philadelphia university · objectives of older adult nursing care are to: 1. assist older adult to...

PHILADELPHIA UNIVERSITY Faculty: Nursing

Department: Community Health Nursing

1

Community Health Nursing

(Clinical)

First Semester(2018/2019)

I. Basic Information:

Campus: Philadelphia University.

Faculty: Nursing.

Course title: Community Health Nursing (CHN) Practice

Course code: 910436

Credit hours: 3 hours

Placement : Fourth year

Prerequisites: The student should have taken the following nursing courses

(910327, 910325)

Course Coordinator: Dr. Mayada Daibes

II. Professional Information: Course description:

This Community Health Nursing (CHN) course is designed to orient the fourth year nursing

student to the international and national community nursing disciplines, principles and gain abroad

perspective of CHN at the three levels (i.e. individual, family, and community). The focus will be

on the health status and health care need of Jordanian population groups, to develop strategies for

health promotion, and illness prevention, mental health is included as well. Furthermore, the

course provides student with opportunities for comprehensive practice in different community

health nursing settings under close faculty supervision, based on a context of primary health care

and current models of health promotion, in addition to the previous clinical knowledge and skills

acquired in previous courses.

The CHN roles are family and community-oriented rather than hospital –based, which focus on

health promotion prevention rather than treatment .In addition the students are introduced to the

nurses’ role as a member of a multidisciplinary health team, who is able to apply the basic

principles of epidemiology to nursing practice and taking professional responsibilities for

improving the health Jordanian population. Throughout this course, students will utilize the

problem solving approach by the implementation of the nursing process in diverse community



2

settings such as schools, health centers, industrial areas, homes, elderly homes, and rehabilitation

centers.

Course objectives: By the end of this course the student will be able to: 1. Asses the activities, problems and needs in the different Jordanian community settings.

2. Make nursing diagnosis based on the-assessment phase. 3. Implement nursing care plan in the management of populations with

Special needs (e.g. older adult client with disabilities, patients with

chronic disease….etc)

4. Identify the important situations and environmental factors, which

affect individual and family health. 5. Apply management principles and problem- solving approach in providing nursing care for

individuals and families. 6. Apply teaching- learning theories and health education principles

when conducting health education programs to individuals, families and groups

7. Explore / learn the important and applications of continuity of care and long- term care.

8. Carry out research studies pertinent to CHN. 9. Acts as a model for other community health workers within the health care team

10. Identify the importance of C.H. Nurses' role in reporting and recording.

11. Communicate effectively and skillfully with different personnel

(health team, school teacher, industrial personnel and community setting personnel)

12. Provide different types of health care promotion, preventive, curative and rehabilitative, at

the three level of prevention.

13. Re-evaluate all the nursing steps that have been done for better quality

of care.

1. Area of Primary Health Care Center (including M.C.H):-

Objectives:-

At the end of this area the students will be able to:-

1. Identify the rationale for M.C.H.

2. Become aware of the aim of M.C.H. care



3

3. Identify the common health problems among Jordanian

mothers and children.

4. Recognize the component of PHC programs(including MCH).

5. Identify the different integrant care provided within PHC.

Centers in Jordan.

6. Provide effective care to the mother and child.

7. Explore the causes of maternal and child mortality and

Morbidity.

*Student Requirements for PHC center.

1. Apply nursing process for (1 case) a mother with her child.

2. Work as care provider in different clinical area.

3. Implement health education to women/men regarding different basic health concepts and

reproductive health issues (e.g. child care, breast feeding, weaning, immunization, prevent

infection, accident prevention, periodic follow –up, early education & prompt treatment, as well

as, child bearing and spacing) & chronic diseases.

2-Area of School Health:

Objectives:

At the end of this area the students will be able to:- 1. Identify goals of school health program (SHP).

2. Enumerate the component of (SHP).

3. Elaborate the activities of the S.H care within the three levels of

prevention

4. Recognize the school health team.

5. Discuss the common health & developmental problems among

school children.

6. Discuss roles of the C.H.Ns in health promotion, environmental sanitation and school

health within the school setting.

Student Requirements in school Health:

1. Assessment of the school environment .

2. Health assessment for 1 school student.



4

3. Health education classes, which should be selected according to

the need of students.

3- Area of Older Adult Nursing Homes:

Objectives of older adult nursing care are to:

1. Assist older adult to live healthfully through heath teaching and

periodical check ups.

2. Postpone the deterioration of the physical defect e.g. kyphosis of the upper spine by daily

exercises…..etc.

3. Prevent chronic illness by early diagnosis and early treatment.

4. Help the older adults to cope with their problems and chronic illness e.g. in case of diabetic

and hypertension, heart disease, etc.

Objective of older adult nursing home:

By the end of this practical field experience, the student will be able to:

1. Apply principles of communication.

2. Identify the different characteristics of older adults.

3. Recognize the different common health complaints, problems/ diseases

(physical, social, functional, environmental and psychological) among older

adults and how the clients cope with it.

4. Recognize the daily individual needs (physical, mental, emotional and social) of older

adults.

5. Recognize the individual needs regarding the activity (s) of daily living in older age

homes.

6. Identify different health and health related servities that actually provided for

the older adults in older age homes.

7. Identify medical care services actually provided in the older age home

(periodically, weekly, & annually).

8. Apply principles of nursing process in caring for older age clients through short and long-

term plan.

9. Seek opportunities for health education for older adults according to priority

of needs.



5

10. Recognize different health records, registration system available in the older

age home.

11. Recognize the referral system to other community health resources.

Student Requirements in Older Adult Nursing Homes include:

1. Older Adults Report.

2. Providing health education presentation.

4. Area of Occupational Health:

Objectives:

At the end of this area the students will be able to:

1. Identify the occupational health hazards facing worker in the work place.

2. Identify the leading causes of health problems encountered in the work site.

3. Recognize the accident prevention devices.

4. Determine the advantages of providing health care in the work setting.

5. Apply the nursing process to workers in their work place.

6. Describe the potential of health care programs in the work setting.

Student Requirements in Occupational Health:

* Providing Field visit report.

5. Family Assessment, Home visits:

Home visiting provide student with the opportunity demonstrating

the application of the nursing process within the family. Students should be well prepared to

provide different nursing care for different family members (ante-natal and post-natal women,

parents. children, and grandmother/ father) in their own environment.

Learning Objectives for Family Assessment, Home visits:

1. Assess the level of wellness and health problems of the individual and family (Family

Assessment Form).

2. Assess the needs for health maintenance, health promotion and specific protection.

3. Determine goals and strategies for actions to assist the client and family to solve/ cope with

their problems and meet their needs.

4. Implement the designed plan of care.



6

5. Discuss difficulties encountered in implementing the plan or achieving the goals (such as

noncompliance to medications, diet, and rest), as well as, suggest appropriate

modifications.

Student guidelines for Family Assessment & Home Visits:

1. Each student will select 2 families for home visits from a list of clients provided by the

health center.

2. Review the center records for the selected clients.

3. Complete the first part of the home visit report (directions to the place of residence,

diagnosis or needs….. etc.)

4. Form groups of students for home visits.

5. Arrange a pre visit and discuss it with your instructor who must approve your writing

regarding specific goals and nursing activities (daily log).

6. Prepare community health nursing bag (as per checklist).

7. Complete the post visit with one or two students.

8. Complete the post visit activities and prepare nursing care records.

9. Each student will be evaluated for home visits.

Student's Requirements for Family Assessment & Home Visits :

Providing Family Assessment Form., Home visit report , Health Education , this includes the

application of the phases of the nursing process.

Teaching Strategies:

Health Educational classes.

Open group discussions.

Making appropriate assessment for each health setting.

Writing field reports.

Family studies & Nursing care plans.

Guided and self-directed learning by using different resources.

Seminars presentation and follow-up discussions.

Mentoring & role play.



7

Areas/ Scopes of Practice in Community Health Nursing:

* Health care centers.

* Schools health.

* Rehabilitation centers.

* Industries in different areas.

* Older age home.

* Homes.

* Seminars.

Week Content

(1,2)

15-24/10/2018

Registration

Introduction to the course syllabus

Assignment schedule of the course

(3,4)

29/10-7/11/2018

CHC

(5,6,7,8)

12/11-5/12/2018 Home Visit

(9,10)

10-19/12/2018 School Health

(11)

24+26/12/2018

Seminars

(12,13)

31/12-9/1/2019 Field Visit

Rehabilitation center visit

Family Protection center

Factory visit (occupational Health)

(14)

Final practical Exam

Written and oral exam



8

Nursing Process Form Nursing Process Form

1. Health care center:

PHC Report & Nursing Process Form

Health Education

10%

5%

5%

2. School health Assessment & Health Education

School Assessment Sheet

Health Education

10%

5%

5%

3. Field visit report Activity

4. Home visiting:

Family Assessment

Home visiting report & health education

20%

10%

10%

6 Seminar 10%

7 Professionalism

10%

Total for course work 60%

8 Final assessment :

Oral Exam

Written Exam

40%

20%

20%

Total Grade (100%)



9

Appendix (1)

PHC Report (5%)

& Nursing Care Plan (5%)

Name of the student: __________________________________ (1 mark)

Name of the health centre: ______________________________

Area served ___________________Sq. Km. Population served __________________

Clinical experience started on _____ / _______ / _________ / _________

Clinical experience completed on ______ / _______ / ________ / _______

Report submitted on ________ / ________ / ________

1. What are the aims and objectives of health centre? (2 marks)

_______________________________________________________________________________

_______________________________________________________________________________

_________________________________________________

2. List four functions of a health center? (2 marks)

_______________________________________________________________________________

_______________________________________________________________________________

_________________________________________________

3. Describe the number and category of staff in the health center? (1 mark)

_______________________________________________________________________________

_______________________________________________________________________________

_________________________________________________

4. Draw a physical layout of the PHC (1 mark)

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________



10

5. Differentiate between Hospital service and Health Center service/ Referral System (3 marks)

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________

6. List the Primary Health Care Services provided through the Health Center. (3 marks)

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

______________________________________________________________________________



11

7. Mention the various clinic sessions conducted and its weekly / monthly schedule, and the

activities performed. (3 marks)

NAME OF THE CLINIC WEEK / MONTH ACTIVITIES

1. CHILD HEALTH

CLINIC

2. A. N. C.

3. P. N. C

4. IMMUNIZATION

5. BIRTH SPACING

6. GENERAL / ANY

OTHERS



12

8. Is there a flow chart to organize the clinic activities? Yes / No (1 mark)

a) If yes, draw the same and explain how effective it is.

b) If no, suggest a flow chart for any one clinic session and describe how it can increase

the efficiency of service / progam.

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________

9) what are the common diseases / minor aliments reported (chronic & acute). (1 mark)

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________

10. List the National Control Programes & the main activities carried out to achieve its objectives.

(1 mark)

Type of Programs Main Activities

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________

11. What are the areas of health education given to clinic attendants? (1 mark)

a) Planned health education program b) Incidental education program

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_____________________________



13

12. Mention the types of records and report maintained in a health centre. (2 marks)

Name of the record / report Significant content of the record

(example)

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_____________________________

13. State the health indicators / statistics available in the health centre (Reports provided to the

Information Center). (1 mark)

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

14. What are the uses of these indicators? Specify any three. (1 mark)

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

15. Is there a support group available in the area of practice? (1 mark)

a) If yes, who are the members?

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________



14

b) What are their functions as a support group members.

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

16. SELF – EVALUATION .

a) Have you achieved all you learning objectives?

b) If no, what were the obstacles that prevented you from achieving your learning

objectives?

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

17. Give your suggestions to improve this experience.

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

18. Nursing Care Plan during the clinic activities (5%)

a) Select any one of the client / family from any of the above clinic sessions.

b) Assess and identify the needs and problems and state the nursing diagnosis.

c) Develop a care plan, implement nursing interventions based on priority and meet any

one need / problem and elevate the care given.

d) Document it in the nursing care plan format provided to you .



15

Appendix (2)

Health Education Topics Related to

CHC Centers (5%)

Topic Student Name Date Day

1. Breast feeding and weaning.

2. Family planning.

3. Child with enuresis.

4. Home accident prevention.

5. Pre-marital Counseling.

6. Breast Self-examination.

7. Diabetes mellitus.

8. Hypertension.

9. Immunization schedules

10. Communicable diseases

among infants



16

Student Evaluation For Health Education

(5%)

Clinical Area:…………………………..........................................

Student Name:………………………… Student N.O…………….

Subject Title:………………………………………………………

Evaluator Name:…………………………………………………..

Total Grade: /5 Date: …………………………

No Items 1 2 3 4

1 General professional appearance

2 Introduction/objectives

3 Relevant & applicable to nursing

4 Appropriate to level of audience

5 Organization of content

6 The competency & the knowledge background

7 Accurate, clear & Appropriate vocabulary/

terminology

8 Initiate & control the discussion

9 Stress on important points

10 Use of audiovisual aids

11 Time control

12 Summary & conclusion

13 Written material is well prepared

14 Evaluate the health education process

15 Utilization of research pertinent to the topic

Rating scale:

1: unsatisfactory

2: satisfactory

3: good

4: very good



17

Appendix (3)

School Assessment Sheet

(5%)

Name of the school: …………………………………….

Location: ………………………………………………

Shape: ……………………………………………….

Structure: …………………………………………….

No. of the student: …………………………………..

No. of floors: …………………………………………

Play yard garden: …………………………………….

Classroom status:

No. of the student/ classroom: ……………………….

Lightening: ……………………………………………

Ventilation: ……………………………………………

Wall status: ……………………………………………

Size of the class: ………………………………………

Cleanliness: …………………………………………...

Garbage basket: ……………………………………….

Sanitation:

a. Sewage disposal:

Type: ……………………………………………..

No. of student s/ toilet: ……………………………

1. Toilet status:

Lightening: ………………………………….

Ventilation: ………………………………….

Wall status: ……………………………………

Privacy: ……………………………………….

Cleaning facility: ………………………………

Water: …………………………………………..

Drying facility: ………………………………..

b. Refuse disposal:

Collecting: ……………………………………...

Disposing: ………………………………………

No. Basket in the school: ……………………….

Intervals between disposals ………………………….

c. Water Supplement:

No. of student/ fountains: ………………………

Location: ………………………………………..

Status: …………………………………………..

Water disposal status: ………………………………..

Height of fountain: ……………………………...



18

Other facilities: ……………………………….....

Students remarks: ……………………………….

d. Facilities:

Available: ………………………………………..

Canteen: ………………………………………….

Library: …………………………………………..

Painting room: ……………………………………

Others: ……………………………………………

……………………………………………………….



19

Appendix (4)


School Health (5%)

Topic Student Name Date Day

1. Accident& injury

prevention.

2. Child abuse neglected

Importance of personal

hygiene.

3. Obesity among school

children

4.Salmonella & food

poisoning

5. Communicable Diseases.

6. First aid (burns,

fracture,& wound care,

epistaxis)

7.Healthy Nutrition

8. Risky behaviors among

school children &

Pediculosis

9. Violence & Bullying

among school children



20

Appendix (5)

Field visit: home\ institution for people with special needs (5%)

Student guideline for reporting the agency visit

Name of the student …………………………………………………..

Name of the institution ………………………………………………….

Date of visit …………………………………………………………….

1- State the objectives of the institution.

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

……………………………………………………………………………………………….

2- State the type of special needs (physical, mental, sensory ,other).

………………………………………………………………………………………………

………………………………………………………………………………………………

3- List the services provided for people with special needs.

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

4- What support systems are available to the people with special needs

in the family ……………………..……………………………………………………….

…………………………………………………………………………………………….

In the community …………………………………………………………………………

……………………………………………………………………………………………..

5- List the problems that you have observed in the people with special needs

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………



21

6- What health promotive activities are available for the people with special needs?

..................................................................................................................................................

..................................................................................................................................................

..................................................................................................................................................

..................................................................................................................................................

.................................................................................................................................................

7- What measures are taken to meet the esteem \ psychological needs of the people with

special needs in the institution?

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………..

8- What recreational facilities are available to the people with special needs in the

institution?

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

……………………………………………………………………………………………….

9- Suggest an action plan to solve the problems identified and to encourage health

promotion of the people with special needs.

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

……………………………………………………………………………………………….

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

……………………………………………………………………………………………….

10- Write what have you learned from this visit?

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

……………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………



22

Appendix (6)

FIELD VISIT TO OCCUPATIONAL HEALTH AGENCY (Activity)

OBJECTIVES: At the end of the visit the student will be able to: 1. Describe the administrative functions of occupational health services. 2. Identify occupational health hazards associated with the industry. 3. State the protective measures (personal and environmental) instituted by the industry . 4. Identify the health welfare and safety programs available to the workers. 5. Describe the role of health professionals in occupational health services with special reference to occupational health nurse. STUDENT ACTIVITIES BEFORE THE VISIT Read the unit on Health of the working population study the visit guide - line and prepare to obtain necessary information during the visit . STUDENT ACTIVITIES DURING THE VISIT Follow the guideline provided to observe various aspects of occupational health . Carefully observe clarifications to the professional who will give orientation to the industry. Make necessary clarifications to the professional who will give orientation to the industry. STUDENT ACTIVITY AFTER THE VISIT Complete the observation guideline and submit to the clinical supervisor for evaluation .



23

STUDENT GUIDE LINE FOR ASSESSMENT OF OCCUPATIONAL HEALTH SERVICES

FIELD VISIT REPORT Name of the student ____________________________________________________________Reg. No. ___________________________. Year _____________________________ Summer session. Date of visit __________________________________. I. Name of the agency: _______________________________________. Address _________________________________________________________________________________________ Location _______________________________________________________________________________ Major product ________________________________________________________________________ II. Organizational information a)Total no. of employees: ________________________________ b) Length of work time / shift:_______________________________ c) Length of work / week: ____________________________________ d) Age of entry: ________________________________________________ e) Age of retirement: __________________________________________ III. Support services / welfare programs Yes No a) Insurance programs ( ) ( ) b) Educational ( ) ( ) c) Retirement ( ) ( ) d) Recreation ( ) ( ) IV. Work environment a) Space: Adequate / isolated / crowded b) Standing / sitting facilities: Adequate / No adequate c) Safety equipment (safety devices) used / not used If in use, types Safety glasses ( ) Face Mask ( ) Gloves an gowns ( ) Safety glasses ( ) If not used, why? _________________________________________________________________________________________



24

d) Risk control measures 1. Total enclosure Present / Absent 2. Ventilation Present / Absent 3. Machine guards Present / Absent

V. Sanitary facilities

a. Safe Drinking Water Present / Absent b. Hand washing facilities Adequate / inadequate c. Rest Room Present / Absent d. Lockers Present / Absent e. Toilet Present / Absent

f. Methods of disposal of wastes Solid Safe / Unsafe Liquid Safe / Unsafe Aerosol Safe / Unsafe g. Accumulation of dust Present / Absent h. Canteen facilities Available / Not Available i. Recreational facilities Present / Absent IF present specify the nature ________________________________________________________ VI. Environmental Monitoring: Done / not done How often is it done? Monthly / quarterly / twice a year / yearly



25

VII. Industrial Processes: 1. Equipment used:Portable / Fixed / Heavy / light 2. Raw Materials used _______________________________________________ 3. Brief Description of the nature of process ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 4. Nature of Final product: ___________________________________________ 5. Exposure to Toxic substances ( specify the type of toxic substances ) ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 6. Potential health hazards in the work place 1. Chemical Hazards: Vapour / Dust / Gases 2. Physical Hazards: Heat / Cold / Noise / Radiation / Excessive light 3. Biological Hazards: Infections _________________________________________ 4. Mechanical Hazards: Vibration ________________________________________ VIII. Health and Safety Programs 1. Health and Safety Programs a. Health Personnel Doctors Yes / NoIf yes, No. present ______________ Nurses Yes / No If, yes, No. present ______________ Sanitary Officer Yes / No Sanitary assistant Yes / No Fist-Aid assistant Yes / No If, yes no per shift ________________ b. Safety personnel Safety Engineer Yes / No Safety Supervisor Yes / No Any Other Yes / No 2. Health and safety facilities a. Health facilities Yes / No Hospital Yes / No Dispensaries Yes / No First Aid Station Yes / No First Aid Kit Yes / No Ambulance for emergency Yes / No

b. Health Program Objectives of the program Available / not available If available, Clear / unclear Pre-employment Examination Yes / No



26

Pre-placement Examination Yes / No Periodical Examination Yes / No Special Medical Examination Yes / No Post - sickness Examination Yes / No Health Fitness Card Yes / No Screening Test Yes / No

c. Referral By whom: Doctor / Nurse To whom: hospital __________ Health centre ____________ Reasons For referral _________________________________________________________________________________________ 3. Counseling, Health and safety education for workers: Present / Absent a. If present, methods used: Individual / Group b. Media used Projected / non-projected aids c. who conducts health & safety education program ? Doctor / Nurse / Safety Personnel d. How often doctors / Nurses / safety inspectors visit the work place ? Weekly / fortnightly / monthly e. Who Does safety inspection _______________________________________________ f. How often inspection of the plant id made: Daily / Weekly / Fortnightly g. Accident investigation Yes / No h. Records and reports IX Suggestions & Recommendations :



27

Appendix (7)


Older Adult Homes

(5%)

Topic Student name Day Date

1. Osteoporosis &Arthritis

2. Activities of Daily living &

Exercise.

3. ALZheimer's Disease &

Dementia .

4. G.I.T Problems.

5. Respiratory Tract Problems

6. Coronary Heart Disease

7. Sleeping Disturbance.

8. Depression.

9. Nutritional Needs of elderly.

10. Safety Environment &

Accident Prevention.



28

Appendix (8)

ELDERLY ASSESSMENT FORM (5%)

I. Identification data: Name of the Client _____________________________ Age _____________________ Sex ___________ _House/Bed No. _________________ Address _______________ Education ______________________ Occupation _____________________________

Marital Status: __________________Single/ married / widower / divorced Family: Nuclear / Joint . Date of visit _________________________________________________

A. Physical assessment: Walk, alone : Yes / No Needs assistance by Person: Yes / No Walker: Yes / No Wheel chair: Yes / No Degree of ambulation: Yes / No Complete bed rest

B. Assessment of sensory condition: Sense Sensory condition

Normal Impaired others

1. Hearing

2. Vision

3. Touch

4. Taste

5. Smell



29

C. Ability to perform ADLS:

CARE ABILITY TO CARE FOR HIMSELF

Independent Partially dependent

1. Eating

2. Dressing

3.Combing

4. Morning care (toileting)

5. Bathing

6. excreting (urine/stool)

D. Diet of the elderly: a) Ordinary diet b) special diet Nutritional Habits and Problems

Habits / Problems Yes No Plan Remarks

1. Anemia

2. Anorexia

3. Denture Problem

4. Digestive problems

5. Smoking

6. Tea / Coffee

7. Other problems



30

E. Special Complaints :

Complaints Yes No Plan Remarks

1. Inability to care for own self

2. Insomnia

3. Head Ache

4. General Pain 5. Arthritis

6. Others

F. Psychological assessment:

Complaints Yes No Plan Remarks

1-Do you feel a sense of purpose

In your life that keep you

interested?

2. Not able to adjust to life

3.How many times did you want

to leave home ?

4. Always live in the past

5. Does it seem that no one

understands you ?

6. Do you feel weak all over much

of the time ?



31

7. Feels lonely

8. Is your sleep disturbed ?

9. Others

G. Social assessment: 1. Ability to discuss present current event: Able /confused /Low power of concentration 2. Special hobbies and interest: Walking / reading / Playing cards / watching TV / other H. Social support system: Visit of the family members and friends to the elderly in the home

Family Yes / No Friends Yes / No Relatives Yes / No

Who lives with you ? Have you talked to any friends or relatives on phone ? Yes / No (how many times per week) Are you satisfied by seeing your friends or relatives as often as you want ? Is there some one who would care for you ? Yes / No I. Mental status Assessment: 1. General Appearance (Please check Where applies)

Posture Slouched ___________ Rigid __________ Dress Inappropriate for place weather _____________ Grooming Meticulous __________ Un-kept _______ poor hygiene _______

2. Non-verbal communication:

Angry facial expression ________________ Restless _______________ Agitated ________________ Lack of eye contact _________________



32

3. General behavior:

Tense _____________ Resentful / Hostile ___________ Unwilling to participate in care / uncooperative

4. Mood: Tearful __________ Elated ___________ sudden mood changes _________ Flat affect ________________

5. Speech / language: Slow _________ Monotonous tone ___________ Rapid nonstop ____________ Discuss in appropriate topic ______________ Flight of ideas ______________ Incoherent garbled ___________________ disorganized ____________________

6. Orientation (level of awareness) Unaware of time: ______________________ Unaware of place:______________________

7. State of consciousness: Slow movements and delayed response to stimuli ____________________ Respond only to vigorous stimuli _______________________________________ No response to stimuli ___________________________________________________

8. Memory: No recall of recent memory _____________________________________________ No recall of past events __________________________________________________

9. Information or knowledge level: Distorted perception of cause of the problem _________________________ Lack of understanding of reason for treatment ________________________ Poor comprehension of required skill __________________________________ Denial of the problem or need for treatment __________________________

J. Summary of client / family needs / problems (state as nursing diagnosis) _______________________________________________________________________________

_______________________________________________________________________________

____________________________________________________________________________

Family Coping Mechanisms: Major strengths / limitations: Nursing goals / outcomes Nursing intervention (write care plan in the format) Evaluation of the implemented plan Summary and progress notes



33

Appendix (9)

Home Health Care

Family Assessment Form

(5%)

Identify Date:

Family name.

Address

Client, s name

Reason of visit

Source of referral

Date of admission

Date of discharge

Total number of visits.

Number of family members in household

Family income/month

Family type

Environmental data:

Crowding index: room/ s family of member.

Availability and adequacy of : (yes) (no)

Electricity.

Safe water.

Sanitary sewage disposal.

Sanitary surrounding environment.

Ventilation.

Lighting.

Private kitchen.

Private bath room.

Refrigerator /gas stove/washing machine:

Cleanliness:

Family (Demographic)Assessment Form



34

No Member Birth

date

Sex Marital status Education Occupation



35

Family Assessment Form

Outline:

1.Identifying data.

2.Family characteristics.

3.Source of referral and receptivity of the family.

4.Factors affecting family health status.

Environment.

Socio- economic.

Psychological.

Education.

Communication.

Role Division.

5. Attitude & actual practice toward community health resources & services.

6.Family health needs and problems identified.

7.Accident potential hazards & if yes specify sources.

8.Short and long-term plans of nursing interventions toward identified health related

needs and problems.

9.Students own comments and suggestions for better health condition of the family.



36

Appendix (10)

Home Visiting Report Form

(15%)

Activity Remarks

Activity implemented in each visit

Evaluation of the activity and the achieved objectives (SWOT) Strength, Weakness,

opportunities, threats.

Evaluation remarks of family assessment form

post visit



37

Activity Remarks

Health Education Subject/ Evaluation

Suggestions & Recommendations

Amount of time spent in this visit:

Start time………………………..

End time………………………...

Total time spent…………………

Date and time for next visit

Day……………………….

Time………………………



38

Appendix (11)

Evaluation Format for professionalism

During practice (10%)

EVALUATION 1 2 3 4 NA

1. Community/ relationship with:

a. Clients

b. Colleague

c. Supervisors

d. Working personnel e.

2. Professional Behaviors:

a. uniform(clean, neat, &tidy)

b. Adhere to code of ethics

c. Exhibit Caring Behavior.

1. Coming on time.

2. Have excuse/ not

3. Personality:

a. Motivated.

b. Polite & patient.

c. Identify own problems.

d. Volunteer

e. Clinical activity evaluation.

4. Leadership Ability:

a. Ability to lead group.

b. Ability to control the group

c. Ability to take decision

d. Ability to manage with different situation.

5. Self directed.

6. Nursing process application.

7. Demonstrates work interest.

8. Maintains professional conduct.

9. Exhibit critical thinking& creativity.

10. Demonstrates self awareness.

11. Demonstrate teaching learning skills.



39

Appendix (12)

Seminar Topics

Topic Student

Name

Date Day

1. Domestic Violence in Jordan

2. Bird Influenza. Avian Flu

3. 3. Autism

4. Hospices & long-term care

Palliative care.

5. Thalasemia

6. Substance Abuse Addiction.

7.

7. Road Traffic Accident.

9. Community in Disaster &

Crisis

10. Hepatitis (all types)

11. Epidemic & Endemic diseases

and their management in Jordan

12. Hypertension and Diabetes in

Jordan

13.

14. New Issues in Women and

Reproductive Health

15. Air Pollution, Water Pollution,

& Environmental Pollution



40

Appendix (13)

Outline of Seminar

Content Outline:

Cover sheet

Introduction:

Magnitude of the problem.

(Incidence & Prevention)

Significance of the subject.

Definition of the relevant terms.

Etiology (Causes or predisposing leading to the problem ).

Manifestation, characteristic or signs and symptoms and diagnostic procedure).

Treatment/ approach to deal with the problem.

Complication of the problem/ consequences.

Available community resources and services provided.

Role of the C.H.Ns within the application of the three levels of prevention.

References (author, year o publishing, name of the book, edition, publisher, country,

pages).



41

Appendix (14)

Student Evaluation for Seminars (10%)

Clinical Area:…………………………..........................................

Student Name:………………………… Student N.O…………….

Subject Title:………………………………………………………

Evaluator Name:…………………………………………………..

Total Grade: /10 Date: …………………………

i. Written Assignment: 1 2 3 4

1. Cover sheet (University. title, student name, date name

Written content outline

2. Clear objective

3. Clear introduction

4. Organized in systematic sequence.

5. Comprehensive contents (Epidemiology, prevention).

6. English language & spelling.

7. Content (concise, simple clear and based on scientific

Knowledge).

8. Present a list of references/ community resources.

9. Focus on CHNsg role.

10. Time compliance in delivering the assignment.

Total Grade :40 (4point for each item )

ii. Oral Presentation:

1. Introduction of self & item.

2. Manner of speech.

3. Clarifies technical terminology.

4. Use clear & relevant examples.

5. Speech based on scientific knowledge.

6. Attract audience interest & attention.

7. Control group activity.

8. Clarify the CHNs role according to the topic.

9. Give chance for interaction, asking questions for

participation.

10. Develop conclusion related to purpose of presentation.

Total Grade: 40 (4 point for each item)

iii. Media (Instructional Materials)

1. Relevant.

2. Easily understandable.

3. Meet the stated objectives.

4. Simple, clear, attractive.

5. Show creativity

Total Grade: 20( 4 points for each item)



42

Evaluator signature………………..

Student signature………………….

Rating scale:

1: unsatisfactory

2: satisfactory

3: good

4: very good



43

Community Health Nursing

Criteria of Final oral Exam

Student name: Registration:

Date:

1 2 3 4

Criterion

Un

sati

sfact

ory

Sati

sfact

ory

Goo

d

Ver

y G

ood

Knowledge and Critical thinking (16)

1. Health center

2. Home Visit

3. Seminars

4. School Health

Professional behaviors during exam (4)

1. Complete uniform

2. Show respect to examinars

3. Acceptable of criticism

4. Time compliance in delivering the Exam

Student Signature: Date: Examiner Signature:



44

Appendix (15)

The American Nurses Association Standards

of Community Health Nursing Practice

Standard 1: Theory. The nurse applies theoretical concepts as a basis for decision in practice.

Standard 2: Data collection. The nurse systematically collected data that are comprehensive and

accurate.

Standard 3: Diagnosis . The nurse analyzes data collected about the community, family and

individual to determine diagnosis.

Standard 4: Planning. At each level of prevention, the nurse develops plans that specify nursing

actions unique to the clients needs.

Standard 5: Intervention. The nurse, guided by the plan, intervenes to promote, maintain, restore

health, prevent illness, and achieve effective rehabilitation.

Standard 6: Evaluation. The nurse evaluates responses of the community, family, and individual

to interventions to determine progress toward goal achievement and revise the database, diagnosis,

and plan.

Standard 7: Quality Assurance and Professional Development. The nurse participates in peer

review and other mean of evaluation to assure quality of nursing practice. The nurse assumes

responsibility for promotion development & contributes.

Standard 8: Interdisciplinary Collaboration. The nurse collaborates with other health care

providers, professionals and community representatives in assessing, planning, implementation,

and evaluating progress for community health.

Standard 9: Research. The nurse contributes to theory and practice in community health nursing

through research.

philadelphia university · objectives of older adult nursing care are to: 1. assist older adult to...

Documents