Integrated management of childhood illness Counselling/ff-up 25%

Total 100%
Agdao Health Center
- It is a government facility which caters hwalth
Herbal Presentation (video advertisement/reporting)
services to the people in Agdao, Davao City. It
has the most numbered patients enrolled in one Relevance 30%
of the programs of DOH, the National
Tuberculosis Program. Team work 30%

Miniforest Health Center Delivery 20%

- It is a government facility that covers the Packaging 20%

biggest number of barangays in Davao City. It (Reporting of assigned herbal med containing
caters health services to the people in Davao. indications/uses, dosage, expiration. If applicable,
It is the Animal Bite Center of Davao City. ingredients, and procedure. Photo of the herbal plant
Jacinto Health Center should be presented during reporting)

- It is a givenment facility which caters to eight (8)

barangays, Barangay 32 to Barangay 43. Family Case Study (written)
Piapi health center Content 80%
- It is a satellite health facility under the Promptness 5%
management of Miniforest Health Center. The
center has a Midwife and Barangay Health Delivery 5%
Workers who cater to the need of people in five
Neatness 5%
(5) barangays, namely Barangay 27 to Barangay
31. Format 5%
San Pedro College Health Center Total 100%
- It is a private health facility owned by San Pedro
College that caters to the need of people in Agdao,
Davao City specifically, Barangay Duterte. Family Case Study (oral)

Criteria for evaluation Presentation 20%

Drug study Content 40%

Format 5% Delivery 20%

Neatness 5% Personal attributes 10%

Drawing/Picture 5% Visual aid 10%

Content 60% Total 100%

Nursing responsibilities 20%

References 5% Family Case Analysis

Total 100% Intro/Objectives 10%

Initial Data Base

IMCI Family Developmental Task 10%

Assessment 30% Family Coping Index 15%

Classification 20% Prioritization of Problems 20%

Identify/Treatment 25% FNCP (5 problems) 30%

IMCI Community-based 10%
Implications 55
Total 100%
First Rotation Schedule
Week 1 – Jan. 26-28 – skills lab (7 – 4), orientation,
IMCI Drills and Herbal meds prep
Week 2 – Feb. 4 – Duty day (7 – 3)
Week 3 – Feb. 9 – 11 – Duty days (7 – 3)
Week 4 – Feb. 16 – 18 – Case presentation, evaluation
(7 – 4)
Herbal medicines
- Finished, labelled, medicinal products that contain
as active ingredient/s serial or underground part/s
of plant or other materials or combination thereof,
whether in the crude state or as plant preparations.
Republic act 8423
- Otherwise known as TAMA
Traditional and alternative medicine act of 1997
- An act creating the Philippine Institute of
Traditional and Alternative Health Care
(PITAHC) to accelerate the development of
traditional and alternative health care in the
Philippines, providing for a traditional and
alternative health care development fund and for
other purposes.
- As part of primary health care and because of the
increasing cost of drugs, the use of locally
available medicinal plants and herbs in the
Philippine backyard and field have been found to
be effective in the treatment of common ailments
as attested to by the National; Science
Development Board, other government and
private agencies/ persons engaged in research.
- The DOH is advocating the use of the following
ten herbal plants.
10 herbal medicines in the Philippines
1. Akapulko
2. Ampalaya
3. Bawang
4. Bayabas
5. Lagundi
6. Niyog-niyogan
7. Sambong
8. Tsaang Gubat
9. Pansit-pansitan
10. Yerna Buena
Reminders on the Use of Herbal Medicine
 Avoid the use of insecticides as they may
leave poison on plants
 In the preparation herbal medicine, use a clay
pot and wooden ladle, and remove cover while
boiling at low heat
 Use only the part of the plant being advocated
 Follow accurate dos of suggested preparation
 Use only one kind of herbal plant for each type
of symptom or sickness
 Use only half the dosage prescribed for fresh
parts like leaves, when using dried parts.
 Decoctions loose potency after some time.
Dispose of decoctions after one day. To keep
fresh during the day, keep lukewarm in a flask
or thermos.
 Leaves, fruits, flowers or nuts must be mature
before harvesting. Less medical substances are
found in young parts.
 Stop giving herbal medication in case
untoward reactions, such as allergy, occurs.
 If signs and symptoms are not relieved after 2
or 3 doses of herbal medication, consult a
doctor.
Sambong (Blumea balsamifera)
- A plant that reaches 1 ½ to 3 meters in height with
rough hairy leaves.
- Young plants around mother plant may be
separated when they have three or more leaves.
Uses:
- Anti – edema
- Diuretic
- Anti – urolithiasis
Preparation
- Boil chopped leaves in water for 15 minutes until
one glassful remains. Cool and strain.
- Divide decoction into 3 parts. Drink one part 3
times a day.
Note: Sambong is not a medicine for kidney infection
Akapulko (Cassia alata)
- Ringworm bush
- Bayas-bayasan
- This plant is about 1 to 2 meters tall
- The leaves are embraced with 8 to 10 oblong –
elliptical shaped leaflets
- It has flowers with oblong sepals
Uses:
- Anti-fungal: Tinea Flava, Ringworm, Athlete’s
Food and Scabies
Preparation:
- Fresh, matured leaves are pounded
- Apply as a soap to the affected part 1 to 2 times a
day
Niyug-niyogan (Ficus pseudopalma)
- Palm leaf fig, lubi-lubi, Philippine fig
- An erect, unbranched shrub growing to a height of
5 meters.
- Leaves are crowded at the end of the stems
- Fruit is ovoid, angular, up to 4 centimeters long
- Has antioxidant, antibacterial, antiproliferative,
hypoglycemic properties.
Uses:
- Anti-helmintic (used to expel parasitic worms)
preparation:
- Seeds of niyug-niyogan are eaten raw two hours
before the patient’s meal of the day
- Adults may take 10 seeds; children 4 to 7 years of
age may eat up to four seeds only; ages 8 to 9 may
take six seeds and seven seeds may be eaten by
children 10 to 12 years old.
- Not to be given to children below four years old.
Tsaang gubat
- Forest tea or wild tea
- A shrub with small, shiny nice-looking leaves that
grows in wild uncultivated areas and forests
Uses
- Diarrhea, stomach ache
Preparation
1. Pound or cut about half cup of Tsaang gubat
leaves
2. Then add in 2 cups of water
3. Boil for 10 to 15 minutes, with open pot cover
4. Let it sleep and strain
5. Store in a glass jar
6. Consume within the day
Ampalaya (Momordica charantia)
- Bitter gourd or bitter melon
- A climbing vine with tendrils that grow up to
20cms long
- Leaves are heart-shaped, which are to 10
centimeters in diameter
- Fruits have ribbed and wrinkled surface that are
fleshy green with pointed ends at length and has a
bitter taste.
Uses:
- Lowers blood sugar levels
- Diabetes mellitus (mild-non insulin dependent)
Preparation:
- Gather and wash young leaves very well. Chop.
Boil 6 tablespoons in two glassful of water for 15
minutes under low fire. Do not cover pot. Cool
and strain. Take one third cup 3 times a day after
meals.
Lagundi (Vitex negundo)
- 5 leaved-chaste tree
- A shrub growing wild in vacant lots and waste
land.
- Matured branches are planted
- The flowers are blue and bell-shaped
- The small fruits turn black when ripe. It is better
to collect the leaves when in bloom
Uses:
- Asthma and cough
- Fever, dysentery, colds & pain
- Skin diseases and wounds
- Headache
- Rheumatism, sprain, contusions, insect bites
- Aromatic bath for sick patients
Preparation:
- For asthma, cough and fever, boil chopped raw
fruits or leaves in 2 glasses of water left for 15
minutes until the water left in only 1 glass
(decoction). Strain
- For dysentery, colds and pain, boil a handful of
leaves and flowers in water to produce a glass full
of decoction 3 times a day.
- For skin diseases (dermatitis, scabies, ulcer,
eczema) and wounds, prepare a decoction of the
leaves. Wash and clean the skin/wound with the
decoction
- For headache, crushed leaves may be applied on
the forehead
- For rheumatism, sprain, contusions, and insect
bites, pound the leaves and apply on the
Ulasimang bato
- Silver bush or shiny bush
- Pansit-pansitan
- A weed with heart-shaped leaves that grow in
shady parts of the garden and yard.
Uses:
- Lower uric acid (Rheumatism and gout)
Preparation:
- Wash the leaves well. One and a half cup leaves
are boiled in two glassful of water over low fire.
Do not cover pot. Cool and strain. Divide into
three parts and drink each part 3 times a day.
- May also be eaten as salad. Wash the leaves well.
Prepare one and a half cups of leaves (not closely
packed). Divide into three parts and take as salad
3 times a day.
Bawang (Allium sativum)
- Garlic
- A low herb and grows up to six cms high
- Leaves are flat and linear
- Bulbs consist of several tubers
Uses:
- For hypertension
- Toothache
- Lowers cholesterol levels in the blood
Preparation
- May be fried, roasted, soaked in vinegar for 30
minutes, or blanched in boiled water for 5
minutes. Take two pieces three times a day after
meals.
- For toothache, pound a small piece and apply to
affected part.
Caution: take on full stomach to prevent stomach and
intestinal ulcers.
Bayabas (Psidium guajava)
- Guava
- A tree about 4 to 5 meters high with tiny white
flowers with round or oval fruits that are eaten
raw.
Uses:
- For washing wounds
- For toothache
- For diarrhea
Preparation:
- Warm decoction is used for gargle.
- Freshly pounded leaves are used for toothache.
Guava leaves are to be washed well and chopped.
Boil for 15 minutes at low fire. Do not cover pot.
Cool and strain before use.
Yerba Buena (Mentha cordifelia)
- Peppermint
- A small multi-branching aromatic herb. The
leaves are small, elliptical and with toothed
margin.
- The stem creeps to the ground and develop roots.
Uses:
- For pain in different parts of the body as
headache, stomachache
- Rheumatism, arthritis and headache
- Cough and cold
- Swollen gums & toothache
- Menstrual and gas pain
- Nausea and fainting
- Insect bites & Pruritus
Preparation:
- For pain in diff. parts of the body, boil chopped
leaves in 2 glasses of water for 15 minutes. Cool
and strain.
- For rheumatism, arthritis and headache, crush the
fresh leaves and squeeze sap. Massage sap on
painful parts with eucalyptus.
- For cough and cold, get about 10 fresh leaves and
soak in a glass of hot water. Drink as tea. Acts as
an expectorant.
- For toothache, cut fresh plant and squeeze sap.
Soak a piece of cotton in the sap and insert this in
aching tooth cavity. Mouth should be rinsed by
gargling salt solution before inserting the cotton.
To prepare salt solution: add 5g of table salt to one
glass of water.
- For menstrual pain and gas pain, soak a handful of
leaves in a glass of boiling water. Drink infusion.
It induces menstrual flow and sweating.
- For nausea and fainting, crush leaves and apply at
nostrils of patient.
- For insect bites, crush leaves and apply juice on
affected part or pound leaves until paste-like and
rub this on the affected part.
Recipes for Herbal Medicine - Let cool. Strain. Discard leaves
- Boil mix with candles (melt) until mixture is waxy
Bayabas Tincture
- Transfer to jar or tin conatiner
Ingredients:
- Guava leaves
ALS
- White wine
Ingredients:
Procedure:
- Siling labuyo
- Combine 1:1 chopped leaves: gin
- Ginger (1 big piece )
- Shake
- Cooking oil (½ kilo)
- Cover with black cloth or use black electrical tape
- garlic
(herbal med is photosensitive)
- Shake everyday for 7 days then may use the Procedure:
solution.
- Peel and cube garlic and ginger. 1:1 ration
combination to sili
- Mix 1 glass of oil (150mL)
SLK
- Boil for 15 minutes over medium heat
Ingredients: - Cool. Strain. Transfer to clean bottle.

- Ginger
- 3 – 5 pieces of kalamansi
Other materials
- Brown sugar
- Sampalok leaves - Clay pots (palayok) 2 pieces
- Wooden spoons
Procedure:
- Stainless strainers
- Prepare 3 handfuls of washed tamarind leaves - Empty jar/ containers/ film
- Add with 1 cup of water - Charcoal/ wood/ gas
- Boil over medium heat. Don’t cover. Wait until - Knives at least 2
mixture reduces to ½. - Chopping boards at least 2
- Strain and discard leaves - Measuring cups
- Mix ¼ cup brown sugar to the tamarind extract
- Boil until syrupy
- Add ginger (size of 5 peso coin only) Family case study
- Add 3 – 5 pcs of kalamansi. Mix. Transfer to
Duvall’s developmental stages
container.
Storage:  Beginning Family
 Child bearing Family (Birth – 2 ½ years old)
Refrigerator – 5 days  Families with pre-school children ( 2 ½ to 6
Room temperature – 2 days years old)
 Families with school-aged children (6 to 13
years old)
 Families with teenagers and young adults ( 13
Akapulko ointment
to 20 years old)
Ingredients:  Families launching young adults (1st to last
child living home)
- Asunting leaves
 Middle aged parents (empty nest to retirement)
- Cooking oil
 Aging family (retirement to death of both
- Candle
spouses)
Procedure:
- Combine 1:1 asunting leaves: oil (1 cup oil with
Family coping index
equal part asunting)
- Boil for 15 minutes over low medium heat. Don’t Score 1, 3, 5
cover.
Rate the family, not individual members
Rate the coping ability, not the condition
1. Physical independence Prioritization of Problems
2. Therapeutic competence
Scale for ranking Family Health Problems
3. Knowledge of Health condition
4. Application of the principles of general  Nature of the problem – categorized into
hygiene health threat, health deficit & foreseeable
5. Health attitudes crisis
6. Emotional competence  Modifiability of the problem – refers to the
7. Family living physical environment probability of success in minimizing,
8. Use of community facilities alleviating or totally eradicating the problem
through intervention.
 Preventive potential – refers to the nature and
First level assessment magnitude of future problems that can be
minimized or totally prevented if intervention
- Is a process whereby existing and potential health
problems of the family are determined. is done on the problem under consideration

 Wellness conditions
Salience – refers to the family’s perception
 Health threats
and evaluation of the problems in terms of
 Health deficit
seriousness and urgency of attention needed.
 Stress point/ foreseeable crisis

I. Presence of wellness condition

 Potential or readiness – a clinical or
nursing judgement about a client in
transition from a specific level of
wellness or capability to a higher
level.
 Wellness potential – is a nursing
judgement on wellness state or
condition based on client’s
performance, current competencies,
clinical data or explicit expression of
desire to achieve a higher level of state
or function in a specific area on health
promotion and maintenance.
Second – level assessment
- Defines the nature or type of nursing problems
that the family encounters in performing the health
tasks with respect to a given health problem, and
the etiology or barriers to the family’s assumption
of these tasks.
I. Inability to recognize the presence of the
condition or problem
II. Inability to make decisions with respect to
taking appropriate health action Factors Affecting Priority Setting
III. Inability to provide adequate nursing care to Modifiability – nurse considers the availability of the
the sick, disabled, dependent or vulnerable/ at ff factors:
risk member of the family
IV. Inability to provide a home environment  Current knowledge, technology, &
conducive to health maintenance and personal interventions
development  Resources of the family
V. Failure to utilize community resources for  Resources of the nurse
health care  Resources of the community
Preventive Potential – to decide on appropriate score,
consider the ff factors:
 Gravity or severity of the problem
 Duration of the problem
 Current management
 Exposure of any high risk group
Salience
 Determined based on the family’s perception.
 As a general rule the family’s concerns and
felt needs require priority attention.
Active
- Refers to disease that occurs in someone infected
with Mycobacterium tuberculosis.
DSSM – is the principal diagnostic method accepted
by the NTP
 Provides a definitive diagnosis of active TB
 The procedure is simple
 It is economical, and
 A microscopy center can be put up even in
remote areas

National TB program (NTP) DSSM results serve as bases for categorizing TB

symptomatic according to standard case definition
VISION: A country where TB is no longer a public
health problem DSSM is used to:

GOAL: Cure at least 85% of the new sputum smear-
positive TB cases discovered
Detect at least 70% of the estimated new
sputum smear positive cases
 Monitor the progress of patients with sputum
smear positive TB while they are receiving
anti TB treatment, and
 Confirm cure at the end of treatment

Policies
Tuberculosis
 DSSM shall be the primary diagnostic tool in
- Is an infectious disease that usually affects the
NTP case finding
lungs, thought it can affect any organ in the body.
 All TB symptomatic identifies shall be asked
It can develop when bacteria spread through
to undergo DSSM for diagnosis before start of
droplets in the air.
the treatment
Case finding  The only contraindication for DSSM is
hemoptysis.
- Is a method od identifying and diagnosing TB
 Pulmonary TB symptomatic can only undergo
cases among individuals suspected signs and
other diagnostic tests (such as CXR/ culture) if
symptoms of TB.
necessary only after they have undergone
- Fundamental to case finding is the detection of
DSSM with 3 sputum specimens
infectious cases through DSSM
 No TB diagnosis shall be made based on the
 Active Case Finding – a health worker’s
results of chest X ray examination alone. PPD
purposive effort to find Tb cases (among TB
result should not also be used as bases for Tb
symptomatic in the community) who do not
diagnosis.
consult with personnel in a DOTS facility
 Passive Case Finding – finding cases among
TB symptomatic who present themselves in a
DOTS facility

Classification of TB
Latent
- People with latent TB do not have any symptoms
and cannot spread TB. If they do not get
treatment. However, they may develop active TB
disease in the future, spread the disease to others,
and feel quite ill.