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,(C.G.)
suitable to conditions Government College of nursing jagdalpur,
SUBJECT- community health nursing

CLASS PRESENTATION ON-

SKILLED BIRTH ATTENDENT

Submitted to-
MISS.SHRADHA ASHAWAN
Submitted by-
(ASSIT. PROFESSOR)
H.O.D OF CHN Ms. CHELVEE
VERMA
Govt. College of Nursing, M.Sc. PREVIOUS
YEAR
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JAGDALPUR,C.G. Govt. College of

Nursing,
JAGDALPUR,(C.G.)
 Name of student teacher :- Ms. Chelvee verma
 Name of subject :- community health nursing
 Name of topic :- skilled birth attendence
 Class/group/batch :- M.Sc. Nursing Previous year
 Date/Time :- 26./.3./2018
 Venue :- Govt. College of Nursing, Jagdalpur
 Previous knowledge :- The student have some knowledge about the topic skilled birth attendence
 Method of teaching :- lecture, discussion, questioning and answering
 Audiovisual Aids :- Blackboard, LCD, flash card, Chart, Hand out
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GENERAL OBJECTIVE:- After the class the students will gain knowledge about the topic Skilled Birth Attendence.

SPECIFIC OBJECTIVE:- After class the students will be able to:

1. Introduce the topic Skilled birth attendence

2. Define the term Skilled birth attendence
3. Briefly describe the IEC strategy
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1. 4 To INTRODUCTION: Earlier the public health term was used which was concerned Lecture, Listening LCD What is
min introduce with providing limited services of immediate concern to effected people in an area by Discuss- communit
the ion y health
official of organised arrangement structure meant for the public health public health
community nursing?
health services were episodic in nature and where rendered as an when required.
. nursing
DEFINITION-
HEALTH-
2 1 To define A state of complete physical, mental, and social well-being and not Lecture, Listening What is
min Health. Discuss- health ?
merely the absence of disease and infirmity (WHO, 1995 ion

DEFINITION-
COMMUNITY HEALTH
To define .
3 1 community Lecture, Listening What is
min Health Acc To Winslow (1920)- public health is the science and art of preventing disease , Discuss- communit
prolonging life and promoting health and efficiency through , organised community ion y health ?
efforts for the sanitation o he environment the control of communicable infections the
individuals education in personal hygiene
.
ACC TO American Association of public health has defines the public health as a
art and science of maintaining protecting and improving health of people through
organised efforts.

Listeni-
ing
DEFINITION-
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Ameri 1. American Nurses Association,- “Community health nursing is the synthesis of

4 1 To define
nursing practice and public health practice applied in promoting and preserving the health of Lecture, Listening What is
min community
the population .the nature of this practice is general and comprehensive. It is not limited to a Discuss- LCD communit
Health particular age . it is continuous not episodic . the dominate responsibility is to the population ion y health
Nursingas a whole. nursing?

2.A/c to WHO expert committee of Nursing- Special field of that combines

the skills of nursing public health and same phases of social assistance and factions as
part Of the promotion of the health, the improvement the of the condition in the social
and physical, environment rehabilitation of illness and disability
3. Community health Nursing means Providing health services to patients and healthy
people in the community.
4. A/c to Hadfen Mai( 1985)- Farmer director of Ward health origination “basic
elements of community health Nursing is expansion and faith of patients in Nurses

CONCEPT OF OPTIMUM LEVAL OF FUNCTIONING-

Optimum level of functioning (OLOF) is considered by many determinates of health
5. 7min To describe .OLOF is considered by many determinates of health. OLOF is the best possible
the concept Explanati Listening LCD Oral
functioning. Taking all things into account. The concept of OLOF emphasizes an
of on questions
community individual’s abilities is analogues to high-level wellness. Few of us may be without and ?
health some so called disability because we need the glasses; we have some allergies, lecture
nursing. emotional problems or some kind of non infections conditions. The important aspects method
neither is nor weather we have such conditions but, rather what we do with or without
them. on the basis of this , we can assess the 0LOF that he strives to attain and maintain
thus individual, families and community have strengths and weakness , abilities and
disabilities , and an OLOF is affects by various determinates , hence health on an
.
individual’s , family should be looked in accordance with
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-IMPORTANT DETERMINATS OF HEALTHS-

1. ENVIRONMENTAL DETERMINATES- environments has direct impact on
the health of an individual’s, family or community . both internal or external
6. and physical, , biological and psychological components of environments
To describe
5 influence the mental, social, spiritual and physical well being of the Lecture LCD What are
the
min individuals , environmental pollution has become a global threat . we must find the
determinate
the ways to reduce and manage the pollution as well as waste. It is worth determina
s of health.
maintaining that the Florence nightangle had also given importance to tes of
environmental factor is the maintains of the health and care of the sick , air health?
Water noise, radiation. Housing, Waste management etc.
2. POLLITICAL SYSTEM- Political system has a great effect on the social
climate in which we live . political influence have the power and authority is
regulate much of our surroundings in which, health care is also included .
implementation of any health programme cannot be conducted properly without
the strong political will. In our country health is the subject of concurrent list
So there is the need of coordination between the union and state government in
the health related matters. Social political environments , environments
economic developments , law and order , regulation of public health laws etc.
Are directly concerned with the health and optimum level of functioning.

3. BIOLOGICAL DETERMINATES- Heredity and genetic determinates

have remarkable influence on the physical and mental health of the individuals/
families. Boundaries of abilities and protection set by heredity or genetic
heritage are often less modifiable than other disease i. E. Mental retardation
,metabolic disorder , chromosomal abnormalities, some cases of disabilities etc.
Have genetic origin . community health nurses have responsibility to provide
proper genetic counselling to people who are at risk of having biologically /
genetically impaired children and to refer those who want help to appropriate
recourses , in some cases abortion (MTP) service is to advised to prevent the
birth of a deformed child
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4. BEHAVIORAL DETERMINATES-
Health is the mirror of a person’s lifestyle because faulty and ill habits have
the adverse effect on the health of the individual . it is an established fact that
culture and ethnic heritage shape much of our life style including the health
care.
Risk taking mirror behaviour based on the carelessness or often erroneous
belief that nothing will happen , influence people’s health. For example ,
smoking , avoiding exercise , lack of sleep , eating too much or inadequate
nutrition, not using helmets or seat belts , irregular life pattern.etc. adverse
affect our health . thus community health nurses must be knowledgeable about
patients or individuals behaviour pattern to improve their health status.

5. SOCIOECONOMIC DETERMINATES-
Socioeconomic conditions have the major impact on the health the major
impact on the health status of any country education, economy ,
occupational opportunities , housing, nutritional level, per capita
income , GDP etc. Determine the health care system and health
system and resources .Enough monetary help can eliminate the
various illness and the health hazards in the society , adequate
employment avenues , decent and consistent wages can fulfilment
most of the educational , medical , social and environment needs of
the people , although some complex socioeconomic problems
require multi solution approach.

6. HEALTH CARE DELIVERY SYSTEM APPROCH-

The health care delivery system plays a great role in the field of health . this is
considered as a disease oriented system, but in our country which has the
second largest population in the world, providing health services at the grass
root level is a difficult task . in equal distribution of health facilities , more
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importance to tertiary care , non availability of health personnel in the rural .

areas improper referral services , lack of recourses etc determine the health
status of the individuals , family

PHILOSOPHYOF COMMUNITYHEALTH NURSING PRACTICE-

 Generally philosophy has implies three components : concern with knowledge
Values and ones beliefs about existence community health nursing supports all
this in the fallowing ways:.
7. To Describe
5 the  Community health nursing believes that health is fundamental rights of and an Lecture Listening LCD Short
min philosophy integral part of the growth and development. and questions
of  It supports entire community as well as entire family as a focus for community discussio ?
community health nursing practice and aggregate. n,
health  Community health nursing Identifies the need of holistic care approach. explanati
Nursing  It realizes tat health promotion and primary prevention are major activities in on.
community health nursing practice.
 Community health nursing supports that community based efforts and
community involvement is essential for risk reduction.
Community health nursing honours the social and cultural differences and
values of individuals and community about health and supports the health
promoting behaviour in an acceptable manner.
 Community health nursing realizes that multidisciplinary team activities and
programs are essentials to attain the objectives of community health.
 Community health nursing believes in the overall developments and well being
of the individuals , families communities and nation.
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OBJECTIVES OF COMMUNITY HEALTH NURSING-

1. To increase the life expectancy.
2. To decrees the infant mortality rate (IMR), maternal mortality rate (MMR) and
To describe other morbidities.
the 3. To prevent health services (community treatment.
8. objectives 4. To find the cause – effect relationship.
5 of 5. To evaluate the health programmes and make further plan. Lecture Listening chart What
min community 6. TO make the community diagnosis. and Are the
health 7. To help the NGO and other organizations working in the field of community discussio Objective
nursing. health. n, Of
8. To assess the need and priorities of vulnerable groups, pregnant mothers and explanati Communi
children. on ty
9. To provide referral services at various health care levels. Health
10. To enhance the standard of nursing of nursing profession through. Nursing?
 Conducting nursing researchers.
 Providing quality assurance in community health nursing.
 Establishing great need of nursing personnel in the community by close and
cordial relations and care.
 Performing the role of nurse epidemiology.
11.To provide complete well being of community and maintain their optimum
level of functioning (OLOF).

PRINCIPLE OF COMMUNITY HEALTH NURSING-

While working in the community following principles of community health nursing
should be followed by nurse:
To Enlist 1. Health services should be based on the needs of individuals and the
9. the community .health programs should be concerned with the situation of health
7 principles of problems and the recourses available. Nurse should have good knowledge of Lecture Listening Do you
min community the community and know the
health So that immediate problems of the individuals can be solved effectively. discussio principles
nursing. 2. Health services should be suitable to the budget . workers and the recourses n, of
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they should be completely practical as well. explanati communit

3. Family should be recognized as a unit and the health services should be on y health
provided to its members. active participation. Nursing?

4. Health services should equally available to all without any discrimination of

age , sex, casts, religion, political learning and social economic level etc.

5. Health education is an important part of community health nursing it should be

pre planned, suitable to conditions , scientifically true and effective.

6. Community health nursing should be provided continuously, without any

interruption similarly taking care about fallow-up treatment is also necessary.

7. Preparation and maintain of record and reports is very important in community

health nursing. Demographical programmes and services are evaluated on the
basis of this recodes.

8. It is necessary that nurses and other health workers , working in the community
should be guided and supervised by highly educated and skilled nurse

9. Other than being alert and devoted to her duties , community health nurse –

 Should be responsible for professional development.

 Should continuously receive in service training and continuing education.
During her service period and otherwise.
 Should be apolitical, secular, without any prejudice and tolerate towards all
religion while working.
 Should fallow professional ethics and standards in her work and behaviour.
 Should feel responsible the goals and philosophy of the health institution she
belongs to.

10. Effective team spirit is a must in the term working for community health , there
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should be no traces of bureaucratic or authoritative behaviour related to the

Designation or seniority. They should try to achieve the goals of community health
by corporation and coordination of each other . Community health nurses are
aware of the role of every members of the team.
11. Arrangement should be made for the timely evaluation of the services provided
by the community health nurse. Review of the community health nursing planes
should be based on the evaluations and accordingly the further programmes and
goals be determined.

SCOPE FOR COMMUNITY HEALTH NURSE-

 Ruler areas and slums of the cities.
Illustrate the  Special clinics.
scope of  Mobile camps.
10 Community  Health centres. Lecture Listening Bullet What are
3 health and in the scope
 Schools. board
min. nursing,  Industrial organization. discussio of
.
 Outdoor patient departments of big hospitals. n, Communi
 Fairs and other places of social functions / gathering. explanati ty health
 Rural and poor urban families etc. on. nursing?

FUNCTIONS OF COMMUNITY HEALTH NURSE- Functions of

Describe the community health nurse are determined by the place of posting and designation .
functions of MANAGERIAL FUNCTIONS-
11. community 1 ASSESSMENT
5 health  Collecting information about the community Lecture Listening Questions
min Nursing and ?
 Finding health problems.
discussio
 Epidemiological survey.
n,
PLANNING-
explanati
 Preparing plans to provide comprehensive services to individuals , family and on.
community.
 Planning the distribution of work and co-operation among the members of the
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health team.
SUPERVISION-
 Inspecting the work of other members .g. Health inspectors.

CO-ORDINATION AND CO-OPERATION-

 Establishing co-ordination and co-operation among the members.
 Procuring co-operation of the influential people of the community in health
work.
EVALUATION-
 Monthly self assessment of work.
 Sending the report of working.
NURSING FUNCTION-
 Provide comprehensive nursing services.
 Assisting the diagnosis and treatment.
 Guiding the family in taking the care of the patient.
 Regular home visits.
EDUCATIONAL FUNCTIONS-
 Educating the individuals and groups
 Participating in school health education programmes.
 Giving practical care about the care of the patient.
 Educating about the practical and development of environment.
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.
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LCD

chart

flash
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Lecture,
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To describe
The skilled
birth
attendance
Training
module 1.
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To
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the
module 2
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15
min

BIBLIOGRAPHY

1. Basher Shebeer P. A concise Textbook of Advance Nursing Practice, Published by Emmess Medical Publishers; page
no. 101-107
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2. Neeraja KP, Essentials of Mental Health and Psychiatric Nursing, volume-ll, first edition, Published by Jaypee
Brothers Medical Publishers; 2008, page no.202-205
3. Townsend Mary C. Textbook of Psychiatric Mental Health Nursing, first edition, Published by Jaypee Brothers
Medical Publishers;2007, page no.120-128, 218-222
4. Nancy Sr. Textbook of Principles and Practice Of Nursing, volume-l, sixth edition, Published by N. R. Publishing
House; 2008, page no. 22-24
5. Park k. Textbook of Preventive And Social Medicine, 19th edition, Banarsidas Bhanot Publishers, 2007; page no.
6. Gulani K.K ” Community Health Nursing(Principal & Practice)” First Edition 2004,KumarPublication,New Delhi
Page no. 652, 654, 655,639,645,520
7. Neeraja KP, communication and education technology, first edition, Published by Jaypee Brothers Medical
Publishers; 2011, page no.490,393
8. en.wikipedia.org/wiki/Information_and_communication.
9. www.wcdorissa.gov.in/download/
10. www.dorluk.de/hp/iec_manual