Fundamental of Nursing: Unit One

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Unit one

Fundamental of Nursing

Unit one 1
Objectives:

At the end of this presentation students will be


able to...
1. Describe the types of hospital.
2. Describe the functions of their members.
3. Explain the relationship to health care
setting.

Unit one 2
Health Care System

There are following levels in health care


system.
1. Primary health care system.
2. Secondary health care system.
3. Tertiary health care system
4. Quaternary health care system.

Unit one 3
Conti ...

QHC
THC
SHC
PHC
Unit one 4
Levels of Health Care Systems.

1. Primary health care system:


 Primary care is generally the first level of
care that patients receive when they have
medical concerns or needs and takes a
whole-of-society approach that includes
health promotion, disease prevention,
treatment, rehabilitation and palliative care.

Unit one 5
Conti...

E.g. Basic health unit(BHU)


It consist of...
i. One doctor(male or female)
ii. LHV’s
iii. Dispenser
iv. Aya
v. Sanitary workers
vi. Vaccinator
vii. Security guard
viii. Driver.
Unit one 6
Conti...

Functions:
a. EPI programme
b. Normal delivery
c. Palliative care
d. Family planning
e. Referral point
f. Deal with minor disease
g. Polio programme
h. counseling
Unit one 7
Conti...

2. Secondary health care system.


It consist of....
i. Doctor
ii. Nurses
iii. LHV,s
iv. Midwives
v. Dispenser
vi. Vaccinator
vii. Aya
Unit one 8
Co nti...

viii. Mali
ix. Security guard
x. Ambulance driver
xi. O.T technician
xii. Lab technician
Functions:
a. Vaccination
b. Normal delivery
c. Wound care with suturing
d. OPD
e. Referral point
Unit one 9
Treatment of minor to moderate diseases:
E.g RHC’S and THQ’S

Unit one 10
3)Tertiary Care Health System

 Tertiary care, is a level above secondary health


care, that has been defined as highly specialized
medical care, usually provided over an extended
period of time, that involves advanced and
complex diagnostics, procedures and treatments
performed by medical specialists in state-of-the-
art facilities .
 As such Consultants in tertiary care canters have
access to more specialized equipment and
expertise.
Unit one 11
Conti...

 Examples of tertiary care services include


specialist cancer management, neurosurgery,
cardiac surgery, transplant services, plastic
surgery, treatment for severe burns,
advanced neonatology services, palliative,
and other complex medical and surgical
interventions.

Unit one 12
4)Quaternary care Health System

 Quaternary care has been defined as an


extension of tertiary care in reference to
advanced levels of medicine which are highly
specialized and not widely accessed, and
usually only offered in a very limited number
of national or international canters.
 Experimental medicine and some types of
uncommon diagnostic or surgical procedures
are considered quaternary care.
Unit one 13

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