pcu manual community nursing

8/12/2019 PCU Manual Community Nursing

1/120


2/120

9,750

2554

:


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:


4/120

2 17 1. 1) 2) .. 3) .. 4).. 5) 6)

7) .. 8) .. 9)2.1) 2) 3) .. 4) .. 5) 6)

.. 7) : 8)

:


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6/120

51

53

69

70

79

8386

87

93

99

103

105

112

4

---

-5

-

-

-

-

-

:


7/120

18

22

28

30

31

46

58

75

-

1

2 3 4

5 6 7

8

:


8/120

-

1

2

3

4 5

PCA

5

11

81

87

94

:


9/120

1 :

1


10/120

2 :


11/120

3 :

1

1.

1


12/120

4 :

1


13/120

5 :

1

1


14/120

6 :

2.

4

1. (Health Promotion)

( , 2543)


15/120

7 :

2. (Health Maintenance)(Prevention of Diseaseand Injury)

3.

4. (Health Restoration) (Rehabilitation)

1


16/120

8 :

/

4

9

(, 2545) 1.(Care Manager)


17/120

9 :

2.(Leader) /

3. (Care Provider)

4. (ChangeAgent)

5.(Counselor)

6.(Educator)

7.(Communicator/Helper)

1


18/120

10 :

8. (Client Advocator)

9. (Reseacher)

2


19/120

11 :

2, 3- Special Care

- Comprehensive Care

1- Comprehensive Care

Continuum

Care

Continuum

Care

2

1


20/120

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13 :

2


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15 :

/

4 1(Population

Health Focused) /

2

2


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16 :

2 (CommunityStructure) (Community Oriented)

3 (Community

Nursing Service)

3.1 3.2

3.3 3.4

/ 4

(Community Participation for Health)


25/120

17 :

//

(Optional Healthy Community)/5

1.2.3.4.5.

2 1 2

2


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18 :

1 1.

2.

3.

4.

1

1. 1.1

1.

2.

1


27/120

19 :

1.2

1.3 /

2.

2.1

3.

3.1

3.2 /

-

--

-

- -

-

1 ()2


28/120

20 :

4. 4.1

5.

5.1

10

//

-

- -

-

1 ()


29/120

21 :

2 /

2 1 2

1

3 2

2


30/120

22 :

1. 1.1 :

1.2

1.1 / 3 1)

2)

3)

1.2

75 - 100

2


31/120

23 :

2. 2.1

2.2

2.1/ 2 1

2

2.2 51 - 75

2 () 2


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3.

3.1

3.1 / 4 1 /

//// 2 / 3 /

2 ()


33/120

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3.2

4 /

3.2 50

2 ()

2 3 0 - 4

2


34/120

26 :

1

1.1 (Size of Problem)

1.2 (Severity of Problem)

2

2.1

2.2


35/120

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2.3

2.4

2.5

3 /

3

3

2


36/120

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3

4

3

3

1

3

3

3

4

4

1

4

2

4

4

4

4

15

11

14

11

1

3

2

3

(0 - 4 )

(0 - 4 )

(0 - 4 )

/

(0 - 4 )

3


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/ 4

1)

2) 3) 4) /

4

4

2


38/120

30 :

4

1.

2.

3.


39/120

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55

1. 1.

2. /

3.

4. 5.

/6.

2


40/120

32 :

5 ()

2.

3.

1. / /

2.

3. 4. 5.

/6.

1.

/2.

3.

4. 5.

6.

7.


41/120

33 :

4

(Gantt Chart)

2


42/120

34 :

1. -

2.

3.

4.

5.

/

/

1.


43/120


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36 :


45/120

37 :

3


46/120

38 :


47/120

39 :

/

1. / /

2. /

3. /

3

3


48/120

40 :

4.

(Fyke, 1994)4

1. 2.

3.

4.

- -


49/120

41 :

/

1. /

2.

3.

4. /

5.

6.

3


50/120

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7.

/


51/120

43 :

1.

/

./

2.

/

3


52/120

44 :

3.

/

4. /

./

5. .

/


53/120

45 :

/

/

3

(Engstrome, 1987) 6

3


54/120

46 :

6

(Intensive

skill home

care)

*

-

2-3 /

1

1.

/2.

3.

*


55/120

47 :

6 ()3

(Intermediate

home care)

*

-

1 - 2

1. /

2.

3.

*


56/120

48 :

6 ()

(Maintenance

home care)

*

-

2

/ 1.

2.

3. /

4. /

5.

*


57/120

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-

3


58/120

50 :


59/120

51 :

4


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61/120

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4

4

4

4


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3

1.

3

1)

/ //


63/120

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/

2)/

7 //

/ 14

4


64/120

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3)

/(Cardiopulmonaryarrest) (Unconsciousness) (Shock)(Seizure) (Anaphylaxis) (Stroke) (Acute myocardialinfarction) (Status asthmaticus)

//////


65/120

57 :

2.

7

4


66/120

58 :

7

1

2/

3

1.

2.

1. /

/

/

1.

(airway

obstruction)

(jaw thrust maneuver)


67/120

59 :

4

7 ()

1

2/

3

3.

/

4.

2.

3.

4.

2.

(circulatory

disturbance)

/


68/120

60 :

7 ()

1

2/

3

5. /

6.

7.

5.

6.

3.


69/120

61 :

4

7 ()

1

2/

3

/

8.

7.

8.

50

4.

5.


70/120

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7 ()

1

2/

3

9.

9.


71/120

63 :

4

7 ()

1

2/

3

10.

/

10.

1) Self-inflating

lung bag/ Ambu bag

2) Oralpharyngeal

airway 3) Mobile

Oxygen 4) Mobile

suction 5) CPR board

6)


72/120

64 :

7 ()

1

2/

3

11.


73/120

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3.

/

/ (.) /

3

1

4


74/120

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(.) .

2 / 2

/

3

3


75/120

67 :

1.

2.

3.

4. /

5.

6.

7.

4


76/120

68 :

8.

9.

10.Ambu bag

11.

1.

2. 3.

4. 5.

6.


77/120

69 :

1.

2.

3.

4


78/120

70 :

(Health Promotion)


79/120

71 :

M - E - T - H - O - D

M (Medication)

E (Environment & Economic)

T (Treatment)

H (Health)

4


80/120

72 :

O (Outpatient Referal)

D (Diet)

1 1


81/120

73 :

(Self Care) /

1. 1)

2)

4


82/120

74 :

3) 35

4)5)

2.

3.

(Self Help Group)

(Education Group) (SupportGroup) 3 8


83/120

75 :

8

- 1-3 :

-3

-

-

---

(CAPD)

-

-

-

-

-

-

-

-CAPD

4


84/120

76 :

8 ()

8 - 15 30-45 /

10 - 30 30 /1-2

4 - 15 30-45 /

/


85/120

77 :

3

1.

2.

3.

4


86/120

78 :

.

/

3 (Smith, C.M. andMaurer, F.A., 1995 : 275)


87/120

79 :

1. (Primary Prevention)

2. (Secondary Prevention)

/

/ (Referral System)

3. (Tertiary Prevention)

3

4


88/120

80 :

3 : Leavell, H.F., and Clark, E.G. (1965 : 21) Smith, C.M. AndMaurer, F.A. (1995 : 275)

1.

1)

2)

3)

4)

2.

3.

4.

/

1.

2.

3.

4.1)

2)

3)

4)

5)

1.

2.

3.1)

2)

3)

4)

1./

2.

1.

2./

3.

/

/


89/120

81 :

4

3 2 / / //

//

////

/


90/120

82 :

4 4


91/120

83 :

5


92/120

84 :


93/120

85 :

(, 2547)

5

5


94/120

86 :

1.

2.

3.

4.


95/120

87 :

4

(P-D-C-A) 4

5

1./ Plan

- PCA

- HPH

- HA

- HNQA

- TQM

- TQA

- PMQA

4./

Act

2./

Do

3./

Check


96/120

88 :

1/(Plan)

/

PCA, HCA, HNQA, HA, HPH, TQM PMQA /

(P)

1.1

1.2 ///


97/120

89 :

1.3 /

2/ (Do)

2 //

/

(Accessibility) (Equity)

D //

/ //

5


98/120

90 :

3 /(Check)

3

/

/ /

/// (Key Success Factors)

/

(C) //


99/120

91 :

// //

4 /

(Act) 4

3

/// /

/

5


100/120

92 :

(Input) (P)/

/(Act) //

//

(, 2547)


101/120

93 :

(PrimaryCare Award : PCA)

(Malcolm Baldrige NationalQuality Award : MBNQA) (PrimaryCare Award : PCA)

PDCA 5

5


102/120

94 :

5 PCA

1 2 3

4

5

6 7

P

1 2

3

4

5 6 7

A

1 2

3

4

5 6 7

D

(1 - 6)

A - D - L - I

C

(7)Le - T - C - Li


103/120

95 :

1. /(P = Plan)

//HA,HPH, TQM, TAQ, PMQA PCA /

(Primary Care Award: PCA) (

, 2552) PCA 6 12 3

4 5 6 P (Plan)

5


104/120

96 :

2. / (D = Do)

// P 1 6 PCA

3. /

(C = Check)

// //

A-D-L-I Le-T-C-Li (, 2552)


105/120

97 :

4. /(A = Act)

/ C (Check) / /

()

(Input) /1 (P = Plan)

5


106/120

98 :


107/120

99 :

. (2540)

.: .. (2542).: .

. (2544)

. 2 :.. (2545) .: .. (2545) .: .


108/120

100 :

. (2552) (PCA). :.

. (2538)

(Universal Precaution). 3: .

. (2553):

. : .. (2552)

.2 :.

. (2539)

..


109/120

101 :

. (2553) 10.

. (2553)

.5 .

. (2551)

. : ...

. (2543) :

.: ..... (2547) . 2 : .


110/120

102 :

. (2550) . 2 :.

. (2539). 6

.

Engstrome, M. (1987). Home health utilization review.Home

Healthcare Nurse, 5,(6), P.30-33.

Fyke, L.D. (1994). Caring begins at home.The Canadian

nurse, (February), P 27-28.

International Council of Nurses. (2008) Nursing Perspectives

and Contribution of Primary Health Care. Geneva.

Marcia Stanhope and Jeanette Lancaster. (2000).

Community & Public Health Nursing. 5th

Mosby,Inc.Toronto.

Smith,C.M. and Maurer,F.A. (1995) Community Health

Nursing : Theory and Practice. Philadelphia : W.B.

Saunders Company.


111/120

103 :


112/120

104 :


113/120

105 :

26 3 2 1

26 3 2

1

/


114/120

106 :

3 x 2 x 1 x

> 90%

81 - 90% 60 - 80%

< 60%

1 2


115/120

107 :

3

3 2 1 2 1

3

2

1

1.

2.


116/120

108 :

3

2

1

3. .

4. /.

5.

6.

7.

8. /

9.

10.


117/120

109 :

3

2

1

11.

12.

13.

14./

15.

16.

17.

18./


118/120

110 :

3

2

1

19.

( P-D-C-A)

20.///

21. ///

22.

23.///


119/120

111 :

3

2

1

24.

25.//

26. PCA


120/120

1.

2.

3.

4.

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