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WorksheetsCommunity (Week 3)
Total questions: 94
Worksheet time: 1hrs 5mins
•The _______ is a systematic way of determining a client health status, isolating health concern and problems, developing the plans to remediate them, initiating actions to implement the plan, and finally evaluating the adequacy of the plan in promoting wellness and problem resolution.
nursing process
nursing assessment
nursing skills
nursing health status
The nursing process commonly consists of five phases:
Community assessment
Community diagnosis
Planning and evaluation
Implementation
Individual diagnosis
is employed to respond and address the health needs of the community when the community is the client.
nursing process
nursing assessment
nursing skills
nursing health status
•Is the process of searching for and validating relevant community based data according to a specified method, to learn about the interaction among the people, resources and environment.
Community assessment
Community diagnosis
Planning
Implementation
evaluation
Community assessment includes:
Collecting pertinent community data.
Analyzing and interpreting the collected data.
Assessing patients individually
Is the process of determining the real or perceived needs of a defined community of people.
Community needs assessment
Community diagnosis
Assessing a Community - Where to begin?
Identify the community of interest
Determine purpose of the assessment
Select assessment strategies
Assess, document and report findings
Document patients data in pediatrics wards
Purposes of Community Health Assessment?
Identify extent & kinds of needs
Identify community strengths
Evaluate existing programs
Determine need for new programs
Identify community weaknesses
Just as physical examination is important to individual patients, so is examination of the community __________.
Physical environment
Health and social services
Economics
Five senses are used in physical assessment:
inspection and auscultation
diagnostic tests
vital signs
system review
laboratory studies.
uses all sense organs and is done by walking survey in the community, or micro-assessment of housing, open spaces, boundaries, transportation service centers, markets places, meeting street people, signs of decay, ethnicity, religion, health and morbidity, political media.
inspection
auscultation
community resources
system review
laboratory studies
is listening to the community residents about the physical environment.
inspection
auscultation
community resources
system review
laboratory studies
observe the climate, terrain, natural boundaries such as rivers and hills.
inspection
vital signs
community resources
system review
laboratory studies
look for signs of life such as notices, posters, new housing and buildings.
inspection
vital signs
community resources
system review
laboratory studies
hosing age, architecture, building materials used, signs of disrepair, running water, plumbing, sanitation, windows (glasses)..etc. Also business facilities and churches.
inspection
vital signs
community resources
system review
laboratory studies
census data or planning studies for community mapping.
inspection
auscultation
community resources
system review
laboratory studies
•Health: hospitals, clinics, home health care, public health care
•Services: counseling, clothing, food, shelter….. services
•Services inside and outside the community
Physical environment
Health and social services
Economics
•Financial characteristics, median household income, percentage of households.
Physical environment
Health and social services
Economics
•Labor force characteristics, employment status of the general population greater than 18 years of age.
Physical environment
Health and social services
Economics
•Occupational categories and percentage of persons employed by government, farmers, skilled, unskilled, professional, types of business/industry.
Physical environment
Health and social services
Economics
•Protection Services:
◦Police, fire, water treatment & solid waist, sanitation, air quality
Safety and transportation
Political action groups
Medication and recreation
Communication
•Transportation:
- Primary means of transportation; walking, mule, taxi, bus, train, private car, and air services.
- Frequency and affordability of public/private transport, and standard of roads.
Safety and transportation
Political action groups
Medication and recreation
Communication
•Form of Government (official)
Safety and transportation
Political action groups
Medication and recreation
Communication
•Political action groups
Safety and transportation
Political action groups
Medication and recreation
Communication
•Rules and policies of healthcare in the state
Safety and transportation
Political action groups
Medication and recreation
Communication
•Healthcare systems
Safety and transportation
Political action groups
Medication and recreation
Communication
•Other sources of power
Safety and transportation
Political action groups
Medication and recreation
Communication
•business organizations
Safety and transportation
Political action groups
Medication and recreation
Communication
Communication (FORMAL)
Newspapers
Radio
Telephone service
bulletin boards
Communication (INFORMAL)
Bulletin boards, posters, telephone poles
Newsletters, “unofficial” neighborhood papers
Dissemination (spreading)
How do people get information?
Telephone service
•Educational status: years of school completed, enrollment by type of school, language spoken.
Safety and transportation
Political action groups
Education and recreation
Communication
•Educational sources: types of schools, % of attendance, graduation, resources and services offered
Safety and transportation
Political action groups
Education and recreation
Communication
•Types of facilities: parks, picnic areas,…. etc.
•established by whom?
•citizen involvement in programs
Safety and transportation
Political action groups
Education and recreation
Communication
Factors for Choosing your Assessment Tool
Purpose of assessment
Type of data needed and sources of bias
Time commitment and cost
Skills needed and target audience
Public issues forum
Community Assessment Tools
Focus group interview
Public issues forum & interviews
Secondary data analysis
Community survey questionnaire
Time Commitment and cost
•is a way to gather the opinions/ ideas from a small, targeted group of citizens.
Focus group interview
Public issues forum
Secondary data analysis
Community survey questionnaire
Interviews
The intention of focus groups is perhaps more to build a synergy of thoughts and ideas than it is to make projections about the community.
Focus group interview
Public issues forum
Secondary data analysis
Community survey questionnaire
Interviews
Community forums are public meetings that involve residents to express their concerns about community issues, problems, and needs.
Focus group interview
Public issues forum
Secondary data analysis
Community survey questionnaire
Interviews
•is data that is collected about a particular audience without having direct contact with that audience.
Focus group interview
Public issues forum
Secondary data analysis
Community survey questionnaire
Interviews
•It can often provide insight about emerging trends or issues in a particular community.
Focus group interview
Public issues forum
Secondary data analysis
Community survey questionnaire
Interviews
•help one to gather info about local attitudes regarding correctly defined issues, problems or opportunities.
Focus group interview
Public issues forum
Secondary data analysis
Community survey questionnaire
Interviews
•may be open ended or multiple choice.
Focus group interview
Public issues forum
Secondary data analysis
Community survey questionnaire
Interviews
•conversation with a purpose.
Focus group interview
Public issues forum
Secondary data analysis
Community survey questionnaire
Interviews
•designed to help you gather information about peoples assumptions/perceptions. of activities in your community.
Focus group interview
Public issues forum
Secondary data analysis
Community survey questionnaire
Interviews
•useful when looking for in-depth information on a particular topic.
Focus group interview
Public issues forum
Secondary data analysis
Community survey questionnaire
Interviews
•It is the outcome of the community assessment.
Community diagnosis
Community survey questionnaire
Community education
•Includes stressors, causative factors, supporting data to validate the diagnosis.
Community diagnosis
Community survey questionnaire
Community education
•Helps in health planning.
Community diagnosis
Community survey questionnaire
Community education
Poor nutritional status of under five children in the community r/t knowledge deficit regarding weaning diet as evidenced by growth monitoring chart.
Community diagnosis
Community survey questionnaire
Community education
High infant mortality r/t inadequate ANC, maternal nutrition, and unhygienic delivery practice as evidenced by IMR 75 /1000 live births.
Community diagnosis
Community survey questionnaire
Community education
•is a process which informs, motivate and helpspeople to adopt and maintain healthy practices and life styles.
Community diagnosis
Community survey questionnaire
Health education
•Advocates environmental changes as needed to facilitate this goal and conducts professional training and research to the same end.
Community diagnosis
Community survey questionnaire
Health education
When do we need health education? (2 answers)
To change behaviors that put people at risk for injury, disease, disability, or death.
To increase the knowledge, skills, & confidence needed to make decisions.
To decrease the knowledge, skills, & confidence needed to make decisions.
To keep behaviors that put people at risk for injury, disease, disability, or death.
Health education targets:
◦ Not managing current illness
◦Cost containment
◦Health maintenance
◦Disease prevention
◦Health promotion
AIM OF HEALTH EDUCATION
To inform the general public of the principles of physical and mental hygiene and methods of preventing avoidable diseases.
To create an informed body of opinion and knowledge. (social workers, teachers)
To give the public accurate information of medical discoveries.
To facilitate the acceptance and proper usage of medical measures.
To decrease the knowledge, skills, & confidence needed to make decisions.
CONTENT OF HEALTH EDUCATION:
Human biology
Nutrition
Hygiene
Neglect
Family health care
CONTENT OF HEALTH EDUCATION:
Abuse
Control of communicable and non communicable diseases
Mental health
Prevention of accidents
Use of health services
•For prevention of malnutrition
•Taught nutrient value of food stuffs
•Method of preparation , storage
•Help people to choose balanced diet
Human biology
Nutrition
Hygiene
Family health care
Strengthen and improve the health of the family as a unit rather than as an individual.
Human biology
Nutrition
Hygiene
Family health care
Maternal and child health care, family planning, immunization, nutrition, etc.
Human biology
Nutrition
Hygiene
Family health care
Provide elementary knowledge about the nature of the diseases and methods of preventing them.
Use of health services
Control of communicable and non communicable diseases
Mental health
Prevention of accidents
Depression, neurosis, mental anxiety and emotional disturbances.
Use of health services
Control of communicable and non communicable diseases
Mental health
Prevention of accidents
Basic knowledge of common psychological ailments, its detection, methods of prevention and treatment.
Use of health services
Control of communicable and non communicable diseases
Mental health
Prevention of accidents
People taught about basic safety rules and prevent common accidents.
Use of health services
Control of communicable and non communicable diseases
Mental health
Prevention of accidents
People should be informed about various health services and preventive programs available to them.
Use of health services
Control of communicable and non communicable diseases
Mental health
Prevention of accidents
PRINCIPLES OF HEALTH EDUCATION
INTEREST & PARTICIPATION
COMPREHENSION & MOTIVATION
REINFORCEMENT & KNOWN TO UNKNOWN
LEARNING BY DOING & SOIL, SEED & SOWER
COMMUNITY LEADERS & BAD HEALTH RELATIONS
Identify the ”felt needs” of the people. Then prepare a program.
Interest
Participation
Comprehension
Motivation
Reinforcement
- Educator should encourage people to participate in health education programs
- Group discussions, panel discussions, etc provide opportunities for people’s participation.
Interest
Participation
Comprehension
Motivation
Reinforcement
- Determine the level of literacy and understanding of audience.
- Language of communication, understandable to audience.
- Usage of technical or medical terms should be avoided.
Interest
Participation
Comprehension
Motivation
Reinforcement
Defined as “the fundamental desire for learning in an individual”. 2 types :
1.Primary motive à inborn desires (food, clothing, housing).
2.Secondary motive à outside forces (gifts, a word of praise, love, rewards).
Interest
Participation
Comprehension
Motivation
Reinforcement
inborn desires (food, clothing, housing).
Primary motive
Secondary motive
outside forces (gifts, a word of praise, love, rewards).
Primary motive
Secondary motive
Also called as “booster dose”
Refers to repetition needed
When not possible for people to learn new things in short time
Interest
Participation
Comprehension
Motivation
Reinforcement
- Start with what the people already know and then give the new knowledge.
- Existing knowledge as people as the basic step.
Known to unknown
Learning by doing
Soil, seed & sower
Community leaders
Good health relations
- Learning process accompanied by doing the new things.
- Based on famous Chinese proverb “if I hear, I forget ; if I see, I remember ; if I do, I know.
Known to unknown
Learning by doing
Soil, seed & sower
Community leaders
Good health relations
- people to whom education is given
- Health facts to be given
- media to transmit the facts
All components are interdependent and result in dynamic interaction.
Known to unknown
Learning by doing
Soil, seed & sower
Community leaders
Good health relations
People to whom education is given
Soil
Seeds
Sower
Health facts to be given
Soil
Seeds
Sower
Media to transmit the facts
Soil
Seeds
Sower
- Health educator should have good personal qualities
- Should be able to maintain friendly relations with people
- Should have a kind nad sympathetic attitude
Known to unknown
Learning by doing
Soil, seed & sower
Community leaders
Good health relations
Leaders can be used to reach people of the community and to convince them about the need for health education
Known to unknown
Learning by doing
Soil, seed & sower
Community leaders
Good health relations
Patients informed & supported to make best possible decisions
Advocacy
Empowerment
Barriers
Benefits
Helping people to develop their ability to control independently their situation &/or meet their needs
Advocacy
Empowerment
Barriers
Benefits
Individually determined things associating COSTs with particular behavior
Advocacy
Empowerment
Barriers
Benefits
Individually determined things that reinforce or reward a particular behavior
Advocacy
Empowerment
Barriers
Benefits
Tension or discomfort accompanies actions opposing personal beliefs (doings opposes saying)
Cognitive dissonance
Motivation
Readiness
Self efficacy
Forces/drives, acting within or on an organism to initiate, direct, & maintain behavior
Cognitive dissonance
Motivation
Readiness
Self efficacy
Potentials & motivations to do a particular action at a particular time
Cognitive dissonance
Motivation
Readiness
Self efficacy
Personal conviction of ability to carry out specific behavior in order to achieve a desired end (I KNOW I CAN DO IT)
Cognitive dissonance
Motivation
Readiness
Self efficacy
(a) communication literally means communication that is given to a community where the people gathered together does not belong to one particular group.
HEALTH EDUCATION FOR THE GENERAL PUBLIC, Advantages :
large number of people can be reached
people of all socio-economic status
irrespective of their caste, creed and religion
few number of people can be reached
Effective Health Education Strategies:
Design teaching based on holistic assessment.
Set learner-validated objectives.
Create learning environment.
Keep things complex.
Written materials must be appropriate.
Effective Health Education Strategies:
Be very specific.
Provide threatening messages.
Use variety of teaching methods
Provide visual learning materials
Role play skills, give chance for practice
Effective Health Education Strategies:
Provide immediate feedback, be constructive is not recommended
Develop mechanisms of support like involving family
Review major points of each learning session
Ask for feedback & evaluation, have learners input always
