Category Archives: Community Health Care

To Your Satisfaction in Lovemaking

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COMMUNITY HEALTH ASSESSMENT TOOLS IN A DEVELOPING SOCIETY

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Community health nursing synthesis the body of knowledge from the public health sciences and professional nursing theories for the purpose of improving the health of the entire community. Community health nursing practice therefore promotes and preserves the health of the population.The community is not an easily or consistently defined entity. It is a nebulous, complex concept. Thus a community in its broadest sense will be defined as a group of people living in an environment that has the ability to meet their life goals and needs.

The entry into the community is usually made possible by the chief medical officer through the issuance of letters to community leaders for easy acceptability and assessibility. Critical to the dynamics of a community are its patterns of communication, leadership and decision making and this occurs as a result of interaction between community members and the larger society. The different components of this community include people, environment and health care delivery system and together they determine the physical, social, mental states of wellness of the people. For the people component there is a.demographics such as population distribution, mobility, density and census data; b.biological aspects will include health and disease status, province/state of origin, nationality, age, sex,mortality. c. acquired aspects are twofold, social which takes into account occupation, activities, marital status, education,religion and cultural which include position, roles value, customs, norms, taboos.For the environmental component there is a.physical aspect which include natural resources, landscape, climate, terrain, relief, boundaries and limits; b. biological and chemical aspects such as animal resevoirs, toxic substances, food supply, standard of food control, water source, staple food, vector control, living arrangement, sewage disposal, water supply and refuse disposal; c. social aspects involve industry and economics, communication, transportation, recreation/recreational facilities and religion. For the health care delivery system component, there is a. the organisational aspect involving government and private sectors, systems, linkages and b. resources which involve health personnel, health centres, clinics and hospitals, funds, services.

Through the complete understanding of these different components, then can health promotion, disease prevention and rehabilitative measures be implemented. Promoting health of the people and their welfare can be done through health education to both individuals and families. During these education sessions, various aspects of diseases, their prevention can be given as well as ways of rehabilitation when calamity strikes.Community health problems will then be arrived at through two ways: a. as perceived by the community and then b. as perceived by the community health nurse. A community diagnosis will then be reached, which can range from one to several. Recommendations can then be made to the appropriate people concerned.

In conclusion, the communtiy health nurse, in doing this assessment, must strive to work as a team with the community involved and he/she must be able to achieve if not all, some of the eight components of primary health care, such as immunisation against infectious diseases, an adequate supply of safe water, education concerning prevailing health problems and the methods of preventing and controlling them.

Vision for Community Health and Social Care: A Perspective for Collaboration between Agencies

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Restructuring of health and social care is forcing many services to close or  become streamlined and managers have had to find new ways to ensure they get financial support to continue services’ delivery. In the current climate of rationing services, preventative care should be re-in fenced to minimise accidents and service users’ health deterioration at home. The measure is intended to save health and social care money in the long run. By contrast, due to drastic cuts across the public sector organisations, unfortunately preventative services are often the first to be axed. This actually tantamount to negligence at core, which later challenges the existence of our prime services – to manage complex situations such as the critical and substantial care needs. Therefore, what is the rationale behind this policy decisions?

Nonetheless, it could be argued that such decisions are accredited to the tunnel vision of some senior managers. In hindsight, some of them can only see within the parameters of their corporate responsibilities that is “to save money”. In reality, it is only the older people and the other vulnerable groups in society that would suffer the consequences of such irrational decision-making. Thus, the aims of this article is to illuminate how the managers could make the case for continuing care delivery in a changing economic environment in relation to; demographic change and linear family units in the 21st Century and beyond.

On reflection, best practice would suggest that in a time of economic and budgetary constraints, collaboration with the local primary care trusts, community organisations and the third sector institutions would prevail. This would ensure that the vulnerable service users will be supported adequately to become more independent in their homes. Partnership working between agencies has the propensity for sharing resources such as, staff, information technology, offices, intelligence etc. If we are to emulate the private sector, mutualisation would help in reducing unmet needs and service breakdowns in the community. Sharing responsibilities would also promote health and psychosocial well-being among service users as well as reducing the need for admissions into nursing homes or hospital admissions.

Managing community services require organisational cultures and political change, which would give rise to the sharing of intelligence between the collaborated organisations who are working for the benefits of service users (older people, learning disabilities or mental health). This approach is intended to provide opportunities in reducing services’ duplications, costs and antagonistic relationships between agencies. Whilst capitalising on intelligence sharing, a lot of soft evidences could turn to hard evidences, this coming directly from community health practitioners such as community nurses and social workers. This data would show for example, figures on how many older people or the other vulnerable groups that were admitted to hospital after a fall or care breakdowns and what these cost the NHS and social services in after-care.