O slideshow foi denunciado.
Seu SlideShare está sendo baixado. ×

Mainstreaming AYUSH in Community Health Nursing.pptx

Carregando em…3

Confira estes a seguir

1 de 51 Anúncio

Mainstreaming AYUSH in Community Health Nursing.pptx

Baixar para ler offline

Once upon a time India's health care system was dominated by Ayurveda- the holistic health approach to keep person disease free by adopting healthy life style.
This presentation explained the importance of AYUSH in community settings

Once upon a time India's health care system was dominated by Ayurveda- the holistic health approach to keep person disease free by adopting healthy life style.
This presentation explained the importance of AYUSH in community settings


Mais Conteúdo rRelacionado

Semelhante a Mainstreaming AYUSH in Community Health Nursing.pptx (20)

Mais de Dr.Nilima Sonawane (17)


Mais recentes (20)

Mainstreaming AYUSH in Community Health Nursing.pptx

  1. 1. Mainstreaming of AYUSH in Community Health Nursing Practice Dr Nilima Sonawane Principal Institute of Nursing Education , Mumbai
  2. 2. कोरोना महामारीने ननर्ााररत नकया है | आयुर्वेद एक सर्वोत्तम उपचार है |
  3. 3. AYUSH : The Indian Heritage
  4. 4. • Once upon a time India's health care system was dominated by Ayurveda- the holistic health approach to keep person disease free by adopting healthy life style.
  5. 5. • With so many attacks on Indian heritage Ayurveda was pushed back for centuries. • Indian Government never promote this health system as main health delivery tool. • Now the Prime Minister, Shri Narendra Modi launched a much needed mission to make Ayush as one of main health care delivery system in India.
  6. 6. AYUSH : The Indian Heritage • The ‘New India’ also needs to be a ‘Healthy India’ where its own traditional Health systems can play a significant role. • Ayurveda, or ayurvedic medicine, is a healthy- lifestyle system that people in India have used it for more than 5,000 years. • Ayurveda emphasizes good health, prevention and treatment of illness through lifestyle modification practices.
  7. 7. Why AYUSH • These systems are based on definite Medical philosophies and represent a way of healthy living with established concepts on prevention of diseases and promotion of health. • There is much scientific evidence through which it can be validated that no single system of medicine can cater the health care needs effectively.
  8. 8. Why AYUSH • These drugs comprise of natural molecules which are better absorbed and utilized in the human body and produce effect without adverse drug reaction. • Realizing the 21st century is termed as the "Century for Natural Drug Molecules". AYUSH system is centuries old.
  9. 9. Why AYUSH • Cost effective • Medical Pluralism : CAM Conventional ,complementary and Alternative system of Medicine (AAYUSH) • The National Health Policy (NHP) 2017 has strongly advocated mainstreaming the potential of AYUSH within a pluralistic system of Integrative health care.
  10. 10. AYUSH : The Ray of Hope in covid-19 pandemic
  11. 11. National Ayush Mission(NAM) • The much needed government attention towards Ayush was fulfilled on 15th Sept 2014 when union cabinet approved the National Ayush Mission under the chairmanship of Prime Minister. • National Ayush Mission(NAM) will set up a National Mission as well as corresponding Missions in States and Union territories.
  12. 12. NAM : Vision • Provide cost effective and equitable AYUSH health care • Improving access to the services. • Revitalize and strengthen the AYUSH systems • Establish a Holistic Wellness Model • Improve educational institutions for quality AYUSH education • Promote the adoption of Quality Control of ASU&H Drugs • Making available the sustained supply of AYUSH raw-materials.
  13. 13. NAM: Objectives • To provide cost effective AYUSH Services, with a universal access through upgrading AYUSH Hospitals and Dispensaries, co-location of AYUSH facilities at Primary Health Centres (PHCs), Community Health Centres (CHCs) and District Hospitals (DHs). • To establish a holistic wellness model based on AYUSH principles and practices to empower masses for ‘self-care’ to reduce the disease burden, out of pocket expenditure and to provide informed choice to the needy public.
  14. 14. NAM: Objectives • To strengthen institutional capacity at the state level through upgrading AYUSH educational institutions, State Govt. ASU&H Pharmacies, Drug Testing Laboratories and ASU & H enforcement mechanism. • Support cultivation of medicinal plants by adopting Good Agricultural Practices (GAPs) so as to provide sustained supply of quality raw-materials • Support certification mechanism for quality standards, Good Agricultural/Collection/Storage Practices. • Support setting up of clusters through convergence of cultivation, warehousing, value addition and marketing.
  15. 15. Components of AYUSH services under NAM • Co-location of AYUSH facilities at PHCs, CHCs and DHs. • Upgradation of Government / Panchayat / Government aided AYUSH Dispensaries • Setting up of upto 50 bedded integrated AYUSH Hospitals • Supply of essential drugs to AYUSH Hospitals and Dispensaries • Public Health Outreach activity • Behaviour Change Communication (BCC) • Mobility support • AYUSH Gram • School Health Programme through AYUSH
  16. 16. AYUSH Health & Wellness Canters • Ministry of AYUSH to operationalise 12,500 Health and Wellness Centre under Ayushman Bharat in a phased manner from year 2019-20 to 2023-24. under the broad umbrella of NAM.
  17. 17. AYUSH WELNESS CENTERS • To reduce the disease burden, out of pocket expenditure and to provide informed choices • Functional integration by using Standard protocols, • Up-gradation Of Infrastructure • Community mobilization for self care, • Capacity building of health care providers • Linkages with higher-level facilities, AYUSH educational institutions, reputed NGOs & Trusts • Documentation with the help of IT platform
  18. 18. Flexible Components: - • Yoga & Naturopathy • Tele-medicine • Sports Medicine through AYUSH • PPP • Reimbursement of Testing charges • IEC activities • Research & Development in areas related to Medicinal Plants • Market Promotion, Market intelligence & buy back interventions • Crop Insurance for Medicinal Plants
  19. 19. Community Health Nursing • Community Health Nursing is a population-focused, community-oriented approach aimed at health promotion of an entire population, and prevention of disease, disability and premature death in a population.
  20. 20. Focus of community Health Nursing • Community Health Assessment • Community Diagnosis • Health Promotion • Preserve , Protect the Health &Prevention of disease • Promote self care • Disability limitations & Rehabilitation • Develop appropriate workable policies and interventions
  21. 21. Pluralism of CHN & AAYUSH
  22. 22. The Ultimate Goals of CHN & AYUSH • Promote, protect and preserve the health • Prevention of diseases • Disability limitation • Rehabilitation
  23. 23. Health assessment B-Questionnaire for “Prakriti” Analysis
  24. 24. Community Diagnosis A-Community based assessment checklist (CBAC) • Risk assessment • Early detection • B1-Women & Men • B2-Women only • B3-Elderly Specific above 60 years • Part C : Risk factors for COPD • Part D : PHQ 2 Patient Health Questionnaire –Mental Health
  25. 25. Health Promotion : Know your health/ Prakriti • Review Genetic Blue print • Self assessment or from the physician/ ayurveda experts • Towards the Holistic Health
  26. 26. Dinacharya –Daily routine • The Dinacharya, Ritucharya and Sadvritta are parts of correct/ideal Lifestyle measures mentioned in Ayurvedic classics for maintenance of health and also to achieve a long, healthy active life, providing relief from pain and disease.
  27. 27. Rutucharya –Seasonal Routine • Rituacharya is the ancient Ayurvedic practice and is comprised of two words, “Ritu” which means season and “charya” which means Regimen or discipline. Ritucharya consists of lifestyle and ayurvedic diet routine to cope with the bodily and mental impacts caused by seasonal changes as recommended by Ayurveda .
  28. 28. Dietetics
  29. 29. Dietary Awareness
  30. 30. Yoga –Group Specific yoga practices
  31. 31. Group Yoga
  32. 32. Yoga Nurse
  33. 33. Medicinal Plant for self care India is one of the richest countries in the world in terms of biodiversity, has 15 agro-climatic zones. Out of the 17000-18000 species of flowering plants, more than 7000 are estimated to have medicinal usage in folk and documented systems of medicine like Ayurveda, Unani, Siddha & Homoeopathy (AYUSH System of Medicine).
  35. 35. National Medicinal Plants Board • In order to promote medicinal plants sector, the Government of India has set up National Medicinal Plants Board (NMPB) on 24th November 2000.The primary mandate of NMPB is to develop an appropriate mechanism for coordination between various ministries/ departments/ organizations in India and implements support policies/programs for overall (conservation, cultivation, trade and export) growth of medicinal plants sector both at the Central /State and International level.
  36. 36. Management of common ailments • Home remedies
  37. 37. Protect and preserve the Health of community • Create awareness • To ensure prakriti analysis of every individual • Ensure regular yoga at the community • Advocacy of AYUSH IEC campaign –Life style ,diet, Behavioral codes • Capacity Building
  38. 38. Protect and preserve the Health of community • Assist AYUSH Physician • Empower the community –self care  Identification of risk  Referral services  Recording and reporting  Family health folders
  39. 39. Disability limitations and Rehabilitation • Interacted approach – AAYUSH+N • Yoga • Ayushman Bharat and Med Insurance • Referral services
  40. 40. Blank Wall • AYUSH Hospital concept is new • Nursing taught in the affiliated allopathic hospitals • Nursing Syllabus based on allopathy System • Comprehensive Inclusion contents • Little knowledge on AYUSH • No experience of AYUSH • Not included in Policy Decision • Pluralism work Better ------------ • Projection of Integrated AYUSH Services
  41. 41. Recommendations • More Ayush Health Facilities • Operationalization of AYUSH Wellness centres • Training Institute • Nursing Syllabus should be inclusive of AYUSH Component in details • Creation of cadre of Ayush Nurses • AAYUSH+N Approach • More integrated training and awareness campaigns • Inclusion of traditional healers
  42. 42. Community Health Nursing Sub-Specialization  CHN-AYUSH  CHN-Primary Health Care  CHN-Geriatric Nursing  CHN-Disaster Nursing  CHN- Communicable Diseases  CHN- School Health  CHN- Occupational Health Nursing  CHN- Mother & Child Health
  43. 43. Key Points • Ayurvedic medicine is gaining popularity as part of the burgeoning interest in complementary therapies and New Age spirituality • There are claims and counter claims about the • therapeutic potentials of Ayurvedic medicine. • Nurses need to be cognisant of the principles and practices of Ayurvedic medicine as some patients may be taking Ayurvedic preparations while receiving conventional medical treatment
  44. 44. Take Home message • The ‘New India’ also needs to be a ‘Healthy India’ where its own traditional systems can play a significant role. Ayurveda, Yoga, Naturopathy, Unani, Siddha, Homoeopathy collectively covered under the Ministry of AYUSH, represent a pluralistic and integrative scheme of health services. AYUSH can play an important role in realizing the dream of ‘New India’ by providing quality healthcare and medical care for its citizens. At present we are witnessing a highly receptive environment where the value of AYUSH systems in healthcare is widely recognized. Community Health Nurses plays a pivotal frontline role in health system. Nursing and AYUSH Integration will be the innovative approach for Ayushman
  45. 45. • A physician who fails to enter the body of a patient with the lamp of knowledge and understanding can never treat diseases. He should first study all the factors, including environment, which influence a patient's disease, and then prescribe treatment. It is more important to prevent the occurrence of disease than to seek a cure. Charaka
  46. 46. • Nursing as “the act of utilizing the patient’s environment to assist him in his recovery.” • She identified 5 environmental factors: fresh air, pure water, efficient drainage, cleanliness or sanitation, and light or direct sunlight. FLORENCE NITINGALES THEORY ON ENVIRONMENT
  47. 47. THANK YOU