An endorsement

A community health nursing experience

Brgy. Bong-ao, Valencia, Negros Oriental

Presented to:
Mr. Osel Sherwi Melad, BSN. RN

Compiled by:
NCM 104-A4

June-August 2010
First Semester
Level IV
SY 2010-2011

Table of
contents
Vision & Mission

Acknowledgement

Introduction

Goals and Objectives

Assessment

Municipality of Valencia

Municipal Officials

Rural Health Unit Personnel

Barangay Bong-ao Officials

Courtesy Call

Ocular Survey

Contract Setting

Barangay Bong-ao, Valencia

Purok Lower Gabi

Purok Upper Gabi

Purok Patani

Purok Mongo

Purok Mani

Purok Camote

Table of
contents
Planning

Objectives for home visits

Community Care Plans

Implementation

Structured Health Teaching on :

 Diabetes Milletus
 Hypertension
 Healthy Lifestyle AND Lifestyle diseases
 Personal Hygiene Measures
 Environmental Sanitation

Evaluation

Appendices

Budgetting

Culmination Attendance and Pictures

Profiles

Vision &mission
Vision

As a leading Christian institution committed to total human development

for the well-being of society and environment.

Mission

 Infuse into the academic learning the Christian faith anchored on

the gospel of Jesus Christ; provide an environment where Christian
fellowship and relationship can be nurtured and promoted.
 Provide opportunities for growth and excellence in every
dimension of the University life in order to strengthen character,
competence and faith.
 Instill in all members of the university community an enlightened
social consciousness and a deep sense of justice and compassion.
 Promote unity among peoples and contribute to national
development.

Acknowledgement

First and foremost, we would like to thank our Almighty Father for guiding
us all throughout our COPAR duty in Bong-ao, Valencia. For always giving us
strength and for keeping us safe always.
Secondly, we would like to express our gratitude to the Officials of the
Municipality of Valencia for allowing us to go on duty in one of their barangays,
and for orienting us on their place and their services.
Thirdly, we would also like to extend our heart felt thanks to the folks of
Bong-ao, Valencia for being so welcoming and entertaining in spite of their busy
everyday lives. We would never forget your smiles that welcome us from your
doorsteps as soon as we step in, and all those times when you opened up to us
regarding your health problems, thank you so much for trusting us. Those times
when we are invited in for snacks or lunch will alwys remain in our hearts as well.
We pray for a more healthy Bong-ao as days go by.
 Nextly, to our Clinical Instructor, Mr. Osel Sherwin Melad, who had always
been there to be our guide—tour guide and guide in all stuffs. Thak you for
making this experience fun and non-stressful. We appreciate much all the efforts
of making this rotation an environmental friendly one. Our warmest thank you for
treating us like your own children and for being such a great father to us.
To all our “kuya drivers”, thank you for transporting us safely and for
patiently waiting for us during our delays.
Lastly, we would like to thank our parents for thei unending love and
support. Thank you for providing our needs emotionally and financially, and for
understanding our jampacked schedules. We love you!
And to all those who helped to make this rotation successful and
unforgettable, we could never find the exact words to express our thanks.

Assessment
 Introduction

The COPAR rotation proved to

be a memorable experience for all of
us. The weeks that we have shared
with the community produced a
bond that we will never forget. The
smiles of the people as we greeted
them during our duty days and the
simple greetings will continue to
inspire us as we pursue this noble
profession of ours.

Our role and responsibilities as student nurses prove to be effortless since

the community has already adapted to the challenges of health promotion. We
can only supplement what they have already learned since most of the health
programs are already in placed but this does not made us complacent about the
purpose why we are here. This only made us believe that the goals and objectives
in COPAR is working and will continue to work.
 Being assigned in the
community is an eye opener
for us in terms of the reality of
what really is health
promotion. The reality of
taking care a community made
us see the vastness of our
responsibilities. Armed with
the knowledge we learned in
school, the importance of
health teaching is a valuable
method for the community to embrace. After all great knowledge comes with
great responsibility.

Objectives
Central Objective: At the end of the in the COPAR rotation
in Bong-ao Valencia,we will be able to increase our knowledge, sharpen up our skills,
develop positive and desirable attitudes, and manifest Christian values in the
community health nursing experience of care delivery to the clients, their families,
and the community itself.

SPECIFIC OBJECTIVES WAYS TO ACHIEVE THEM

Within the time allotted of my clinical exposure
to Community Health Nursing experience in
Balugo, Valencia, I shall:

1. Come prepared on time for duty, and  wake up early so that we will not be late
conferences  prepare our things the night before the day
of duty
 take a full meal prior to going to duty

2. Be well-oriented & guided to the

 listen thoughtfully during the orientation,
different “puroks” of the community ocular survey, and courtesy call
 Orient ourselves to the area especially to the
designated “purok” to where we are assigned
 acquaint ourselves to their different
household locations
3. Recognize the unique needs of each
family and individual family members
4. Demonstrate positive interpersonal
attitudes and respect for individuals,
barangay officials, families, groups,
peers, clinical instructor/superiors, and
the community as a whole as well as
promotion of dignity to clients, families,
& the community
5. Employ the knowledge on PHC, COPAR,
CHN, Service-Learning and related
concepts relevant to the development of
community health & taking into
consideration of being sensitive to their
culture while manifesting care
enhancement qualities
6. Implement knowledge, skills, and
desired attitudes on nursing process and
related processes in the care of patients
and families.
7. Actively take part in the evaluation of
activities, plans, programs & others to
improve the quality of service or revise
community interventions as needed
8. Update myself with recent trends and
research findings for the improvement of
nursing care.
 do a thorough as well as focused assessment
on the patient to determine the holistic
needs of the patient within the scope of
nursing
 provide adequate explanation of procedure
to clients and families to promote their
cooperation and trust.
 be sensitive to verbal and nonverbal cues of
the client
 be courteous towards barangay officials,
clinical instructor/superiors, peers, citizens
residing in the community, and also to clients
and their families
 establish a good working relationship with
them and always ask for God’s guidance in
every interaction I make.
 respect client’s rights, thoughts, personal
life, & create a non-awkward environment
where both parties can interact well & learn
from each other
 review on the lecture discussion during my
previous years in the college of nursing that
would help me provide better, effective, and
quality care to patients in the community
 communicate with my partners assigned in
the purok before our duty to provide proper
nursing care & meet the needs of each family
 do proper assessment of the patient, take
notes & put in mind their needs & the
information they give during contract setting
 Provide quality nursing interventions for
patients clients which is knowledge-based,
safe and appropriate for the patient
 Incorporate only interventions that would
apply to my client & listen to ward classes
 Provide proper health education & perform
nursing procedures & actions guided by
nursing & ethical principles
 help in organizing the plan of activities &
contribute to a better outcome of each
projects assigned/given
 actively participate during group meetings &
contribute ingenious ideas
 commit myself to the work, task, & be able
to meet group deadlines which is given to me
 I will read more on the unique care of families
& clients in the community
 I will read through journals to keep myself
abreast with the recent trends in
community/public health nursing
  When journals are inaccessible, I will utilize
newer edition books and internet sources to
facilitate learning on recent development in
the care of the family members

9. Be able to show commitment to serve  show no signs of hesitation, laziness,

the families, groups, & community
guided by the principles of PHC, COPAR,
CHN, Service-learning & related
concepts
tardiness, & dishonesty in my field of work
 In all procedures, do proper explanation
especially when it’s new to the patient and
family
 advocate for my patient and will plan ahead
on time my care for them

10. Recognize my role and responsibilities in

the care of patients within the limits of
SUCN policies, institution’s policies and
standards of nursing practice.
 I will report immediately any requested
nursing procedure & submit my plan of
activities for the day
 I will follow my scheduled activities of the
day, & report immediately to my clinical
instructor for any changes
 When I am in doubt, I will not hesitate to ask

Municipality of Valencia

Valencia, a first class

municipality of Negros Oriental has
intrigued society with its own share of
opulence, prestige and distinction.
Let’s take a step back into time to
discover how this came about

It was originally named

Ermita, which means "a secluded place" and was used as a refuge from raiding Muslim pirates.
In 1856 it was renamed to Nueva Valencia in honor of a Recollect friar, Fr. Matias Villamayor
from Valencia, Spain.

In 1920, it was renamed “Luzuriaga” in behalf of Don Carlos Luzuriaga. He was the
chosen delegate for the Negros island to the Philippine Legislature where he promised the
town officials that he would advocate for town improvement. But the promise came to naught,
which prompted the local leaders in agreeing to revert to the old name Nueva Valencia.

During those years, the residents recognize the Spaniards, as the authority responsible
for town improvement and the construction of the community structure. They never forgot the
Augustinian Recollects contributions, so in honor of them they named a street that leads to the
plaza after the Order, with a commemorative inscription, “Recolletos Street, a fitting gesture in
recognition of the Order of Augustinian Recollects’ integral achievements in this municipality for
152 years”, giving credit to the Padres who came to evangelized and care for the people of
what was once feared settlement because of the Moro brigands who hid in its mountains.

In 1948, after World War II, Mayor Rodolfo "Odol" V. Gonzalez Sr. and his Municipal
Council officially adopted the name Valencia for the town, dropping out "Nueva".

In 2007, its Municipal Police Station (under the Negros Oriental Provincial Police Office
(NOPPO) headed by Senior Supt. Melvin Ramon Buenafe) was adjudged the “Municipal Police
Station of 2007” in the best unit awards category, and the best town police station in the
Central Visayas (General order no. 110 dated January 22, 2008).

ECONOMY OF
VALENCIA
The economy of Valencia is largely based on agriculture. Major products include
coconut, papaya, abaca, corn, flowers, vegetables, root crops, and exotic fruits such as
lanzones and rambutan.

The municipality is also the site of a geothermal power station operated by the
National Power Corporation. It generates electricity that it supplies the needs of Negros,
Panay, and part of Cebu. The municipal government receives royalties from the power
station which are used to subsidize electricity costs of local residents. Each household
receives a monthly rebate of P800 on their electricity bill.

Valencia, specifically, have two 20-megawatt Palinpinon Geothermal Optimization

Project in Sitio Nasulo, Barangay Puhagan which is 35 kilometers from Dumaguete City.
Valencia’s 192 MW Palinpinon I and II geothermal field ranks 4 th in installed capacity
Local Government Officials

Municipal Mayor: Hon. Enrique Gonzales

Vice Mayor: Hon. Marciano Maravillas

Congressman:

Mr. Alviola Romeo

Mr. Ariel Bantug
Mrs. Necitas Quitoy
Mr. Salundario Sonjaco Jr.
Mr. Ramiro Gendaya
Mr. Wilfredo Gonzales
Mr. Atilano Dagoy
Mr. Nestor Timosan
Mr. Donald Sy
 Mr. Jose Jeffrey Taring

Brgy. Bong-ao Officials

Barangay Captain: Hon. Teresita Z. Teves

Barangay Secretary: Mr. Jose Mendac

Barangay Treasurer: Mrs. Cristina Olasiman

Purok Okra: Kag. Teresita Timosan

Purok Gabi: Kag. Eustaquio Catalbas

Purok Malunggay: Kag. Evelyn Imbo

Purok Monggo: Kag. Claudio Awil

Purok Mani: Kag. Josephine Viray

Purok Camote: Kag. Rufo Banlat

Purok Patani: Kag. Biensalido Abueva

 Valencia RHU Personnel
RHU staff:

Dr. Fe Villanueva – Tagimacruz

Municipal Health Officer

Mrs. Thea Vineles

Public Health nurse

Mr. Cole Abad

DOH representative nurse III

Mrs. Dandila Tatoy

Public Health Nurse II

Dr. Guadalupe Paalisbo

Municipal Dentist

Mrs. Minerva Macaraya Mr. Albert Tubal

Dental Aide Medical Technologist

Mrs. Kathrine Abejero Mr. Cesar Tecio

Sanitary Inspector Utility Worker

Ms. Madeleine Tubig

Encoder
 Rural Health Midwives

Mrs. Jimrose Ceriales Mrs. Evelyn Mission

Rural Health Midwife Rural Health Midwife II

Ms. Arlene Pastias Mrs. Violeta Diez

Rural Health Midwife Rural Health Midwife II

Ms. Marilyn Villo Mrs. Edna Solamillo

Rural Health Midwife Rural Health Midwife II

Mrs. Ma. Elva Toro Mrs. Helconida Salvoro

Rural Health Midwife II Rural Health Midwife II

Ms. Gloria Sy
Rural Health Midwife III
Bong-ao Brgy. Health Officers

Edna Solamillo
Rural Health Midwife

Brgy. Health Worker

Anastacia Imbo

Rufina Dagoy

Guillerma Tinaja
 Courtesy Call

To be able to provide quality care to our clients, we

must have a background about their living, that is why it is

very important to have a courtesy call that marks a beginning

of every duty. Each of us was so excited to know about Brgy.

Bong-ao, the place, the people living there, and the officials

which we will be coordinating later during our services.

When we arrived, we immediately started the

orientation. We were then oriented by Mrs. Teresita Teves,

the mayor of Brgy. Bonga-o, about their place, their

programs, and their future plans. Together with Mrs. Teves, was the diffent Brgy. Kagawads for

each purok. Heading Purok Mani was Mrs. Josephine Viray, Purok Malunggay was Mrs. Evelyn

Imbo, Purok Patani was Mr. Biensalido abueva, Purok Mongo was Mr. Claudio Awil, Purok Gabi

was Mr. Eustaquio Catalbas, Purok Camote was Mr. Rufo Banlat Jr., and Purok Okra was Mrs.

Teresita Timosan . All of them were so nice to us, and by that ,we already have an idea on what

type of community we will be working with.

After our orientation and knowing the place, we then had our ocular survey, which we

considered as a total adventure to us. At first, we were nervous because it is quite a big place,

but later, we became expert of our own assigned Puroks.

 Ocular Survey

Before our actual journey

towards this COPAR rotation, we had the
chance to have a tour around the
beautiful Barangay Bong-ao. We have
had our fair share of experiences with
ocular surveys in our previous years, and
thus we concluded that we will have the
same experience here, only with a larger
scope. Though our clinical instructor
warned us of the land area of Bong-ao,
we really didn’t expect it to be that
exhausting.

Prepared with our umbrellas, we started our “tour” with an energetic attitude. The
breeze in Valencia was a help in making us feel a little refreshed even through the long walk.
We started with Purok Gabi going down to Purok Monggo only until the dump site. We looked
though the houses each of us might be assigned to and assessed the environment to anticipate
what we could contribute. We then reached Purok Patani, and then Purok Camote, we were so
exhausted by then having walked pass how many miles. We barely had energy to take another
step but we had to look for a place where we could rest and take our lunch. But before that, we
had to get our lunch which we left at Kagawad Rufo’s house. Struggling through each step with
our stomachs grumbling for hunger until we finally reached the place. The hospitality of people
in Barangay Bong-ao was shown as Kagawad offered that we could have our lunch at his place.
With the hunger and exhaustion we experienced during that moment, we accepted the offer
and were very thankful. Soon after all of us were full and well rested, we continued with our
stroll around the barangay. Our next stop was the famous “oval” which was very nearby. It was
indeed a large one, and we looked forward to having fun filled experiences in this area. Passing
through the houses, we also noticed the abundance of fruits which really were a beauty to our
eyes. Such fruits included pineapples which I believe grows only in rare areas, others are
“rambutan,” “lanzones,” “santol,” mangoes and more. As we continued, we passes through a
creek, another one for that matter since this was the 2 nd creek we passed through. It was fun
having to have that experience and seemed like we were in an adventure. We then reached
Purok Mani where we took another rest and sat under the trees. It was nice being in an
environment like that, a really peaceful atmosphere. Lastly, we passes through Purok
Malunggay then back to the Barangay Hall at Purok Gabi. Whew!

Again, another whew! “That was a long walk.” Our bodies tired and almost retiring, we then
went back to Dumaguete to get some rest and prepared ourselves for our actual duty with this
beautiful barangay, Bong-ao. 
 Ocular Survey

On the first and second week of duty,

we the Level IV students of Section A4-Melad
began our contract setting. The students
where distributed to the different puroks of
Barangay Bong-ao. For Purok Lower Gabi and
Purok Okra, Dikoi Realista, Steffi Santos, and
Christyriz Tolosa, Purok Upper Gabi and Purok
Malunggay, Maranatha Teves, Jeffrey Tan and
Mia Regalado, Purok Camote, Nestor Mejares,
Timothy Teves, and Roxanne Real, Purok Mani, Teddy Blaine Remata and Kimberly Rosales, Purok
Monggo, Ram Santos and Harlyn Ponsica and lastly for Purok Patani Jezica Rondario and Dame Patun-og.
All of us were given the chance to go to different houses of our assigned puroks and do the contract
setting to each family. A lot of the families have experienced that student nurses comes to their homes
give them services regarding on maintaining a healthy lifestyle.

Contract setting is a vital part in every community duty. It is a formal introduction of our selves
as the student nurses assigned to a specific purok in Baranggay Bong-ao. Included in our contract setting
is the introduction of our names, the school or institution we are representing which is Silliman
University College of Nursing as well as the COPAR rotation, the objectives and purposes of every home
visits and activities, the time and days we’re going to spend with them, the services rendered, the span
of time and termination of duty. The community people have already experienced having their
respective

As said and mentioned earlier, contract setting is very vital in every relationship
especially included is the COPAR rotation. Trust and respect are needed to establish rapport and a good
working relationship with our client’s in the community. In connection, we will be able to render our
health services such urinalysis, blood pressure taking, ventusa, shiatsu, back rub, and other procedures
that could help the whole community in maintaining and monitoring a proper healthy lifestyle. Through
our health services we can also assess their needs and problems in order for us to implement the
appropriate interventions to their health needs. When our relationship will be strengthened, we will be
able to create a conducive environment for learning without them hesitating and doubting our abilities.
Families there were also attentive in listening to different health teachings that would be able to
understand more of what they learned and gained insights. Nevertheless, each and every one of us
should work hand in hand to have teamwork for us to be better citizens of our place and have a very
good, healthy and physically fit individuals.
Spotmaps
SPOT MAP OF PUROK LOWER GABI

Brgy hall

Road to Dumaguete
court
Road to Dumaguete
 SPOT MAP
OF
PUROK OKRA
 Purok Malungay & Purok Upper Gabi

62 63 64 65 65 66 73 74 78 79 80 81 82
61 6
69 75
60 66 3
70 71 76
72 77
59
Purok Malungay

58
56

57
55 54 53 52

46 47 48 49 51 83
1
45 2 84
15 14 50
44 3 90

43 13 12
7 6 5
Purok Upper Gabi
11 10 9 8 89 88
41 42 85
39 40 16 17 18 19

38 21 20
87
37 86
22
36 23
32
35
31 30
34 33
29 28 27 26 25 24 4
LEGEND:

1. Barangay Hall 31. Lolic Vineles 61.

2. 32. Alejandra vineles 62. Antonio Andrada
3. Osmil Vergilia 33. Rosario Vineles 63. Jerry Cefon
4. Matilde Vineles 34. Corita Vineles 64. Circy Banot
5. Pantaleon Verzano 35. Ida Tanyac 65. Cynthia Momles
6. Monico Verzano 36. Cita Mapila 66. Marcelina Alveola
7. Sixto Verzano 37. William Villegas 67. Prudencio Mapili
8. Marvin Vinson 38. Ivy Jucon 68. Dali Igracia
9. Fructuso Mapili 39. Bilenda Doing 69. Mita Sonjaco
10. Vergie Montesor 40. Josefa Sy 70. Capiscano Sonjaco
11. Diosdado Vineles 41. 71. Ian Sonjaco
12. Amaler Verzano 42. Vevina Vilos 72. Eupetes Sonjaco
13. Krislyn Olasiman 43. Lucilia Janita 73. Maria Sonjaco
14. Anastacia Imbo 44. 74. Robin Divinagracia
15. Cristina Olasiman 45. Jesusa Imbo 75. Serjo Consing
16. Leonedes Bantog 46. Rorey Consing 76. Ligay Consing
17. Diosdado Vineles 47. Lita Consing 77. Benjamen Teofi
18. Imelda Obag 48. Pilos Dabiana 78. Gregorio Filina
19. Ciferena Obag 49. Fe Apenas 79. Sonia Beoperas
20. Maricita Bantog 50. Meloda Balasabas 80. Victor Eltanal
21. Neonila Noia 51. Alfonso Apenas 81. Joel Alviola
22. Sopiano Verzano 52. Korean School 82. Teresita Teves
23. William Verzano 53. Dorico Alado 83. Vulcanizing
24. Hilario Bantog 54. Risteto Giangan 84. Maligasa Zoila
25. Lara Banua 55. Woodrow Grapa 85. Precillano Vineles Jr.
26. Elisio Verzano 56. Cita Consing 86. Luzviminda Vineles
27. Immanuel Verzano 57. Mita Losilia 87. Fredeswinda Aransa
28. Apolinario Vineles 58. Monique Imbo 88. Metarda Vineles
29. New Construction 59. Alegria Olasiman 89. Pilayho Olasiman
30. Maria Vineles 60. Lalin 90. Clarita Vineles
Ro
ad
to
th
OVAL Spot map of Purok Patani
e
ov
al Arthritis-
Arsenia
HPN- Mr. de Gregana, 66
los Santos

Amores
compound Dry creek

HPN-Mrs. HPN
Pina Amores

Eufemio
Favor-74

3 HPN-Don’s
Residence

Waiting
Amores’ shed
store HPN- Mrs.
Alpiniana
BRIDGE Tecio
Main road
Spot Map of Purok Mongo
Planning
 OBJECTIVES FOR HOME
VISITS

Each team had home visits in every household in their respective puroks

with the following objectives:

 Be acquainted with the leaders and officials in each Purok, barangay and
the community as a whole.

 Determine the total number of households that comprise each purok by

visiting each house assigned.

 Determine and properly document the family size within every household.
 Establish contract setting with each family/individual in the community by
citing our names, institution where we came from, the clinical instructor,

purpose in coming to the barangay, days and time of duty, & the expected
culmination of the duty.
 Establish a therapeutic working nurse-client relationship with families
of every household in the community assigned by acting in a respectable

& becoming manner as well as through proper introduction.

 Assess the health status of each individual in the community per visit
and identify priority households.

 Assess the community for any significant actual and potential hazards
present.

 Properly schedule visits to each house ensuring that each household

will be catered to, but focus on identified priority households.

 Student nurses and clients must agree on schedules and activities to be

performed at least a day before the planned health services

(e.g. Ventusa, Back rub, herbal meds medication making, etc) with the

clinical instructor’s knowledge.

 Disseminate any important announcements from the baranggay health

unit to each household. Include the services available among other

things.









 Clarify and correct health misconceptions by conducting incidental
health teachings as necessary.

 Collaborate with Barangay health workers and midwives in identifying

health problems in the community through proper referral.

 Conduct case findings in every household on common illnesses and

diseases especially Tuberculosis in each assigned purok and properly

refer to the health unit in Valencia.

 Work collaboratively with patients in achieving identified goals and

 objectives previously prioritized with each community member.
Priority Community Care
Plans
 Purok Lower Gabi

Statement of the problem:

Poor environmental sanitation as evidenced by improper waste disposal as a health threat

General objective:
At the end of our nursing care, the community folks of Purok Gabi (lower), Barangay Bong-ao, Valencia will demonstrate and understand the importance of a healthy and
good sanitary environment and will express willingness to promote and maintain a clean environment as well as to develop positive attitudes regarding the improvement of
their living and do independent interventions to preserve their surroundings.

Specific Objectives Intervention Plan Materials Budget Schedule of Persons Responsible

Strategies Activities Needed Activities

Within our nursing care, the INDEPENDENT: The student nurses will: Books Transportation: First Week Clinical Instructor
community folks of Purok Gabi (lower) (Mr. Osel Sherwin
1. Ascertain the level of 38 x 16 July
in Barangay Bong-ao, Valencia will: Melad)
knowledge, including
1. Identify the anticipatory needs of each Community = P608 Orientation at
environmental community folk. cooperation LGU and RHU and
1. Verbalize the importance of condition of Purok Ocular Survey Kagawad of Purok
sanitation and proper waste Gabi (lower)
Gabi (Mr. Eustaquio
disposal Catalbas)
2. Assess the level of 2. Provide positive Human
2. Verbalize understanding of knowledge among reinforcement. Resource: Second Week
the existence of a poor the families of the
said community Time and July
sanitation as health threat Student Nurses
about 3. Discuss with the community effort of both
Contract Setting, (Federico Realista,
environmental through incidental health student nurse
teachings: Steffi Santos &
3. Identify health threats sanitation/waste and the family
disposal a. consequences and Assessment and Christyriz Tolosa)
brought about by improper
harmful effects brought Identification of
waste disposal in the
 environment by poor sanitation possible health
b. importance of problems,
3. Assess if practicing proper
4. Plan and develop ways to resources are environmental Home visits
improve cleanliness of readily available sanitation
surroundings and accessible c. preventive measures to
that would help in eliminate or reduce
the development health threats in Third Week
5. Enumerate ways and various of the community
measures in keeping up habits community’s environment Continue of
and good practices for a clean condition d. detrimental health Contract Setting,
environment effects of burning Assessment and
garbage Identification of
4. Identify common
6. Enumerate some possible health
health practices
disadvantages of having an and beliefs among problems and
4. Demonstrate to the family
unclean environment. families regarding the proper hand washing to Home visits
proper waste reduce transfer of
disposal and microorganisms from the
7. Enumerate advantages for a environmental environment that may
good environmental sanitation Fourth Week
cause a threat to their
sanitation health Working phase

8. Identify ways of promoting Identification of

5. Demonstrate to the family
and maintaining a clean place. possible health
the proper waste disposal
and segregation of garbage. problems and
Home visits

Community
procedures
6. Encourage family to do
proper waste disposal to
reduce health threat.
Fifth Week
 7. Enhance the capability of Health Teaching
the community to provide
an environment conducive
to health maintenance and
personal development

Purok Upper Gabi

Statement of the problem: High incidence and prevalence of hypertension among middle adults and elderly in Purok Upper Gabi as a health deficit.

General Objective: After our 7 weeks nursing intervention, the community people of Purok Upper Gabi will have an increase awareness and knowledge on hypertension which
includes the cardiovascular system—the heart, the blood vessels, and the blood—its definition, causes and risk factors, signs and symptoms, preventive measures and
treatment, promote and manifest a positive attitude towards wellness and health.

SPECIFIC OBJECTIVES INTERVENTION PLAN MATERIAL BUDJET TIME TABLE PERSON’S

S NEEDED RESPONSIBLE
STRATEGIES ACTIVITIES

Within our 7 weeks duty in the 1. Health teaching: Independent:  Visual aids Financial: 1st week of duty Human Resouces:
community of Purok Upper Gabi and Increase and broaden the for the (Time and effort of
with cooperation and active knowledge of the 1. Conduct a Health Teaching:
structured community people of
community people of a. Discuss the important parts
participation of the residents of the health Purok Upper Gabi,
of the cardiovascular Snacks: June 17, 2010
community, the residents of Purok Purok Upper Gabi health officers, and
system—the path of blood teaching
Upper Gabi specially the middle adults especially the middle through the heart, P200 Ocular Survey and health care providers,
regarding
and the elderly will be able to: adults and elderly on difference of arteries and Courtesy call at student nurses)
hypertensi
hypertension veins, and functions of the Brgy. Bong-ao
specifically: heart, blood vessels and on and its
blood preventio Transportation:
1. Identify the important parts of  The important b. Discuss what hypertension n  Clinical
the cardiovascular system. parts of the is 38 x 2= 76 x 7 = June 18, 2010 Instructor: Mr.
(cartolina,
a. Trace the path of blood cardiovascular c. Discuss the causes and risk 532 (38 pesos Osel Sherwin
through the heart scotch each day of duty Courtesy call at Melad
system—the factors
b. Differentiate arteries and path of blood  Lifestyle—smoking, tape, 2 days per week  BHW: Mrs.
 veins. through the obesity, over masking for 7 weeks) RHU Anastasia Imbo
c. Recognize the function of heart, difference consumption of alcohol, tape,  Kagawad: Kag.
blood to the body of arteries and daily activities/exercise, Josephina Viray
double
veins, and high serum cholesterol,  Student Nurses:
functions of the and stress sided Handouts: P30 2nd week of duty Carla Mia
2. Discuss hypertension, its heart, blood  Increase sodium in the tape, glue, Regalado,
causes and risk factors, and vessels and body scissors, Jeffrey Tan,
signs and symptoms blood  Age thumbtac Maranatha Teves
a. Explain what  Discussion of Backdrop: P50 June 24, 2010
 Gender ks and
hypertension is in their causes, risk  Genetics
own level of understanding factors, signs pentel Contract Setting
 Kidney Diseases
b. Enumerate 75% of the and symptoms, pen) at Purok Upper
 Hormonal Imbalances Total: 812
causes and risk factors preventive  Chairs Gabi
d. Discuss the manifestations
c. Identify 75% of the signs measures and  Difficulty breathing  Tables
and symptoms of treatment
hypertension  Nosebleed  Paraphern
 Headache alia for June 25, 2010
Initiate ways in which  Dizziness
the
3. Identify 75% of the preventive hypertension can be  Tinnitus Orientation at
measures and treatment of e. Discussion of the environm
prevented and monitored LGU
hypertension preventive measurements ental
through: and treatment manipula
 Regular check-up tion
 Regular  Healthy Lifestyle
4. Involve their selves in the monitoring of  Handouts
teaching that the students will blood pressure  Snacks 3rd week of duty
impart to them  Health teaching 2. Home visits with proper  Physical
on hypertension assessment for any signs and Assessme
symptoms of hypertension that
nt July 1, 2010
5. Identify their deficit and the clients may be manifesting
realize their strengths to be 2. Make proper 3. Do blood pressure Materials
used to improve and maintain referrals to health monitoring to those client such as Continue contract
their health and prevent them care institutions identified to have high blood setting at Purok
stethosco
from having increased blood pressure pe and Upper Gabi
pressure 3. Assess the level of
knowledge on what sphygmo
they know and what 4. Determine the level of manomet
knowledge deficits knowledge (Know what er etc. 4th week of duty
6. Show interest in the topic as the residents have
evidenced increased curiosity
knowledge they already have  Time,
and what are the deficits, and effort and
by asking questions and
4. Know the different the ones that needed to be July 15, 2010
continuously seeking energy of
factors that can corrected)
information regarding the House to house
affect the learning
hypertension
process of the people visit in Purok
residents 5. Consider the educational involved Upper Gabi on
background, previous their Health
 Books
knowledge, socio-cultural
5. Home visits and  Bagga Concerns
factors, financial status, etc.
Blood pressure ley, A.
taking (2001)
6. Identify strengths of the Huma
n July 16, 2010
residents to increase their
compliance to preventive Body.
New Go to Ma’am
measures and maintain health
York: Imbo and refer
Dorlin Mrs. Luzviminda
7. Encourage them to verbalize g Vineles for an
their thoughts, opinion and Kinde abnormal
knowledge regarding HPN rsley menstrual period.
Publis
Visit other houses
hing,
Inc. in Purok Upper
8. Provide positive
reinforcement  Black, Gabi.
J. M.,
&
Collaborative: Hawk
s, J. 5th week of duty
H.
(2005)
1. Referrals to BHWs, RHU or Medic
appropriate health institution al- July 22, 2010
Surgic
Go to Ma’am
al
Nursi Imbo and refer
ng. Mrs. Luzviminda
(7th Vineles and
ed.)
 Singa further assess.
pore: Urinary analysis
Elsevi done to Olasiman,
er
Pelahiyo family,
PTE
Ltd. Benson, Marvil
 Cayet family, Vineles,
ano, Asterio family and
H. J. Veniles,
M. Presciliano family.
(1998)
. Pag-
ugba
sa July 23, 2010
Mahi
msog Show and explain
nga results to each
PAngl family. Post
awas posters. Visited
revise
some houses in
d
editio Purok Malunggay.
n.
Manil
a:East
ern 6th week of duty
Publis
hing
Assoc.
July 29, 2010
 Kozie
r, B., Health teaching on
Erb,
Hypertension
G.,
Berma conducted in
n, A. Purok Gabi. Help
& in SHT
Snyde preparation and
r, S. J. crowd control at
 (2004) Purok Camote.
.
Funda
menta
ls of July 30, 2010
Nursi
ng. Invitation to
(7th Bong-ao Day Care
ed.). Center’s Nutrition
Philip Day Activity.
pines: Help in SHT
Pearso
preparation and
n
Educa crowd control in
tion Purok Patani.
South Home visits of
Asia, Purok Malunggay.
Pte.
Ltd.
 Marie
b, E. 7th week of duty
(2004)
.Essen
tials
of August 4, 2010
Huma
n Termination at
Anato Purok Gabi.
my House to House
and visit at Purok
Physi Malunggay.
ology.
7th
ed.Pea
rson August 5, 2010
Educa
tion. Termination at
South
 Asia Purok Malunggay.

 Baranggay
hall for
venue

Purok Patani

Community Diagnosis: Lifestyle diseases as a health threat

Goal: At the end of our 8 weeks of our care, the residents of Purok Patani of Barangay Bong-ao shall enhance their knowledge, develop their skills, and have positive attitudes
and values towards preventing lifestyle diseases and maintaining a healthy living.

Intervention Plans
Materials Needed Persons Responsible
Objective Strategies Activities Budget Time-Frame

Independent: FIRST WEEK  Barangay Captain:

After our 8 weeks of Hon. Teresita Z. Teves
 2 – manpower of Financial June 17, 2010
nursing care and  Ocular Survey and
student nurses resources:
intervention, the home visit  Barangay Councilor:
 Do home visits to - Courtesy call and
residents of Purok Hon Beinsalido Abueva
the residents and ocular survey.
Patani of Barangay assess for the  PH Bag with complete  Transportation
Bong-ao will: pattern of lifestyle equipment June 18, 2010  Barangay Health Workers:
P 960.00 (40x2
in the community. Mrs. Guillerma Tenaja
per week for 8
- Orientation to Rural
1. Know the different weeks
 Check the  Umbrella Health Unit.
diseases associated multiplied by 2
with unhealthy residents’ general  Clinical Instructor:
health such as BP for the student
lifestyle. Mr. Osel Sherwin Melad
monitoring and  Backpack with
 urine analysis. important personal nurses) SECOND WEEK
contents (pen, paper,  Participants: Purok Patani
2. Know the  Conduct series of notebook etc.) June 24, 2010 of Barangay Bong-ao
importance of urine analysis on
preventing Lifestyle  Snacks and - Contract Setting to
the residents.  SUCN Student Nurses
diseases and  Individual snacks visual aids for Purok Patani.
maintaining a the SHT:
 Assess the people’s
healthy living.  Previous knowledge P 500 (P250 each)
knowledge on the
effects of sedentary about lifestyle
3. Recognize the diseases. THIRD WEEK
lifestyle and
threat posed by unhealthy  Total July 1, 2010
sedentary lifestyle practices.
 Time and effort of the P 1,460.00
and not taking care
-Continuation with
of health. student nurse, school
administration, contract setting and
4. Be able to manage students and assessment of the
 Reinforce the need
and prevent the significant other residents.
and importance of
occurrence of having and
lifestyle diseases. maintaining a  Expenses for materials
healthy lifestyle. and transportation of
FOURTH WEEK
5. Enumerate possible the student nurses
signs and symptoms  Encourage and - No duty (simulations
of common lifestyle emphasize of community
diseases such as importance in procedures)
diabetes.  Incidental health participating health
teaching about programs given by
6. Show preventive effects of the barangay
activities towards sedentary lifestyle health station& FIFTH WEEK
avoiding lifestyle and ways to RHU in lined with
diseases and prevent it. healthy lifestyle July 15, 2010
maintaining a practices.
healthy lifestyle. - Home visits,
assessment and
 Health teaching to providing health
the community
services to the
 Structured Health about common residents.
Teaching lifestyle diseases
and ways to July 16, 2010
prevent such
diseases. - Home visits,
assessment and
 Reintroduction on providing health
available health services to the
resources on the residents.
locality, the
officers, address,
and programs
offered. SIXTH WEEK

July 22, 2010

Collaborative:
- Home visits,
 Coordinate with assessment and
municipal officials providing health
 Proper referrals and health officers services to the
on the
residents.
implementation of
control on lifestyle
July 23, 2010
diseases.
- Home visits,
assessment and
providing health
services to the
residents.
Disseminating
announcement for the
SHT.

SEVENTH WEEK
July 29, 2010

- Home visits,
assessment and
providing health
services to the
residents. Observe for
the first group in doing
SHT. Continue
disseminating SHT for
tomorrow.

July 30, 2010

-SHT on Lifestyle
Diseases. Home visits,
assessment and
providing health
services to the
residents. Home visits,
assessment and
providing health
services to the
residents.

EIGHT WEEK

August 5, 2010

- Home visits,
assessment and
providing health
services to the
 residents. Preparing for
termination.

August 6, 2010

-Termination and
Evaluation.

Purok Mongo

Statement of the Problem: Poor home/environmental condition related to unsanitary waste disposal as a health threat

General Objectives: At the end of our care, the community residents will understand the importance of proper personal hygiene and sanitary environment so as to prevent
infection.

Intervention Plan
Specific Objectives Materials Needed Budget Schedule of Activities Persons Responsible
Strategies Activities

Within our nursing The student nurses will: Books, handouts, Handouts (P30.00) First Week Clinical Instructor (Mr. Osel
intervention, the people Sherwin Melad)
June 17, 2010
of Purok Mongo,
Barangay Bong-ao, House visits and  Do initial assessment Community cooperation Visual aids  Courtesy call to
Valencia will: households of the community’s Barangay officials Kagawad of Purok Mongo
assessment over-all health to (P20.00)  Ocular survey (Mr. Claudio Awil)
provide baseline June 18, 2010
data Visual aids
1. Demonstrate  Orientation to
 Explore with the
willingness to participate family ways of Prices RHU Barangay Health Worker
in the actual health implementing
teaching measures to Handwashing materials (P50.00) (Josefina Viray)
maintain personal (soap in a soapdish,
hygiene especially water, and towel) Second Week
among the members
2. Correctly discuss the who work in the Money for the June 24, 2010 Student Nurses (Harlyn
importance of proper dumpsite and among student nurses Ponsica and Ram Santos)
hygiene. the dependent Prices for the evaluation/ transportation  Contract Setting,
family members.  Assessment and
games (bath soap and
 Explore with the (P40.00) Identification of
toothpaste) possible health
family ways of
3. Recognize the implementing problems
different personal sanitation measures June 25, 2010
hygienic practices. (e.g., proper food Time and effort of both
handling, garbage  Orientation to
the student nurses, LGU
disposal) and
clinical instructor, and
maximizing
4. Verbalize community residents of
resources.
Purok Mongo, Third Week
understanding on the
importance of keeping  Assess the suitable July 1, 2010
the environment safe in time and place of the
relation to personal student nurses and  Continue of
the community Contract Setting
health
people for the actual  Assessment and
health teaching Identification of
 Invite as many possible health
5. Discuss ways and persons or families problems
means on how to Plan for Structured available for the  Home visits
actual health
maintain a healthy Health Teaching in
teaching.
environment. Purok Mongo
 Distribute leaflets or
invitations/put up
posters for the Forth week
Structured Health
6. Recognize the July 15-16, 2010
Teaching indicating
consequences of poor the
hygienic practices and topics/information  Incidental Health
unsanitary environment to be discussed, the Teachings
specific time, date,  Home visits
and place of the  BP monitoring
teaching.
7. Discuss ways to
control and prevent the  Prepare physical set- Fifth week
occurrence of infection up.
at 75% level of  Gather the available July 22-23, 2010
competency. persons in the purok
 Incidental Health
and invite them over
Teachings
to come to our
 Home
structured health
visits/community
teaching
procedures
 Ask them prior
 BP monitoring
knowledge about the
topic.  Referral to BHW
 Conduct health
teaching on the
Sixth week
following:
a. proper hygienic July 29, 2010
practices (e.g.
Actual Structured
proper skin care and  Home
Health Teaching on
taking a bath visits/community
Personal hygiene
regularly; brushing procedures
and environmental  BP monitoring
the teeth; etc.)
sanitation July 30, 2010
b. environmental
 Structured Health
sanitation (e.g.
Teaching
proper food and
water handling)
Socialized and Seventh week
interactive c. demonstrate on
discussion how to properly Aug. 5-6, 2010
brush the teeth and
 Home visits
 to properly wash the  BP monitoring
hands  Termination phase

(Call someone from

the crowd and ask
to actually
demonstrate the
proper washing of
hands)

d. ways to control
(Return
the spread of
demonstration)
disease and
infection

e. courses of action
open to them, in
improving their
environment

f. the consequences
of failure to take
appropriate actions
of the problem
Open forum
 Encourage the
participants to raise
questions or share
their thoughts or
ideas regarding the
topic
 Evaluate the
Evaluation (Question
participants about
and Answer portion) the topics discussed
 on the actual health
teaching.

 Do referrals to BHW,
Provide appropriate RHU or to
referrals appropriate health
practitioners
concerning
environmental
sanitation.

Purok Mani

Health Problem: Hypertension related to family history of hypertension and unhealthy lifestyle as a health deficit

Goal: At the end of our 7-weeks of community nursing care, the residents of Purok Mani will develop beginning skills, acquire knowledge and manifest positive attitudes and
values towards prevention and management of hypertension.

Intervention Plan
Resources Schedule of
Objectives Budget Person Responsible
Strategies Activities Needed Activities

Within the 7-weeks duty,  Home Visits  House to house  Notebook and Financial Resources: First Week:  Student nurses
the people in Purok Mani visits ballpen for obtaining June 17-18
will be able to:
1. Recognize the signs
&symptoms and
management of
Hypertension
2. Identify the
different risk factors of
Hypertension
3. Attain knowledge
regarding the possible
complications of high
blood pressure
 Assessment of
4. Discuss the
importance of having a
healthy lifestyle to
prevent the incidence
of Hypertension
5. Manifest actions
that will contribute to
the management of
Hypertension  Obtain their
6. Refer to the
Barangay Health
Workers the
occurrence of
Hypertension
 Introduced oneself the health history  Money for Courtesy call at  Clinical Instructor
and partner to the  For the incidental transportation Barangay Health Unit - Mr. Osel Sherwin Y.
community health teaching: -40.00 every duty and Ocular Survey in Melad
members -gain knowledge  Money for the whole Barangay,
 Build interpersonal regarding notebook Orientation to Rural
 Barangay Officials
relationship among hypertension -10.00 Health unit
the community  Money for ballpen
-contents of the pH  Barangay Health
members -10.00 Second Week:
bag Workers
 Determine the June 24-25
family members  For taking blood Contract Setting with
who has pressure the community  Government Officials
Hypertension -Stethoscope, members at Purok
Sphygmomanometer Mani. Initial  Members of the
 Interview the  Expenses for assessment and community (Purok
members of the materials and identification of Mani)
community transportation possible health
their health  Get their health  Time and effort of problems at the
history history to find out the student nurses as assigned Purok
what might cause well as the people in
their high blood the community and Third Week:
pressure Barangay officials July 1
Continuation of the
contract setting at
 Blood pressure
Purok Mani
taking during home
visits
Fourth Week:
blood pressure  Record the data
July 15-16
during house to taken
Home visits and BP
house visits  Follow up the
taking with incidental
community
health teaching at
members who have
Purok Mani
high blood pressure
Fifth Week:
 Explain to
July 22-23
community
Home visits with BP
members the risk
taking and incidental
 Incidental factors and causes health teaching.
Health Teaching of hypertension Community Health
about  Discuss to the assessment
Hypertension members of the
community the Sixth Week:
management of July 29-30
having high blood Home visits,
pressure community health
 Give details on how assessment. Structured
to prevent health teachings and
hypertension and BP taking
the importance of it Seventh Week:
August 5-6
 Proper referral  Inform the family Home visits and
about where to go termination of contract
and whom to seek
for help from the
BHW’s
 Purok Camote

Statement of the Problem: Risk for Dengue Outbreak related to presence of breeding areas as a health threat

Goal: At the end of our 8 weeks COPAR rotation, the residents of Purok Camote, Brgy. Bong-ao, Valencia shall acquire beginning skills, gain adequate knowledge, manifest
positive attitudes and values towards planning, implementing and working on appropriate actions necessary to prevent and control health threat.
Objectives Intervention Plan Materials Budget Schedule of Persons Responsible
Strategies Activities Needed/Human Activities
Resources
At the end of our care,  Papers Personal budget: First week: Residents of Purok
the people in the Ocular Survey and 1. Assess the  Pen transportation of Camote, Bong-ao,
June 17, 2010
community shall be Home Visit areas in the  Human 1320 pesos, 40 x 3 Valencia
community for resources: time for 11 days duty,
able to: -courtesy call and
the presence of and effort of the multiplied by 3 for Health volunteers,
ocular survey
1. Identify breeding sites. student nurses student nurses student nurses/ clinical
breeding areas
2. Assess the  Transportation snacks and visual aids June 18, 201- instructor
people on their for SHT- 600 pesos orientation to rural
which are
level of (200 pesos each) health unit Barangay officials,
health hazards knowledge and volunteers from
to the awareness on Total of: 1920 pesos Second week: government
community the presence of
health hazards Ask for sponsors June 24, 2010
2. Understand the in their :from Barangay or
-contract setting at
importance of community. City officials
Purok Camote
doing 3. Assess the
appropriate people’s
awareness and
action regarding
reactions in Third week:
the presence of
Incidental Health regard to the
health threat Teaching presence of July 1,2010
mosquito in
3. Demonstrate -continuation of
their
willingness to contract setting
community.
participate in 4. Assess the
 the people on their
actions/interve level of
knowledge and Fourth week:
ntions planned
awareness on
together with (no duty)
the presence of
the student health hazards
nurses in their
community. Fifth week:
4. Actively
5. Explain to the
participate in July 15, 2010
clients the risks
the of having -home visits with
interventions breeding areas
assessment and health
being around their
services
implemented. houses or
within the July 16,2010
community
6. Do incidental -continuation of home
health teaching visits and
about Dengue assessment/health
and its cycle. services
7. Show the
connectedness Sixth week:
of the health
July 22, 2010
condition from
the health - home visits with
hazard. assessment and health
8. Reinforce the
services
need and
importance of July 23, 2010
cleaning the
areas especially - continuation of home
removing the visits and
breeding sites assessment/health
of mosquitoes. services

-disseminating
announcement for
structured health
teaching

Seventh week:

July 29, 2010

- home visits with

assessment and health
services

-SHT

Eight week:

August 5, 2010

- home visits with

assessment and health
services

-start termination

August 6, 2010

-continuation of
termination and
evaluation
Implementation
 Purok Upper and Lower Gabi
Structured Health Teaching on Diabetes Milletus
Placement: First Semester, COPAR

Rotation: Brgy. Bong-ao, Valencia (Purok Lower Gabi and Purok Okra)

Time Allotment: 30 minutes

Topic Description: The unit discusses about the concept of diabetes mellitus, its description and the different types, the sign and symptoms and the importance of
prevention and control.

General Objective: At the end of our 30 minutes lecture-discussion, the residents of Purok Mani and Purok Okra shall acquire additional knowledge, increase
beginning skills, and develop positive attitudes about diabetes mellitus.

SPECIFIC OBJECTIVE CONTENT

At the end of our lecture discussion, the

patient shall be able to:

I. Introduction
Maayong adlaw kaninyong tanan. Dako kaayo ang among pasalamat nga nitambong kamo sa among gi-andam nga
gamay nga pagtudlo kaninyo unsaon pag-akatar sa atong kalawasan. Kami mga estudyante sa College of Nursing sa
Silliman. Murag halos tanan diri nakaila na siguro kanamo kay sige man mi ug suroy-suroy sa inyo lugar. Karong
buntag nangayo kami kaninyo ug gamay nga panahon para ma-share namo ang among mga natun-an kabahin sa pag-
akatar sa lawas o paglikay sa mga sakit sama sa diabetes. Unsa man ning sakit nga diabetes? Kinsa dinhi ang naay sakit
nga diabetes o ang miyembro sa inyong pamilya naay sakit sa diabetes?

Ang diabetes usa ka sakit nga gi-ila nga dili makatakod sama sa cardiovascular dieseases o sakit sa kasing-kasing,
kanser, ug sakit sa baga. Ang pagkadaghan sa nagkasakit niining mga sakita naghatag ug hagit sa atong paglambo isip usa
ka nasud. naghagit kini sa paglambo sa atong ekonomiya ug ang atong mga kinabuhi ug maayong panglawas. gitawag
kaning mga sakita nga "lifestyle related diseases" kay dili kini makatakod pero magkasakit ang usa ka tawo pinaagi sa
iyang pagkulang sa pag-akatar sa kalawasan.
 Sa tuig nga 2005, gi-istemar nga 35 milyones ka tawo ang mamatay gumikan sa aning mga sakita. Ang sakit nga
diabetes usa nga mga nanguna sa mga sakit nga maka-angkon ug disabilidad sa usa ka tawo.

II. Definition of terms:

Sa dili pa kita magtuki kabahin sa sakit sa diabetes, ako usa ihatag ang mga komon nga mga words nga gamiton nato
karong adlawa ug amo usab i-esplekar kini.
• Insulin
Isa ni siya ka-hormone nga gipagawas sa atong lawas para sa pagtabang ug metabolize sa mga carbohydrates nga
makuha nato sa mga kan-on, kamote, ug uban pa. sa mga protina ug mga tambok. Kung kulang ka aning ginatawag
ug insulin, mu resulta kini siya ug diabetes.
• Predisposing Factors
Ang mga rason o mga butang nga nagpadako sa mga posibilidad nga ang tawo maka-angkon sa sakit nga
diabetes.

1. Define the following • Screening Test

terms in their own words. Usa ka pamaagi nga mailhan o mamatikdan ang sakit nga diabetes.

III. Description
Ang sakit nga diabetes dili usa ka klaseng sakit. Grupo kini sa mga sakit gumikan sa pagkakulang sa atong lawas
ug insulin o ang insulin dili maka-function kayo sa atong lawas nga maoy motabang sa atong lawas para naa tay
enerheya. Kung sobra ang asukal o glucose sa atong lawas makatanggom kita ug gitawag nga hyperglycemia. Kung
mubo pud ang atong asukal o glucose magkatanggom kita sa gitawag nga hypoglycemia.

IV. Etiology/Causes
Mga rason o mga pamaagi nga magkasakit ang tawo ug diabetes:
 Kaliwat o nakuha sa mga ginikanan o pamilya – kung aduna kay ginikanan nga naay diabetes o igsuon o mga
parente nga naay diabetes dako nga posibilidad nga naa pud ka aning sakita.
  Pagkasobra sa timbang (>20% over desired body weight)
 Walay tarong nga pagkaon o pagpili sa pagkaon
 Kulang o walay ehersisyo
2. Describe diabetes mellitus as a  Edad (>45y) – ang pagtaas sa edad namatikdan pud nga magkasakit ug diabetes tungod sa dili insaktong
lifestyle disease. gipangkaon, walay ehersisyo ug pagkadaghan sa tambok sa kalawasan.
 Hypertension o altapresyon(>140/90 mmHg)

V. Types of Diabetes

3. Identify the etiology or causes of
diabetes.
a. Type I
Usa ka klase nga diabetes nga gumikan sa kulang nga insulin sa lawas kay ang pancreas guba o wala ga-function.
Kini ang klase nga diabetes nga gikinahanglan ug dugang nga insulin pinaagi sa pag-injection. Kini ang klase sa diabetes
nga gumikan nga kaliwat o gikan sa mga ginikanan, sa atong environment o atong palibot, o mga kagaw ug mga kemikal.
b. Type II
Kini usa ka klase nga diabetes nga bisan naa ang tawo sa gitawag nga insulin, dili gihapon makatrabaho ang insulin
kay ginadili kini sa atong lawas. Kini mahitabo sa mga tawo nga taas na ug edad o mga tawo sobra sa timbang. Puede
pud kini makuha sa atong mga kaliwat.

1. Risk Factors of Type II DM

Ang mga rason kung nganong magkasakit kita sa sakit nga diabetes Type II mao ang:
• Mga kalitawat nato nga naay diabetes;
• Mga tawo nga sobra sa timbang ug sobra sa tambok;
• Mga tawong walay gibuhat o walay ehersisyo;
• Altapresyon
• Pagkatawo nga dako nga pagkabata.
4. Enumerate the two types of diabetes
and briefly describe each.
5. Give one of the ways of screening
diabetes.
6. Identify at least 2 complications of
diabetes.
7. Correctly states the prevention and
control of the disease.
VI. Screening for DM
Ang sakit nga diabetes mailhan sa mga pamaagi sa pag-ila kung naa ka aning sakita sama sa:
• Fasting Blood Sugar (FBS) - ginakuha kini sa sulod sa 8 ka oras nga walay kaon ang pasyente. Tubig ra ang ipainom.
Gitawag ang usa sa mga instrumento nga gigamit niini mao ang Glucometer.
FASTING BLOOD SUGAR VALUES
109 mg% - Normal
110-125 mg% - Impaired Glucose Tolerance
126 mg% - Possible Diabetes Mellitus
 Mga symptomas sa diabetes u gang RBS > 200 mg/dl
 Two-hour blood sugar >200 mg/dl – paimnon ug 75g nga glucose nga gitunaw sa tubig o paghuman sa pagkaon.
VII. Complications
Ang sakit nga diabetes makaresulta sa uban pang grabe nga mga sakit sama sa:
• Sakit sa kidney;
• Pagkabuta;
• Sakit sa kasing-kasing;
• Stroke
VIII. Prevention and Control
Naay mga pamaagi nga malikayan nato ang sakit nga diabetes o makontrolar nato kung naa na tay sakit nga diabetes. Ang
mga pamaagi mao ang:
• Pagmentenar sa atong kabug-aton sa atong lawas ug paglikay sa pagpanambok pinaagi sa pagkaon sa mga ensaktong
pagkaon ug ehersisyo.
• Pagbantay sa atong mga gikaon - paglikay o pagminus sa mga pagkaon nga asgad ug kargadog tambok, paglikay sa
mga matam-is nga pagkaon sama sa kendi ug cake; paglikay sa mga junk foods.
• Pag-ehersisyo para malikayan ang pagtaas sa timbang.
• Paglikay ug pag-undang sa panigarilyo o paglikaw sa aso sa sigarilyo.
IX. Open Forum/Evaluation (Games with prizes)
Placement: Residents of Purok Gabi

Time Allotment: 30 minutes

Topic Description: Structured health teaching on Hypertension. This includes the a brief discussion of the cardiovascular system—the
heart, the blood vessels, and the blood—its definition, causes and risk factors, signs and symptoms, preventive measures and treatment.

Central Objecives: At the end of 30 minutes, the people of Purok Gabi will be able to gain new knowledge on the important facts about hypertension.
SPECIFIC OBJECTIVES CONTENT

After 30 minutes, the resident of

Pag-ampo
Purok Gabi will:

I. Introduction
Maayong buntag sa inyong tanan, kami ang mga 4 th year students sa Silliman University, College of Nursing. Karong buntaga atong
panghisgutan ang problema kabahin sa hypertension o altapresyon. Sama ni ini ang mga parte sa lawas na maapaektuhan, ang mga
hinungdan kung nganu ni mahitabo, kung kinsa ang taas og risgo na magka hypertension, mga timailhan sa hypertension, mga pamaagi sa
paglikay og pagtambal sa altapresyon.

Kining pagtudlo kabahin sa hypertension, makatabang kini para mapun-an atong nahibal-an kabahin sa hypertension para maka
mintinar og maayong panglawas og makalikay ta sa ni ining sakita.

II. Brief Discussion of the Cardiovascular System

A. The heart
Ang atong kasingkasing kay pare-pareha sa atong kinumo kadak-on. Importante kini atong kasingkasing kay kini nagdala og
nutrisyon og oxygen pinaagi sa pagbomba og dugo paingn sa ubang parte sa atong kalawasan. Gi unsa man pagdala sa kasingkasing og
7. Identify the important parts dugo paingn sa ubang parte sa kalawasan? Imortante na mahibal-an nato na adunay upat ka parte o kwarto ang atong kasingkasing. Ang
of the cardiovascular nagamit na dugo na kulang sa oxygen og nutrisyon kay musulod sa tuong bahin sa kasing-kasing, ang kaning dugo na nagamit na kulang sa
system. oxygen og nutrisyon kay mabomba padulong sa baga para makakuha og oxygen. Ang napresko na dugo na gikan sa baga mubalik sa
d. Trace the path of blood
kasingkasing na muagi sa walang parte ni ini. Gikan sa walang parte sa kasingkasing, ang dugo na napresko na puno og oxygen og
through the heart
nutrisyon, e.bomba kini sa kasing kasing paingnon sa ubang parte sa lawas. And dugo na gikan sa ubang parte sa lawas na nagamit na ang
oxygen og dug okay gi gamit sa lawas mu paingon na pud sa ttuong bahin sa kasingkasing.

B. Ang kaugatan
Ang kaugatan mao kini ang alagianan sa dugo paingon sa lain laing parte sa atong kalawasan og paingon balik sa atong
kasingkasing. Ang arteries mao kini ang dagkong ugat na nagdala sa dugo paingn sa lain lain nap arte sa lawas. Ang veins mao ang g.agian
sa dugo gikan sa lain laing parte sa lawas.

e. Differentiate arteries C. Ang dugo

and veins. Ang atong dugo nagsilbi ni siya na mao mag dala og oxygen og nutrisyon para sa mga parte sa atong lawas. Mao kini ang iyang
mga katuyoan: nagdala og oxygen, nutrisyon, og hormones paingn sa selula sa atong lawas og nagdala sa hugaw gikan sa atong selula para
kining hugaw mapagawas sa lawas, nag-regulate kini sa atong temperature, pH, og gidaghanon sa dugo og pagsanta sa impeksyon og
pagkausik sa dugo.
f. Recognize the function
of blood to the body

III. Hypertension
A. Definition
Ang alta presyon o hayblad mao ang panghitabo nga mutaas ang presyon sa dugo nga makahatag ug dakong kadaot sa lawas ug ug
usahay muresulta sa dihadihang kamatayon. Moresulta kini kon mogamay ang alagian sa dugo (ilabi na kon daghan ang cholesterol sa
8. Discuss hypertension, its ugat) o kung kusog ang agus sa dugo sa mga ugat (ilabi na kung grabe o bug-at ang ginabuhat). Ang paggamay sa alagianan sa dugo maoy
causes and risk factors, and dako nga hinungdan nganong naay alta presyon. Ang ubang hinungdan sa alta presyon mao ang pagtaas sa gidaghanon sa dugo sulod sa
signs and symptoms atong lawas ug ang pagsapok sa dugo.
a. Explain what
 hypertension is in their Ang altapresyon gi ila pud nga usa ka hilom nga mamumuno. Ang tawo nga dunay alta presyon kasagaran walay
own level of mabatyagan nga mga sintoma. Mahimong dili kini maghatag og pasidaan o sintomas usa mukuha ug kinabuhi. Mahimong
understanding maigo ani ang bisan kinsa nga dili niya mabantayan o mahibaw-an: bata man o tigulang, dato man o pobre. Mosangko sad kini
sa lainlaing kahimtang kung dili maayo ang pagcontrol. Sama sa mga komplikasyon ani ang estrok (atake sa utok), atake de
corazon (atake sa kasingkasing) pagkahapo, pagpalyar sa bato (amimislon), pagkabuta ug daghan pa. Hinuon, mahimo kining
mapugngan pinaagi sa igong pagpakabana.
Ang normal nga presyon sa dugo mao ang 110-140/60-90 mmHg. Ang mas taas pa ani nga pagbasa, mao na ang kondisyon nga
gitawag nato nga altapresyon.

B. Causes & Risk Factors

Naay duha ka klase ang alta presyon: Ang Primary hypertension ug ang Secondary hypertension.

95% sa mga tawo nga naay altapresyon ang may naay Primary Hypertension. Kani nga clase ang wala mailhi ang insaktong
hinungdan pero adunay mga risgo (risk factors) nga makapadako sa tsansa nga magka alta presyon. Ang mga malikayan nga risgo mao
ang:

1. Istilo sa kinabuhi (lifestyle)

 Pagtabako/pagpanigarilyo
b. Enumerate 75% of the
 Katambok
causes and risk factors
 Sobra sa pag-inom ug alcohol
 Kulang sa exercise
 Taas nga cholesterol sa dugo nga gidulot sa mga pagkaong sama sa tono sa lubi, mayonnaise, margarine.
 Stress o sigeng gapakapoy ug mga problema.
2. Taas nga sodium o asin sa lawas.
Ang asin nga daghan sodium ang hinugdan nga magtigom ang mga tubig sa atong lawas. Kaning sodium, us aka element
nga murag mu kupot sa tubig sa atong lawas, mao dili kini mapagawas dayon. Kini nga tubig nga nagtigom na sa atong
lawas, mopataas sa presyon sa dugo. Ang mga pagtuon kabahin ni ini nagapkita nga sa pagbawal o pagdili ug bisan
ginagmay nga asin makatabang sa pagmubo sa presyon sa dugo.
 Naa usab ang mga dili malikayan nga risgo, sama sa:

 Edad – sa pagtaas sa edad nagakadako sad ang tsansa nga magkaalta presyon. Ang mga ugat dili na kayo moinat
hinungdan nga moresulta sa alta presyon.
 Gender – sayo ang mga lalaki nga magkaalta presyon kaysa mga babaye tungod kay adunay hormones ang mga
babaye nga makatabang sa pagpamubo sa presyon samtang wala pa mag menopause.

 Kaliwat
Ang ikaduwa nga klase sa alta presyon ang secondary hypertension. 5% ra kini sa mga tawo na adunay alta presyon. Kini nga
klase ga resulta sa uban pang mga sakit sama sa:

 Mga sakit sa kidney.

 Mga lain pang hormonal imbalances

C. Mga malagmit nga timailhan

 Lisod pagginhawa
 Pagsunggo
 Grabe nga sakit sa parte sa ulo, nga motukar sayo sa buntag, inubanan ug kasukaon, ug pagdaut sa panan-aw tungod kay
ang
 Pagkalipong kon ang “diastolic” motaas pa sa 110 mmHg
 Tinnitus o pagbagting sa dunggan

IV. Mga pamaagi sa pagtambal ug paglikay sa alta presyon:

 Regular nga pagpacheck-up, ilabi na sa mga nay kaliwat nga hayblad, edad sobra 40, mga sobra sa timbang, nanigaaarilyo
ug naay dili himsog nga lifestyle.
 Likayan ang parat nga pagkaon
 Likayan ang mga pagkaon nga daghan ug tambok

c. Identify 75% of the
signs and symptoms of
hypertension
V.
9. Identify 75% of the
preventive measures and
treatment of hypertension
 Through the open forum, the
residents of Purok Gabi will be
able to show their
understanding on the topic
hypertension
 Mag ehersisyo ug hinayhinay unya regular. Sugod ug lakaw 5 ka adlaw kada semana, sulod sa 10 – 20 minuto.
 Pugngi o walaon na ang pagpanigarilyo.
 Likayan ang bug-at nga trabahoon kay makapakusog kini sa presyon. Sama ani ang pag aswat ug mga bug-at nga butang.
 Ayaw pag-aswat ug bisan unsa ibabaw sa ulo.
 Pagkaon sa mga utanon sama sa tangkong, kamote, kalamunggay, sikwa.
 Dili magpasobra ug inum ug alcohol, kay kini makadaot sa sirkulasyon sa dugo.
 Gikinahanglan usab nga mag-inum kanunay sa mga tambal nga giresita sa doctor. Ug usab, kon dili makapalit niini kay
tungod kulang ang atong mga pangita para sa pang adlaw – adlaw nga galastoan, puede ta mogamit sa:
o Tanglad: pabukalan ang pito ka ulo sa tanglad ug duha ka tasang tubig hangtod nga mamahimo na lang kining usa
ka tasa. Bahinon ug tulo ang tubig ug imnon katulo sa usa ka adlaw.
o Ahos: sinanglag o gihulom sa suka sulod sa 30 minutos or giholom kadali sa init nga tubig sulod sa singko minutos.
Tomar ug 2 ka book katulo sa usa ka adlaw inig human ug kaon.
Open Forum andd Evaluation through a Game
A. Evaluation Questions:
 Unsa ang mga parte sa cardiovascular system?
 Kinsa ang makasubay sa pamaagi sa atong kasingkasing?
 Kinsa ang makahisgot sa kalahian sa arteries og veins?
 Unsa ang mga importananteng buhat sa dugo para sa atong lawas?
 Sa inyong pagsabot, unsa ang hypertension?
 Kinsa ang maakahisgot sa mga hinungdan og kung unsa ang mga risgo sa hypertension?
 Kinsa ang makahinganlan sa mga timailhan sa hypertension?
 Kinsa ang makasulti sa pamaagi sa paglikay og pagtambal sa hypertension?
 Purok Patani
Structured Health Teaching on Healthy Lifestyle and Lifestyle Diseases
Placement: First Semester, level IV NCM 104

No. of Hours: 30 minutes

Topic Description: This topic deals with how to achieve a healthy lifestyle with emphasis on the four lifestyle diseases namely cardiovascular diseases, chronic obstructive
pulmonary disease, cancer, and diabetes mellitus. It also discusses the description, signs and symptoms, and ways to avoid of each disease mentioned. In
addition, this topic will also tackle the different lifestyle that can cause ill health such as smoking, alcoholism, sedentary lifestyle, unhealthy diet, hygiene,
and drug abuse.

General Objective: Within 30-minute health teaching, the learners shall be able to acquire knowledge about healthy lifestyle, develop desirable skills and demonstrate positive
attitudes necessary for the implementation of healthy lifestyle.

Participants: People in Purok Patani, Bong-ao, Valencia, Negros Oriental

OBJECTIVES CONCEPT/CONTENT

Within 30-minute health I. Prayer (to be led by Dame Patun-og)

teaching, the learners shall be
able to:
II. Introduction

Maayong buntag ka natong tanan kami si Jezica Rondario og Dame Patun-og, ang mga 4 th yr nga estudyante sa Silliman University nga
na.assign dri sa Purok Patani, ug ani-a kami karon aron magpahambit ka ninyo sa among mga nahibal-an kabahin sa healthy lifestyle o ang
himsog nga pagkinabuhi.

Sa atong panahon karon ang kalabanan sa rason nganong ma-ospital ang kadaghanan sa mga Pilipino kay dili mga sakit nga matakod kun
dili mga sakit na idili maka-takod o ang ginatawag na lifestyle diseases. Kini ang sakit sa kasing-kasing sama sa hypertension o ang ginatawag na
high blood, coronary artery disease, stroke, cancer, chronic obstructive pulmonary disease o pulmonya ug ang diabetes mellitus. Ang asthma o
hubak hinungdan pud sa pagkasakit sa kalabanan sa mga Pilipino.

Kaning mga sakita ginatawag pud ug lifestyle diseases tungod kay ang nutrisyon, ehersisyo, pagpanigarilyo o pagpanabako, pag-inom ug
 bino ug ang stress maka grabe aning mga sakita.

III. Definition of Terms

A. Health- kini ang estado sa tong panglawas kung kita walay gibating lain sa lawas o sakit
B. Illness- ginatawag sa sakit

C. Health Lifestyle- wastong panginabuhi ug pag-atiman sa lawas para maka-iwas sa sakit

IV. Lifestyle Practices that can lead to ill health

A. Pagsigarilyo/Pagpanabako
Ang panigarilyo kay adunay dakong ipekto sa atong kalawasan. Dili lang kini maka-apekto sa kadtong mga
manigarilyo, kundi aduna sad kini ipekto sa mga tawo nga maka-simhut sa mga asu sa mga nanigarilyo. Usa kini sa mga rason
2. Enumerate correctly 2out of kung ngano kita makakuha og mga dili makatakod nga mga sakit. Adunay mga scientific researches nga nag-ingon na ang
4 lifestyle practices that can panigarilyo makaresulta sa 40 ka sakit og 20 ka klase nga cancer. And COPD ang nangulo nga sakit gisundan sa ischemic heart
cause ill health disease, stroke, og cancer. Makasamut usab ang panigarilyo sa atong hubak.

3. Explain satisfactorily how the
2 lifestyle practices can cause ill
health
Adunay duha ka klase nga panigarilyo – ang aktibo og ang gitawag anto og passive smoker. Ang aktibo, mao kini
ang mga tawo nga manigarilyo Gamit ang tobacco o mga uban pang lain-laing brand sa sigarilyo. Ang mga passive smoker, mao
kini ang naga-simhot sa mga aso nga gikan sa mga tawo nga nanigarilyo.

Mga delikado na epekto sa panigarilyo.

 Hinungdan sa mga sakit sa kasing-kasing og stroke.

  Makadugang og sakit sa kasing-kasing sa mga tawo nga adunay diabetes mellitus.
 Madoble ang posibilidad na magkakuha og sakit sa kasing kasing nag panigarilyo sa mga tawo nga aduna nay taas nga
presyon sa dugo
 Mas delikado sa mga idad-idaran na nga mga lalake.
 Hinungdan sa hubak og hinungdan nga musamot ang hubak.
 Hinungdan sa pagpanganak sa mga batang kulang ug bulan , bata nga mamatay suldo sa tiyan.
 Hinungdan sa 90% nga kanser sa baga, 75% sa mga sakit sa baga, og 25% hinungdan sa sakit sa kasing-kasing.

B. Pag-inom ug Alkohol
Ang mga ilimnun na makahubog makahatag ug “calories” pero gamay ra ang sustansya. Ang mag ilimnun na
makahubog kung magpalabi kita ug inom makadaot ug ang uban tawo kinahanglan bawalan sa pag inom niini.

Ang alcoholism o ang pagka adik sa pag inom ug ilimnon na makahubog ug and alcohol abuse o ang pagpalabi ug
inom niini ang duha ka mga problema bahin sa ilimnun na makahubog

Ang pag-inom ug bino sa mga baying mamdos maka resulta ug depeketo sa bata na naa sa ilang tiyan.Ang sobra na
alcohol mo-resulta pud kini ug sakit sa atay o ang ginatawag na liver cirrhosis, paghubag sa pancreas, ug pagkadaot sa utok ug
kasing-kasing. Kasagaran sa mga tawo na kusog mo-inom ug bino kay “malnourish” pud tungod ang bino nay calories na mo-
puli sa mga sustansya na makuha nato a pagkaon na atong gina-kaon.

Kung ang mga tawo naa na sa saktong edad mo-inom ug bino mas maayo na limitahan ra ang pag-inom niini ug
kinahanglan nakakaon na sila aron mapahinay ang “pag-absorb” sa alcohol sa ilang lawas.
C.Sedentary Lifestyle
Ang kinabuhing walay paghersisyo ug walay pisikal nga mga aktibidad o maoy ginatawag nga sedentary lifestyle
kay maoy hinungdan nga mapaduol ta sa daghang mga sakit. Mga sakit sama aning mga sakit sa kasingkasing, diabetes, sobra
sa pagkatambok, kanser sa tinae ug totoy, altapresyon, osteoporosis ug sobrang pagkamagulanon. Kailangan ang ehersisyo ug
pisikal nga mga aktibidad para malikayan ang kining mga sakita.

Ang pisikal nga aktibidad kay kining mga pagadlaw-adlaw natong buluhaton nato sa atong mga panimalay sama sa
panghugas sa plato, pagpanilhig ug panglimpyo sa balay. Uban pud ani ang mga ginabuhat nato sa gawas sa balay sama sa
pagpnilhig sa mga sagbot ug uban pa. Tungod sa mga automatic nga mga appliances nga na.a na sa atong mga panimalay,
naminosan na ang pisikal na mga aktibidad sa mga tao.

Ang pag-ehersisyo kay mga aksyon nga ginabuhat nga atoang gipagplanohan. Kini ang mga nagabalik-balik nga mga
nilihokan para mamantinar ang pagkahimsog sa atoang lawas. Ang paglakaw-lakaw o pagjogging ang mga halimbawa sa
pagehersisyo. Ang ubang mga tao kay nagarason nga wala silay oras o walay mga opurtinidad para magehersisyo. Ang kining
mga paghunahuna ang maoy makapaduol sa kinabuhing walay ehersisyo.

D. Pagkaon ug dili Masustansiyang Pagkaon

Mao kini ang pagkaon ug mga kalan-on na dili sakto para ma-ilisan ang mga nutrisyon na nagamit na sa atong lawas sa pang
adlaw-adlaw na buluhaton. Ang sige ug kaon aning mga pagkauna maka resulta ug mga sakit sama sa altapresyon, diabetes ug
malnutrisyon.

Adunay pulo ka gi-rekomenda nga pamaagi ang DOH para sa masustansiya nga pagkaon, kung masunod kani nga mga pamaagi,
mas dali malikayan ang mga sakit sama sa diabetes ug altapresyon:

1. Pagkaon ug klase-klase nga pagkaon kada-adlaw

2. Pagpasuso sa mga puya nga bata sa sulod sa 4-6 ka bulan

3. Pagmintinar sa pagtubo sa mga bata ug pagpakaon ug mga masustansiyang pagkaon

 4. Pagkaon sa mga isda, karne, ug uban pang pagkaon nga naay protina

5. Pagkaon ug gulay ug prutas

6. Pagkaon ug mga pagkaon nga gi-prito ug mantika kada-adlaw

7. Pag-inom ug gatas o pagkaon sa mga pagkaon nga makapalig-on sa bukog sama sa gagmay nga mga isda, ug mga
gulay

8. Pag-gamit sa asin nga naay iodine o iodized salt pero dili magpalabi ug kaon ug parat nga mga pagkaon

9. Pagkaon sa limpyo nga pagkaon

10. Para sa himsug na pagkinabuhi, mag-ehersisyo kada adlaw, dili manigarilyo, ug dili muinom ug alkohol

V. Different Lifestyle Diseases

Adunay upat ka matang nga mga sakit nga muresulta gumikan sa pagkinabuhi nga layo sa kahimsog sama sa panabako o
panigarilyo, pagkaon ug mga dilimasustansiya nga mga pagkaon, ug pakinabuhi nga walay ehersisyo. Kining mga sakita mao and
haypertensiyon o Altapresyon, diabetes, COPD, ug Cancer.

A. Haypertensiyon o Alta-Presyon

Ang haypertensyion, usa ka sakit diin taas ang presyon sa dugo. Atong masulti nga ang tawo adunay haypertensiyon kung
ang imabaw nga presyon mulapaw sa siyento kwarenta (140)o ang ilalom nga presiyon sa dugo mulapaw sa nobyenta(90).
Kalagmitan, mao kini hinungdan sa stroke, ataki sa kasing-kasing ug uban pang grabe nga sakit.

4. Enumerate correctly 3 signs
and symptoms of
cardiovascular diseases
5. Give correctly at least 2 ways
to avoid cardiovascular
diseases for each type
1. Hinungdan
Daghang makaingon aning haypertension. Ang mga hinungdan nga ang tawo magkahaypertensiyon mao ang dili himsog
nga pagkinabuhi sama sa panigarilyo, pagkaon ug mga asgad nga pagkaon, walay ehersisyo ug paglihok-lihok, pag-inom ug mga
bino ug beer, mga kahasol sa kinabuhi nga wala naresolbahan, og ang mga nasobraan sa katambok. Aduna po’y lain nga
hinungdan sa haypertensiyon sama sa diabetes, kaliwat, taas ug kolesterol, sakit sa kidney, stroke ug kanang magkagulang na.
2. Pagkontrol ug Pagprebintar o Pagpugong sa Haypertensiyon
Maprebentahan ug makontrol ang haypertensiyon pinaagi sa mga misunod:
 Pagkontrol sa timbang
 Pag-undang sa panigarilyo.
 Pag- usob ug pagminimar sa pagkaon. Dili magpasulabi ug kaon ug mga tammbok ug mga asgad nga pagkaon.
 Pag-ehersisyo kada adlaw sama sa paglakaw, mmagbike-bike, majogging. Makatabang kini sa pagkontrol sa timbang g palig-on ug
pataas sa stamina sa kasingkasing.
 Pag-undang sa pag- inom ug mga bino ug beer.
B. Coronary artery Disease
Kini us aka sakit sa kasing-kasing kun diin walay tarong na supply ug dugo nga maka-agi niini. Tungod kini sa pagka-bara sa kasing-
kaing mao ng kulang ang oxygen ug dugo na muabot sa atong kasing-kasing. Ug kung kulang ang supply sa atong dugo ug oxygrn sa
atong kasing0kasing, pwede kitang ma stroke, ug atakihon, ug pwede kini ikamatay.
C. Cerebrovascular Disease or Stroke
Ang stroke us aka condtion kun diin naay paglahi sa normal na pag-gana sa lawas agi sad sa kulang ug supply sa dugo sa lain-laing
parte sa utok. Ang atong utok, nanginahanglan ug sapat na supply ug oxygen ug dugo, kung kini dili sapat tungod sa pagkabara sa mga
ugat padulong sa utok, mamatay and parte sa utok na walay supply. Mao kini ang rason na ang mga tawo na niagi aning stroke, ang

6. Appreciate the different
ways to avoid cardiovascular
diseases
D. Cancer
uban, dili malihok ang us aka parte sa lawas ug dli maka isturya, naa pud tanan ang dili malihok, tungod kini kay ang parte sa utok nila
kay naapektuhan na. naay uban na maka-lihok balik, naa puy permanente ang pagka-paralisado. Dili sad natong kalimtan na
makamatay sad ning stroke.
Unsa man ang cancer?
Ang cancer dili kini usa ra ka sakit, kini adunay lain-lain nga klase nga sakit o komplikasyon. Adunay cancer kung usa nga parte sa
atong lawas wala ga trabaho og sakto. Sa atong pagka batan-on, ang atong lawas mayo pa kayo ang pag trabaho pero mag kagulang
ta, mag kahinay kini. Ang mga tawo nga may mubo ug resistensya ang kasagaran nga mag ka kanser o kanang mga tawo mga nay dili
maayo ug mga ginabuhat sa pang adlaw-adlaw sama sa pag tabako, pag inom ug bino, ang pag dili mo kaon ug mga pagkaon nga
naa’y insaktong nutrisyon, ug ang pag kulang sa ehersisyo.
Epidemiology:
Wala’y gina pili nga edad ang mga tawo nga mag ka cancer. Sa Pilipinas, ang edad nga kasagaran nga magka cancer ang edad nga 50
pataas.
Intervention:
Ang pagtambal sa cancer nga depende sa unsa nga klase nga cancer ang naa sa usa ka tawo, kung unsa na kjini ka grabehon, ug ni
kalat nab a kini sa lain-lain nga bahin sa lawas.

14. Enumerate correctly all the
warning signs of cancer
15. Give correctly at least 4
ways to avoid cancer
16. Verbalize appreciation on
the different ways to avoid
Cancer
 Kung ang cancer, wala pa nikalat sa lain-0lain nga bahin sa lawas, ang pagtambal pinaagi sa surgery ang kinahanglan.
 Kung ang cancer, nag kalat na sa lain-laing bahin sa lawas sa usa ka tawo, unya dili na kini matabang sa surgery, ang radiation ug
chemotherapy ang ginagamit nato.
Prevention:
 Ang dili o paglikay sa pag tabaco.
 Ang dili pag inom ug bino.
 Ang pag kaon sa mga pagakon ng sakto ug nutrisyon.
 Ang pag hugas sa kamot sa dili pa mo kaon.
 Insakto nga oras sa pag tulog.
 Ang pag ehersisyo ug 45 minutos matag adlaw.
 Ang paglikay sa pag init sa adlaw, mag gamit ug “sunblock”.
NINE WARNING SIGNS OF CANCER:
C - Change in blood bowel or bladder habits.
A – A sore that does not heal
U – Unusual bleeding or discharge
T – Thickening or lump in breast or elsewhere
I – Indigestion or difficulty in swallowing
O – Obvious change in wart or mole
N – Nagging cough or hoarseness
 U – Unexplained anemia

S – Sudden unexplained weight loss

E. Diabetes Mellitus
Ang diyabitis usa ka sakit nga makuha sa dili maayo nga pagkinabuhi. Kini makuha usab sa mga tawo nga adunay kaliwat
nga mga diyabitison. Kini nga sakit mao ang usa ka hinungdan sa pagkadaot sa mga tawo nga nag-edad ug kwarenta-e- singko(45).
Ang kalagmitan nga mga sintomas mao ang abnormal nga pagsingot, taod- taod nga pagpangihi, paghugno sa timbang. Ug katol-
katol

1. Hinungdan

Daghan ang hinungdan sa diyabetes, hilakip na niini ang kaliwat, edad, samot na magkagulang, ang mga baye ug
menopause. Gawas sa gipanghisgutan ganiha, aduna pa’y uban nga mga hinungdan sa diyabitis sama sa pagkaon ug mga pagkaon
nga taas ug cholesterol, daghang tambok, taas ug calories, gamay ra ug hibla ug mga pagkaon nga asgad, kanang mga tambok
kaayo, mga hinabako, mga palainom ug beer og bino, ug mga tawong walay ehersisyo. Kining tanan makaingon sa diyabitis.

2. Pagkontrol ug Pagprebintar o Pagpugong sa Diyabitis

Haron makalikay sa sakit nga diyabitis, and mga tawo samot na kadtong mga taas ug risgo nga maagkadiyabitis,
kinahanglan nga magmintinar sa normal nga timbang, mukaon sa intsaktong nutrisyon, ug mag- ehersisyo adlaw-adlaw.
Kinahanglan mukaon ug mga pagkaon nga daghan ug mga hibla, minos-minosan ang mga asgad ug mga tambok nga pagkaon.
Likayan ang mga tam-is nga pagkaon sama sa cake, cookies, ug mga chicheria. Kinahanglan nga undangan na ang panigarilyo
mintras dili pa ulahi ang tanan.
 F. Chronic Obstructive Pulmonary Disease

Ang COPD o chronic obstructive pulmonary disease usa ka sakit diin limitado ang pag- agi sa hangin ug kalagmitan,
magkagrabe kini. Ang baga mmuagi ug permanente nga pagkausob nga muresulta sa lain- lain nga klase sa pagginhawa ug
paghungak o pagkutas. Mao ne ang rason nganong maglisod ug ginhawa ug magsige ug ubo-ubo ang tawo nga aduna niining
sakita.

Adunay duha ka klaase nga COPD. Kini mao ang emphysema og and chronic bronchitis. Kining duha, pareho nga resulta sa
pagpanigarilyo.

1. Hinungdan

Ang nag- unang hinungdan sa COPD mao ang pagpanigarilyo. Bisan dili manigarilyo mura rag gihapun ka nanigarilyo kung
ikaw makahanggab sa aso sa mga nanigarilyo. Ang abog gumikan sa trabaho ug polusyon sa hangin mga hinungdan usab sa COPD.
Gawas sa gipanghisgutan ganiha, aduna po’y tawo nga naay kaliwat niining sakita.

2. Pagkontrol ug Pagprebintar o Pagpugong sa COPD

Ang makatabang pagpribintar og pagkontrol sa COPD mao ang mga misunod:

 Pag- undang sa pagpanigarilyo ug paglikay sa mga aso sa sigarilyo diha sa palibot.

7. Enumerate correctly the 3  Paglikay sa mga butang nga makairitar sa baga og impeksiyon
signs and symptoms of  Paglikay sa mga butang nga makaallergy sama sa abog, aso, bulak, ug mga balahibo.
diabetes  Pagkaon ug maayo ug instaktong nutrisyon.
 Pag-inom ug daghang tubig.
 Pagmintinar sa instakto ug oraml nga timbang.
 Pag- ehersisyo para palig-on sa mga kaunoran.
8. Give correctly at least 3 ways  Paglikay sasobrang init o sobrang bugnaw nga mga temperature.
to avoid diabetes

5. Open Forum
9. Verbalize appreciation on
the different ways to avoid
diabetes

10. Explain satisfactorily on

their own words what is COPD

11. Enumerate correctly 3

signs and symptoms of COPD

12. Give correctly at least 3

ways to avoid COPD

13. Verbalize appreciation on

the different ways to avoid
COPD
 Purok Mongo
Structured Health Teaching on Personal Hygiene Measures
Placement: Barangay Mongo (Volleyball court area)
Time Allotment: 30 min.
Topic Description: This topic embarks to explain and demonstrate the different characteristic of personal hygiene. It includes the discussion on personal hygiene measures which
includes skin, teeth and mouth care and some portions of environmental sanitation measures.
Central Objectives: Within the 30 minutes of discussion, the learners shall be able to enhance knowledge, develop beginning skills and manifest desirable attitudes in performing
personal hygiene and environmental sanitation measures into their everyday lives.

Specific Objectives Content

Given the necessary information
about Personal Hygiene I. Prayer
Measures (saktong paglimpyo sa
kaugalingon) with adequate
visual aids, at the end of
30minutes of health teaching, the II. Personal Hygiene (Paglimpyo sa kaugalingon)
learners shall be able:
Ang paglimpyo sa kaugalingon o Hygiene kay ang siyensia sa saktong pagmaintenar sa atong mga lawas kada adlaw. Ang mga labot sa hygiene kay
• Verbalize appreciation on ang saktong pagligo, pangasilyas og pagpabarog sa kaugalingon. Kaning paglimpyo sa kaugalingon kay personal natong pang atimahon. Labot kini
the importance of sa pagpalimpyo sa panit, buhok, tango, mata, ug dalunggan.
personal hygiene
III. The Skin (Ang Panit)

Ang panit kay ang pinakadako nga parte sa atong lawas. Naa kini upat kafunctions o trabaho sa panit:

A. Pagproteksiyon sa lawas kontra sa hugaw ug kagaw

Ang mga kagaw kay dili kini basta-basta makasulod sa atong panit, makasulod lang kini kung masamad kita. Ang panit pud nato kay dili pud
masudlan ug tubig ug hugaw. Dapat natong hinumdomon nga ang atong panit dili dapat masamad para malikayan ang mga sakit. And saktong
pag-aliman paagi sa pagligo ug pagkaon ug sakto kay maka maintain sa kaayuhan sa panit. Kung masamad man kini, dali kining hugasan ug
tubig ug sabon dayon tabunan dayon.
B. Pagregular sa kainit sa lawas
Usa pud sa trabaho sa panit kay ang pagregulate o pag-adjust sa kainit sa lawas. Kung init kaayo ang panahon, makabantay ta nga panington
kita. Usa kini ka pamaagi nga mabugnawan ang atong panit. Makapabugnaw ang pag-evaporate o pagmala sa singot. Kung bugnaw pud ang
panahon, makabantay ta nga mangurog kita, kanang pagpangurog, usa na kapaagi nga manginit ang atong lawas.
 C. Transmit sensations
Ang atong panit kay usa sa pinaka-sensitibong parte sa atong lawas. Paagi sa panit, makabantay ta ug kainit, kabugnaw, kasakit ug uban pa.
D. Paggamit ug mga bitamina (vit.D conjugation)
Ang katapusang trabaho sa atong panit kay ang pag-absorb o pagpaaktibo sa bitamina D. Ang bitamina D ay usa ka bitamina nga kinahanglan
nato sa saktong pagfunction ug pagsuporta sa atong kabukugan. Kung wala kita ani kay dili kita magpainit, pwede nga muhumok and atong
mga kabukugan.
SKIN CARE PRACTICES - Ang maayong pagamping sa atong pamanit:
 Ang kahapsay sa pamanit maoy lingtonganan sa kahimsog sa pamanit sa usa ka tawo.
- Sa tanang panahon kinahanglan pagampingan ang pamanit, way kakulian sama sa samad ug iritasyon. Likayan ang pagkalot sa panit gamit sa
taas og hugaw nga kuko.
 Ang panit nga sige gabasa kay pwede kapuyan sa kagaw.
- Kung mabasa, kinahanglan pamalhon dayon. Pagtagad sa pagpamala sa ilok, sa bulog, ug sa tiil para malimpyo gayod ang lawas. Kung
mamala na, mahimo nang pulbusan.
 Manimaho ang usa ka tawo tungod sa kagaw nga naa sa panit.
- Ang pagkalimpyo kayang pinakaipiktimong deodorant. Daghang mga commercial nga deodorant nga atong pwede magait paghuman ug
kaligo. Duna puy tawas nga barato ug sayon pagamit.
 Saktong Pagkaligo
Ang pagkaligo kay makatangtang sa hugaw, singot, patay nga panit, ug kagaw. Pero likayan pud ang sigeng kaligo nga mulabi sa tulo sa usa ka
adlaw, kay pwede kini makamala sa panit, kung mamala ang panit, dali ra kini masamad.
Ang pagkaligo, makatabang ug patarong sa sirkulasyon sa dugo sa atong lawas. Ang init-init nga tubig kay makaparelax sa kaunuran ug sa
kasing-kasing.

• Pagpaligo ug puya
Ang pagtapo gamit sa sibin sa puya kay kinahanglan himuon kada adlow. Paghuman sa pagkaligo, ang bata kay dapat pamalhon dayon. Ang
puya kay dili pa karegulate o kaadjust sa temperatura, mao dali mamugnaw ang mga puya kumpara sa dako na nga bata.

• Pagpaligo sa mga bata

Kung ang bata kay dako-dako na, angay sila suguon pagkaligo sa ilang kaugalingion. Dapat hinumdoman nga dili sila biyaan kung sila lang
maligo.
 • Pagpaligo sa mga batan-on
Ang mga batan-on kay gadali sila ug dako, ang ilang mga sweat glands o parte sa panit nga maghimo sa singot kay mudaghan. Ang pasabot,
sige na sila ug panington bisan gamay ra ug lihok. Dapat kita mugamit ug deodorant o tawas inog human ug ligo.

• Pagpaligo sa katigulangan
Kung magkatigulang ang usa ka tawo, ang mga functions o trabaho sa panit kay magkahinay ug kawala. Ang panit kay mas dali mamala ug
masamad, mas jutay nga singot, ug dili na kini mas-sensitibo kaysa sauna.
Dapat mugamit ug sabon nga mild o sabon nga wala kaayoy humot kay kini dili makamala dayon sa panit. Pwede pud mu gamit ug lotion
kung mabantayang mala na ang panit.
Kung maligo kita ug unit-unit, dapat kini i-double check, kay dili na kaayo sensitibo ang panit sa pagbantay sa kainit o kabugnaw sa usa ka
butang.

IV. Teeth and mouth care (Paglimpyo sa tango ug sa baba)

 Saktong pag-toothbrush
Kung ang bata maabot na ug 2 ka-tuig, naa nana siyay 20 ka temporary o dili permanente na ngipon. Pag-abot niya ug 6 o 7 ka-tuig,
magkahinay-hinay nana ug kailis ug 31 ka permanente ka ngipon. Mailisan ang tanang ngipon pagabot sa ika 25 anyos.
Dapat kada-adlaw, ang atong ngipon ug lagos kay mastimulate paagi sa saktong pag toothbrush ug pagmumog.
(Demonstration on proper tooth brushing)
 Dapat mag toothbrush kada human ug kaon og sa dili pa matulog. Tabangi ang mga bata sa pag limpyo ug pag-inspeksiyon sa ila baba ug
ngipon.
 Dapat kita mukaon ug mga masustansya nga pagkaon na daghang Calcium sama sa gatas ug green nga utanon. Kay kini sila makatabang sa
pag-maintenar sa ngipon.
 Dapat dili sobrahon ang pagkaon ug mga tamis. Dapat igo-igo ra, ug magmumog dayon.
 Mukaon pud kita ug mga prutas ug mga utanon, kay kini silbi usa ka natural na panglimpyo sa atong mga ngipon kung mu-usap kita.
• Describe the parts of the teeth
 Dapat kita mag pa check-up sa atong nga dentista kada 6 ka bulan. (aduna kitay libre nga Dental Service sa Valencia Heath Center kada
and ways to protect their teeth
Lunes ug Martes. Muhatag sila ug serbisyo sama sa: libreng check-up, pagpapasta, pag-ibot ug tango, ug paghimo ug postiso)

V. Ice Breaker (hygiene song)

 VI. Hand washing (saktong paghugas sa kamot)

Bas-on sa ang tibuok kamot sa gaagas nga tubig. Hugasan ang sabon dayon saboni ug tarong ang tibuok kamot, apilon ang likod sa kamot, sa
tunga-an sa mga daliri, ug pulsohan. Hugasan balik ang sabon mahuman na ug gamit ug ibalik tarong sa sudlanan. Inog human, hugasan napud
balik ang tibuok kamot ug tubig, siguraduha nga mahugasan ang tanang parte sa kamot nga anaay sabon. Kung grabe gani ang kahugaw sa kamot,
pwede usbon napud ang paggamit ug sabon sa tibuok kamot aron masigurado gyud ang pagtang-tang sa tanang kagaw o hugaw. Mahuman na ug
hugas, atong paugahon ang kamot gamit ang bisag unsa nga labakara nga limpyo ug siguraduha nga matrapuhan ang tanang kamot ug mauga
kini. Ang maayong paghugas sa kamot dapat maabtan ug 10 ka Segundo o dugay pa. Pwede pud kita mugamit ug ‘happy birthday’ nga kanta para
sa pagtyming sa paghugas sa kamot.

 Benepisyo sa paghugas sa kamot:

 Aron mapagamay ang mga kagaw og hugaw-hugaw sa kamot.
 Aron mapagamyan og malikayan na mabalhin ang kagaw sa ubang tawo.
 Aron mapagamay ang tyansa na magbalhin-balhin ang sakit sa biskan kinsang tawo.
• Demonstrate the proper way of  Aron mapagamay ang tyansa na mabalhin ang kagaw sa ubang parte sa kaugalingong lawas.
hand washing
VII. Environmental sanitation (Paglimpyo sa palibot)

Ang maayong paglimpyo sa kaugalingong lawas ug palibot ay isa sa mga maayong paagi aron malikayan ang nagkalain-laing inpeksyon sa panit,
mata, tina-e, baga, og tibuok lawas nga pwede makuha tungod sa mga kagaw og hugaw na mga butang.

 Angay bulohaton sa paglimpyo:

• Sa balay

1. Likayan nato na makasulod ang baboy sa balay og uban pang lugar nga kung asa gadula ang mga bata kay tungod ini posibleng
mabalhin ang kagaw og sakit gikan sa baboy paingon sa sulod sa balay og pwede pud matakdan ang bata.
2. Dili pud nato pasagdan ang mga iro, iring, ug uban pang mga binuhi nga tilap-tilapan ang mga bata og muadto o musaka sa ibabaw sa
katre, kay posible pud sa ing-ani nga pamaagi sila makatakod ug sakit.
3. Kung naa man gani tae sa bata og iro o iring nga duol sa balay atong limpyohan dayon. Maayo pud na tudluan sila sa maayong
paggamit ug kasilyas ug arenola ug kung wala man gani maayo pud ang paggama ug bangag o hukay diin pwede kini tabunan human
sa pagkalibang.
• Verbalize understanding on the
importance of the keeping the
environment safe in relation to
personal health
• Sa pagkaon ug tubig
 Igsaktong amoma sa mga himsog
4. Maayo pud na ihalay pirmi ang mga habol og panapton sa ilalom sa init sa adlaw aron mamatay ang mga kagaw. Kung naa pud ni mga
uk-uk, bubuan sa kini ug gabukal nga tubig usa hugasan og labhan ug ihalay kini dayon.
5. Maayo pud na pirmi lusa-an og kwa-an og mga kuto ang tibuok bata og miyembro sa pamilya nga naay kuto og lusa kay posible pud ni
sila makadala ug mga sakit-sakit. Importante pud na dili pasudlon sa balay ang mga iro o iring nga naay kuto og lusa.
6. Ang isa ka tawo nga gamasakit sama anang gi-ubo ay dapat dili muluwa sa salog ug bisan asa kay posible pud ni nga mahimong
pamaagi na mabalhin ang sakit sa uban. Maayo pud nga tabunan ang baba gamit ang kamot og panyo kung mu-ubo labi na kung ga-
atubang ug laing tawo.
7. Importante pud na limpyohan ang atong panimalay pirmi sama anang silhigan ang salog, bung-bong, ug mga ilalom sa lingkuranan og
sofa. Maayo pud na atong tabunan ang mga bangag-bangag og krak sa salog og bung-bong aron dili mapuy-an sa mga uk-uk ug mga
hugaw-hugaw.
1. Ang tanan nga tubig labi na atong gikan sa bisag asa na gripo og poso lang, maayo na ato sa kining ipabukal usa imnon, importante
kini labi na sa mga gagmay na bata nga ang kalibanga, hepa, cholera, og typhoid ay pinaka-common sa ilaha. Kay ang uban tubig labi
na anang gikan ra sa bangag og sapa, bisan pa limpyo tan-awon posible lang gihapon na magdala kini ug sakit.
2. Dili nato dapat pasagdan na ang mga langaw, uk-uk, ug uban pang insekto nga mupatong ug mutugpa sa ibabaw sa pagkaon kay may
tyansa na gadala pud ni sila ug mga sakit-sakit. Ang maayo na buhaton ani, dili nato pasagdan nga naay mga mahabilin na pagkaon
bisan asa ug pasagdan ang mga plato na wala nahugasan, ug maayo pud nga anaay taklob ug panabon sa mga nahabilin na pagkaon.
3. Usa kaunon ang mga prutas nga nahulog gikan sa punuan sa kahoy, maayo na hugasan sa kini. Dili pud dapat pasagdan na mamunit
ang mga bata ug bisag unsa ra nga prutas ug pagkaon nga nahulog kay sa posible pud nga nahugawan na kini ug naa nay kagaw.
4. Importante pud na tarungon ug luto ang mga karne kay posible pud na ang hilaw na karne naa pud dalang sakit nga pwede mabalhin
sa tawo kung wala kini matarong ug luto.
5. Dili pud maayo na kaonon pa ang mga pagkaon nga lain na ug baho og karaan na kay posible kini nga makalason sa atong lawas.
Maayo pud na ato sa lantawon ug tarong ang mga pagkaon na de-lata ug trapuhan usa nato abrehan ug kaonon.
6. Ang tawo pud nga adunay TB o tuberculosis, gi-sipon og naa pay uban sakit nga makatakod na ang ilang plato ug kutsara nga gigamit
kay lainon o bulagon sa ubang mga plato ug kutsara nga gigamit sa ubang tawo nga walay sakit. Maayo pud na pabukalan sa init nga
tubig ang ila gigamit na kutsara ug plato usa ipagamit sa ubang tawo.
1. Ibulag ug tulganan sa bata nga gamasakit, gi-kuto, ug naay mga katol-katol sa panit ug uban pang sakit nga makatakod sama anang
 ubo nga sunod-sunod, tigdas, ug sip-on, sa ubang bata nga walay sakit. Ug dapat dili sila ipaduol sa mga gagmay ug bag-ong
gipanganak na bata.
2. Protektahan ang mga bata laban sa Tuberculosis/TB. Ang mga tawo nga dugay ng gi-ubo og naay uban na simtomas nga makita sa
tawo nga anaay TB, nga kinahanglan sila magtabon ug baba kung sila mu-ubo. Dili pud sila dapat itapad ug tulog og mas maayo
ibulag nalang sila ug kwarto sa mga bata. Kinahanglan sila muduol sa barangay health worker aron matambalan sa pinaka dali nga
panahon.
3. Liguan ang mga bata, ilisdan ug sinina, ug putlan ang kuko kada adlaw ug kung kanus-a gyud kinahanglanon kay ang mga kagaw
posible manago sa mga kukuhan nga posibleng mahimo pamaagian na mabalhin ang sakit sa uban.
4. Tambalan ang mga bata nga naay makatakod nga sakit sa pinkadali nga panahon aron malikayan na makatakod sila sa uban.
5. Sunda tanan ang mga pamaagi kabahin sa maayong paglimpyo. Dili lang kini para sa mga tigulang, maayo pud na apilon ang mga
batan-on ang tugduluan sila kabahin ani ug ang importansya ini aron sila pud makatabang.
6. Siguraduha nga makakuha ang mga bata ug saktong nutrisyon aron makalikay sila ug mga sakit-sakit. Kay ang bata nga sakto sa
nutrisyon mas dali makalikay ug mga sakit kumparar sa bata nga walay saktong nutrisyon.

• Open Forum
 Purok Mani
Structured Health teaching on Environmental Sanitation
 TOPIC: Environmental Sanitation
TOPIC DESCRIPTION: This topic deals with the concept about environmental sanitation, its relevance and impact to the people. Also it talks about the different
environmental health programs within the local health departments, the nurse’s role in taking care of the human environment and also preventing health problems
from occurring due to poor sanitation.
ROTATION: COPAR
TIME ALLOTMENT: 1 HOUR

SPECIFIC CONTENT TA T-L ACTIVITIES EVALUATION

OBJECTIVES
Given specific resources. I. INTRODUCTION AND OVERVIEW OF ENVIRONMENTAL 5 min. Lecture dicussion Active Participation
The learner shall be able SANITATION
to: Environmental sanitation is still a health problem in the country.
Diarrheal diseases ranked second in the leading causes of morbidity
 Define among the general population. Other sanitation related diseases are
environment, tuberculosis, intestinal parasitism, schistosomiasis, malaria, infectious
sanitation and hepatitis, filariasis, and dengue hemorrhagic fever which are controlled
environmental and/or eradicated by health programs with environmental sanitation
health components but still affecting a great number of the population.
 Identify the
different factors II. DEFINITION OF TERMS 5 min. Socialized Discussion Oral Evaluation
that contributes to A. Environment- the conditions within which people live and work
the health B. Sanitation- the promotion of hygiene and prevention of disease by
problem of the maintaining health enhancing conditions
environment C. Environmental Health- a branch of public health concerned with
 Adequately assessing and controlling the impacts of people on their environment
discuss the and the impacts of the environment on them
different
programs on III. ENVIRONMENTAL HEALTH AREAS OF CONCERN 10 Socialized Discussion Active Participation
environmental min. using powerpoint slides
sanitation and its A.) AIR POLLUTION
policies For many centuries people have known that air quality affects human
 Identify some of health. Pollution refers to the act of contaminating or defiling the
the nurse’s role in environment so that it negatively affect people’s health. Air pollution is
safeguarding the now recognized as one of the most hazardous sources of chemical
environment contamination. Most air pollution results from industrial and automotive
 Enumerate ways emissions. Pollutants include ozone, carbon monoxide, sulfur dioxide,
to prevent health hydrocarbons, nitrogen oxides and particulates such as dust and ash. The
problems caused list of diseases and symptoms of ill health associated with specific air
by environmental pollutants is lengthy, ranging from minor nose and throat irritations,
hazards respiratory infections, and bronchial asthma, to emphysema,
cardiovascular disease, lung cancer and genetic mutations.
B.) WATER POLLUTION
Water is such an essential element to human survival that the
available quantity and quality of water within a community becomes a
prime environmental health issue. In the middle ages, disease epidemics
spread as people drank water contaminated by human waste; this is still a
problem in developing countries today. Water has many uses other than
consumption by humans.
The major concern with regard to water is its purity. Water can be
contaminate and made unsafe for drinking in many different ways
(Seymour, 1990). Three of which are:
 Water may be infected with bacteria or parasites which cause disease
 Toxic substances introduced by humans into water systems are
another source of water pollution and include farming pesticides as
well as other chemicals which may contaminate streams, lakes and
wells
 Pollutants may upset the ecosystem affecting natural organisms which
help purify water systems

C.) UNHEALTHY OR CONTAMINATED FOOD

This describes how the supply of food, particularly the quality of that
food, is affected by the environment, and what health hazards are
associated with food. Contaminated food pose a serious health problem.
Food may contain harmful bacteria such as Salmonella enteretidis. Foods
get contaminated by its source, like an animal which has a disease. Foods
can also be contaminated by water which we use to wash the food and
also the place where we store them.

D.) WASTE DISPOSAL

There are two subtypes of waste disposal. These are the disposal of
human waste and the other is the disposal of garbage. One of the oldest
environmental health hazards comes from improper disposal of human
excreta. Although industrialized nations successfully address the
problem, it continues to be a wide-spread problem in developing nations
 and in rural poverty-stricken communities. Human wastes, particularly
feces, provide a perfect environment in which bacteria and disease-
causing parasites can live and reproduce. Therefore, contaminated
drinking water, food grown in contaminated soil and even direct contact
with the soil can cause infection.
In the other hand, dumping and burning are the most common solid
waste disposal methods. Dumping is problematic because garbage dumps
provide perfect conditions for the breeding of rats, flies, and other
disease-carrying organisms and may potentially be a source of water
contamination from run-off. Burning, although it reduces the volume of
garbage, produces noxious odors and pollutes the air.

E.) INSECT AND RODENT CONTROL

All human communities are affected by the insects and rodents living
in their environment. Not only ate these creatures a nuisance in people’s
homes, but they may cause economic damage and create serious health
hazards as well. On the least dangerous level they serve as annoying pests
that may cause irritation. They can also pose a direct threat to health
through such things as attacks by diseased rats or squirrels. They can
consume and in turn, contaminate food. But by the far most serious health
hazard that they impose is through their role as vectors which are
nonhuman carriers of disease organisms that can transmit these
organisms directly to humans.

IV. ENVIRONMENTAL HEALTH PROGRAMS WITHIN LOCAL Lecture Discussion with

HEALTH DEPARTMENTS 15 handouts
min.
A. WATER Enumerates 3 out of 5

a.1. WATER SUPPLY SANITATION PROGRAM

There has been a steady increase in the number of household having

access to safe water supply sources. However, insufficient knowledge and
inappropriate practice in the handling of water from the source to the storage
point in the house could contaminate drinking water. People who get
drinking water from the pipe water facilities are not exempted from diarrheal
disease contraction particularly those that are served with old worn-out pipes
that suck in sewage or filt through cracks and joints of the pipes.

Policies:
 APPROVED TYPES OF WATER SUPPLY FACILITIES

 LEVEL I (Point Source)

-a protected well or a developed sprig with an outlet but without a
distribution system, generally adaptable for rural areas where the house are
thinly scattered.
-normally serves around 15 to 25 households and its outreach must not be
more than 250 meters from the farthest user.

 LEVEL 2 (Communal Faucet System or Stand-Posts)

-a system composed of a source a reservoir, a piped distribution network and
communal faucets, located at not more than 25 meters from the farthest
house.
-deliver 40-80 liters of water per capital per day to an average of 100
households, with one faucet per 4 to 6 households.

 LEVEL 3 (Waterworks System or Individual House Connections)

-a system with a source, a reservoir, a piped distributor network and
household taps.
-generally suited for densely populated urban areas. This type of facility
requires a minimum treatment of disinfection.

 UNAPPROVED TYPE OF WATER FACILITY

-water coming from doubtful sources such as open dug wells, unimproved
springs, wells that needs priming and the like shall not be allowed for
drinking water unless treated through proper container disinfection. The
community must exert effort to convert to approved type of water supply.

 ACCESS TO SAFE AND POTABLE DRINKING WATER

-all households shall be provided with safe and adequate water supply.

 WATER QUALITY AND MONITORING SURVEILLANCE

-every municipality through its Rural Health Units must formulate an
operational plan for quality and monitoring surveillance every year using the
area program based approach.
-the examination of drinking water shall be performed only in private or
government laboratories duly accredited by the DOH.
-Disinfection of water supply sources are required on the following:
 Newly constructed water supply facilities
 Water supply facility that has been repaired/improved
 Water supply sources found to be positive bacteriologically by
laboratory analysis
 Container disinfection of drinking water collected from a water
facility that is subject to recontamination like open dug wells,
unimproved springs and surface water

 WATERWORKS/WATER SYSTEM AND WELL

CONSTRUCTION
-well sites shall require the prior approval of the Secretary of Health or his
duly authorized representative
-well construction shall comply to sanitary requirements of the DOH
-water supply system shall supply safe and potable water in adequate
quantity
-water shall be made readily available to consumers/users preferably through
water piped direct to homes to minimize contamination and encourage
personal and home sanitation
-adequate pressure and volume shall be provided in the water system
distribution line
 a.2. WATER POLLUTION CONTROL
- to ensure the cooperation with state water pollution control agencies and
that surface and subsurface water supplies meet all state and local standards
and regulations for water quality.

B. AIR

b.1. AIR QUALITY MANAGEMENT

-to ensure a community air resource conducive to good health, that will not
injure plant or animal life or property that will be esthetically desirable

C. PROPER EXCRETA AND SEWAGE DISPOSAL PROGRAM

It is significant to note that there has been an increase in the
proportion of households having sanitary toilet facilities both in the urban
and rural areas but there is also an increase in the absolute number of
persons, which do not have an access to sanitary toilet facilities. Health
surveys reveal that there is under utilization of sanitary toilet facilities in the
sense that the mothers still allow their children to move their bowel
elsewhere despite of the presence of toilets in their own homes.

POLICIES

 APPROVED TYPES OF TOILET FACILITIES

 LEVEL 1
-non-water carriage toilet facility – no water is necessary to wash the waste
into the receiving space. Examples are pit latrines, reed odorless earth closet.
- toilet facilities requiring small amount of water to wash the waste into the
receiving space. Examples are pour flush toilet and aqua privies.
  LEVEL 2
- on site toilet facilities of the water carriage type with water-sealed and flush
type with septic vault/tank disposal facilities

 LEVEL 3
-water carriage types of toilet facilities connected to septic tanks and/or to
sewerage system to treatment plant.
-in rural areas, the “blind drainage” type of wastewater collection and
disposal facility shall continue to be the emphasis until such time that sewer
facilities and off-site treatment facilities shall be made available to clustered
houses in rural areas
-conventional sewerage facilities are to be promoted for construction in
“Poblacions” and cities in the country as developmental objectives to attain
control and prevention of fecal-water-borne diseases

c.1. SOLID WASTE MANAGEMENT

-to ensure that all solid wastes are stored, collected, transported, and disposed
of in a manner that does not create health, safety or esthetic problems

c.2. LIQUID WASTE MANAGEMENT

-to ensure the treatment of liquid wastes in such a manner as to prevent
problems of sanitation, public health nuisances or pollution

c.3. TOXIC AND HAZARDOUS WASTE MANAGEMENT

-to ensure that toxic and hazardous wastes are stored, collected, transported
and disposed of in a manner that does not create health or safety problems

D. HOSPITAL WASTE MANAGEMENT

Disposal of infectious, pathological and other wastes from hospital
which combine them with municipal or domestic wastes pose health hazards
to the people. Very few hospitals have treatment facilities like incinerators or
disinfectants to prevent transmission o diseases brought by the hazardous
hospital wastes. At this point, policies have been set to prevent the risk of
contracting nosocomial and other diseases (diseases/illnesses that are
acquired from staying in the hospital).

POLICIES

- All newly constructed/authorized and existing government and

private hospitals shall prepare and implement a Hospital Waste
Management Program as a requirement for registration/renewal of
licenses
- Training of all hospital personnel involved in waste management
shall be an essential part of hospital training program
- Public Information campaign on health and environmental hazard
arising from mismanagement of hospital shall be the responsibility of
hospital administration
- DOH Hospital Waste Management guidelines/policies shall be guided
by existing legislative health and environmental protection
laws/policies on waste management

E. FOOD PROTECTION
-to ensure that all people are adequately protected from unhealthful or unsafe
food or food products. This necessitates a comprehensive food protection
program covering every facility where food or food products are stored,
transported, processed, packaged, served or vended.
Lecture Discussion with
handouts
V. LAWS ON ENVIRONMENTAL SANITATION

A. PRESIDENTIAL DECREE NO. 856 CODE ON SANITATION 10min.

 WHEREAS, the health of the people, being of paramount importance,
all efforts of public services should be directed towards the protection
and promotion of health; and
 WHEREAS, the advance in the field of sanitation in recent years,
 there arises the need for updating and codifying our scattered sanitary
laws to ensure that the are in keeping with modern standards of Oral Evaluation
sanitation and provide a handy reference and guide for their
enforcement;

B. PHILIPPINE CLEAN AIR ACT OF 1999

 Pursuant to the provisions of Section 51 of Republic Act No. 8749,
otherwise known as the "Philippine Clean Air Act of 1999," and by
virtue of Executive Order No. 192, Series of 1987
 Section 1. Title. -  These Rules shall be known and cited
as the "Implementing Rules and Regulations of the
PhilippineCleanAirActof1999." 
 
 Section 2. Purpose. - The purpose of these Rules is to
provide guidelines on the operationalization of the
Philippine Clean,Air.Act,of,1999. 
 
 Section 3. Scope . -  These Rules shall lay down the powers
and functions of the Department of Environment and
Natural Resources, the Department of Transportation and
Communication, the Department of Trade and Industry, the
Department of Energy and all other concerned agencies,
the rights and obligations of stakeholders and the
rights and duties of the people with respect to the Air
Quality Management and Control Program. 

C. REPUBLIC ACT NO. 6969 [AN ACT TO CONTROL TOXIC

SUBSTANCES AND HAZARDOUS AND NUCLEAR WASTES
PROVIDING PENALTIES FOR VIOLATIONS THEREOF AND
FOR OTHER PURPOSES]

 Section 1 Short Title

  This Act shall be known as the "Toxic Substances and Hazardous and
Nuclear Wastes Control Act of 1990." 
 
 Section 2 Declaration of Policy
  It is the policy of the State to regulate, restrict or prohibit the importation,
manufacture, processing, sale, distribution, use and disposal of chemical
substances and mixtures that present unreasonable risk and/or injury to health
or the environment; to prohibit the entry, even in transit, of hazardous and
nuclear wastes and their disposal into the Philippine territorial limits for
whatever purpose; and to provide advancement and facilitate research and
studies on toxic chemicals. 
 
 Section 3 Scope
This Act shall cover the importation, manufacture, processing, handling,
storage, transportation, sale, distribution, use and disposal of all unregulated
chemical substances and mixtures in the Philippines, including the entry,
even in transit, as well as the keeping or storage and disposal of hazardous
and nuclear wastes into the country for whatever purpose.

D. REPUBLIC ACT NO. 3931 AN ACT CREATING THE

NATIONAL WATER AND AIR POLLUTION CONTROL
COMMISSION

 Section 1 Statement of Policy

It is hereby declared a national policy to maintain reasonable standards of
purity for the waters and of this country with their utilization for domestic,
agricultural, industrial and other legitimate purposes. 
 
 Section 2 Definitions
As used in this Act:
a.  Pollution means such alteration of the physical, chemical and/or
biological properties of any water and/or atmospheric air of the
Philippines, or any discharge of any liquid, gaseous or solid substance
into any of the waters and/or atmospheric air of the country as will or is
likely to create or render such waters and/or atmospheric air harmful or
detrimental or injurious to public health, safety or welfare, or to domestic,
commercial, industrial, agricultural, recreational or other legitimate uses,
or to livestock, wild animals, birds, fish or other aquatic life. 
  
b.  Sewage means the water-carried human or animal wastes from
residences, buildings, industrial establishments, or other places, together
with such water infiltration and surface water as may be present. The
admixture of sewage as above defined and industrial wastes or other
wastes as hereafter defined, shall be considered sewage. 
  
c.  Industrial waste means any liquid, gaseous or solid matter, or other
waste substance or a combination thereof resulting from any process of
industry, manufacturing trade or business or from the development,
processing or recovery of any natural resources. 
  
d.  Other waste means garbage, refuse, wood residues, sand, lime,
cinders, ashes, offal, night-oil, tar, dye stuffs, acids, chemicals, and other
substances not sewage or industrial waste which may cause or tend to
cause pollution or contribute to the pollution of the waters and/or
atmospheric air of the Philippines. 
  
e.  Sewage system or sewerage system means pipe lines or conduits,
pumping stations, force mains, constructed drainage ditches, and all other
construction, devices, and appurtenances used for collecting or
conducting sewage, and industrial waste or other wastes to a point of
ultimate disposal or discharge. 
  
f.  Treatment works means any methods, construction, device or
appliances appurtenant thereto, installed for the purpose of treating
neutralizing, stabilizing, disinfecting, or disposing of sewage, industrial
waste or other wastes, or for the recovery of by-product from such
sewage, industrial waste or other wastes. 
 Lecture discussion and
cite specific situations
from day to day events
VI. THE NURSE’S ROLE IN SAFEGUARDING THE HUMAN
ENVIRONMENT
5min
The Nurse’s role is to:

1. Help detect ill effects of the environment on the health of man, and
vice-versa.
2. Be informed and apply knowledge in daily work with individuals,
families and/or community groups as to the data available on
potential health hazards and ways to prevent and/or reduce them.
3. Be informed and teach preventive measures about health hazards due
to environmental factors as well as about conservation of Enumerate 5 roles
environmental resources to the individual, families, and/or orally
community groups.
4. Work with health authorities in pointing out health care aspects and
health hazards in existing human settlements and in the planning of
new settlements
5. Assist communities in their action on environmental health problems
6. Participate in research providing data for early warning and
prevention of harmful effects of the various environmental agents to
which man is increasingly exposed; and research conducive to
discovering ways and means of improving living and working
conditions.
Lecture Discussion
VII. PREVENTING HEALTH PROBLEMS CAUSED BY
ENVIRONMENTAL HAZARDS
5min
1. Having enough personnel and resources to investigate and respond to
disease and injuries potentially caused by environmental hazards
2. Monitoring the population and its environment to detect hazards,
 exposures of the public and individuals to hazards, and diseases
potentially caused by these hazards.
3. Monitoring the population and its environment to asses the
effectiveness of prevention programs
4. Educating the public and select populations on the relationship
between health and environment.
5. Ensuring that laws, regulations and practices protect the public and Oral Evalutation
the environment from hazardous agents.
6. Providing public access to understandable and useful information on
hazards and their sources, distribution and health effects.
7. Coordinating the efforts of all government agencies and
nongovernmental groups responsible for environmental health
8. Providing adequate resources to accomplish these tasks.

VIII. EVALUATION (“CABBAGE GAME”)

5min
 COPAR Experience Evaluation

Statistical Formula for Computing COPAR (Community Organizing Participatory Action Research):

A=( β ×∁)2

Where: A = COPAR Experience

β = Family Nursing

∁= number of households in assigned purok

F
rom this formula, it explains what we have experienced during our rotation. It is some

what similar to the experience we had in our second year – taking care of single

families. When we were sophomore nursing students we have to take the B/P

measurements of the members of the household, doing urinalysis, shiatsu, ventusa,

among others as well as constant health education of what was necessary to maintain family health like

proper hygiene,

environmental sanitation, common

illnesses like Diabetes,

Hypertension or even family planning.

The scope focuses on the family and

its health maintenance and

improvement.

When we talk about COPAR as

seen in the formula, you have to do family nursing multiplied by the number of households. If your

assigned purok has 30 households, chances are you have conducted B/P, ventusa, shiatsu, etc. at least

30 times a week. Or say “Ayo” 300 times in one day (on the assumption of saying 3 “Ayos” for one

house). It’s like family nursing on steroids. The challenges are multiplied. You’ll have to adjust to every

household and attend all their needs and questions. You have to follow the long and winding road –

LITERALLY!!! Just getting to you assigned purok would take 30 minutes, not to mention the scotching
heat of the SUN, the heavy RAINS, the angry ANIMALS, the risk of FALLING COCONUTS, the smell from

the DUMP SITE, the miscommunication between jeepney DRIVERS

and the “dead-ma” RESIDENTS. These are just the extraneous variables we have to consider when we

go there in Bong-ao Valencia. As extraneous variables, they need to be controlled. Simple understanding

and showing good behaviors will remedy such problem.

We have to understand that for every interactive endeavor, rapport must first be achieved.

Some families are very open in accepting us, with warm smiles that light up your day. They are very

grateful for our presence because they are happy that their B/P will be measured. That simple act of B/P

measurement is enough for them to

appreciate our health objective. But

some families require 10x “Ayos” just for

them to hear your very load and obvious

yell. We’ll have to respect everyone’s

outlook if they want to avail our services

or not. We’ll just have to move to the

next house and yell “ayo” again. These

are just some of the rigors we have to

face.

On the other hand if you look back into

the formula, the experience is squared. This means that the fun we got was doubled by itself. We arrive

in Bong-ao empty handed. When we leave the place, our bags are full of all sorts of things from sweets

like candies and milk bars to fruits like mangoes, lanzones, and rambutan. The different families filled

our hearts with joy. They are thankful to us because they are able convey their health problem. They

know that we have genuine dedication in improving their health and the environment they live in.

Aside form that, we are able to conduct numerous activities in the barangay, such as health

teachings. At first we felt that we will have no audience. Heath teachings are not measures by the

audience size, but the amount of understanding the listeners get. When various the health teachings

were delivered they are able to make comments, expressed appreciation, asked clarifications and

learned valuable health information. Of course snacks and prices provided some motivation.
 Upon the termination phase of the duty, mixed fillings filled the air. We were happy because we

have achieved our various goals for our distinguished purok. But the goodbyes are always difficult. The

families are part of our community nursing learning. The community people are not means to an end.

We are not going to Valencia because it is required in our curriculum. They families in Bong-ao are more

than the sum of its parts. We are going to Valencia because they have requested our presence. We are

fortunate to be selected in guiding them towards better health. This is the definition of participatory

action research, where the community people are working with us in choosing a direction towards

health sustenance, maintenance and improvement.

Our last chance to enjoy COPAR was during our Culmination Activity. Together with the section

B3, and the community people of course, it was fruitful. Everyone helped in every way the can. Reviving

the definition of “Bayanihan.” It was evident that everyone that a great time because smiles and thanks

were shared. The various talent presentations produced waves of awes and applause. And the food was

plentiful. The culmination activity marked the formal end of our endeavor in Valencia. We can’t say

“ayo” anymore and no more fruits, but at least we left a big footprint in Bong-ao.
 Appendices
-Culmination Budgetting

-Culmination Attendance and

Pictures
-Student Profile
A. # of items/ Pcs Item Price TOTAL Games
PARLOR GAMES
1 Wiggles Chocolatey 32.50 32.50
1 pack Rainbow Magic Strip 8. 75 8. 75
2 packs SS Unbreakable Spoon (10 13.50 27.00
pcs)
1 Kitchenware 39.00 39.00
1 Postware 9.50 9.50
1 Postware 9.50 9.50
5 Postware 9.00 45.00
5 Postware 4.50 22.50
5 Kitchenware 5.00 25.00
1 Toys 25.00 25.00
1 Bags 16.00 16.00
3 kitchenware 6.00 18.00
1 Postware 20.00 20.00
6 Kitchenware 8.00 48.00
1 Kitchenware 37.00 37.00
6 Kitchenware 36.00 36.00
6 Kitchenware 12.00 72.00
1 Kitchenware 38.00 38.00
1 Postware 12.50 12.50
7 Postware 15.00 105.00
5 Kitchenware 6.00 30.00
3 Kitchenware 14.00 42.00
1 Kitchenware 18.00 18.00
5 Barber’s Springmaid Comb 7.75 38.75
5 Giv Beauty Soap 10.45 52.25
1 Colgate Spicy Red Twinpack 5.50 5.50
2 GRF Twinpack 18ml 5.50 11.00
2 CC Kool Menthol Fresh 5.50 11.00
5 Head & Shoulders Smooth and Silky 4.70 23.50
Bong-ao’s Got Talent
3 Ribbon Hand Draw Flower 3.95 11.85
1 Ribbon Plain Assorted Color 20.00 20.00
1 Watch 38.00 38.00
3 Watch 45.00 135.00
1 Watch 130.00 130
1 Watch 82.00 82.00
1 Sale Items (Girls) 90.00 90.00
CERTIFICATES
1 Plastic Square Wave 12.95 12.95
1 Shelvina Parchment Paper 48.00 48.00
10 Colored Laser 10.00 100.00
1 Plate Print 70.00 70.00
1609.75
Committee
 # of Items/ Pcs Item Price TOTAL
200 Bihon 7.00 1400.00
12 Bread 25.00 300.00
20 Refresh juice 42.00 840.00
Ice Blocks 30.00 240.00
8 Paper Plate 23.95 191.60
17 Fork 11.00 187.00
3158.6

B. Food Committee
 C. Posters and Letters Committee

D. Physical Set-up Committee

# of Items/ Pcs Item Price TOTAL

Photocopy of leaflets .50 30.00
8 Cartolinas 6.50 52.00
invitations 12.00 12.00
printing 48.00 48.00
142.00

# of Items/ Pcs Item Price TOTAL

Grand 2 sets canopy 100.00 200.00 total: Php
5294. 35 -- Construction paper with printing 92.00
1 pack Silk paper 48.00 48.00
Individual 1 Double sided tape 44.00 44.00
184.00

contribution: 190.00 x 29 = Php 5510.00

Money left: Php 215.65