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CHN Extra Notes

The document outlines the new classifications of hospitals and health facilities, detailing general, specialty, primary, custodial, diagnostic, and outpatient specialized facilities. It also discusses the Universal Health Care Act, emphasizing equal access to healthcare for economically disadvantaged Filipinos, and highlights the importance of newborn screening for detecting congenital disorders. Additionally, it describes the Community Organizing Participatory Action Research (COPAR) phases aimed at empowering community members to address their health needs and improve their situations.

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274 views9 pages

CHN Extra Notes

The document outlines the new classifications of hospitals and health facilities, detailing general, specialty, primary, custodial, diagnostic, and outpatient specialized facilities. It also discusses the Universal Health Care Act, emphasizing equal access to healthcare for economically disadvantaged Filipinos, and highlights the importance of newborn screening for detecting congenital disorders. Additionally, it describes the Community Organizing Participatory Action Research (COPAR) phases aimed at empowering community members to address their health needs and improve their situations.

Uploaded by

Mimi mimi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Community Health Nursing

Rhea Mallari-Espenorio RN,MAN

NEW Classification of HOSPITALS and other health facilities

NEW HOSPITAL CLASSIFICATIONS:

1.General Hospital:
provides services for all kinds of
illnesses, injuries, deformities

Example: PGH, QUEZON CITY GEN. HOSP.

2.Specialty Hospital:
Provides services for a
specific disease or condition or
type of patient such as:
children,
women,
and other groups

Example: National Childrens Hospital,Fabella Hospital


NCMH, San Lazaro Hospital, Phil. Heart Center
Other Health care facilities CLASSIFICATIONS:

Category A- Primary health care facility


 First contact facility
 Offers basic services,
 Emergency services,
 Normal deliveries

Examples:
Health centers,

outpatient clinics,

dental clinics

infirmaries,

lying in clinics

Category B- Custodial Care Facility


 Patient with chronic conditions
 Provides long term care
 Basic services + Food + Shelter

Examples:
Custodial psychiatric facilities
Subtance abuse treatment
Rehab centers, nursing homes
Category C- Diagnostic Facility
 Facility for the examination of
human body- laboratory facility
Examples:
Blood service facility
Drug testing laboratory
Newborn screening laboratory
COVID testing facilities
Drinking water analysis
RA 9275 – Clean Water Act
Smoke emission testing centers
RA 8749 – CLEAN AIR ACT

Category D- Out patient Specialized facility


 Facility that performs highly specialized procedures

Examples:
Dialysis clinic
Ambulatory surgical clinic
Cancer clinic
Rehabilitation clinic
RA11223:Universal Health Care Act

An Act instituting Universal Health Care for All Filipinos


(Kalusugan Pangkalahatan)

Universal Health Care Is focused on Economically


Disadvantage Filipinos
Gives all Filipinos equal access to
quality and affordable health care services

 Free basic accomodation to public hospitals


 Free medical consultation
 Free laboratory test
 Free basic maintenance medication

 Automatically enrolls all Filipino citizens in the


National Health Insurance Program
 To be administered by the PhilHEALTH
signed by: Pres. Duterte Feb. 20, 2019
SAVE YOUR BABIES FROM MENTAL RETARDATION HAVE
NBS DONE

 Legal Basis:
Republic Act 9288 otherwise known as
“Newborn Screening Act of 2004”

What is Newborn Screening?


 To find out if your baby has a
congenital metabolic disorder that may lead to
 mental retardation and
 even death if left untreated.

When is Newborn Screening done?


 Ideally done on the 48th hour of life
upto 2 weeks after birth

How is Newborn Screening done?

Heel prick method,


 a few drops are taken from the baby's heel and
 blotted on a special absorbent filter card.
 The blood is dried for 4 hours and
sent to the Newborn Screening Laboratory

Who will collect the sample for Newborn Screening?

 A physician, a nurse, a midwife or medical technologist

Where is Newborn Screening Available?


 (Hospitals, Lying-ins, Rural Health Units and Health Centers).
What are the common disorders included in the Newborn Screening
Package?

1.Congenital Hypothyroidism (CH)


2. Congenital Adrenal Hyperplasia (CAH)
3. Galactosemia (GAL)
4. Phenylketonuria (PKU)
5. Glucose-6-Phosphate Dehydrogenase Deficiency (G6PD)

CO-PAR
CO emphasis:
strengthening the community members capability in:
 problem solving and decision making skills
 necessary for self reliant development

PAR OBJECTIVES
 To encourage consciousness of the suffering
 To empower people to determine the cause of their problem
 To analyze these problems
 To develop competence for changing their own situation
 To act by themselves in responding to their own problems
COPAR PHASES:

I.Pre-entry Phase

Activities include:
Dialogues and courtesy call with the MAYOR
Preliminary social investigation (PSI)--- Review of records
Training and Orientation of CO-PAR staff

Area/Site selection
COMMUNITY PROFILING
OCULAR SURVEY

II. Entry Phase


Activities include:
Courtesy call to the Brgy.Captain
Integration/Immersion with the community
Core group formation:
a.Development of criteria for the selection of a
core group members /potential leaders:
b.Defining roles and functions of the core group

Conduct (SALT)
Deepening Social Investigation (DSI: identify the pressing needs
III. Community Diagnosis Phase
Activities include:
a. Selection of the research team
b.Training on data collection
c. Planning for the actual gathering of data
d. Data gathering
e. Training on data tabulation
f. Community tabulation
g. Analyzing data
h. Presentation of the community study/ diagnosis and
recommendations
i. Prioritization of community needs/ problems for action

IV. Community Organization


Activities include:
a.Community meetings to draw up guidelines for the CHO
b.Election of officers
c.Development of management systems:
(Delineation of the roles,functions and task of officers)
d.Training of Leaders
e.Team building Exercises
f. A-R-A-S

V. Community Action Phase


Activities include:
a. Exercise of people’s power
b. Organization and training of (BHWs):
c. PIME of health services
d. Setting up of linkages/ network/ referral systems
e. Resource mobilization
VI. Sustenance and Strengthening Phase
Activities include:
a. Formulation and ratification of constitution and by-laws
b. Identification and development of “ secondary” leaders
c. Setting up of a financing scheme
d. Continuing Education and training of BHW
e. Negotiate for the absorption of BHW
f. Development of long term Community health devt. Plans
g. Formalizing linkages, networks and referral systems

VII. TURN-OVER and PHASE-OUT


 After 5 years of activities the nurse gradually prepares for:
a. Turn over of work
b. Subsequent follow up of the organizations activities.
c.Transfer of Community Organizing roles and responsibilities and
documents

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