ILLNESS
MODELS OF HEALTH
Clinical Model
Adaptive Model
Role Performance Model
Eudemonistic Model
Clinical Model
Adaptive Model
A model of health, wellness, and illness
that views health as adaptation to the
physical and social world in which a
person lives and disease as
maladaptation to this world.
Role Performance
Model
A model of health, wellness, and illness
that views health in functional terms;
here, if a person can function, he or
she is healthy.
Eudemonistic Model
A model of health, wellness, and illness
that focuses on health as well-being,
self-fulfillment, and self-actualization.
DIMENSIONS OF HEALTH
FACTORS AFFECTING
HEALTH
POLITICS
BEHAVIOR
HEREDITARY
ENVIRONMENT
SOCIO-ECONOMIC
OPTIMUM LEVEL OF
FUNCTIONING
LEVELS OF PREVENTION
PRIMARY
- prevention or delay of the actual
occurrence of illness or disease.
SECONDARY
- early detection and treatment of the disease
TERTIARY
- prevention of complications of a
disease and rehabilitation of the
individual.
PHILIPPINE HEALTH
CARE
DELIVERY SYSTEM
NATIONAL HEALTH
SITUATION
Population : as of
2010 is 94 Million
Growing at an
annual rate of
1.75%-2.32%
65% of the
population will
be living in urban
areas by 2020
LIFE EXPECTANCY
Female
s:
72.2
years
Males:
66.9 years
LEADING CAUSES OF
MORBIDITY
Diarrheal Diseases
Acute bronchitis
Pneumonias
Influenza
Chickenpox
Hypertension
Dengue Fever
COMPONENTS
Department of Health Mandate:
Shall be responsible for the
PRIMARY FUNCTION
OF DOH
is the promotion , protection, preservation or
restoration of the health of the people
through the provision and delivery of health
services and through the regulation and
encouragement of providers of health goods
and services
(E.O. No. 119, Sec. 3).
VISION
MISSION
GOAL
MILLENIUM DEVELOPMENT
GOALS
12345678-
FOUR ELEMENTS
HEALTH FINANCING
HEALTH REGULATION
GOOD GOVERNANCE
PRINCIPLES
Universal accessibility.
Vulnerable groups such as women, children,
and elders are the emphasis of health care
services.
Emphasis on the promotion of healthy
lifestyle due to increase of lifestyle diseases.
OBJECTIVES
Improve general health status
Reduce morbidity, mortality,
disability
Eliminate public health problems
Promote healthy lifestyle
Protect vulnerable groups
COMMUNITY HEALTH
NURSING
GOAL
Promotion of OLOF thru teaching
and delivery of care
PHILOSOPHY
Based on the WORTH & DIGNITY of
man
CORE OF PHN
- Disease control
- Injury prevention
- Health protection
- Healthy public policy
- Promotion of health and equitable health gain
ESSENTIAL FUNCTIONS
-
FUNCTIONS
Manager
Supervisor
Care Provider
Collaborator
Coordinator
Health Educator
Trainer
Researcher
CHN PROCESS
ASSESSMENT
PLANNING
IMPLEMENTATION
EVALUATION
ASSESSMENT
Initiate Contact
Demonstrate caring attitudes
Mutual trust & confidence
Collect data from all possible sources
Identify health problems
Assess coping ability
Analyze and interpret data
FIRST LEVEL OF
ASSESSMENT
ASSESSMENT
INITIAL DATA BASE
Family structure, characteristics and
dynamics
Socio-economic and cultural
characteristics
Home and Environment
Health Status of each member
Values and Practices on Health
Promotion and Maintenance
Level 1
(Point Source)
Level II
(Communal Faucet or Stand Posts)
Level III
(Individual House Connections or Waterworks System)
Level I
Non-water carriage toilet facility no
water necessary to wash the waste
into receiving space e.g. pit latrines,
reed odorless earth closet.
Toilet facilities requiring small
amount of water to wash the waste
into the receiving space e.g. pour
flush toilet & aqua privies
Level II
Level III
Wellness State
this refers to states of wellness and the
likelihood for health maintenance or
improvement to occur depending on
the desire of the family
Health Threats
these are the conditions that make it
more likely for accidents, disease or
failure to thrive or develop to occur.
Health Deficit
- this refers to conditions of health
breakdowns or advent of illness in
the family
Stress Points or
Foreseeable
Crisis
these are anticipated periods of unusual
demand on the family in terms of time
or resources
Modifiability of the
Problem
Preventive Potential
PLANNING
Prioritize needs
Establish goal based on needs &
capabilities of staff
Construct action and Operation plan
Develop evaluation parameters
Revise plan as needed
IMPLEMENTATION
Nursing plan to action
Coordinate care/services
Utilize community resources
Delegate
Supervise/Monitor health service
provided
Provide health education and training
Document responses to Nursing action
EVALUATION
Nursing Audit
Care Outcomes
Performance Appraisal
Estimate cost benefit ratio
Assessment of problems
Identify needed alterations
Revise plans as necessary
NURSING PROCEDURES
CLINIC VISIT
BLOOD PRESSURE MEASUREMENT
HOME VISIT
HOME VISIT
PRINCIPLES
Based on needs of the family
Have purpose or objectivedirectional
Make use of available informationcase follow-up
Practical and flexible
Should involve the family members
No definite rule for frequency
PHASES
Preparatory Phase
Actual Home-visit
Post-Visit
BAG TECHNIQUE
tool for ease and deftness to save
and effort
Rationale :
Principle:
Most important in the use of the
bag:
PHN Bag
equipment
Paper Lining
Extra paper for waste bag
Apron
Hand towel
Soap in a soap dish
Thermometer(rectal & oral)
2 pairs of scissors (surgical and bandage)
2 pairs of forceps (curved and straight)
Disposable syringes with needles (g. 23 & 25)
Hypodermic needles g. 19,22,23,25
Sterile dressing
Cotton balls
Cord clamp
Micropore plaster
Tape measure
1 pair of sterile gloves
Babys scale
Alcohol lamp
2 test tubes
Test tube holders
Solutions:
Betadine
Zephiran Solution
Spirit of amonia
Acetic acid
70% alcohol
Hydrogen peroxide
Opthalmic oinment
Benedicts solution
ISOLATION TECHNIQUE
Should not be mixed
Frequent washing and airing
Protective gown for caregiver
All discharges should be carefully
discarded
If soiled with discharges, boil in water
for 30 minutes before laundering
CLINIC VISIT
Phases:
Pre-consultation
Medical Examination
Nursing Intervention
Post-consultation
TRIAGE
Program-Based Care
Non-Program-Based Care
Emergency Cases
GOAL
Health in the hands of people by
2020.
MISSION
Increasing opportunities where people
can manage their own health care.
THEME
Partnership and Empowerment
towards
self-reliance
STRATEGY
Full participation and active
involvement of the community towards
the development
of self-reliance.
ESSENTIAL SERVICES
OF PHC
QUALITIES OF
HEALTH CARE
PROVIDERS
Open
Tactful
Coordinator
Objective
Good listener
Efficient
Flexible
Critical thinker
INTERMDIATE-LEVEL HEALTH
WORKERS
First source of professional healthcare
ATTEND TO HEALTH PROBLEMS THAT ARE
BEYOND KNOWLEDGE OF VILLAGE/GRASSROOTS
SUPPORTS FRONT-LINE HEALTH WORKERS IN
TERMS OF SUPERVISION, TRAINING, SUPPLIES
DOCTORS, NURSES, MIDWIVES
LEVELS OF
HEALTH CARE
FACILITIES
PRIMARY LEVEL
Rural Health Units
Sub-centers
Community Hospitals
Health Centers
SECONDARY LEVEL
Provincial Hospitals
Regional Hospitals
TERTIARY LEVEL
National Hospitals
Medical Centers
Barangay
Health
Stations
RHU Midwife
Physician
2nd Level Healthcare
Facility
3rd Level Healthcare
Facility
BHW
Sanitary
Inspector
MULTISECTORAL
APPROACH
TO
HEALTH
Other health-related
systems
(Government/Private)
Ways of the
People
(Cultural)
Community
Health
Environment
(Social , economic ,
physical , etc.)
Health Care
System
HEALTH CARE
PROCESS APPLIED
TO THE FAMILY
FAMILY
Patrilocal
Matrilocal
Bilocal
Neolocal
Avunculocal
DESCENT
Patrilineal
Matrilineal
Bilateral
AUTHORITY
Patriarchal
Matriarchal
Egalitarian
Matricentric
SECOND LEVEL OF
ASSESSMENT
FAMILY HEALTH
CARE STRATEGIES
PRE-NATAL CARE
History
Signs and Symptoms of Pregnancy
Check-ups during pregnancy
Immunization
Nutrition
Personal Habits
Others
Breastfeeding
Supplementary feeding
Cord care
Bathing
Immunization (EPI)
PARENTING
Responsibilities
HEALTH EDUCATION
EVALUATION
Evaluation Plan
Standards
Criteria