Community Health Nursing

MODULE 4 - Interpersonal Care in the Community

Date: October 14, 2023

WHO- World Health Organization condition or any ailment, real or imagery,
- "Multiple health workers from different regardless of the nature of the remedy or
professional backgrounds working treatment administered, prescribed or
together with patients, families, recommended.
caregivers, and communities to deliver the
highest quality of care.” ● Nursing Practice: The public health
nurse is one of the pillars of community
MULTI-DISCIPLINARY AND MULTI health-care delivery system. The scope of
SECTORAL APPROACH nursing practice of a public health nurse is
- doctors enumerated under R.A No 9173
- midwives V SEC. 28. Scope of Nursing. ‘
- nutritionist - A person shall be deemed to be
- dentist practicing nursing within the meaning of this Act
- medical technologist when he/she singly or in collaboration with
- sanitary inspectors another, initiates and performs nursing
- and barangay health workers services to individuals, families and
- Other related professionals in community communities in any health care setting. It
health care in the Philippines are social includes, but not limited to, nursing care during
workers and veterinarians. conception, labor, delivery, infancy,
childhood, toddler, pre-school, school age,
Nursing and other Health Professionals adolescence, adulthood and old age.
All these sectors or groups of health-related
professionals may be involved, in one way or
As members of the health team, nurses
another; in community health activities such as:
shall collaborate with other health care providers
a. Health education
for the curative, preventive, and rehabilitative
b. Environmental sanitation
aspects of care, restoration of health,
c. Health promotion
alleviation of suffering, and when recovery is
d. Health protection
not possible, towards a peaceful death. It shall be
e. Disease prevention
the duty of the nurse to:
● Provide nursing care through the
Medical Practices: The rural health unit or utilization of the nursing process.
health office in the local government unit is ● Establish linkages with community
headed by a physician as required by law. The resources and coordination with the
scope of medical practice is enumerated in health team;
Section 10 R.A No. 2382 ● Provide health education to individuals,
● A person shall be considered as engaged families and communities;
in the practice of medicine who shall ● Teach, guide and supervise students in
compensate, fee, salary or reward in any nursing education programs including the
form, paid to him directly or through administration of nursing services in
another, or even without the same, varied settings such as hospitals and
physically examine any person and clinics; undertake consultation services,
diagnose, treat, operate or prescribed any engage in such activities that require the
remedy for any human diseases, injury, utilization of knowledge and decision
deformity, physical, mental or physical making skills of a registered nurse; and
 ● Undertake nursing and health human
resource development training and Pathologist- A duly registered physician who
research, which shall include, but not is specially trained in methods of laboratory
limited to, the development of advance medicine.
nursing practice;
Medical Technologist - A person who engages in
● Midwifery Practice: Another the work of medical technology under the
important health care worker in the supervision of a pathologist or licensed
Philippine community health-care system physician authorized by the Department of
is the Midwife. The practice of midwifery in Health in places where there is no pathologist
the Philippines is clearly defined under and who having passed the prescribed course
Section 23 RA No. 7392 (Bachelor of Science in Medical
Technology/Bachelor of Science in Hygiene) of
● Nutrition and Dietetics: RA No. 1286 training and examination is registered under the
defines nutritionist-dietitians as a person provision of this Act.
who is qualified to practice nutrition and
dietetics as provided for under this act.
The practice of nutritionist -Dietitian is Medical Laboratory Technicians - A
elaborated in the following definition of person certified and registered with the Board as
terms under RA No. 1286. qualified to assist a medical technologist and/r
- Nutrition refers to the science of foods, qualified pathologist in the practice of medical
the nutrients and other substances technology as defined in this Act.
therein, their action, interaction, and
balance in relation to health and disease
and the process by which the organism SECTION 4. DEFINITION AND SCOPE OF
ingests, digests, absorbs, transports, PRACTICE
utilizes and excretes food substances. In Dental Care: the items for dentist, dental hygienist and
addition, nutrition must be concerned with dental technologist are usually available in the health
certain social, economic, cultural and offices of the first-class provinces community and
provincial hospitals.
psychological implications of food and
The practice of these health workers across health
eating. setting is stated in Section 4 of Philippine Dental Act
- Dietetics refers primarily to the of 2007.
therapeutic and food service aspects of
the delivery of nutritional services in Dentist - refers to a person who is a holder of a
hospitals and other health care institutions valid certificate of registration and professional
identification card in Dentistry who renders dental
service within the meaning and intent of this Law
Medical Technology: Almost all first-class and who, for a fee, salary, compensation or
city and municipal health offices and al provincial reward, paid to him/her or through another, or
health offices have an item for medical even without such compensation or reward,
technologist. This position for medical performs any operation or part of an
technologist can be found in the centers and operation, upon the human oral cavity, jaws,
hospitals in the communities and provinces. The teeth and surrounding tissues; prescribes drugs
function of the medical technologist is defined or medicines for the treatment of oral
under the Section 2, RA No. 5527 diseases or lesions, or prevents and/or
● Examination of tissues, secretions and corrects malposition of the teeth or
excretions of the human body and body implantation of artificial substitutes for lost teeth;
fluids by various electronic, chemical, and teaches subjects in the licensure
microscopic, bacteriologic, hematologic, examination; or engages in dental research.
serologic, immunologic, nuclear, and other
laboratory procedures and techniques Dental Hygienist - refers to a person who is
either manual or automated; a holder of a valid certificate of registration and
professional identification card and has undergone training programs under any
undergone a two year course in dental hygiene accredited government and non-government
from a government recognized school under a organization and who voluntarily renders primary
health care services in the community after
college of dentistry anc passing the
having been accredited to function as such by the
prescribed board examination for dental
local health board in accordance with the
hygienist, renders oral he promotion and
guidelines promulgated by the Department of
preventive measures, performs scaling and Health (DOH)
polishing, oral examination, taking brief ● The Philippines' Department of Social
clinical history, taking radiograph, and giving Welfare and Development- is the
oral he education to patients under the executive department of the Philippine
supervision of a licensed dentist Government responsible for the protection
of the social welfare of rights of Filipinos
and to promote the social development

Dental Technologist - refers to a person Programs and Services ( DSWD)

who is a holder of a valid certificate of registration ● 4P'S- Pantawid Pamilyang Pilipino
and professional identification card and who Program- (conditional cash transfer) is a
renders technical services such as mechanical human development program that invests
construction of artificial denture and other oral in the health and education of poor
devices under the supervision of a licensed families, primarily those with children aged
dentist, and has finished a two year certificate 0-18.
course in dental technology from any government ● "The Kapit-Bisig Laban sa
recognized school.
Kahirapan -Comprehensive and
Integrated Delivery of Social Services -
National Community-Driven Development
Sanitary Inspector: the function of the Program (Kalahi CIDSS-NCDDP) is the
sanitary inspector in the local government units
community-driven development program
are usually those of a sanitary engineer. The
of the Philippine Government
sanitary engineers who serve as sanitary
implemented through the Department of
inspectors in the local government performs their
Social Welfare and Development.
function in accordance with section 2 RA No.
Supplemented by the government of the
1364
Philippines
● The term "sanitary engineer" as used in
● "The Sustainable Livelihood
this Act shall mean a person duly
registered with the Board of Examiners for Program (SLP) is a community-based
Sanitary Engineers in the manner as capacity building effort that seeks to
hereinafter provided. improve the program participants' socio-
- water economic status through two tracks:
- Milk and food Micro-enterprise Development and
Employment Facilitation
● Provision of food in addition to the
Barangay Health Workers: Barangay regular meals, to target children as part of
health workers are usually the volunteer health the DSWD's ECCD program of the
workers in every barangay of the Philippines. government.
They live in the community and report at the ● Life-saving emergency relief
barangay health station. They receive honoraria
and long-term response.
from the local government units. RA No. 7883
defines barangay health workers ● Recovery and Reintegration
Program for Trafficked Persons
SECTION 3. Definition. The term "barangay (RRTP) is a comprehensive package of
health worker" refers to a person who has programs and services, enhancing the
 psychosocial and economic needs of the - Coordinate planning, monitoring, and
beneficiaries. evaluation of the national nutrition
program;
● The Commission on Population - Coordinate the hunger mitigation and
was created by virtue of R.A. 6365 malnutrition prevention program to
enacted on August 15, 1971 an act achieve relevant Millennium Development
establishing a national policy on Goals;
population and amended by P.D. 79, - Strengthen competencies and capabilities
of stakeholders through public education,
section 3, on December 8, 1972 is
capacity building and skills development;
hereby created under the office of the
- Coordinate the release of funds, loans,
President. It is the central policy making,
and grants from government organizations
planning and coordinating body for the
(GOs) and nongovernment organizations
population program
(NGOs): and
- Call on any department, bureau, office,
● Nutrition Council: Formulate agency and other instrumentalities of the
national food and nutrition policies and government for assistance in the form of
strategies and serve as the policy, personnel, facilities and resources as the
coordinating and advisory body of food, need arises
nutrition and health concerns;