Community Health Nursing-I Book GNM 1st Year

Unit

Topics

Hr.

I

Introduction to Community Health

-          Definitions: Community, community health, community health nursing

-          Concept of Health and disease, dimensions and indicators of health, health determinants

-          History & development of community health in India & its present concept.

-          Primary health care, Millennium Development Goals

-          Promotion and maintenance of Health

10

II

Community Health Nursing

-          Philosophy, goals, objectives & principles, concept and importance of community health nursing

-          Qualities and functions of community health nurse

-          Steps of nursing process; community identification, population composition, health and allied resources, community assessment, planning & conducting community nursing care services.

14

III

Health Assessment

a)       Characteristics of a healthy individual

b)       Health assessment of infant, preschool, school going, adolescent, adult, antenatal woman, postnatal woman, adult and elderly.

10

IV

Principles of Epidemiology and Epidemiological Methods

-          Definition and aims of epidemiology, communicable and non-communicable diseases.

-          Basic tools of measurement in epidemiology

-          Uses of epidemiology

-          Disease cycle

-          Spectrum of disease

-          Levels of prevention of disease.

-          Disease transmission – Direct and indirect.

-          Immunizing agents, immunization and national immunization schedule.

-          Control of infectious diseases

-          Disinfection.

10

V

Family Health Nursing Care

-          Family as a unit of health

-          Concept, goals, objectives

-          Family health care services

-          Family health care plan and nursing process.

-          Family health services – Maternal, child care and family welfare services.

-          Roles and function of a community health nurse in family health service.

-          Family health records.

12

VI

Family Health Care Settings

Home Visit:

Clinic:

-          Purposes, type of clinics and their functions

-          Function of health personnel in clinics

10

VII

Referral System

-          Levels of health care and health care settings.

-          Referral services available - Steps in referral.

-          Role of a nurse in referral

6

VIII

Records and Reports

-          Types and uses

-          Essential requirements of records and reports

-          Preparation & maintenance

3

IX

Minor Ailments

-          Principles of management

-          Management as per standing instructions/orders.

5

(2) Environmental Hygiene

I

Introduction

2

II

Environmental Factors Contributing to Health

A)     Water :

-          Sources and characteristics of safe and wholesome water

-          Uses of water.

-          Rain water harvesting

-          Water pollution – Natural and acquired impurities

-          Water borne diseases

-          Water purification-small and large scale

B)      Air :

-          Composition of air

-          Airborne diseases

-          Air pollution and its effect on health

-          Control of air pollution and use of safety measures.

C)      Waste :

-          Refuse – Garbage, excreta and sewage – Health hazards

-          Waste management – Collection, transportation and disposal.

D)      Housing:

E)       Ventilation:

-          Types and standards of ventilation

F)       Lighting:

G)      Noise:

H)      Arthropods:

-          Mosquitoes, housefly, sand fly, human louse, rat fleas, rodents, ticks, etc.

-          Control measures

22

III

Community Organizations to Promote Environmental Health

A)     Levels and Types of Agencies:

-          National, state, local

-          Government, voluntary and social agencies.

B)      Legislations and acts regulating the environmental hygiene.

6

(3) Health Education and Communication Skills

I

Communication Skills

-          Definition, process, purposes, principles, types & importance of communication

-          Barriers in communication

-          Establishment of successful communication.

-          Observing and listening skills.

8

II

Health Education

-          Concept, definition, aims and objectives of health education

-          Principles of health education

-          Process of change/modification of health behavior

-          Levels and approaches of health education

-          Methods of health education

-          Scope and opportunities for health education in hospital and community

-          Nurse’s role in health education.

6

III

Counseling

-          Definition, purpose, principles, scope and types

-          Counseling process – Steps and techniques

-          Qualities of a good counselor

-          Difference between health education and counseling

-          Role of nurse in counseling

8

IV

Methods and Media of Health Education

-          Definition, purpose and types of audio-visual aids and media

-          Selection, preparation and use of audio-visual aids - Graphic aids, printed aids, three dimensional aids and projected aids

-          Advantages and limitations of different media

-          Preparation of health education plan

18

V

Health Education Agencies and Sources

5

(4) Nutrition

I

Introduction

a)       Meaning of food, nutrition, nutrients, etc.

b)       Food Habits and customs

c)       Factors affecting nutrition

d)       Changing concepts in food and nutrition.

e)       Relation of nutrition to health

2

II

Classification of Food

a)       Classification by origin:

-          Food and animal origin

-          Food of plant origin

b)       Classification by chemical composition and sources