Page 42 - fourth year book

COMMUNITY HEALTH NURSING

Settings for practicing CHNg.

C.H nurses practice in a variety of settings:

1. Homes 2. Ambulatory setting

3. Schools 4. Occupational health settings
5. Residential institution 6. The community at large
N.B.

It is to be remembered that CHNg practice is not limited to a specific

area but it is a specialty of nursing that can be practiced anywhere.

Levels of prevention

Public health focuses on preventing physical, psychological,
environmental and sociological conditions that may put health at risk
(health protection), detecting health problems early (screening) and
changing people’s and societies’ attitudes and practices regarding

lifestyle choices (health promotion).

Traditionally there have been three approaches to disease prevention:
primary prevention, secondary prevention and tertiary prevention
(Shah, 2003). As described below, community health nurses play a role at

each level

Primary prevention:

This is accomplished in the period before a person is diseases by

interventions designed to promote optimum health by:

I- Health promotion

- Health education to general people.

- Good standard of nutrition.

- Attention to personally development.

- Provision of adequate housing, recreation and agreeable working
condition.

- Marriage counseling and sex education.

- Periodic selective examination.

- Environmental sanitation.

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