COMMUNITY DIAGNOSIS

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COMMUNITY DIAGNOSIS www.drjayeshpatidar.blogspot.com

CONCEPT OF DIAGNOSIS :

CONCEPT OF DIAGNOSIS The term ‘diagnosis’ comes from the Greek word “ diagignoskein ” meaning to distinguish. This term was derived from “ dia” meaning through, apart and from ‘gignoskein’ meaning to know. www.drjayeshpatidar.blogspot.in

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The community diagnosis depends on understanding of the social science, vital statistics and epidemiological investigations. www.drjayeshpatidar.blogspot.in

DEFINITION:

DEFINITION Community diagnosis may be defined as “determining the pattern of health problems in a community, including factors which influence this pattern”. www.drjayeshpatidar.blogspot.in

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Community diagnosis is a comprehensive assessment of the state as an entire community in relation to its social, political, economic, physical and biological environment” www.drjayeshpatidar.blogspot.in

PURPOSES :

PURPOSES It helps in identification and quantification of health problems. Help in identification of those individuals or groups at risk or those who needs health care. It helps to identify community needs and problems. www.drjayeshpatidar.blogspot.in

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It helps to decide strategies for community involvement. Effectively help in understanding the social, cultural, and environmental characteristics of community. it can be used to help the community becomes conscious of its existing problems and find solution. www.drjayeshpatidar.blogspot.in

CONTENT:

CONTENT Hard measurable facts Age Sex distribution Literacy status Prevalence of disease Sanitary conditions Others www.drjayeshpatidar.blogspot.in

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Not measurable facts (soft facts) Customs Belief Taboos Attitudes Values towards various situations www.drjayeshpatidar.blogspot.in

Steps in community diagnosis:

Steps in community diagnosis www.drjayeshpatidar.blogspot.in

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Defining area- who and what www.drjayeshpatidar.blogspot.in

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Identifying the needs of community www.drjayeshpatidar.blogspot.in

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Specifying priority health needs of the community www.drjayeshpatidar.blogspot.in

Steps continue………:

Steps continue……… Identifying community resources for facilitating health problems www.drjayeshpatidar.blogspot.in

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Setting priorities for action www.drjayeshpatidar.blogspot.in

Steps continue………:

Steps continue……… Community needs in proportion to national capacity intersectional co-operation in planning www.drjayeshpatidar.blogspot.in

COMMUNITY HEALTH PLANNING:

COMMUNITY HEALTH PLANNING Analyzing health needs/health problems. www.drjayeshpatidar.blogspot.in

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Establishing priorities. Establishing priorities refers to ranking of health problems identified by determining their relative importance on the basis of predetermined criteria. www.drjayeshpatidar.blogspot.in

C. H. planning Continue….:

C. H. planning Continue…. Setting goals & objectives www.drjayeshpatidar.blogspot.in

SETING OBJECTIVES:

SETING OBJECTIVES Related to problem statement Client-centred www.drjayeshpatidar.blogspot.in

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Clear and concise Observable and measurable www.drjayeshpatidar.blogspot.in

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Time limited Realistic Determined by the client and the nurse. www.drjayeshpatidar.blogspot.in

FORMULATING COMMUNITY HEALTH ACTION PLANS:

FORMULATING COMMUNITY HEALTH ACTION PLANS Agency policy The resources available The nature of problem www.drjayeshpatidar.blogspot.in

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The community’s interest and feasibility Competencies of health personnel. Practicability and efficiency www.drjayeshpatidar.blogspot.in

IMPLEMENTATION OF COMMUNITY HEALTH:

IMPLEMENTATION OF COMMUNITY HEALTH Three types of nursing intervention Supplemental : : i.e. doing things for the families, groups and community at a large which they arte not able to do eg. Nursing care of sick at home or in centre or in any setting www.drjayeshpatidar.blogspot.in

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Facilitative : i.e. removing barrier, obstacles etc. she helps them to mobilize and develop their resources. The nurse need to know community resources- health and health allied, know their functions and establish functional relationship www.drjayeshpatidar.blogspot.in

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Developmental i.e. helping families, groups and people at large to develop and improve their capacities. She educate members to recognize their health problems, health needs, find solutions, mobilize and develop their resources and abilities to implement action etc. www.drjayeshpatidar.blogspot.in

Evaluation :

Evaluation www.drjayeshpatidar.blogspot.in

ROLE AND RESPONSIBILITIES OF COMMUNITY HEALTH NURSE PRACTIONER:

ROLE AND RESPONSIBILITIES OF COMMUNITY HEALTH NURSE PRACTIONER www.drjayeshpatidar.blogspot.in

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Acc. To Benner , an expert nurse passes through five level of proficiency, when acquiring and developing generalized and specialized nursing skills. The five levels are…. www.drjayeshpatidar.blogspot.in

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Novice: (beginner) Advance beginner (who has some level of experience) Competent (nurse who has been in clinical position for 2-3 years) Proficient (a nurse with more than 3 years experience) Expert (a nurse with diverse experience) www.drjayeshpatidar.blogspot.in

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Clinician www.drjayeshpatidar.blogspot.in

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Educator www.drjayeshpatidar.blogspot.in

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Administrator www.drjayeshpatidar.blogspot.in

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Consultant www.drjayeshpatidar.blogspot.in

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Researcher www.drjayeshpatidar.blogspot.in

STANDARDS OF NURSING PRACTICE :

STANDARDS OF NURSING PRACTICE Nurse should have license of practice Confidentiality of the communications between nurse and client is protected in section two of the code for nurses www.drjayeshpatidar.blogspot.in

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Privileged communication is the privilege of the client not to disclose treatment information to a court of law. The uniformity of the assessment and subsequent documentation of the assessment indicate that a standard of practice was followed www.drjayeshpatidar.blogspot.in

DECISION MAKING SKILL:

DECISION MAKING SKILL The decision making in the community diagnosis refers to deciding in advance, planning for community assessment. When planning for programme, the community health nurse should take some measures as follow: www.drjayeshpatidar.blogspot.in

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Know the problem or needs of community, by observing, interviewing, seeing, records, and report and by conducting surveys. Know the people and place Find out available resources, fund, staff and equipments. Select methods and materials for programme Launch the programme Study the results www.drjayeshpatidar.blogspot.in

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LEGAL ISSUES IN COMMUNITY DIAGNOSIS www.drjayeshpatidar.blogspot.in

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Some difficult ethical issues in community diagnosis today are faced. Who shall be the priority recipients of community health nursing practice? Who shall have access to care? Who is assessed by community health nurse: the individual, family, or group? What do community health nurse assess? www.drjayeshpatidar.blogspot.in

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How community health nursing evaluated for quality of care, cost effectiveness, and outcomes assessment? Who shall pay for care? What should be the level of care? What type of nursing interventions do community nurse use in practice? What nursing diagnosis do community health use? How organized data collection can be conducted in community? How community health nurses prepared at the following levels is used? www.drjayeshpatidar.blogspot.in

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THANK YOU www.drjayeshpatidar.blogspot.in

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