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    CHN

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    Gail Leslie
    The document discusses concepts related to primary health care including levels of assessment, integrated management of childhood illness, and frameworks like Piaget's stages of cognitive development and Kohlberg's stages of moral development. It covers topics such as health promotion, illness prevention, essential drugs, maternal and child health, immunization, sanitation, food sanitation, water safety, and common childhood illnesses.

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    CHN

    Uploaded by

    Gail Leslie
    16 views3 pages
    The document discusses concepts related to primary health care including levels of assessment, integrated management of childhood illness, and frameworks like Piaget's stages of cognitive development and Kohlberg's stages of moral development. It covers topics such as health promotion, illness prevention, essential drugs, maternal and child health, immunization, sanitation, food sanitation, water safety, and common childhood illnesses.

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    The document discusses concepts related to primary health care including levels of assessment, integrated management of childhood illness, and frameworks like Piaget's stages of cognitive development and Kohlberg's stages of moral development. It covers topics such as health promotion, illness prevention, essential drugs, maternal and child health, immunization, sanitation, food sanitation, water safety, and common childhood illnesses.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    16 views3 pages

    CHN

    Uploaded by

    Gail Leslie
    The document discusses concepts related to primary health care including levels of assessment, integrated management of childhood illness, and frameworks like Piaget's stages of cognitive development and Kohlberg's stages of moral development. It covers topics such as health promotion, illness prevention, essential drugs, maternal and child health, immunization, sanitation, food sanitation, water safety, and common childhood illnesses.

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    CHN – IMCI 2nd level assess- “Why” are problems

    CHN: outside Hospital (healthy) INABILITY-


    Primary Responsibility: Health Teaching
    Health Promotion: increase level of health
    Illness Prevention: maintain health PLANNING
    HEALTHY LIFESTYLE Goal setting- SMART
    Diet- well balance - Construct PLAN of Action
    - Food guide pyramid - Choose Nursing Intervention
    - BMI = w (kg)/h(m)2 - Develop an operational PLAN PRIORITY
    - Normal BMI -18-23 CRITERIA (4)
    Exercise- regular Type of nsg. problem
    Rest- -Nature of Problem
    Stop smoking -Modifiability of Problem
    LEGISLATION -Preventive Potential
    Tobacco Req. Act -Salience (perception of the client about the problem)
    R.A 9211- no smoking in public places
    -avoid selling cigarette within 100m PHC: Primary Health Care (basic health care)
    EDUCATION WHO (World Health Organization)
    Ask - Alma Ata Conference
    Advice - USSR (Kazakhstan)

    Assist
    Arrange L.O.I 949 – letter of instruction

    SPECIFIC PROTECTION - Legal Basis of primary health care in the country


    - October 1979

    4 CLIENTS: -President Marcos

    Individual
    Family- basic unit of care VISION: Health in the hands of the people SELF
    RELIANCE
    Group
    MISSION: increase opportunity that people will maagr
    Community their Health
    1st Level Assess- “What” are the problems
    CATEGORIES (4) 2 CORE:
    -Wellness State: healthy Partnership
    -Health deficit- (+) disease Empowement (transform Knowledge, Skills, Attitude)
    -Health Threat- High risk for illness and injury
    -Foreseeable Crisis/Stress pts- anticipated problem-
    develop social
    - Age
    Sick infant- 0-2months
    Sick child - 2mos-5yrs old
    - Visit
    Initial visit- new problem
    Follow up visit-

    Case Mngt Process


    - ACITCFOL
    - Assess
    Danger Sign (4)
    Main Symptoms (4)
    Minor symptoms (3)

    Danger Sign (4)


    ELEMENTS EDUCATION LOCALLY ENDEMIC -Convulsion/seizure
    -Unable to Drink
    -Vomits Everything
    -Abnormally sleepy
    Essential drugs Maternal Child Health (Expanded
    Very severe disease (3-4)
    program Immunization)
    Tx of = =communicable ds Main Symptoms (4):
    DOB (cough)
    =noncomm ds Diarrhea
    =emergency sevices Fever
    Ear Problem
    Sanitation: Environmental
    Minor Symptoms (3):
    PD856: Sanitest CODE
    Malnutrition
    FOOD SANITATION: Anemia
    HIV
    4 Rights
    - Right source: FRESH - Classify
    - Right preparation: WASH - Identify Tx
    - Right Cooking: 70 - Tx chils
    - Right Storage - Counseling
    - Follow up

    LEVEL 1 – POINT SOURCE RR:


    - PROTECTED WELL 0-2 mons: 60 above
    - DEVELOP SPRING
    2-12mons: 50 above

    LEVEL 2 – COMMON FAUCET 12-60mos: 40 above

    -STAND POSTS

    LEVEL 3 – INDIVIDUAL HOUSE

    IMCI – Integrated Mngt. Of Childhood Illness


    - 5 years old below
    - Problems
    PIAGET (4stages)
    1. Sensorimotor (0-2yo)
    2. Pre-Operational2-7
    3. Concrete
    4.
    Magical Thinking
    -Aminism
    -Imaginary Friend
    Assimulation -inability to adjust new situation
    Egocentrism-

    Morality: Kohlberg
    1. Pre-Conventional (2-7yrs old)
    Level 1: Punishment Obedience Orientation
    2:
    2. Conventional (7-12)
    3. Post-Conventional (12 yrs old and above)

    Amoral-

    PEDIA
    Erikson: Psychosocial, Diet
    - Continuous development

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