Other Chn Practice Settings

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    Goals and objectives

    Promotion and maintenance of highest degree ofphysical, mental and social well-being of allworkers in all occupation

    Prevention of disease caused by workingconditions

    Protection of workers from risks resulting fromfactors adverse to health

    Placement of workers in an occupationalenvironment adopted to their physical andpsychological ability

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    Role of the Nurse

    1.

    Provide primary clinic care- health education

    - emergency care

    - rehabilitation

    - preventive care (physical and medicalexamination,

    immunization, periodic screening)

    2. Participate in epidemiologic investigation

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    I. Occupational Health

    - the application of public health, medicaland engineering practice for the purpose

    of conserving, restoring the health andeffectiveness of workers thru their placesof employment

    A. Occupational Health Nursing

    - the application of nursing principles andprocedures in providing health service toemployees in their place of work bymeans of:

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    1. prompt and efficient nursing care of the ill and

    impaired

    2. participation in teaching health and safetypractices on the job

    3. cooperation with plant department administrators

    4.keeping the health clinic and staff ready to handle

    emergencies

    5. advising workers in the utilization of community

    and welfare services

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    To assist, maintain and promote positive

    health of laborers and employees thru early

    detection and prevention of occupational

    diseases and hazards of industrial processesand by coordinating and cooperating with

    activities of other community health and

    welfare services

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    1. Assists/participates in developing an adequatehealth program for workers and laborersincluding sound health education activities

    2. Encourages periodic P.E.

    3. Cooperates with occupational medicalprograms in the prevention of accidents aswell as in the promotion of good workingatmosphere and relationships in the place of

    work4. Helps in teaching others in giving good nursing

    care to the sick or handicapped in their ownhomes

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    Goals and Objectives

    Promotion, maintenance and protection of optimumstate of health among school population so as todevelop children physically, mentally andemotionally

    Emphasis:

    Health promotion and disease preventionComponents:

    School health program; school health nurse; school-age child

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    Role of the Nurse

    The role of the nurse relates with the phases

    of school health nursing:

    School health services

    Health instruction

    Healthful school living

    School-community linkage

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    II. School Health Nursing

    School Health Triad :

    1. SERVICE

    2. EDUCATION

    3. ENVIRONMENT

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    Mission of School Health Program:

    To maximize potential for learning and participation in

    the educational process by promoting optimum

    health of school-age children and adolescents

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    School Health Team:

    Psychologist/ Counselor

    Teacher

    Nutritionist

    Nurse Social Workers

    Maintenance Personnel

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    Targets in SHN

    Family

    Students

    Teachers

    Supportive Personnel

    Community

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    School Health Nurses Roles:

    EDUCATOR

    CONSULTANT /RESEARCHER

    STUDENT, FAMILY AND STAFF ADVOCATE/CHANGE

    AGENT

    HEALTH SCREENER

    HEALTH CARE PROVIDER

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    Common Health Concerns of Schoolchildren:

    1.Drug and Alcohol Abuse

    2. STDs/STIs

    3.Teenage Pregnancies

    4. Mental Health

    5. Dermatological Disorders- pimples/acne, fungal

    infections, allergies6. Respiratory Conditions- asthma, URTI

    7. Nutrition

    8. Dental Health

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    Goals and objectives

    Promote mental health

    Prevent mental illness

    Reduce stress of daily living

    Role of the Nurse

    Assist in all kinds of primary socialization groups such as families, schools, work groups to

    develop basic social competencies and problem-solving skills necessary t achieve satisfactoryinteraction and working relationship

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    Is that level of community health nursing

    practice

    directed or focused on the family as unit of

    care,with health as the goal; and

    nursing as the medium, channel or provider

    of care.

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    Is a human social

    system with distinctcharacteristic

    composed of members

    with equally distinct

    characteristics

    -Friedmann

    Fundamental social unit

    Primary social group Assumes major

    responsibility for the

    introduction and

    socialization of persons

    -Bobak and Jensen

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    Delineated into:

    Structure nuclear, extended, communal,homosexual, blended, single-parent

    Functions biological, economic,educational, psychological

    Membership who is kin, who is not

    Affectional ties shares close, intimaterelationship

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    1. Recognizing interruptions in health and development

    2.

    Making decisions regarding taking appropriate healthactions

    3. Providing nursing care to the sick and disabled memberof the family

    4.

    Maintaining a home environment conducive to growth anddevelopment

    5. Maintaining a reciprocal relationship with the community andits health institutions

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    Wellness state Familys failure to perform adequately

    specific health tasks to enhance

    wellness statusHealth threat Conditions conducive to disease,

    accident or failure to realize ones

    health potential

    Health deficit Instances of failure in healthmaintenance

    Stress point or

    foreseeable crisis

    Anticipated periods of unusual demand

    in terms of adjustment and resources

    A health problem or condition is a situation which

    interferes with the promotion and/or maintenance ofhealth and recovery from illness or injury.

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    Consists of nine indicators to determine nursing needs

    of family:

    Physical independence

    Therapeutic competence

    Health knowledge

    General hygiene

    Health attitudes Emotional competence

    Using community facilities

    Physical environment

    Family living

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    Criteria Score Weight

    1. Nature of the problem Wellness state 3

    Health deficit 3Health threat 2

    Foreseeable crisis 1

    or stress point

    1

    2. odifiability of the problem

    presented

    refers to the probability of success in

    minimi ing, alleviating or totallyeradicating the problem through

    nursing interventions

    Easily modifiable 2

    Partially modifiable 1

    Not modifiable 0

    2

    3. Preventive potential

    refers to the nature and magnitude

    of future problems that can be

    minimi ed or totally prevented if

    interventions are done on the

    problem under consideration

    High 3

    oderate 2

    Lo 1

    1

    4. Salience

    refers to the familys perception and

    evaluation of the problem in terms

    of seriousness and urgency of the

    attention needed

    A serious problem 2

    needing immediateattention

    A problem but not 1

    needing immediate

    attention

    Not a felt need/ 0

    problem

    1