SHILP BHARAT COLLEGE OF NURSING, THANE

KAJAL MORE

M.Sc. NURSING (MENTAL HEALTH)

TUTOR

SUBJECT: COMMUNITY HEALTH NURSING

LESSON PLAN
 HEALTH

CLASS - First Year GNM BATCH :2024-25 DATE: 14/10/2024

NAME OF TUTOR: KAJAL MORE SUBJECT: COMMUNITY HEALTH NURSING UNIT/TOPIC: I

S. Time Specific Content Teaching Evaluation

No objective learning
activity
1 10 mins To describe Concept of health – T: explains Q: List all
concept of -All community have their concept of health, as part of with power concept of
health their cultural point health
-The oldest meaning of health is ‘absence of disease ‘ presentation.
Changing concept of health Black board
Health is not perceived in the same way by various and chalk
professional group,so confusion is developed about S: Listens and
concept of health so there are various concept of health takes notes.
given below
[1]. Biomedical concept
[2].Ecological concept
[3].Psychosocial concept
[4]. Holistic concept
[5].Concept of well being

-
2 20[mins] To describe 1 Biomedical concept- T: explains Q: Explain
various According this concept health is with power each
changing viewed as ‘absence of disease’and if one person is free point concept of
concepts of from disease, then he is considered healthy person presentation. health .
health The medical profession viewed the Black board
human body as a machine ,disease as aconsequence of and chalk
the breakdown of the machine and one of the doctor task S: Listens and
as repair of the machine takes notes.
S. Time Specific Content Teaching Evaluation
No objective learning
activity
This concept has minimized the role of environment ,
social, psychological and cultural determinant of health
This concept does not address the major health problems
like malnutrition, accident drug abuse mental illness
chronic disease environmental pollution population
explosion
[2] Ecological Concept –
According this concept health is a dynamic equilibrium
between man and his environment and disease is a
maladjustment of the human organism to environment

[3]. Psychosocial concept

According this concept health is not only a biomedical
phenomenon, but one which is influence by social
psychological cultural economic and political factors of
the people concerned
[4]. Holistic concept-
The holistic model is a synthesis of all the above
concept . It recognizes the strength of social economical
political and environmental influence on health .
It describe multidimensional process that health implies a
sound mind in a sound body in a sound family
S. Time Specific Content Teaching Evaluation
No objective learning
activity
in sound environment this concept implies that all sector
of society have an effect on health that is agricultural,
animal husbandry food industry education housing public
work communication and other sector
[5]. Concept of well being –
It implies improvement in the standard and quality of life
-standard of life -it refer to standard of living .it include
health , education occupation food consumption clothing
housing recreation along with leisure , human right and
social security.
Quality of life – It is related to the individual feeling of
satisfaction ,happiness and sadness about a number of
life concerns so increase the standard and quality of life to
attain the feeling of well being

5 mins To Define WHO- DEFINITION- T: explains

3 Define
Health ‘Health is a state of complete physical mental and with
social well being and not merely an absence of disease PowerPoint health
or infirmity’ presentation.
S: Listens
OTHER DEFINITTIONS- and takes
The condition of being sound in body mind or spirit, notes
specially freedom from physical disease or pain –
[Webster]
S. Time Specific Content Teaching Evaluation
No objective learning
activity
‘soundness of body or mind that condition in which its
functions are duly and efficiently discharged'
[Oxford English dictionary]
4 5 min To explain ;The new philosophy of health is stated as below T: explains Explain new
new →Health is a fundamental human right with power philosophy
philosophy →Health is the essential of productive life point of health
of health →Health is intersectoral presentation.
→Health is an integral part of development Black board
→Health is central to the concept of quality of life and chalk
→Health involve individual , state and international S: Listens and
responsibility takes notes
→Health and its maintenance is major social investment
→Health is worldwide social goal
5 5 min To describe The WHO has defined health but not disease. This is T: explains Describe the
concept of because with power concept of
disease -disease has many shades [spectrum of disease] ranging point disease
from asymptomatic to severe manifest illness . presentation.
-Some disease are occur acutely and some insidiously. ---- S: Listens and
=-Some diseases have a ‘career’ state. takes notes
-In some cases , the same organism cause more than one
disease [streptococcus] in some cases the same disease
may be caused by more than one organism [ diarrhea] --
some disease have short course and some a prolonged
course .
S. Time Specific Content Teaching Evaluation
No objective learning
activity
-In some disease the border line symptoms are indistinct
[DM,HT] .
-The end point of disease is variable like recovery
,disability or death of host
The tern ‘disease’
means ‘without ease’. When something is wrong with
bodily function.
6 5 To define the According to Webster – T: explains define the
minutes disease. ‘A condition in which body health is with power disease.
impaired ;a departure from a state of health; an point
alteration of the human body interrupting the presentation.
performance of vital functions. S: Listens and
According oxford English dictionary – takes notes
;a condition of the body or some part or organ of the
body in which its functions are disrupted or deranged.’
Ecological point of view –
‘a mal adjustment of the human organism to the
environment.
Other definition is –
‘ disease is just opposite of health i.e, any deviation
from normal functioning or state of complete physical or
mental well being.’
S. Time Specific Content Teaching Evaluatio
No objective learning n
activity
1 5 mins To enlist the Dimensions of health – T: explains Q: List all
dimension of 1. Physical dimension with power dimensio
health 2. Mental dimension point ns of
3. Social dimension presentation health
4. Spiritual dimension and black
5. Emotional dimension board and
6. Vocational dimension chalk.
7. Others dimension S: Listens
and takes
notes.
2 20mins To describe 1. Physical dimension – T: explains Q:
various Perfect functioning of body. with power Explain
dimension of Signs of good physical health are;- point characteri
health ➢ Good complexion presentation stics of a
➢ A clean skin . Black mentally
➢ Bright eyes board and healthy
➢ Lustrous hair with a body well clothed with firm flesh, chalk. person?
not too fat.
➢ A sweet breath S: Listens Q;
➢ A good appetite. and takes explain
➢ Sound sleep notes. about
➢ Regular bowel and bladder functions spiritual
➢ Smooth ;easy and coordinated body movement dimensio
➢ All vitals are in normal range n.
S. Time Specific Content Teaching Evaluatio
No objective learning n
activity
2. Mental Dimension - .
It is a ability to respond to the various life experiences with .
flexibility and a sense of purpose.
Signs of good mentally healthy person are;-

➢ Free from internal conflicts.

➢ Well adjusted
➢ Accept criticism and not easily upset.
➢ Search for self-identity.
➢ A strong sense of self esteem
➢ He knows himself (need, problems, and goals )
➢ Good self-control
➢ Faces problems and tries to solve them intelligently.
3 Social dimension –
Individuals levels of social skills, social functioning and
ability to see oneself as a member of a larger society.
4 Spiritual dimension.
It is related to soul or spirit of a man. It is belief in
supernatural aspect of universe. which –
➢ Resolve both internal and external conflict.
➢ Help individuals to seek meaning and purpose of
life.
➢ Provide philosophy of life; directions, ethical values,
and principles of high living.
S. Time Specific Content Teaching Evaluatio
No objective learning n
activity
➢ Give strength and confidence to face real life
situation s.
5. Emotional dimension.-
It is related to ‘feelings’.
6 Vocational dimension-
It is part of human existence. Work plays a role in promoting both
physical and mental health. It provides satisfaction and self-
esteem.
7 Other dimension-
Few other dimensions are –
➢ Philosophical dimension
➢ Cultural dimension
➢ Socio economic dimension
➢ Educational dimension
➢ Environmental dimension
➢ Nutritional dimension
➢ Curative dimension
➢ Preventive dimension e.t,c.

3 5 min To know Health is multi-dimensional; each dimension is affected by a T: explains Q. Tell

importance number of factors. Health is very complex so many indicators with power me the
of indicators are used to measure health they are used :- point importanc
of health. presentation e of
➢ To measure the health status of community black board health
S. Time Specific Content Teaching Evaluatio
No objective learning n
activity
➢ To compare the health status of two community or two nation and chalk. indicators
➢ For assessment of health care needs S: Listens
➢ To distribute health resources and takes
➢ To monitors and evaluate the health program notes
➢ To measure the extent to which the objectives and targets of a
program is achieved

4 5 To Enlist They are :- T: Explains Q: Enlist

the health ➢ Mortality indicators with power the health
minutes indicators ➢ Morbidity indicators point indicators
➢ Disability indicators presentation
➢ Nutritional status indicators black board
➢ Health care delivery indicators and chalk.
➢ Social and mental health indicators S: Listens
➢ Life expectancy at birth and takes
➢ Environmental indicators notes
➢ Utilization rate
➢ Other indicators
S. Time Specific Content Teaching Evaluatio
No objective learning n
activity
5 15 To 1) Mortality indicators :- T: Explains Q: Tell
minutes Describe ➢ Crude death Rate with power me about
the health ➢ IMR point mortality
indicators ➢ MMR presentation indicators
➢ Child mortality rate black board
➢ Under five mortality and chalk.
➢ Diseases specific mortality S: Listens
and takes
2) Morbidity Indicators :- They includes notes
➢ Incidence and prevalence of communicable and Non
communicable disease in community
3) Disability indicators :- They are
➢ Incidence and prevalence of cases which are not able to
perform full range of activities because if sickness,
blindness deafness dumbness, mental and social
handicapped etc.
4)Nutritional status Indicators
➢ Measurement of weight height, mid arm circumference
of under five
➢ Measurement of height and weight of school children.
➢ Prevalence of low birth weight (< 2.5 kg)
5)Health care delivery indicators :-
➢ Doctors population ratio
➢ Doctors nurse ratio
S. Time Specific Content Teaching Evaluatio
No objective learning n
activity
➢ Population bed ratio
➢ Population per SC or PHC or CHC ratio
6) Social and mental health indicators:
➢ Incidence & prevalence of alcohol and drug abuse
➢ Child abuse
➢ Neglect women abuse
➢ Child delinquency
➢ Suicide
➢ Road traffic accident
7) Life expectancy at birth :-
➢ Increase or decrease life expectancy is influenced by
health status of people
8) Environmental indicators :-
➢ Air pollution
➢ Water pollution
➢ Radiation
➢ Solid waste
➢ Noise
➢ Exposure to toxic in food or drink
9) Utilization services :- It include health services used by people
➢ Infant immunization
➢ Bed occupancy rate
➢ Bed turnover ratio etc.
10) Other Indicators :-
S. Time Specific Content Teaching Evaluatio
No objective learning n
activity
➢ Health Policy Indicators
➢ Socio economic indicators
➢ Basic need indicators s
➢ Health for all indicators etc
S. Time Specific Content Teaching Evaluation
No objective learning
activity
1 5 min To Define health T; Define on Q: Define
& health HEALTH – According to WHO -Health is state of black board health &
determinants. complete physical, mental, social, spiritual well being, health
not merely the absence of disease. S; Listen, determinants.
discuss &
DETERMINANTS OF HEALTH - The range of takes notes.
personal, social, economic & environmental factor
factors that influence health status are known as
determinant of health.

2 10 min To Enlist DETERMINANTS OF HEALTH- T: describe Q. Enlist

important - Environment determinants with chart. important
determinants of - Political system S: Listens, health
health. - Biological determinants. discuss and determinants.
- Behavioral determinants. takes notes.
- Socio economic determinants
- Health care delivery system determinants

.
S. Time Specific Content Teaching Evaluation
No objective learning
activity
3 25 mins To Explain health ENVIRONMENTAL DETERMINANTS- Environment T: Explain on Q. Explain
determinants. has the direct impact on the health of individual, family, black board health
& community; both internal and external components of & discuss determinants.
environment influence our health. Air, water, noise, with students.
radiation, housing waste management etc. all affects the S: .listen,
health status & quality of life. discuss &
takes notes.
POLITICAL SYSTEM -Political system has a great
effect on the social climate in which we live.
Implementation of any health programme cannot be
conducted properly without the strong political will.
Socio political environment, economic development, law
& order, regulation of public health & optimum level of
functioning.

BIOLOGICAL DETERMINANTS -Heredity & genetic

determinants have remarkable influence on the physical
& mental retardation, metabolic disorder, chromosomal
abnormalities etc. have the genetic origin. Community
health nurse have responsibility to provide proper genetic
counseling to people who are at risk of having
genetically impaired children.
S. Time Specific Content Teaching Evaluation
No objective learning
activity
BEHAVIOURAL DETERMINANTS - Health is the
mirror of a person's life style because faulty & ill habits
have the adverse effect on the health of the individual.
Community health nurse must be knowledgeable about
patient s or individual s behavior pattern to improve their
health status. Risk taking behavior based on the
carelessness or false belief that nothing will happen,
influence people s health.

SOCIO ECONOMIC DETERMINANTS- Socio

economic condition has the major impact on the health
status of any country. Education, economy, occupational
opportunities, housing, nutritional level per capita
income etc. determine the health care system & health
resources.

HEALTH CARE DELIVERY SYSTEM

DETERMINANTS- The health care delivery system
plays a great role in the field of health. In equal
distribution of health facilities, more importance to
tertiary care, non availability of health personnel in the
rural areas, improper referral services, lack of resources
etc. determine the health status of the individual, family
& community.
S. Time Specific objective Content Teaching Evaluation
No learning
activity
1 10 Define health promotion - Health promotion is “the process of enabling T ;- explains
mins people to increase control over ,and to improve with chalk on Q. what do
health”(WHO-1987) blackboard you mean by
- It is the science & art of helping people change health
their lifestyle to move towards a state of optimal S;- listen and promotion?
health.(American journal of health promotion - take notes
1986)
- The latest definition of health promotion as given
by WHO(2005); is the process of enabling people
to increase control over their health and its
determinants and there by improve their health

2 7 Health promotion is not directed against any T:Explain Q:what are

min. Enlist the Various particular disease but is intended to strengthen the with black the various
approaches(interventions host through a variety of approaches board and approaches
) of promotion of health (interventions).These are:- chalk of health
1. Health education S:listen and promotion
2. Environmental modifications take notes
3. Nutritional interventions
4. Life style and behavioral changes
S. Time Specific objective Content Teaching Evaluation
No learning
activity

3 18 To explain each of the 1. Health education:- this is a one of the most cost effective T : - Explain Q. Explain
Min. interventions interventions. A large number of disease could be prevented with black each
with little or no medical intervention if people were board and intervention
adequately informed about them and if they were chalk of health
encouraged to take necessary precautions in the time S : - listen promotion?
.according to WHO ”the extension to all people of the and take notes
benefits of medical , psychological and related knowledge
is essential to the fullest attainment of health.”
The targets for educational efforts may include the general
public, patients, priority groups, health providers ,
community leaders and decision-makers.

2.Environmental modifications:- A comprehensive

approach to health promotion requires environmental
modifications, such as provision of safe water; installation
of sanitary latrines, control of insects and rodents;
improvement of housing etc. environmental intervention
are non –clinical and do not involve the physician.

3. Nutritional interventions:-These comprise food

distribution and nutrition improvement of vulnerable
groups; child feeding program, food fortification;; nutrition
S. Time Specific objective Content Teaching Evaluation
No learning
activity
education, etc.

4.life style and behavioral changes:-Life style and

behavioral changes reflecting a whole range of social
values, attitudes and activities; cultural and behavioral
patterns and lifelong personal habits (e.g. smoking
alcoholism).health requires the promotion of healthy life
style .the action of prevention is one of individual and
community responsibilities for health, the physician and
infect each health worker acting as an educator than a
therapist.

4. 9 To explain various These are lifestyles changes (e.g. Coronary heart disease, T : - explain Q. explain
min factors affecting health obesity, lung cancer, drug addiction); lack of sanitation, with black various
promotions poor nutrition, poor personal hygiene, customs and cultural board and factors
patterns social economic, political, biological, behavioral chalk affecting
and environmental etc. so health promotion program would S : - listen promotion of
first attempt to identify the “target group” or at risk and take notes health?
individuals in a population and then direct more appropriate
message to them.
S. Time Specific objective Content Teaching Evaluation
No learning
activity

5. 2min To explain prerequisites The prerequisites of health are such as income, food, T : - explain Q. Enlist
of health promotion. security, housing, employment and quality working with black prerequisites
conditions. board and of health
chalk promotion
S : - listen
and take notes

6. 4. To explain various
min locations for health It is mentionable that health promotion can be performed in Q. Enlists
promotion work various locations, but special attention is needed in the various
school, worksite, health care facilities (including locations for
hospitals)and in community. H.P. Work
Summary: & Evaluation (10 Min)
Today we have discussed about concept of health ;definitions of health; concept and definitions of disease ;new
philosophy of health .All over the health is influenced by physical, mental, social, spiritual ,environmental economic
political and cultural factors.
.→ Explain each concept of health
→ Define the health
→ Explain new philosophy of health
→ Describe the concept of disease
→ define the disease.
Define health &health determinant.
Enlist important health determinants.
Explain health determinants.
Assignment: List and explain the various .
concept of health and disease ?
List and explain the various dimensions of health?
Describe the indicators of health? Define health &health determinant.
Enlist important health determinants.Explain health determinants.
Bibliography:
1. Park K.’preventive and social medicine’ 20th edition ;2009, page no.12 to13,31, m/s banarsidas ,bhanot
publishers 1167, prem nagar Jabalpur 482001 india 2009.
2. Swarnkar Keshav ‘community health nursing’ 3rd edition reprinted 2014 page no.2,9 to 10
3. Gulani k.k. ‘community health nursing’ 1st edition reprint 2009 page no. 11 to 15,published byneelam kumar,kumar
publishing house pd 11-12 b vishakha enclave ; pitampura delhi 110034.
4.Park K ,(2009) Preventive and social Medicine, 20th
Edition, Page No 40 Swarnkar Keshav,( 2014) community
Health Nursing ,3rd edition, Page No 8-9.
4. Swarnkar Keshav, ‘Community health nursing ‘3rd edition ,page no- 3 to 5,N R Brothers,
5. Park k. ‘Preventive and social medicine’,20thedition,2009,page no 14 to 25
Gulani k. k., ‘Community health nursing’ 1stedition reprint
2009,page no 15,25 to 26.