CG COLLEGE OF NURSING,

RAIPUR.
Subject: - Community Health Nursing

CLASS TEACHING ON

COMMUNITY HEALTH NURSING

PRESENTED BY
BABITA DHRUW
MSC. LECTURER ( DEPT. OF CHN)

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 What is Health?
It carries the mandate that health is a basic
human right.

It is seen as a spectrum or a continuum

• The modern concept of health refers to
Optimum Level of Functioning (OLOF) of
individuals, families, and communities, which
is influenced by the ecosystem through a
myriad
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of factors. 2
 2. What Is Health?

A state of complete
physical, mental,
and social well-
being and not
merely the absence
of disease and
infirmity (WHO,
1995).
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 Community Health Nursing:
The 3 Broad Concepts
1. What is a community?
– a group of people with
common characteristics or
interests living together within
a territory or geographical
boundary

–  place where people under

usual conditions are found

– The community is the object

or focus of care in CHN, with
the family as the unit of
service.
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 3. What is Nursing?
 The diagnosis and treatment
of human responses to actual
or potential health problems
(ANA, 1980).

 Nursing, together with public

health, is one of the helping
professions in the health care
system which operates at
three levels of clientele –
individuals, families or groups,
and communities

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 COMMUNITY HEALTH NURSING
• Acc. To American nurses association,-
“Community health nursing is the synthesis of
nursing practice and public health practice
applied in promoting and preserving the health
of the population .the nature of this practice is
general and comprehensive. It is not limited to
a particular age . it is continuous not episodic .
the dominate responsibility is to the population
as a whole
 Concepts on Community Health
Nursing:
 Concept of optimum level of
functioning

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Optimum level of functioning (OLOF) is considered
by many determinates of health OLOF is the best
possible functioning. Taking all things into
account. The concept of OLOF emphasizes an
individual’s abilities is analogues to high-level
wellness. Few of us may be without some so
called disability because we need the glasses; we
have some allergies, emotional problems or some
kind of non infections conditions. The important
aspects neither is nor weather we have such
conditions but, rather what we do with or without
them. on the basis of this , we can assess the
0LOF that he strives to attain and maintain.
• thus individual, families and community have
strengths and weakness , abilities and
disabilities , and an OLOF is affects by various
determinates , hence health on an individual’s ,
family should be looked in accordance with.
 DETERMINATES
1. Environments determinates
2. Political system
3. Biological determinates
4. Socio economic determinates
1. Environments determinates
environments has direct impact on the health of
an individual’s, family or community . Both
internal or external and physical. environmental
pollution has become a global threat . we must
find the ways to reduce and manage the pollution
as well as waste. It is worth maintaining that the
Florence nightangle had also given importance to
environmental factor is the maintains of the
health and care of the sick , air Water noise,
radiation. Housing, Waste management etc.
2.POLLITICAL SYSTEM- Political system has a
great effect on the social climate in which we live .
political influence have the power and authority is
regulate much of our surroundings in which, health
care is also included . implementation of any health
programme cannot be conducted properly without
the strong political will. In our country health is the
subject of concurrent list
So there is the need of coordination between the union
and state government in the health related matters.
Social political environments , environments
economic developments , law and order , regulation
of public health laws etc. Are directly concerned with
the health and optimum level of functioning
3.BIOLOGICAL DETERMINATES- Heredity and
genetic determinates have remarkable influence on
the physial and mental health of the individuals/
families. Boundaries of abilities and protection set
by heredity or genetic heritage are often less
modifiable than other disease i. E. Mental
retardation ,metabolic disorder , chromosomal
abnormalities, some cases of disabilities etc. Have
genetic origin . community health nurses have
responsibility to provide proper genetic counselling
to people who are at risk of having biologically
genetically impaired children.
 4.BEHAVIORAL DETERMINATES-
Health is the mirror of a person’s lifestyle because
faulty and ill habits have the adverse effect on the
health of the individual . it is an established fact that
culture and ethnic heritage shape much of our life
style including the health care.Risk taking mirror
behaviour based on the carelessness or often
erroneous belief that nothing will happen , influence
people’s health. For example , smoking , avoiding
exercise , lack of sleep , eating too much or
inadequate nutrition, not using helmets or seat belts ,
irregular life pattern.etc. adverse affect our health .
thus community health nurses must be
knowledgeable about patients or individuals
behaviour pattern to improve their health status.
• 5. SOCIOECONOMIC DETERMINATES-
Socioeconomic conditions have the major
impact on the health the major impact on the
health status of any country education, economy ,
occupational opportunities , housing, nutritional
level, per capita income , GDP etc. Determine the
health care system and health system and
resources .Enough monetary help can eliminate the
various illness and the health hazards in the society
adequate employment avenues , decent and
consistent wages can fulfilment most of the
educational , medical , social and environment
needs of the people , although some complex
socioeconomic problems require multi solution
approach
The PHILOSOPHY of CHN

• is based on the
worth and
dignity of man
(Shetland)
• COMMUNITY HEALTH NURSING IS BASED ON AN
LOGICAL THINKING AND SCIENTIFIC METHODS OK
KNOWLEDGE
• IT IS GOVERNED BY CODE OF ETHICS.
• HEALTH IS THE FUNDAMENTAL RIGHTS OF
HUMANBEING
• IT SUPPORST ALL THE INDIVIDUALS INCLUDING
FAMILIES
• COMMUNITY BASED EFFORTS AND COMMUNITY
INVALVEMENT.
• RESPECTS THE CULTURAL DIFFERENCES, VALUES
.MULTIDISIPLINARY TEAM ACTIVITIES
• .
• OBJECTIVES
1. To increase the life expectancy.
2. To decrees the infant mortality rate (IMR),
maternal mortality rate (MMR) and other
morbidities.
3. To prevent health services (community
treatment.
4. To find the cause – effect relationship.
5. To evaluate the health programmes and make
further plan.
6. TO make the community diagnosis.
7. To help the NGO and other organizations
working in the field of community health.
 Principles of CHN
1. Health services should be based on the needs of individuals and
the community .health programs should be concerned with the
situation of health problems and the recourses available. Nurse
should have good knowledge of the community
So that immediate problems of the individuals can be solved
effectively.
2. Health services should be suitable to the budget . Workers and the
recourses they should be completely practical as well.
3. Family should be recognized as a unit and the health services
should be provided to its members. active participation.  
4.Health services should equally available to all without any
discrimination of age , sex, casts, religion, political learning and
social economic level etc.
5.Health education is an important part of community health nursing
it should be pre planned, suitable to conditions , scientifically true
and effective
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6 Community health nursing should be provided
continuously, without any interruption similarly
taking care about fallow-up treatment is also
necessary
7. Preparation and maintain of record and reports is
very important in community health nursing.
Demographical programmes and services are
evaluated on the basis of this recodes.
8. It is necessary that nurses and other health
workers , working in the community should be
guided and supervised by highly educated and
skilled nurse
• Other than being alert and devoted to her duties ,
community health nurse – 
• Should be responsible for professional
development.
• Should continuously receive in service training
and continuing education. During her service
period and otherwise.
• Should be apolitical, secular, without any
prejudice and tolerate towards all religion while
working.
• Should fallow professional ethics and standards in
her work and behaviour.
• Should feel responsible the goals and philosophy
of the health institution she belongs to
10. Effective team spirit is a must in the term
working for community health , there should be no
traces of bureaucratic or authoritative behaviour
related to the
Designation or seniority. They should try to achieve
the goals of community health by corporation and
coordination of each other . Community health
nurses are aware of the role of every members of
the team
11.. Arrangement should be made for the timely
evaluation of the services provided by the
community health nurse. Review of the community
health nursing planes should be based on the
evaluations and accordingly the further
programmes and goals be determined
• SCOPE OF COMMUNITY HEALTH
NURSING
• Ruler areas and slums of the cities.
• Special clinics.
• Mobile camps.
• Health centres.
• Schools.
• Industrial organization.
• Outdoor patient departments of big hospitals.
• Fairs and other places of social functions /
gathering.
• Rural and poor urban families etc.
FUNCTIONS OF COMMUNITY HEALTH
NURSE
Managerial functions.
Supervisor
Nursing functions
Educational functions
Evaluation
Other work
Thank You!!!

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