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Corner Governor Pack Road, Baguio City
COLLEGE OF NURSING
Central Bayabas, Sablan, Benguet (July 3 – October 4, 2004)
COMMUNITY DIAGNOSIS PROGRESS REPORT
In Partial Fulfillment of the Requirements for The Course Nursing Care Management 101
Presented by: BSN III Section 3
Groups A, B, C and D NCM 101
Ms. Maribeth Esteban, RN Clinical Instructor Central Bayabas, Sablan, Benguet
ACKNOWLEDGEMENT To our Almighty God, thank you for imparting wisdom, strength creations and you guidance. have Thank and you given for to the us wonderful we may shared that
enjoy, learn and care for it. To our parents; for the years of sending us to school, for believing in us, for the support, and for the understanding despite the skepticism and doubt, thank you very much. To our clinical instructor, Ms. Esteban, thank you for imparting your knowledge and opinions to us, for accompanying us in every journey of our community life, for lightening our burdens, thank you very much. To the people of Central Bayabas, Sablan, thank you for giving us a warm welcome, for letting us feel home, for letting us experience your life, for letting us understand your culture and tradition, for teaching us do the “raep raep thing”, for sharing to us your bountiful fruits, for letting us experience the spirit of the bugnay wine… once again our gratitude.
while using a framework of sustainability. we fulfill a unique role in the protecting health community. The practice of community health nursing expands into the areas of disease prevention. To the students of Central Bayabas Elementary School . advocacy and self- . advocacy. thank you for the games. families promoting and and the community the at large. health enhancement. Community Nursing synthesis practice. The nature of community health nursing is comprehensive and directed towards the individual. the support and for letting us stay in your lovely school. community development and research. community. health promotion and primary health care. empowerment. SECTION 3 I. groups communities. thank you for cooperating with us.To Mr. Oyam and the teachers. thank you for letting us play with you… Thank you very much. Community in providing and of Health access nursing Introduction has long been for health in the Nursing to health forefront in educating the people on basic health care and services Health public vulnerable is a practice. of As the community health nurses. We promote optimum health of individuals and the community by promoting the right to informed choice. thank you for the understanding.
Also. the creation of the “Bugnay wine factory” owned Cooperative give further commercialization agenda. As has been described previously by observers. the with respect of and to working conditions. However. new on thus highlighting who have employment low wages. calls that for are further even towards socio-economic progression. At the same time. as well as the quality calls to of employment.determination. the locals needed more it is inevitable that this teaching on how to maximize these for it to be globally approach would affirm to the idea of linking wage growth with productivity. competitive Furthermore. Some of these are the Pasdong sayote. This concern is rooted in the view that the core of the poverty the are need problem to is create and joblessness. Equally important to this is to provide the locals open doors for selling of these products in a wider scope. poverty. camote peanuts being by commercialized the popularized way to public consumers. opportunities in the area. Pasdong is a rich land where farming is the primary source of livelihood. Thus the employment challenge strategies means of for promote formulation decent To coordinated productive this. employment” in both the formal and informal economy as a alleviating achieve . The land is well-cultivated for different and crops exported and commercial to the consumption. the “full. now This means that majority development for of the constituents of this are average in terms of economic wellbeing. We also identify and challenge barriers to wellness and empower people to change the agents that affect their health adversely. many people jobs under-employed Associated with this is the need to improve the quality of the workforce in terms of skills for productivity. remuneration and welfare. this place is only remote but not considered as a depressed This area.
national there should should processes as be expanded be to employment for everyone utilizing the resources in the community. and counting. In terms of health resources. but the majorities are registered (42%) or illegal (58%) overseas workers. there is a rest back of this such as lacking health workers to cater to the needs of the Filipino including those in the countryside and other more remote places like Sablan. Through these institutions and processes. up to 8 million Filipinos are OFWs. about 2. the Philippines would already have hit rock bottom: they are sending about $8 billion back home per year. there is only one doctor provided for the entire place of Sablan. This state is a reflection of the national-wide health issue governing the unequal distribution of health facilities and health workers in the local area. In relation to this. nurses and teachers which are part of the vast legions of overseas Filipino Workers (OFWs) something that leads former senator and vice-presidential candidate Loren Legarda to cry over the international image of Filipinos as "the groveling nomads of the world". the total amount of remittances may be 50% higher. Of those. This goes back to the issue of those missing doctors. Without OFWs. Overall. Unofficially.Government appears to recognize that ultimately its role in employment promotion is to provide a suitable policy framework that enables the private sector to perform its role as the primary source of employment generation. Further. the social partners participate with government in policymaking and implementation and thereby play a major role in .5 million are permanent foreign residents. or more. at least 50% of them women. issues addressed give solutions through to the institutionalized local issues as well surrounding the provincial areas such as Sablan. On the other hand.
We adhere to their main purpose of of improving most and sustaining them with the health and in situation communities health care the vulnerable individuals self-sufficient LGUs and eventually through making cooperation community members themselves. OBJECTIVES: GENERAL OBJECTIVES: A) Deliver efficient health care services B) Apply COPAR and primary health care principles C) Appreciate community health nursing practice SPECIFIC OBJECTIVES: A) Promote health through health education and follow-up care to identify their needs and formulate a plan of action to attain these needs by focusing on their immediate and long-term needs and problems. We were able to extend health services.addressing the social and labor market issues arising from globalization. health teachings and health monitoring in keeping up with the Department of Health’s programs. B) Help the community health workers in generating community participation in health development activities. . Our exposures to Central Bayabas gave us the opportunity to experience and understand how people in the community deal with their daily lives particularly those concerning health.
Amocao. Barangay Payda. The center of the Barangay is Bayabas proper which is 24 kilometers away from the City of Baguio and 34 kilometers away from the provincial capitol which is located in the Municipality of La Trinidad . Abuloy.Monglo. II. respectively. Province of Benguet . Sablan. It is eight (8) and four (4) kilometers away from the Poblacion and Naguilian Road . (25) Colat. Balococ. GEOGRAPHICAL LOCATION AND ACCESS Barangay Bayabas is located on the southern portion of the Municipality of Sablan . Benguet I. POLITICAL Bayabas is composed Bayabas of . twenty-five Calamay. Central . sitios . Bacbacan. Sedong.COMMUNITY DATABASE Barangay Profile-Barangay Bayabas. Kipa.
Coplo. Houses belonging to above average income earners are made to concrete structures. The Barangay has an area of 2. Batwel.Teytey. V. III. Kinakawan. Pagalan. LANGUAGE AND DIALECT SPOKEN The most common dialect is Ibaloi followed by Ilocano. Bontoc and Pangasinense. Mangi.972 with 362 households based on the minimum basic needs survey conducted in 1998. LAND AREA Barangay Bayabas is the biggest among the eight (8)barangays of the Municipality of Sablan in terms of land area.67% of municipality. Ifugao. VI. Kabaong. Kankanaey. POPULATION AND HOUSEHOLDS the total land area of the The Barangay has a total population of 1. Bulala and Bagto.142 hectares and it accounts to 26. Tongsul. VII. Sacnib. HOUSING Many of the housing structures in the Barangay are made of timber and galvanized iron. Beckes. EDUCATION Barangay Bayabas has two Public Elementary School- Talete Elementary School and Bayabas Central Elementary . IV. Pidawan. Talete.
MANAGEMENT The Barangay Government of Bayabas is managed by the following: 1 Punong Barangay 7 Barangay Kagawads 1 Barangay Secretary 1 Barangay Treasurer 1 Sangguniang Kabataan Chairman 12 Members of the Lupong Tagapamayapa 9 Action Members of the Barangay Tanods 10 Action Members of the BHW 2 NGO members of the Barangay Development Council Barangay Bayabas is being developed with the future generation’s particularly welfare in in mind. total the area is Eighty-five considered an agricultural land principal source of income is diversified farming. IX.School . . Sustainable developments and cultural sectors economic. The programs. It has also two Day Care Centers. are being pursued. VIII. social. and activities of the Barangay are geared towards empowering the people and improving the quality of life of its constituent. LAND USE AND SOURCE OF INCOME percent (85%) of the hence.Monglo Day Care Center and Bayabas Day Care Center. projects.
simple measures on explaining the importance of proper hygiene and grooming to their health. One more problem is the unsanitary environment involving the community’s toilet system and pig pens. These problems are easy to manage. Information about lifestyle is very vital to be imparted to affected population like proper exercise. the community needs information dissemination on the diet and lifestyle modification. . Community Problems According to Priority Health Problems and Needs The following are seen as health problems and needs of the community people: With significant regards number to of health problems. With this problem. limiting alcohol consumption and vices. that there are a populations are hypertensive especially the elderly. Another health problem that was observed in the Barangay is that children don’t have proper hygiene and grooming which may affect their health.II. Cooperation between teachers and parents are very important that the children will continually practice it. Some needed so modifications it may serve with as regards a medium to of the school is and effective conducive learning.
the factors that can contribute to hypertension After the physical assessment rendered to the pupils as well as the health teachings taught to them. and of the lessen.III. totally eradicate. 2. they would be able Physical Assessment and Health Teachings The pupils will be able to understand and apply what are being taught to them. Community Diagnosis Action Plan Health Problems and Needs 1. Hypertension among elderly Objectives Strategies Expected Outcomes After the Health The health Teachings/Homcommunity teachings to e visits people will the adult be able to community. apply what they will be we have able to taught them understand the regarding importance of proper proper management nutrition. Personal Hygiene of the pupils of Bayabas Elementary School . if not condition.
Beautificati on of the School (School yard. Home visit The community people will result ways of doing proper sanitation that greatly affects their health. a. room and School Library) b. Cultiv ation of t he herbarium. H. pupils that need referrals to health medications will comply with the said recommendation s. Unsanitary Environment After teaching. Labor . setting up of the After the compost pit exposure in the community. people in the community would be able to provide solutions to their unsanitary toilets and foul smell emanating from the pig pen After the exposure in the community. 3. Furthermore.E.to maintain proper personal hygiene. we will be able to finish the beautification of the school Pupils who need further medical medications will be given appropriate attention. Labor The people will admire and appreciate the contributio n of the group to the school 4.
Use the herbal plants. reminded about the factors which affect blood pressure. asked questions Through health about their present teachings. Use the compost pit. such . IV. Health Problems and Needs Implementation phase Actual Evaluation Strategies Hypertension among The groups monitored The family listened adults in the the blood pressure of attentively and community the community folks. The people will admire and appreciate the contributio n of the group to the school. Preserve the plants. they were condition.we will be able to maintain and improve the herbarium as well as fix the compost pit.
All the pupils cephalocaudal participated in the assessment. Beautification of the school The group helped in The school officials the beautification of appreciated our the school effort for a job specifically the H. and the use of garlic to control hypertension. Letters to parents/guardians of health teachings. well done. health teachings to the pupils were done to emphasize the importance of proper personal hygiene. foods to be avoided. the pupils of Bayabas Elementary School was The pupils listened attentively to the done. EVALUATION and CONCLUSION .E. exercise.as. V. Personal hygiene of the pupils Physical assessment. Room. Unsanitary environment Through health teachings. proper diet. the head of the school. Schoolyard and Herbarium. pupils who need further medical attention were given thru Sir Oyam. Furthermore. the concerned community folks were informed about the proper maintenance of clean toilet and pig pens The family listened attentively and asked questions about their present condition. School Library. to all physical assessment.
Community integration is important in building trust with the community people. We had implemented our ocular survey and courtesy call to meet people. values and belief of the people. The community had helped us learn to deal with different cultures. . 2. the following conclusions are drawn: 1. We were able to manage and gauge proper intervention needed to cater to different sorts of people possessing dissimilar qualities. We built trust by means of home visits and we had taught the people measures in dealing with their deficiencies.Goals and objectives of the groups were satisfactorily attained. Based from the community exposure.
This is to remind pupils that improper hygiene would greatly affect their learning and may pose a greater risk of emerging diseases. effective 3. The continuity of care of the pupils of Central Bayabas Elementary School should be exercised. The continuity of the beatification and cleanliness of Central Bayabas Elementary School .VI. This is for to the give maintenance way to of their and school’s conducive cleanliness learning. This is to facilitate effective health care intervention for those people who are unable to reach nearby health care facilities. In line with the RECOMMENDATIONS the following are conclusions. . 2. recommended: 1. The continuity of home visits.
Kimberly Timaan. Kiezel Calub. Giezle Sowaken. Regency Mae Pingol. Bernadette . Ma. JF Nicole Gayaso. 2008 Members: Binha-on.APPENDICES Summary of Activities Group A: Dates of Duty: July 3 – 19. Christine Quilala. Raqueline Gumpac. Claire Marie Bondad. Mary Lynette Tamayo. Rizalino Lachica.
We arrived at the Municipal Health Office in Sablan at 8:30am. he oriented us as how many sitios are there in the area. WEEK 2: July 10-12. Barangay Captain of Sablan. On the second day. 2008 Our group departed from UC-BCF at 7am. . Judith Codamon. Teofilo Anasioco for the upcoming case presentation regarding End-Stage Renal Disease. Olivia Lambayong. Teofilo Anasioco. We had a brief orientation conducted by Dr. On the third day. the group went for ocular survey and home visit to nearby houses in Sitio Central Bayabas. we proceeded to the staff house which is the school reside give community. After putting things in order. Municipal Health Officer and Ms. Nilo Oyam regarding the following the beautification of the school clinic was done as well with Mr. our group went to our destination which is Sitio Bekkes . After during our to 3 day stay at the which. 2008 Coordination with Mr.We was divided into pairs to perform ocular survey and home visit to the area. we then went to a courtesy Mr. we proceeded to Central Bayabas Elementary School . We went back to Baguio City from Sablan later in the afternoon.Villar. Along with a Barangay Kagawad. Danzen Apple WEEK 1: July 3-5. Nilo Oyam. Midwife II-Central Bayabas. We had a courtesy call to the School library nearby Principal where store we to in the person of Mr. Shortly after.
On the second day. Group B: Dates of Duty: July 24 – August 16. the group did morning exercises together with the teachers and students. We departed from Sablan and proceeded to Baguio City in the afternoon.On the second day. In the afternoon. On the third day. On the third day. We departed from Sablan to Baguio City in the afternoon. the group stayed in the school for the beautification of the School Clinic. we cleaned the school yard. Room. we cleaned and arranged the herbal garden located at the back of the school.E. 2008 . 2008 The group stayed in the school for the arrangement and beautification of the H. the group had a general cleaning of the school library. our group went back to do thorough assessment in selected households in Sitio Bekkes for the preparation of our FNCP. During the rest of the afternoon. WEEK 3: July 17-19.
and anticipation of what community can bring For some of us. Marie Antonette Wallang Lilibeth WEEK 1: July 24 . Janice Torres. Daisy Manguba. we took notes on the . The hardships of hiking several mountains and the struggles of breathing while taking our route up the mountains were much easier to laugh about after arriving at the site.26. ever first community immersion was full of excitement. During this week we did our ocular survey of our site visiting from house to house to establish rapport to the people. Alvin Osenio. they are less exposed as compared to others since they lived all their lives in the comfort of the city life and taking every task a challenge to win. Mildred Caw-as Naty Espiritu. Divina Nemedez. 2008 Our us. Jeanette Madarang.Members: Cabfit. During the initial assessment. Maritess Kimay. Bernadette Olat. Domanay Camarao.
Unfortunately. The family was accommodating and the people showed as warmth as we participate in the burial session.responses of different household who took us in and even to some who were hesitant to let us in to their homes at first. the family butchered pigs to cater in to the attendees. the news came to us that our patient suffering of chronic urinary disorder just passed away so we decided to go to attend the burial. However. As a traditional way. The villagers were united during the mourning sessions like this. We can . when we weren’t able to enter all houses figure and out seemed on welcomed the us. we felt frustrated for and this ourselves possible reasons reaction among the locals. We have shown our deepest condolence to the family while we also took part in getting the blood pressure among the folks applying therapeutic communication as we converse with them. we were determined as a group to take this a test that we need to pass and at the end of this immersion. We also observed the natural fauna which is preserved by the locals despite the introduction of roads at the core of the mountainous terrain. There were all gathered at the residential area of the dead. 2008 For the second week. First that we come out is that these people known for being hardworking people are quite busy tending their own fields waking up at very early which gives the reason why most of the houses are closed. we established rapport with the community people as the initial step we always do in an immersion. We have seen how the burial rites go. At some point. Another reason is that the people are generally shy if not a little bit “hostile” towards strangers which is manifested b their rigidity of some to welcome us on their homes. things can be better for us all.August 2. WEEK 2: July 31 .
In line with the Nutrition month. WEEK 3: August 7 – 9. We prepared a short skit or short stage play and invited the children as well as the teachers to participate at the end of the skit. guava and rambutan as our . of which “raep” is the Benguet term for “plant”. The event is rewarding knowing we were able to put smile on the faces of each child with our small ways. hot the Surprisingly.feel gradually that the barrier between us and the people became lighter felt we gained trust as we respected them for their tradition and actively and sincerely cooperated with the events as it happened along the way. We observed that the people may be a little bit reserved when they speak but they can also have a good sense of humor with them. We had fun even if it was drizzling during that day. we distributed the food that we prepared catering to all the students in the school. Our group personally called this activity as the “Let’s do the raep – raep thing”. the villagers were more open to us at this were in offered their coffee and chocolate. This was a bit more exciting for the rest of us. We we’re invited to join the neighborhoods to plant every rice rice as planting are rice planted is a by community the event of or the traditionally done in “Bayanihan” order in such a way that field members community one after the other. santol. 2008 Third week it is. while lightened conversation with a spice of humor. also We made a follow-up some homes few visits sip of we to the area. The next event that we did is to organize a program for the Nutrition Month in addition to feeding program. We time. We were also offered “buko”.
. 2008 This is the fourth and the last week of our immersion with the community people. took down and history. family’s During the home visits. observed health practices objectives lifestyle and listing all the data we need. However. we did our last home visit particularly to the area we haven’t visited. Finally. Starting our day was leading the morning exercises for the students which they enjoyed since some of the exercises we taught them were unfamiliar to them. we allowed the children to demonstrate to us what they have learned. We observed the process and listened while it was being explained to us every step.“baon”.16. we made sure to meet our though. We performed the needed assessment and took the BP of the residents while giving health teachings as well. we referred them to the nearest local clinic. We were invited to the Bugnay factory owned by the Coop for the Bugnay wine making. Further. We gained insights and we understood that making wine is not as easy that what is seems. After the teaching. health We assessed every home. For some of our findings that needed immediate attention. WEEK 4: August 14 . it was also noted that funds can be a primary constraint to this endeavor and that much work needed to be done in into its progression. first aid teaching to the students were also organized as part of our initial plan. The process involved is critical and that every step is crucial for the success of the entire wine making with the goal of producing a fine or quality product that can be available commercially.
2008 Members: .Group C: Dates of Duty: August 22 – September 13.
2008 The group made an ocular survey in Colat and Teytey WEEK 2: August 29-30. well as We the surroundings school . Rosemarie Pletchetero. Therese Facunla. Ronnie Opolento. We also cleaned the surroundings of Bayabas Elementary School . Lyzette WEEK 1: August 22-23. we had conversations with the clients. Current Grace Fontanilla. 2008 We cleaned had the our last home of visits the in Sitio as Calamay.Bencio. Rita Cabote. Lilibeth Pihoc. WEEK 4: September 11-13. Jennelyn Budong. Joanna Marie Ebuenga. 2008 The group had home visits. WEEK 3: September 4-6. Arcel Unay. Jovy Sigabu. 2008 The group had home visits in Calamay. also. Dianna Sagubo.
Raiza Lea Balingan.school library. Mary Giselle Focasan. Mariza WEEK 1: September 18 . Furthermore. 2008 Members: Agasen. we fixed the school compost pit.20. Marie Ann Operana. Liza Lorraine Cunanan. Ruthlyn Carpio. Lucille Estipular. Amyline Malag. Precy Dianso. 2008 . Jennifer Fernando. Clifton Agrimor. Group D: Dates of Duty: September 18 – October 4.
we continued our home and also rendering our nursing visit.4. integrated . 2008 On above our second week of stay.Before heading to the community and since it was our first exposure to the community. having the mentioned goals interventions to the community people who were in need. After activity. Also. On our first week of dwelling within the community at the school library. to evaluate and update general health report attend initially to any encountered diseases or situations that need immediate and further medical attention. we journeyed towards the Sitio of Calamay for and the home visit the with the following the goals: to establish status of maintain folks. WEEK 3: October 2 . We all did these together with the supervision of our clinical instructor. and week to is and to a offered serve as us to of accomplish Bayabas physical assessment School aspect this the entire pupils Elementary every this we their to the health record. to encourage the people to change or improve their practices affecting and alleviating diseases that brings great effect to them as a functional citizen. we first have our orientation given by the municipal nurse on duty at the municipal health center before we proceed to the barangay office and have our courtesy call with the barangay captain together with another group. this time towards the Sitio of Beckes. 2008 During our last week.27. we carried out the order of our Dean who visited us the past . to started and rapport with the community people. WEEK 2: September 25 . We assessed them thoroughly and accordingly considering wrote we letter also parents of those students who need referral for medical interventions.
.health education emphasizing on the needs of the students basing from our assessment. such as the need of the pupil to be reminded and encouraged for their good and proper hygiene. Moreover some activities and moments of the group speak of through the pictures in the succeeding pages. We also carried out our nursing interventions to the folks who were in need as well as integrating our termination phase with them.
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