Intensive Chn Ppt
Transcript of Intensive Chn Ppt
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CHN
LENIL KATE O. GUTANG, RN
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EPIDEMIOLOGY
Backbone in the prevention of the
disease.
OUTLINE PLAN FOR EPIDEMIOLOGICAL
INVESTIGATION
1.Establish fact of the presence of epidemic
2.Establish time and space relationship of the
disease3. Relations to characteristic of the group of
community
4.Correlation of all data obtained
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National Epidemic Sentinel System (NESS)
- hospital-based information system thatmonitors the occurrence of infectious diseases
with outbreak potential.
Whyis there a needto investigate an
outbreak?
1. Control and prevention measure
2. Severity and risks to others
3. Research opportunities
4. Public, political and legal concerns
5. Program consideration
6. training
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VITAL STATISTICS
-Refers to the systematic study of vita events
such as births, illnesses, marriages, divorce,
separation and deaths.
RATE- the relationship between a vital eventand those persons exposed to the occurrence
of the said event
RATIO- the relationship between two numericalquantities or measures of events without
taking particular consideration to the time or
place.
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CRUDE OR GENERALRATES- refers to the total
living population
SPECIFICRATE- the relationship for a specific
population class or group
CRUDE BIRTHRATE- natural growth or increase of
a populationCBR- Total # oflive births in a given calendar year
Estimated population as July 1 of same year x 1,000
CRUDED
EATH
RAT
ECDR- Total # ofdeaths in a given calendar year
Estimated population as July 1 of same year x 1,000
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INFANT MORTALITYRATE- a good index of the general health
condition of a community.
IMR- Total # of death under 1 year of age registered in a given year
Total # of live births of the same calendar year x 1,000
MATERNAL MORTALITYRATE- an index of the obstetrical care
needed and received by women in a communityMMR- Total # ofdeaths from maternal causes registered in a given year
Total # of live births of the same calendar year x 1,000
FETALDEATHRATE- measures pregnancy wastage
FDR- Total # of FETAL deaths registered in a given year
Total # of live births of the same calendar year x 1,000
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NEONATALDEATHRATE- an index of the effects of prenatal
care and obstetrical management of the newbornNDR- Total # of deaths under 28 days of age registered in a given year
Total # of live births of the same calendar year x 1,000
SPECIFICDEATHRATESDR- Deaths in specific class or group registered in a given calendar year x 100,000
Estimated population as July 1 of same specified class or group of the sad
year
EXAMPLES: CSDR, ASDR, SSDR
CSDR- # of deaths from a specific cause registered in a given calendar year
Estimated population as July 1 of same year x 100,000
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ASDR- # of deaths in particular age group registered in a given calendar year
Estimated population as July 1 of same year x 100,000
SSDR- # of deaths in certain sex registered in a given calendar year
Estimated population as July 1 of same year x 100,000
ATTACKRATE- a more accurate measure of the risk of exposureAR- # of persons acquiring a disease
# of exposed to same disease in same year x 100
INCIDENCE RATE- measures the frequency of occurrence of thephenomenon during a given period of time
IR- # of new cases of particular disease during a specified period of time
Estimated population as of July 1 of the same year x 100
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PREVALENCE RATE
PR- # of new and old cases of a certain disease during a specified period of timeTotal # of persons examined at same given time x 100
CASE FATALITY RATIO- index of a killing power of a diseaseCFR- # of registered deaths from a specific disease for a given year
# of registered cases from same specific disease in same year x 100
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FIELD HEALTH SERVICE INFORMATION
SYSYTEM (FHSIS)-A recording system that may give a pictureabout the accomplished indicators at the brgy.
Community, district, provincial, regional and
national levels.COMPONENTS:
1. Family Treatment record- the fundamental
building block- the form r piece of paper upon which recorded
the presenting symptoms or complaints of
the patient
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2. Target client list
to plan and carry out patient care and servicedelivery
to report services delivered
3. Tally/ Reporting forms- only mechanismthrough which date are routinely transmitted
from one facility to another.
Reports are submitted directly to the
PROVINCIAL HEALTH OFFICE.
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TALLY/REPORTING FORMS
FHIS/ E- deathsE-1- notification of death form
E-2- Maternal death form
E-3- Perinatal Death form
FHSIS/M- monthly
M-1
- Monthly Field Health service Activityreport
M-2- Monthly natality report
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M-3- Monthly Mortality report
M-4- Monthly laboratory report
M-5- Monthly Dental report
M-6- Family Planning Subsidized Surgical
Procedure Report
M-7- Monthly Social Hygiene Clinic Activity
Report
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FHSIS/Q- Quarterly
Q-1- Quarterly Field Health Service Activity
Report
Q-2- Quarterly Dental Facility Inspection Report
Q3- Quarterly Environmental Health Activities
Q-4- Quarterly Reports of Malaria Control
Activities
Q-5- Drugs And Supplies Quarterly Status Report
Q-6- Laboratory Supplies Quarterly Status
Report
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FHSIS/A- Annually
A-1- Annual Catchment Area Tally Sheet and
Summary ReportA-2- Annual Catchment Area Population
Summary Report
A-2A- Annual Catchment Area OPT FormA-3- Annual Household ENVIRONMENTAL
Sanitation Report
A-3A- Annual Environmental Household SurveyForm
A-4- Annual Nutrition report Food Supplement
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COPAROLD NEW ACTIVITIES
I. Preparation Analysis/ Diagnosis/
Mapping
1. Area selection
2. Contact persons
3. Courtesy calls
4. Introduce self
5. Leaders meet
6. Agenda setting
II. Organization/
Immersion/ Integration-
Design and Initiation 1. Family hosting
2. Core group formation
III. Education and
Training
Implementation
IV. Collaboration Consolidation Commitment
Organization
V. Out phase Dissemination/
Reassessment
How can I leave the people ?
When to leave the people?
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WHEN?
Change in
attitude
Objectives meet
Resources
maximized
HOW?Pull out
intervention
Institutionalization
Consultancy
services
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HERBAL MEDICINES
COMMON NAME SCIENTIFIC
NAME
INDICATIONS
Lagundi Vitex negundo S- skin diseases
A-aromatic bath
R- rheumatism
A- asthma, body achesH- headache, cough
Ulasimang
bato
Peperonia
pellucida
Gouty arthritis
Bawang Allium
sativum
Hypertension, toothache
Bayabas Psidium guava Mouthwash, wound wash, diarrhea
Yerba Buena Mentha
cordifolia
SARAH + menstrual pains, insect
bites, headaches, body pans
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COMMON
NAME
SCIENTIFIC
NAME
INDICATIONS
Sambong Blumea
balsamifera
Anti-edema, diuretic, anti-urolithiasis
Ampalaya Momordica
charantia
Type II DM
Niyog-niyugan Quisqualis
indica
Roundworm (nematodes)
Tsaang gubat Carmona
retusa
Stomach ache, and diarrhea, fluoride
replacement
Akapulko Cassia alata Scabies, tinea, athletes foot,ringworm
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NURSING ROADMAP
- Originated 2007
-Transformation Program of Nursing Profession
-adopted from Public governance system (PGS),
as instituted by Institute for Solidarity in Asia(ISA)
June 5, 2008- signing of the nursing roadmap by
the COORDINATING BODY FOR GOODGOVERNANCE OF THE NRSING ROFESSION
(CBGGNP) and PHILIPPINE NURSNG
ORGANIZATION (PNA)
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Association of Deans of Philippine College of
Nursing (ADPCN)- minor layer for nursingroadmap
VISION:
By 2030, the Philippines shall be the lead in
promoting professional nursing in the Asia
Pacific Region
MISSION: We, the Filipino nurses are committed
to provide society with professional nursingservice through innovations in education and
training, research and management that will
improve the well-being and quality of life
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STRATEGIC OBJECTIVES
DSL GG1. Dynamic leaders
2. Standards
3. Good governance4. Linkages
5. Growth and Productivity
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BALANCED SCOREBOARD
- implementation of nursing roadmap
- Developed by OHNAP for executing the
Nursing Roadmap
4 BROAD PERSPECTIVES:
1. Learning and Growth
2. Internal processes
3. Customer perspectives
4. Financial perspectives
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NATIONAL HEALTH PLAN
- Countrys health blueprint
- Caters from 1995-2020
VISION: A long term directional plan for health.
GOAL: TO enable the Filipino to achieve a level
of health that is accessible.
OBJECTIVE: Equity
PRIMARY HEALTH CARE- strategy of NHP
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PRIMARYHEALTHCARE
-essential health care made universally
accessible and affordable to individuals and
families in the community by means
acceptable to them.CORE ELEMENTS OF PHC: (ACIT)
1. Accessible
2. Community participation active3. Intra- international linkages
4. Technologies appropriate
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KEY STRATEGY:
Peopleempowerment andpartnership
4 PILLARS OF PHC: (MAPS)
1. Multi-sectoral approach
2. Appropriate technology
3. Participation active
4. Support system available
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ESSENTIAL ELEMENTS OF PRIMARY
HEALTH CARE (MAPPHEICT)
1. Maternal and Child Health and Family Planning
2. Adequate Food and Proper Nutrition
3. Provision of Medical Care and EmergencyTreatment
4. Provision of Essential Drugs
5. Health education
6. Environmental Sanitation
7. Immunization
8. Control of Communicable Disease
9. Treatment of Locally Endemic Disease
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5 STAKEHOLDERS OFHEALTH
1. LGU
2. DOH
3. Philhealth Insurance Corporation4. Communities
5. NGOs
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ROLES OF DOH (LEA)
1. Leadership in Health
2. Enabler and Capacity Builder
3. Administrator of specific services
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MODERN CONCEPT OF HEALTH
- Refers to the optimum level of individuals,families and communities
FACTORS AFFECTING OLOF: BHHEPS
Behavioral Heredity
Health Care delivery system
Environment Political
Socio-economic
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TEN DETERMINANTS OFHEALTH
1. Gender
2. Genetics
3. Education
4. Employment
5. Culture
6. Health services
7. Income
8. Personal behavior
9. Physical environment
10.Social support network
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MILLENIUM DEVELOPMENTAL GOALS
-Formulated in the year 2000 by the un general
assembly.
PEGCMMEG
Poverty eradication(2015)
Education
Gender equality
Child mortality to decrease
Malaria/AIDS to combat
Maternal health
Environment sustainability
Global partnership
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COMMUNITYHEALTH NURSING
GOAL: To raise the health of the citizenry
Main activity: Health teaching (health
promotion)
PHILOSOPHY: Worth and dignity of man
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DEPARTMENT OF HEALTH
VISION:OLD- The DOH is the staunch advocate and
model in promoting Health for All in the
Philippines.
NEW- The leader of health for all in the
Philippines
MISSION:
NEW- guarantee equitability, sustainability and
quality of life for all Filipinos especially for the
poor and shall lead the quest for excellence in
heath
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OLD: ensure accessibility and quality of life, for
all Filipinos especially the poor
GOAL: Health Sector Reform Agenda (FOURmula
One for Health)
Support system: FRGS Good health governance
Health regulation
Health services Health Care Financing
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PRIMARYHEALTHCARE
GOAL: Health for all Filipinos in the year 2000
and in the hands of the people in the year
2020
MISSION: Strengthen health care delivery
system
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SENTRONG SIGLA MOVEMENT
-Quality assurance program
PILLARS OF SSM: QATH
Quality assurance
Award
Technical and grants assistance
Health promotion
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NUTRITIONAL SERVICES
Goal: The improvement of the nutritional status
and quality of life of the population through
the adoption of desirable dietary practices
and healthy lifestyle.
Villavieja et. al. Rice is the main source of
protein among Filipinos
WATER- most essential of all nutrients
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HEATANDACETICACIDTEST
- Place 3-5 m of urine + 6-8 drops of heat +
acetic acid solution then pre heat in bunsen
burner
- Observe for precipitation or cloudiness
- Cloudy- + for protein (PIH)
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BENEDICTS TEST determination
of glucose content- Pour 3-5 ml of benedicts solution + 6-8 drops of
urine
- Heat for 3 minutes in a bunsen burnerRESULT:
Blue- negative
Green- trace (+1)-normal for pregnant woman
Yellow- +2
Orange- +3
Red-+4