INTRODUCTION OF COMMUNITY HEALTH NURSING Presented by-: SHAILA PANCHAL ASSOCIATE PROFESSOR
KEY WORDS Community-: A group of people living in the same place of having a particular characteristic in common. Community Health -: It is a field of public health is a discipline which concerns itself with the study improvement of the health characteristics of biological communities.
Community Health Nursing-: A field of nursing that is blend of primary health care and nursing practice with public health nursing. Health-: The state of being free from illness or injury. Disease-: An illness that affects a person. Dimensions-: An aspects or feature of a situation.
Determinants-: A factor which decisively affects the nature or outcome of something. Spiritual-: Relating to religion or religious belief. Concept-: A general idea or understanding or something.
Biomedical Concept-: Illness due to entry of pathogenic organism in the body. Ecological Concept-: Illness due to environmental pollution. Health Promotion-: Enable the people to achieve control and improve health.
“Community health nursing is a synthesis of nursing practice and public health practice applied in promoting and preserving the health of populations . the nature of this practice is general and comprehensive. it is not limited to a particular age or diagnostic group. ( American Nursing Association)
Biological Determinants Environment Behavioral & Socio-cultural condition Socio-economical Education Occupation Health Services Gender Aging of the Population
INDICATOR OF HEALTH Indicator are required not only to assess the health status of a community but it also to compare the health status of one country with that of another or providing health, nursing care, monitoring the progress of health programme.
Characteristics of indicators It should be valid that they should actually measure what they are supposed to measures. It should be relevant i.e., they should contribute to the understanding of the phenomenon of interest. It should be reliable and objective. It should be sensitive i.e., should be sensitive to changes in the situation concerned. It should be feasible, i.e., they should have the ability to obtain data needed. It should be specific.
Following Indicators Morbidity Indicator Crude death Indicator Life expectancy at birth Disability rate Utilization rate Nutritional Status Indicators Health care delivery indicators Indicators of social and mental health Environmental Indicators Health policy indicator Socio-economic indicators Indicators of quality of life
Level of health care Primary Level Health Care Secondary Level Health Care Tertiary Level Health Care
Primary Level Health Care This is the first contact between the individual & health system. In rural areas of India, i.e., sub-center and primary health care centre which provide primary level health care which is comprehensive basic health care.
Secondary level of health care At this level more complex problems are taken care. They required preventive services and curative services provided by district hospitals, community health centres & serves as the first referral level in the health system.
Tertiary level health care Tertiary care, defined as highly specialized medical care, usually provided over an extended period of time, that involves advanced and complex diagnostics, procedures and treatments performed by medical specialists in state-of-the-art facilities.