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The College of Maasin

“Nisi Dominus Frustra“


Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

PORTFOLIO
IN
COMMUNITY HEALTH
NURSING
In Partial Fulfillment of the Requirements in NCM 103

SUBMITTED BY:
ANGEL NICA C. RAAKIN, SN

SUBMITTED TO:
MR. CHRISTIAN JOSHUA B. CATURAN, RN

November 6, 2023
The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

TABLE OF CONTENTS

INTRODUCTION………………………………………………………………………….. 1
GENERAL AND SPECIFIC OBJECTIVES………………………………………………2
INSIGHTS…………………………………………………………………………………...3
SPOT MAP………………………………………………………………………………….4
ORGANIZATIONAL CHARTS
- BARANGAY OFFICIALS…………………………………………………………………5
- BARANGAY HEALTH CENTER PERSONNEL………………………………………..6
BARANGAY VISION AND MISSION……………………………………………………..7
BARANGAY HISTORY…………………………………………………………………….8
FAMILY PROBLEM TREE NO. 1…………………………………………………………9
FAMILY NURSING CARE PLAN 1 - A………………………………………………..10-14
FAMILY NURSING CARE PLAN 1 - B………………………………………………..15-17
FAMILY NURSING CARE PLAN 1 - C………………………………………………..18-20
FAMILY NURSING CARE PLAN 1 - D………………………………………………..21-23
RANKING OF THE PROBLEMS………………………………………………………24-27
FAMILY PROBLEM TREE NO. 2……………………………………………………….28
FAMILY NURSING CARE PLAN 2 - A……………………………………………….29-32
FAMILY NURSING CARE PLAN 2 - B……………………………………………….33-35
FAMILY NURSING CARE PLAN 2 - C……………………………………………….36-38
FAMILY NURSING CARE PLAN 2 - D……………………………………………….39-41
RANKING OF THE PROBLEMS……………………………………………………...42-45
FAMILY PROBLEM TREE NO. 3………………………………………………………46
FAMILY NURSING CARE PLAN 3 - A………...……………………………………..47-51
FAMILY NURSING CARE PLAN 3 - B………………………………………………..52-55
FAMILY NURSING CARE PLAN 3 - C…………………………………………….….56-58
FAMILY NURSING CARE PLAN 3 - D…………………………………………….….59-61
RANKING OF THE PROBLEMS……………………………………………………….62-65
FAMILY ASSESSMENT TOOL…………………………………………………….…..66-83
PAMPHLET 1…………………………………………………………………………….84-85
PAMPHLET 2…………………………………………………………………………….86-87
DAILY JOURNAL………………………………………………………………………..88-93
DAILY DOCUMENTATION WITH CAPTION…………………………………………94-98
The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

INTRODUCTION

Community health nursing is a specialty area of nursing that focuses on the health and
well-being of people as individuals, families, and communities. In this area, nurses advocate
for community health needs, provide health education and counseling, prevent and manage
disease, manage health crisis, and coordinate care services. By taking into account social,
economic, cultural, and environmental issues, they operate in a variety of contexts and interact
with health care experts and neighborhood organizations to promote the general health of the
community. To improve the health of people, community health nursing places an emphasis on
holistic care and community-focused treatments.

We, the students nurses of the College of Maasin have scheduled a specific date to visit
Barangay Soro-Soro, Maasin City, Southern Leyte. During this visit, we will conduct household
surveys in the community. As student nurses and future health care providers, we will deliver
health care services to each household under the supervision of our Clinical Instructors.

This portfolio contains the data I collected during my Community Health Nursing
rotation. It includes information I gathered from interviews in each households. I have identified
a priority family, whom I will prioritize in delivering health promotion, teaching and management
services.

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The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

GENERAL OBJECTIVES
After three weeks of Community Health Nursing duty exposure in Barangay Soro-Soro,
Maasin City, Southern Leyte, I will be able to help the households of the barangay in terms of
understanding community needs, promoting health education, and collaborating with
interdisciplinary teams to improve overall community well-being.

SPECIFIC OBJECTIVES
After three weeks of community exposure, I will be able to:

 Enhance communication skills to interact empathetically with community members,


understand their concerns, and provide appropriate health education.
 Develop the ability to assess the health needs of diverse communities, considering
cultural, socioeconomic, and environmental factors.
 Recognize the health care needs of the families.
 Learn strategies to promote health and prevent diseases within communities, focusing on
areas such as nutrition, exercise, and mental health.
 Provide quality nursing care and services to the people in the community.
 Cultivate cultural sensitivity and competence to deliver health care services that respect
and incorporate cultural beliefs and practices.
 Coordinate with the barangay officials, leaders, and other health care professionals to
address community health issues collectively.

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The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

INSIGHTS

Community Health Nursing is about understanding and addressing the unique health
care needs for communities. It emphasizes preventive care, health promotion, cultural
sensitivity, collaboration with diverse stakeholders, advocacy for vulnerable populations, data-
driven decision-making, effective communication, knowledge of public health policies, and
nurturing compassion.

As a student nurses, we can develop empathy, cultural, competence, and effective


communication skills through interactions with diverse community members. We can gain a
deep understanding of social determinants of health and the importance of preventive care. In
collaborating in interdisciplinary teams, we can learn to advocate for health equity and analyze
community health data for evidence-based interventions. Hands-on experiences enable us to
implement community-based solutions and foster a sense of community, preparing us for an
impactful career in community health nursing.

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The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

SPOT MAP

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The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

ORGANIZATIONAL CHART
BARANGAY OFFICIALS
Barangay Soro-Soro, Maasin City

HON. MARIO L.OLOR


Punong Barangay

HON. CONSTANCIA HON. VIOLETA HON. SAMMY HON. ELENA


OTADOY ELNAS MAGLINES SANCHEZ
KAGAWAD KAGAWAD KAGAWAD KAGAWAD

HON. TERESITA HON. MA. VICTORIA HON. AILEEN


BACALA ORIT GRACE TIU
KAGAWAD KAGAWAD KAGAWAD

MARIA GINA RAQUEL


DANCES CABAGUING RAMIL BACALA
BRGY. TREASURER BRGY. SECRETARY SK CHAIRMAN

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The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

ORGANIZATIONAL CHART
BARANGAY HEALTH CENTER PERSONNEL

MARIETA CAMPANILLA
BNS

LOURDES SERDAN MARILOU DUARTE


BHW BHW

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The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

BARANGAY VISION

WE ENVISION BARANGAY SORO-SORO A PROGRESSIVE, HEALTHY, PEACEFUL


COMMUNITY WITH SERVICE ORIENTED, EDUCATED, GOD FEARING PEOPLE WHO
ARE LEAVING IN A CLEAN AND GREEN ENVIRONMENT AND GOVERNES WITH
MORALLY UPRIGHT ACTIVE AND TRANSPARENT LEADERSHIP.

BARANGAY MISSION

TO FORMULATE AND ENFORCE TRANSPARENT PLANS, PROGRAMS, AND ACTIVITIES


FOR THE PROTECTION OF THE INTEREST OF THE COMUNNITY WITH REGARDS TO
THE ENVIRONMENT, EDUCATION, INFRASTRUCTURE, HEALTH, SOCIAL SERVICES
AND TO BUILD A BETTER FACILITIES FOR THE PRESCHOOLERS.

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The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

BARANGAY HISTORY

The Barangay Soro-soro got it’s name from a plant called “SORO-SORO” that grows in
abundance in the area. The plant belongs to the cactus family. It is also used when cooking
beef, buffalo and horse meat. It is also used as medicine for injured skin diseases.

The Barangay Soro-soro has a total land area of two hundred and ten hectares (210
hectares). And the distance from Barangay Soro-soro to Poblacion is five meteres (5m).

The neighboring barangays: to the south will be Barangay Canturing, to the east
barangay hanginan, to the north barangay bagtican, and to the west barangay nasaug. The
total population of brangay soro soro is one thousand three hundred fifty eight. Based on the
RBI - Record of barangay inhabitants updates of 2020, the barangay consists of 318
households and consists of 340 families.

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The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

FAMILY PROBLEM TREE #1

FAMILY
PROBLEM
TREE #2
The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

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FAMILY PROBLEM TREE #3


The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

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DAILY JOURNAL

TIME FRAME:OCTOBER 12, 2023


7:45 A.M - ARRIVAL
8:40 A.M - ORIENTATION
10:30 A.M - BREAK
11:20 A.M - CONTINUATION OF ORIENTATION
12:30 P.M - LUNCH
1:15 P.M - CONTINUATION OF ORIENTATION
3:00 P.M - END OF DUTY

Community Health Nursing is a specialized field of nursing that focuses on the health
and well-being of communities, promoting health, preventing diseases, and providing health
care services within the context of the community.
The first day of our CHN rotation was all about orientation on what to do regarding CHN.
First, Sir CJ discussed about the requirements we need to comply for our CHN rotation and he
gave us the assessment tools to be used for the rotation. After that discussion, Sir CJ gave us
a break for us to take our snacks at the same time waiting for dean. When the dean arrrived,
she discussed the requirements and task for the rotation. After discussing, we took our lunch
at 12:30PM and instruct us to be back at 1:15PM. After taking lunch, we go back to the skills
lab and dean started to discussed about the Family Nursing Care Plan (FNCP) which was very
important for us because it was one of the contents of our requirements for CHN rotation.
The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

Dean also gave us examples for this which understands me more and help me widen my
knowledge in doing FNCPs. After the discussion at 3:00PM, the duty shift ends.
It was all about orientation for our CHN rotation but the orientation totally give a big
impact especially for us as a first timers for this field. The discussion tackled by Sir CJ and
dean was abridge for us to enhance our knowledge more about CHN.

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TIME FRAME:OCTOBER 14, 2023


7:55 A.M - ARRIVAL SORO-SORO HEALTH CENTER
8:30 A.M - ATTENDANCE
8:40 A.M - OCULAR SURVEY
9:45 A.M - START OF INTERVIEW
11:20 A.M - END OF INTERVIEW
11:50 A.M - LUNCH
1:15 P.M - ATTENDANCE
1:20 P.M - CONTINUATION OF INTERVIEW
2:55 P.M - END OF INTERVIEW
3:00 P.M - ATTENDANCE AND END OF DUTY

Community Health Nursing is a field that is totally tiring but at the same time very
productive. And it was based on my first ever experienced on this rotation.
It is our 2nd day of CHN Rotation. And in this day we are going to do our task in our
assigned Barangay which is Brgy. Soro-Soro Maasin City. We were informed by Sir CJ that the
call time was 8:00 A.M and our meet place will be at Soro-Soro Health Center. Upon arriving in
the Health Center, we were tasked first to do an ocular survey to the community with the
asisstance of Barangay Health Workers and also Sir CJ in order for us to know what were the
living conditions of their community. After the ocular survey, Sir CJ gave us the cue that we
can already start our interview for each household and each one of us was assigned to
The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

interview 3 households. After that, me and my pair started to find households and also started
the interview. In the interview, we looked the number of people who lived in the home, their
education status, age, health problems as well as their living conditions, income, community
involvement and other relevant information.Through this informations, it was the basis we used
to figure out what was our health care focus. At exactly 11:05 A.M we finished interviewing the
first household and decided to go back to the Health Center as well as to took our lunch. After
lunch, Sir CJ checked our attendance first before we continue our interview for the next
household. After that we continue the interview and interviewed 3 households for that
afternoon. At 2:55 P.M we go back to the Health Center for the attendance and overall in that
day, we interviewed at least 4 households and me and my pair were only lacking 1 household
each which will be continued next week. After the attendance at 3:00 P.M. our duty shift ends.
Overall it was very fun at the same time tiring but a worthwhile experienced. The
important lesson I learned during this rotation that there were still communities facing poverty
that can lead to multiple challenges and one of this was the poor health outcomes associated
with poverty.
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TIME FRAME: OCTOBER 19,2023


7:45AM - ATTENDANCE
8:00AM- CHECKING OF REQUIREMENTS
9:30AM - START OF INTERVIEW
11:30AM - LUNCH BREAK
1:20PM - AFTERNOON ATTENDANCE
1:30PM - CONTINUATUON OF CHECKING REQUIREMENTS
2:30PM - END OF DUTY

Community health nursing is a branch of nursing that involves providing healthcare


services to communities and populations rather than individuals. Community health nursing is
essential for addressing public health challenges and promoting the health of diverse
populations.
Today was the last day of our interview in the Barangay Soro-Soro, Maasin City. At
exactly 9:30AM me and my pair started to look for household and began to start the interview.
After interviewing, we go back to the Health Center and our Clinical Instructors Sir CJ and
Maam Cadao checked our requirements including the daily journal, the record book for our
FNCPs and also the pamphets for the health teaching we are about to do next week to the
priority family we choose. After checking the requirements, Maam Cadao checked our
attendance and after that our duty ends.
The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

The whole duty for this day was very inspirable because of the last household I
interviewed the way they manage their life even though it was very rough. The learnings I
learned from this was that there was totally roller coasters in our life but at the end of the day
we still manage to reach the end point.

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TIME FRAME: OCTOBER 20,2023


7:00AM - Arrival at Soro- Soro Health Center
7:30AM - Checking Attendance
8:00AM - Continuation of Checking
11:30AM - Lunch Break
1:20PM - Announcement for next week duty
1:30PM - End of Duty

Community Health Nursing emphasize health promotion, disease prevention, and


providing health care services to promote overall well-being of the community.By involving
communities,health care decisions and initiatives, community health nursing foster a sense of
ownership and encourage" active participation within the community.
During this day, our Clinical Instructor checked our requirements especially the family
nursing care plan (FNCP), pamphlets and other requirement for the portfolio. Sir CJ checked
my FNCPS and I’ve learned a lot of things from him when making FNCP. Truly it was hard
making FNCP especially 12 FNCPS were assigned to us but with the help of our Clinical
Instructors we understand well and make our FNCPs more understandable than before. Sir CJ
checked also pamphlets which will be used for the health teaching to the priority family. After
checking, they announce what are we gonna do for the next meeting which were the feeding
program, gardening and case presentation. At exactly 1:30PM, end of duty and our dismissal.
The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

In this day, I’ve learned how to enhance my knowledge in making family nursing care
plan (FNCP) with the help four Clinical instructors and how important FNCP are.

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TIME FRAME: OCTOBER 26,2023


6:40AM - Arrival at Soro-Soro Health Center
7:00AM - Going to the Barangay Hall
7:20AM - Start to decorate for the Feeding Program & Culmination Day
8:00AM - Checking Attendance
9:30AM - Start of the Feeding Program
11:00AM - Distribution of the Foods
11:40AM - End of the Program and End of Duty

Community health nursing was truly a tough and tired rotation as what I experienced
until our last day but the tiredness I felt was worth-having for.
During this day, we had our culmination day at the same time feeding program for the
daycare at Soro-Soro Barangay Gym. We arrived there very early so that we can all prepare
the things to do to make our feeding program successful. We are assigned by our Clinical
Instructors to group ourselves by committee in order to cater the needs as long as to make our
work more easier and convenient. And I was assigned in the Decoration Committee which was
to decorate for the feeding program. At 8:30AM some of the children accompanied with their
parents came early maybe because of excitement. At exactly 9:20AM we started our Feeding
Program. We also had health teaching about the proper hand washing and tooth brushing,
go,grow and glow foods and proper hygiene. This aspect was important especially to the
children as well as for the parents to inform what are the right ways to do to maintain the health
The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

of their children. After the health teaching at exactly 11:00AM we distributed the foods for the
children. At 11:40AM the program ends. After the program our Clinical Instructors give
comments about the success of our program. At the same time discussing for the
requirements to be submitted. And at 11:50AM our duty ends.
It was very a tiring day but seeing the smiles of the children and parents push me to do
more and I am more inspired to continue my journey in nursing.

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TIME FRAME: OCTOBER 27, 2023


8:00AM: Checking of Attendance
9:00AM: Checking of the pamphlets and visual aids for the health teaching
10:00AM: Gardening
11:00AM: Lunch Break
1:00PM: Health Teaching
3:00PM: End of Duty

Community Health Nursing is a learned practice discipline with the ultimate goal of
contributing as individuals and collaboration with the others to the promotion of the client’s
optimum level of functioning through teaching and delivery of care.
During this day, we are going to have our gardening and health teaching to the priority
family. At exactly 10:00AM, we started our gardening in their mini garden just near the Soro-
Soro Barangay Health Center. I planted petsay seedlings and I am hoping that those seedling
would grow and bloom in order for them to harvest and use as their foods. Gardening plays an
important role in communities as their food alternatives when it times of financial crisis. In the
afternoon, we started our health teaching to each family we choose and give our knowledge to
the family to sustain their needs and have knowledge when their such of problems happen.
Health teaching is essential for prevention, early detection, and promoting healthy behaviors to
improve quality of life.
The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

This day was our last day in community and I’ve learned a lot of things especially how
important health was and I will truly miss the experience being in community.

93

DAILY DOCUMENTATION

OCTOBER 12, 2023 - ORIENTATION

OCTOBER 14, 2023 -


OCULAR SURVEY &
INTERVIEW
The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

94

OCTOBER 19, 2023 -

CHECKING OF REQUIREMENTS & CONTINUATION OF INTERVIEW

OCTOBER 20,2023 - CONTINUATION OF CHECKING OF REQUIREMENTS


The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

95
OCTOBER 26, 2023 - CULMINATION DAY & FEEDING PROGRAM
The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

OCTOBER 27, 2023 - GARDENING & HEALTH TEACHING

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OCTOBER 28, 2023 -


CASE

PRESENTATION
The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

PORTFOLIO
The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

IN
COMMUNITY HEALTH
NURSING
In Partial Fulfillment of the Requirements in NCM 103

SUBMITTED BY:
ANGEL NICA C. RAAKIN, SN

SUBMITTED TO:
MR. CHRISTIAN JOSHUA B. CATURAN, RN

November 6, 2023
The College of Maasin
“Nisi Dominus Frustra“
Tunga-Tunga, Maasin City
College of Nursing and Allied Health Sciences

98

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