NAME: DIEZMO, MA.

ALEXIS DATE: September 5,

2022

RLE TASKS

SCENARIO:

Michael Luna who works as a community health nurse in his suburban community in La Union. He visits
7-10 clients each day. On today’s visitations, Michael will provide care for four clients who are
recovering from Tuberculosis and three clients who are recovering from Diabetes (increase blood sugar
level), and he will provide oral antibiotics for a man with an infected wound.

Among this list of clients, Michael visits Mrs. T., an 87-year-old white woman who lives alone and is
recovering Tuberculosis that she experienced coughing for almost 3 months ago. Michael’s goals are to
check on her recovery progress, reminding her medications in her weekly medication container, and
administer an influenza vaccine.

Upon entering Mrs. T.’s small house, Michael finds the house in disarray: clothes are scattered about,
dirty dishes with crusted food line the kitchen counters, and no lights are on. Michael finds Mrs. T. lying
in bed watching television. Mrs. T. complains to Michael of feeling too tired to do anything; she eats only
what is already prepared (e.g., frozen dinners or snack foods like potato chips and cup noodles) because
cooking requires too much effort. She spends most of her days lying in bed and has not bathed in a
week.

Michael helps Mrs. T. out of bed and assists her with a bath. After the bath, Michael fixes Mrs. T. a quick
lunch and refills her medication box while she eats. Michael encourages Mrs. T. to start getting some
exercise by doing the household chores so that her lungs can get stronger. “The stronger your lung is,
the more energy you will have,” Michael tells Mrs. T. Michael also enlists several services for Mrs. T.: A
barangay health worker will come to the house three times a week to help Mrs. T. bathe, and meals will
provide by the Barangay Nutrition Scholar that will bring her breakfast and lunch. Finally, Nurse Michael
administers the influenza vaccine. During Nurse Michael’s visit the following week, Mrs. T. is showing
improvement. She tells Michael, “I just love that Barangay Health Worker who comes to help me; she is
just so sweet and kind. And the Barangay Nutrition Scholar is a blessing, I now have more energy to keep
this place clean the way I like it.”

1. What challenges in the role and responsibilities of Nurse Michael face in his first visit with
Mrs. T. that a community health nurse (CHNs) Nurse Michael faced?
 Community nurses could encounter more dangers than advantages when delivering
treatment at their specified employment place. Along with the typical demands of
working as a doctor, they might also experience understaffing, excessive overtime, on-
call work, workplace violence, few opportunities for professional advancement,
 seclusion from other professionals, concerns for their personal safety, and inadequate
administrative support and supervision. These factors, which are covered in more detail,
may be linked to high worker turnover and workplace stress. The need for community
nurses to travel long distances to and from each client's residence has also led to work
overload. This may be time-consuming and frustrating. To make matters worse, the
roads in these areas are typically not properly built or maintained, which increases their
challenges. Rural areas might increase the vulnerability of healthcare providers due to
their geography and surroundings. In rare cases, illnesses and accidents brought on by
the weather might lead to considerable levels of absence from work. This is what made
the nurse Michael's initial visit to Mrs. T's house so difficult.

2. From your knowledge about the public health nursing, compare an example of care displayed by
nurses of the past versus to the current activities of Nurse Michael made to Mrs. T.