Intensive Chn Ppt

8/9/2019 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



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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


FETALDEATHRATE- measures pregnancy wastage

FDR- Total # of FETAL deaths registered in a given year



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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


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



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ASDR- # of deaths in particular age group registered in a given calendar year


SSDR- # of deaths in certain sex registered in a given calendar year


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

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Intensive Chn Ppt