Date:-31-3-2021
Q-1
a. Define Health.02
In 1948, the World Health Organization (WHO) defined health as follows:
“Health is a state of complete physical, mental, social and spiritual well-being and not merely the absence of disease or infirmity.”
As per WHO
“Health is a state or complete physical, mental, social and spiritual well-being and not merely an absence of disease or infirmity.”
However, health is a constantly changing process, so it is very difficult to maintain this goal. Health is common in most cultures. In fact, every community has its own concept of health, health is a fundamental and fundamental right of every individual, which has also been included in the constitution.
b. Explain Importance of Nutrition in Nursing.05
Importance of Nutrition in Nursing
The importance of nutrition in nursing plays a very important role in the treatment and well-being of the patient.
c. Write down the principles of Community Health Nursing.
.05
Since community health nursing is focused on the community, it is necessary to get information about where nursing care is to be provided in the community, to make a map for it and to establish good and working relationships
To provide care according to the needs of the community and the individual. Health problems should be solved with health programs and resources
Working with the mother doctor, female health worker, female health supervisor, multipurpose worker and other health workers in the community health team, the nurse helps in planning health programs, evaluation, visiting people’s homes and giving advice, sanitation problems, nutritional problems, maintaining maternal and child health and providing health education.
Health worker authorized, health authority is responsible for every health worker. Every health worker is appointed by the state, municipality, local or private body or agency. The nurse should be in contact with the public health authority in the area where he works.
He should plan and organize his work. All this is necessary to maintain unity and cooperation in the health program. Because the health authority is considered personally responsible.
Health services should be available to people according to their age, race, religion, nationality, social, political or economic level. There should be an environment where everyone can get good personal health and environment. Health workers should be non-political and not have partisan attitudes. Public health workers should not interfere in the national and religious beliefs of people, but they should be able to explain all other beliefs and social customs.
Public health workers should never accept any gift or bribe. But if the government has fixed certain charges for some health care, they should be accepted honestly.
In public health work, family and community are considered a unit. Teaching is an important part for every health worker.
Periodic evaluation of the nursing services provided in the community is very important for planning and progress.
Professional relationship and discipline should be maintained with the community for community health nursing.
There should be a system for guidance and supervision for public health nurses.
Systematic records and reports of all work done in the community should be maintained.
Providing health services that are provided continuously is considered effective.
The family and community are considered a unit to work in community health work. Teaching is an important part for every health worker.
Health workers should be met individually and according to their convenience.
Other members who work with the village people. They can also help in the health program.
A schedule should be provided for fully satisfactory performance.
The interest of the person towards the profession should be developed and maintained.
d. Define Health education and write down the advantages of Health education.
08
According to Alma Ata (1978), “Health education is a process that encourages people to bring about changes in knowledge and behavior in their health practices and to enable them to maintain personal health and to obtain help as needed.”
The main purpose of health education is to ensure that people remain healthy and to improve the health facilities in the society. Through health education, people get the necessary information to keep themselves healthy, such as hygiene, nutrition, and preventive measures. In this way, the health of the entire community improves, because each person becomes more aware of maintaining their health.
Health education provides people with information about the symptoms, causes, and ways to prevent diseases. For example, in a river or a field Information is provided on things like avoiding open defecation, hand washing, safe drinking water, etc. This can help prevent the spread of infectious diseases and epidemics.
There is a change in the behavior of people participating in health education. If people receive health education regularly, they are encouraged to stay away from unhealthy habits such as tobacco, smoking, and irregular diet. Similarly, they are helped to adopt healthy habits such as exercise, balanced diet, and proper rest.
Health education creates awareness among people about health services. It helps in spreading information about services like health centers, check-ups, timely treatment of diseases, and vaccination. People who use the services of health centers are less likely to suffer from serious consequences of diseases.
Health education brings social awareness among people. Through health education, people also become concerned about the health of other people, due to which cooperation and understanding with each other increases. Without health education, many people do not take diseases into their own hands and therefore they can spread the disease. These serious consequences are less in an educated society.
If the community is healthy, then its economic condition also improves. When people fall ill, the cost of treatment increases. Health education provides information to people about preventive measures, through which they can avoid diseases without getting sick. In this way, health-related expenses are reduced and people become more productive.
Health education is beneficial for the health of every member of the family. When family members are given proper information about health, the health of the entire family improves. This knowledge is especially important for mothers and children, because they can become the most vulnerable victims of diseases. Improvement in maternal and child health increases the well-being of the entire family.
Health Education spreads health-related knowledge in the community. When people are educated about health, they can share this knowledge with their family and friends. In this way, the spread of health education becomes more widespread, which benefits the entire society.
Health education makes people in the community aware of diseases and timely treatment, which provides an important benefit in reducing mortality rates. Health education has an important contribution in reducing infant mortality rate and maternal mortality rate in particular. Due to health knowledge, there is a reduction in deaths due to malnutrition or infectious diseases.
Health education helps people to maintain environmental hygiene They are able to understand the importance of environmental hygiene. They are involved in processes that make the environment clean and safe, such as waste management, water purification, and the use of health-oriented toilets. These processes prevent the spread of diseases and keep people healthy.
Health education is not limited to physical health only. It is also important to improve mental health. People can identify issues like stress, anxiety, and depression and find appropriate solutions to them. Improving mental health enriches the collective life of individuals and communities.
Health education is essential for reproductive health and child health. Women in particular are given information about pregnancy, nutrition, and safe motherhood. With health-oriented knowledge, children get timely and proper food, and they can achieve the best health status for their development.
Health education empowers people to make health-related decisions. Through health education, people can get the right information about when to see a doctor, which treatment to choose, and which health services are best for them. Due to knowledge, they can independently manage their health.
Health education helps in increasing fitness and vitality. Awareness about exercise, meditation, yoga, and healthy habits increases among the people of the community. Fitness and strength increase, which helps in improving the work efficiency and quality of life of the people.
Health education inspires people to adopt a healthy lifestyle, due to which long-term health benefits are achieved. For example, long-term diseases like heart diseases, diabetes, and obesity can be avoided due to a healthy diet, regular exercise, and limited stress.
Health education works to convey knowledge from one person to another. For example, if a person participates in health education and acquires information, he conveys the knowledge to his family, friends and the entire community. In this way, information about health is disseminated and the entire society becomes rich in health-oriented information.
The benefit of health education is that it provides a strong supporting structure for other health-oriented programs. Health education helps in increasing the awareness of community members, which leads to success in programs like vaccination, disease control, and family welfare.
Health education also benefits the community by creating a healthy workforce. People with health knowledge work with greater efficiency, and they are free from diseases, resulting in fewer days of absence (less absenteeism). This is also beneficial for the economy.
Health education helps people understand epidemics, such as the importance of biological measures, hygiene, and vaccination to prevent the spread of diseases. This prevents the spread of epidemics, which protects the population and the health system.
OR
a. Define Community Health Nursing02
Community Health Nursing –
“Community health nursing is a synthesis of public health nursing practices applied to the promotion and preservation of the health of the population. Community health nursing is the provision of health services to the sick and healthy in the community. Community health nursing is guided by the assessment and management of the health status of the population in the community.”
Or
“Community health nursing is a field of nursing that combines primary health care and public health nursing. Nursing practice.”
b. What is family planning? Last out the farmly planning methods?05
Family planning is
Family planning is the process by which a family decides the number of children they have or the spacing between them. For this, they use various types of contraceptive methods and fertility treatments. For this, they use various educational, social and medical services, the main purpose of which is to help the couple decide how many children they want to have so that they can have the desired family size. Apart from this, sexual health education and reproductive and child health services are promoted along with it.
1.Natural method
Withdrawal or coitus interruptus
Self-control
Rhythm method or safe period
Basal body temperature
2.Artificial
A . Temporary
2.Mechanical method → Condom for male → Vaginal diaphragm → Cervical cap for female
B. Permanent
→ Vasectomy or NSV
→ Tubectomy
→ Laparoscopy
c. Explain factors affecting on health05
Lifestyle
Diet and Nutrition
Environment
Economic Factors
Society and Culture
Genetics
d. Explain role of community health nurse in family health serviees. 08
(A) Community health nurse in survey work:-
i) Collecting demographic facts
ii) Making list of homes
Identifying housing location.
iii) Collecting information about pregnant mother, eligible couples, infants and children below the school going age.
(B) Function of CHN in Educations functions and motivation:
i) Encourage adoption of small family norms.
ii) Explain the importance and necessity of family planning to the masses effectively.
iii) Use various techniques of teaching and communication.
iv) Motivate eligible couples to use contraceptives and educate them about their use.
v) Motivate people for family planning services operation or permanent methods.
(C) Function of CHN in managerial function;
i) Conducting clinics
ii) Deciding the date and place of clinics
iii) Arranging equipment and other resources at clinic
iv) Arrangement and distribution of contraceptive-
v) Insertion and removal of IUD’s
In which IUCD is inserted. And its follow up is taken. And also removed when necessary.
(D) Organizing family planning camps
Organizing family planning camps in the community and providing the necessary family planning facilities to the people, especially making efforts to adopt the method of permanent family planning and organizing such camps when necessary and making it accessible to the beneficiaries
(E) Maintaining Records
After providing health care services to the family, keep all the records of the care provided to it, including all the details in the family folder. How many eligible couples are there in the community and keep proper data of ANC, PNC etc. and keep all the services provided in the record so that they can be used properly in the future
(F) Liaison work-
While providing health services to the family, the community health nurse will work as a link between the health care services and the people who need the health services so that they will make efforts to benefit them in the mainstream of the health care system
i) Ask NGOs and voluntary organizations to co-operate.
The health work or the health needs of the family cannot be provided by the government or by themselves, so many times such services are provided by different NGOs and cooperative organizations, so they should cooperate in this.
Q-2 Write Short Notes (Any Five)5×5=25
a. Principles of Home visit
The principles of home visits are as follows.
(1) Planning should be done according to the needs of the people. For example: There is a certain type of health problem in a certain area. Accordingly, the health needs should be followed.
(2) Collect all the information about the family accurately and also collect general information about the community. This includes asking about the size of the family, income, religion, customs, etc.
(3) Be sensitive to the feelings and needs of the person during the visit.
(4) Always perform nursing procedures safely and use technical skills.
(5) Give more importance to quality than quantity of work.
(6) The approach with the family should always be polite and trusting.
b. Antenatal Clinic
The clinic should be away from crowded areas, markets and schools
The clinic should be located in a place where people can easily reach it. There should be transportation facilities to reach it or it should be close enough for people to walk.
The clinic building should be good and convenient and in a well-known place. The clinic should have a seating arrangement for mothers (A.N.C).
The clinic should have examination room tables and screens to maintain the privacy of the pregnant mother.
There should be an investigation room and drinking water facilities.
The doctor’s room, laboratory, office and each room should be separate.
The clinic building should be well-built and the floor area should be cement or tiled.
The form of the clinic should be cement concrete slabs or cement sheets. The floor should not be smooth so that the beneficiary sleeps and gets injured.
The building should be sufficiently ventilated and have 24-hour electricity supply and the beneficiary should get every kind of treatment
The room clinic should have enough rooms such as waiting room, central registration room, laboratory, clerk room, etc.
There should be a system to arrange the clinic’s register card and folder number vice and for this the registration room should be separate. There should be facilities of doctor examination and consulting room as well as conference room etc.
There should be a system to do immunization and provide health education or health teaching in the teaching and conference room of nurses which should have TV, newspaper, magazine etc. There should be arrangement of drinking water, toilet, washbasin, latrine etc.
The clinic should have separate doors or facilities for entrance and exit so that people can come to one place Crowds do not gather
The furniture in the clinic should be as per the requirement and in working condition. There should be benches or chairs for sitting in the waiting room. In addition, there should be three to four chairs and three to four tables in the registration room. There should be three to four tables in the nursing room for keeping records, register board, examination table, etc. There should be arrangements for doctor consulting and examination, tables, chairs and examination tables, screens, etc.
For physical examination, blood pressure instruments i.e. sphygmomanometer, torch, tongue statue, hammer, thermometer, hightweight machine, as well as vaginal speculum, vagina, cervical collar, etc. for gynecological examination. There should be sufficient linen and seat mattress, screen, towel, napkin, etc. Necessary stationery such as register paper, pad, punch file, OPD case paper, etc. There should be such aids as click book, pamphlet, roller board, overhead projector, computer, laptop, etc. There should be equipment so that health education can be given well and effectively. Necessary medicines like tablets I M folic acid B complex calcium etc. as well as antiseptic lotions like spirit Dettol Savlon Betadine etc. should be there. In addition, necessary testing materials including gold pieces cotton pads bandages etc. should also be there.
For the clinic to run well, first of all, every kind of facility should be there in the clinic. The cooperation of the people is very important for the clinic. The cooperation of public institutions, social institutions, women’s associations, youth associations and voluntary organizations etc. is very important for the clinic. The place where the clinic is to be run should be according to the socio-economic condition of the village and also according to the arrangement for people to come to the clinic easily and according to the composition in the clinic, there should be an arrangement for health films, light refreshments etc.
c. Dimensions of Health
Physical Dimension
The complete functioning of the body is a sign of good physical health.
Good complexion
Healthy skin
Bright complexion
Luminous hair and body with no excess fat
A sweet breath
Good appetite
Good sleep
Regular function of the bowel and bladder
Smooth and coordinated body movements
All vital signs are within normal range.
Good signs of a mentally healthy person
Free from internal conflict
Well-adjusted
Accepting criticism and not easily upset. Searcher for self-identification
Strong sense of self-esteem He knows himself (needs problems and goals)
Self-control Faces problems well and tries to solve them intelligently.
3.Social dimension
A person’s social skill level Social functions and ability to see himself as a member of society.
4.Spiritual dimension
It is related to the soul and feelings of man. It is the belief in the universal aspect of the universe.
Which resolves both internal and external conflicts.
Helps individuals find the meaning and purpose of life.
Provides philosophy of life. Direction, ethics, values and principles of living a high life.
Keeps strength and confidence to face real life situations.
Emotional Dimension
This is related to feelings.
d. Air pollution
Air Pollution
Air pollution is the mixture of many harmful substances and contaminants in the air, which have a detrimental effect on human health and the environment. It is mainly caused by human activities and natural phenomena.
Causes of air pollution:
Industries and factories:
Fumes, carbon dioxide (CO₂), sulfur dioxide (SO₂), and other harmful gases emitted from industries increase air pollution.
Transport (Vehicles):
Substances such as carbon monoxide (CO), nitrogen oxides (NOₓ), and hydrocarbons emitted from motor vehicles cause air pollution.
Waste volume and fuel:
Improper disposal or burning of household waste, burning of waste on farmland causes air pollution.
Agricultural activities:
The use of pesticides and fertilizers for agriculture can release toxic gases into the air.
Natural phenomena:
Natural phenomena such as forest fires, dust storms, and volcanic eruptions also cause air pollution.
Effects of air pollution:
Effects on human health:
Can cause serious health issues such as lung diseases, breathing difficulties, asthma, heart disease, and lung cancer.
According to reports from medical institutions, prolonged exposure to polluted air is a leading cause of death.
Effects on the environment:
The amount of pollutants in the air causes irreversible damage to trees, plants, and agriculture.
Potential for acid rain, which adversely affects soil, water, and crops.
Ozone Depletion:
Some pollutants in the air such as chlorofluorocarbons (CFCs) can deplete ozone, which affects the ozone layer that protects humans from harmful ultraviolet rays.
Climate Change:
Competitive gases such as methane and carbon dioxide emitted from air pollution contribute to global warming, which can lead to climate change.
Measures to prevent air pollution:
Pollution control technology:
Installing flue gas desulfurization, air filtration technology, and dust control machines in factories.
Clean energy sources:
Reducing the use of fossil fuels and using renewable energy sources such as solar and wind power.
Reducing vehicle activity:
Increasing the use of public transport, vehicle testing and use of technologies like catalytic converters.
Tree plantation:
Planting more trees, as trees absorb carbon dioxide and control pollution.
Awareness campaign:
To make the public aware of the dangers of pollution and to educate them about the adverse effects of air pollution.
Air pollution is a serious environmental problem in today’s times, which is dangerous for both human health and the environment. To prevent it, everyone must contribute, and both the government and the people should make a joint effort.
e. Importance of Records & Reports in Community
It is an effective means of communication,
Helps in providing good quality services to individuals, families and communities
Time and energy can be saved.
Health workers can plan their work and use their time effectively.
It can be used as a means of health education. For example, for growth
It is useful for research.
It is useful for nurses in long-term and short-term planning for health.
It is useful for nurses to evaluate the care and teaching they have given,
The doctor gets information about the progress of the disease, which is usually recorded. Its working method
To diagnose the health condition of the family and give an accurate judgment
Records provide legal protection
Through the means of records, it is understood whether the treatment is given correctly and also acts as a guide between the health worker and the patient
Through records, every employee is aware of his responsibility
To get information through it if any past matter is recorded
f. Types of Communication
1.One way communication
2.two way communication
✔ 1.one way communication:
The flow of communication is “one-way” from the communicator to the receiver. Eg. lecture method
Advantages:
Significantly faster than two-way communication
Disadvantages:
Knowledge is imposed
Learning is authorized
Little audience participation
No feedback
Little influence on human behavior.
✔ 2.two way communication:
Both sender and receiver participate in it.
Mode of communication:
Verbal communication:
The traditional way of communication through the mouth.
Language is the main vehicle of communication.
“Effective verbal communication skills” include
Verbal communication also includes written words.
Non-verbal communication:
Communication occurs without words.
Facial expressions, gestures, touch and vocal tone
Common verbal communication in health care set-up are :
Standing order
protocols
Handbooks
Manuals
Complaint book
Hospital magazine
Annual reports
g. Methods of Cooking
Method of Preparation –
Different methods are used to cook food as follows.
(1) Boiling (boiling)
(2) Steaming (steaming)
(3) Frying (frying)
(4) Rousting (roasting)
(5) Baking (baking)
(6). Grilling (grilling)
(1) Boiling (boiling):-
Food is cooked by boiling water at 100* C. Grade. This method is used to prepare lentils, rice, vegetables, pulses, tubers, and other vegetables.
Since more water is used in this method, vitamins and salts are destroyed. Therefore, sufficient water is used in the boiling method.
(2) Steaming:- In this, food is cooked with hot steam. Pressure cooker works on this principle. In this, steam is more than in pressure cooker. Through this, all the nutrients are preserved. This saves time and fuel. So this method is good.
(3) Faying:- In this, thepla, dosa, all types of pudla, oil are made by drying. Similarly, puri, bhajiya, vada, kachori etc. can also be fried in oil.
(4) Rousting: It is made by putting a little oil or ghee. After that it is placed on direct heat. Chicken is made with this method. This method is also good.
(5) Baking: In this, food is cooked by dry heat. It uses an oven to cook food through its hot air. This method is good. Biscuits, bread, and cakes are made in it.
(6) Grilling: In this, dry heat is used to cook food by heating it on a metal grid.
h. Immunization Schedule
(-3(A) Write Multiple Choice Questions,10
1.Vector borne diseases are transmitted by
a. Air-
b. Insects
c. Animals –
d. Fomites
2.BCG vaccine protects child from
a Diphtheria
c. Tetamus
b. Tuberculosis –
d. Pertussis
3.Mamta Day is celebrated at PHC on
a Monday –
b Wednesday
c. Friday
d. Tuesday
4.Epidemiological Triad does not include
a. Agent –
c. Environment
b. Host –
d. Education-
5.The Causative Organism of AIDS is
a. H.I.V
C. Rubella
b. Varicella Zoster
d.Mycobacterium Tuberculosis –
6.Best source of fron is
a. Milk –
c. Rice
b. Wheat
d. Jaggery
7.M.P.H.W, stands for –
a. Multipurpose Health Worker
b. Mass People Health Worker
c. Multipurpose Home Worker
d. None of the above
8.FAT soluble Vitamin is
a. Vitamin B12
c. Vitamin E
b. Vitamin B1 –
d.Vitamin C
૯.One PHC in plain area covers population of
a. 5000-
c. 10000-
b. 20000
d. 30000
10.Children less than 1 year is called –
a. Neonate –
c. Toddler
b. Infantee
d. Adolescent-
(B) Fill in the blanks..10
1.W.H.O. day celebrated on ………. . (7th April)
2.Igm fat is=………. L.cal – (9 Kcl)
3.Vitamin D deficiency in children leads to …………. (Ricketts-)
4.P.E.M. Stands for……………. ) (Proteins Energy Malnutrition – )
5………………method is best method for cooking (Steaming-)
6……………. is classified as a body building food .. (Protein, fat and carbohydrates)
7.Salk Vaccine is given for prevention of………………… . (Polio)
8.Night blindness is caused by deficiency of ………………………. ..(Vitamin A)
9.Oral pills are………………… method of family planning (Oral hormonal)
10………………………………diet is provided to heart disease patients..(Salt Restricted Diet)
(C) True and false, 10
1.World Cancer Day is celebrated in 4 February. ✅
2.One Anganwadi covers 1000 population. ✅
3.Patients of corona to be isolated for one month. .✅
4.Vaccine is preserved at ……………..°C in LLR ” . (2 to 8 C)
5.Incubation period of small pox is 4 days.❌
6.Growth chart helps to know whether the child is malnourished or not.✅
7.Red Cross society was founded by Henry Dunant.✅
8.Scurvy caused by deficiency of vitamin C ✅
9.B.C.G. vaccine is given by Intramuscularly❌
10.Vitamin B6 is also called Pyridoxine ✅
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