of children-Pediatric nursingNursing older adults-Geriatric nursing

Nursing people in their own homes-Home Health

Nursing (U.S.)

Live-in Nursing

Cardiac Nursing

Orthopedic Nursing

Oncology Nursing Specialties Areas


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ROLES OF THE PRIMARY HEALTH NURSE

Assess, plan and provide for the nursing needs of

patients in the community, ensuring a holisticapproach is being utilized

Recognizes the continuity of role over time, evenwhen being absent from the care setting

Leads the team, delegating, liaising andcoordinating with other members of the PrimaryHealth Care Term to provide an effectiveinterrelated service

Ensure appropriate communication, education andsupport of patients and their significant others,those people who care for them , whether family,friends or neighbors


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ADVANCED PRIMARY HEALTH NURSING

ROLES DEFINED

Clinician-designer/coordinator/evaluator of care toindividuals, families, groups, communities andpopulation; able to understand the rationale for careand competently deliver this care to an increasingly

complex and diverse population in multipleenvironments

Outcomes Manager-synthesized data, informationand knowledge to evaluate and achieve optional client

outcomesClient Advocate-adept at ensuring that clients,families and communities are well-informed andincluded in care planning and is an informed leader

for improving care


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Educator-uses appropriate teaching,

principles and strategies as well ascurrent information, materials and

technologies to teach clients, groups

and other health care professionalsunder their supervision

Information Manager-able to use

information systems and technologythat put knowledge at the point of

care to improve health care outcomes


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Systems Analyst/Risk Anticipator-able to

participate in systems review to improvequality of client care delivery and at theindividual level to critically evaluate andanticipate risks to client safety with the

aim of preventing medical errorMember of a Profession-accountable forthe ongoing acquisition of knowledge and

skills to effect change in health carepractice and outcomes and in theprofession


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CORE COMPETENCIES

Critical thinking-includes the ability to use evidence

gathered through personal experiences and through theresearch of others in evaluating and designing models

and plans of care

Communication- acquisition of skills necessary to

interact and collaborate with other members of theinterdisciplinary health care team

Assessment- understanding the family, community or

population and using data from organizations and

systems in planning and delivery care

Nursing Technology and Resource Management-

acquisition and use client care technology and nursing

procedures are required for the delivery of nursing care


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CORE KNOWLEDGE

Health Promotion, Risk Reduction and Disease

Prevention-theoretical foundation in health

promotion, illness prevention and maintenance of the

clients (individuals ,family ,group or community)

functions in health and illnessIllness and Disease Management-knowledge about

the social, physical, psychological and spiritual

response of the individual and family or caregiver to

disease and illnessInformation and Health Care Technologies-

traditional and developing methods of discovering,

retrieving, and using information in nursing practice


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Ethics-values, codes, and principles that govern discussions

in nursing practice, conduct and relationship. Skill and

knowledge in resolving conflict related to role obligationsand personal beliefs are necessary

Human Diversity-understanding the ways cultural, ethic,

socioeconomic, linguistic, religious, and lifestyle variations

are exposedGlobal Health Care-understanding of the implications of

living with transportation and information technology that

link all parts of the world

Health Care System and Policy-understanding of theorganization and environment in which nursing and health

care is provided. (Health Care Policy-shapes health care

systems and helps determine accessibility, accountability and

affordability.)


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PRIMARY HEALTH CARE

(WHO DEFINITION)

Essential care based on practical,

scientifically and socially acceptable methods

and technology, made universally accessible

to individuals and families in the communitythroughout their full participation and at a

cost that the community and country can

afford to maintain at every stage in theirdevelopment, in the spirit of self reliance and

self determination


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COMMUNITY

A social group of organisms sharingan environment, normally with shared

interests. In human communities, intent,

belief, resources, preferences, needs,risks, and a number of other conditions

may be present and common, affecting

the identity of the participants and theirdegree of cohesiveness


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The word community is derived from

communitas (meaning the same) which isin turn derived from communis, which

means common, public, shared by all or

many. Communis comes from acombination of the Latin prefix con-

(which means together) and the word

munis-(which has to do with performing

services).

Wikipedia (Free Encyclopedia)


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COMMUNITY HEALTH NURSING

(ROYAL COLLEGE OF NURSING 1992)

Professional nursing directed towardscommunities or population group as well as

individuals living in the community

It includes assessment of the environment,social and personal factors, which influence

the health status of the targeted population

Its practice incorporates the identification ofgroups and individual within the community

who require help in maintaining or achieving

optimal health


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FEATURES OF A

HEALTHY COMMUNITY

(Hunt and Zurek, 1997)

Awareness that we are community

Conservation of natural resourceRecognition of, and respect for, the

existence of subgroups

Preparation to meet crises

Ability to problem solve


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Communication through channels

Resources available to all

Setting disputes through legitimate

mechanisms

Participation of citizens in decision

making

A high degree of wellness among themembers


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HEALTH

(WHO, 1946)

A complete state of physical,

mental, and social well-being notnecessarily always excluding

disease.


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FOUR (4) ASSUMPTIONS SUPPORTING THE

PHILOSOPHY OF PRIMARY HEALTH CARE

1. Health is political and social right. Equity isfundamental and universal coverage is thenorm, with care provided according to

need.2. The community as a whole, rather than the

individual, is client, and the community

determines its greatest priority andresources allocation in health care. Thus,the overall public goal is promoted, butneeds of individuals may go unmet.


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3. Because conditions in many sectors of

communities affect health, multisectoralcooperation is necessary to promote,

maintain, or improve health of the

community

4. The philosophy of primary health care can

be applied to any country or community on

the globe.

Documents

Advanced Primary Health Nursing