Holy Trinity College Puerto Princesa City, Palawan
In Partial Fulfillment of the Requirements in
COMMUNITY EXPOSURE IN RLE 300 (STA. LOURDES DATED APRIL 20-24, 2009)
Sir Euel Jesreel B. Rabang, R.N., M.A.N.
Clinical Instructor Submitted by:
Eduardo L. Alcantara
BSN Second Year N1
LEARNING FEEDBACK DIARY
20th day of April 2009
“While I know myself as a creation of God, I am also obligated to realize and remember that everyone else and everything else are also God's creation.” Maya Angelou Today’s another day. The morning I woke up I felt good things to come in the later hours of the day. So here how it goes, prior to hour duty at the community (2:306:30 pm), while in the tricycle to HTC I am reminiscing all the memories @ Santa Lourdes, since it was my previous assignment community. I keep on asking myself “am I ready to be there again?” and “is my new classmates alright, am I disturbed with their presence, yes or no?” Then when I arrived at school I went to Beah’s Canteen and wait there while waiting for my other classmates to arrive. When some of them arrived namely Ms. Realon and Ms. Mellomeda, we shared our thoughts and opinions about our expectations at our community this summer. Then 2:00 pm came, we went inside the jeepney and then, prepared ourselves for the long trip. Then later our C.I. came. As I finished checking our attendance, I noticed that someone is missing. So, to make the ride earlier, I asked permission to Sir Rabang to search for our missing classmate inside the HTC Campus. So, inside HTC I asked some people I know if they know our missing classmate or have seen him inside. All of them said no, except for one who stated that he
saw our missing classmate a week ago. So after that, I came back at the jeepney and informed our C.I. that he’s really wasn’t there. Then, with the group composed of 9 members we proceeded to the trip to Sta. Lourdes. There, we saw new faces at Sta. Lourdes, some we’re our classmates but it was really their first time in RLE at Purok Unang Lahi, Sta. Lourdes namely Ms. Ortiz and Mr. Alcorano. We first visited the Brgy. Hall of Sta. Lourdes where we saw the Brgy. Captain and introduced ourselves and explained our task at Purok Unang Lahi for the week. He warmly welcomed us all and he’s glad with the performance of HTCians in their place in the last years. We also had met the other officials there. Then, we visited the assigned midwife named Ma’am Paduga, whom we also introduced ourselves, stated our purpose for the week and explained the duration of our community duty. She said that if we want we can assist them on Thursday for vaccination and agreed so. After that we went directly to the Purok Hall of Unang Lahi. Upon arrival, we saw a big surprise at the Purok Unang Lahi Hall. We saw that the windows were damaged, the door don’t have any padlock, the dry leaves scattered all over the place and it was obvious that it wasn’t used for weeks or months. Then, prior to that the group cleaned the area first before starting the other remaining goals for the day. Since there wasn’t enough available broom at the hall; I decided to ask one from Ate Myrna. Then after having the broom, I said thank you to Are Myrna and proceed at the hall and start cleaning. After sweeping the leaves and other mess, we decided to start our objectives for that which is the continuation of the courtesy call and ocular survey. Then with the group, we first went to the house of Ate Myrna for our courtesy call. So we introduced ourselves to her and explained what we are going to do for the whole week with the partnership with them. Then we went to Nanay Clarette who was the Purok Chieftain, and introduced ourselves and explained our goals for the one-week duty. She warmly welcomed us and then her husband arrived. One of my classmates interacted with her husband and we we’re really amazed because his health improved a lot since our last semester duty. We enjoyed talking and listening to Nay Clarette. She also said that the Purok Hall wasn’t really functional for the past months because there wasn’t any meeting that took place. After that, we walked for 5-6 minutes to the BHW named Ms. Loida Mateo, whom we introduced ourselves and explained our purpose. We also asked her on the state of the purok’s health. She replied that, only summer illnesses are occurring there. Then we would went straight to one of the host families last semester and proceed to the Secretary’s house named Ms. Aina Verano, whom we introduced ourselves and explained our purposes for
the week. We also asked her about the state of health of the Purok and she replied that she wasn’t updated yet because in the past few months no meeting had occurred and she was in Brooke’s Point for her treatment. So after that we said thank you and continue walking for the ocular survey and courtesy call to the officials. It’s a 6-10 minutes of walking when we arrived at the house of the Purok President Delia Ate. So we introduced ourselves, explained our stay there, and asked questions. She reacted that in the last few months no meeting happened in the Purok because people were so busy. We asked her many questions which she has able to answer. I was also happy we she pointed me and Ms. Daquer that she remembered me because of the Mother’s class about Neem Tree. Then after that we parted our ways and said thank you for the warm welcome she had given. Then we walked again for 6-10 minutes and started our ARFAS with Mr. Tangug as our Facilitator. It was a very memorable ARFAS for me because I said that “because of Sta. Lourdes I grew as a person and improved out myself…”. I also added that, “...pagdating ko palang sa gate ng Purok Hall, marami akong naalala!”
My learning for the day is just being natural with what you do. In every person, we should be able to established rapport and trust. We should learn on how to express ourselves well. Through listening and asking questions we learn something. Feeling the warmness of the community is an experience everyone will never forget! Through our partnership we can build a better future. Your Friend, Eduard
It was a very memorable ARFAS for me because I said that “because of Sta. Lourdes I grew as a person and improved out myself…”. I also added that, “...pagdating ko palang sa gate ng Purok Hall, marami akong naalala!”
21st day of April 2009 Dear Htcian,
"We live in a wonderful world that is full of beauty, charm and adventure. There is no end to the adventures we can have if only we seek them with our eyes open." -- Jawaharal Nehru
It’s again another enjoyable day. I arrived at school an hour before 2:30 pm and I’m thinking what’s in store for us this day. I started writing and checking the attendance and suddenly the jeepney came and I went straight there to continue checking the attendance. Still, our ‘missing classmate’ is literally missing in action. After 30 minutes, we departed to Sta. Lourdes. When we arrived there, we prepared and made plans for the long walk first. Then, we proceed to the long walk and for our continuation of the ocular survey on the Purok Unang Lahi. Our objectives were to inform the officials and the mothers about the feeding, the children’s and mother’s classes are our activities for tomorrow and also to appreciate the environment especially for the new members. First we divided our group into two and went to the some of the households and officials to invite them. Some of them verbalized they’re coming and some aren’t sure. Unexpectedly, almost all officials we’re absent during our visit. So, it was quite hard for us to think if our activity will be successful. During our walk, I and Ms. Mangundayao talked about what we’ll cook, I suggested pancit and some suggested chicken soup. For the mother’s class I suggested about teaching charcoal therapy especially on the mothers. So after that, when we finished our task we realized that people we’re really busy that day because of their absence. Coping with the situation needs flexibility and learn to think out of the box is the best solution. Then we returned to the Purok Hall and continue doing our plans. Ms. Mangundayao leaded us on the meeting. She first divided the group into 3: one for the feeding and cooking, then 1 for the children’s class, and 1 group composed for the mother’s class. For the food, as suggested by yours truly is pancit and some suggested Chicken soup (sopas). Everyone voted out for Chicken soup or sopas. Then for the
“Coping with the situation needs flexibility and learn to think out of the box is the best solution.”
Mother’s class, Ms. Mangundayao stated that I should just be ready. So, I replied that I’ll prepare the lesson about charcoal topic and Ms. Ortiz will serve as my companion. Later on, me, Ms. Ortiz and Ms. Mellomeda prepared the poster with the announcement for tomorrow. So when the jeep arrived we prepared it and plan to post it to one of the houses. Then after the long walk we proceed to our planning. And do our ARFAS. Then we went home. Upon the travel, I asked the driver and
our C.I. if we can stop for a while to post the announcement and they agreed. Sir Rabang said that I should asked permission first to the owner of the house or store. There I asked permission and the house owner said it’s alright so I posted it. Then we proceed to the ride. It was an enjoyable activity. Your Friend, Eduard
22nd day of April 2009 Dear Htcian,
"Friendship is the only cement that will ever hold the world together" - Woodrow Wilson I arrived at school at 1:00 pm. I continue writing the information on the Manila paper about our report for the Mother’s Class which is all about the uses of Charcoal at the Kubo near the basketball court. Then Ms. Realon, Ms. Ortiz, Ms. Realon arrived and also prepared the other needed items.
At about 2:00 pm we we’re called because the jeepney is already there. While waiting for my other classmates, I bought banana cue and the rain poured for 3 minutes. My classmates also bought banana cue. Then after couple of minutes we travelled to Sta. Lourdes. After the long trip, we saw that some of the children we’re already there waiting for us. After the short preparation for our individual tasking we started doing our respectful tasks. Suddenly, the rain came. I was a bit worried, because that’s a bad sign that mothers really won’t come. And after 15 or 20 minutes I am still expecting the arrival of some mothers but sadly none came. So being flexible, I erased my worry that time and help my other classmates in their tasking especially in the children’s class. While in the children’s class, I observed that the children were really interested and happy with the lesson. We reviewed them about the alphabet, the purpose of good hygiene and we ask them questions and gave them some prizes. We had observed that hygiene were really their main health problem so as part of children’s class we let them to wash their hands by using nail brush and soap. But as students, mistakes were still present especially when we taught some of the children to make the sign of the cross we forgot that some of them aren’t Catholic. Next time, lessons must be learned. Another would be, we should be able to explain of what will be the implications of our teachings in the community. We should learn its applicability. All in all, we did a good job. What is important we’re all open for change. Through the experience we learned something.
“All in all, we did a good job. What is important we’re all open for change. Through the experience we learned something.”
Your Friend, Eduard
23rd day of April 2009 Dear Htcian,
When wealth is lost, nothing is lost; when health is lost, something is lost; when character is lost, all is lost. When the jeepney arrived at school, we went inside and prepared ourselves. Then after 30 minutes we went away to Sta. Lourdes. As promised by the group to the midwife last Monday we directly went to Brgy. Hall for our expected health teaching about the Benedict’s test and Acetic Test and assessing in the immunization. But sadly, according to the officials, the mothers came in the morning and the BHWs were busy that day and can’t entertain us. So, Ms. Mangundayao asked the BHWs when will they be available and may be
next they can help us and teach the important learning which the community can really get something big. After the sad news, Sir said we should go to the Purok Unang Lahi Hall. So we walk for about 15-30 minutes. It was really our first time to walk from Sta. Lourdes Brgy. Hall to Purok Unang Lahi Hall. It was a very enjoyable walk. I then Ms. Ortiz and Ms. Realon was in one row while walking, we talked and laughed. When we arrived there we rested for 10 minutes. And Ms. Ortiz and Ms. Mangundayao prepared their post for the health teaching about Benedict’s test and Acetic test. Benedict’s test is made to find out the presence sugar in a sample (e.g. urine). A test that detects the presence of albumin proteins in the urine. The urine is heated until cloudy and then several drops of acetic acid are added. If cloudiness increases that the test is positive for albumin. It was my first to learn the said tests. I learned that it was a very vital test which will give the users a warning if something is wrong. Then, when we’re all finished doing the test. Sir Rabang allowed us to do our thing and we’ll proceed to our ARFAS. When the ARFAS started I heard some good and bad sentiments from my classmates. I realized that through the group many things were learned by me. Sir Rabang also expressed his partial reactions and words to the group. He stated that he’ll express the remaining things soon.
“It was my first to learn it. I learned that it was a very vital test which will give the users a warning if something is wrong.”
Your Friend, Eduard
Too Much or Too Little Sleep Increases Risk of Diabetes
Photo: iStockphoto.com ScienceDaily (Apr. 23, 2009) — Researchers at Université Laval's Faculty of Medicine have found that people who sleep too much or not enough are at greater risk of developing type 2 diabetes or impaired
glucose tolerance. The risk is 2½ times higher for people who sleep less than 7 hours or more than 8 hours a night. The findings were published recently on the website of the journal Sleep Medicine. The researchers arrived at this conclusion after analyzing the life habits of 276 subjects over a 6-year period. They determined that over this time span, approximately 20% of those with long and short sleep duration developed type 2 diabetes or impaired glucose tolerance versus only 7% among subjects who were average duration sleepers. Even after taking into account the effect attributable to differences in body mass among the subjects, the risk of diabetes and insulin resistance was still twice as high among those with longer and shorter sleep duration than average sleepers. The researchers also point out that diabetes is not the only risk associated with sleep duration. A growing number of studies have shed light on a similar relationship between sleep and obesity, cardiovascular disease, and overall mortality. The authors observe that among adults, between 7 and 8 hours of nighttime sleep appears to be the optimum duration to protect against common diseases and premature death. However, it seems that fewer and fewer people sleep the optimum number of hours. A survey conducted in 1960 showed that American adults slept an average of 8 to 8.9 hours a night. By 1995, that average had dropped to 7 hours. A study conducted in 2004 by the National Center
for Health Statistics found that one-third of adults aged 30 to 64 slept less than 6 hours a night. The authors of the study are Jean-Philippe Chaput, Angelo Tremblay, and Jean-Pierre Després of Université Laval, Claude Bouchard of the Pennington Biomedical Research Center in BatonRouge, and Arne Astrup from the University of Copenhagen. Source:
Université Laval (2009, April 23). Too Much Or Too Little Sleep Increases Risk Of Diabetes. ScienceDaily. Retrieved May 6, 2009, from http://www.sciencedaily.com /releases/2009/04/090421120900.htm
According to the study of Universite Laval’s Faculty of Medicine they had found out that persons with less or more sleep are at great risk of developing impaired glucose tolerance a.k.a. Type 2 Diabetes. This finding was published at the Sleep Medicine journal and states that people who sleep less than 7 hours or more than 8 hours per night has 2.5 times high at risk of developing it. This research came into reality after they analyzed the 276 subjects over 6 years. Through this time span 20% of those subjects with long and short sleep developed type 2 diabetes a 7% of the subjects were average duration sleepers. Although BMI was attributable, still it showed that diabetes – risk and insulin resistance was still on those people who mostly and lessen gets sleep. They also stated that type 2 diabetes isn’t only the risk for the abovementioned subjects. It also includes cardiovascular disease and overall mortality. The authors also stated that 7 or 8 hours of good night sleeps appear to be the optimum duration to protect against common diseases and premature death. The duration of sleep also varied in years because in the survey conducted in 1960 American adults sleeps an 8 to 8.9 hours of average sleep and in 1995, it dropped to 7 hours. In the NCHS-conducted study (2004) it found out that one-third of adults aged 30-64 years old sleep less than 6 hours/night.
o Comment or Reaction:
After reading the article, only one thing came to my mind and that is “Everyone are at great risk of acquiring diabetes”. Through these generations lifestyle people are really in danger of various diseases or illness.
The article is very helpful and an eye-opener. This can be applied in our health teaching/s. Through that we can give the community the knowledge for them to prioritize a good night sleep and give emphasis on its major health benefits.
o Agree or disagree? Why?
I am in agreement with the article because of its given vital data. It interestingly showed how life changes ‘dangerously’. ‘Dangerously’ in the sense that even life changes with ease there are still negative things that occurs naturally. Life changes easily and through this fast phase we forget of our own safety and health. Though the technology advances there are things we can never change.
I choose this article based on the following reasons: first, the title caught my attention then, secondly because of my own experience as a BSN student who truly lacks sleep and lastly because during the community exposure I learned on how to do the Benedict’s test which the result tells if a person is at risk of diabetes and so diabetes appeared to my mind.
o Reason/s article:
Yes, it is related to our country since diabetes is in every Filipino as what is obviously pictured by the 2006 Philippine Health Care Statistics that DM is 9th of the top 10 causes of mortality with 4.1% affected population. Using a little math, and assuming those figures are correct, diabetes has about a 2.09 percent prevalence rate in the recent years. The same source mentioned that if the trends do not change, the diabetic population in the Philippines will balloon to 15 million by 2010.
o Relationship with the country’s problem: