Case Study With Revision

ST. ANTHONY COLLEGE OF ROXAS CITY, INC.
COLLEGE OF NURSING
PORTFOLIO
IN
NCM 113: COMMUNITY HEALTH NURSING 2
(POPULATION GROUPS AND COMMUNITY AS CLIENTS)
RELATED LEARNING EXPERIENCE

BRGY. TIZA, ROXAS CITY
Submitted to:
GINO PAULO A. BUIZON, RN
RLE INSTRUCTOR
Submitted by:
BSN 3B – Group 2
BIGBIG, Ricci Jean Ashley
BONZA, Erica C.
CABINBIBN, Ma. Lourdes V.
FANUGON, Janyn Anne B.
GONZALES, Mary Luna R.
HIPONIA, Tristan Jay
MARCON, Ela Mae
MOISES, Karen L.
OLOROSISIMO, Abegail
SOBERANO, Khrizlynne
VERSOZA, Andrei B.
YU, Krisha Marie Tiffany V.
S.Y. 2022-2023
SAN ROQUE EXTENSION, ROXAS CITY, CAPIZ 5800
(Population Groups and the Community as Clients)
TABLE OF CONTENTS
Page
I – ACKNOWLEDGMENT 3
II – INTRODUCTION 4
a) Rationale 5
b) Purpose 5
c) Statement Objectives 5
c.1 – Community Objectives 5
c.2 – Student Objectives 7
d) Methodology and Tool Used 9
e) Limitation of the Study 10
III – TARGET COMMUNITY PROFILE 11
a) Demographic Variables 11
b) Socio-Economic and Cultural Indicators 15
c) Health & Illness Patterns 19
d) Health Resources 20
e) Political/Leadership Patterns 21
IV – ANALYSIS OF DATA 22
a) Identification of Health Problems 22
b) Prioritization of Community Health Problems 23
V – ACTION PLAN 32
a) Intervention Strategies 3
VI – CONCLUSION / INFERENCE 46
VII – STUDENT JOURNAL 47
VIII- APPENDIX 5
ACKNOWLEDGEMENT
We would like to express our heartfelt gratitude to the following individuals for their
contributions and whole support in the completion of this community case study.
To St. Anthony College of Roxas Inc., College of Nursing, for sharing your beliefs,
talents, and skills with us and helping us realize our potential and enhance our knowledge.
To Ms. Rubilyn B. Sumaylo, RN, MSN, LPT Dean of College Department, for
granting us access to this experience, as well as for your inspiration, direction, and
unwavering support.
To Sr. Carmen Abad DC, Vice President for Education of St. Anthony College of
Roxas Inc., for your assistance and support in making it possible for this remarkable
opportunity to research and carry out this community health nursing case study.
To Mr. Gino Paulo A. Buizon, RN, our clinical instructor, for his support and
encouragement in educating us, for sharing his experiences and knowledge, and for giving us
the chance to learn from the community experience.
To our class adviser, Mrs. Krystelle Therese Langurayan, for all of her support,
direction, assistance, and counsel to all of us.
To the Barangay Tiza Key Informants for their invaluable assistance and kind
assistance throughout this community case for their kindness and work in supplying all of the
data and information for the case study.
To all the clinical instructors for being so accommodating in terms of asking them
questions concerning the community case study.
Finally, to our Heavenly Father and Savior, Jesus Christ, for giving us the fortitude,
determination, and strength to finish this task.
INTRODUCTION
Community provides an important relationship environment; promotes belonging, a

sense of identity and learning; supports active participation in the world and continuity of
learning; and connects children and families to supportive relationship besides being referred
as a unified body of individuals who have the same attributes, sharing specific location,
hobbies, social connections, and nationality. In a community there are certain factors that
need to be addressed in order to not disrupt the well-being of each individual, promoting
health for all and when we say health it does not only mean an absence of disease, it is the
state of complete physical, mental, and social well- being.
Community health nursing, also called public health nursing or community nursing,
plays an important role in assessing the community in terms of its strengths, weaknesses,
opportunities and threats or the factors that the community holds that would affect each
individual residing in that community as a whole whether it be in a negative or a positive
way. It also provides health services, intervention as well as health education to the
community or population.
Community health nursing as a nursing practice focuses on the healthcare of
individuals, families, population groups, and the community itself that has the goal of
improving the quality of life and health of the people making use of the nursing process by
determining the causative factors of a community or health problem and providing
interventions in order to overcome that problem that will lead to preserving, protecting,
promoting, or maintaining the health of the community.
As the community grows over time, its strengths, weaknesses, opportunities and
threats also grow, posing a risk to the health of each individual and the community as a
whole. That is why with health education, intervention, and with the collaborative effort of
community through active participation, an ideal community that promotes well-being of
each individual and good sense of community bond will foster.
a.) Rationale
Community health nursing is the synthesis of nursing and public health practice with
the actual implementation of nursing principles in order to promote and preserve health
through health education and provision of medical services.
We, the student nurses conducted this study to be able to:
 Identify community health problems

 Impart knowledge with regards to health preservation, disease prevention, and health
promotion
 Render health service within the community giving priority to vulnerable groups
b.) Purpose
The purpose of this community health nursing case study is to help the community
identify specific community problems including health issues that negatively affect the
overall well-being of the community and to know their specific needs. Through community
assessment the study hopes to describe the current life situation of the community and
identify factors that contribute to the community problems. This study aims to establish
rapport to motivate community members to collaborate with the student nurses in preserving
the community’s well-being.
c.) Statement Objectives
c.1 – Community Objectives
General:
At the end of this community case study, the community will be able to learn on how
to cope and deal with specific community and health problems common in their location.
Specific:
Cognitive or Knowledge
The community will be able to:
1. Identify the signs and symptom related to health condition that is prevalent in the
community
2. Recognize present health problems or health risk factors which may worsen health conditions
3. Acquire knowledge on how to prevent or lessen the problems and health concerns of the
respondents.
Skills/Psychomotor
1. List the priority health problems through scaling from highest to lowest rank.
2. Discuss interventions and preventions which were conducted together with the respondents in
the community for the identified health problems and risk factors with the use of available
resources.
3. Assess the activities and procedures such as health teaching in promoting health and
prevention of communicable diseases.
Attitude/Affective
1. Cooperate in the programs and events that will be conducted to the community.
2. Show importance to the health teachings and interventions that will be taught to them.
3. Positively execute the procedure in performing tasks to alleviate or manage the health
concerns of the community.
c.2 – Student Objectives
General:
At the end of our community service, the students will be able to develop the skills in assessing a
community as a whole and provide an action plan that the population group will benefit from.
Specific:
Cognitive/Knowledge
The students will be able to:
1. Diagnose the community using comprehensive assessment of the needs and patterns of each
variable of the community.
2. Categorize and prioritize identify health problems from the data collected of the population
group.
3. Analyze problems through a community-based approach and formulate a plan for the
community’s health problems by providing nursing programs and services.
Skills/Psychomotor
1. Generate measures that recognize their capacities, the environment and the resources of the
community.
2. Conduct health teaching in promoting health and preventing any health problems.
3. Organize programs and events to lessen such problems or issues in the community.
Attitude/Affective
1. Establish rapport and trust with the population group and the rest of the residents in the
community.
2. Establish a working relationship with the leaders in the community and the representatives.
3. Work and be able to make decisions as a team.
Brief History of Barangay Tiza
According to the folklores and natives of the barangay, Barangay Tiza got its name
from a stone called “tiza”. This tiza is used for house roofing. Before, the Brgy. Tiza is a
place that is a rich source of tiza stone. According to them, it is also commonly found at the
Hemingway area located at Capiz State University Campus but the stone source weakened
for a long time and then there was no tiza stone found anymore. But according to other
natives, there is also another story of the history of Brgy. Tiza. based on them, there was a
place that was surrounded by fruit trees called “tiza fruit”. After how many years had passed
the Barangay Tiza was developed and many transformations had aroused through the joined
forces and unity of the community and community leaders of the past until the present point.
There are lots of infrastructure and institutions that have been established, also some areas of
the barangay have been developed into subdivisions. Lastly, all the Barangay owned facilities
had been improved.
d.) Methodology and Tool Used
This study focuses on the population of the community as a whole. Data is gathered
through observation, ocular survey, and door-to-door interview. After the data is collected, it
is then analyzed in order to come up with a plan and consultations and implement the said
solution to solve the issue of the community.
Hence, to conduct this study, the design of the research utilized was descriptive
research. The study conducted by the students was one of which information was collected
without changing the environment or nothing was manipulated. The students analyze the data
by systematic objective methods. The students used a face-to-face and unstructured interview
and observation to collect data and analyze the result by describing the data collected.
a. Ocular Survey or Windshield Survey
During the first day of exposure in the community of Barangay Tiza, student
nurses were able to drive around the area using the Barangay mobile vehicle.
Students had the chance to observe their situation and the first-hand problems
present in the community.
Also, while roving around, students stopped at certain places such as those
who are in an oppressed area and thoroughly observed the community
problems present. Factors that cause community health problems were
observed such as the community’s daily practice and surroundings.
b. Interview
During the last day of our community exposure, we were able to gather data
from random community members of Barangay Tiza with regards to their
financial stability and their affiliation with different government services
programs. It was done face-to-face using an interview schedule.
c. Records review
Although this was the most challenging part of the whole process of data
gathering, we were able to gather information about the Barangay in terms of
its morbidity, mortality, and other health cases present in the community
Students passed a letter to the Barangay and City Health Office (CHO), asking
permission to gather the data that will be used in identifying community health
problems. These include the total number of populations, land area, and their
statistical data. The CHO provided us with the 2021 statistical data of
Barangay Tiza which include the Barangays’ total population, morbidity and
mortality rate, immunizations, Dengue cases, family planning, services, and
maternal care services.
e.) Limitation of The Study
The focus of the study is the population of Barangay Tiza. Significant data and
information were gathered and assembled; however, some were not attained for the following
reasons:
1. Key persons of the barangay had difficulties accessing their data

2. Data gathered during the community diagnosis was not up to date
3. Limited time to conduct the study
TARGET COMMUNITY PROFILE

Barangay Profile of Brgy. Tiza, Roxas City
A.) Demographic variables
Barangay Tiza is one of the 47 Barangays in Roxas City in the province of Capiz
within Region VI, it is located along the periphery of the 11 barangays (Brgy.1-11) which are
considered urbanized barangay of the city. Barangay Tiza is transverse at its center by the
national road starting from Fuentes drive going to the Brgy. Milibili, Bato, Bago, and
Loctugan and transverse also by several housing, subdivisions, roads and city streets.
Barangay boundaries:
North: Barangay XI
South: Barangay Lawaan and Milibili
East: Barangay Milibili
West: Barangay XI and Lawaan
Total Population of Tiza
Total population and households as of 2021
8,716- Total number of populations
1, 983-total number of households

Population by Age Group
According to the 2021 Census, the age group with the highest population in Tiza is 15 to
3905, with individuals. Conversely, the age group with the lowest population is 60 and over,
with 838 individuals.
Age group Population Age group percentage

(2021)
Child (0 - 14 years old) 2,172 25%
Young Adults (15 - 39 years old) 3,905 45%
Middle - Aged Adults (40 - 59 years old) 1,801 21%
Elderly (60 years old and Above) 838 9%

Total 8,716 100.00%
Population Density
Population Density = Total Population / Total Land Area x 100
= 8,716 persons/1,396,600 m2 x 100
Population Density = 0.62
Interpretation = There are approximately 44 person(s) living in 1.3 square kilometers

of land.
The household population of Tiza in 2021. Census was 8,716 broken down into 1, 983
households or an average of 4.38 members per household. However, the figurage is expected
to change in the next few years as the number of families increase. There is also a remarkable
growth in industry and commerce as notably found along the town proper located within the
territorial limits of the barangay.
Spot Map
One of the vital sources of data, landmarks, resources and population density is the
Community Spot Map. This is done at the very beginning of community assessment after the
ocular survey. By the help of a community spot map, residents will use this to familiarize as a
guide to the community and distinguish landmarks and houses that will help them access the
help they need.
B.) Socio-economic and Cultural Indicators
1. Social indicators
During the Ocular/Windshield survey, it showed that housing conditions are relatively close
to one another, this indicates that housing conditions are congested. This may increase the
risk for effortless spread of fire.
Type of Housing Material
Concrete 445
Semi Concrete 969
Light Materials 567
Total Number 1,983
(UBRAHAN PIE CHART WITH PERCENTAGE)
Most of the houses are made of semi-concrete, since most of the people living in that area
have only limited financial resources that may only support a slightly below average.
2. Economic indicators
Poverty Level Income
Percentage of Distribution showing the family income per month:
Income Frequency Percentage
1000 or less 3 3%
2,500 4 4%
5,000 20 20%
7,000 22 22%
10,000 30 30%
12,000 8 8%
15,000 and 13 13%

above
Total 100 100%
Source of Income/Livelihood
A. Manufacturing Industry B. Commercial Establishments
1. Laboratories (drug testing laboratories) 1. Sari-sari store
2. Garments and embroidery 2. Motorcycle and bike parts
3. Engineering works and workshops 3. Carpentry
4. Bamboo retailer
5. Insurance companies
6. Beauty parlor/barber shop

7. Restaurant/carinderia
8. Gymnasium
9. Water refilling station
10. Carwash Station
One of the main sources of livelihood/income of the people living in Brgy. Tiza is a Sari-
sari Store”. The store is one of the easiest livelihoods for them because it is easily accessible
for the community. Most of them are self-employed because they lack proper education. One
of the reasons why they chose the "Sari-sari" store is because there are many bystanders and
also people that go to the Land Transportation Office since it is nearby. Other sources of
income are selling motorcycle and bike parts, carpentry and government employees.
2. Environmental Factors
Topography
Barangay Tiza’s predominant terrain is 80% plain, and 20% hill.
Physical size
Land area- 139.66 hectares or 1,396,600 m2
Waste Management
Burned 617
Buried 8
Collected 1,358
Total 1,983
Most of the waste products are burned outside or the back of their houses. The reason why
they burned their waste products is because most of the houses are not accessible by the
garbage collector.
4. Cultural factors
Religion
Most of the people in Brgy. Tiza are Roman Catholic (60%), Iglesia ni Cristo (20%), Baptist
(10%) and Seventh Day Adventist (10%).
Here are the lists of Churches, Mosques or places of worship in Brgy. Tiza, Roxas, City,
Capiz, Philippines:
1. San Lorenzo Ruiz Chapel- Malipayon Village

2. Sto. Nino Chapel- Katipunan Village
3. Sta. Cruz Chapel- Sitio Calumdom
4. San Vicente Chapel- Sitio San Vicente
5. San Jose Chapel- San Jose Village
6. Fatima Of Lourdes Chapel- Graceville
7. Sto. Rosario Chapel- Hemingway
Fiestas and traditions of Brgy. Tiza, Roxas, City, Capiz Philippines:
List of Fiestas in the Barangay:
San Lorenzo Ruiz (Malipayon)- September 24
Sto. Nino (Homesite)- January 29
Sta. Cruz (Calumdomo)- May 14
San Vicente- April 14
San Jose- March 19
Fatima Of Lourdes (Graceville)-
Sto. Nino (Sitio Bangkiling)- January 29
C.) Health and Illness Patterns (WITH PERCENTAGE AND CHANGE COLOR)
According to the data above provided by the CHO year 2021, ranked as the highest
mortality rate is COVID-19 Infection, Hypertensive Cardiovascular Disease, and Pneumonia.
As for the leading cause of morbidity as of 2021 are Essential (Primary) Hypertension,
followed by Diabetes Mellitus and Acute Respiratory Infection.
D.) Health Resources (INCLUDE OTHER ESTABLISHMENTS)
Brgy. Tiza Health Center

The Barangay Health Center of Tiza is located near the Barangay Hall, and is open from
Mondays to Fridays and conducts consultations from the assigned Midwife every 1 st
Wednesday and last Wednesday of the month. It is mainly composed of BHW’s, Midwives,
and some Nurses who visit the Barangay for weekly assessment.
Facilities
Private Public
D & E Dialysis CMC Drug Testing Center
Mahogany Medical and Pharmaceutical Animal Bite Center and Medical Clinic
Supplies
Red Cross
Violence Against Women and Children

(VAWC)
Provincial Risk Reduction and

Management Office (PDRRMO)
City Risk Reduction and Management

Office (CDRRMO)
Barangay Health Center

Teenager/Children Welfare Building
Covid Isolation Room
Health Equipments Within the Barangay Health Station
Pulse Oximeter Baby Length Measurement Thermometer
Syringes Wet and Dry Cottons Mobile Aneroid

Sphygmomanometer
Baby Weighing Scale Bed Oxygen Tank
3M Littman Classic II Compressor Nebulizer Digital BP apparatus

stethoscope
(INCLUDE BHW ORGANIZATIONAL CHART)

Doctor, Dentist, Nurse, Sanitary Inspector, Midwife, BHW's
e.) Political/Leadership Pattern

IV-ANALYSIS OF DATA
a.) Identification of Health Problems
RANK HEALTH PROBLEMS TOTAL

SCORE
1 Unhealthy Recreational Habits 9.5
2 Environmental Hazards 8.91
3 Poor Environmental Sanitation 8.24
4 Irresponsible Pet Ownership 5.65
5 Limited Access to Health Resources 4.32
Scoring of Health Problems:
Problems in the Nature of Magnitude Modifiability Preventive Social

Community the of the of the Problem Potential Concern
Problem Problem
Unhealthy 3 4 3 3 1
Recreational
Habits
Environmental 2 3 3 3 2
Hazards
Poor 1 4 3 3 1
Environmental
Sanitation
Irresponsible Pet 2 2 2 1 1
Ownership
Limited Access 2 2 1 1 1
to Health
Resources
b.) Prioritization of Community Health Problems
Unhealthy Recreational Habits (prevalence lifestyle related problems)
CRITERIA COMPUTATION ACTUAL JUSTIFICATION

SCORE
1. Nature of the 3/3 x 1 1 It is a Health Status Problem since

Problem the environmental factors are
therefore recognized in the
community which induces illness
situations.
2. Magnitude of The magnitude of the problem

4/4 x 3 3
the Problem presently affects 75 to 100% of the
total population in the community.
It is highly modifiable due to the

reason that there are several ways to
3. Modifiability 4 prevent and eradicate smoking by
3/3 x 4
of the involving physical activities that
Problem may give healthy benefits for your
body.
(knowledge
Willingness It is highly preventive in a way that
Resources) health education could be applied
1
which can result in people's
consistency in following the daily
routine in terms of involving in
physical activities and avoiding

4. Preventive triggers.
3/3 x 1
Potential
0.5
(knowledge It is recognized as a problem but
Willingness not needing immediate action due
Resources) to the reason that it is reliant on an
individual's control and perspective
and active engagement in health
1/2 x 1 education.
5. Social
Concern
(willingness,
Action)
TOTAL 9.5
Environmental Hazards (MERGE, LIWATON ANG MODIFIABILITY, PREVENTIVE
POTENTIAL, KAG SOCIAL CONCERN, SUNDON ANG CRITERIA NGA NKA RED
SA PREVIOUS NGA PROBLEM ANG WILLINGESS, KNOWLEDGE ETC )

SCORE
1. Nature of the 2/3 x 1 0.66 It is recognized as a Health

Problem Resources Problem because the
materials and other equipment is the
leading cause of the problem in the
community.
2. Magnitude of
3/4 x 3 2.25
the Problem The magnitude of the problem
presently affects 50 to 74% of the
population in the community.
3. Modifiability The problem is considered to be

3/3 x 4 4
of the highly modifiable in terms of
Problem disseminating information and
raising awareness to certain areas in
the barangay where most of the
environmental hazards are likely to
happen.
4. Preventive 3/3 x 1 0.33 It is recognized to be highly

Potential preventable in some way that the
officials in the barangay should have
and the population in the community
are well educated on how to prevent
and control the damages caused by
these environmental hazards.
5. Social 1 Barangay officials and the

Concern community of the Barangay
2/2 x 1
expressed readiness and concern to
act on the problem if this happens in
the community.
TOTAL 8.91
Poor Environmental Sanitation (merge)


SCORE
1. Nature of the 1/3x1 0.33 It is a Health-Related

Problem Problem because the
environment may aggravate
illness inducing situation
2. Magnitude of 4/4x3 The magnitude of the

3
the Problem problem presently affects 75
to 100% of the total
population in the community
4 It is highly modifiable since

3. Modifiability 3/3 x 4
the community where most
of the
of the drainages are stagnant
Problem
and improper waste disposal
is evitable in terms of
reducing or eradicating the
problem.
1 It is considered to be high in
4. Preventive 3/3 x 1
terms of preventing or
Potential
controlling this problem
through providing garbage
bins and reducing the
practice of burning wastes.
It is recognized as a problem
1/2 x 1
0.5 in the community but not
5. Social
Concern needing immediate concern.
TOTAL 8.24
Irresponsible Pet Ownership

SCORE
1. Nature of the 2/3 x 1 0.66 It is a Health Resources Problem

Problem due to the lack of manpower in
terms of controlling the increasing
number of dogs and cats.
The magnitude of the problem

2. Magnitude
2/4 x 3 1. 5 presently affects 25 to 49% of the
of the
total population in the community.
Problem
It is moderately modifiable since

2/3 x 4 2.66
there are ways and programs like
3. Modifiabil
free pet vaccination offered by the
ity of the
city government.
Problem
1/3 x 1 0.33
This will be considered as lowly
4. Preventive
preventive due to the reason that
Potential
there is an absence of project
proposals such as animal shelters.
1/2 x 1 0.5 It is recognized as a health

5. Social
problem but not needing
Concern
immediate action
because of ignorance and as to the
breed based on its looks.
TOTAL 5.65
Limited Access to Health Resources

SCORE
1. Nature of the 2/3 x 1 0.66 It is a Health Resources Problem

Problem due to lack of money to access
health.
2/4 x 3 1.5 The magnitude of the problem

2. Magnitud
presently affects 25 to 49% of the
e of
population of the community
the Problem
because there is one sitio in the
barangay where most of the
population living are underprivileged
due to lack of money to have full
access to health.
The problem is modified as low due

1/3 x 4 1.33
to lack of resources and many of the
3. Modifiabi
people living in the community do
lity of the
not have decent jobs to sustain their
Problem
needs.
1/3 x 1 0.33 It is low preventable because of the

insufficiency of resources in terms of
money to assist in their daily
4. Preventiv
necessity.
e
Potential
1/2 x 1 0.5
The problem is recognized but not

needing immediate concern because
5. Social
most of the people living in some
Concern areas in the community are

oppressed and having full access to
health is unsustainable for them
because their priorities are only to
feed their families and overcome
poverty and hunger.
TOTAL 4.32
V. ACTION PLAN
1. Unhealthy Recreational Habits

a. Smoking
b. Hypertension
c. Diabetes mellitus
d. Kidney disease
e. Atherosclerosis
2. Environmental Hazards
a. Fire Hazards
b. Risk for Natural Disasters
c. Risk for Fall
3. Poor Environmental Sanitation
a. Improper Drainage System

b. Improper Waste Disposal
c. Risk for Dengue
4. Irresponsible Pet Ownership
a. Stray Dogs
5. Limited Access to Health Resources
a. Lacking Access to Better Healthcare
(INCLUDE ONLY MAIN POINTS DO NOT PUT SUB POINTS )

a.) Intervention Strategies
1. Unhealthy Recreational Habits Unhealthy Recreational Habits (prevalence of lifestyle related problem)
COMMUNITY HEALTH GOALS & OBJECTIVES PLAN OF ACTIVITIES EVALUATION LIMITATIONS &
PROBLEMS OF NURSING CARE CRITERIA/OUTCOME DIFFICULTIES
INDICATORS ENCOUNTERED
1. Unhealthy Recreational Short Term: - Build rapport towards the Goals Partially met. - Time and effort
Habits community. for the community.
After 2 weeks of nursing Short term:
a. Smoking intervention, we will be able - Conduct community health - Ignorance of the
After 2 weeks of nursing
b. Hypertension to: teaching on the topic of the problem.
intervention, the
c. Diabetes mellitus negative effects of cigarettes to
- Educate the community members of the - Relapse due to
d. Kidney disease the individual, the community
about the bad effects of community were able to: bad coping
e. Atherosclerosis and the benefits of quitting.
unhealthy recreational habits mechanisms to
 Understand the
Cues: to health and what are the - Provide programs or activities stress and
bad effects of
benefits of quitting smoking that emphasize alternatives to addiction.
- Presence of individuals smoking to
to an individual's health and vices like the “smoking cessation
smoking at various health after the - Unwillingness to
the whole community.
places. - Promote the importance of program”. health teaching. eliminate the

proper diet and healthy  Know the problem.
- Presence of cigarette - Health educate about the risk
lifestyle to individuals importance of
butts scattered at various factors of Hypertensive CVD.
’health. proper diet and
corners.
- Conduct a weekly medical healthy lifestyle
Long Term:
- Presence of cigarette mission for regular health to individuals’
smoke in the air. After 1 month of nursing screening. health.
intervention, we will be able

- Hypertensive - Encourage the Barangay to have Long term:
to:
Cardiovascular Disease as a community Zumba every week.
After 1 month of nursing
the leading cause of - Have a 60% of the smokers
intervention:
mortality. start to control their smoking
habits. (AS MUCH AS POSSIBLE  25% of the
- Diabetes Mellitus
MERGE LANG SA ISA KA smokers starts to
Mortality = 5 - 30% of the total population
INTERVENTION ANG control or lessen
will practice healthy habits.
Morbidity = 47 HEALTH TEACHING PARA this vice.
INDI REDUNDANT)  20% of the

- Kidney Disease population starts
Mortality = 5 to practice
healthier
- Atherosclerosis = 5
lifestyle.
(PUT STATISTICAL
DATA OD THE
DISEASES)
Short Term: - Establish rapport with the Goals Partially met. - Lack of
a. Fire Hazards community participation from
b. Risk for Natural the community
intervention, the members - Discuss with the community
Disasters After 2 weeks of
of the community will be why the presence of accident - Limited
c. Risk for Fall intervention, the members
able to: hazards could be harmful to the knowledge about
of the community were able
Cues: health the safety
- Learn the importance of to:
measures
- Most houses are made safety measures - Tell the community about the
 Learn the
of light materials possible consequences of having - Ignorance to the
- Understand the risk factors importance of safety
disorganized wires problem
- Some houses are near at that can contribute to the measures
the stream possibility of falls - Encourage the community - Unwillingness to
 Understand the risk
members to develop family solve the problem
- Inadequate living space Long Term: factors that can
preparedness plans that cover
contribute to the
emergency contact information
- Open canal drainage After 1 month of nursing for family members, possibility of falls
intervention, the members predetermined meeting places,
- Presence of large Long term:
of the community will be home evacuation procedures, safe
drainage opening and
able to: food storage and water and After 1 month of nursing
bamboo bridge
assembling disaster supplies kit intervention, the members
- Reduce the risk of
of the community were able
calamities caused by human - Conduct health educational
to:
error and deliberate activity to the community about
destruction the possible accidents that may  Reduce the risk of
occur on the bridge that is not in calamities caused
- Demonstrate a safe
good condition by human error and
environment free from
deliberate
potential hazards
destruction
- We will also be able to: (AS MUCH AS POSSIBLE
MERGE LANG SA ISA KA  Demonstrate a safe
 Have 75% of the INTERVENTION ANG environment free
households obtain HEALTH TEACHING PARA from potential
knowledge about the INDI REDUNDANT) hazards
safety measures.
-We were also able to:
 Have 65% of the
community  Have only 50% of

understand the risk the households
factors that can obtain the
contribute to the knowledge about
possibility of the safety measures
accidents on the
 Have only 65% of
bamboo bridge
the community
understand the risk
factors that can
contribute to the
possibility of
accidents in the
bamboo bridge
3. Poor Environmental Sanitation (MERGE WITH ENVIRONMENTAL HAZARDS )
3. Poor Environmental
Short Term: - Establish rapport. Goals Partially met. - Time and effort of
Sanitation
the community.
After 2 weeks of nursing - Discuss with the community the Short term:
a. Improper Drainage intervention, the members different methods of garbage - Ignorance of the
System After 2 weeks of
of the community will be disposal. problem.
b. Improper Waste intervention, the
able to:
Disposal - Discuss with the community the community members - Limited income.
c. Risk for Dengue - Promote environmental effects of proper and improper were able to:
- Limited
sanitation through proper garbage disposal.
Cues:  Promote knowledge on the
waste disposal and
- Conduct a weekly check-up of environmental methods of hygiene
segregation.
- Garbage (e.g plastics) garbage. sanitation and sanitation.
are scattered everywhere. - Know the importance of through proper
- Plan out a contest about who - Lack of
proper waste disposal and waste disposal
- Presence of garbage in the sanitation to have a healthy has the cleanest area. cooperation from
and segregation.
drainage system. the people in the
environment. - Conduct health teaching activity
 Know the community to
- Understand the negative that tackles about: importance of eradicate or lessen

- Unpleasant smell of
effect of improper waste  Signs and symptoms of proper waste the problem
surroundings due to animal
disposal. dengue disposal and
feces and decomposing
 Importance of early sanitation to
garbage. - Understand the importance
consultation have a healthy
of eliminating mosquito
 Possible complications of environment.
- Presence of
stagnant breeding places.
dengue
water at the end of the  Understand the
drainage tubes. Long Term:  How dengue mosquitos
negative effect of
propagate
After 1 month of nursing improper waste
- Burning of garbage.  How to eliminate
intervention, we will be able disposal.
mosquito breeding places
to:
- Presence of small  Understand the
temporary pools of liquid, - Have 75% of the household importance of
especially of rainwater on practice proper waste eliminating
the ground found disposal. mosquito
everywhere in the breeding places.

- Have 60% of the household
community.
utilize segregated garbage. Long term:
– Dengue Morbidity = After 1 month of nursing

0.05% intervention, we were
4 persons
able to:
 Have 50% of the

household
practice proper
waste disposal
 Have 40% of the

household utilize
segregated
garbage.
4. Irresponsible Pet Ownership
4. Irresponsible Pet
Short Term: - Establish rapport with the Goals Partially met. - Ignorance to the
Ownership
community members. problem and how it
could affect
a. Stray Dogs intervention, the members - Health education on the
After 2 weeks of someone’s health
of the community will be importance of dog vaccination
Cues: intervention, the
able to; and the negative effects of rabies. - Too many stray
- Stray dogs are seen community members were
dogs to cater
running everywhere freely - Verbalize the importance of - Collaborate with other agencies able to:
rabies vaccination for dogs. like PAWS, animal bite center,
- Presence of aggressive  Verbalize the
and Department of Agriculture-
stray dogs. - Understand the negative importance of rabies
Bureau of Animal Industry (DA-
effects of rabies. vaccination for dogs
BAI)
- Some houses have their
Long Term:  Understand the
pet dogs roam freely onto - Conduct a rabies vaccination
negative effects of
the streets. After 1 month of nursing program for stray dogs with the
rabies
help of the DA-BA.
intervention, we will be able Long term:

to:
- Have 75 % of dogs are intervention, we were able
vaccinated. to:
- Have lesser number of stray  Have 50% of the

dogs seen on the streets. dogs are vaccinated
 Decrease in the
number of stray
dogs seen on the
streets.
5. Limited Access to Health Resources
5. Limited Access to
Short Term: - Establish rapport with the Goals Partially met. - Participants are
Health Resources
people in the community easily disturbed by
a. Lacking Access to their surroundings
intervention, the community - Discuss the importance of
Better Healthcare After 2 weeks of during the discussion.
members will be able to: having emergency/extra funds.
intervention, the
Cues: - Tardiness of the
- Long Show improvement in - Encourage the people to join community members
- Results from interview clients
financial status financial aid programs were able to:
showed that there were
- Lack of eagerness to
multiple participants in the - Discover new methods to - Teach methods on how to save  Show
learn ways on how to
community that had no make profit Term: financially. improvement in
have a better or other
jobs/permanent jobs financial status
After 1 month of nursing - Promote ending buying source of income.
 Discover new
- Have no financial support intervention, the community unnecessary things ????
methods to make - Most of the people
such as 4P’s, Phil health, members will be able to:
- Assist the community members profit living their do not
GSIS, SSS and other

- Have at Least 80% or above on how to set goals and identify Long term: have decent or
financial support
that lacks finance may be their strengths, skills and permanent jobs.
able to afford basic and better knowledge.
-Most of the people in the intervention, the
health care
community struggle to community members
access better health care - Have emergency or extra were able to:
services due to their funds when in case of (AS MUCH AS POSSIBLE
financial status MERGE LANG SA ISA KA  Show

emergencies.
INTERVENTION ANG improvement in
HEALTH TEACHING PARA financial status
INDI REDUNDANT)
 Discover new
methods to make
profit
CONCLUSION/INFERENCE AND RECOMMENDATIONS
Barangay Tiza being one of the biggest barangays within Roxas City has its own
strengths and weaknesses, with its population ranging from 8,919 breaking into 1,983
households as determined by the 2020 Census, this extensive number led to congestion of
houses within the barangay during the present year. With congestion of houses stems out
other concerns such as negligence when it comes to waste disposal and such which
aggravated the existing community problem which include poor environmental status and
environmental hazards. There are also unhealthy recreational habits, irresponsible pet owners,
and limited access to healthcare services. The student nurses were able to conclude that (1)
lack of knowledge, (2) Ignorance of the problem, and (3) Socioeconomic status were among
the leading factors that caused the community problem.
Therefore, after our direct observation through ocular survey, data gathering,
synthesis, and analysis of data together with formulation of interventions, we, the student
nurses recommend a free community health teaching activity to let the people understand the
present problems of the community, be aware of its cause and negative effects on their health
that can give the community independence and promote self-willingness to improve the
community. We recommend collaborating with DSWD to provide financial aid and
collaborate with TESDA to encourage job opportunities like training for work scholarship
programs. With these programs, we can give the people of the community a chance to gain a
stable financial income. With the collaborative efforts of the barangay officials of barangay
Tiza, if given the opportunity to come back, will apply these interventions and promote a
strong bond with the people and growth of the community of Tiza.
STUDENT JOURNAL
BIGBIG
 First of all, being able to experience Community Health Nursing as pioneers of the
Online classes for 2 years, it is with excitement and eagerness to encounter what CHN
would feel like. Witnessing how life goes in Barangay Tiza, I was able to cross the
boundary of wanting to understand how it would look or how it would feel like to live
in an urbanized area where everything is near and within reach. Having been exposed
again to different people in Barangay Tiza, I have learned a lot and was able to be
aware of the problems that their community is facing. As we discover every Sitios in
the barangay, we have seen a lot of problems in terms of sanitation where different
kinds of garbage and waste are anywhere to be found. Through this, we are aware that
this certain barangay needs attention to prevent the spread of health issues due to
improper garbage disposal. However, I was also able to know my group mates on how
they foresee things and how they react to certain causes. We stand not only as a team
but also as a family during our community health nursing exposure and were able to
build rapport not only in the team that we are in but also to the people who made this
community diagnosis possible. Above all, hands up to everyone who extended an
effort to successfully finish this task and an exciting part is about to happen.
Moreover, we believe in the ability and unity of our group to have a successful case
presentation ahead.
BONZA
 In our Community Health Nursing Subject it gives me a good experience to be
exposed in the area between wealthy and the impoverished people, Since this is
our first CHN exposure this will serve as our best teacher when we go to the
next level of our journey. While doing our research we tried to observe things that
may cause harm in the community. Some of our members tried to ask some
questions to the pollees to know what are their concerns and how they can
improve their Barangay. However we saw lack of health teachings, lack of
cleanliness, improper waste disposals, not obeying protocols such as wearing face
masks. And we also noted the low hanging wires that may cause fire or electrocution
injury and kill someone by electric shock. Overall it was the best, and we learned
every step we observe that those things need to have an answer. And I believe that
each person in the community needs to have discipline starting in their own selves. So
that each will cooperate and avoid inaccurate information. I gain so much knowledge
to this experience and at the same time making memorable events to my members
especially to our instructor in our community exposure. To this we help others to
voice out what community needs and possible to improve health security.
CABINBIN
 For the whole duration of our community exposure, I have gained ample amount of
knowledge with regards to the barangay we have chosen, I have met people from
different walks of life and was able to have a glimpse of what their life was as a
resident of the said barangay and not only that, I have also seen various community
problems that may disrupt the well- being not just of the community but its members
as well, The diversity of the people living in the barangay especially when it comes to
their socio-economic status made us realize a lot of things, that the gap between the
rich and the poor continues to increase and the difference becomes evident especially
when it comes to acquiring health-care, those who are less fortunate are most likely
susceptible to certain diseases present in the community. All I can say for now is that
so far this community health nursing was the most fun and memorable subject since
we were able to explore a place as a group, gather information through ocular survey,
and come up with interventions that may be deemed helpful to the community
members in overcoming the problems within their community although it was a
challenge obtaining certain data about the community, we were still grateful that we
were able to finish our case study with the guidance of our ever supportive clinical
instructor along with the perseverance of each member of our group to finish our
assigned tasks.
FANUGON
 I gained a lot of experience from being able to interact with people in a real
community context. I might say I was able to activate my spiritual awakenings. As
soon as it was stated that we student nurses will practice community health nursing, I
really felt happy and excited about it for this is the first time that all of us are going to
be exposed to a real community setting unlike in the past few years of nursing school,
all we did is to make scenarios in our head in order to come up for some data that will
be needed. I began to recognize the value of my life and how fortunate I am to be able
to interact with a variety of individuals in one place. One of the things that we did was
take images of us engaging happily with one another as we try to accomplish the task
and consider this as the life-changing events in nursing school that I will forever
cherish. Honestly speaking I felt a little uneasy, which I believe is normal. Since this
was our first encounter with a real-world situation, unlike the virtual setting I've
experienced. Along with the nervousness, there is joy and excitement that I always
look forward to. I must admit that it was exhausting due to the constant strolling
throughout the neighborhood and the presence of heat and thirst only to collect
sufficient data that could aid in the formulation of our study. Despite the fact that we
had difficulty gathering the data, community health nursing was never our last
priority. We did our best to gather all the information that we could gather as a
student nurse. It was a very fulfilling experience for me that will always be
remembered in the process of being a nurse.
GONZALES
 During our community exposure, I enjoyed while we are doing the ocular survey and
integrate community involvement and knowledge about the entire population with a
personal, understanding of the health and illness experiences of individuals and
families within the population. And it focuses on the health needs of communities,
aggregates, and in particularly vulnerable populations. When we were going around
on the Brgy Tiza I observed all things not necessarily all but all that I can see that they
have in their brgy during the ocular survey. When approaching and interacting with
the Brgy officials, I always greet them with a smile. Even though our exposure is
limited but I learned that the Bgry Tiza is an oppressed community as I observed
especially in the sitio calomdum because most of their houses are made of light
materials and their bridge is made of bamboo which is not in good condition. On our
last day visit, I learned and enjoy the programs of Brgy Tiza for older adults (60 and
above) even though they are adults but they participate in programs to make the
audience proud and happy. And thank you, sir, for the experience, and patients, and
for guiding us with a good heart.
HIPONIA
 During the whole duration of our exposure in the community, from the beginning till
the end my excitement still thrives within me since we had the chance to explore and
observe some places than most people do, we get to witness, judge, and act with the
community, we get to establish relationships with the people living in those places.
Those experience gave me lessons that we had to do something about such as being
able to address problems that may threaten the health of the people living in a
community. These problems may include their lifestyle, socio-economic and cultural
indicators, political and environmental factors. Community health nursing is one of
my most unforgettable and one of my favorite subjects in the nursing course, it gave
me a grasp of how different communities have their way of life. Last year, community
health nursing was not fun enough for me since we had it in online class and I did not
have the chance to experience it first-hand but this year that we had our face to face
we were given the opportunity to experience it. Overall, i am truly grateful that we
have this subject in our course since one of the most defining characteristics that
represents me is being adventurous and outgoing.
MARCON
 As a student nurse who finds difficulty in adjusting to the new normal, I am beyond
thankful to the school for giving me the opportunity to be exposed in the community
area. Although we were not exposed in the school for two years of learning, I was
able to apply the stocked knowledge I have learned during those years. As we
conducted an ocular survey and interviewed some of the officials in the barangay, I
was nervous because I am not good at engaging with the people in the community.
But all thanks to my classmates and our clinical instructor for guiding me to do better.
It was fun doing ocular surveys, not until I realized how people in that community
struggled to survive the day. People in the barangay wake up early in the morning to
find food for their family, despite the environmental hazards they encountered. It is so
amazing because despite the struggle, they were able to put smiles on their face and
survive the challenges of life. Our exposure to the community made me thankful
because I was able to see a better view from the people living in depressed areas. I
saw how they struggled just to provide the needs of their families. I also learned that
when prioritizing a community health problem, you need to think carefully of the
interventions you'll do because you are avoiding probable causes that can endanger
the lives of the people. Making a nursing care plan needs a strong will to help and
determine to apply the plan in the community. One of my most favorite memories
during our exposure was taking photos and video recording. I was able to capture
those happy moments on my phone. Those memories I have made with my group will
forever be kept close in my heart. I am so glad that I was able to experience all of
these things despite the pandemic. The learnings I have gathered will always be kept
in my mind. I will practice the knowledge I have gathered during our CHN exposure,
and use my skills to the fullest.
MOISES
 Community Health Nursing exposure so far is one of the most unforgettable

experiences in my entire college life. My whole community health nursing journey
was stressful to be honest yet fun and enjoyable at the same time. It is the first time
we go to a real community setting. It is the first time for me to stroll around a
different barangay, identify health problems face to face, and it is also the first time
for us to do our case study together with our group mates. It was totally different from
the online setting that we are used to for the past two years; that is why I consider it as
an eye opener. As we go along this journey, I realized that there are a lot of problems
in the community that are not given much attention because we people think that we
cannot do something about it but in community health nursing, I learned that
community health problems can be minimized through making initiative and effort
and though these ways, we can somehow bring change even just to a single barangay.
I was also able to witness the relationship and bond that the people have despite the
presence of problems that are present in their barangay. I feel grateful that we are able
to experience and to know the feeling of being in a real community setting rather than
a mere imagination. We are also able to present our case study despite the numerous
challenges we encountered throughout our journey. I am proud of myself and my
group mates for reaching this far and that we are able to finish our case study through
the cooperation of each other. I am ever thankful to God, to our clinical instructor for
the never-ending support and guidance, and also to our other clinical instructors for
their presence and for sharing knowledge with us throughout the entire community
health nursing experience.
OLOROSISIMO
 The Community Health Nursing experience was a roller coaster ride, at first it was
fun because we were able to experience how it felt to be in a community as a student
nurse, we’ve been able to roam around the Barangay and interact with other people.
We really had fun during our exposure in the community, we experienced how they
celebrate their annual fiesta, and also this opportunity given to us made me realize
that there are still people and families who struggles for their everyday life, it helps
me to understand more how lucky I am to have enough resources for my daily life.
However, during our exposure in the community, I learned how to identify different
types of problems in the community. Having this kind of experience gave us a chance
to gain more knowledge and skills that we can apply in our future profession. We
experienced not only fun and excitement in this whole community exposure because
we also had a difficulty in the entire process of our case study, such as gathering
important data and information that we needed but also because of the hard work and
perseverance of our group we still managed to finished our case study even though we
have a limited data and information and also because of the help and guidance of our
clinical instructor, we were able to finished our task. This entire experience, I will
forever cherish forever because it helped me to have more extensive knowledge about
community health nursing even though we only had a little time.
SOBERANO
 During our community health nursing, it was fun but challenging. It was fun because
we’ve been exposed to the community after 2 years of online classes. We’ve been
able to experience how it feels to be in a community roving around and engaging with
the people. We had the opportunities to observe the health problems present in the
community and ask the opinion of every individual living there. Unlike last year,
where we just gather data from the barangay and make the problems based on our
own opinions and perspective. It makes me realize that being exposed to the
community will help us understand their situation more. However, it is challenging
since during the process of making this case study, we encounter some problems and
difficulties. But with the perseverance of our group to accomplish our task, we
surpass that and successfully finish our case manuscript. Overall, this experience is an
up and down for us because despite the challenges and hardships, it is still fulfilling
that we’ve been able to identify the health problems present and make our
intervention that can help the community to eradicate or lessen that problem.
VERSOZA
 As being exposed to the community as a student nurse for our community health
nursing. The experience was challenging yet it was insightful and fun. Through our
ocular survey I have learned how to assess a community’s strength, weakness,
opportunity, and threats. With this I have achieved a new perspective when seeing a
community and finding ways to help other people. This is our first face to face
exposure with our related learning experience subject, and I am grateful that we got to
experience a chn exposure. We finally got to apply what we learned in an actual
setting and practice our knowledge, wisdom, and skills. I am also grateful for having
the opportunity to observe how barangay health workers and barangay officials work
to improve and provide health care towards the community. We also observed and
interacted with the people in the community and saw how they bonded with one
another. This community exposure was a fun experience and an insightful one. I
learned how to help a community through nursing and saw how the people were
willing to cooperate to improve their community. I learned to identify problems and
come up with a plan to handle these problems to mediate or eradicate the problem.
The challenges that we encountered outweighed the joy of the experience and helping
the people, that is why I am grateful to have the opportunity to be exposed to
community health nursing.
YU
 During this study in our Community Health Nursing our group was assigned to
Barangay Tiza. Finally, after 2 years of online classes we finally got a chance to
actually go out and be able to go and be exposed to the barangay and see for ourselves
what the given issues and state of the place is and not just imagine or make up mere
events and possible scenarios with given data. From my observations there are many
different issues in regards to the Health and Safety of the community. One of the
major ones are the poor sanitation due to the amount of garbage that can be seen just
littered all across the different Sitios and the drainage system that is seen to be the
cause of flooding. We also gained a lot of insights from the locals in the given
Barangay and we observed the divide between the poor and the rich as those in the
most improvised areas have a difficult time accessing health care services. As a
student nurse I feel compelled to find ways to help find solutions to the issues and
possibly bring an end to some. Despite the long trek and the few hiccups we
encountered along the way, overall I can say I had fun with being able to immerse and
observe some of the different aspects of our community health nursing in an actual
community.
APPENDIX

Case Study With Revision

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Case Study With Revision

Uploaded by

Copyright:

Available Formats

ST. ANTHONY COLLEGE OF ROXAS CITY, INC.

RELATED LEARNING EXPERIENCE

c.1 – Community Objectives 5

c.2 – Student Objectives 7

d) Methodology and Tool Used 9

e) Limitation of the Study 10

III – TARGET COMMUNITY PROFILE 11

b) Socio-Economic and Cultural Indicators 15

c) Health & Illness Patterns 19

a) Identification of Health Problems 22

b) Prioritization of Community Health Problems 23

VII – STUDENT JOURNAL 47

Community provides an important relationship environment; promotes belonging, a

We, the student nurses conducted this study to be able to:

 Identify community health problems

c.) Statement Objectives

c.1 – Community Objectives

The community will be able to:

The community will be able to:

The community will be able to:

c.2 – Student Objectives

The students will be able to:

The students will be able to:

The students will be able to:

3. Work and be able to make decisions as a team.

Brief History of Barangay Tiza

d.) Methodology and Tool Used

a. Ocular Survey or Windshield Survey

e.) Limitation of The Study

1. Key persons of the barangay had difficulties accessing their data

TARGET COMMUNITY PROFILE

A.) Demographic variables

South: Barangay Lawaan and Milibili

East: Barangay Milibili

West: Barangay XI and Lawaan

Total Population of Tiza

Total population and households as of 2021

8,716- Total number of populations

1, 983-total number of households

Population by Age Group

Age group Population Age group percentage

Child (0 - 14 years old) 2,172 25%

Young Adults (15 - 39 years old) 3,905 45%

Middle - Aged Adults (40 - 59 years old) 1,801 21%

Elderly (60 years old and Above) 838 9%

Total 8,716 100.00%

Population Density = Total Population / Total Land Area x 100

= 8,716 persons/1,396,600 m2 x 100

Population Density = 0.62

Interpretation = There are approximately 44 person(s) living in 1.3 square kilometers

B.) Socio-economic and Cultural Indicators

Type of Housing Material

Semi Concrete 969

Light Materials 567

Total Number 1,983

(UBRAHAN PIE CHART WITH PERCENTAGE)

Poverty Level Income

Percentage of Distribution showing the family income per month:

Income Frequency Percentage

15,000 and 13 13%

Total 100 100%

(UBRAHAN PIE CHART WITH PERCENTAGE)