IMPLEMENTATION PLAN

RENAL REVIVE: MOBILIZING

COMPREHENSIVE CARE AND
REHABILITATION FOR OPTIMAL
HEALTH-RELATED WELLBEING
 I. Introduction
The Renal Care and Rehabilitation Program (RCR) focus on the providing individualized
care and rehabilitation to enhance the independent function of the CKD patients in performing
daily living activities. Its goal is to establish and perform the self-care activities independently by
the patient and to demonstrate self-care management of their physical well-being through
medical and medication surveillance and exercise, diet, and fluid management. The activities
include stakeholder planning and orientation, briefing of medical and medication surveillance,
exercise, diet, and fluid management, empowering stakeholders, collaboration and partnership,
and program extension. To ensure the optimal implementation of the program, each planning
stage accentuates the measure indicators of the stakeholders’ involvement in the activities and
program components progress and ensuring program sustainability.
II. GOALS AND OBJECTIVES

Goal:

The Renal Care and Rehabilitation aims to enhance the functional

independence in performing self-care activities of individuals with CKD and
ESRD through renal care and rehabilitation services, ultimately improving
their health outcomes and promoting long-term well-being.

General Objectives:

To develop and implement a Renal Care and Rehabilitation program in

selected barangays of the City of Santa Rosa Laguna, aim at improving the
physical function and health-related quality of life.
II.
 III. Background of the Study

Hemodialysis is one of the common treatments to manage CKD & ESRD patient cases

wherein it provides a routine therapy to remove the toxins inside the patient’s body and manage

the body’s homeostasis. However, this treatment interferes with their life quality as it limits their

capacity to perform their daily activities and experience social (support system and financial

issues) and behavioral crises such as anxiety, depression, anger, and denial. Patients with the

chronic renal disease tend to be vulnerable to poor quality of life as they continue to experience

health complications, physical and behavioral instability, behavioral problems, inadequate social

support, and financial distress (Liu, Chang, Yang, Lu, & Hou, 2017). These life burdens

encountered by most CKD & ESRD patients undergoing hemodialysis treatment have shown

deterioration in their physical condition and poor prognosis for their treatment of care (Izabel,

Rafaela, & Fabiana, 2017). Over time, this treatment could increase their risk of frailty leading to

disability and dysfunction of the patient. Under such circumstances, these burdens likely prevent

them to go to school, work, and social gatherings as the patient need to balance out their situation

of what is the most priority on their end.

Renal care and rehabilitation (RCR) are one of the essential health components to be considered

in the community to appraise the CKD and ESRD patient’s functional capacity for their daily

living. The program aims to optimize the physical function of the CKD & ESRD patients when

performing self-care activities and improve self-management of their health care needs to

function independently. The program will enable the target group to be actively involved in

performing self-care activities and self-management of their condition

Review of Literature
Renal care and rehabilitation comprise comprehensive intervention through exercise

intervention and nutritional support which contribute to a better quality of life among CKD and

ESRD patients. This has been a significant factor due to the surge of disability related to kidney

disease and lower physical activity (Hoshino, 2021). Patients tend to develop joint pain, fatigue,

muscle weakness, anxiety, and depression over time. Renal care and rehabilitation mediate the

optimum independent function of the CKD and ESRD patients in different health dimensions.

Integration of knowledge and practices about the disease prevention and control

strategies contribute to address the needs of the patient. Health care professionals demonstrate

specialized skills and advanced knowledge to address various health problems which influenced

other nations to promulgate regulations and standards of practices. These are especially true in

monitoring the public health of the individuals and groups, informing and educating the local

people, enforcing laws, mobilizing community partnerships of the non-government organizations

and local government unit, and providing linkages of health care services. Its health domain

emphasizes the pathological event of the diseases in which we monitor, analyze, and intervene

for the possibility of the illnesses to likely disperse in the growing population. Thus, the need of

inoculation for the bigger groups and susceptible groups will weigh great advantage to prevent

the likelihood of varying health threats.

According to the study of Yamagata Kunihiro ,et.al (2019), the renal rehabilitation is an initiative

for individualized exercise-based therapies in which the exercises is on aspects such as

behavioral change towards exercise, dietary & fluid restrictions, medication adjustment or

titration if required under medical supervision, counseling services inclusive of psychological

therapy and vocational advice.

The value of exercise therapy in CKD and ESRD patients include diminished muscle atrophy,

sedentary behavior pattern, reduced cardiorespiratory fitness, and improved physical health-

related quality of life.

The Renal Care and Rehabilitation program promotes on providing physical functioning,

quality of life and general well-being in individuals with kidney disease. The interventions

include exercise, diet, and fluid management and medical and medication surveillance in which

these will be provided in an individualized care plan emphasizing on improving the patient’s

physical wellbeing to perform self-care activities and self-management of their condition.

Conceptual Framework

A structured approach to living with CKD, which underscores proactive management, overall

well-being, adaptability to change and empowerment through education, support systems and

optimized nursing care plans are provided by this conceptual framework. It aims to enable

individuals with kidney disease to lead satisfying lives in spite of the challenges that come with

their condition by fostering resilience, self-care, and a positive outlook on life. The domains of

the RCR program outlines the areas in which the program components are identified and

interconnected to achieve optimal living with chronic kidney disease. Independent physical

functioning aims at performing self-care and self-management of the patient’s condition through

medical and medication surveillance and exercise, diet, and fluid management. This provides a

holistic approach that promote well-being and empower individuals living with CKD to embrace

life. It is an ongoing and dynamic process that evolves over time. It requires ongoing adaptation,

self-reflection, and support. Thus, empowering and building relationship with the stakeholders

and team and establish collaboration and partnership will strengthen the goals of the RCR
program and will understand the multifaceted nature of living with CKD and identify areas for

personal growth and support.

Program Strategies & Activities

Chronic kidney disease (CKD) is a critical health issue that affects individuals as well as

healthcare systems. This problem involves an all-inclusive approach to renal treatment and rehabilitation.

As such, the strategies for renal care and rehabilitation program which include: stakeholder involvement,

medical and medication management, exercise, food, fluid management and empowerment of

stakeholders, team work and program extension. One of the initial steps in developing an effective renal

care and rehabilitation program is engaging key stakeholders like patients, caregivers, healthcare

providers and community organizations. Program planning or orientation sessions may be held by

administrators to facilitate all parties knowing their roles, understanding the missions of this program thus

motivating them to take part in it. (Sanders et al., 2013). Engaging stakeholders in the evaluation process

is also critical because it ensures that the evaluation addresses important elements of the program's

objectives, operations, and outcomes. (Framework for Program Evaluation in Public Health, 1999)

Stakeholders can help execute the other steps of the evaluation process, such as identifying program

goals, developing evaluation questions, and interpreting findings. Understanding the incentives and

management practices of various stakeholder groups, incorporating stakeholder feedback at both the

strategic and operational levels, and involving stakeholders in the evaluation process allows program

managers to create a comprehensive and sustainable renal care and rehabilitation program that addresses

the needs and concerns of all stakeholders. Moreover, a comprehensive medical and pharmacologic

surveillance are very crucial for any renal care or rehab plan. In particular this entails regular examination

of patients’ renal functions; alteration of pharmaceutical regimen as well as treating co morbidities such

as cardiovascular diseases, metabolic bone disease, anemia, and dyslipidemia.

At end stage renal diseases, patients often require specific dietary instructions to regulate fluid balance,

electrolyte composition and nutrient uptake which they must learn to adapt to their illness. It is important

that there is timely and appropriate nutritional intervention like consulting a certified dietitian as it helps
improve patient care and outcomes. Through working closely with their healthcare professionals, patients

can acquire knowledge on how to make the right choices while feeding themselves thus improving their

general health and quality life. Managing fluids properly is an essential aspect of renal therapy and

rehabilitation since fluid-electrolyte imbalance can be severe for people who have chronic kidney failure.

It is vital that stakeholders be empowered. These programs can instill a sense of ownership and

investment in patients, their families, healthcare practitioners, and community organizations (Sanders et

al., 2013) By means of patient education and collaborative decision-making, open communication assists

in involving people with CKD in their own treatment leading to improved treatment adherence and health

outcomes (Sanders et al., 2013).

The success of renal care and rehabilitation programs relies on collaboration as well as cooperation (Jha

et al., 2013). The range or scope of these programs can be broadened through strong links between

healthcare systems, community organizations, and government agencies. Furthermore, ensuring fair

access to these basic treatments necessitates making renal care and rehabilitation services more available

to all people.
Priority Area 1: Medication and medical surveillance.

Medication and medical surveillance among CKD & ESRD patients direct to their ability

to adapt, manage, and control their health. Patients’ adaptive process in their kidney disease is

link to their physical and social health aspects as they demonstrated progressive compliance

behavior and increase awareness of their treatment management. The success rate of the

patient’s recovery and recuperation from their kidney diseases and complications are highly

associated with their high adherence to their treatment regimen and management of their

nutrition, medication, fluid restrictions, and lifestyle practices (Noghan, A. et.al, 2018). It is

imperative that through medication and medical surveillance, patient’s complications can be

prevented and corrected. Likewise, the essentiality of the medical interventions can also be

provided to the patients to communicate and address their underlying signs and symptoms. This

activity can be implemented thru the following:

Objectives:

By the end of the week, the patient will be able to:

1. Perform regular medication reviews to prevent adverse drug interactions and drug

toxicity.

2. Perform screening, assessment, and follow-up care independently.

3. Communicate among healthcare teas members when complication of the disease arises.

4. Participate in preventive measures such as vaccination and prophylactic medication to

reduce the risk of infections.

Strategies:

1. Identifying the health barriers of treatment to reduce the risk factors of care. Promoting

behavior change such as consistency in complying with the treatment for CKD & ESRD

patients.

2. Seeking availability of free renal replacement therapy session and medication treatment from

the local government units.

3. Encouraging patient participation in health care decision and governance

4. Strengthening partnerships among government-owned corporation that supports medical

treatment.
Key Activities Resources Short-term Short-term Long–term Long-term

outcomes Indicators outcomes indicators

Time frame: Time frame: 3

4 weeks months

1.1 Provide self- Demonstra

care tion of From limited to Results A sustained sense of Results showed

management self-care perform self- showed autonomy and from modified

(grooming, activities care activities to from no independence to independence self-

getting enable to independen perform self- are care activity to the

quality of Utilization perform self- ce to activities achievement of

sleep, eating of self- care activities modified complete

healthy care without any independen independence self-

foods, checklist assistance ce self-care care based on the

regular activity Fims Scale

exercise, and based on the

seeking Fims Scale

professional

consultation)

1.2 Encourage Hemodial

adherence to ysis From Reduced Sustained behavioral Reduced

hemodialysis services incompliance to renal change in emergency and

treatment and the treatment disease maintaining the critical hospital

 maintenance Maintenan care due to complicatio adequate renal admission due to

medication ce denial of their ns such as treatment and severe

medicatio condition to anemia. medication complications of

n responsible Hypertensio renal disease such

compliance to n, and as pulmonary

hemodialysis electrolyte edema,

sessions and imbalance encephalopathy,

timely intake of and congestive

maintenance heart failure

medications

1.3 Monitor renal

function Laborator Complied to Achieve Sustained actions of Early recognition

through y and regular monthly regular monitoring and prevention of

monthly diagnostic monitoring of monitoring of blood workups renal disease

laboratory s services blood workups compliance and other CKD & complications such

and and other CKD to checking ESRD parameters as anemia,

diagnostic & ESRD of blood electrolyte

management parameters with chemistry to imbalance, and

minimal prevent the dyslipidemia

assistance from events of

the health care anemia,

provider electrolyte

imbalance,
 and

dyslipidemi

1.
Priority Area 2: Exercise training, diet, and fluid management.

Structured exercises aim to improve the functional performance of the patients to

do daily living activities independently and to prevent permanent physical disability. Diet

modification will help to control and manage their food intake appropriately to maintain

the body’s homeostasis (potassium, sodium, phosphorous) and to reduce waste products

in their blood such as urea and creatinine. This activity can be implemented thru the

following:

Objectives:

By the end of the week, the patient will be able to:

1. Participate in their care through self-monitoring lifestyle modifications, and

adherence to medication and dietary recommendations.

2. Engage in regular physical activity and exercise that improve muscular and

cardiovascular health, strength, and flexibility.

3. Collaborate with the rehabilitation specialist, dietician, and allied health professionals

to develop individualized exercise programs towards preserving muscle mass,

functional independence, and reducing bone demineralization and fractures.

Strategies:

1. Involving patients in peer support group to promote a change of behavior towards

nutrition and physical well-being.

2. Employing physical exercises and dietary planning to manage the desired physical

activity, fluid intake, and weight gain of the patient

 3. Strengthening collaboration with the physical therapist and dietician to examine the

ability to perform the activities of daily living and to monitor the daily body

composition of the patient.

Key Activities Resources Short-term Short-term Long–term Long-term

outcomes Indicators outcomes indicators

Time frame: Time frame: 3

4weeks months

1.4 Ensure Therapeuti

maintenance c exercise Achieved ideal Achieveme Prevention of fluid No signs of

of body mass equipment body mass index nt of desired congestion in the pulmonary

index and dry to prevent dry weight body congestion and

weight malnutrition without peripheral edema

2. Type of (undernutrition peripheral

exercise and obesity) that edema, No emergency and

intervention: might contribute pulmonary critical hospital

 Aerobic to progression of congestion, admission

exercise the CKD. and

(walking hypoglycem No emergency

with target Controlled and ia hemodialysis

goal of 4000 managed dry treatment

steps or weight and high

walking more blood pressure

than 30
 minutes

during on

non-dialysis

days)

 Resistance

training

(squatting)

2.1 Provide

individualize Therapeuti No signs of Prevention of

d and c exercise muscle permanent physical

modified equipment weakness and disability such as

physical muscle bone

exercises to contractures that demineralization and

enhance cause physical fracture

physical immobility

mobility and Results

prevent showed

muscle from no

imbalance independen

(muscle ce to Results showed

depletion and modified from modified

muscle independen independence self-

stiffening) ce self-care care activity to the

2.2 Type of activity achievement of

exercise: based on the complete

 Flexibility Fims Scale independence self-

exercise care based on the

(stretching) Fims Scale

 Resistance

training

(squats)

 Balance

training

(double/singl

es-leg-

balance

training for 5

minutes 3-5

times a

week)
2.3 Encourage Therapeuti Established self- Actions identified

home c exercise encouragement for improved

exercise equipment to perform independent function

therapy such routine home in daily activities

as household activities

work within

the patient’s

capability
 Section II:

Renal Care and Rehabilitation Program Implementation Plan

OBJECTIVE DAT TIME PROGRAM PROCESS RESPONSIBL ANTICIPATE
E FRAM COMPONEN E PARTY D RESULT
E T
To achieve the May 1 hour Medication & HD unit head
normal range of 19- Medical Comprehensi nurse Decreased
hemoglobin from <7 May Surveillance ve health Nurse incidence of
ml/dL to 11 mg/dL 30, assessment researcher emergency
so as to prevent 2024 and REDCOP nurse hospitalization
severe anemia. individualized due to disease
nursing care complications
To maintain normal Health
serum calcium, education
potassium and
phosphorus level and
to prevent electrolyte
imbalance
(hyperkalemia,
hypokalemia,
hyperphosphatemia,
hyponatremia and
hyper natremia) due
to untimely and
incompliance to
medication and
dialysis treatment

To maintain normal
blood pressure levels
from systolic of
>180mmHg to
systolic <140mmHg
To achieve May 2 hours Exercise, Diet, Comprehensi HD unit head Decreased the
significant 19- and fluid ve health nurse development of
improvements in May management assessment Nurse progressive
weight control (from 30, and researcher bone
obesity/undernourish 2024 individualized REDCOP nurse demineralizatio
ed to ideal body nursing care, Dietician n, malnutrition,
weight), and improve individualized Physical and fluid
functional diet planning, therapist overload
independence in and
performing self-care individualized Reduced rate of
activities such as physical emergency
eating, bathing, therapy hospitalization
grooming, cooking due to
and preparing food, hypoglycemia,
defecating and undernutrition,
urinating, walking uremia, and
without an assistive respiratory
device, communicate complications
with the health care
providers and family
members, recalling
events.;

To achieve
significant
improvements in
adequate and
recommended food
nutrition (salt intake
of < 2 grams per day,
0.8-1 gram /day
phosphorus intake)
and fluid intake of 1-
2 liters per day with
adequate diuresis of
2L per day

To lessen the pitting

edema from +4 to 0

Schedule of the plan of activities

Duration: May 5- 26, 2024 (Short-term)

Week 1 - Week 2

Weeks Week 1 Week 2

Days 1st 2nd 3rd 4th 5th 6th 7th 1st 2nd 3rd 4th 5th 6th 7th
Activities
Program planning and
preparation
Coordination with the
 City Health Office I
Presentation of the
program to the program
coordinator
Meeting with the
participants (Home
Visits)
Assessment and
identification of needs
Implementation of
program
Medication and
medical
surveillance

Exercise
training
Diet and fluid
management

Week 3 -Week 4

Weeks Week 3 Week 4

Days 1st 2nd 3rd 4th 5th 6th 7th 1st 2nd 3rd 4th 5th 6th 7th
Activities
Implementation of the
program
Medication and
medical
surveillance

Exercise
training
Diet and fluid
management
Monitoring and
evaluation of the
activities
Analyzing results
Presentation of the final
report

Legends:

Administrative works

First batch of participants

Second batch of participants

Duration: May 27-August 27, 2024 (Long-term)
Week 1 - Week 2

Month of May
Week Week 1 Week 2
st nd
Days 1 2 3rd 4th 5th 6th 7th 1st
2nd rd
3 4th 5th 6th 7th
Activities
Program planning and
preparation
Coordination with the
City Health Office I
Presentation of the
program to the program
coordinator
Meeting with the
participants (Home
Visits)
Assessment and
identification of needs
Implementation of
program
Medication and
medical
surveillance

Exercise
training
Diet and fluid
management
 Month of May
Weeks Week 3 Week 4
Days 1st 2nd 3rd 4th 5th 6th 7th 1st 2nd 3rd 4th 5th 6th 7th
Activities
Implementation of the
program
Medication and
medical
surveillance

Exercise
training
Diet and fluid
management
Monitoring and
evaluation of the
activities
 Month of June
Weeks Week 1 Week 2
Days 1st 2nd 3rd 4th 5th 6th 7th 1st 2nd 3rd 4th 5th 6th 7th
Activities
Implementation of the
program
Medication and
medical
surveillance

Exercise training
Diet and fluid
management
Monitoring and
evaluation of the
activities

Month of June
Weeks Week 3 Week 4
Days 1st 2nd 3rd 4th 5th 6th 7th 1st 2nd 3rd 4th 5th 6th 7th
Activities
Implementation of the
program
Medication and
medical
surveillance

Exercise training
Diet and fluid
management
Monitoring and
evaluation of the
activities

Month of July
Weeks Week 1 Week 2
Days 1st 2nd 3rd 4th 5th 6th 7th 1st 2nd 3rd 4th 5th 6th 7th
Activities
Implementation of the
program
 Medication and
medical
surveillance

Exercise
training
Diet and fluid
management
Monitoring and
evaluation of the
activities

Month of July
Weeks Week 3 Week 4
st nd
Days 1 2 3rd 4th 5th 6th 7th 1st
2nd rd
3 4th 5th 6th 7th
Activities
Implementation of the
program
Medication and
medical
surveillance

Exercise
training
Diet and fluid
management
Monitoring and
evaluation of the
activities
 Month of August
Weeks Week 1 Week 2
st nd
Days 1 2 3rd 4th 5th 6th 7th 1st
2nd rd
3 4th 5th 6th 7th
Activities
Implementation of the
program
Medication and
medical
surveillance

Exercise
training
Diet and fluid
management
Monitoring and
evaluation of the
activities
Month of August
Weeks Week 3 Week 4
st nd
Days 1 2 3rd 4th 5th 6th 7th 1st
2nd rd
3 4th 5th 6th 7th
Activities
Implementation of the
program
Medication and
medical
surveillance

Exercise
training
Diet and fluid
management
Monitoring and
evaluation of the
activities
Analyzing results
Presentation of the final
report

Legends:

Administrative works

First batch of participants

Second batch of participants

Section III:
Sustainability Program adaptation
Program sustainability aims to establish an effective strategy to ensure the continuity and sustenance of

the program after the funding is over. This requires long-term planning to expedite the involvement of the

health care providers and engagement of the stakeholder toward the improvement of the program capacity

for the target groups. Sustainability program adaptation is one of the domains of sustainability assessment

which ensures actions to be taken to adapt the program for its ongoing effectiveness.

Sustainability Assessment Method

Scope Objectives Sustainabil Assessment Interpretation Application

ity technique of Results
indicators
Medication Short-term objective: Medication Monthly Normal renal
and medical Develop a return to function and monitoring functions self-care
surveillance to perform self-care treatment Home visits In CBC, blood management
activities, adhere to monitoring Chemistry to the daily
hemodialysis treatment and routine
medication treatment, and Demonstration
comply with regular renal of health
function monitoring with adaptive
minimal assistance from the behaviors
healthcare provider and
family members

Long-term objective:
Improve full independent
function to perform self-care
activities, adhere to
hemodialysis treatment and
medication treatment and
comply with regular renal
function monitoring
Exercise Short-term objective: Therapeutic Home visits Attainment of
training, diet a. Improve functional exercise Home care modified Total
and fluid performance to do daily regimen service independence functional
management living activities such as monitoring score (6) independenc
household works with Diet and e to manage
minimal assistance fluid Attainment of daily living
b. Adhere to a diet and planning independence activities
fluid restrictions practice score (7)
with minimal assistance from
the healthcare provider and Achieved the
family members desired body
Long-term objectives: mass index and
 a. Sustain full body weight
functional performance to
perform daily living
activities such as general
labor work
b. Adhere to a diet
and fluid restrictions practice
without assistance from the
healthcare provider and
family members
Cognitive Short-term objective: Apply Cognitive Home visits
behavioral health-seeking behaviors to and Home care Attainment of Behavioral
therapy control anxiety, depression, behavioral service desired management
and emotional instability manageme monitoring behavioral to control
Long-term objective: nt responses from anxiety
Maintain an adaptive the journals and levels,
functioning behavior to cognitive- depression,
manage behavioral problems behavioral and
therapy of the aggression
patients
Community Community Formative Establishment
engagement Short-term objective: Seek capacity assessment of independent supportive
support from the LGU and Weekly learning community
their family to address their monitoring behavior of the environment
health needs for renal care family members
and rehabilitation to maintain the
Long-term objective: therapy and
Exercise their rights to health treatment of the
access and support for renal patient
care and rehabilitation
Coordination
with the local
government for
financial
support

Template sources: Building sustainable programs: The resource guide (March 2014)
Assessing potential partners

Organization Role in the Resources or Actions steps Things to consider

community support available necessary to Initiate when reaching out
partnership to the partner
Renal Nurses The organization
Association of the develops Specialty kidney 1. Establish Strategic Plan of
Philippines advanced care training and communication the program
professional webinar 2. Identify
development program Availability of time
among nurses to vision, mission, and resources
provide kidney and objectives
therapies and 3. Invite partners
treatment and to participate
promote standard and build
quality care to the workgroups
related patients 4. Seek
opportunities to
present the
success of the
program
Kidney This non-profit Strategic Plan of
Foundation of the organization is Funded medical 1. Establish the program
Philippines responsible for supplies needed communication
delivering medical for the renal 2. Identify Availability of time
care to patients patients program and resources
with kidney vision, mission,
disease and and objectives
ensuring the 3. Invite partners
provision of to participate
necessary budget- and build
wise treatment for workgroups
chronic case 4. Seek
opportunities to
present the
success of the
program

Template sources: Building sustainable programs: The resource guide (March 2014)
Parties Involved

Nurse

The nurse serves as the main health care provider of the program in terms of prevention and health

education. The nurse significantly supports the target group to independently function and perform self-

care activities. Also, to educate and train the family members to accomplish the goals of renal care

interventions.

Physical Therapist

The physical therapist functions to provide a proper exercise program to ensure the optimum physical

function of the patient. They are responsible for ensuring the target participant’s capability to perform

daily living activities will achieve their full independence.

Occupational Therapist

The occupational therapist functions to assess the patient’s adaptation functions within their environment

to improve daily function. They structure behavioral therapy intended to the patient’s psychosocial and

developmental needs to restore their full independence to performance patterns such as daily routines.
Budget Plan Proposal
Project title: Functional Independence Program
Duration/Period:
Short–term period: May 5- 31, 2024

Description Unit Cost Quantity Unit Total Cost

(PHP) (PHP)
Direct Cost
Project coordinator/ consultant 1,000.00 1 1 day 1,000.00
Barangay Health Worker 300.00 1 1 day 300.00
Total Budget 1,300.00 1,300.00

Volunteer labor
Physical therapist 0 2 4 weeks 0
Occupational therapist 500.00 1 4 weeks 500.00
Work Site place 0 2 4 weeks 0
Total Budget 500.00 500.00
Travel expenses
Mileage 300.00 4 4 weeks 1,800.00
Total Budget 300.00 1,800.00
Equipment and Supplies
dumbbells (rent) 0.00 2 4 weeks 0
weights (rent) 0 2 4 weeks 0
AV projector (rent) 0 1 1 day 0
microphone and speakers (rent) 500.00 1 1 day 500.00
Total Budget 500.00 500.00
Learning Materials
Visual aids 100.00 1 1 day 100.00
Hand-outs 100.00 10 1 day 1,000.00
Total Budget 300.00 1,100.00

Overall estimated budget: 5,200php

Long-term period: June 1-December 30, 2024

 Description Unit Cost Quantity Unit Total Cost
(PHP) (PHP)
Direct Cost
Project coordinator/ consultant 1,000.00 1 1 day 1,000.00
Barangay Health Worker 300.00 1 1 week 300.00
Total Budget 1,300.00 1,300.00

Volunteer labor
Physical therapist 0 2 3 months 0
Work Site place 0 2 day 0
Total Budget 3,000.00 3,000.00
Travel expenses
Mileage 300.00 20 15 weeks 6,000.00
Total Budget 6,000.00
Equipment and Supplies
dumbbells (rent) 0.00 2 3 months 0
weights (rent) 0 2 3 months 0
AV projector (rent) 0 1 1 day 0
microphone and speakers (rent) 500.00 1 1 day 500.00
Total Budget 500.00
Learning Materials
Visual aids 200.00 1 1 day 200.00
Hand-outs 100.00 10 1 day 1,000.00
Total Budget 300.00 1,200.00

Overall estimated budget: 12,000.00php

 Evaluation plan
The program will be utilizing the formative evaluation to present the general program strategies and keep

track of the progress of the program activities and objectives. The process will identify and measure the

outcome and method of the data, therefore it scrutinizes areas that need further improvement.

Template sources: Rural Health Innovations (December 2017)

Strategic Component and objectives What When How Who

Output Target Question Data Data Health
Strategic Objectives collection collection care
component frequency method providers
conducted
data
gathering
1. Medicatio Short term: CKD & Were the
n and Self-care ESRD interventions 2 weeks Home visit Nurse
medical Develop a return to activities: patients provided for
surveillan function to perform moderate undergoing the May 20- Self-care
ce self-care activities, function hemodialysis participants 30, 2024 activities
adhere to treatment modify and checklist
hemodialysis Medication increase the
treatment and and medical functional Medication
medication compliance: outcomes? and
treatment, and moderate medical
comply with regular function treatment
renal function monitoring
monitoring with sheet
minimal assistance
from the healthcare
provider and family
members

Long-term: Were the

Improve full Self-care interventions 3 months
independent function activities: provided for
to perform self-care the May 27-
activities, adhere to high participants August
hemodialysis function achieve the 27, 2024
treatment and high
medication Medication functional
treatment, and and medical outcomes?
comply with regular compliance:
renal function
monitoring high
function
Strategic Component and objectives What When How Who
Output Target Question Data Data Health care
Strategic Objectives collection collection provide
component frequency method conducted
data
gathering
2. Exercise Short term: CKD & Were the
training, Exercise ESRD interventions 2 weeks Home visit Physical
diet, and a. Improve training: patients provided for therapist
fluid functional 80-90% undergoin the May 20-
manage performance to do independent g participants 30, 2024. Standardize
ment daily living function hemodialy increase their d Fim scale
activities such as sis function to checklist Nurse
household works Dietary treatment perform
with minimal practices: moderate Diet and
assistance activities and fluid
b. Adhere to a diet moderate compliance monitoring
and fluid compliance to care sheet
restrictions management
practice with Fluid ?
minimal assistance management:
from the
healthcare Moderate
provider and compliance
family members

Long-term: Were the

a. Sustain full Exercise interventions 3 months
functional training: provided for
performance to 100% the May 27-
perform daily living independent participants August 27,
activities such as function achieve the 2024
general labor work optimum
b. Adhere to a Dietary level of
diet and fluid practices: independent
restrictions practice function and
without assistance Full compliance
from the healthcare compliance to care
provider and family management
members ?
Fluid
management:

Full
compliance
Tools

These tools are designed to measure the functional independence of the CKD & ESRD patients in terms

of physical, and behavioral health functioning. The FIMS scale is the standardized instrument utilized by

the physical therapist to measure motor and cognitive function of the body toward independent functional

mobility to daily living activities. Whilst, the cognitive-behavioral therapy instrument will measure the

cognition, behavior, emotion, and mood of the target group. This will track down the progress of the

therapy as it will monitor the daily association of the target group to renal care and rehabilitation and

determine the outcomes of care and therapy. This checklist was permitted by the Mental Illness Research,

Education, and Clinical Center (MIRECC, 2021), to adapt and used by the occupational therapist.
FIMS Scale
 CBT monitoring Sheet
Adapted Source: Cully, J.A., Dawson, D.B., Hamer, J., & Tharp, A.L. 2020. A
Provider’s Guide to Brief Cognitive Behavioral Therapy. Department of Veterans
Affairs South Central MIRECC, Houston, TX.
 CBT monitoring Sheet
Adapted Source: Cully, J.A., Dawson, D.B., Hamer, J., & Tharp, A.L. 2020. A
Provider’s Guide to Brief Cognitive Behavioral Therapy. Department of Veterans
Affairs South Central MIRECC, Houston, TX.
 CBT monitoring Sheet: Thought Record
Adapted Source: Cully, J.A., Dawson, D.B., Hamer, J., & Tharp, A.L. 2020. A
Provider’s Guide to Brief Cognitive Behavioral Therapy. Department of Veterans
Affairs South Central MIRECC, Houston, TX.
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