scope of community health nursing

8/13/2019 Scope of Community Health Nursing

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The scope of Nursing is wider

and cover a larger area: Theyare

Home care

Nursing homes

MCH and family planning

services

School health nursing


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Domiciliary CareRehabilitative centers

Mental health nursing services

Geriatric nursing careFamily planning centre

Industrial nursing services


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HOME CAREMany patient can be cared at home

according to their need. But this type

of services should be as an extension

of certain hospital services. Somecommunities have nurse practitioners

or home visiting nurse. These nurse

are taking much more responsibility

than other on giving care to the clientsat home.


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In each district , there are healthpost: through health post certain care

can be given to client by the help of

health worker or Auxiliary nurse

midwife or other health worker . Forexample Village health worker , MCH

provider and TBA etc.


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NURSING HOMESNursing homes are established by

private groups . They charge fee

according to facilities they provide to

their client. Nurses plays a vital rolein providing care to the patient in the

nursing home.


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MCH AND FAMILY PLANNING

SERVICESThere are MCH clinic as well as family

planning clinics in Nepal. These clinics

provide health care to the children'sand mothers. The services provided

are antenatal care , natal and post

natal care. In this field , nurses are

doing the main role of motivating the

couples for family planning .


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In clinics nurses are distributing

temporary measures to the client aswell as providing health education , if

needed and assist the doctors in doing

permanent methods of family

planning.

For child health care ,under 5 age

group clinics are conducted where

nurse provide immunization ,maintain growth chart , detect minor

disease and provide treatment to the

children


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SCHOOL HEALTH NURSING

School health nursing is the newconcept in Nepal. It is not well

developed yet . Mostly private school

are providing formal health care

clinic for minor treatment . A school

health nurse render services in order

to prevent disease , and promote

health of the children.


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The main activities of school health

nurse are to detect disease , healthteaching , immunization , dental

health , ENT care, school sanitation ,

Nutrition , first aid , personal hygiene,

referral services , follow up ,

counseling and guidance and

maintenance of records . An effective

way of reaching children is by teachingschool children through School health

programme.


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DOMICILLARY CARE

When antenatal , delivery and postnatal services are given to the mother

by nurses or TBA or any health

personnel at home situation then it is

called as Domiciliary care.The two main area where domiciliary

care is practiced are

- Maternity services: e.g. Antenatal ,delivery and post natal care.


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- Health supervision and disease

prevention among newborn , older

children's as well as services for

illness and accidents.


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REHABILITATIVE CENTRES

Rehabilitation implies restoration ofall treated cases to the highest levelof functioning ability: physically ,mentally and socially , so that the

person can go back to his/her ownplace to lead a normal life as before.

The medical component ofrehabilitation include diagnosis ,

surgical treatment and prosthetic andorthopedic appliances and physicaland mental therapy.


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Nursing is important component in therehabilitation of the disease. Nurses are

working in Rehabilitation and providing

care to the disable. Community health

nurse need to assist the parents to caretheir children.


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MENTAL HEALTH NURSING

Mental health nursing is also one ofthe important component of health

services. This is new concept in

health in Nepal. This concept need

to developed more in the future.

Services are being provided at

clinics, health post , hospital etc .

Tribhuvan University of Medicine isproviding training in Mental Heath

Nursing.


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So far , more than 130 nurse have

been trained from differentinstitutions by conducting Mental

Health workshops.

These services comprises of earlydetection , treatment , group or

individual psychotherapy and mental

health education.


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GERIATRIC NURSING CAREThe art and science which is applied

in meeting the health needs and

problems of the elderly people is

called geriatric Nursing .The oldpeople have their own health

problem. They need more health

care than young people. Old people

need more attention and tender loveand care. They should not be

neglected by health care system.


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Geriatric nursing is another vital field

of nursing services. Health careservices for the old are being

provided in many countries through

home visiting or through specialized

geriatric nursing home.


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FAMILY PLANNING CENTRES

Family planning is not just only birthcontrol. It include many more family

welfare planning. Nurses have many

role /activities as well as

responsibilities in the family planningcentre which are as follows:

Spacing of pregnancy

Advice and counseling of sterility andinfertility.

Education for planned parenthood


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Sex education

Screening of cancer of cervix andbreast

Preparation for pregnancy and

delivery Marriage counseling

Referral

Recording and reporting

Follow up.


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INDUSTRIAL NURSING SERVICES

Nurses are employed in industry. Thereis a provision of appointment of medical

and nursing staff in factories where 500

or more workers are employed. The

broad areas of nursing in industrialsettings are:

Care of sick and injured

Pre placement and periodic

examination

Industrial sanitation

First aid


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Industrial safety e.g. use of helmets ,

use of gloves when contact withchemicals, safety belts etc

Rehabilitative etc

scope of community health nursing

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