Curriculum

Community Health Nursing-II

HOURS PROVIDED                   

  • THEORY – 90 hours
  • PRACTICAL – 135 hours
Sr.No Topic Learning Objectives

( At the end of the session, the students should be able to :  )

Teaching Guidelines Methodology Time
1 Introduction

· Definition, concept & scope of community Health and Community Health
Nursing
· Historical development of
· Community health
· Community health Nursing
· Pre – independence
· Post-independence

Define concepts, scope, principles and historical development of
Community health and community health Nursing.
To cover concept, scope, definition, trends, history and development of modern health and community health nursing Interactive session
Didactic lecture on Define concepts, scope, principles and historical development of
Community health and community health Nursing.
4 hours
2 Health planning and policies        and problems

  • National health planning in India — Five Year Plans
  • Various committees and commissions on health and family welfare
  • Central council for health and family welfare (CCH and FW)
  • National health policies (1983, 2002)
  • National population policy
  • Health problems in India
Describe health plans, policies, various health committees and health
problems in India.
To cover health plans, policies, various health committees and health problems in India. Interactive session
Didactic lecture, problem based learning method, simulated learning, cooperative learning
6 hours
3 Delivery of community health services
Planning, budgeting and material management of SCs, PHC and, CHC
Rural: Organization, staffing and functions of rural health services provided by government at:
Village Sub centre
Primary health centre
Community health center / sub divisional
Hospitals
District
State
Centre
Urban: Organization, staffing and functions of urban health services provided by government at:
Slums Dispensaries
Maternal and child health centers
Special Clinics
Hospitals
Corporation / Municipality / Board
Components of health services
· Environmental sanitation
· Health education
· Vital statistics
· M.C.H – antenatal, natal, postnatal MTP Act, female foeticide act,
· child adoption act
· Family Welfare
· National health programmes
· School health services
· Occupational health
· Defence services
· Systems of Medicine and health care
· Allopathy
· Indian System of Medicine and Homeopathy
· Alternative health care systems like yoga, meditation, social and spiritual
healing etc.
· Referral system
Describe the system of delivery of community health services in rural and
urban areas.
List the functions of various levels and their staffing pattern
Explain the component s of health services
Describe alternative systems of health promotion and health maintenance
Describe the chain of referral system
To cover  the system of delivery of community health services in rural and
urban areas.
List the functions of various levels and their staffing pattern
Explain the component s of health services
Describe alternative systems of health promotion and health maintenance
Describe the chain of referral system
  • Lecture discussion
  • Visits to various health delivery systems
  • Supervised field practice
  • Panel discussion
15 hours
4 Community health nursing approaches, concepts and roles and responsibilities of nursing personnel.
· Approaches
– Nursing theories and Nursing process
– Epidemiological approach
– Problem solving approach
– Evidence based approach
– Empowering people to care for themselves
· Concepts of Primary Health     Care:
– Equitable distribution
– Community participation
– Focus on prevention
– Use of appropriate technology
– Multi-sectoral approach
· Roles and responsibilities of Community health nursing personnel in
– Family health services
– Information Education
– Communication (IEC)
– Management information (MIS):
Maintenance of Records & Reports
– Training and supervision of various categories of health workers
– National Health Programmes
– Environmental sanitation
– Maternal and Child health and Family welfare
– Treatment of minor ailments
– School Health Services
– Occupational Health
–  description of Community health nursing personnel
· Describe community Health Nursing approaches and concepts.

· Describe the roles and responsibilities of Community health nursing personnel

To cover community Health Nursing approaches and concepts.

To describe the roles and responsibilities of Community health nursing personnel

· Lecture discussion
· Demonstration
· Practice session
· Supervised field practice Participation in camps
· Group Project
25 hours
5 Assisting individuals and groups to promote and maintain their health.
Empowerment for self-care of individual, families and groups in-Assessment of self and family.
Monitoring growth and development
· Mile stones
· Weight measurement
· Social development
· Temperature and Blood pressure monitoring
· Menstrual cycle
· Breast self-examination and testicles
· Warning signs of various diseases
· Tests Urine for sugar and albumin, blood sugar
· Seek health services for
· Routine checkup
· Immunization
· Counseling
· Diagnosis
· Treatment
· Follow up
C. Maintenance of Health records for self and family
D. Continue medical care and follow up in community for various diseases and disabilities
E. Carryout therapeutic procedures as prescribed / required for self and family
F. Waste Management
• Collection and disposal of waste at home and community
G. Sensitize and handle social issues affecting health and development for self and family
· Women Empowerment
· Women and child abuse
· Abuse of elders
· Female Foeticide
· Commercial sex workers
· Food adulteration
· Substance abuse
H. Utilize community resources for and family
· Trauma services
· Old age homes
· Orphanage
· Homes for physically and mentally challenged individuals
Homes for destitute
Describe and appreciate the activities of community health nurse in
assisting individuals and groups to promote and maintain their health
To cover the the activities of community health nurse in
assisting individuals and groups to promote and maintain their health
Lecture discussion
Demonstration Practice session
Supervised field practice
Individual, group, family,community health education.
15 hours
6 National health and family welfare programmes and the role of a nurse.
1) National ART Programme
2) Revised National Tuberculosis Control Programme (RNTCP)
126
3) National Anti-Malaria Programme
4) National Filaria control programme
5) National Guinea worm eradication programme
6) National Leprosy eradication programme
7) National AIDS control programme
8) STD control programme
9) National programme for control of blindness
10) Iodine deficiency disorder programme
11) Expanded programme on immunization
12) National Family Welfare Programme-RCH Programme historical development, organization,
administration, Research, constraints
13) National water supply and sanitation programme
14) Minimum Need programme
15) National Diabetics control programme
16) Polio Eradication Pulse Polio Programme
17) National cancer control Programme
18) Yaws Eradication Programme
19) National Nutritional Anemia prophylaxis programme
20) 20 point programme
21) ICDS programme
22) Mid-day meal applied nutritional programme
23) National mental health programme Health ESI CGHS Health insurance
Describe and national health and family welfare programmes and role of nurse.
Describe the various health schemes in India.
To cover national health and family welfare programmes and role of nurse.
Describe the various health schemes in India.
Lecture discussion
Participation in National Health Programmes
Field visits
20 hours
7 Health Agencies International — WHO, UNFPA, UNDP, World Bank, FAO, UNICEF, DANIDA, European
Commission (EC).Red cross, USAID, UNESCO, Colombo Plan, ILO, CARE etc.
National – Indian Red Cross, Indian Council for child welfare, Family Planning Association of India (FPAI), Tuberculosis Association of India, Hindu KushtNivaranSangh,
Central Social Welfare Board, All India Women’s conference, Blind Association of India etc.
Explain the roles and functions of various national and international
health agencies.
To cover the roles and functions of various national and international
health agencies.
Lecture discussion
Field visits
5 hours
8 National Health and Family Welfare Programmes

se programmes
• NRHM

• Health Schemes:

ESI, CGHS, Health Insurance

SCHOOL HEALTH
• Introduction: definition, concepts, objectives
• Health assessment, Screening, identification, referral and follow up,
• Safe environment
• Services, programmes and plans- first aid, treatment of minor ailments
• Inter-sectoral coordination
• Adolescent health
• Disaster, disaster preparedness, and management
• Guidance and counseling
• School health records – maintenance and its importance

• Roles and responsibilities of community health nurse

Discuss the epidemiology of Communicable diseases and  non-communicable diseases and emerging and re-emerging diseases Epidemics
Explain National Integrated disease Surveillance Programme

Discuss the Health information system

Discuss the role of Community health nurse

Discuss the various national health programmesand Family Welfare Programmes

Describe the various components of Reproductive and child health programme.

Describe the role and responsibilities of community health nurse in various national health and family welfare programmes

To cover the objectives, organisation /manpower/resources,
activities, goals, inter-sectoralapproach,implementation, item/purpose, role and responsibilities of community health nurse in  National Health and Family Welfare Programmes

and NRHMand Health Schemes

Teaching seminar on
National Health and Family Welfare Programmes

 

Interactive session

Didactic lecture on NRHM, Health Schemes, ESI, CGHS, Health Insurance

Field visits

Clinical Postings in CHC, PHC

INTERNATIONAL HEALTH

• Global burden of disease
• Global health rules to halt disease spread
• Global health priorities and programmes
• International quarantine
• Health tourism
• International cooperation and assistance
• International travel and trade
• Health and food legislation, laws, adulteration of food
• Disaster management
• Migration
• International health agencies –World Health
organizations, World health assembly, UNICEF, UNFPA,SIDA, US AID, DANIDA, DFID. USAID etc
• International health issues and problems
• International nursing practice standards
• International health vis-a vis national health
• International health days and their significance

Participate in the implementationof various national health and family
welfare programme

Define school health

Discuss the health assessment, Screening, identification, referral and follow up,Safe environment

Describe the services, programmes and plans- first aid, treatment of minor ailments
Explain inter-sectoral coordination
Discuss adolescent health
Elaborate disaster preparedness and management

Discuss guidance and counseling
Describe the importance of school health records.

Discuss roles and responsibilities of community health nurse.

To cover the definition, concepts,
objectives, health assessment, screening, identification, referral and follow up, safe environment
, services, programmes and plans- first aid, treatment of minor ailments, inter-sectoral coordination, Adolescent health, Disaster, disaster preparedness, and management, guidance and counseling, school health records – maintenance and its importance
, roles and responsibilities of community health nurse

To cover the Global burden of disease, global health rules to halt disease spread, global health priorities and programmes, ,International quarantine
,Health tourism,International cooperation and assistance, International travel and trade, Health and food legislation, laws, adulteration of food, Disaster management, Migration, International health agencies –World Health

Teaching seminar

Interactive session

Didactic lecture
Demonstration on Health assessment, Screening, identification, referral and follow up,

EDUCATION AND ADMINISTRATION
Quality assurance
Standards, Protocols, Policies, Procedures
Infection control; Standard safety measures
Nursing audit
Design of Sub-Centre/Primary Health Centre,
Community health center
Staffing; Supervision and monitoring-Performance appraisal
Budgeting
Material management
Role and responsibilities of different categories of
personnel in community health
Referral chain- community outreach services
Transportation
Public relations
Planning in-service educational programme and Teaching
Training of various categories of health workers ,preparation of manuals

 

GERIATRIC

Concept, trends, problems and issues
Aging process, and changes
Theories of ageing
Health problems and needs
Psycho-physiological stressors and disorders
Myths and facts of aging
Health assessment
Home for aged-various agencies
Rehabilitation of elderly
Care of elderly
Elderly abuse
Training and supervision of care givers
Government welfare measures Programmes for elderly-Role of NGOs
Roles and responsibilities of Geriatric nurse in the
Community

REHABILITATION

Introduction: Concepts, principles, trends, issues,
Rehabilitation team
Models, Methods
Community based rehabilitation
Ethical issues
Rehabilitation Council of India
Disability and rehabilitation- Use of various prosthetic devices
Psychosocial rehabilitation
Rehabilitation of chronic diseases
Restorative rehabilitation
Vocational rehabilitation
Role of voluntary organizations
Guidance and counseling
Welfare measures
Role and responsibilities of community health nurse

 

COMMUNITY MENTAL HEALTH
Magnitude, trends and issues
National Mental Health Program- Community mental
health program
The Changing Focus of care
The Public Health Model
Case Management- Collaborative care
Crisis intervention
Welfare agencies
Population at Risk
The community as Client
• Primary Prevention
Secondary prevention
• Tertiary Prevention
Community based rehabilitation
Human rights of mentally ill
Substance use
Mentally challenged groups
Role of community heal

Discuss global burden of disease
,global health rules to halt disease spread and global health priorities and programmes

Explain International quarantine, health tourism, International cooperation and assistance and International travel and trade.

Discuss health and food legislation, laws, adulteration of food

Elaborate Disaster management

Explain the various international health agencies

 

Discuss the International health issues and problems, International nursing practice standards , international health vis-a vis national health,
international health days andtheir significance

 

 

 

 

Describe quality assurance, Standards, Protocols, Policies, Procedures

Discuss Infection control; Standard safety measures, Nursing audit

Discuss the design of Sub-Centre/Primary Health Centre, CHC, Staffing; Supervision and monitoring-Performance appraisal

Elaborate budgeting, material management , role and responsibilities of different categories of
personnel in community health

discuss Referral chain- community outreach services, Transportation, Public relations, Planning in-service educational programme and
Teaching and training of various categories of health workers ,preparation of manuals

 

 

Describe the Concept, trends, problems and issues

Explain Aging process, and changes,Theories of ageing
,  Health problems and needs, Psycho-physiological stressors and Myths and facts of aging.
Explain health assessment
Discuss rehabilitation of elderly, care of elderly, elderly abuse

 

Discuss the Training and supervision of care givers , Government welfare measures Programmes for elderly-Role of NGOs

Elaborate the Roles and responsibilities of Geriatric nurse in the community

Discuss : Concepts, principles, trends, issues, Rehabilitation team

Explain Models, Methods and  Community based rehabilitation

Discuss the Ethical issues

Discuss the Rehabilitation Council of India
Explain disability and rehabilitation and use of various prosthetic devices
Explain Psychosocial rehabilitation, ehabilitation of chronic diseases, restorative rehabilitation, vocational rehabilitation and role of voluntary organizations
Describe guidance and counseling, welfare measures, role and responsibilities of community health nurse

Discuss Magnitude, trends and issues
Discuss National Mental Health Program- Community mental
health program
explain the Changing Focus of care
and the Public Health Model

Organizations, international health issues and problems, international nursing practice standards, International health vis-a vis national health and International health days.

 

 

 

 

 

 

 

 

 

To cover quality assurance, standards, protocols, Policies, Procedures, infection control; Standard safety measures, nursing audit, design of Sub-Centre/Primary Health Centre,
Community health center,staffing; Supervision and monitoring-Performance appraisal, budgeting
,material management,role and responsibilities of different categories of personnel in community health, referral chain- community outreach services
And training of various categories of health workers ,preparation of manuals

 

To cover the concept, trends, problems and issues, aging process, and changes, theories of ageing, health problems and needs, psycho-physiological stressors and disorders, myths and facts of aging, health assessment, home for aged-various agencies, rehabilitation of elderly, care of elderly, elderly abuse, training and supervision of care givers, government welfare measures Programmes for elderly-Role of NGOs, roles and responsibilities of Geriatric nurse in the Community

 

To cover: Introduction: Concepts, principles, trends, issues,
Rehabilitation team
Models, Methods
Community based rehabilitation
Ethical issues
Rehabilitation Council of India
Disability and rehabilitation- Use of various prosthetic devices
Psychosocial rehabilitation
Rehabilitation of chronic diseases
Restorative rehabilitation
Vocational rehabilitation
Role of voluntary organizations
Guidance and counseling
Welfare measures
Role and responsibilities of community health nurse

 

 

 

To cover magnitude, trends and issues, National Mental Health Program- Community mental
health program, the changing focus of care, the Public Health Model, case management- Collaborative care, crisis intervention, welfare agencies, population at risk, community based rehabilitation, human rights of mentally ill, substance use, mentally challenged groups
and role of community health nurse

Teaching seminar

 

Interactive session

Didactic lecture

Disaster drill

Field visits

International day celebration

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Didactic lecture through Power point projections.

 

Teaching seminar

 

Interactive session

Didactic lecture

Disaster drill

Field visits

Report writing.

 

 

 

 

 

Didactic lecture through Power point projections.

 

Teaching seminar

 

Interactive session

Didactic lecture

Disaster drill

Field visits

Report writing.

 

 

 

 

 

Didactic lecture through Power point projections.

 

Teaching seminar

 

Interactive session

Didactic lecture

Disaster drill

Field visits