Scope of Community Health Nursing
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Transcript of Scope of Community Health Nursing
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The scope of Nursing is wider
and cover a larger area: Theyare
Home care
Nursing homes
MCH and family planning
services
School health nursing
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Domiciliary CareRehabilitative centers
Mental health nursing services
Geriatric nursing careFamily planning centre
Industrial nursing services
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HOME CAREMany patient can be cared at home
according to their need. But this type
of services should be as an extension
of certain hospital services. Somecommunities have nurse practitioners
or home visiting nurse. These nurse
are taking much more responsibility
than other on giving care to the clientsat home.
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In each district , there are healthpost: through health post certain care
can be given to client by the help of
health worker or Auxiliary nurse
midwife or other health worker . Forexample Village health worker , MCH
provider and TBA etc.
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NURSING HOMESNursing homes are established by
private groups . They charge fee
according to facilities they provide to
their client. Nurses plays a vital rolein providing care to the patient in the
nursing home.
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MCH AND FAMILY PLANNING
SERVICESThere are MCH clinic as well as family
planning clinics in Nepal. These clinics
provide health care to the children'sand mothers. The services provided
are antenatal care , natal and post
natal care. In this field , nurses are
doing the main role of motivating the
couples for family planning .
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In clinics nurses are distributing
temporary measures to the client aswell as providing health education , if
needed and assist the doctors in doing
permanent methods of family
planning.
For child health care ,under 5 age
group clinics are conducted where
nurse provide immunization ,maintain growth chart , detect minor
disease and provide treatment to the
children
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SCHOOL HEALTH NURSING
School health nursing is the newconcept in Nepal. It is not well
developed yet . Mostly private school
are providing formal health care
clinic for minor treatment . A school
health nurse render services in order
to prevent disease , and promote
health of the children.
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The main activities of school health
nurse are to detect disease , healthteaching , immunization , dental
health , ENT care, school sanitation ,
Nutrition , first aid , personal hygiene,
referral services , follow up ,
counseling and guidance and
maintenance of records . An effective
way of reaching children is by teachingschool children through School health
programme.
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DOMICILLARY CARE
When antenatal , delivery and postnatal services are given to the mother
by nurses or TBA or any health
personnel at home situation then it is
called as Domiciliary care.The two main area where domiciliary
care is practiced are
- Maternity services: e.g. Antenatal ,delivery and post natal care.
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- Health supervision and disease
prevention among newborn , older
children's as well as services for
illness and accidents.
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REHABILITATIVE CENTRES
Rehabilitation implies restoration ofall treated cases to the highest levelof functioning ability: physically ,mentally and socially , so that the
person can go back to his/her ownplace to lead a normal life as before.
The medical component ofrehabilitation include diagnosis ,
surgical treatment and prosthetic andorthopedic appliances and physicaland mental therapy.
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Nursing is important component in therehabilitation of the disease. Nurses are
working in Rehabilitation and providing
care to the disable. Community health
nurse need to assist the parents to caretheir children.
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MENTAL HEALTH NURSING
Mental health nursing is also one ofthe important component of health
services. This is new concept in
health in Nepal. This concept need
to developed more in the future.
Services are being provided at
clinics, health post , hospital etc .
Tribhuvan University of Medicine isproviding training in Mental Heath
Nursing.
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So far , more than 130 nurse have
been trained from differentinstitutions by conducting Mental
Health workshops.
These services comprises of earlydetection , treatment , group or
individual psychotherapy and mental
health education.
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GERIATRIC NURSING CAREThe art and science which is applied
in meeting the health needs and
problems of the elderly people is
called geriatric Nursing .The oldpeople have their own health
problem. They need more health
care than young people. Old people
need more attention and tender loveand care. They should not be
neglected by health care system.
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Geriatric nursing is another vital field
of nursing services. Health careservices for the old are being
provided in many countries through
home visiting or through specialized
geriatric nursing home.
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FAMILY PLANNING CENTRES
Family planning is not just only birthcontrol. It include many more family
welfare planning. Nurses have many
role /activities as well as
responsibilities in the family planningcentre which are as follows:
Spacing of pregnancy
Advice and counseling of sterility andinfertility.
Education for planned parenthood
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Sex education
Screening of cancer of cervix andbreast
Preparation for pregnancy and
delivery Marriage counseling
Referral
Recording and reporting
Follow up.
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INDUSTRIAL NURSING SERVICES
Nurses are employed in industry. Thereis a provision of appointment of medical
and nursing staff in factories where 500
or more workers are employed. The
broad areas of nursing in industrialsettings are:
Care of sick and injured
Pre placement and periodic
examination
Industrial sanitation
First aid
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Industrial safety e.g. use of helmets ,
use of gloves when contact withchemicals, safety belts etc
Rehabilitative etc