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it is the term used before for CHN
public health nursing
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3P’s of PHN by Dr. CEA Winslow
- promotion of health
- prevention of disease
- prolonging life
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goal of PHN
to enable every citizen to realize his birth right of health and longevity
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objectives of public health
CODES
- C ontrol of Communicable Diseases
- O rganization of Medical and Nursing Services
- D evelopment of Social Machineries
- E ducation of IFC on personal Hygiene→
- Health Education is the essential task of every health worker
- S anitation of the environment
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core business of public health
DIHHP
- 1. Disease control
- 2. Injury prevention
- 3. Health protection
- 4. Health public policy
- 5. Promotion of health and equitable health gain
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this defines health promotion by enabling people to control over or improve health
Ottawa Charter on Health Promotion (1986)
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prerequisites of health
FEE IS PASS
- F- ood
- E- ducation
- E- quity
- P- eace
- A- Stable ecosystem
- S- ustainable resources
- S- ocial justice
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Foundations of health promotion/
3 basic strategies
MAE
- M- ediate
- A- dvocate
- E- nable
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5 basic actions of OTTAWA
BCSDR (busy si doctor)
- Build public health policy
- Create supportive environment
- Strengthen community action
- Develop personal skills
- Reorient health services
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this has 5 priorities on health promotion
Jakarta Declaration on Health Promotion (1997)
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5 priorities on health promotion by jakarta declaration
- 1. Promote social responsibility on health
- 2. Increase investment on health development
- 3. Consolidate and expand partnership in health
- 4. Increase community capacity and empower individuals
- 5. Secure infrastructure in health promotion
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role of public health nurse
is a health care provider, taking care of the sick people at home or in the RHU
Clinician
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role of public health nurse
who aims towards health promotion and illness prevention through dissemination of correct information, educating people
health educator
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role of public health nurse
who establishes multi-sectoral linkages by referral system
facilitator
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role of public health nurse
who monitors and supervises the performance of midwives
supervisor
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role of public health nurse
collects data
researcher
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role of public health nurse
trains newbie
trainer
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role of public health nurse
planning, organizing, staffing, directing, controlling
manager
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role of public health nurse
influences people
leader
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role of public health nurse
outside health team
coordinator
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role of public health nurse
within health team
collaborator
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role of public health nurse
protects rights, assess needs, offer alternative, support decision, influence health care team
advocate
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3 levels of primary health workers
- Level I: Village/Grassroots
- Level II: Intermediate
- Level III: First Line Personnel
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they are non-professionals and with honorarium only
A.
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trained community health workers
A.
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health auxillary volunteer
C.
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trained hilots, albularyo
B.
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barangay health volunteers/workers
C.
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professionals
A.
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refer to 8 public health workers(MO, PHN, RHM, dentist, nutritionist, medtech, pharmacist, RSI)
A.
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specialists
C.
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they are members of the health team who are professionals
Public Health Workers
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Medical Officer (MO)
Physician
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Rural health midwife (rhm)
registered midwife
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must be a sanitary engineer
Rural Sanitary Inspector (RSI)
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levels of health care
who? healthy pts
how? health education
why? health promotion, disease prevention
primary
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levels of health care
who? high-risk pts
how? early screening and treatment
why? prevent complications
secondary
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levels of health care
who? post-treatment
how? rehabilitation, discharge instructions, maintenance medications, palliative/supportive care
why? prevent further complications
tertiary
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