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Goals and objectives Promotion and maintenance of highest degree of physical, mental and social well-being of all workers

s in all occupation Prevention of disease caused by working conditions Protection of workers from risks resulting from factors adverse to health Placement of workers in an occupational environment adopted to their physical and psychological ability

Role of the Nurse 1. Provide primary clinic care - health education - emergency care - rehabilitation - preventive care (physical and medical examination, immunization, periodic screening) 2. Participate in epidemiologic investigation

Occupational Health - the application of public health, medical and engineering practice for the purpose of conserving, restoring the health and effectiveness of workers thru their places of employment A. Occupational Health Nursing - the application of nursing principles and procedures in providing health service to employees in their place of work by means of:
I.

prompt and efficient nursing care of the ill and impaired 2. participation in teaching health and safety practices 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
1.

To

assist, maintain and promote positive health of laborers and employees thru early detection and prevention of occupational diseases and hazards of industrial processes and by coordinating and cooperating with activities of other community health and welfare services

Assists/participates in developing an adequate health program for workers and laborers including sound health education activities 2. Encourages periodic P.E. 3. Cooperates with occupational medical programs in the prevention of accidents as well as in the promotion of good working atmosphere and relationships in the place of work 4. Helps in teaching others in giving good nursing care to the sick or handicapped in their own homes
1.

Goals and Objectives Promotion, maintenance and protection of optimum state of health among school population so as to develop children physically, mentally and emotionally Emphasis: Health promotion and disease prevention Components: School health program; school health nurse; schoolage child

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

School Health Nursing School Health Triad :


II. 1.

SERVICE EDUCATION ENVIRONMENT

2.

3.

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

School

Health Team: Counselor

Psychologist/ Teacher Nutritionist Nurse Social

Workers Maintenance Personnel

Targets Family

in SHN

Students Teachers Supportive Community

Personnel

School

Health Nurses Roles:

EDUCATOR CONSULTANT

/RESEARCHER STUDENT, FAMILY AND STAFF ADVOCATE/CHANGE AGENT HEALTH SCREENER HEALTH CARE PROVIDER

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, allergies 6. Respiratory Conditions- asthma, URTI 7. Nutrition 8. Dental Health

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 problemsolving skills necessary t achieve satisfactory interaction and working relationship

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.
Is

Is a human social system with distinct characteristic 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

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, intimate relationship

1. Recognizing interruptions in health and development 2. Making decisions regarding taking appropriate health actions 3. Providing nursing care to the sick and disabled member of the family 4. Maintaining a home environment conducive to growth and development 5. Maintaining a reciprocal relationship with the community and its health institutions

A health problem or condition is a situation which interferes with the promotion and/or maintenance of health and recovery from illness or injury.
Wellness state Familys failure to perform adequately specific health tasks to enhance wellness status Conditions conducive to disease, accident or failure to realize ones health potential Instances of failure in health maintenance Anticipated periods of unusual demand in terms of adjustment and resources

Health threat

Health deficit Stress point or foreseeable crisis

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

First-Level Assessment

Second-Level Assessment

Focuses on

Identifying health problems and deviations from standards of normal health and family development

Reflecting the extent to which the family can perform the health tasks on each of the health problem

Information or data required

Family structure, characteristics and dynamics Socioeconomic and cultural factors Home and environmental factors Health and medical history of family members Values placed on prevention of disease Initial Data Base for Family Health Nursing Practice

Description of familys performance of the health tasks Factors that explain familys inability to perform the health tasks Typology of Nursing Problems in Family Health Nursing Practice

Tools for gathering data

Methods of data gathering

Direct observation Interview Records review Performing laboratory and diagnostic examinations Identification of health problems: Wellness state Health threats Health deficits Foreseeable crisis or stress points

Categorizing and reorganizing data into different patterns to reflect explanations and inferences about family health status and the causes and reasons for the condition Statements of familys capabilities to assume the health tasks on each of the health problem identified or the family health nursing problems

Expected output

Criteria

Score

Weight

1. Nature of the problem

Wellness state Health deficit Health threat Foreseeable crisis or stress point Easily modifiable Partially modifiable Not modifiable

3 3 2 1

2.

odifiability of the problem presented refers to the probability of success in minimi ing, alleviating or totally eradicating the problem through nursing interventions

2 1 0

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 4. Salience refers to the familys perception and evaluation of the problem in terms of seriousness and urgency of the attention needed

High oderate Lo

3 2 1

A serious problem 2 needing immediate attention A problem but not 1 needing immediate attention Not a felt need/ 0 problem

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