ACKNOWLEDGEMENT The block M would like to thank the following for their continued guidance and undying support

to the group’s endeavor of helping the community of Boboc-Bisal, Bokod. The group would not have completed this stage of COPAR without your help. First and foremost we would like to thank the Almighty Father, for without him we would not have the strength and determination to continue and finish what had been started. Father, thank you for reminding us what we need to do and what we ought to do. We would like to thank the municipality of Bokod, lead by Honorable Mauricio Macay, for allowing the school to conduct this community immersion. We extend our sincerest gratitude to the mayor and other government officials who made this immersion possible. To the barangay captain of Boboc-Bisal, Bokod. We send off our heartfelt thanks for welcoming us and supporting us in every step of COPAR. It was a lot of work but you gave us your helping hands and supported us all the way. We would also like to extend our million thanks to the rural health workers, headed by Dra. Lillian Velasco, for greeting us with your warmest welcome during our arrival in Bokod. To the pioneers of COPAR, Ms. Carmen Bolinto, Ms. Selerina Cosendo, Ms. Cherry Dalilis, thank you; for without you the whole concept of COPAR wouldn’t came about and with community’s rise to development. Sitios of Boboc-Bisal, we thank you for taking a part and sharing a helping hand in order to accomplish this stage of COPAR. To the people of Boboc-Bisal who welcomed us with smiles and who participated in this activity, thank you for being a part of COPAR, with it came hard work but you got through it with patience and diligence, thank you for much coveted effort you have shown and thank you for being with us and sharing with us all of the difficulties of the day’s works. What you had shown inspired us to work hard. To our neighbors, thank you for helping us especially in times of need, thank you for lending us a helping hand whenever we needed one.

1

We also express our gratitude to our clinical instructor Mr. Jaylord Indalos, for the unstopping guidance and support. We thank you for leading us the way, and for being with us in hard and easy times of the community immersion. And lastly we thank our friends and families for the much needed emotional and financial support imparted to us, for reminding us what is waiting for us at the end of this long journey of life. A million thanks to everyone for inspiring us!!!

INTRODUCTION
2

The World Health Organization defines health as a “state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.” The organization also defines public health as the “art of applying science in the context of politics so as to reduce inequalities in health while ensuring the best health for the greatest number.” It entails therefore that public health is a core element of government’s attempts to improve and promote the health and welfare of their citizens. Moreover, Dr. C.E. Winslow defines public health as the “science and art of preventing disease, prolonging life, promoting health and efficiency through organized community effort for the sanitation of the environment, control of communicable diseases, the education of individuals in personal hygiene, the organization of medical and nursing services for the early diagnosis and preventive treatment of disease and the development of the social machinery to ensure everyone a standard of living adequate for the maintenance of health, so organizing these beliefs as to enable every citizen to realize his birthright of health and longevity.” The World Health Organization Expert Committee of Nursing also defines public health nursing as a “special field of nursing that combines the skills of nursing, public health and some phases of social assistance and functions as part of the total public health programme for the promotion of health, the improvement of the conditions in the social and physical environment, rehabilitation of illness and disability.” Jacobson states that community health nursing is a learned practice discipline with the ultimate goal of contributing, as individuals and in collaboration with others, to the promotion of the client’s optimum level of functioning through teaching and delivery of care. According to Dr. Ruth B. Freeman, community health nursing is a service rendered by a professional nurse with the community, groups, families and individuals at home, in health centers, in clinics, in school, in places of work for the promotion of health, prevention of illness, care of the sick at home and rehabilitation. Community Health Nursing is also a unique blend of nursing and public health practice woven into a human service that is properly developed applied and has a tremendous impact on human well being. Its responsibilities extend to the care and supervision of individuals and families in their homes, in places of work, in schools and clinics. It is one of the basic services of
3

health departments. The community health nurses, as members of the health team, are expected to integrate within the context of family health care. Saint Louis University extend these services to barangays who have the following criteria for community selection such as depress, oppress, poor and exploited; clustered households of at least 100, presence of verbalized or requested need from community, absence of or inadequacy of similar health services. One of the chosen barangays is barangay Boboc-Bisal located in the municipality of Bokod in which community health nursing is needed. The concept on the Community Organizing Participatory Action Research (COPAR) approach or strategy is being used toward community health development. Community Organizing (CO) is the social development approach that aims to transform the apathetic, individualistic and voiceless poor into a dynamic, participatory and politically responsive community. It is also a collective, participatory, transformative, liberative, sustained and systematic process of building people’s organizations by mobilizing and enhancing their capabilities and resources for the resolution of their issues and concerns towards effecting change in their existing oppressive and exploitative conditions. Participatory Action Research (PAR) is an investigation of problems and issues concerning the life and the environment of the underprivileged by way of collaboration with them as equal partners. It is a strategy for development wherein community needs, conditions and problems are identified: solutions are planned and priorities are implemented thru a partnership with the community and with other connected agencies. The objective is is direct positive change will be for and by the people. On the other hand, concepts basic to nursing are used in working with the clients: individuals, families, groups and communities. Some concepts of community health nursing are:
 The primary focus of community health nursing practice is on health

promotion. The community health nurse, by the nature of his/her work, has the opportunity and responsibility for evaluating the health status of people and groups and relating them to practice.  Community health nursing practice is extended to benefit not only the individual but the whole family and the community.
4

evaluation and a continuum of the cycle until the termination of nursing is implicit in the practice of community health nursing. clinical nursing and community health organizations be utilized.  Contract with the client and/or the family may continue over along period of time which includes all ages and all types of health care. MAP OF BENGUET 5 . ecology. planning. Community health nurses are generalists in terms of their practice through life’s continuum – its full range of health problems and needs.  The nature of community health nursing practice requires that current knowledge derived from the biological and social sciences.  The dynamic process of assessing. implementing and intervening periodic measurements of progress.

Nueva Vizcaya. on the south by Itogon.The municipality is bounded on the north by Kabayan. MAP OF BOBOC-BISAL 6 . on the west by Atok. and on the east by Kayapa.

HISTORY 7 .

Benaljan.Ibalois whose parents or grandparents had some generation roots in the Amlimay (Buguias). there were seven (7) settlements of Bokot. Eventually. Itogon) and Sinapang (now upper Eastern Binga. Itogon) iowaks. then the second homeland of most Kalanguyas who moved away from Tinek. were also mostly earlier arrivals from the Tinek areas. The Ikaraos are reputed in history as the descendants of the Archers Ituy and Panupuy. specifically the Tinek-Culture areas: Ahin. So originally. to Central Bokod. many of them intermarried with the people of Bisal and the Poblacion (then Central Bokod). getting themselves culturally “absorbed” in the process since they were the most liberal and non-endogamic of the early obokot settlers. more Kalanguyas left their southern Ifugao homes to settle Vizcaya until reaching what is now the Carangalan (Nueva Ecija) mountain. From Beneng. by oral accounts. Pito. however. Tebboy. Later. Ambuclao. Tikey and Karao. those Iowaks spread into the other settlements especially to neighboring Bisal. some of these ensure intermarried with the people of the Batan (Kabayan) who. Poblacion. Daclan was founded by Tinek warriors or hunters. Beneng now a sitio of Barangay Boboc-Bisal. namely: Poblacion or Central. Early Karao was occupied by the Igwaan-speaking peoples after an agreement with the Booked and Daklan villagers that they will help in preventing the entry of the Busols into the Boked territories. Bisal. and Pito were retained. Palanza (in Barangay Bila) was founded and so was southern wise Barangay Pito. Booked was divided into ten (10) barangays: Poblacion. Early Bokod Central was occupied by Tinek descendants too. In these waves of movement. was peopled by the Iowaks who were the relatives of the Domolpos (Tinongdan. Bisal 8 . the only tribes not subjugated by the Spaniards in the lowland Magat culture areas. Daclan. but most of them were third or fourth generation Kalanguyas or Kalanguya. Tukukan.HISTORICO-GENEOLOGICAL BACKGROUND The scope and bounds of the present Bokod. Municipality were first settled by early people mostly coming from the northeast. Ambuclao was settled by Ibalois of Kalanguya extract or admixture from the point of origin near hat is known today as modern Kabayan. In later years. and to the eastern flank of the Karao-Ekip belt.

Bokod forms part of Cordillera mountain range and is largely characterized by a rugged mountainous terrain with patches of gently sloping areas along 9 . on the south by municipality of Tublay and the east by municipality of Itogon and on the west by Municipality of Atok. It has a land are of Forty Eight thousand hectares. It is bounded on the north by municipality of kabayan. Then in recent years. Ten years later or on March 23. 24 which merged these three townships on.A. the Town’s Saint Day. some 55 kilometers from Baguio City and about 320 kilometers from Manila. 1966. and from Karao. Daclan and Bokod. Congress passed R. branched Barangay Nawal . it had been celebrating its yearly fiesta on December 8. 1910 then American Governor – General William Cameron Forbes issued Executive Oder No. the township of Ambuclao and Daclan were abolished and only the town of Bokod remained. for the Municipality of Bokod is March 23. 48 creating 19 townships in the province of Benguet. Three of these 19 townships were the town of Ambuclao. Thus. by tradition. The Municipality of Bokod however. 4695 which created Benguet as a separated regular province with capital at La Trinidad. Beguet and no longer a sub province of Benguet Province which used to be since the American Regime.was combined with the related sitios of Otbong and Nawal to from Barangay Bobok. GEOGRAPHICAL AND PHYSICAL CHARACTERISTICS Bokod Municipality is one of the thirteen municipalities of Benguet Province. does not observe or celebrate its Foundation Day. The foundation Day therefore. For years. Bokod is located at the southern part of Benguet Province. POLITICAL CREATION On November 22. 1900 the Philippine Commission created under the American Regime issued a law called Commission Act No. it decided to celebrate its own Town Fiesta on the 7th day of December of every year – a day before its Patron Saint’s Day. branched barangay Ekip. branched Barangay Bila. Thus. from Daclan. Bokod Town Fiesta is on December 7 of every year while its Patron Saint’s Day Fiesta is December 8 of every year. Five Hundred Eighty Six square meters. On June 18.

Ekip. the people of Bokod lived clustered according to their areas of settlement and concentration as well as their ethnic affiliations. PLACE OF INTEREST AND NATURAL BEAUTY 10 .65 percent of its population are found in barangay Ambuclao. but colder in the northern and eastern parts like: Ekip. DEMOGRAPHIC DATA UPDATES According to the latest NCSO figures (1995) Bokod’s population as of September 30. Bila. in the parts transverse by the Boko. (Files from Benguet Provincial Library) In earlier times. Bila and Daclan. the Ibalois in the “flat” paway or semi-flat areas. But because of changes in abode and extensive intermarriages. thus the Iowaks were found in Beneng towards Bisal and upstream until the eastern fringers of the Central and of Karao.or near river banks and along the foot of the mountains. the Iowaks language has now disappeared among the modern day Ibokot.000) persons each. they all respond to the reference of I-bokot or “somenone who is from Bokod”. Bokod is warmer. Karao or Igwaan is widely spoken in barangays Karao and Ekip. and the Karo. The second most populated barangay is Poblacion with 13. stood at 10. of course. Karao. valleys and ridges are the predominant land forms in the area. it is difficult now to pinpoint among the present citizens who came from which. Mountain peaks. in Karao. Kalanguya is still spoken in Pito and palanza. is true lingua franca of all the Ibokots. The five other barangays have populations of less than One thousand (1.Kabayan Highway. Nabaloi. “who are you?”. when asked.496 persons. compared to the other municipalities of Benguet. Generally.000) each with Tikey as the least populated. have populations of more than One thousand (1. is spoken by all and as such. Two thousand One hundred Sixty Seven (2167) or 20. rather. the language of the majority. a fact that now linguistically severs them from their eastern Itogon cousins. Barangay Daclan. Bokod has two seasons: the wet and the dry.86 percent of the total. The west seasons lasts from May to Nevember and the dry seasons lasts from December to April. As to language. with only 508 persons. 1995. Boboc-Bisal. especially in Ambuclao and in the POblacion.

Daclan. 68 kilometers from the Provincial Province Capitol and 9 kilometers from Poblacion. Pagal (approaching Camangan and Liboong). h. i. Pinokpok (between Bagdan and Bangao) 3. Karao. the artist. The Bisal Mango Grooves at Boboc-Bisal. Ambuclao. c. The barangay is 62 kilometers away from Baguio City. some. BARANGAY PROFILE OF BOBOC-BISAL A. f. Daclan. j. and the adventurer will find unique fulfillment after he shall have come and seen all. The Palanza natural viewdecks at Bila. municipality of Itogon to the south. The barangay shares its boundaries to the north by barangay Poblacion. b. 11 . The Pigingan “mini” rice terraces in Karao. Nawal. The Badekbek Sulfur Springs in Barangay Daclan. The mysterious Binejayeng natural lake at Ambangeg. Location Barangay Boboc-Bisal is located on the southern part of the municipality of Bokod. barangay Pito to the east and Ambuclao to the west.Although most of these are not yet “developed” to the standards of “tourists attractions”. The nature-lover. II American first aid forces and their Head quarters. The Debbeng natural lake which was a site of W. The unmarked battle sites of Booked USAFIP-NL Guerillas and private citizen against the Japanese forces in: 1. g. Mowatong (near Central) 2. The municipality of Bokod has ten (10) barangays namely Poblacion. The Pre-Hispanic “Nalseb” Nawal in Nawal Proper. Pito and Tikey. or any of the following locations: a. Bila. The Ambuclao man-made lake in Barangay Ambuclao. Boboc-Bisal. d. The mossy virgin forest of Naswak in Ekip.W. Ekip. e.

Land area Boboc-Bisal is the 3rd biggest barangay in the municipality of Bokod in terms of land area. Bokod. BobocBisal. Though. D. in Ibaloi. Upon arriving on our assigned area.extended members of families and close ties among the members. It has as estimated area of Sixty seven Million Six Hundared Eighty Three Thousand Eight Hundred square meters.” hospitable and humble. we found out that most of the people were shy. just like any other Cordilleran group and/or Filipino groups. Hilly areas with 18. This further strengthens the relationship of the people in the community. Topography Boboc-Bisal is generally a rough mountainous area. GENERAL DESCRIPTION OF THE IBALOIS OF BOBOC-BISAL. These are the words appropriate to describe the people. Health 12 . Source of Living Most of the people are seen to have the passion to work despite the hardships being encountered. The family. This types of are suitable for agricultural crops. the so called “shy mango” to the extent that they don’t go out of their houses to talk with us because of shyness.B. during our home visits and case findings. the group may say that the people are “shy mango. From the time we stayed in Boboc for our immersion.30% slope plain flat and upland areas randomly spot the area. the people let us feel we belong to the community family. BOKOD The People For almost 1 month of community immersion in barangay Boboc-Bisal. the people welcomed us with pleasant greetings. They work for the betterment of their family and community and that for survival. Climate There are two type of soil in the barangay namely: sandy and loam. is an important aspect in living. C.

sandy and loam. Dolores Bumakil of Poblacion. midwife II of Boboc-Bisal. Strengthening and Sustenance Phase and Expansion Phase. the aspect of health is a little bit strange since the people know that there are available facilities but some don’t seek consultation from these health facilities. the people are often times found in their gardens or fields since gardening is the major occupation in the community. Boboc-Bisal is generally a rough mountainous area. Hilly areas with 18. Mercedes Calpasi of Karao. Entry Phase. the municipal health officer with public health nurse Mrs. Community Organizing Participatory Action Research (COPAR) has five phases namely: Pre-entry Phase. Consolidation. Mangagew. Thus. the people live a simple life. Macay. There are two type of soil in the barangay namely. Organizational Phase. The Society Boboc-Bisal is comprised of sitios Kawal. Bisal. Rural health center is lead by Dra. barangay Pito to the east and Ambuclao to the west. The municipality of Bokod is headed by Honorable Mauricio T. municipality of Itogon to the south. though they are aware that it is a problem. The barangay shares its boundaries to the north by barangay Poblacion. With them are also the barangay midwives of Bokod namely: Francisca Galunza. regular residents. Hardworking and industrious are some of the appropriate adjectives to describe the people. ACTIVITIES LINKAGES The community exposure allowed us to mingle with the different people staying in the community-municipal officials. Barangay Boboc-Bisal is located on the southern part of the municipality of Bokod.For the people. Angelita 13 . This types of are suitable for agricultural crops. maybe due to the distance of their houses from the health center and hospitals and that some maybe influenced by their beliefs for not seeking consultations from these health facilities.30% slope plain flat and upland areas randomly spot the area. Aurelia Wales. Libacong. Catalina Segundo. RHU officials. key persons and agencies. Some community folks that we had met already have inadequate knowledge on their health conditions. midwife III of Daclan. Moreover. Lilian Velasco.

Hilario. Beverly Olas. proper hygiene and nutrition. midwife I of Tikey and Marcela Esnara. Benguet. During the first week. midwife I of Nawal. M3: The group was briefed on our first day in the community that the focus of our health care delivery system is health promotion. the group aimed to promote health as what was instructed during the courtesy call with the health team of Bokod. the students along with the clinical instructor conducted an ocular survey of Otbong. such as having health teachings some examples are hypertension. the primary purpose of health care system was to provide care to the ill and injured. case finding and conducting health teaching such as school teaching on nutrition and hygiene. the group planned activities that are mainly for the purpose of health promotion. individual or family health teaching on health concerns such as hypertension. Benguet through home visits. health care systems are changing as the roles of nurses in these areas. However. They both approved of our plan to render health care services to the community folks of the different sitios of Bobok. unnecessary weeds were removed and the fence was fixed in order to protect the herbal plants as well as to preserve its intangible therapeutic effects. sanitation. midwife II of Pito. Previously. midwife I of Ekip. One of which was the feeding program done to improve nutritional status of children especially those undernourished ones. The group was divided into six pairs who home visited the households in each sitio. With their cooperation. UTI. M4: The community immersion started with a courtesy call with the municipal mayor of Bokod and with the midwife of Bobok. Roseal Mendoza. with the increasing awareness of health promotion. the proposed activities of the group were fulfilled. Pneumonia and others. HEALTH CARE DELIVERY SYSTEM Health care delivery system is the totality of services offered by all health disciplines. Bokod. With that. Problems of families regarding 14 . Libacong and Kawal. M2: Activities were rendered by the group during the community exposure to promote health. dengue. Immunizations were implemented as a government program and to enhance immune response of infants. illness prevention and levels of wellness. M1: During the community immersion. goiter. The herbarium in the Kawal Elementary School was beautified. Gloria Maxion. midwife II of Ambuclao.

To promote awareness in the health aspect of the community.health and environment were given health teachings. Bobok-Bisal. Management of a child with delayed developmental status. stroke rehabilitation. proper nutrition. range of motion exercises. it is the nurses’ goal to promote health. sitios Mangagew. puberty. On the following weeks of the duty. Hence. Management of Arthritis. the group disseminated information through health teachings. shampooing. The following topics were taught to enhance their knowledge: Management of Hypertension. M2: Health is a right of every human being. home visits were conducted and family members with health problems were given health teachings. we conducted home visits and taught families about diseases such as hypertension and amoebiasis since these are the most common disease found in that locality at that time. health teachings were incorporated regarding maintaining a stable and normal blood pressure. urinary tract infection. and pneumonia. Family Planning. handwashing. taking baths. and drugs. goiter. M3: During our community duty. During the second week. we educated the community folks through health teachings about hypertension. breast feeding. sanitation (flies). HEALTH EDUCATION M1: Throughout our community duty especially on our second week we conducted health teachings on our designated family regarding hypertension. the signs and symptoms and the management of the condition. In order to achieve this prerequisite. proper hygiene and proper wound healing. the blood pressures of the community folks were also taken and given appropriate health teachings by the students. At the same time. we were able to teach the elementary pupils about proper hygiene such as toothbrushing. the 15 . With these. Smoking. Proper wound healing and proper hygiene were also taught. On the second day of our second week of duty we conducted school teaching on Otbong Primary School. arthritis. Community folks were also taken their blood pressures and along with it. Bisal and Central Boboc were ocular surveyed. Asthma. Healthy people are a prerequisite to national development. we taught the folks on the causes. Benguet reagarding proper body hygiene and nutrition. Just the same with the first week. Proper Hand washing. Health teaching is the powerful tool a nurse can use to be able to promote health. On the first week of the community duty. and Dengue.

the students of Kawal Elementary School were also visited by the group. B. proper nutrition and diarrhea. The students participated in the health teachings and were assessed by asking them questions about the lessons given.community folks would apply them in their daily living thus. 2010. Nursing Diagnosis Knowledge Deficit: Body Hygiene and Nutrition related to lack of information 16 . Grades 1 and 2 students were taught about proper nutrition and personal hygiene. Moreover. grade 5 students were given lectures about personal hygiene. Grades 3 and 4 were provided with information about cough and colds and personal hygiene. Finally. Assessment of the Learner (Grades 1 and 2) The learners are the Grade 1 and 2 elementary pupils that are studying in one classroom. proper nutrition and urinary tract infection. the grade 6 students were taught about personal hygiene. This increased the capability of data collection for the creation of the community diagnosis. promoting their health and avoiding illnesses. objective and process of COPAR. The pupils are aged 6 to 7 years old and speak Ibaloi. The BHW. questions from the students were clarified. Ilokano and Tagalog. Capability building was observed by means of presenting the activities. The school was composed of 105 students composing of Grades 1 to 6 students. CAPABILITY BUILDING M3: On July 14. as part of the research team. during our community duty. A1: SCHOOLHEALTH TEACHINGS M1 (OTBONG PRIMARY SCHOOL) A. M4: Aside from the families from the 6 sitios of Bobok who were provided with health teachings by our group. At the same time. accompanied the students during the family health survey of Sitio Kawal. we conducted a meeting with the barangay health worker and other representatives of the community. how to fill up the family survey form and the initial research team formation with the Barangay Health Worker (BHW).

Goal To educate the pupils of grades 1 and 2 about Body Hygiene and Nutrition thereby promoting client’s wellbeing. Disc Importance of Proper uss Nutrition impo rtanc e of prop er nutri tion. D.C. Games 17 . the pupils will be able to: a. Question and Answer uss food grou ps and food pyra mid inclu ding enu mera tion of food s • • Food Groups Food Pyramid Visual Aids 15 min. b. Disc Content Outline Resources Time Allotment Evaluation Visual Aids 5 min. Teaching Plan Proper NUTRITION: Learning Objective After 20 minutes of discussion.

Enumer ate and discuss appropriate hygienic practice on each major parts of the body. • • • • Bathing Ear Cleaning Nose Cleaning Brushin g of Teeth Handwa shing Nail Cutting Use of Underw ear Use of Footwea r • B Visual Aids o d y E ar s N os e O ra l C a vi ty H a 10 min.unde r the subg roup s thos e state d abov e. BODY HYGIENE: Learning Objective After 20 minutes of discussion. • Quest ion and Answ er Game s Content Outline Resources Time Allotment Evaluation • • • • • • • • • 18 . the pupils will be able to: a.

room of the school. Return demonstration • a. Demons -trate and verbaliz e knowled ge on Body Hygiene . unkept hair with pediculosis. M3 (KAWAL ELEMENTARY SCHOOL) GRADE 1 AND 2 A. hands and feet which are also with unclean nails. poor personal hygiene was observed in most of the children as manifested by dirty clothes. B.• • n ds N ai ls G e ni ta ls F ee t Visual Aids 10 min. the H.E. Nursing Diagnosis 19 . Steps and inputs about each enumerated hygienic practice. and dental carries. Assessment of the Learner The learners are the Grade 1 and 2 elementary pupils. As the student nurses interact with the elementary pupils when they go out from their staff house.

b. c. Enumerate at least 2 importance of handwashin g. Goal To educate the pupils of grades 1 and 2 about hygiene thereby promoting client’s wellbeing. Learning Content “PERSONAL HYGIENE” Personal hygiene is an important element in preventing disease and/or preventing cross-infections. Keeping the self clean not only makes one better. Demonstrate proper handwashin g technique. d. Teaching Plan Proper Learning Objective After 45 minutes of discussion. but it also keeps one free from diseases or any illnesses. D. Demonstrate proper tooth brushing.Knowledge Deficit: Hygiene related to lack of information C. the pupils will: a. Verbalize the importance of tooth brushing. Tips for Kids: 20 Content Outline Resources Time Allotment Evaluation Importance of Discussion handwashing Nurse and client’s effort 5 minutes Question and Answer Proper handwashing Demonstration and singing Nurse and client’s effort 15 minutes Return demonstration Importance of Group discussion tooth brushing Nurse and client’s effort 10 minutes Question and Answer Proper tooth Demonstration brushing Nurse and client’s effort 15 minutes Return demonstration .

D. unkept clothes and unkept hair with pediculosis. considering time and scrub element. Shampoo hair and comb it often to eliminate lice. GRADE 3 AND 4 A. long and dirty nails. Correctly define hygiene Hygiene Question and 21 . Nursing Diagnosis Knowledge Deficit: Hygiene and Nutrition related to lack of information C. slight body odor. Identify ways Proper Hygiene on attaining proper hygiene Role playing 15 Discussion minutes Student nurse and clients’ effort Discussion with 10 Question and Answer b. promoting the clients’ wellbeing. it was found out that there are some pupils needing nutritional counseling. Grade 3 and 4 pupils seem to be grade 1 and 2 pupils because of their height and body builts. 5. were observed. Brush teeth 2 to 3 times a day after eating. Bath daily or every other day and change into fresh clothes. thus.1. 4. During the nutritional assessment. Goal To educate grade 3 and 4 pupils about proper hygiene and nutritional intake. Keep nails trimmed at least once a week. B. Assessment of the Learner The learners are the grade 3 and 4 pupils of Kawal Elementary School. 3. 2. Moreover. based on their body mass index. Teaching Plan Proper Learning Objective After 1 hour of discussion. The students within the school are hardly distinguished from their respective age and grade. Do proper handwashing always before eating and after using the toilet. the pupils will: Content Outline Resources Time Allotment Evaluation a. for most of the students.

PowerPoint c. Demonstrate proper brushing of hair d. Identify foods in the food pyramid e. Differentiated Go, Grow, and Glow Food. f. Identify at least 3 foods included in each food group that are present in the community. Learning Content: “MY PYRAMID” Increase recognition of MyPyramid • •

minutes

Answer

Brushing/combing Demonstration 5 Return of hair minutes demonstration

Food Pyramid

Discussion

5 minutes

Question and Answer Games Question and Answer Drawing Question and Answer

Go, Grow, and Discussion 15 Glow Foods and with visual minutes importance aids Examples of Discussion 10 foods in each food with visual minutes group. aids Singing

Motivate children Make healthy food choices Be physically active daily Be physically active every day Choose healthier foods from each group Eat more from some food groups than others Every color every day Make choices that are right for you Take one step at a time

• • •
• •

22

23

“NUTRITION FOR SCHOOL AGE CHILDREN” • • • • • • • • • • Milk, whole - one or more cup Meat, fish, poultry – 3 or more servings Dried beans and nuts – 1/3 cup or more, cooked Enriched rice and other cereals – 4 or more cups, cooked Nutrition for school age children Root cups – one or more medium pieces Fat such as butter, oil, margarine – 6 teaspoons Green and leafy vegetables – 2 medium fruits and 8 tbsp vegetables Eggs – 2 to 3 per week Sweets – 6 teaspoon

FOOD GROUPS:
➢ Energy Foods (GO)

These are main source of energy for body activities and body heat. These supply energy in concentration form for body activities. These include: rice, corn, cereals, root crops, sugar, butter, lard or oil
➢ Body building Foods (GROW)

These foods build and repair body tissue. Children need them for optimum growth. These foods also help keep the blood red, nerves health, make the bones, teeth and nails hard and strong. These include fish, meat, poultry, dried nuts and beans, eggs, whole milk and other dairy products.
➢ Regulating Foods (GLOW)

These foods protect your eyes and keep illnesses away. They also keep the blood red, the nerves healthy and bones strong. The greener or the deeper the yellow the color of a vegetable, the more vitamin A it has. These include the green leafy and yellow vegetables, Vitamin C rich foods and other fruits and vegetables. “HYGIENE”
24

Hygiene came from the Greek word “hygies” meaning “healthy, sound” What is Personal Hygiene? It is a regular routine of Personal Care. Washing and grooming your hair, your face, your skin, your teeth, your ears, your hands, your nails, your feet and hair; Brushing your hair cleans and stimulates hair and scalp; Brush from roots to tips to spread natural oils along the whole length of hair; and shampoo regularly. 1. HAIR • • • • How do I choose a shampoo? Is my hair Oily, or is my hair Dry? Do you have lice? What will stop the DANDRUFF??? It is a dry itchy scalp, white flakes on head and shoulders What causes it? Skin cells that grow and die off too fast 1. ACNE Acne is created when oil from the oil glands mix with the dead cells and plug up the hair follicles in the skin it creates a “whitehead.” A “blackhead” is when the air touches the plug, the plug turns black. What makes acne worse? Oil-based makeup, hair gels and spray. For girls; menstruation, squeezing or picking at blemishes, hard scrubbing of the skin Who gets acne? Boys and girls during their teen years. Boys may get it worse because they have more skin oil. If your parents had bad acne, chances are you may get it bad too. Acne Myths 1: Does chocolate cause zits? A: NO 2: Does Extra washing help clear zits? A: No, the extra scrubbing irritates skin and could make them worse.
25

What is it dandruff?

Do not use Qtips in ears it will smash the ear wax deep into the ear canal. EARS Wash ears daily with a wash cloth don’t forget behind the ears. How to avoid tooth decay? Daily dental hygiene routine that consist of brushing for 2-4 minutes and flossing. BODY ODOR What causes body odor? Perspiration and bacteria mixed together. Did you know…. 2. 3. and stomach problems. Tooth Decay can be transmitted through the mouth from someone who may have tooth decay bacteria.. Halitosis or Bad Breath It can be caused by the activity of certain types of oral bacteria. See a dentist every 6 months. Treatments: • • • The use antiperspirants decreases perspiration and cover odor with a manly smell. poor hygiene. DENTAL HYGIENE What causes cavities? Sugar and Plaque together creates bacteria that causes tooth decay.3: Does acne leave scars? A: Yes. poor diets or some foods such as onions and garlic. you can reduce the scarring by NOT PICKING and avoid excessive scrubbing.?? Ear wax is usually removed when you chew food or gum. sinus problems. Other causes: Food stuck in teeth. 4. Daily baths or showers using soap and scrubbing the entire body with a washcloth Change clothing daily 26 .

• Maintain a healthy diet 1. Alcoholism. Bokod. They are also curious and eager to try new things like drink alcohol or take illegal drugs. they are at pre – puberty stage. 27 . that is the time wherein children. The weakness of the learners was that they lack exposure and knowledge to certain things like alcohol and drug intake thus they do not know how to avoid those. Their age ranges from 11 to 16 years old. Learning Diagnosis Knowledge Deficit: Puberty. what are the changes during puberty? What is alcoholism? Why prevent too much alcohol intake? What are illegal drugs? Why avoid illegal drugs? C. very high heels Prevent Athletes Foot • • • • Keep feet and skin clean and dry Change socks daily Avoid walking barefoot in public areas Throw away worn-out shoes and never borrow other people’s shoes How to prevent Athletes Foot? Make Hygiene part of your daily routine! GRADE 5 AND 6 A. mostly girls would be confused on the gradual change in their bodies. and Illegal drugs related to lack of exposure. And since majority of them age 12 years old. They also lack information to the different changes in their bodies. Benguet wherein most children study as Grade 5 and Grade 6. B. During the Adolescent period. FINGERNAILS AND TOENAILS • • • • File fingernails in one direction Cut toenails straight across – never cut into corners Protect against ingrown toenails by avoiding tight shoes. Learning Need What is puberty. Assessment of the Learners Kawal Elementary School is located at Kawal.

E. Goal After the allotted time for discussion and explanation.D. Define Puberty correctly What is Puberty? One-onOne discussion 5 minutes • languag e that is easier to underst and (Ilocano ) coopera tion of the students time and effort of the student nurses Oral Feed backing: See if the students can define puberty using their own preferred language Content Outline Resources Time Allotment Evaluation • • a. the students will be able to understand puberty. Enumerat e at least Changes five experienced by changes experienc boys: ed by One-onone discussion 10 minutes • languag e that is easier Oral Feed backing: See if the students members can 28 . Teaching Plan Learning Objective After 45 minutes of nursing Interventions. the client will be able to: a. alcoholism. and illegal drug intake.

Changes experienced by girls: • • to underst and (Ilocano ) coopera tion of the students time and effort of the student nurses enumerate at least five changes experienced by boys and by girls during puberty using their own preferred language a. Define What is Alcoholis Alcoholism? m appropria tely One-onone discussion 5 minutes • languag e that is easier to underst and (Ilocano ) coopera tion of the students time and effort of the student nurses Oral Feed backing: See if the students can define Alcoholism correctly. • • a.girls and boys during puberty. 29 . Enumerat Complications e at least of Alcohol three Consumption: reasons why avoid One-onone discussion 10 minutes • languag e that is easier to underst Oral Feed backing: See if the students can enumerate three reasons why avoid alcoholism.

Before puberty. Enumerat Why to avoid e at least Illegal drugs? five reasons why avoid illegal intake of drugs. One-onone discussion 15 minutes • languag e that is easier to underst and (Ilocano ) coopera tion of the students time and effort of the student nurses • • Learning Content “Changes during PUBERTY…” What is Puberty? It is the process of physical changes by which a child's body becomes an adult body. major 30 . body differences between boys and girls are almost entirely restricted to the genitalia. a.Alcohol intake • • and (Ilocano ) coopera tion of the students time and effort of the student nurses Oral Feed backing: See if the students are able to enumerate reasons why avoid illegal drugs. capable of reproduction. Puberty is initiated by hormone signals from the brain to the gonads (the ovaries and testes). During puberty.

shape. Ang mga kalamnan ay mas lumalaki at mas lumalakas. bigote o sideburns. Nagsisimula ng magregla. tulad ng balbas. Ito lamang ay nangangahulugan na ikaw ay nagkakaroon na ng malababaeng hugis. Patuloy na kumain ng masustansiyang pagkain at regular na mag-ehersisyo.differences of size. Ang bubelya ay nagsisimula ng lumaki. Ang penis ay mas humahaba at tumataba. Ang mga kalamnan ay lumalaki at lumakas. Mga Pagbabago sa Babae • • • Ang katawan ay nagkakaroon ng hugis lumalawak. Bukod sa pagtubo ng buhok sa katawan. The most obvious of these are referred to as secondary sex characteristics. 31 . Kadalasan ito ay medyo manipis sa una. • • • • Mga pagbabago sa Lalaki • • • • • • • Nadaragdagan ang timbang ng mga lalaki. • Nilalarawan ng medisina ang alkoholismo bilang isang sakit na nagresulta sa paulit-ulit na pag-inom ng alak at iba pang inuming nakalalasing sa kabila ng mga negatibong kahihinatnan nito. and function develop in many body structures and systems. Ang mga balikat ay mas lumalapad. ito rin ay tumutubo sa mukha.hudyat ng masamang pangangatawan. Nagsisimula na ang paglabas ng tinatawag na “white menses”. habang ang buto sa balakang ay Nadaragdagan ng timbang lalo na sa may balakang. Hindi pagdagdag ng timbang. Mas lumalaki ang mga testes. “ALCOHOLISM AND DRUG ABUSE” Ano ang Alkoholismo? • binabanggit ang alkoholismo bilang kahit anong kalagayang nagresulta sa patuloy na pag-inom ng mga inuming alkoholiko sa kabila ng mga problema sa kalusugan at negatibong kahihinatnan nito sa lipunan. Ang boses ay mas lumalalim. composition.

Madaming pangyayari din ng suicide o pagpapakamatay at krimen ay gawa ng mga taong nasa impluwensiya ng alak.Ang pangangailangan ng mas marami kumpara sa dati bago maabot ang pagiging "high" o ang nais na epekto ng alak. Pagkawala ng control. naitalang malaking bilang ng pagkamatay ay dulot ng aksidente sa mga sasakyan na sanhi ng pagmamaneho habang lasing. • Dagdag pa dito. at pagkabalisa dulot ng biglaang pagtigil matapos ang mahabang panahon ng maramihang pag-inom. Ano naman ang Drug Abuse? • • Ito ay ang palagiang pag gamit ng mga ipinagbabawal na gamot. Maaaring gamitin ang detoxification o proseso ng ligtas at maingat na pagtanggal ng alcohol sa katawan o maari din ang pag-inom ng gamot ayon sa reseta ng doktor upang maiwasan ang pagbalik sa dating nakaugalian matapos tumigil sa pag-inom. magkaroon ng masamang epekto sa pag-iisip (brain damage). at esophagus. Maaari ring makakuha ng sakit na pamamaga ng atay (liver cirrhosis). pagpapawis.-Pagkaranas ng masamang pakiramdam. • Makakatulong din ng malaki ang group counselling upang mas mabilis na makaiwas sa mga karanasang nagtutulak sa kanya upang uminom muli.Labis na pangangailangan at pagkahilig sa alak. Ang isang alcoholic ay maaaring makakuha ng sakit na kancer sa atay. Ito ay nagsisimula sa eksperimentasyon hanggang sa tuluyang pag gamit ng bawal na gamot. Warning Signs ➢ PHYSICAL 32 . panginginig.Di maiwasang pag-inom ng madami sa anumang okasyon.Ano ang mga epekto nito sa ating katawan? • Ang epekto ng sobrang dami ng alkohol sa katawan ay mapanganib sa ating kalusugan. at lubhang mapanganib para sa mga nagdadalang-tao. • • Tolerance. Physical dependence o pangangailangan ng katawan. Paano masasabing alcoholic ang isang tao? • • Craving o sobrang pagnanais. lalamunan. panghihina ng pangangatawan. Solusyon: • Ang lunas o solusyon sa taong alcoholic ay depende sa kunsumo niya ng alcohol.

or giddiness. Changes in appetite or sleep patterns. GRADE I Name Age Gender T° RR PR Ht. Significant Finding 33 . or angry outbursts.• Bloodshot eyes or pupils that are larger or smaller than usual. Engaging in secretive or suspicious behaviors. accidents. Sudden change in friends. agitation. or clothing. Always put in mind the effects of drug abuse. Never try. and hobbies. Be busy with educational activities. Unexplained need for money or financial problems. favorite hangouts. Unexplained change in personality or attitude. Drop in attendance and performance at work or school. Lack of motivation. Sudden mood swings.” Appears fearful. anxious. irritability. Unusual smells on breath. illegal activities). body. May borrow or steal to get it. Frequently getting into trouble (fights. Deterioration of physical appearance and personal grooming habits. appears lethargic or “spaced out. Sudden weight loss or weight gain. This includes Physical Assessment. Tremors. Periods of unusual hyperactivity. Athropometric Measurements and Vital Signs. or impaired coordination. It was incorporated after the teaching the conduction of health assessment of the pupils of Otbong Primary School. the group conducted a school health teaching about nutrition. • • • • • • • • • • • • • • • • • ➢ BEHAVIORAL ➢ PSYCHOLOGICAL How to Prevent Drug Abuse? PREVENTION IS BETTER THAN CURE! A2: HEALTH ASSESSMENT M1 (OTBONG PRIMARY SCHOOL) During the community duty. with no reason. slurred speech. or paranoid.

and abdomen due to chicken pox Incomplete 34 1. Alejo . Le Ann D. 8 Nonproductive cough for 5 days 6 Female 35. • .8 21 87 106. 5 • 7 Male 36. Mark Lyndon D. Palas . Elton John 1. Wakl in.(y/o) 1. (cm) Significant Finding • 1.5 25 90 122. Begs eng. Begsen g. 1 • 1. Chan • 6 Male 35.3 20 94 106. 2. 7 Male 35.4 24 82 121. Charisse 5 Female 36 24 89 107. 9 Cough and colds GRADE II Name Age (y/o) Gender T° (°C) RR (cpm ) PR (bpm ) Ht.6 26 129 107. 3 Scars in upper and lower extremities. 1 • - ao. 1. Floyd G.1 22 84 107. Joshua (°C) (cpm ) (bpm ) (cm) • Tenderness on ethmoid sinus Colds with mucoid white nasal discharge Cough 6 Male 36. Domin 7 Male 36.

2010 One of the primary activities done by the group during the community duty was the conduction of health assessment of the pupils of Kawal Elementary School. 6 • • • • 116 1. Hidalg o.guez.(-) corneal swelling EYES .3 22 115 121. HAIR.(+) PERRLA NOSE . 7 Female 37. Kate F. GRADE 1 Name: Eryl . 7 Male 35.Moist skin with good skin turgor SKIN.Thick.(-) dryness . dry hair . Nutritional Assessment. Jaylord E.symmetrical 35 . NAILS . 4 • • teeth with cavity Long dirty nails Colds Hyperactive Bowel Sound 22 Teeth +3 Tonsils (+) Lice - 1.(-) Spoon-shaped nails . Tuali.3 23 91 M3 (KAWAL ELEMENTARY SCHOOL) JULY 14. This includes Physical Assessment. Anthropometric Measurements and Vital Signs. Richar d W.

Alert NEUROLOGIC .(-) corneal swelling EYES .(+) secretions .. HAIR.2 cm .(-) Altered mental state .moist .(+) secretions THROAT AND MOUTH .(-) palpable lymph nodes . NAILS .Thick.symmetrical .(-) Bleeding gums .Oriented to time.1.16cm .5 cm Name: Krecel – Moist skin with good skin turgor SKIN.moist 36 .(-) dryness .(-) Swollen neck .(-) cracks at the corner of the mouth THROAT AND MOUTH .(+) PERRLA NOSE .(-) Beefy.(-) Spoon-shaped nails . person. and place .(-) Magenta tongue .(-)Paresthesia MUSCLE CIRCUMFERENCE MIDARM CIRCUMFERENCE TRICEPS CIRCUMFERENCE .15. dry hair . Red tongue .

1cm .(-) cracks at the corner of the mouth .(-)Paresthesia MUSCLE CIRCUMFERENCE MIDARM CIRCUMFERENCE TRICEPS CIRCUMFERENCE . person.36.(+) lesion on the lower right area of the mouth .16.1 cm GRADE 3 Name: Maricel Bugtong Age: 9 years old – Moist skin with good skin turgor SKIN.(-) palpable lymph nodes .1. dry hair .(-) Bleeding gums . Red tongue .(-) Beefy.Alert NEUROLOGIC . NAILS .15..(-) Magenta tongue .(-) Altered mental state .(-) Spoon-shaped nails .2cm .7° C VITAL SIGNS .Thick.(-) corneal swelling 37 .(-)Swollen neck .T° . and place .Oriented to time. HAIR.RR – 24cpm .PR – 77bpm EYES .

Oriented to time. NAILS .(-) Bleeding gums .(-) palpable lymph nodes NEUROLOGIC .3 cm .(-) Altered mental state MUSCLE CIRCUMFERENCE MIDARM CIRCUMFERENCE TRICEPS CIRCUMFERENCE . dry hair .(-) cracks at the corner of the mouth THROAT AND MOUTH .PR – 68bpm EYES .18 cm . Tolingan Age: 10 years old – Moist skin with good skin turgor SKIN.(+) PERRLA NOSE . person.17. HAIR.2.(-) Magenta tongue .RR – 24cpm .Alert . and place .36.Thick.(-)Swollen neck .(+) secretions ..T° .(-) Spoon-shaped nails .(-) corneal swelling 38 .9° C VITAL SIGNS .moist .8 cm Name: Ruel M.symmetrical .(-) dryness . Red tongue .(-) Beefy.

Alert NEUROLOGIC . HAIR. and place ..(-) dryness .Oriented to time.18 cm .Thick.(-) cracks at the corner of the mouth THROAT AND MOUTH . Red tongue .2. person.(-)Swollen neck .(-)Paresthesia MUSCLE CIRCUMFERENCE MIDARM CIRCUMFERENCE TRICEPS CIRCUMFERENCE .6° C .(-) palpable lymph nodes .(+) PERRLA NOSE .5 cm Name: Holifield D.RR – 22cpm 39 . NAILS .T° . dry hair .(-) Beefy.(-) Bleeding gums . Alboros Age: 9 years old – Moist skin with good skin turgor SKIN.(-) Altered mental state .16.8 cm .(+) secretions .(-) Spoon-shaped nails VITAL SIGNS .36.(-) Magenta tongue .moist .symmetrical .

T° . HAIR..35.8 cm Name: Rey Domingo Age: 8 years old – Moist skin with good skin turgor SKIN.(-)Swollen neck .7° C 40 .Alert NEUROLOGIC .(-) secretions .(-) palpable lymph nodes . and place .moist .(-) corneal swelling EYES .(-) Bleeding gums .symmetrical .(-) dryness .(-) cracks at the corner of the mouth THROAT AND MOUTH .15.(-) Beefy. dry hair . person. Red tongue .2.7 cm .(-) Spoon-shaped nails VITAL SIGNS .Thick.(-) Magenta tongue .(-) Altered mental state .15.(+) PERRLA NOSE .5 cm .Oriented to time.PR – 74bpm .(-)Paresthesia MUSCLE CIRCUMFERENCE MIDARM CIRCUMFERENCE TRICEPS CIRCUMFERENCE . NAILS .

(-) secretions .(-) palpable lymph nodes . and place .3 cm . (+) scars reactive to light 41 .2. (+) lice Skin: dry.(-) corneal swelling EYES .(-) Altered mental state .18.(-) cracks at the corner of the mouth THROAT AND MOUTH .Oriented to time.(-)Paresthesia MUSCLE CIRCUMFERENCE MIDARM CIRCUMFERENCE TRICEPS CIRCUMFERENCE .5 cm . person.8 cm GRADE 4 Name: Edmund Manalingod Age: 10 years old SKIN.symmetrical .(-) Beefy. HAIR..PR – 79bpm . NAILS EYES Head: (-) lesions.17.(-) Bleeding gums . Red tongue .Alert NEUROLOGIC .(-) Magenta tongue .RR – 21cpm .(+) PERRLA NOSE .(-)Swollen neck .moist .(-) dryness .

7cm MAM:21cm TRICEPS:20mm Temp: 36. (+) lice Skin: moist Eyes: reactive to light 42 . NAILS EYES EARS NOSE THROAT AND MOUTH MUSCLE CIRCUMFERENCE MIDARM CIRCUMFERENCE TRICEPS CIRCUMFERENCE VITAL SIGNS Head:.4 PR: 48 RR: 20 Name: Clint Damurtis Age: 10 years old SKIN.8cm 24mm Temp: 36.8cm 17. (+) scars Eyes: reactive to light Ears: (-) serum. (-) lesions Lymph nodes: (-) tenderness MC:19. (+) lice / Skin: dry. NAILS EYES Head: (-) lesions.EARS NOSE THROAT AND MOUTH MUSCLE CIRCUMFERENCE MIDARM CIRCUMFERENCE TRICEPS CIRCUMFERENCE VITAL SIGNS Ears: (+) serum. HAIR.2 PR: 52 RR: 19 Name: Claudine Dominguez Age: 9 years old SKIN. (-) tenderness (-) tenderness. HAIR. (-) tenderness Nose: (-) tenderness. (-) lesions Lymph nodes: (-) tenderness 17.

(-) tenderness Nose: (-) tenderness.1 PR: 61 RR: 19 Name: Geroumel Lino Age: 10 years old SKIN.EARS NOSE THROAT AND MOUTH MUSCLE CIRCUMFERENCE MIDARM CIRCUMFERENCE TRICEPS CIRCUMFERENCE VITAL SIGNS Ears: (-) serum. (+) scars Eyes: reactive to light Ears: (-) serum. NAILS EYES EARS NOSE THROAT AND MOUTH MUSCLE CIRCUMFERENCE MIDARM CIRCUMFERENCE TRICEPS CIRCUMFERENCE VITAL SIGNS Head: (-) lesions.5cm TRICEPS:25mm Temp: 36. NAILS EYES EARS Head: (-) lesions.5cm MAM:23cm TRICEPS:15mm Temp: 35. (+) lice Skin: dry.7 PR: 64 RR:15 Name: Lloyd Manego Age: 9 years old SKIN. (+) lice Skin: dry. (-) lesions Nose: (-) tenderness. (-) lesions Lymph nodes: (-) tenderness MC:21. HAIR. (+) scars Eyes: reactive to light Ears: (+) serum. (-) tenderness. HAIR. (-) tenderness 43 . (-) lesions Lymph nodes: (-) tenderness MC:18cm MAM:18.

9 PR: 44 RR: 20 Name: Peirre D. NAILS EYES EARS Head: (-) lesions.4 PR: 71 RR: 22 Name:Weygan Basatan Age: 10 years old SKIN. (-) lesions Lymph nodes: (-) tenderness MC:24cm MAM:25.1cm TRICEPS:30mm Temp: 36. HAIR. (-) lesions Lymph nodes: (-) tenderness MC:19. (+) scars Eyes: reactive to light Ears: (+) serum. (-) lice Skin: dry.NOSE THROAT AND MOUTH MUSCLE CIRCUMFERENCE MIDARM CIRCUMFERENCE TRICEPS CIRCUMFERENCE VITAL SIGNS Nose: (-) tenderness. (-) tenderness 44 .5cm MAM:20cm TRICEPS:27mm Temp: 36. (-) tenderness Nose: (-) tenderness. Pablo Age: 9 years old SKIN. HAIR. NAILS EYES EARS NOSE THROAT AND MOUTH MUSCLE CIRCUMFERENCE MIDARM CIRCUMFERENCE TRICEPS CIRCUMFERENCE VITAL SIGNS Head: (-) lesions. (-) lice Skin: dry. (+) scars Eyes: reactive to light Ears: (-) serum.

Teresita 5. Alejo. Beroso. Tessie 8. Dominga 4.NOSE THROAT AND MOUTH MUSCLE CIRCUMFERENCE MIDARM CIRCUMFERENCE TRICEPS CIRCUMFERENCE VITAL SIGNS Nose: (-) tenderness. Alejo. blood pressure taking was also rendered to the community people. Roseann 13. Tony 7. Myrna 6. Devina 11. Arinos. BLOOD PRESSURE TAKING During home visits and activities conducted in the barangay. Bal-eng.5cm MAM:21. Bidana. Velario 3. Begseng.5cm TRICEPS:13mm Temp:35. Bumakil. Carbajal. Bumakil. Rosita 9. Begse. Vilis Age (y/o) 42 75 90 68 26 65 51 59 31 28 48 18 54 Blood Pressure (mmHg) 220/120 140/90 140/70 90/70 90/60 150/100 140/90 220/140 130/80 110/80 120/90 100/80 160/100 45 . Lourdes 12. Melagros 2. Chanang. The results are as follows: M1 (SEPTEMBER 2010) Name 1. Dave 10.6 PR: 59 RR: 23 A3. Bumakil. (-) lesions Lymph nodes: (-) tenderness MC:19.

Eleazar 27. Lucio. Isinon. Jane 23. Elena 32. Tamiray. Marina 17. Leavo. Pentiano.Darwin 18. Eddie 34. Codod. Thomasa 16. 2. Joe 30. Comia. Dominguez. Landy 29. Marie 31. 4. 3. Mhel. Ramon 20. Ester 25. Delico. Waklin. Colas. Name Gorence Mala Violeta Valdez Thelma Blas Mary Ann Bugtong Ana Incio Benita Antonio Dominga Maylon Age (y/o) 32 47 53 38 37 51 62 Blood Pressure (mmHg) 120/80 110/70 120/80 120/70 110/70 120/70 220/90 46 . 7. 6. Luz 15. Siong. Liza 22. Owengan. Rosa 33. Moris 21. Glory 30 43 45 37 60+ 31 70 29 55 50 36 55 44 71 64 45 77 34 42 57 45 110/70 150/80 130/90 120/100 100/80 120/80 100/80 130/90 140/100 180/110 140/90 130/90 120/90 180/100 140/120 110/70 110/60 100/70 110/70 140/80 110/60 M2 (AUGUST 2010) 1. Christina 28. Tancio. 5. Pablo. Marcelino 24. Xyla 19. Lindz 26. Manaligod. Kidmano. Tasyo.14. Waclin. Galvan.

Medardo Meylon 14. Roy Incio Age (y/o) 30 94 43 68 45 51 30 29 70 74 55 30 33 28 Blood Pressure (mmHg) 100/60 100/70 120/80 130/80 120/80 160/120 100/80 90/60 100/70 160/100 140/90 160/110 120/80 110/80 120/80 M4 (JUNE 2010) Otbong House # Name Age (y/o) Blood Pressure (mmHg) 47 . Mincy Policdas 6. Luciano Uyap 13. Jelo Catayao 4. Dam Ang 3. Mari Chris Tulingan 2. Irene Pacya 10. Benign Atingew 11. Anita Carap 13. Jaqueline Begseng 9. Caroline Mala 9. Molteng Alboros 7. Dario Diano 80 49 47 31 69 40 34 80 57 M3 (JULY 2010) 150/90 120/80 120/90 100/60 110/80 140/80 100/70 120/80 120/70 140/80 130/90 Name 1. Clarita Diano 15.8. Marcelia Moski 18. Jeffrey Carap 14. Mellita Carap 12. Dexter Diano 12. Magdalena Pilay 8. Jefrey Dayagan 5. Luisa Damurtis 15. Virgina Calsie 11. Marites Moski 17. Panopyo Calsie 10. James Moski 16.

Damian. Recardo Age (y/o) 25 45 Blood Pressure (mmHg) 120/90 130/90 Mangagew Name 1. Illion. Pilay. Atilas. Linda 5. Incio. Sima 2. Benjamin 2. Nena 4. Maleari. Siong. Blas. Kinsimah. Nanette 5. Lanro 3. Huwebes Age (y/o) 70 48 78 Blood Pressure (mmHg) 130/80 130/90 130/110 48 . Dominguez. Lamsis. Clarita 3. Osngaw. Lourdez Andres 2. Onsing 6.0133 1. Banasen. Gretchen 2. Becsang. Diano. Aquisan. Bumakil. Jaqueline Age (y/o) 25 58 51 29 Blood Pressure (mmHg) 110/70 120/80 110/80 110/80 130/90 Libacong Name 1. Lydia 7. Rose 52 56 63 57 51 61 150/100 90/70 110/ 70 100/70 130/90 170/100 120/80 Kawal Name 1. Magdalena 4. Norma 3.

3. Quinio. Moreno. Guey. 4. Cecilia Age (y/o) 52 55 80 56 30 60 54 73 Blood Pressure (mmHg) 150/110 140/110 160/90 170/110 120/80 130/80 100/70 120/70 Name 1. Bato. Lagada. Leyte 8. Berting Bruno. Masdag 2. Agadan. Matias Lozano. Flor Siong. Merly 10. 8. Suanding. Magtino. Solano. Janet 7. George 6.Melania Sang-it. Gloria Sangkel. Julius 5. Quinio. Bangdo. Umina 11. Gibson 8. 7. Tino 3.4. Ayorna 5. Waat. Simon 46 33 20 22 25 44 130/110 120/80 100/70 140/100 100/80 120/80 110/70 110/ 70 Bisal Name 1. Vicente. Dominguez 7. 6. Moreno Lozano. Beeny 6. Agadan. Lacquias. Neil Micheal Age (y/o) 80 78 54 56 78 74 54 52 15 Blood Pressure (mmHg) 140/80 190/100 170/110 140/110 130/100 120/90 140/110 110/90 130/80 49 . Martha 4. Rosa Begseng. Sagayo. Suanding. 5. Magtino. Salvador 9. Bibo 9. 2.

Paos. Lorna 15. Albano 28. Jose. Eldo 26. Rex 21. Calimoso. Paterno. Cristina 32. Candida 12. Gloria 29. Ricky 18. Paterno. Sigot. Tulingan. Boyay. Calimoso. Busakan. Paterno. Modi. Suaking. Junie 17. Betty 13. Garci. Roy 20. Ronnie 36. Tumilas. Sigot. Cawa. Paterno. Butchia 25. Claudine 31. Paterno. Jessica 34. Pabinal. Salamo. Dagtay 30. Florentino 16. Allan 35. Rolando 23. Paterno. Mila 77 58 44 38 25 56 50 19 17 39 19 22 54 43 9 19 48 77 38 65 28 36 61 29 37 28 51 130/70 170/90 120/90 130/90 150/90 160/100 130/90 110/80 150/80 110/70 140/100 140/100 140/80 120/80 110/70 130/90 110/70 140/90 100/70 150/100 110/90 110/80 160/100 100/80 120/80 120/90 120/80 50 . Roldan 19.10. Mary 33. Boyay. Garcia. Lydia 24. Cariday 11. Ramil 14. Hildo 22. Mino. Saturnino 27. Garcia. Aquisa.

Lorenza. Grace 40. Wakit. Jamie 44.37. Matso. Benjamin 42. Tino. Virginia 49. Jocey 43. Nicholasa 51. Paus. Deyosan. Carame. CASE FINDING M1 NAME Douglas Palos SIGNIFICANT FINDINGS Post Paralyzed • INTERVENTIONS AND HEALTH TEACHINGS Intervention: ➢ Passive ROM exercises Health Teaching: Unable to move the lower extremities 51 . Yolanda 41. Susana 48. Caseo. Matso. Manuel 47. Rhoda 38. Milo. Curiman. Lenon 39.Adela 28 28 27 24 69 48 47 26 48 59 68 33 57 47 69 110/80 120/80 120/90 110/70 190/150 130/100 120/70 130/90 130/90 110/70 120/70 130/90 120/80 120/80 120/70 A4. Rhelyn 45. Sofia 46. Salcedo 50. Gayumba. Caluza. Bumatas. Magtino.

• He claimed that sometimes he felt pain precipitated by swallowing of foods Hypertension (Post-Stroke) • Complains of left sided weakness and verbalized that she cannot move her left arm but can move her left leg minimally. . Sr. Goiter • Mr.5 in diameter and 5. Intervention: ➢ Assessed status of disease condition ➢ Referred to medical assistance Health teaching: ➢ • • • • • Goiter: Description of goiter Types of goiter Causes of goiter Treatment/ Management of goiter Prevention of goiter Dominga Arenos Intervention: ➢ Assisted Range of Motion Exercises ➢ BP Monitoring Health Teaching: ➢ Stroke Rehabilitation • Definition • Risks for another stroke attack • Complications • Managements ➢ Arthritis • Definition • Signs and Symptoms • Managements ➢ Range of Motion Exercises • Definition 52 Arthritis • Condition is manifested by swollen and misaligned joints of both arms with tenderness.➢ Constipation • Advised client on high fiber diet • Advised activity like passive ROM exercises with the wife • Advised client to increase fluid intake Dave Bumakil. Dave has a lump on his neck measuring 7.5 in height • He stated that the lump started to grow since he was a teenager but was not able to consult a physician.

• • • Dave Bumakil Jr. Intervention: ➢ Performed umbilical cord care Health Teaching: ➢ Taught mother how to properly clean the umbilical cord clamp ➢ Identified to the mother the different signs of infection. No foul smell No redness on surrounding area Importance Guidelines Steps Intervention: ➢ Performed umbilical cord care Health Teaching: ➢ Taught mother how to properly clean the umbilical cord clamp ➢ Identified to the mother the different signs of infection. No foul smell No redness on surrounding area • • It is dry and skin is intact M2 53 . Newborn • Umbilical cord clamp is colored dark greenish brown. Newborn • Umbilical cord clamp is colored dark greenish brown. • • It is dry and skin is intact Dave Bumakil Jr.

rales) smoking for own benefit breath sounds heard Health Teaching: over both lung fields ➢ Cigarette and smoking • RR=20cpm concepts • No nasal flaring or • Initial steps on how to any signs of difficulty quit smoking of breathing • Side effects of smoking • Client is a smoker • Different nicotine consuming 2 cigarette replacement products packs a day different cigarette substitute • Rewards of quitting smoking SIGNIFICANT FINDINGS Delayed Developmental Status • Doesn’t play interactive games with other child nor with her younger brother No evidence of parallel play Failure to put her clothing on her own (-)imitation of vertical lines (-) verbalization of any words (-)balancing in one foot (-) jumping in place Failure to follow directions (-) response when being talked Intervention: ➢ Built rapport to the child as well as to other family members ➢ Communicated with the child therapeutically ➢ Encouraged the parents to communicate therapeutically with the child most of the time ➢ Instructed the parents not to leave the child alone ➢ Encouraged the parents to notify their clinic for further assessment on the child’s problem Health Teaching: ➢ Encouraged the parents to teach the child about self feeding and clothing 54 April Jane Moski • • • • • • • • .NAME Dexter Diano INTERVENTIONS AND HEALTH TEACHINGS Cough Intervention: • Presence of non ➢ Auscultated lung fields for productive cough crackles or rales • No adventitious ➢ Encouraged to start quitting (crackles.

toes and knees . pants) on cold weather ➢ Visit the Health Center when cough persist despite the remedies done Intervention: ➢ Monitored BP Health Teaching: ➢ Hypertension Medardo Meylon Hypertension • Blood pressure of 140/30 mmHg • • • Maria Meylon Rheumatoid Arthritis • Signs and symptoms Activities that prevent hypertension Ways to prevent hypertension Intervention: ➢ Physical assessment specifically on inflamed joints Health Teaching: ➢ Identified home remedies for rheumatoid arthritis like application of alternating cold and warm cloth on the area every 5 minutes for pain relief. Adequate exercise and activity. and getting plenty of 55 Inflamed joints noted specifically on hands.➢ Encouraged them to provide nutritious and adequate food for the child Virginia Calsie Cough • With nonproductive cough but with no abnormal breath sound upon auscultation Intervention: ➢ Auscultated for lung sounds and assessed breathing pattern Health Teaching: ➢ Increase oral fluid intake preferably lukewarm water ➢ Wear appropriate clothing (sweater/ jacket.

rest and sleep for a range of 8-10 hours a day. regular in rhythm Lack of ventilation around their house . ➢ Coordinate with the Barangay Health Center and know the services they 56 • • Wheezes heard on both lung fields upon auscultation With deep respirations. M3 NAME Mrs. Colas SIGNIFICANT FINDINGS Cough • INTERVENTIONS AND HEALTH TEACHINGS Intervention: ➢ Offered fluids as tolerated by the patient. ➢ Opened the windows. – HR=90 bpm • Fine crackles auscultated at lower lobes of both lungs • Occasional nonproductive cough Presence of Wound • Scars prominent at lower extremities • Undesirable smell • Intervention: ➢ Auscultated lung fields for presence of adventitious lung sounds ➢ Physical assessment Health Teaching: ➢ Proper hygiene ➢ Management and prevention of cough ➢ Risks of continuous use of cigarette and alcohol drinking ➢ Management on wounds and prevention of infection. ➢ Elevated the head of the bed of the patient. ➢ Identified herbal plants that could help in the management of rheumatoid arthritis like drinking powdered ginger to reduce symptom of rheumatoid arthritis and pineapple juice to prevent inflammation. – RR=20cpm. Dario Diano Cough Vital Signs: – BP=130/90 mmHg.

Health Teaching: Immobility ➢ Cough • Broaden the knowledge of the family about the nature of cough. Chapiz Family Improper Hygiene Mark Tolingaen Infected Wound Intervention: ➢ Wound Care Health Education: 57 . • Demonstrate how to use herbal medicines to relieve cough.• Polio • Presence of retained secretions can provide to the community. • Discussed on what are the interventions done if with skin problem. ➢ Assessed for skin problems. Health Teaching: ➢ Hygiene • Discussed what is hygiene • Discussed the advantages of proper hand washing. • Discuss the appropriate interventions of cough. Intervention: ➢ Assessed client’s knowledge about proper hygiene. • Described the steps of proper nail care. ➢ Assessed cleanliness of nails. • How to prevent tooth decay. ➢ Assessed for mouth problems. Demonstrated proper hand washing technique.

etc. practices. ➢ Encourage the family to consider modifications in lifestyle. ➢ Encouraged the family to help/provide her all her needs.➢ Educate family on health deficit present which includes its definition. • Discussed the signs and symptoms. signs and symptoms. ➢ Reinforce client’s family knowledge on the wound care. ➢ Encouraged the family to provide safety and security. ➢ Encourage the whole family to be more participatory in the management of present health deficit and other health threats. possible causes. possible effects if unresolved and management of complication of wound. Susan Tolingaen Meningitis • Doctors diagnosed it as meningitis but the family believes that it is cause by witchcraft practices Intervention: ➢ Assessed the patient’s condition. • Discussed the causes. • Defined wound infection. to manage the condition more effectively. • Ways to manage the problem and ways to change their practices. Health Teaching: ➢ Trained the patient’s family to do passive exercise specifically her legs and 58 . ➢ Proper way of cleaning the wounds.

poultry. place. Intervention: ➢ Instructed and assisted the patient to eat onions. and person.arms.6°C RR: 19cpm PR: 67bpm Patient is conscious. ➢ Encouraged the family to always talk with her to assure the patient that she has her family’s support. and planted onions at their backyard ➢ BP monitoring ➢ Performed Physical Assessment (Assessed the patient’s eyes) ➢ Referred patient to the Barangay Health Worker Health Teaching: ➢ Hypertension • Discuss with the family through home visit the possible causes of hypertension to prevent the disease from occurring. (+) redness in both eyes Vital Signs: Temperature : 36. oriented to time. • Discuss the necessary measures through lecture to prevent hypertension • Educated the patient about the appropriate diet regarding his condition. (+) cloudiness. Molteng Alboros Hypertension • • • • • • • • • • • – – – • • BP: 160/100 mmHg on Left Arm sitting (+)dizziness (+)nape pain (+)tremors (+)varicosities on both feet (+)Non-pitting edema Cannot sleep at night With presence of headache With mass over right big toe Eyes: with irreversible blindness. ➢ Encouraged the family not to leave the patient alone to ensure her safety. 59 . awake Diet: – 4 full cups of Coffee a day – Excessive sodium intake – Low intake of meat.

etc.Milk. fruits. • Lifestyle: – Sedentary Lifestyle – Stays at home – Sleep deprivation Anita Carap Hypertension • 45 years old • Right sided paralysis • Irreversible blindness • Slurred speech • BP: 140/90 Presence of Wound • Wound in dorsum of hands and back Poor Hygiene Intervention: ➢ Monitored BP ➢ Assessed predisposing factors ➢ Promoted personal hygiene by trimming nails and wound care Health Teaching: ➢ Encouraged to turn side to side every 2 hours ➢ Encouraged SO to facilitate turning patient ➢ Encouraged to ambulate if tolerated Intervention: ➢ Monitored BP ➢ Assessed predisposing factors ➢ Promoted personal hygiene by trimming nails and wound care Health Teaching: ➢ Encouraged to turn side to side every 2 hours ➢ Encouraged SO to facilitate turning patient ➢ Encouraged to ambulate if tolerated Intervention: ➢ Monitored BP during the rotation ➢ Assessed possible complications ➢ Assessed predisposing factors 60 Benigno Atingew Hypertension • BP 180/100 • Palpable pulse • Impaired hearing Arthritis Mellita Carap Hypertension • 79 years old • BP 160/100 • 150/90 next taking of BP • Eye cataract present • Works as a farmer .

Health Teaching: ➢ Instructed to eat or include garlic in diet ➢ Instructed to avoid coffee ➢ Instructed to take rests and avoid strenuous activity M4 NAME SIGNIFICANT FINDINGS INTERVENTIONS AND HEALTH TEACHINGS Intervention: ➢ BP Monitoring ➢ History taking ➢ Physical Assessment Health Teaching: ➢ Emphasized the importance of adequate rest and sleep of about 8-10 hours ➢ Encouraged to increase intake of iron-rich foods such as green leafy vegetables ➢ Emphasized importance of having check-ups when frequent dizziness is experienced ➢ Encouraged to increase fluid intake especially water and fresh fruit juices Intervention: ➢ BP Monitoring ➢ History Taking ➢ Physical Assessment Health Teaching: ➢ Smoking and Alcohol Drinking Discussed and determined the consequences of smoking and drinking alcohol habitually. 61 Gloria Begseng Anemia • Complained of nape pain and dizziness (symptoms of Anemia) BP of 130/90 mmHg Verbalized that she was diagnosed of anemia for the past years • • Cough and colds • Verbalized that she is self medicating Benjamin Aquisan Unhealthy lifestyle and personal habits/practices • • Smokes Drinks alcohol Hypertension • BP: 150/90 mmHg • .

➢ Hypertension Emphasized the importance of low fat and low salt intake. Discussed the different benefits of quitting cigarette smoking and drinking alcohol. Umina Vicente Dry Cough • • No secretions No abnormal lung sounds auscultated Intervention: ➢ Assessment especially respiratory status ➢ Deep Breathing Exercises Health Teaching: • • ➢ Cough Encouraged liberal fluid intake especially water Instructed to avoid smoking and stay away from secondhand smoke Demonstrated deep breathing exercises Advised to implement preventive measures to avoid spreading microorganisms such as covering of mouth while coughing Encouraged steam inhalation • • • 62 . Assisted to identify ways to reduce stress and relaxation techniques. Emphasized the importance of lifelong medications and need for follow up treatment.• • • • • • Discussed the different ways on how to quit smoking and drinking alcohol. Instructed to keep a diary of blood pressure.

63 Pain upon urination • • • • • . ➢ Urinary Tract Infection Discussed UTI/ Urinary Tract Infection and emphasized the importance of increasing fluid intake. the cause and possible remedies which includes the use of garlic and other herbal plants ➢ Emphasized on the importance of exercise. how it is transmitted and the home remedies. Encouraged avoidance of junk foods which are very rich in sodium. Encouraged to urinate whenever needed. low fat and sodium diet • Blood pressure of 150/ 100 mmHg Complained for nape pain Shaira Marie Becsang Cough and Colds Urinary Tract Infection • Intervention: ➢ Physical Assessment ➢ History Taking Health Teaching: • • ➢ Cough and Colds Encouraged liberal fluid intake especially water Advised to implement preventive measures to avoid spreading microorganisms such as covering of mouth while coughing Encouraged steam inhalation Discussed what is cough and colds.Jaquelyn Becsang Hypertension • Intervention: ➢ Checked/ Monitored Blood Pressure Health Teaching: ➢ Discussed what hypertension is.

➢ Instructed to boil water before drinking ➢ Advised not to eat raw vegetables unless cooked 64 . ➢ Encouraged proper handwashing before and after handling foods.• Valerie May Becsang Cough and colds Amoebiasis Encouraged proper hygiene. Intervention: ➢ Physical Assessment ➢ History Taking Health Teaching: ➢ Encouraged liberal fluid intake especially water ➢ Encouraged intake of vitaminrich foods to increase immunity ➢ Discussed what is amoebiasis and the source of it.

Begseng. Jezebel A. 6. 5. 8. 3. Angel A. 10. Kenith M. Mallare. A6. Rommel S. Encouraged to provide adequate rest and comfort. 4. 2. FEEDING PROGRAM (M2) NAME 1. Yves M. Incio. Jay R K. Jansen B. Layog. Calado. 9. 7. Incio.Princess Xyra Cardinas Incomplete Immunization • • Intervention: ➢ Physical Assessment ➢ History Taking Health Teaching: • Thin Had fever but unrecalled body temperature • • • • • • ➢ Immunization Emphasized the importance of complete immunization Taught on the advantages and the benefits of the different types of immunization Taught on ways to boost up the immune system Encouraged increase in fluid intake to reduce the risk for dehydration. Piok. Marphyle L. Lordan V. Sinot. Polkero. Saoyao. Emphasized the importance of serving nutritious food. WEIGHT MONITORING (M2) NAME BODY MASS INDEX BIRTHDATE (MM-DD-YY) 65 . Informed about the food groups that will promote nutrition to the child A5. Valerie L.

Calado. 9. 35. 50.66 15. Alides. Alides. 46. 7. 6. Botic. 5. Bugtong. Jansen B. Rosendo Layog. Jim Incio. Douglas 3. Awas.94 17. Jay R K. Polkero. Eliseo 14. Begseng.46 16. 44. Valerio Mendoza. 48. Filbert 18. Blas. Raul Sr. 49. Incio. Renante Incio. Marcela 5. 8. Awas. Daniel Maniago. Gabriel 19. 40. Berto 2. Ponciano 6. 43. Atingog. Amelina 12.1. 45. Alboros. 10. 37. Sinot. Yves M. 47.30 15.78 18 15. Alboros. Antonio. Agosto Pacya. 51. 9. Roland Incio. Mallare. 2. Alboros. Basatan. BENGUET) 1. 4. Raymund Incio.78 06-12-05 05-15-06 01-04-06 10-24-04 01-23-06 06-18-05 01-13-06 03-02-06 06-13-05 06-06-06 M3 (KAWAL. Amos. Bryan Manaligod. Bugtong. 41. Jezebel A. Piok. Celestino Pakidao. BOKOD. Valerie L. Bugtong. BOBOC. 52. Rufino 16. Angel A. Dontogan. Marphyle L. LIST OF FAMILY SURVEYED 17. Marcos 7. Lorena 4.37 15. Lordan V. Alboros. 36. Chicnay Pablo.38 18. Avelina 13. Ian Pesteloz. Ernesto Dontogan. Saoyao. Benigno 11. Domingo 10. Incio. Begseng. A7. Randy 34. Alboros. Nardo Incio. Brendo 15. Kenith M. Leon Oyap. Layog. Rommel S. Paul 66 8.87 15. 39. Dionesio Incio. 3. Juanito Esco. Ponciano 17. Orbin . 42. 38. Manano Marcelino.

55. Bugtong. Calado. Colas. Colas. Chapis. DISCUSSIONS DURING THE NIGHT CLASS (M4) EXPANDED PROGRAM ON IMMUNIZATION (EPI) Minimum Minimum Number st Vaccine Age at 1 Interval of Doses Dose Between Doses BCG Birth or anytime after birth 6 weeks 6 weeks 1 Reason BCG given at earliest possible age protects the possibility of TB meningitis & other TB infections in which infants are prone. Dincio. Luid Sabungan. Salvador 26. 57. Polkero. Catayao. Willy Sr. 54. Jose 32. Andrew Sabongan. Diano. Nestor 22. Evelyn Tolingan. B reduces 67 DPT OPV 3 3 . Catayao. Efler Sinot. 56. Efipanio Tolingan. Dontogan. Damortis. Melita 23. 65. Telog 25. Delos Santos. Ricardo 27. Pedro Sinot. Talbase. Johnny Sinot. Carap. Reynaldo 21. Karen Sinot. Arlene A8. Franklyn Waclin. 4 weeks 4 weeks An early start with DPT reduces the chance of severe pertussis The extent of protection against polio is increased the earlier the OPV is given Keeps the Philippines polio free Hep B At birth 3 6 weeks An early start of Hep. Rafael 33. 64. Luzviminda Saoyao. 59. Thomasa 28.20. Lito 24. Pepito Sinot. 66. Conen 53. 58. 61. 60. Jenethz 30. Dexter Sinot. Ceasar 29. Diano. 63. Dexter 31. 62.

8 weeks interval from 2nd dose to 3rd dose the chance of being infected and becoming a carrier Prevent liver cirrhosis and liver cancer.5 ml Hep B 0.5 ml 2 drops or depending on manufacturer’s instructions Route of Administration Intradermal Intramuscular Oral Subcutaneous Intramuscular Site of Administration Right deltoid region of the arm Upper outer portion of the thigh Mouth Outer part of the upper arm Upper outer portion of the thigh Measles 0.5 ml 68 .interval from 1st dose to 2nd dose. pneumonia. malnutrition. diarrhea (at least 20 %) get these complications from measles.05 ml 0. About 9000 die of complications of HB 10% of the Filipinos have chronic HB infection Eliminate HB before 2012 (a Western Regional Goal) Measles 9 months 1 At least 85% of measles can be prevented by immunization at this age Prevents death (2% die). etc. Eliminate measles by 2008 ADMINISTRATION OF VACCINES Vaccine BCG DPT OPV Dose Infants 0.

and to the daughter of the municipal mayor. 2010 (Monday) OBJECTIVES ACTIVITIES  To conduct  Courtesy call to the courtesy municipal health center call to the  Rechecked tally and municipal interpreted the family health survey center. barangay health center and the municipal mayor  To conduct ocular EVALUATION  Able to do courtesy call to the municipal health center.  Wasn’t able to do ocular survey to Otbong because of inadequate time to travel and unpredictable 69 . 2010) DATE September 6. mayor wasn’t around.SUMMARY OF ACTIVITIES (GHANTT CHART) GROUP M1 (SEPTEMBER 6-7/13-15/20-21.

2010 (Wednesday)  To be able to clean the herbariu m of  Cleaning of herbarium  Passed a copy of graphs for interpretation to the public health nurse  Able to weed out the herbariums at Kawal Elem. 2010 (Tuesday)  To conduct school health teachin g in Otbong Primary School Otbong Case finding – Establish rapport Coordinated to the primary teacher of Otbong Elem. School 70 .September 7. a post stoke patient  Conducted Home Visit to our families  Conducted health teaching on each family  Conducted school health teaching in Otbong Primary School about hygiene and nutrition September 15. 2010 (Tuesday) September 13. School for school teaching Immunization BP Taking Home visit – Establish rapport – Physical Assessment – Identify strengths and weakness of the family – Health Teaching  BP Taking  Preparation of materials for school teaching  School Teaching: Grade I – Hygiene – Handwashing Grade II – Nutrition: Food Groups  Physical assessment of Students  Able to do ocular survey at Sitio Otbong  Able to find cases for FNCP and visited one. 2010 (Monday) survey at Sitio Otbong  To conduct ocular survey and case finding at Sitio Otbong for our Family Nursing Care Plan (FNCP)  To conduct home visit to our assigned family weather  Ocular survey at Sitio      September 14.

Mauricio T. 2010) Week 1 Day 1 Date: 09 August 2010 OBJECTIVES: > conduct courtesy call to the Municipal Mayor.September 20. 2010 (Monday) Kawal Elem. Mrs. >Departure time: 07:10 am >went directly to Bokod. to the Rural Health Unit Personnel and do ocular survey. School  Home Visit  Continu e Assess ment with Familie s in Poblacion and midwife of Bobok  Home Visit – Community Immersion – BP Taking  Not all of the September 21. Municipal Hall to do courtesy call to the Mayor >arrived at the Municipal Health Office (MHO) for a brief orientation on the current health status of the residents of Bokod given by MHO personnel: Ma'am Brigitte Sanone (Medical Technologist) and Ma'am Wales ACTIVITIES: 71 . Hon. Arinos who died.  Able to terminate properly with our clients  Cleaned the staff house GROUP M2 (AUGUST 9-11/16-17/23-24. Macay. 2010 (Tuesday)  Termin ation Phase  Termination Phase  Cleaning of Staff house groups for FNCP were able to conduct home visit because the whole group had a community immersion with the burial of one of a client.

Even though Ma'am Irene was unavailable that day. Mrs. confirmation was still done and accomplished with the help of several residents. names and location of the unsurveyed households were confirmed by Sitio Kawal resident. 72 . acquire information from the Municipal Health Office and ocular survey was done. thus.>went to see Ma'am Irene Pacya (Barangay Health Worker-Sitio Kawal) but was unavailable. Jenelyn Insio >headed for an ocular survey >went back to the staff house located in Kawal Elementary School EVALUATION: >objectives were met since the group was able to: meet the municipal Mayor.

I. together with the group leader and secretary for that day departed Libacong. assess their living conditions and accomplish Initial Data Base >meet Bobok's barangay officials ACTIVITIES: >by 8:15 am. the group started to hike and arrived at Libacong by 9:00 am >the group was tasked to pair up and look for a family client. Bokod and at the same time. The barangay chairman and the midwife were unavailable. passed Nganuan to meet Bobok's Barangay Officials >barangay captain was not present that's why courtesy call was done to Kagawad Julio Dell instead >after visiting families in Libacong. Week 1 Day 3 Date: 11 August 2010 OBJECTIVES: >meet the Barangay Health Worker of Bobok. the group worked to tally the census survey that was started by the previous group EVALUATION: >objectives were partially met since not all of the pairs had the chance to have their family client. Unluckily. C. many houses were found to be locked which made the client finding difficult for several pairs some pairs who had immediately found their clients were able to accomplish the initial data base right away through observations and interviews >by 11:00 am. Bobok-Bisal.Week 1 Day 2 Date: 10 August 2010 OBJECTIVES: > to choose family clients from Libacong. Bokod to clarify CBMIS >assist midwife at the Barangay Health Center ACTIVITIES: >departure from Kawal Elementary School at around 8:00 am after attending school's flag ceremony 73 .

Mrs. >performed BCG. DPT. the assisting and the tallying group switched places so that everybody is given the chance to perform a skill. met the midwife (Mrs.>reached the Health Center. Catalina Segundo) and familiarized the center's set up >half of the group assisted with the procedures done at the health center while the other half remained outside to continue the tallying that was not finished the other night. After sometime. Irene Pacya to verify and confirm data and information on CBMIS EVALUATION: >objectives were met. anti-measles immunizations and OPV administration on infants >assisted in DMPA vaccinations of mothers >performed wound care >met BHW. The group assisted in the Health Center and has interacted with the BHW who verified information on CBMIS Week 2 Day 1 Date: 16 August 2010 OBJECTIVES: >to conduct home visit to each subgroup's family client >perform a thorough physical assessment on our clients >continue accomplishing the Initial Data Base and start with the first level assessment ACTIVITIES: >Departure time: 7:15 am >by 11:00 am. the group started to hike towards Libacong and arrived at around 11:30 am >met our family client and started conducting physical assessment and interview >did BP taking >returned to the staff house in Kawal EVALUATION: >objectives were met since all subgroups were able to assess their 74 .

the group went to the Day Care Center and started the program with a prayer >the group facilitated the game "bring me" and others such as coloring activity >we did physical assessment on the Day Care pupils: age. height. arm circumference. PERRLA. accomplishing initial data base (for some) and starting the first level assessment Week 2 Day 2 Date: 17 August 2010 OBJECTIVES: ACTIVITIES: >to fence and fix the herbarium in Kawal Elementary School >attended the flag ceremony in Kawal Elementary School >removed and cleaned unnecessary weeds in the herbarium >started to fence the herbarium at around 8:45 am by using the woods and logs prepared by the grade six Students >made "sampayan" beside the Home Economics room >departed Kawal by 2:00 pm EVALUATION: >objective partially met since the other herbarium was not yet fenced Week 3 Day 1 Date: 23 August 2010 OBJECTIVES: >to perform feeding program in Kawal Day Care Center >to do physical assessment on the Day Care pupils >to do comprehensive physical assessment of every subgroup's family client ACTIVITIES: >the group attended the morning flag ceremony >by 8:30 am.client and establish rapport. weight. thereby. triceps skinfold thickness >we ended the program by feeding the children with the food that 75 . temperature.

BP taking. but many worthy activities were done and accomplished in lieu of painting the fence of the herbarium GROUP M3 (JULY 12-14/19-20/36-37. which is painting the fence of the school herbarium was not done because there was no available paint >the group decides to return to Libacong for the last time and the four pairs who had gone back encounteredtheir family clients. Week 3 Day 2 Date: 24 August 2010 OBJECTIVE: ACTIVITIES: >to be able to paint the fence of the herbarium >the planned activity for the day. went to meet the Kagawad for health and BHW but were not around that time >a pair went to search for their family client's residence and returned by 2:00 pm >departed Kawal Elementary School EVALUATION: >objective was not met. 2010) Date: June 12. the group hiked for Libacong to meet our family clients and did Physical Assessment EVALUATION: >we were able to accomplish the feeding program and physical assessment of the pupils. Objectives were fully met. together with CI. additional health teachings were done >some members. 2010 Objectives: 76 .the group has prepared >by 11: 30 am.

they allowed us and together with Mrs. Catalina Segundo regarding CBMIS Coordinate with ma’am Magdalene Pilay regarding health teaching to the kindergarten class To have courtesy call with Brgy. 2010 Evaluation: Objectives: • • • Case/family finding Blood Pressure taking Health teaching Coordinate with Mrs. courtesy call at the rural health unit and municipal hall. Catalina Segundo (midwife at Bobok-Bisal) Ma’am Brigitte Sanone (medical technologist) and Ma’am Ignacio Fabiola (rural sanitary inspector) • • • Coordinated with ma’am Segundo regarding CBMIS and other concerns and information we need for the updates of CBMIS. Important people met: Hon. Lilian Velasco (MHO).• • • • • To conduct courtesy calls Ocular survey Spot mapping Suppose to have courtesy call with the barangay captain of Bobok-Bisal but was not around Went to Kawal Elementary school and spoke to Mr. Mauricio Macay (mayor). we fixed the HE room. Activities: • Went to Bokod Poblacion. Objectives were partially met. Herbarium make-over • • • • Activities: 77 . school principal. some important personnel (Brgy. Date: July 13. Captain of Bobok-Bisal. Johnny Bugnay. Dr. Daisy Sinot (Grade 6 teacher). Went back to Bobok-Bisal and had ocular survey as well as update the spot map. if we can stay at the school (serve as our quarters). Captain and BHW) were not met this day and spot map was not yet finalized. Ma’am Francisca Galunza (midwife at Dadan) and Mrs.

2010 Objectives: • • Census at Sitio Kawal Case finding for the four children Evaluation: Activities: Activities: 78 . 2010 Evaluation: Objectives: • • • Health teaching to kindergarten students Case finding for the 4 students Case finding: the four students went to find their own family. • • In the afternoon. ma’am Irene Pacya recommended. The four students did not have their family yet since the families recommended were either not around or not willing. Captain but he was not around. They also coordinated with Ma’am Magdalene Pilay regarding health teaching to Kindergarten class. BP taking and Health Teaching Four students accompanied Mr. They were supposed to have a courtesy call with Brgy. students were divided into 2 groups to improve the 2 herbariums Objectives were partially met. • • Nutritional assessment was done to grades 1 and 2 The objectives were partially met since the group did not have the chance to do the health teaching to the kindergarten students due to the unexpected rainy weather but still thought of another activity which was nutritional assessment to grades 1 and 2. There were four families that the brgy. Date: July 14. Jaylord Indalos. Captain was not around for courtesy call. 4 students did not have their family clients yet. Health worker. Brgy.• • Attended flag ceremony at around 8:00 am in Kawal Elementary School 8 students went for case finding. They want to find the four families the BHW recommended. coordinated with Ma’am Catalina Segundo regarding CBMIS. Date: July 19.

They gathered information and identified family problems. The group of grades 5 and 6 proceeded to nutritional assessment while the other group went for health teaching. Date: July 20. After 1 hour and 30 minutes.• • Departure time: 7:00 am Arrived at Sitio Kawal at 10:00 am Ma’am Irene Pacya accompanied the group around Kawal while doing the survey. The group for grades 3 and 4 performed nutritional assessment first. the group went to visit their families. 2010 Objectives: • • • • • • Health teaching on grades 3 and 4 about hygiene Health teaching on grades 5 and 6 about changes during puberty and alcoholism and vices Nutritional assessment on grades 3 to 6 Home visit Family finding for the four students The group was divided into two: group for grades 3 and 4 then the other group for grades 5 and 6. The other group started with the health teaching for grades 5 and 6. Activities: • • After the activities in Kawal Elementary School. their age and birthdate and if they are family planning acceptor • • Went back to Ma’am Irene Pacya’s house to update and finalize the forms There were 8 houses that were not yet surveyed so 10 of the students find these houses to be updated Evaluation: • Objectives were partially met since the census was done but the four students do not have their family yet. The group interviewed at least one member of each household regarding the questions in the survey form which includes the number of person living in that particular house. The four students searched for their families Evaluation: 79 . the groups changed activities.

• Objectives were met. The group was able to visit their own family and finally. 2010 Objectives: • • • • • • Plant more herbal medicine in the herbarium Final touch in the herbarium General cleaning of the HE room Plated herbal medicines in the herbarium and relocated some plants Painted some parts of the herbarium Conducted general cleaning of the HE room then prepared for departure Activities: Evaluation: Activities: Evaluation: 80 . the four students found their families. Date: July 27. 2010 Objectives: • • • • • • • • • Census 20 houses left Health teaching to the families Group ARAS Departure time: 7:00 am We went to ma’am Irene Pacya’s house to ask the location of the 20 houses but she was not around because she was confined Since we cannot proceed to the census we just visited our families and conducted health teaching Since we were able to finish early. we just went back and fixed the herbarium Conducted group ARAS after dinner Objectives were partially met since the census was not done but the health teachings and ARAS went on smoothly. Health teaching and nutritional assessment were done from grades 3 to 6. Date: July 26.

➢ To coordinate to the Teacher. Proper Nutrition and Urinary Tract Infection (UTI). ➢ To coordinate with the Principal of Kawal Elementary School about health status of students and activities to be conducted such as Health teaching on Cough and Colds. Diarrhea. ➢ Courtesy call to Barangay Officials and to the Midwife. 2010) 1st WEEK DATE June 14. family initial database gathering and health teachings at sitio Mangagew. ➢ To conduct ocular survey. operation BP. 2010 ➢ To conduct ocular survey. Proper Hygiene. home visit. home visit. family initial database gathering and health teachings at sitio Bisal. June 22. home visit. ➢ To conduct ocular survey. home visit. family case finding.• Objectives were partially met since we finished the beautification of the herbarium and we conducted general cleaning in the HE room. ➢ Preparation of the staff house and delegation of task during the whole rotation of group M4. operation BP.in. Sangunian officers and to the Municipal Health Officer/ PHN. family initial database gathering and health teachings at sitio Otbong. 2010 2nd WEEK DATE June 21. 2010 OBJECTIVES ➢ Courtesy call to the Municipal Mayor. operation BP. giving of medicines like Paracetamol and to conduct Operation Timbang on students. family case finding. 2010 OBJECTIVES ➢ To conduct ocular survey.charge about the health status of students and activities to be conducted such as Health Teaching on Proper Hygiene. GROUP M4 (JUNE 14-15/21-23/28-29. operation BP. family case finding. family case finding. family initial database gathering and health teachings at sitio Kawal and Libacong. ➢ Journal sharing. June 15. 81 .

➢ General cleaning of the staff house. cough and colds. June 29. 2010 OBJECTIVES ➢ To attend oath taking of newly elected officials at Bokod Municipal Hall. ➢ To conduct ocular survey. family case finding. operation BP. ➢ To conduct a school health teaching at Kawal Elementary School and discuss about proper nutrition. diarrhea and UTI. ➢ To coordinate with the Principal of Bisal Elementary School about health status of students and activities to be conducted such as Health Teaching on Proper Hygiene and Proper Nutrition. ➢ Render a group performance for the community folks through the singing of the Ibaloi song “Eskoyda” which means Education. 2010 ➢ To conduct ocular survey. June 23. 3rd WEEK DATE June 28. ➢ Revised accomplishment report. family initial database gathering and health teachings at sitio Cobabeng. ➢ To coordinate with Kawal Elementary School’s principal regarding the planned school health teaching. family case finding. family initial database gathering and health teachings at sitio Central Boboc ➢ ARAS. home visit.➢ Courtesy call to the Barangay Captain of Bisal. home visit. operation BP. 2010 ACCOMPLISMENT REPORT By Group M4 1ST WEEK 82 . personal hygiene.

Lilian C. Spot mapping.Daclan). ➢ Visited Kawal Elementary school and had courtesy call to the Principal Mr. Fabiola C. Family Case Finding and Family Initial Database Gathering at Kawal and Libacong. Carolina Colas to conduct a health teaching regarding Cough and Colds. ➢ Coordinated with the School Head Teacher of Bolo Elementary School. 2010 2ND WEEK DATE June 21. Francisca S. ➢ Continued home visits. Proper Hygiene. Operation BP. Case finding. 2010 ACTIVITIES ➢ Conducted Ocular survey. Segundo (Midwife II. Gathering of Family Initial Database and Individualized Health Teaching at Otbong. Catalina S. Bobok. Aurelia L. Johnny Bugnay. to be endorsed to the incoming group. operation BP. Ignacio (Rural Sanitary Inspector). Catino (Midwife III. Diarrhea. Mauricio T. to the RHU personnel: Dr. 2010 ACTIVITIES ➢ Courtesy call to Mrs.DATE June 14. Home visitation. Macay). June 15. Home visitations. Home visitations. Barbara B.Bobok. Brigitte M. Proper Nutrition and Urinary Tract Infection (UTI) upon the availability of time and if not possible. and the principal requested to conduct Health Teaching on Proper Hygiene. Operation BP. Galunga (Midwife III. Senone (Medical Technologist). Operation BP. Proper Nutrition and Sex Education which will we conducted with the student’s parents.Bisal) and to the Police Leaders ➢ Continued Ocular Survey. ➢ Courtesy call to the Municipal Mayor (Mr. Mrs. Catalina Segundo (Bobok District II Midwife) and Kagawad Josepha ➢ Located and cleaned the Staff house ➢ Conducted Ocular Survey. Family Initial database gathering and individualized Health teaching at Mangagew. Wales (Municipal Health Nurse). family initial data base 83 .Bila. Velasco (Municipal Health Officer).

and individual health teaching at Boboc Proper ➢ Conducted Group ARAS June 22. Reiterated on their request on the seminar. And Grade 5 with the same topics taught by Eunice Basali and Jill Canuto. family initial data base gathering and individualized health teaching in Boboc Proper 3RD WEEK DATE June 28. ➢ Conducted courtesy call to the Barangay Captain’s wife since the Barangay Captain is in Baguio for some reasons. Johnny Bugnay for the conduct of Health Teaching. Isabelina Lingayo. 2010 ACTIVITIES ➢ Attended and participated at the Oath Taking and Turn Over Ceremony of the Municipal Mayor and Sangunian Officers in the Municipal Hall of Bokod ➢ Coordinated with the Municipal Health Officer. Family Initial database gathering and individualized Health teaching at Bisal.gathering. ➢ Gave the Token of Appreciation to Ma’am Catalina Segundo (Bobok District II Midwife) ➢ Conducted Health Teaching at Kawal Elementary School. Nikki Tuazon and Laverne Tuban. ➢ Visited the family of the Barangay Captain of Bisal. Home visitations. June 23. ➢ Coordinated with the Principal of Kawal Elementary School. Grades 4 and 6 with the topics Diarrhea. Diarrhea. Mrs. Operation BP. Mr. Mary Ann Molina. Proper Nutrition and Urinary Tract Infection (UTI). Lilian Velasco. Proper Hygiene and Proper Nutrition taught by Karen Dangpason. ➢ Coordinated with Cobabeng Elementary School’s Teacher-inCharge. 2010 Grades 1 to 3 with the topics Cough and Colds. operation BP. June 29. Proper Hygiene and Urinary tract Infection/ UTI taught by Loida Dulay. Divine Tiangson. 2010 ➢ Continued home visits. Noreen Pineda and Jenny Greece Sidayen. 2010 ➢ Conducted Ocular survey. ➢ Conducted General Cleaning of the Staff House 84 . Tamilan regarding school’s health needs such as health teaching on Cough and Colds. Diana Olangcay. Proper Hygiene. Dr.

Implementation of FNCP 8. Herbarium Cleaning C. and plans. Social Integration D. 7 Sept. School Health Teaching B. 21 . 15 Sept. Other Activities A. 2. Case Finding 7. Termination Phase 85 Sept. Barangay Health Center 3. Ocular Survey 4. Interview/Data gathering 6. 13 Sept. 6 Sept. Bobok. Courtesy Calls Barangay Halls. Formulation of Goals. Home Visits 5. 14 Sept. Bokod Activities 1.Community Immersion M1 Otbong. 20 Sept. objectives. Health Teaching 9.

Ocular Survey 4. Case Finding 7. Other Activities A. Barangay Health Center 3. 2. Formulation of Goals. 11 Aug. Bobok. 24 Community Immersion M3 Kawal. Implementation of FNCP 8. Coordinate regarding CBMIS B. Feeding program C. Home Visits 5. Courtesy Calls Barangay Halls. Coordinating regarding CBMIS 9.Community Immersion M2 Libacong. Bokod Activities 1. Termination Phase Aug. 23 Aug. objectives. 10 Aug. 17 Aug. Bobok. Herbarium D. 16 Aug. and plans. Bokod Activities July 12 July 13 July 14 July 19 July 20 July 26 July 27 86 . Interview/Data gathering 6. 9 Aug.

Interview/ Data gathering 6. Home Visits 5. Formulation of Goals. Census F. Bokod 87 . ARAS 9. Barangay Health Center 3. Herbarium C.Implementation of FNCP 8. Spot Mapping D. Case Finding 7. Courtesy Calls Barangay Halls. Other Activities A. Nutritional Assessment G.1. objectives. 2. Health teaching B. Ocular Survey 4. Termination Phase Community Immersion M4 Bobok. and plans. BP taking E.

Courtesy Calls Barangay Halls. Interview/Data gathering 6.Activities 1. Other Activities A. Coordination with: officials and school administrators 9. Health Teaching D. 2. ARAS E. and plans. Operation Bp June June 14 15 June 21 June 22 June 23 June 28 June 29 C. Barangay Health Center 3. Case Finding 7. Ocular Survey 4. objectives. Home Visits 5. Formulation of Goals. Termination Phase LEGEND: Objectives: Fully Met 88 . Implementation of FNCP 8. School B.

Objectives: Partially Met Objectives: Not Met DOH UPDATE “ESSENTIAL NEWBORN CARE” (The DOH/WHO Protocol) “What Immediate Newborn Care Practices will save lives?”  Four Core Steps of Essential Newborn Care: 1. Properly timed cord clamping 4. Non-separation of the newborn and mother for early initiation of breastfeeding TIME BAND: AT PERINEAL BULGING PREPARE FOR THE DELIVERY ✔ Check temperature of the delivery room  25 . Early skin-to-skin contact 3. Immediate and thorough drying 2.28°C  Free of air drafts  Free of air drafts ✔ Notify appropriate staff ✔ Arrange needed supplies in linear fashion 89 .

✔ Check resuscitation equipment ✔ Wash hands with clean water and soap ✔ Double glove just before delivery TIME BAND: WITHIN 1ST 30 SECONDS IMMEDIATE AND THOROUGH DRYING ✔ Call out the time of birth ✔ Dry the newborn thoroughly for at least 30 seconds  Wipe the eyes. face. head. arms and legs ✔ Remove the wet cloth ✔ Do a quick check of breathing while drying ✔ Note:  Do not ventilate unless the baby is floppy/limp and not breathing  Do not suction unless the mouth/nose are blocked with secretions or other material TIME BAND: 0 TO 3 MINUTES: IMMEDIATE AND THOROUGH DRYING ✔ Do not wipe off vernix ✔ Do not bathe the newborn ✔ Do not bathe the newborn ✔ Do not do foot printing ✔ No slapping ✔ No hanging upside – down ✔ No squeezing of chest TIME BAND: AFTER 30 SECONDS OF DRYING EARLY SKIN-TO-SKIN CONTACT ✔ If newborn is breathing or crying:  Position the newborn prone on the mother’s abdomen or chest abdomen or chest  Cover the newborn’s back with a dry blanket  Cover the newborn’s head with a bonnet 90 . front and back.

clamp the cord using a sterile stopped. including tonguing.✔ Note:  Avoid any manipulation. e.TIMED CORD CLAMPING ✔ Remove the first set of gloves ✔ After the umbilical pulsations have stopped. you may “ strip ” the cord  After the 1st clamp. licking.g. routine suctioning that may cause trauma or infection suctioning that may cause trauma or infection  Place identification band on ankle (not wrist)  Skin to skin contact is doable even for cesarean section newborns TIME BAND: 1 TO 3 MINUTES PROPERLY . including tonguing. you may “strip” the cord of blood before applying the 2nd clamp  Cut the cord close to the plastic clamp so that there is no need for a 2nd “trim”  Do not apply any substance onto the cord TIME BAND: WITHIN 90 MINUTES NON-SEPARATION OF NEWBORN FROM MOTHER FOR EARLY BREASTFEEDING ✔ Leave the newborn in skin-to-skin contact ✔ Observe for feeding cues. rooting 91 . clamp the cord using a sterile plastic clamp or tie at 2 cm from the umbilical base ✔ Clamp again at 5 cm from the base ✔ Cut the cord close to the plastic clamp ✔ Note:  Do not milk the cord towards the baby  After the 1st clamp. ✔ Observe for feeding cues.

Non-separation of Newborn from Mother for Early Breastfeeding REFERENCE: http://www. BCG) should be done injections (hepatitis B. deep with some pauses ✔ Note:  Minimize handling by health workers   Do not give sugar water. bathing. Immediate and Thorough Drying 2. formula or other prelacteals Do not give bottles or pacifiers  Do not throw away colostrums ✔ Weighing. Properly Timed Cord Clamping 4.scribd. eye care.com/doc/34524396/Essential-Newborn-Care 92 . Early Skin-to-Skin Contact 3.✔ Point these out to the mother and encourage her to nudge the newborn towards the breast:  Counsel on positioning ➢ Newborn’s neck is not flexed nor twisted ➢ Newborn is facing the breast ➢ Newborn’s body is close to mother’s body ➢ Newborn’s whole body is supported  Counsel on attachment and suckling ➢ Mouth wide open ➢ Lower lip turned outwards ➢ Baby’s chin touching breast ➢ Suckling is slow. injections (hepatitis B. BCG) should be done after the first full breastfeed is completed ✔ Postpone washing until at least 6 hours THE EVIDENCE IS SOLID! THE FOLLOWING NEWBORN CARE PRACTICES WILL SAVE LIVES: 1. examinations.

ORGANIZATIONAL CHART 93 .

and their corresponding interpretation are as follows: AGE (y/o) Under 1 1-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90 N/A FAMILY SURVEY (KAWAL. The tables. figures. POPULATION BY AGE AND GENDER OF SITIO KAWAL 94 . BOBOC. After the survey Group M2 tallied the results and the results were interpreted by Group M1. BENGUET) MALE FEMALE 1 17 20 10 17 18 15 11 11 9 12 1 10 4 3 0 1 2 0 1 2 TOTAL 3 4 18 35 16 36 18 36 12 29 14 32 12 27 15 26 8 19 2 11 3 15 6 7 9 19 2 6 1 4 2 2 3 4 2 4 1 1 1 2 2 4 TOTAL 325 Table 1. BOKOD.PRESENTATION OF TABLES & INTERPRETATION During the community duty on June 2010 Group M3 conducted a survey to update the information gathered last January 2007 regarding the health condition of each family in Sitiio Kawal using the CBMIS Questionnaire.

The income from this work is affected by different factors such as the weather.Figure 1. transportation problem and kind of soil. The graph represents a beehive shaped population. There are an increasing number of bachelors in the community. 20 are male and 16 are female while in the age group of 10. 10 are male and 18 are female. the number one income generating job in the community is through farming. they remained single and avoid starting a family due to the fear of not sustaining their own family. This means that the population is considered to be young. CIVIL STATUS OF SITIO KAWAL Figure 2. A big part of the population is made up of ages 0-19 years old which considered to be young but the irony is that the working population is as twice as big as the young population. The population according to gender is indicative that males are more than females.89 years old composed of one member who is a female. This is one of the many factors that contribute to the imbalance between male and female in this community. Despite of the fact that the working population is of huge number. pests.14. The lowest value in the population belongs to the age group of 85. CIVIL STATUS OF SITIO KAWAL 95 . Farming is not a stable work. Despite that they have their own land and houses. The highest value in the population belongs to the bracket age of 5-9 and 10-14 which is 36. In the age group of 5-9. CIVIL STATUS Married Single Children Widowed Separated TOTAL TOTAL 104 74 132 15 0 325 Table 2. POPULATION BY AGE AND GENDER OF SITIO KAWAL Table 1 represents the population by age and gender of Sitio Kawal.

EDUCATIONAL ATTAINMENT Figure 3. Thirdly is the single group which is composed of 74 people. EDUCATIONAL ATTAINMENT 96 . 132 are children which are considered as the highest. In the 325 population of the sitio. single composed of 74 members. many still pursue a married life. EDUCATIONAL ATTAINMENT No formal education Elementary (undergraduate) Elementary (graduate) High school (undergraduate) High school (graduate) College (undergraduate) College (graduate) TOTAL TOTAL 80 70 74 15 54 13 18 325 Table 3. Second is married which is composed of 104 members. Nobody in the community is separated. Despite the fear of some of not sustaining their family. Next are the widowed composed of 15 and lastly is separated with a zero value. Many in the population are also married. The largest portion of the population belongs to the civil status of children. Third. they fear that they will not be able to provide the needs of their family. Next largest portion belongs to the married civil status. There are many children in the community since many families in the place are not using any family planning method and also many of them prefer to use a natural family planning method. producing more children. Many of their population also prefer to be single due to poverty or low income.Table 2 shows the Civil Status of the people living in Sitio Kawal. thus showing that the community gives a high respect in the blessedness and sanctity of the matrimonial sacrament. The widowed group is composed of 15 members of the community.

TYPE OF TOILET Flush type Water sealed Dig pit TOTAL TOTAL 13 30 17 60 Table 4. The lowest value belongs to the group of those who reached college but undergraduate which is composed of 13 members.33 %) and the least utilized is flush type with a total number of 13 (21. The other portion of the population did not receive a formal education. the water in the bowl prevents the flies from breeding on the waste which is important in preventing transmission of diseases from vectors of diseases like flies. TYPE OF TOILET FACILITY PER HOUSEHOLD Figure 4.Table 3 illustrates the educational attainment of Sitio Kawal. Most of the community folks use the Water sealed toilet facility which is the most common type that is utilized by households. This is a good point because in the water sealed type. next is dig pit with a total number of 17 (28. and others are those who did not attend classes which may be caused by the distance between their homes and the school. Only few finished College level which may be due to poor economic conditions since source of income in the community is limited.67%). The biggest portion of the population is literate which prove that education is still valued by the community. The highest value belongs to the group of those who do not have formal education which is composed of 80 members. Although there are still community folks that use the conventional types of toiletry which 97 . TYPE OF TOILET FACILITY PER HOUSEHOLD Table 4 showing the type of Toilet Facility reveals that the most used type is water sealed with a total number of 30 (50%) out of 60. Parts of this are children under school age.

67%) and the least utilized is open dumping or communal with a total number of 2 (3. lack of interest and for the dig pit alone. Although. The dig pit utilization would signify that some of households do not still have a comfort room.33%). next is the pit privy with 10 (16. Dig pit or flush type methods would not have a significant effect on the health or in the daily lives of the community folks. Also. in which communal dumping is not common. flush type toilet facilities are used but at least only by least proportion of the households. and the distance of the houses since the distances between neighborhoods are quite far. Only a small number utilizes pit privy which is the one recommended by the government in the far-flung areas. A very big proportion of the population still follows the burning method of handling garbage.are the flush type and the dig pit. the fact that there is a proportion of households still utilize the dig pit method is alarming and should be addressed by the government. Factors that would possibly affect the utilization of the dig pit method or flush type on some of the households include poverty. GARBAGE DISPOSAL Burning Pit private Open dumping/Communal TOTAL TOTAL 48 10 2 60 Table 5. the community folks are still unaware of its hazards because of the lack of information dissemination regarding the anti-burning program of the government. GARBAGE DISPOSAL PER HOUSEHOLD Figure 5. They may get various diseases from the vectors breeding from human’s wastes. Also. This makes a very small proportion uses open dumping/communal. Factors that would affect these include lack of interest in doing their 98 . GARBAGE DISPOSAL PER HOUSEHOLD Garbage disposal methods of the community folks show that burning is the most utilized method with 48 (80%) out of 60. Although the government discourages this method.

This would also indicate that water systems in the far-flung areas are already fixed especially that they are rich with water supply from the mountains. This would indicate that water supply is sufficient and not a major concern in the community since only a very small number uses the point source system (level 1). It shows that the most utilized is Level 3 (Waterworks System or Individual House Connections) with total number of 30 out of 60 (50%). The community mostly uses piped systems of water supply which include Level 2 (communal faucet system or stand post) and Level 3 (waterworks system or individual house connections).own pit privy or they find burning method the easiest to get rid of their waste but they don’t know the harmful effects that they may suffer from the smoke emitted by their trash like respiratory diseases. LEVEL OF WATER SUPPLY Table 6 represents Level of Water Supply facilities in all households. Information dissemination about the harmful effects that they may get from the burning method is needed and also the participation and willingness of the community not to use the burning method. FAMILY PLANNING ACCEPTORS TOTAL 99 . is level 2 (Communal Faucet System or Stand Post) with the total number of 26 (43. LEVEL OF WATER SUPPLY Level 1 Level 2 Level 3 TOTAL TOTAL 4 26 30 60 Table 6.67%). with a minimal difference from the highest.33%) and the least utilized is level 1 (Point Source) with the total of 4 (6. Next. LEVEL OF WATER SUPPLY Figure 6.

The table reveals that a higher number of community people answered yes with a total number of 18 (56. This suggests that in this community.YES NO TOTAL 18 14 32 Table 7. maybe. A greater number of couples use family planning methods. The numbers between who accepts family planning and those who don’t are not that far with only a difference of 4. FAMILY PLANNING ACCEPTORS Figure 7. They still lived with traditions and practices like believing that the measurement of wealth is not measured by material things but by having a lot of offspring.75%) answered no. FAMILY PLANNING ACCEPTORS Table 7 shows the number of family planning acceptors. many couples still are not into family planning. some are not that exposed to appropriate information about family planning.This may be a good finding. it is difficult to earn for a living and for your own family. Overpopulation is not a foreseen problem because of the large land area. But at least many are now opened to the idea of family planning considering that in this modern time. Population control is very important in the community. but having an undesirably large number of children would be a burden because of the limited source of income which would further cause poverty.25%) out of 32 while 14 (45. but still. FAMILY METHOD USED Pills DMPA Condom IUD BTL TOTAL 0 5 0 0 4 100 . The health workers in the community should then implement more health teachings regarding family planning methods to the reproductive population.

It shows that most of the population uses withdrawal method with a total number of 8 (38.) which makes it not a very safe method of family planning. yet are free. it is noticeable that there is a significant number utilizing the natural method like the withdrawal. Maternal and Child Health Nursing 4th ed. FAMILY METHOD USED 0 2 2 8 21 Table 8 comprises methods of family planning used. Although the DOH is promoting the artificial methods.Also. FAMILY METHOD USED Figure 8. Withdrawal which is the most commonly used. has a failure rate of 18% (Pillitteri. Abstinence or Calendar and LAM have the least number of only 2 each (9. This signifies that some had already accepted the artificial method especially that the Barangay health center is convincing the community to try the artificial method in family planning. The community uses both natural and artificial family planning methods. abstinence/calendar and LAM methods compared to the artificial method of family planning. However. A. there are mothers utilizing DMPA and also had BTL. There is still the need to convince mothers to try the artificial method with the proper and careful health teaching about this because some mothers are hesitant to try because of hearsays about of the negative side effects of these artificial methods.52%). they still prefer the natural way. 101 .Vasectomy Abstinence/Calendar LAM Withdrawal TOTAL Table 8. Other natural family planning methods used have a high success rates from 98-100%. The most commonly used methods are those which require motivation.10%) out of 21. This may be affected by their traditional practices utilizing what was used to or maybe some are not yet open or exposed with the use of artificial methods.

It also motivates them to read more about the different cases that they had encountered in the community to update themselves from new information and for them to improve the kind of service they will render. In the positive side. PROBLEMS ENCOUNTERED AND LEARNING INSIGHTS DERIVED A. Pills and condoms. Attitudes In general.Artificial family planning methods are available at the health center which includes DMPA. It is entertaining since the group got the chance to meet other people with different cultures and personalities. The group got the chance to know each other 102 . intervention and skills in true-to-life setting. the group found Community Health Nursing full of surprises both in a positive and in a negative way. the group found community health nursing entertaining and at the same time a good opportunity to learn new things. Community Health Nursing gave the group the opportunity to apply nursing theories. On the other hand. The Barangay Health Worker was also there to guide the student nurses as they have their first visit to their assigned families. There are things that the group did not expect to happen. The community people especially the officials welcomed the group warm-heartedly. They rendered their care efficiently and effectively. they constructed a well-built relationship resulting to teamwork and cooperation from everyone. Community Health Nursing also gave way in identifying their strengths and weaknesses in dealing with the community as a whole. LIMITATIONS. SUMMARY OF STRENGTHS.

Knowledge about different kinds of diseases and its nature came out. evaluation). timeconsuming. Problems Encountered The following problems were encountered during the span of time in the community: Environment 103 . diagnosing. Knowledge and Skills Through CHN. In the negative side. nursing process (assessing. They have to walk for several hours to reach their area and have their home visits. There are lots of works to accomplish in Community Health Nursing. Community Health Nursing motivates them to read more about the different cases that they had encountered in the community to update themselves from new information for them to improve the kind of service they will render. B. Knowledge about different interventions were also applied and enhanced through their health teachings. They have to improve and practice more about physical assessment. and financially straining. Skills on physical assessment and physical examination were done but not comprehensively. Skills of vital signs taking. intervening. The group performed the skills frequently while they were in the area. In addition.more and built a special friendship among them. Some of the group members enhanced their communication skills but some lacks this skill and see this as a barrier for rendering efficient and effective care. The group learned to adjust with each other and understand each other’s personalities. and conduction of health teachings were applied and enhanced. the group found community health nursing exhausting. starting from the time they entered the profession were applied. All the stock knowledge. They thought this as a negative side because they are still on the process of adjusting. time span of community health nursing (7 days) is not enough to deliver care to the majority of community folks. C. the group’s comprehension about nursing and the different aspects related to it became broad. planning.

This was a problem for everyone in the group because some are afraid of stray cows and dogs. Some entertained but had hesitations to give information about their own family. clustered houses were rarely observed. The community is aware of this and warned us to be careful on the mosquito that causes dengue. People Though almost all the people in the community welcomed the group warmheartedly. plants. This communication barrier was one of the major problems of the group since most of us cannot understand and speak the dialect. They have no den and so they are free to roam around. not cemented. Communication Almost all the people in the community are Ibaloi. Loitering cows around the area in herds make it difficult to pass by to go to houses. there were also some of them who did not care and did not participate. There are also lots of mosquitoes because of plenty of grasses.The environment is not well established since there are open canals and most of the trails are steep. it is a common notion that Ibalois are ‘shy mango’ where the block expected closed doors. and trees which serve as their breeding ground. In general. Most of the households were distant from each other. Lots of animal’s wastes are scattered everywhere especially cow’s manure making it a threat for people’s health. and very muddy during rainy days both of which poses a risk for injury. however it didn’t seem that way since people there were accommodating and were willing to be family clients. Animal Group of wandering cows was observed. But this problem did not affect the interaction too much since some of the student nurses and community folks used alternative medium to communicate each other .through using Ilokano dialect. Transportation 104 . Also. Some of its trails are narrow and can be hardly passed by. Some are very wild when taunted and are ready to attack passers-by. The stairs are usually made up of sharp stones and moss which are slippery especially on rainy days. rough with sharp rocks. It is energy consuming going up and down the steep stairs taking almost an hour to climb.

The group easily gets tired and thirsty.The group observed that the community lacks in medium for transportation. During rainy weather. They have to prepare ahead of time the things that are needed to avoid waste of time and effort. Each member of the group should have assigned tasks to do The group should also read and study cases they encountered during the exposure to have adequate knowledge about certain conditions and concerns of the community • • • The group should have adequate economic funds to be used during the immersion The group should have CHN Bag complete with its instruments and materials Suggested activities: ✔ Feeding program addressing malnourished children ✔ Accurate BMI taking of children ✔ Conduct survey in Libakong and Otbong. The group should plan their activities to have a guide and to have systematic and organized accomplishments. Eventually people have no choice but to walk several kilometers. the weather was unpredictable. Bobok. Warm climate means more energy needed. SUGGESTIONS TO IMPROVE AND ENHANCE CHN EXPOSURE NEXT SEMESTER • • • • • The group should be ready all the time. the climate is warm. Weather During the community duty. They also have to learn to manage their time well in order for them to accomplish everything they have to finish. the group stays in the staff house and did their indoor activities including their paper works. Benguet using CBMIS Questionnaire 105 . buses and other public vehicles arrive and pass in varied times and sometimes find difficulty in passing through narrow rocky trails. The people usually walk for several hours to reach their destination. and then becomes rainy. Jeepneys. Sometimes.

Our Clinical Instructors were the ones who guided us throughout this enriching experience. As for our different groups. we can say that if they weren’t there to guide us. our first community immersion will not be as memorable as it is. We have tried eating with them and established a deeper nurse-client relationship. Health is a continuum it means that if you are ill for today it doesn’t 106 . The people should know that health give a big impact to one’s life. this immersion established a deeper relationship among all of us within a group. We learned how to manage and fulfil any task given to us together. the rituals and beliefs that they follow when someone died. Promote healthy community and to be the torch bearers of good health. Our community immersion tested our teamwork and time management. Most of the people of Bokod have unusually high blood pressure but they perceive it as normal. and we are here to help and strengthen each other. Another unforgettable experience is when we went to the community folks to express our deepest sympathy for they have just lost a member. they are eager to learn. We had our client teachings regarding their condition. There. A lot of things were learned and it was a very good start of a community immersion experience since it was our first time to have a community immersion. we can already say that we are really a group. we are very fulfilled for at least we have given the best service that we can give them. we have witness how they do the bayanihan. guided every step that we take and made our own parents feel that we are safe. We are very thankful for them because for the three days that we were out of our houses. With good communication and helping each other hand-in-hand. but we are not there to monitor them all the time so we just hope that they continue to follow the correct health managements for their condition.SUMMARY OF LEARNING INSIGHTS Our Community Experience at Bokod was an enriching experience. Health problems of the people were identified but the thing that caught our attention was their high blood pressure which they do not address as different. as we have seen. this dream may be achieved. that is the aim goal for every community. they took care of us. And with the tighter bond that we have had. We have known each other better. They don’t see it as a problem so this is where our health teachings took place. Although we had limited time to stay with the community folks.

Thank you and God bless. third year students of Saint Louis University. Barangay Boboc-Bisal. Salutations!!! We. section M3. Benguet Sir. Macay Municipal Mayor Bokod. 26-27) in the said barangay. We therefore ask for your kind consideration to permit the group to continue the exposure for 7 days (July12-14. Community exposure I think is the holistic view of nursing since you won’t know the cases that would go in front of you. School of Nursing. APPENDICES LETTERS July 12. Respectfully Yours. would like to inform your office that we are going to conduct our community exposure in one of your barangays. Mauricio T. 107 .mean that you will be forever ill and weak. 2010 Saint Louis University School of Nursing Hon. 19-20. Our group is planning to have health assessments and health teachings to the community folks of the barangay. Your permission will greatly help our efforts to promote quality health services in our area.

third year students of Saint Louis University. Your permission will greatly help our efforts to promote quality health services in our area. Thank you and God bless. would like to inform your office that we are going to conduct our community exposure in one of your barangays. section M3. Barangay Boboc-Bisal. Yuki Group Representative Jaylord Indalos Clinical Instructor July 12. 19-20.Sibaen. Salutations!!! We. Respectfully Yours. 26-27) in the said barangay. Lilian Velasco Municipal Health Officer Bokod. 2010 Saint Louis University School of Nursing Dra. Benguet Ma’am. Our group is planning to have health assessments and health teachings to the community folks of the barangay. We therefore ask for your kind consideration to permit the group to continue the exposure for 7 days (July12-14. 108 . School of Nursing.

Sicco. Aurelia Wales Public Health Nurse Bokod. section M3. We therefore ask for your kind consideration to permit the group to continue the exposure for 7 days (July12-14. 26-27) in the said barangay.Pisilen. would like to inform your office that we are going to conduct our community exposure in one of your barangays. Your permission will greatly help our efforts to promote quality health services in our area. Respectfully Yours. 19-20. Maria Josephine 109 . Benguet Ma’am. 2010 Saint Louis University School of Nursing Ms. third year students of Saint Louis University. Barangay Boboc-Bisal. Jasmen Group Representative Jaylord Indalos Clinical Instructor July 12. School of Nursing. Our group is planning to have health assessments and health teachings to the community folks of the barangay. Salutations!!! We. Thank you and God bless.

Benguet Ma’am. Barangay Boboc-Bisal.Boboc-Bisal Bokod. Your permission will greatly help our efforts to promote quality health services in our area. Marynel Dixie Group Representative 110 . Brao. Our group is planning to have health assessments and health teachings to the community folks of the barangay. Catalina Segundo Midwife. Respectfully Yours. We therefore ask for your kind consideration to permit the group to continue the exposure for 7 days (July12-14. 26-27) in the said barangay.Group Representative Jaylord Indalos Clinical Instructor July 12. School of Nursing. section M3. would like to inform your office that we are going to conduct our community exposure in one of your barangays. 2010 Saint Louis University School of Nursing Ms. Thank you and God bless. 19-20. third year students of Saint Louis University. Salutations!!! We.

Eguilos. Your permission will greatly help our efforts to promote quality health services in our area. School of Nursing. third year students of Saint Louis University. section M3. Moreover. Thank you and God bless. Johnny Bugnay The Principal Kawal Elementary School Sir.Jaylord Indalos Clinical Instructor July 12. would like to inform your office that we are going to conduct our community exposure in barangay Boboc-Bisal. Respectfully Yours. Salutations!!! We. We would like to ask for your permission for the group to utilize the school’s Home Economics room to be our staff house for the seven-day exposure in the community. Janine Mae Group Representative 111 . we also like to ask for permission in conducting health teachings in the students of your school regarding health promotion. 2010 Saint Louis University School of Nursing Mr.

Jaylord Indalos Clinical Instructor 112 .

who resides at # 0192 Otbong. cook and eat food. Bokod. M3. they are not doing any intervention to remove it.COMPILED TEACHING PLANS OF M1. Palos O: > Abundant flies noted at the kitchen specifically to the peeled potato > Unkempt or indisposed piled garbage GOAL: The family’s health threat will diminish to prevent the transmission of microorganism especially when landing on foods of the family 113 . M4 TEACHING PLAN ON SANITARY HOUSKEEPING DESCRIPTION OF THE LEARNER: The family Palos. M2. has been seen some health threats in their surroundings and inside their house. LEARNING NEED: How to implement in maintaining a sanitary environment NURSING DIAGNOSIS: Inability to make decisions with respect to taking appropriate health action due to: low salience of the problem condition S: > “Normal lang dayta ngilaw nga adatta ta gamin diyay basura ket madik pay nga naibelleng” as verbalized by Mrs. rodents and other pests which will be dangerous to the health of the family since it is a place where we store. Benguet. Because of piled garbage in their kitchen which attracts flies. Bobok Bisal. Since the family is used to having flies on their surroundings.

Discuss the ways on how to keep flies away LEARNING CONTENT TIME ALLOTMENT/ RESOURCES NEEDED METHOD OF EVALUATION Definition of Sanitary Housekeeping Ways on how to keep the flies away 1 minute Handout in the definition of sanitary housekeeping 5 minutes Handout on ways on how to keep flies away 5 minutes Handout on the possible effects of the presence of flies on their health 3. Basically just maintaining clean living environment and practicing clean living. feces. Other things such as taking shoes off before entering home could be another example of sanitary housekeeping as shoes bring in dirt. The family will correctly discuss ways on how to keep flies away Instant oral feedback. etc. toilets. 114 . the family will be able to: 1. This way. you are living in a relatively clean place so the chances of getting an infection or to intake of bacteria (at least in the home) is reduced. mud. Explain all the possible effects of the presence of flies on their health Causes of presence of flies Instant oral feedback. floors. The family will correctly define the sanitary housekeeping Instant oral feedback. etc with bleach/disinfectants or any sort of normal cleaner.LEARNING OBJECTIVES Upon completion of the topic about environmental sanitation. Define Sanitary Housekeeping 2. The family will explain all the possible causes of presence of flies LEARNING CONTENT • Define Sanitary Housekeeping: Sanitary housekeeping would be defined as cleaning like tubs.

wipe down and disinfect bathroom and kitchen. • Ways on How to Keep Flies Away: ➢ Prevention Flies can be controlled by management practices such as manure composting. vacuum. To increase the effectiveness of dry Bait. If needed. Use of pits and lagoons in cage layer houses will keep feces from building up in the house. Commercial baits formulated as granules and should be placed in pans or in protected areas. Residual sprays of carbaryl. you have to wash hands before touching anything else before of the transfer of bacteria. as larviciding manure disturbs the natural balance of predators and 115 . malathion. The use of dry cups in the house and automated feeders will keep the litter dry and free or freed. one part field-grade molasses may be diluted with three parts in a 5-gallon (20 litre) can and covered with aremovable window screen lid on which the dry bait is placed. Dust furniture. but control will not last more than a few hours. clean spider webs. Slats under feeders and waterers will keep the house litter dry and will also allow for easier treatment of the feces with chemicals. then cleansing is easier. which can be applied as aliquid. if you handle raw meat. Baits can be placed in fly traps. such as methomyl. propoxur or stirofos can be applied to exterior surfaces of building or outdoors to vegetation from which poultry are excluded. breeding areas can be treated with larvicides or a biological control agent.For example. dry or in the bird’s feed. clean bathrooms. baseboards. which will generate enough heat to control fly department. In other words no clutter. ➢ Treatment and control flies: Pyrethrum fly sprays can be fogged in the house or on ranges to obtain quick kill of mosquitoes in an outbreak. Some commercial baits a fly attractant. where large numbers of larvae are seen. Control of fly larvae in manure is done with a larvicide. Having a place for everything in its place. mop floors. Larvicide treatment should only be done on a spot treatment.

parasite to the larvae. One exception to this rule is the larvicide cyromazine, which is toxic to fly larvae, but not to their predators or parasites. ➢ Keep garbage in a covered container and if possible segregate waste ➢ Keep Flies Away outdoor In summer, flies and other insects can ruin a picnic, an outdoor BBQ or anything that has food or drinks. Sometimes sidewalk cafes, outdoor bars or even your patio or yard at home can attract more than the normal share of flies. It is sometimes hard to know how to deal with them, since they are flying insects. But here is one way to all but eliminate them from your gathering area. You may have to reapply this couple of times during your stay outdoors, but it is quite effective, not only on flies but mosquitoes, also. Since it basically has no smell, no one will know you sprayed anything around, and if you have a business that serves drinks or food outside this can be a real blessing so it doesn't disturb the people who are eating or drinking. Instructions:
1. Purchase a really good spray bottle that has a sturdy sprayer head on it. Smaller, reused sprayer bottles don't work quite as well

as the sprayer nozzle tends to quit working very easily, so don't scrimp. You can buy these at just about any home improvement store. 2. Purchase a good brand of hydrogen peroxide so it will be fresh. Fill the bottle to about 1/4-1/3 with the peroxide and fill the rest of the bottle with plain tap water. 3. Spray the entire area with this solution, especially around areas that will hold food or sticky drinks. You don't have to soak it, just mist the surfaces and the outer perimeter of the area fairly well.

116

4. Respraying may be necessary every so often as hydrogen peroxide. Hydrogen breaks down into other elements fairly quickly, but going around the edges of the area should help. 5. Keep your bottle handy, as it is also good for other insects as well • Homemade Fly Control Traps You need a clean, empty one gallon milk container. Be sure to keep the cap. Cut four or five small holes all around about two inches down from where it starts to slope towards the cap (about where the center of the handle is.) Mix 1/4-cup syrup and 1/4 cup apple cider vinegar and pour into container. Fill to halfway with water and put on cap. Place a couple of these flytraps where the flies are thick. You will probably have to empty it out every other day or so. • Get Rid of Outdoor Flies Flies can be huge annoyance, especially during the hot summer months. They can ruin a beautiful day outdoors, and can get into your home no matter how hard you try to keep them out. If you want to stop flies, the best way get rid of them is to eliminate the outdoor flies so they can’t move into your house. Learn how to get rid of perky outdoor flies so you can enjoy the inside and outside of your home without worrying about troublesome bugs. Instructions: 1. Clean out any outdoor trash cans that may be attracting flies. See where flies are appearing and get rid of the food or other items that may be attracting them. Keep lids on your trash cans so the flies don’t return.

117

2.

Fill a Ziploc bag or any plastic bag half full of water and hang it in an area you are having problems with flies. A common theory claims that the reflection from the water may bounce the sound of their wings vibrating back to them, causing them to leave. Whatever the reason, it can help keep flies away.

3.
4.

Hang flypaper in the area if you have something to attach it to, like the side of a building or a tree limb. Make sure it’s out of the way so someone doesn’t walk into it. Purchase a bug zapper and hang it in the area. Flies and other bugs will fly into it and be killed. Hang it well out of reach of children and pets. Light bug repellent candles containing citronella oil when you are outdoors. The smell of candles will keep flies and other pest away.

5. •

Possible effects of Presence of Flies Vacation season may be winding down but fly season is still in its prime, putting millions at risk for the exposure to the diseases that flies spread to both human and animals. With heightened and wide-spread public awareness about precautions needed to prevent infection from west Nile virus by mosquitoes, there is increasing evidence that flies also carry deadly diseases that affect both human and animals, including E. coli, influenza and salmonella. Summer outbreaks of vesicular stomatitis (VS)—a painful blistering disease that affects livestock, including horses –resulted in quarantines in multiple locations in Texas, new Mexico, and Colorado, according to recent update issued by the Texas animal health commission (TAHC). The viral infection, thought to be spread by flies, can cause horses, cattle and other livestock to develop blister- like lesions that can take several weeks to heal. The commission’s recommendation for preventing VS transmission is “CONTROL BITING FLIES”.

118

Flies: underestimated disease carriers While the challenge of managing flies is not new to stable and farm owners, there is new awareness and concern about the diseases they spread. “Flies have been underestimated as vectors of disease,” said Dennis D. French, DVM, professor, Veterinary clinical sciences at Louisiana State University and a specialist in equine parasite research. “There is good evidence that flies can spread disease, and many of these pathogens can also infect humans.” Flies and mosquitoes are worldwide problem for all species of poultry of all ages. Mosquitoes are common in areas near still or stagnant water or in damp climates. Adults flies and mosquitoes are ideal vectors of disease. Can be so numerous as to create a health and public relations concern. Adult flies have wings, are active during the daytime and lay eggs in poultry manure, in moist soil, spilled feed or on the carcases of dead birds. Adult flies, larvae (maggots) and pupae will all be seen in and around the poultry house. Although flies do not commonly cause direct health concerns, they transmit disease agent. Adult flies, larvae (maggots) and pupae will all be seen in and the poultry house. Diagnosis in made by visual identification of adult flies and mosquitoes or their larvae.

REFERENCE:
 How

to

Keep

Flies

Away

Outdoors

|

eHow.com

http://www.ehow.com/how_5237500_keep-flies-away-

outdoors.html#ixzz0zJ35tBbV

TEACHING PLAN FOR STROKE REHABILITATION, ARTHRITIS AND ROM EXERCISES
119

and range of motion exercises. She is recovering from stoke and is currently staying with one of her daughters. LEARNING NEED: There is significant need for adequate knowledge on stroke rehabilitation. The client understands Ilocano and Ibaloi. because of her age and current condition she has minimal difficulty in hearing that may affect communication and reading which will prevent her from using visual aids. arthritis. Boboc. This condition is manifested by swollen and misaligned joints of both arms with tenderness. The client verbalized that she wants to walk and stand alone again and have independence in doing her activities of daily living. Benguet. arthritis. 90 years old. their learning needs seek to address the LEARNING DIAGNOSIS: Knowledge deficit: Adequate knowledge on stroke rehabilitation. and range of motion exercises related to unfamiliarity to information resources. arthritis. STROKE REHABILITATION 120 . and range of motion exercises so that the client and the family would be able to manage effectively and efficiently the client’s health condition. some of the which are Amlodipine and Cefalexine.DESCRIPTION OF THE LEARNER: Dominga Arenos. The client is currently taking medications after admission to a health institution early this month. She complains of left sided weakness and verbalized that she cannot move her left arm but can move her left leg minimally. Her daughter states that the client also has arthritis. from Otbong. Specifically. GOAL: The client and the family will be able to have adequate knowledge on stroke rehabilitation. Bokod.

Strokes are more common in older people. 2-3 minutes Pamphlet Instant oral feedback: After 2-3 minutes of oneon-one discussion the client and the family will be able to identify at least 3-5 risks for another stroke attack. having had a transient ischemic attack (TIA). One-on-one discussion • •  Enumerate Complications of Stroke: One-on-one complications • Weakness or paralysis on one discussion brought about by side or whole of the body • • 5 minutes Instant oral feedback: Pamphlet After 5 minutes of oneon-one discussion the 121 .LEARNING OBJECTIVES LEARNING CONTENT TEACHING STRATEGY TIME ALLOTMENT/ RESOURCES NEEDED METHOD OF EVALUATION After 20 minutes of discussion on the topic on stroke rehabilitation. the client and the family will be able to:  Define what is Definition of Stroke: A stroke is a stroke type of brain injury. Symptoms depend on the part of the brain that is affected. high blood pressure (hypertension).  Enumerate risks Risks for another stroke attack: for another stroke People who have had a stroke attack older age. and heart disease One-on-one discussion • • 2 minutes Instant oral feedback: Pamphlet After 2 minutes of oneon-one discussion the client and the family will be able to properly define what is stroke in their own words. talking. People who survive a stroke often have weakness on one side of the body or trouble with moving. high cholesterol. or thinking.

ARTHRITIS LEARNING CONTENT LEARNING TEACHING TIME ALLOTMENT/ METHOD OF EVALUATION 122 . Instant oral feedback: After 7-10 minutes of one-on-one discussion the client and the family will be able to discuss and enumerate at least 3-7 different managements for post-stroke attack.stroke • • Problems with balance or coordination Problems using language • • 7-10 minutes Pamphlet  Discuss and Managements of Post-stroke attack: One-on-one enumerate the • Range of Motion Exercises discussion different • Log Rolling/position changes managements for • Using supportive devices like post-stroke attack cane for ambulation • Warm Compress • Diet • Compliance medication therapy • Family Support client and the family will be able to enumerate at least 5-10 complications brought about by stroke.

Arthritis literally means inflammation of one or more joints. Instant oral feedback: After 5 minutes of one-onone discussion the client and the family will be able to identify at least 2-3 signs and symptoms of arthritis. Instant oral feedback: After 7-10 minutes of oneon-one discussion the client and the family will be able to discuss and 123 One-on-one discussion • • 5 minutes Pamphlet  Enumerate and Management of Arthritis: discuss the • Range of Motion Exercises different • Warm Compress managements of • Diet arthritis • Family Support One-on-one discussion • • 7-10 minutes Pamphlet . A joint is an area of the body where two different bones meet.OBJECTIVES After 18 minutes of discussion on stroke rehabilitation. A joint functions to move the body parts connected by its bones.  Enumerate signs Signs and Symptoms of Arthritis: and symptoms of • Pain arthritis • Limited function of joints (limited movement) • Inflammation of the joints from arthritis STRATEGY RESOURCES NEEDED One-on-one discussion • • 2-3 minutes Pamphlet Instant oral feedback: After 2-3 minutes of oneon-one discussion the client and the family will be able to properly define what is arthritis in their own words. the client and the family will be able to:  Define what is Definition of Arthritis: arthritis Arthritis is a joint disorder featuring inflammation.

Range of motion exercises are recommend to help keep joints mobile. prevent stiffness and reduce deformities.enumerate at least 2-4 different managements for arthritis. One-on-one discussion • 2-3 minutes Instant oral feedback: After 2-3 minutes of one-on-one discussion 124 . the client and the family will be able to:  Define what is Range of Motion (ROM) Exercises LEARNING CONTENT METHOD OF EVALUATION Definition of ROM Exercises: Range of motion exercises are gentle stretching exercises that move each joint as far as possible in all directions. RANGE OF MOTION (ROM) EXERCISES TIME ALLOTMENT/ TEACHING RESOURCES STRATEGY NEEDED LEARNING OBJECTIVES After 36 minutes of discussion on stroke rehabilitation.  Enumerate Importance of ROM Exercises: importance of • Prevent joint stiffness One-on-one discussion • • 2-3 minutes Pamphlet Instant oral feedback: After 2-3 minutes of one-on-one discussion the client and the family will be able to properly define what is Range of Motion (ROM) Exercises in their own words. Normal daily activities do not take joints through their full range of motion.

• • 15-20 minutes Pamphlet Instant oral feedback and return demonstration: After 15-20 minutes of one-on-one discussion and return demonstration the client and the family will be able to discuss and demonstrate the steps of ROM Exercises.ROM Exercises:  Enumerate guidelines in ROM Exercises:  Discuss and demonstrate the steps of ROM Exercises: and deformities • Prevent muscle shrinkage • Prevent lost of bone minerals • Promote blood circulation Guidelines in ROM Exercises: One-on-one • Check for discussion contraindications like swollen joints • Encourage patient participation (promote independence) • Good body alignment. • Steps of ROM Exercises • One• Head and Neck exercises on• Shoulder and Elbow one exercises discus • Ankle and Foot exercises sion • Retur n Demo nstration • Pamphlet the client and the family will be able to enumerate at least 2-3 importance of ROM Exercises. LEARNING CONTENT STROKE REHABILITATION 125 . • • 7-10 minutes Pamphlet Instant oral feedback: After 7-10 minutes of one-on-one discussion the client and the family will be able to enumerate at least 5-10 guidelines in ROM Exercises. etc.

thinking. or thinking. or learning • • Depression Trouble swallowing 126 • • • • Trouble swallowing Problems with bowel or bladder control Getting tired very quickly Sudden bursts of emotion . Strokes are more common in older people.Definition of Stroke: A stroke is a type of brain injury. Symptoms depend on the part of the brain that is affected. and the person's general health. Some of the effects of stroke are: • • • • • • Weakness or paralysis on one side or whole of the body Problems with balance or coordination Problems using language Being unaware of or ignoring things on one side of the body (bodily neglect or inattention). Risks for another stroke attack: People who have had a stroke have an increased risk of another stroke. how bad the injury is. high cholesterol. numbness. or odd sensations Problems with memory. and heart disease. high blood pressure (hypertension). Almost three-fourths of all strokes occur in people 65 years of age or over. a person of any age can have a stroke. Warning: Patients and families should also learn the warning signs of a TIA (such as weakness on one side of the body and slurred speech) and see a doctor immediately if these happen. Complications of Stroke: Each stroke is different depending on the part of the brain injured. attention. People who survive a stroke often have weakness on one side of the body or trouble with moving. Pain. However. talking. having had a transient ischemic attack (TIA). The risk of another stroke goes up with older age. especially during the first year after the original stroke.

fruits and grains. A joint functions to move the body parts connected by its bones. Signs and Symptoms of Arthritis: • • Pain Limited function of joints (limited movement) 127 . • • Compliance medication therapy Family Support ARTHRITIS Definition of Arthritis: Arthritis is a joint disorder featuring inflammation. Always go for a healthy diet with emphasis on vegetables. Arthritis literally means inflammation of one or more joints. vitamins and antioxidants from plants. A joint is an area of the body where two different bones meet. clean protein foods. This diet preparation ensures that the blood vessels are in good state and that the body will receive an abundant and rich supply of important minerals. discomfort or complications brought by prolonged pressure Using supportive devices like cane for ambulation Warm Compress Diet The main preventive measure is adopting a healthy eating lifestyle.(cognitive problems) Managements of Post-stroke attack: • • Range of Motion Exercises Log Rolling/position changes – – • • • Change position every two hours Use pillows to prevent pain.

However there are some guidelines that may help. fatty meat. eggplant. Foods high in saturated fat – such as full-fat dairy. – – Vitamin C Vitamin E – Unsalted nuts Ginger – anti-inflammatory foods Fruits and vegetables Some report that vegetables from the solanum (or nightshade) family cause problems – potatoes. swelling.• Inflammation of the joints from arthritis is characterized: – – – – – joint stiffness. redness. baked foods. and tomatoes. capsicums. tenderness of the inflamed joint can be present Management of Arthritis: • • • Range of Motion Exercises Warm Compress Diet Unfortunately there is conflicting advice regarding diet for arthritis. and warmth. Dairy products – – – Foods that may Aggravate – – • Family Support 128 .

Normal daily activities do not take joints through their full range of motion. Importance of ROM Exercises: • • • • • • • • • • • • • Prevent joint stiffness and deformities Prevent muscle shrinkage Prevent lost of bone minerals Promote blood circulation Check for contraindications like swollen joints Encourage patient participation (promote independence) Good body alignment Body and bed is flat. move joints slowly and smoothly Never bend or extend the joints to the point of pain Guidelines in ROM Exercises: 129 . may be with one pillow under the head High fowler’s position if tolerated Cover and keep the patient warm to relax muscle Follow logical sequence (shoulder to toe) Be gentle.RANGE OF MOTION EXERCISES Definition of ROM Exercises: Range of motion exercises are gentle stretching exercises that move each joint as far as possible in all directions. Range of motion exercises are recommend to help keep joints mobile. prevent stiffness and reduce deformities.

Bring the arm back down to his side. Try to rest the person's chin on his chest if possible. 2. Turn the person's head toward the right as if he were looking over his right shoulder. Shoulder movement. 130 . Bring the arm back down to his side and then swing across the body toward the left shoulder. Turn the head only far enough so that the person's nose is lined up above their shoulder. or bend the elbow slightly if necessary. 4. Gently tip his chin toward his chest. Then slowly tilt the person's head to bring the left ear toward the left shoulder. side to side. Raise it upward over the person's head as far as possible. Raise the right arm out to the side to shoulder level. Shoulder and Elbow exercises: Put one hand under the person's elbow and hold his wrist with your other hand. • Head tilts. Then slowly turn the person's head so he is looking over his left shoulder. Support the back of the person's head with one of your hands. • • Chin-to-chest. Put one of your hands on each side of the person's face. Bring the right arm forward and upward over the person's head until the inner arm touches his ear. • • Shoulder movement. Head turns. Ensure that the client understands the reason for doing ROM exercises. bringing the right ear toward the right shoulder. Swing the arm back down to his side. 3. Put one hand on each side of the person's face.• • Stop if painful Minimum of 3-10 repetitions of ROM with each joint Steps of ROM Exercises: 1. Head and Neck exercises: Lay the person on his back with his head as flat (no pillow) as possible. Keep the person's elbow straight. Turn the person's palm in toward the body. Raise the back of the person's head up from the bed. Support the chin with your other hand. Start exercises at the person's head and work down toward his toes. Tilt the head to the side. up and down.

up and down. Bend the elbow so the thumb and fingers are pointing up. Then return the leg to the middle and cross it over the left leg. side to side. With the leg flat on the bed. roll the leg toward the middle so the big toe touches the bed. Roll the leg inward as far as possible. turn the palm of his hand face up. in and out. Try to touch the bed with the big toe. continue bending the elbow and touch the hand (fingertips) to the front of the right shoulder. • Elbow bends. Bend the arm at the elbow so that the fingers are pointing toward the ceiling. Ankle and Foot exercises: Hold the right ankle with one hand. Put one hand under the ankle and your other hand under the knee. 131 . only do hip exercises with instructions from a caregiver. If possible. Put your other hand on the bottom of the foot. Bring the right arm out to the person's side. Try to touch the bed with the small toe. Roll the leg outward as far as possible. Leg movement. Move the hand back down to the person's side. Hip and Knee exercises: If the person has had a hip injury or surgery. Move the right leg out to the right side as far as possible. Repeat the above exercises with the left leg. Straighten the leg and return it to a flat position on the bed after each exercise. Roll the leg outward so the little toe touches the bed. Hold the right arm out at shoulder level with the palm facing up. side to side. • 6. Place the person's right leg flat on the bed. Bend the elbow. • • • • Hip and knee bends. Repeat the above exercises with the left arm. Knee rotation. • 5.• • Shoulder rotation. Bend the person's knee so the bottom of the right foot is flat on the bed. Slide your hand out from under the knee and toward the upper thigh (leg). With the person's right arm at his side. in and out. Rotate (turn) the arm so the thumb and fingers point down toward the person's toes. Leg rotation. Try to make the person's fingertips touch the top of his right shoulder. Do this to help the knee bend completely. Slowly bend the hip and knee up toward the chest as much as possible. Elbow bends.

com/cg/passive-range-of-motion-exercises.com/od/exercise/g/rangeofmotion. 6th Edition by Ronnie Peterson  http://www. Toe bends.html  http://arthritis.htm Range of Motion (ROM) Exercises:  Clinical Companion for Fundamentals of Nursing (Potter and Perry). Then put your hand on top of the foot and push the foot down again.com/arthritis/article. Hold the ankle with one hand. Use your fingers then bring them together. Then straighten and stretch the toes.• • • • Ankle bends. Gently turn the foot and ankle in circles.medicinenet.org/patients/ras.com/watch?v=eoxUqNj5uZ4&feature=related  http://www. REFERENCES: Stroke Rehabilitation:  http://www. With your palm on top of the person's foot.drugs.free-ed.pdf  http://www.net/sweethaven/MedTech/NurseFund/default.strokecenter. Repeat with the left ankle and foot.youtube.htm 132 . Toe spreads.everydiet. Hold the person's upper foot with your other hand.about.org/diet/arthritis-diet  http://www. curl the toes down toward the sole (bottom) of the foot. Push the person's foot so his toes point up toward the ceiling.asp?iNum=2&fraNum=040202 Arthritis:  http://www. Ankle rotation.

Also.5 cm in height. 133 . a resident of Otbong. Upon assessment. No clinical consultation is done from the time the condition begun. Bobok-Bisal. is a father of 5 children. He stated that this swelling started to grow since he was a teenager. Benguet.. He confessed that he lacks enough knowledge about the disease and expressed willingness to learn more regarding goiter. there is no other present condition that may hinder the learning process. he was observed to have a goiter as manifested by a lump on his neck measuring 7.TEACHING PLAN ON GOITER DESCRIPTION OF THE LEARNER Mr.5 cm in diameter and 5. Dave Bumakil Sr. Bokod. The client understands Tagalog. Ilocano and Ibaloi which may serve as medium of communication.

the client will be able to: 1. maintenance. and preventions.LEARNING NEED Information about goiter. GOAL The client will be able to acquire knowledge about goiter and apply it for the promotion. Describe goiter 1. The client will correctly describe goiter. The client will correctly differentiate the types of goiter 134 . causes. its different types. Differentiate types of goiter LEARNING CONTENT TIME ALLOTMENT/ RESOURCES NEEDED METHOD OF EVALUATION Description of goiter Types of goiter 1 minute • Pamphlet 3 minutes • Pamphlet Instant oral feedback. LEARNING DIAGNOSIS Knowledge deficit: Goiter related to lack on information as manifested by client’s verbalization of desire to know about goiter. and restoration of health. Instant oral feedback. LEARNING OBJECTIVES Upon completion of the topic about goiter. treatments.

In some areas of the world. but researchers suspect that environmental factors and heredity play a role. Identify ways to prevent goiter Ways on how to prevent goiter Instant oral feedback. Instant oral feedback. The client will correctly identify ways to prevent goiter. inadequate amounts of iodine in the diet may result in simple goiters. a condition caused by insufficient production of thyroid hormone. ✔ The cause of most nontoxic goiters is unknown. TYPES AND ITS CAUSES AND CORRESPONDING TREATMENTS: • Simple goiter is characterized by an enlargement of the entire thyroid gland or one of its two lobes. Because the body needs iodine to produce thyroid hormone. certain chemical compounds in food or water may block the body’s production of thyroid hormones 135 . The client will correctly identify the treatments for goiter. The client will completely enumerate causes of goiter Instant oral feedback. and in toxic goiter it is elevated. characterized by an enlargement of the gland. Identify treatments of goiter Causes of goiter Treatments of goiter 2 minutes • Pamphlet 3 minutes • Pamphlet 3 minutes • Pamphlet 5. LEARNING CONTENT GOITER – Disease of the thyroid gland.3. It is associated with hypothyroidism. ✔ Endemic goiters are caused by a deficiency of iodine in the diet and usually occur in populations living in areas with iodine- depleted soil. Enumerate the causes of goiter 4. Simple goiters may be classified as either endemic or nontoxic. In simple goiter the basal metabolic rate is somewhat lowered. visible externally as a swelling on the front of the neck.

weight loss. and Aima Confisal. Commonly treated with radioactive iodine. Roderick. also include certain drugs. which is taken up by the gland and destroys the cells by irradiation. In some cases it may result from excessive stimulation by the pituitary gland. • Toxic goiter also called exophthalmic goiter. and Erika Mae 1 year 1 month old. REFERENCE:  Microsoft ® Encarta ® 2009. they also work as gardeners. Drugs also can be used to suppress hormone production. The symptoms of toxic goiter may include a rapid heartbeat. TEACHING PLAN FAMILY PLANNING DESCRIPTION OF THE LEARNER The learners are Roderick Confisal. increased sweating.and lead to nontoxic goiter formation. or Graves' disease Caused by an excess of thyroxine secretion. thyrotoxicosis. Roderick is a high school graduate while Aima entered college for a year. increased appetite. © 1993-2008 Microsoft Corporation. is fluent in both Ilocano and Tagalog which made him prefer either of the two languages as a medium of communication. who has worked in various places. hyperthyroidism. He told that the family planning they are currently accepting is Oral Contraceptive Pills and he said that they are using it because they need to be practical. The cause of the excessive secretion is obscure. These compounds. 24 years old. Roderick is a native of Ilocos Norte while Aima is a native of Benguet. Some patients have eye problems. Bokod Benguet. such as aminoglutethimide and lithium. tremor. (age not recalled by Roderick). 136 . and fatigue. known as goitrogens. They have two children. such as staring or protrusion. 3 years old. Roderick and Aima works as farmers in the field they are renting. or most of the toxic goiter can be removed surgically. They live in Libacong Bobok-Bisal. namely Mharjun. weakness.

LEARNING DIAGNOSIS Knowledge Deficit: Family Planning Methods related to lack of knowledge as manifested by: S: > Roderick’s verbalization about knowing nothing about family planning method and being unaware of its benefits. They should also know the disadvantages to facilitate their decision on what to use. LEARNING OBJECTIVES LEARNING CONTENT TEACHING STRATEGY TIME ALLOTMENT/ RESOURCES NEEDED METHOD OF EVALUATION 137 .LEARNING NEED The learners need to be aware of other Family Planning methods that they can utilize and also they need to know what the benefits of using family planning method are. GOAL The client would be able to know about family planning methods and its advantages and disadvantages.

Enumerate 6 out of 11 family planning methods • Definition of Family Planning Method • Discussi on • • 2 minutes Handout • Instant oral feedback: client will be able to define family planning method • Types of Family planning  Natural Family Planning Methods – Lactating Amenorrhea Method (LAM) – Mucus/Billin gs/Ovu-lation – Basal Body Temperature – Symptothermal method – Two Day Method – Standard Days Method • • Discussi on • 20 minutes Handout • Instant oral feedback: client will be able to enumerate 6 out of 11 family planning methods 138 . the client would be able to: 1. Define family planning methods 2.After 30 minutes of discussion.

Lactating Amenorhea Method (LAM) DESCRIPTION / USES ADVANTAGES A. Mucus / Billings/ Ovulation • 139 . NATURAL FAMILY PLANNING METHOD • Temporary • Universally available to introductory all postpartum postpartum method of breastfeeding woman postponing pregnancy • Protection from an based on physiological unplanned pregnancy infertility experienced begins immediately by Breast Feeding after giving birth women • No other FP • Perfect use: 99.LEARNING CONTENT TYPE 1.5% commodities are • Typical use: 98% required • Contributes to improve maternal and child health and nutrition • Abstaining from sexual • Can be used by any intercourse during woman of reproductive fertile (wet) days age as long as she is not prevents pregnancy suffering from an • Perfect use: 97% unusual disease or • Typical use: 80% condition that results in extraordinary vaginal discharge that makes DISADVANTAGES • Effective only for a maximum of 6 months postpartum Effectiveness may decrease if a mother and child are separated for extended periods of time Full or nearly full BF may be difficult to maintain for up to 6 months due to a variety of social circumstances Cannot be used by women with medical conditions that would make pregnancy especially dangerous • • 1.

and other signs of ovulation Perfect use: 90% Typical use: 80% Is a simple fertility awareness based method of FP that • observation difficult Very effective • • Requires to take BBT everyday and time to record temperature Couples may practice abstinence during fertile periods • • Can be used by women with any cycle length No health related side • • Needs the cooperation of the husband Can become unreliable 140 . Sypto-thermal method • • • 1. Basal Body • Temperature 1. basal body temperature.1. Two Day Method • • • BBT method is identifying the fertile and infertile period of a woman’s cycle by daily taking and recording of the rise in body temperature during and after ovulation Perfect use: 99% Typical use: 80% STH method is identifying the fertile and infertile days of the menstrual cycle as determined through a combination of observations made on the cervical mucus.

may • for women who have conditions that cause abnormal cervical secretions Doesn’t protect the client from HIV/AIDS 141 .• • involves: cervical secretions as an indicator of fertility. socioeconomic status. the technology can be transferred by a trained autonomous user Once learned.5% Typical use: 86% • • • • • • • • • effects associated Incurs very little or no cost Immediately reversible Promoted male partner involvement in FP Enhances self discipline mutual respect cooperation communication. religion. and education Not dependent on medically qualified personnel. and shared responsibility of the couple for the FP Provides opportunities for enhancing the couple’s sexual life Can be integrated in health and FP services Acceptable to couples regardless of culture. women checking the presence of secretions everyday Perfect use: 96.

1. Standard days Method • • • • 1. mutual respect A. ARTIFICIAL FAMILY PLANNING METHOD Safe and simple • Permanent method of surgical procedure contraception which provides • Nothing to remember. • Cannot be used by women who usually have menstrual cycle between 26 and 32 days long • Permanent-reversal surgery is difficult 142 . Female Sterilization • require no further help from health care providers All users with • No health related side menstrual cycles effects associated with between 26 and 32 its use days are counseled to • Increases self abstain from sexual awareness and intercourse on days 8knowledge of human 19 to avoid pregnancy reproduction and can The couples use color lead to a diagnosis of coded cycle beads to some gynecological mark the fertile and problems infertile days of • No need for counting or menstrual cycle charting Perfect use: 95% • Can be used either to Typical use: 88% avoid or achieve pregnancy • Very little cost and promotes partner involvement • Enhances self discipline.

5% Permanent method wherin the vas deferens (passage of sperm) is tied and cut or blocked through a small opening on the scrotal skin Perfect use: 99.9% Typical use: 99.1. and easy to perform • May be uncomfortable due to slight pain and swelling 2-3 days after the procedure Reversibility is difficult and expensive • • Safe as proven through extensive studies Convenient and easy to use • Often not used correctly and consistently. Male Sterilization • • 1. and no repeated clinic visits required • • • Very effective 3 months after the procedure Permanent. Pill • • • • • 1. Male condom • permanent contraception for women who do not want more children Perfect use: 99.7% Typical use: 92% Thin sheath of latex rubber made to fit on a man’s erect penis to prevent the passage of sperm cells and sexually transmitted no supplies needed.8% Contains hormones – estrogen and progesterone taken daily to prevent contraception Perfect use: 99. safe. lowering its effectiveness • • Safe and has no hormonal effect Protects against microorganisms causing STIs/HIV • • May cause allergy for people who are sensitive to latex or lubricant Interrupts the sexual act 143 . simple.

7% Typical use: 97% • • • • Reversible No need for daily intake Does not interfere with sexual intercourse Perceived as culturally acceptable by some women Private since it is not coitally dependent • • • REFERENCE:  Public Health Nursing in the Philippines 10th edition 144 .1. making it difficult for sperm to pass through and changes uterine lining Perfect use: 99. Injectibles • • • • disease organisms into the vagina Perfect use: 98% Typical use: 85% Contain synthetic hormone. progestin which suppresses ovulation. thickens cervical mucus.

57 years old who is a smoker. Upon initial assessment. teaching plan regarding smoking was prepared. there is occasional coughing noted and with fine crackles heard upon auscultation. He usually puffs a minimum of 14 sticks per day. PURPOSE To provide patient with inputs and essential information regarding the effects of smoking. thus. EDUCATIONAL DIAGNOSIS Health seeking – behaviors related to lack of knowledge about the effects of smoking. GOAL The patient will be able to gain essential information regarding the effects of smoking LEARNING TEACHING TIME METHOD OF 145 .TEACHING PLAN ON EFFECTS OF SMOKING DESCRIPTION OF THE LEARNER The learner is Dario Diano. Also upon assessment. client has no idea of what smoking might lead to and was willing to learn about what it may cause. The client has no family history of any cardiovascular diseases but with history of heredo-familial diseases like asthma (his last child).

Know the effects of nicotine Pamphlet Internet Fundame ntals of Nursing. Instant oral feedback: The client can enumerate 5 out of 11 effects of nicotine in our body and to the people around us Instant oral feedback: The client can enumerate 3 out of 6 ways to prevent one from smoking. the learner will be able to: Know general information regarding cigarette. One on one discussion 10 minutes on • Withdrawal symptoms 146 .LEARNING OBJECTIVES CONTENT ALLOTMENT STRATEGY / RESOURCES NEEDED EVALUATION • • • What is in the cigarette? • • • • Tobacco Nicotine In your body To others One on one discussion One on one discussion 5 minutes • 5 minutes LEARNING OBJECTIVES Within 20 minutes of teaching session. Kozier Merck Manual of Medical Informati Instant oral feedback: The client can describe the cigarette. • Suggested Methods on how to Stop/Divert urge from smoking. Know the probable ways to prevent one from smoking.

Filter made of 95% cellulose acetate. The cigarette is ignited at one end and allowed to smolder. 2. 4. The paper for holding the tobacco blend may vary in porosity to allow ventilation of the burning ember or contain materials that control the burning rate of the cigarette and stability of the produced ash. which is held in or to the mouth and in some cases a cigarette holder may be used as well. A key ingredient that makes cigarettes more addictive is the inclusion of reconstituted tobacco. Commercially manufactured cigarettes are seemingly simple objects consisting mainly of a tobacco blend. Most modern manufactured cigarettes are filtered and include reconstituted tobacco and other additives. its smoke is inhaled from the other end. 3. 147 . Tipping paper to cover the filter. PVA glue to bond the outer layer of paper together. Papers used in tipping the cigarette and surrounding the filter stabilize the mouthpiece from saliva and moderate the burning of the cigarette as well as the delivery of smoke with the presence of one or two rows of small laserdrilled air holes.LEARNING CONTENT The Cigarette A Cigarette is a small roll of finely cut tobacco leaves wrapped in a cylinder of thin paper for smoking. and often also a cellulose acetate–based filter. Tobacco/Carcinogen blend. paper. Rolling paper to cover the tobacco. which has additives to make nicotine more volatile as the cigarette burns. 1.

on average. while the pharmacological and behavioral characteristics that determine tobacco addiction are similar to those that determine addiction to drugs such as heroin and cocaine. 14 years of life. On average. the substance acts as a stimulant in mammals and is the main factor responsible for the dependence-forming properties of tobacco smoking.The Nicotine Nicotine. According to the American Heart Association. inhales much or the • Do you want To Stop? • You just need some resolve. In low concentrations (an average cigarette yields about 1 mg of absorbed nicotine). nicotine addiction has historically been one of the hardest addictions to break. Nicotine: What does it do? • In the Body To others Secondhand smokers person who does not actually smoke but the smoke gets as or more effect as the primary smoker. each cigarette smoked shortens lifespan by 11 minutes and half of smokers die early of tobacco-related disease and lose. motivation. is addictive. strong and 148 . the primary psychoactive chemical in cigarettes.

Below are some significant tips and strategies that may help you get on your way to the path of a smoke-free lifestyle. Inappropriate social interaction REFERENCES:  http://www. • Withdrawal Symptoms Lack of nicotine use in a 24-hour period can result in: Aggression.reinforcement of the benefits of doing so. ideally within the next 2 weeks. Kozier et. friends.com/library/JournalArticle.nursingcenter.You are having nicotine withdrawal symptoms (such as nervousness or irritability).You have an urge to smoke . 2nd home edition 149 . and coworkers that you are going to quit.You are around others who are smoking .asp?Article_ID=833010  Fundamentals of Nursing. Al. Develop a plan for these challenges that may include what you can do when: . time. your mood. and intensity of cravings when you smoke.  Merck Manual of Medical Information. * Tell your family. `* Set a quit date. 7th ed. and ask them for their understanding and support. and the place. You may want to keep a diary to include what you are doing when you smoke. * Anticipate challenges that you may face as you attempt to quit smoking. Hostility. Anger.

TEACHING PLAN ON ASTHMA DESCRIPTION OF THE LEARNER The learners are Roderick and Aima Confisal. is fluent in both Ilocano and Tagalog which made him prefer either of the two languages as a medium of communication. Roderick is a native of Ilocos Norte while Aima is a native of Benguet. Both children have asthma and is believed to be inherited from the father who is experiencing asthma attacks as well. Roderick is a high school graduate while Aima entered college for a year. the latter is in Aurora Province. The family Confisal lives in Libacong. Boboc-Bisal. LEARNING NEED: Ways on how to prevent asthma attacks LEARNING DIAGNOSIS: Knowledge deficit: Ways on how to prevent and manage asthma attacks related to Roderick’s verbalization of concern towards the existence of asthma among Mharjun and Erica GOAL: The client/s will be able to prevent and/or manage asthma attacks 150 . Roderick and Aima are both farmers but currently. Roderick. the parents of Mharjun and Erica. who has worked in various places. Benguet. He verbalizes concern on the presence of asthma among his children.

the client will be able to: Define asthma Definition of asthma Lecture 2 minutes Booklet Instant oral feedback: Client/s will be able to answer questions regarding asthma Enumerate 5 signs and symptoms of asthma 5 signs and symptoms of asthma Lecture 3 minutes Booklet Instant oral feedback: Client/s will be able to enumerate the 5 signs and symptoms of asthma Enumerate causes and risk factors of asthma Causes and risk factors of asthma 3 host factors 5 environmental factors Lecture 5 minutes Booklet Instant oral feedback: Client/s will be able to enumerate 3 host factors and 5 environmental factors of asthma LEARNING CONTENT TEACHING STRATEGY ALLOTMENT/ RESOURCES NEEDED METHOD OF EVALUATION 151 .TIME LEARNING OBJECTIVES Following a 30 minute teaching session.

Enumerate 5 food asthma triggers 5 food asthma triggers Lecture 5 minutes Booklet Instant oral feedback: Client/s will be able to enumerate 5 food asthma triggers Enumerate 4 ways on how to prevent asthma attacks 4 ways on how to prevent asthma attacks Lecture 5 minutes Booklet Instant oral feedback: Client/s will be able to enumerate 4 ways on how to prevent asthma attacks Enumerate 4 home remedies for asthma 4 home remedies for asthma Lecture 5 minutes Booklet Instant oral feedback: Client/s will be able to enumerate 4 home remedies for asthma LEARNING CONTENT 152 .

especially early in the morning or at night. the inside walls of your airways become sore and swollen. they get narrower and your lungs get less air. That makes them very sensitive.Asthma is a chronic disease that affects your airways. it's called an asthma attack. and they may react strongly to things that you are allergic to or find irritating. People can die from severe asthma attacks. This can cause the following Signs and symptoms: wheezing. When your asthma symptoms become worse than usual. chest tightness. Severity of Asthma Attack Sign/Symptom Alertness May agitation Breathlessness Talks in Wheeze Respiratory rate (/min) Pulse rate (/min) Causes and Risk Factors 153 Mild Moderate show Agitated Severe Agitated Imminent Respiratory Arrest Confused/Drowsy On walking Sentences Moderate Increased 100 On talking Phrases Loud Increased 100-120 Even at rest Words Loud Often >30 >120 <60 (Bradycardia) Absent . and trouble breathing. If you have asthma. When your airways react. In a severe asthma attack. Your airways are tubes that carry air in and out of your lungs. nasal flaring. the airways can close so much that your vital organs do not get enough oxygen. coughing.

→ Host factors: predispose individuals to or protect them from developing asthma  Genetic predisposition  Allergy  Airway hyper responsiveness  Gender  Race / Ethnicity → Environmental factors: influence susceptibility to development of asthma in predisposed individuals.→ Asthma development has both a genetic and environmental component. precipitate asthma aggravation and/or cause symptoms to persist  Indoor allergens  Outdoor allergens  Occupational factors  Tobacco smoke  Air pollution  Respiratory infections  Parasitic infections  Socioeconomic factors  Family Size  Diet and Drugs Asthma Triggers 154 .

but can worsen established asthma. carpets  Respiratory infection  Weather changes Food and Food Additives Trigger Asthma While it’s not common for food allergies to cause asthma. These cannot cause asthma to develop initially.  Irritant gases and smoke  House dust mite found in pillows. It involves further exposure to causal factors (allergens and occupational agents) that have already sensitized the airways of the person with asthma.→ Triggers are risk factors for asthma attacks. mattresses. food allergies can cause a severe life-threatening reaction. The most common foods associated with allergic symptoms are:  Eggs and Chicken  Cow's milk  Peanuts  Soy  Wheat  Fish  Shrimp and other shellfish  Salads & some fresh fruits  Food Preservatives  Exercise  Certain drugs  Strong emotions 155 . They induce inflammation and/or provoke acute bronchoconstriction.

Asthma inhalers are the most common and effective way to deliver asthma drugs to the lungs. you can take steps to control the disease and prevent its symptoms. If you’re having difficulty using small inhalers. he or she will make changes in the dose or medicine. Your doctor will check to see how well a medicine works for you. There are some combination asthma inhalers. there isn't a way to prevent asthma from starting in the first place. These combination asthma inhalers are popular due to their convenience. but most are taken using a device called an inhaler or nebulizers. or anyone who has difficulty  Get regular checkups for your asthma. Asthma medicines can be taken in pill form. elderly adults. mattress pads) weekly in hot water 156 . small children. Doctors usually use a stepwise approach to prescribing medicines. pillow cases. However.  Learn about your asthma and how to control it. your doctor may prescribe an asthma nebulizer. which contain two different medications: an inhaled steroid and a long-acting bronchodilator. The asthma nebulizer with a mask is typically used for infants. as needed. Medicines Your doctor will consider many things when deciding which asthma medicines are best for you.  Use medicines as your doctor directs. and the medications last for at least 12 hours.Can Asthma Be Prevented? Currently. also known as a breathing machine.  Avoid Asthma triggers  Keep track of your asthma symptoms and level of control.  Clean the house at least once a week  Avoid pets with fur or feathers  Wash the bedding (sheets.

herbalremediesinfo. RN.ca/library/pdf/pamphlets/BCCH1108asmtha.htm 157 .bc.pdf  http://almglobal. Luz Barbara P.jpg  http://www.nlm.gov/medlineplus/asthma. and Sheila R.com/homeremedies_asthma. Tuazon. This takes a few more minutes of time when compared to inhalers.net/blog1/wp-content/uploads/2008/07/asthma. DrPH. Home remedies for asthma:  Steam bath .html  http://en. MAN pp.cw.webmd.com/Asthma.using inhalers with spacers.html  http://www.natural-homeremedies. 25-27  http://www. Bonito. Dones. MPH.nih. RN. so that they can be more easily inhaled into the lungs. RN.com/asthma/guide/asthma-triggers?page=2  http://www.relieve congested lungs  Steaming ginger tea with garlic cloves every morning and evening  Garlic cloves boiled in milk  1 teaspoon honey in a glass of warm water daily  Drink warm water before sleeping and right after waking up (avoid cold fluid) REFERENCES:  Promoting Healthy Lifestyles – An Integrated Community – based Approach to Prevention and Control of Non-communicable Diseases Booklet 2 by Josefina A.org/wiki/Asthma#Signs_and_symptoms  http://www. The nebulizer changes asthma medications from a liquid to a mist.wikipedia.

LEARNING NEED How to manage delayed developmental status of a child LEANING DIAGNOSIS Knowledge deficit: management for delayed developmental status of a child related to lack of information as manifested by the verbalization of the client “anya ngay ngata ti mabalin nga aramidin” GOAL After one-on-one discussion. Furthermore.TEACHING PLAN FOR MANAGEMENT ON DELAYED DEVELOPMENTAL STATUS DESCRIPTION OF THE LEARNER A 34 year old mother claimed that her daughter doesn’t able to act normally as her age of 2 year old. Client is able to speak and understand Ilokano and prefer it as a medium of discussion. She also added that her child possibly had drug overdose. She verbalized that her daughter had acquired the illness (what she described to us) when her daughter was 1 month old and taking medications such as antibiotics for upper respiratory tract infection. The mother wanted to know how would they deal into their child and what are the managements for this. the client has no hearing problems that may affect her learning. the mother will be able to manage or deal on her daughter’s delayed developmental status. 158 .

the client will be able to: 1. Described what is delayed developmental status as what her understanding is >Description of developmental delay >one-on-one discussion >7 min >Instant oral feedback: the mother will correctly answer question about what is delayed developmental status LEARNING CONTENT TEACHING ALLOTMENT/ STRATEGY RESOURCES NEEDED METHOD OF EVALUATION 2.TIME LEARNING OBJECTIVES Upon completion he topic on management for delayed developmental status. Discussed what are the assessments for 159 .

Discussed the possible symptoms >What are the causes of developmental delay? 5. Identify ways on how to manage child with developmental delay >What are the > one-on-one 160 > one-on-one discussion >Instant oral feedback: the mother discusses >5 min the causes of developmental delay >Instant oral feedback: the mother will discussed what are possible symptoms .a child with delayed developmental status >Assessments > one-on-one discussion >10 min >Instant oral feedback: the mother discusses assessments for a child with delayed developmental status 3. Discussed the causes of the developmental delay 4.

which is not a delay in development but rather a permanent limitation. then a child five or six months behind schedule in reaching these milestones may be classified as developmentally delayed regarding mobility. and the child can begin to receive 161 . Some have global delays. Doctors try to locate the source of the delay and then design a treatment plan. which means they lag in all developmental areas. the pediatrician and family know better what to expect.symptoms discussion >5 min >management (parents’ concern) >one-on-one discussions >15 min >Instant oral feedback: the mother will identify ways on how to manage or how to cope up with her daughter with developmental delay LEARNING CONTENT Description Developmental delay refers to when a child's development lags behind established normal ranges for his or her age. When the cause of a child's delay is identified. Sometimes the term is used for mental retardation. At least 8 percent of all children from birth to six years have developmental problems and delays in one or more areas of development. If most children crawl by eight months of age and walk by the middle of the second year.

or with parents or other familiar caregivers. and social skills in groups.Fragile X syndrome .Autism .Birth asphyxiation . Family assessment: Interpretation of a child's development from family members. directly or indirectly. with peers. then parents may seek genetic counseling regarding their decision on having additional children. Assessments • • • • Developmental assessment: The physician's review of a child's current competencies (including knowledge. What are the causes? Chronic illness . in free play or in special games.Prader-Willi syndrome .Hypothyroidism .Brain structure abnormalities .Fetal exposure to toxins .Intrauterine infection .Downs syndrome . Multidisciplinary assessment: The assessment by a group of professionals who work with the child and family. The assessment interprets different phases of a child's development and types of behavior and skills. feelings.Williams syndrome . Premature birth .Malnutrition .Encephalitis .Cerebral palsy.Premature birth What are the symptoms? 162 . and personality).Perinatal complications .Genetic causes . as well as their ideas about priorities and concerns about the child's future development.Chromosomal abnormalities .Meningitis .appropriate treatment and support.developmental delay in children .Child abuse and neglect . learning style. Play-based assessment: This assessment involves observation of the child playing alone. and consideration of the best ways to help the child develop further. skills.Brain trauma .Aflatoxicosis . Play provides a diagnostic framework within which children show abilities.Normal variant .Meningitis Velocardiofacial syndrome .Nonchromosomal dysmorphic disorders .Head injury .Neurocutaneous syndromes . If the problem is a genetic disorder.Metabolic disorders.

You may also find your child takes no interest in walking for months and then makes a sudden leap forwards (literally!). and lack of experience also place the toddler at risk for accidental injury. such as spina bifida or autism -. immaturity. A physical delay can be a symptom of a larger disability. or may need physiotherapy for muscle weakness. Learning to walk late can also run in families or it may be a reflection of your child's personality: some children are more independent than others. As toddlers learn to walk. They may tend not to explore their environment or take risks in it. developmental delays are readily identifiable That depends on whether the problem is physical or cognitive (in other words. while the rest of their skills continue developing on or ahead of schedule. and this has a bearing on how soon they learn various skills. The healthy toddler years are characterized by the struggle for autonomy as the child develops a sense of personhood separate from the parent. it may just mean he's concentrating so hard on talking or understanding that his brain has pushed walking to a back burner for the moment. Some children will have delays in a particular area. However. there is access to new territory. Boundless energy and insatiable curiosity drives the child to explore the environment and master new skills.but it can also simply mean your child needs a few more weeks or months to catch up to his peers.Between the ages of 12 and 30 months. Toddlers' egocentric and demanding behavior. However. 163 . has given this period a negative reputation. often marked by temper tantrums and negativism. one that affects your child's ability to learn). such as walking. For the child who is not progressing in language skills. it is important to bring it up with your child's health visitor or GP. If that's the case for your child. Dramatic growth of language and cognitive skills during the second year enables the healthy toddler to think and solve problems for the first time. Children with developmental delays may tend to be more reserved and less adventuresome. if you are concerned about any aspect of your child's development. Increased motor skills. toddlers who do not evince this challenging behavior may be delayed. a child begins to strike out independently from a secure base of trust set up with the primary caregiver during the first year.

if you are at all concerned about your child. a problem with the central nervous system or brain. keep observing him and try not to worry. As long as your child can speak clearly by the time he's ready for reception. a problem with the larynx. Managements: ➢ Cornerstone for any developmental delay is the therapeutic school ➢ Early identification means early intervention ➢ Gross motor delay and fine motor delay needs physical therapy ➢ Speech and language therapy: the parents must communicate with the child more frequently and attempt to socialized with others ➢ Counseling and behavioral modification approach 164 . Current research indicates that early intervention and treatment can go a long way in correcting language development problems. difficulty expressing ideas in words and sentences (expressive language abilities) or simply from a lack of communication with parents and other adults. Also. Talk to him as much as you can in a normal. As with walking. In the meantime. mouth or nose. throat. Speech delays can result from a hearing problem. You may find your pre-schooler repeating a word several times in the middle of a sentence as a way of holding your attention as he formulates the rest of his thought (this is not the same thing as stuttering). evenly paced tone -. It may help to remind yourself that the timetable for normal language development is broad. difficulty understanding the meaning of words and sentences (receptive language abilities). learning to talk late may simply be a family trait. encourage his language development wherever you can -. and any child can run into small roadblocks along the way. keep a close eye on your child's language development.Also. speak to your health visitor or GP.the most important help you can give is to model correct speech. he's on track. Again. Twins who develop a special language between themselves may also be late talkers.point to objects in books and ask him to name them and sing rhyming songs with him when you're in the car or on a walk.

12 years of age. LEARNING NEED Hand Washing LEARNING DIAGNOSIS Knowledge deficit: Proper hand washing related to lack of exposure. it is important that his children could learn from us.➢ Multidisciplinary approach ➢ Developmental screening should be implemented as a part of health maintenance visits REFERENCE:  http://www.healthline. male. He is studying at Kawal Elementary School on his 6th grade. living with his parents Mr. 165 . Boy and Mrs. During the interview. Bokod. Virginia Tanoyo together with his siblings Clinton and Mylene at Libacong Boboc. He goes to school having his pack lunch and eat with his friends and siblings in school.com/galecontent/developmental-delay-1/2 TEACHING PLAN FOR HANDWASHING DESCRIPTION OF THE LEARNER Chris Tanoyo. the clients will be able to develop the necessary attitude and skill on proper hand washing and when to hand wash. GOAL After learning-teaching process. they were not around since they’re in school but according to his father.

TIME LEARNING OBJECTIVES LEARNING CONTENT TEACHING STRATEGY ALLOTMENT/ RESOURCES NEEDED METHOD OF EVALUATION 166 .

After 20 minutes of health teaching. towel Instant oral feedback: the client will be able to name the materials provided ➢ Show the steps on hand washing Steps in hand washing Demonstration and Supervised Return 10 minutes Pamphlet on doing Hands on: Proper hand washing should be demonstrated with minimal supervision 167 . the client will be able to: ➢ Give the reason for hand washing Purpose of hand washing Discussion 3 minutes Pamphlet Instant oral feedback: the client will be able to state the reason of hand washing ➢ Enumerate the necessities in hand washing Necessities in hand washing Activity in naming materials 3 minutes Soap. running water.

Soap 2. Running water 168 . It is the process of rubbing hands creating friction using the running water and soap.LEARNING CONTENT What is Hand Washing? Hand washing is the simplest and most cost effective way of preventing the transmission of infection and thus reducing the incidence of health-care associated infections. Necessities in Hand Washing 1.

2. 4. Scrub fingertips of each hand in opposite palm. 10. 169 . Scrub in between and around finger. Rinse thoroughly under running water. 9. 7. Pat hands dry with paper towel/ hand towel. · Ensure that the nails are clipped short · Roll the sleeves up to the elbow. Turn off water using same paper towel/ hand towel. Prevents contamination 2. bracelets) and watches before washing hands. 6. 11.3. Lather soap and scrub hands well. 5. Scrub each wrist clasped in opposite hand. Scrub each thumb clasped in opposite hand. Clean hand Steps in Hand Washing 1. palm to palm. 8. Prepare for hand washing · Remove jewelry (rings. Hand towel Benefits of Hand Washing 1. Scrub back of each hand with palm of other hand. Prevents occurrence of sickness 3. Wet hands and wrist 3.

LEARNING NEED How to prevent occurrences of cough and colds. After blowing nose. After playing with pets or animals 9. After visiting relatives/ friends who are sick TEACHING PLAN FOR COUGH AND COLDS DESCRIPTION OF THE LEARNER June 15. The school principal verbalized need for health teaching about cough and colds to the student’s ages 7-12 years old. 2010 when we coordinated at the principal of Kawal Elementary School. After using the toilet 5. coughing. we do ocular survey to Kawal and June 23. sneezing. After handling uncooked food 7. 2010. After playing outdoors or in sand 8.When to hand Wash 1. Whenever they look or smell dirty 10. After handling garbage 6. Before and after eating or handling food 2. Before playing with a group media 3. 170 . or putting hands in the mouth 4.

TIME LEARNING OBJECTIVES Upon completion of health teaching.LEARNING DIAGNOSIS Knowledge Deficit: occurrences of cough and colds management relayed to lack of knowledge manifested by verbal responses. GOAL After the teaching-learning process. the clients will be able to develop the necessary attitude & knowledge on how to prevent cough and colds. clients will be able to: 171 LEARNING CONTENT TEACHING STRATEGY ALLOTMENT/ RESOURCES NEEDED METHOD OF EVALUATION .

Demonstrate proper hand washing. Wet hands with water b. Steps of proper hand washing. Briefly discuss the causes of cough and colds. a. Ways to prevent cough and colds. Define on their own words what is cough and colds. Scrub backs of hand. Definition of cough and colds. Apply soap c. Causes of cough and colds. 3. Lecture 5 minutes Instant oral feedback: The clients discuss causes of cough and colds. between Lecture and demonstration 10 minutes Instant oral feedback and demonstration: The clients demonstrated proper hand washing. Enumerate possible ways on how to prevent cough and colds. 4. wrists.1. Lecture 5 minutes Instant oral feedback: The clients enumerated ways to prevent cough and colds. Lecture 2 minutes Instant oral feedback: The clients define cough and colds in their own words. 2. 172 .

173 . Scrub for 20 seconds. LEARNING CONTENT Definition of cough and colds. Lecture 2 minutes Instant oral feedback: The clients identify non-pharmacologic management of cough and colds.pharmacologic management of cough and colds. Management of cough Lecture 2 minutes Instant oral feedback: The client discuss how to manage cough and colds if already acquired. Rinse with water e.fingers. Non. to manage cough and and colds. Briefly discuss how colds if already acquired. 6. Identify nonpharmacologic management of cough and colds. d. and under fingers. Towel dry 5.

Keep away from crowded places during cough and cold epidemics. Steps of proper hand washing. 174 . Management of cough and colds. and under fingers. scratchy throat and general malaise. Fluids help keep mucus more liquid and help prevent ear infections. Wet hands with water b. humidity and rainfall patterns influence the growth of viruses and fungi. Wash in warm or hot running water.or virus-infected droplets coughed or sneezed into the air. sneezing. Scrub for 20 seconds.• • The common cold is a viral infection. Causes of cough and colds. between fingers. wrists. • Drinking lots of liquids can help you recover from a cold. Frequent hand washing can reduce your chances of getting a cough or colds.pharmacologic management of cough and colds. a clear. Practice good hand washing techniques. Scrub backs of hand. bronchitis and other complications. characterized by nasal congestion. Coughing protects the respiratory system by clearing it of irritants and secretions. Apply soap c. d. Ways to prevent cough and colds. Towel dry Non. Cough is a forceful release of air from the lungs that can be heard. This increases the risk of the spread of infectious diseases such as cough and colds. Rinse with water e. Use soap. • • • • • Changes in temperature. Cough and colds are commonly spread through bacteria. a. runny nose.

LEARNING NEED Information about the symptoms. Water therapy. causes and prevention of Diarrhea LEARNING DIAGNOSIS Knowledge Deficit regarding the symptoms. None of them has a hearing and visual problem.Benguet. They claim that they want to know information about Diarrhea regarding its symptoms. as long as you use the tissue only once. Coughing on a tissue is preferred likewise. causes and prevention of diarrhea GOAL 175 . They prefer one.one lecture discussion. TEACHING PLAN FOR DIARRHEA DESCRIPTION OF THE LEARNER The clients are the Grade 4 pupils of Kawal Elementary School Bokod. The clients are able to speak and understand Ibaloi and Ilokano. causes and prevention.• • It's better to blow your nose with a tissue than a handkerchief.

Provide hand outs 2-3 minutes discussion about diarrhea ant its causes Instant Oral feedback: The clients will state correctly the definition 176 state at least 3 causes of . causes and prevention diarrhea LEARNING OBJECTIVES Upon discussion of the topic about Diarrhea the clients will be able to: 1. Define and LEARNING CONTENT TEACHING STRATEGY TIME ALLOTMENT/ RESOURCES NEEDED METHOD OF EVALUATION Definition and causes of Diarrhea One.The clients will be able to know the Symptoms.one lecture discussion.

of diarrhea and its causes 2. symptoms of Symptoms of diarrhea One. Provide hand outs 5 minutes discussion about the ways on how to prevent diarrhea. State the Complications of diarrhea One. Provide hand outs 3 minutes discussion about the symptoms of diarrhea Recitation: The client will state at least 3 symptoms of Diarrhea diarrhea 3.one lecture discussion.diarrhea. State ways Ways to prevent Diarrhea One. possible complications of diarrhea 4.one lecture discussion.one lecture discussion. Provide hand outs 3-4 minutes about the complications of diarrhea Recitation: The clients will give the possible complication of diarrhea. Recitation: The clients will state the ways on how to prevent diarrhea on how to prevent diarrhea LEARNING CONTENT 177 .

Acute diarrhea is a common problem that usually lasts 1 or 2 days and goes away on its own without special treatment.Several types of bacteria consumed through contaminated food or water can cause diarrhea ➢ Food intolerances -Some people are unable to digest food components such as artificial sweeteners and lactose—the sugar found in milk. or an urgent need to use the bathroom. and celiac disease often lead to diarrhea. A person with diarrhea typically passes stool more than three times a day. watery stools. viral. ➢ Intestinal diseases. nausea.What is diarrhea? Diarrhea is loose. 178 . Chronic diarrhea is usually related to functional disorders such as irritable bowel syndrome or inflammatory bowel disease.Inflammatory bowel disease. Crohn’s disease. colitis. People with diarrhea may pass more than a quart of stool a day. A few of the more common causes of diarrhea include the following: ➢ Bacterial infections . abdominal pain. a person may have a fever or bloody stools. Causes of Diarrhea Acute diarrhea is usually related to a bacterial.Parasites can enter the body through food or water and settle in the digestive system. or parasitic infection. Symptoms of Diarrhea Diarrhea may be accompanied by cramping. Prolonged diarrhea persisting for more than 2 days may be a sign of a more serious problem and poses the risk of dehydration. Depending on the cause. ➢ Parasites . bloating. Chronic diarrhea may be a feature of a chronic disease.

Electrolytes (minerals) also are lost with water when diarrhea is prolonged or severe. check with your physician about changing medications 179 . If one of the side effects is diarrhea. Wash your hands after you have a bowel movement. Avoid foods that have a tendency to loosen bowels. or after using public bathrooms or shopping. • • • • • Wash fruits and vegetables thoroughly before eating. especially when you are around a group of children. with or without vomiting.Complications of Diarrhea ➢ Dehydration occurs when there is excessive loss of fluids and minerals from the body due to diarrhea. Ways to prevent Diarrhea • Practice good hand-washing hygiene. especially meat. and mineral or electrolyte deficiencies may occur. It's possible to spread bacteria. or after wiping up your children after theirbowel movements. Read your medication labels carefully. Cook food thoroughly. like the sorbitol found in many diet Practice good stress management if your diarrhea is caused by anxiety.

TEACHING PLAN ON URINARY TRACT INFECTION DESCRIPTION OF THE LEARNER UTI is a common illness experienced by the higher years of the Elementary School of Kawal, particularly Grades 4, 5 and 6, according to Mr. Johnny Bugnay, the school principal. He noted he wanted the students to be taught about UTI to make them aware and to prevent the occurrence of such illness since they are not familiar to it, especially to those who did not experience it yet. The students can understand, speak and read Ibaloi and Ilocano, and for some, English. They and the student nurses, themselves, chose Ilocano as a medium of instruction since it is the common dialect understood. Moreover, there are no problems that may affect learning of the topic. The students, as well as the student nurses, favored lecture discussion as a teaching strategy to better understand the topic and to gain active participation from the students. LEARNING NEED The Preventive measures for Urinary Tract Infection LEARNING DIAGNOSIS Knowledge Deficit: Preventive Measures for Urinary Tract Infection related to lack of exposure GOAL The pupils will gain necessary attitude, knowledge and skills on the prevention of Urinary Tract Infection.

180

TIME LEARNING OBJECTIVES Upon completion of the topic on the Urinary Tract Infection, the client will be able to: LEARNING CONTENT TEACHING STRATEGY ALLOTMENT/ RESOURCES NEEDED METHOD OF EVALUATION

Describe Urinary Tract Infection

Urinary Tract Infection •

Lecture discussion to the whole class with visual aids

• –

3 minutes Visual aids

Instant oral feedback: The client will correctly describe what Urinary Tract Infection is.

Enumerate at least 3

Risk Factors of

Lecture

3 minutes

Instant oral feedback:
181

causes of Urinary Tract Infection

Urinary Tract Infection

discussion to the whole class with visual aids • Lecture discussion to the whole class with visual aids •

Visual Aids on pictures showing the habits/ causes 2 minutes •

The client will enumerate at least 3 causes of Urinary Tract Infection. Instant oral feedback: The client will enumerate the signs and symptoms of Urinary Tract Infection.

Enumerate Signs and Symptoms of Urinary Tract Infection

Signs and Symptoms of Urinary Tract Infection

Visual Aids

Preventive Measures for Urinary Tract Infection

Lecture discussion to the whole class with visual aids

• –

5 minutes Visual Aids on pictures showing preventive measures

Instant oral feedback: The client will enumerate the preventive measures for Urinary Tract Infection

Enumerate the preventive measures for UTI.

182

LEARNING CONTENT Urinary Tract Infection

A urinary tract infection (UTI) is an infection involving the kidneys, ureters, bladder, or urethra. These are the structures that urine passes through before being eliminated from the body. Urinary tract infections are much more common in adults than in children, but about 1%-2% of children do get urinary tract infections. Urinary tract infections in children are more likely to be serious than those in adults and should not be ignored. Urinary tract infection is the most common urinary tract problem in children besides bedwetting. Urinary tract infection is second only to respiratory infection as the most common type of infection. These infections are much more common in girls and women than in boys and men younger than 50 years of age. The reason for this is not well understood, but anatomic differences between the genders (a shorter urethra in women) might be partially responsible.


• •

Causes: The urine is normally sterile. An infection occurs when bacteria get into the urine and begin to grow. The infection usually starts at the opening of the urethra where the urine leaves the body and moves upward into the urinary tract.

The culprit in at least 90% of uncomplicated infections is a type of bacteria called Escherichia coli, better know as E. coli. These bacteria normally live in the bowel (colon) and around theanus.
183

usually a partial blockage. People who takeimmunosuppressant medications also are at increased risk. often with only a small amount of urine Urgency: the sensation of not being able to hold urine Hesitancy: the sensation of not being able to urinate easily or completely (or feeling that you have to urinate but only a few drops of urine come out) • • • • • Cloudy.• • • • • People with conditions that block (obstruct) the urinary tract. Young children: Young children have trouble wiping themselves and washing their hands well after a bowel movement. such as kidney stones People with medical conditions that cause incomplete bladder emptying (for example. spinal cord injury or bladder decompensation after menopause) People with suppressed immune systems: Examples of situations in which the immune system is suppressed are AIDS and diabetes. or bloody urine Lower abdominal pain 184 . Children of all ages: urinary tract infection in children can be (but is not always) a sign of an abnormality in the urinary tract. Poor hygiene has been linked to an increased frequency of urinary tract infections. An example is a condition in which urine moves backward from the bladder up the ureters (vesicoureteral reflux). Urinary Tract Infection Symptoms: Lower urinary tract infection (cystitis): The lining of the urethra and bladder becomes inflamed and irritated. bad-smelling. • Dysuria: pain or burning during urination Frequency: more frequent urination (or waking up at night to urinate).

and elderly people.• Mild fever (less than 101 F). unexplained fever that doesn't go away. • • • • Fairly high fever (higher than 101 F) Shaking chills Nausea Vomiting Flank pain: pain in your back or side. loss of bowel control. infants. the classic symptoms of a urinary tract infection may not be present. change in urination pattern • Urinary Tract Infection Prevention: • • Women and girls should wipe from front to back (not back to front) after going to the bathroom. not thriving Children: irritability. especially after sexual intercourse. diarrhea. • • Newborns: fever or hypothermia (low temperature). and "just not feeling well" (malaise) Upper urinary tract infection (pyelonephritis): Symptoms develop rapidly and may or may not include the symptoms for a lower urinary tract infection. jaundice Infants: vomiting. loose bowels. poor feeding. poor feeding. Other • symptoms may indicate a urinary tract infection. children. usually on only one side at about waist level In newborns. 185 . This helps prevent bacteria from the anus entering the urethra. eating poorly. Empty your bladder regularly and completely. chills. fever.

has been shown to help prevent urinary tract infections. There is evidence that cranberries reduce the risk of the bacteria's adhesion to bladder cells. Nylon pantyhose should have a cotton crotch • • 186 .rich foods. moist environment needed for bacteria growth. especially.• Drink plenty of fluids. Reduce intake of sodium. Wear cotton undergarments. which allow air circulation and discourage the warm. Cranberry juice.

When trying to light her eyes. When getting the blood pressure of Anita. Moreover. with no maintenance medications being taken in. however. She is also hypertensive with last BP taken of 140/90 mmHg. Bokod with her daughters Anita and Jenette. Bobok-Bisal. She. daughter of Jenette. Mellita told she’s really hypertensive and that she goes to the barangay health station sometimes because the barangay health worker might be lazy in going to their place because of the distance from barangay health station. LEARNING TIME ALLOTMENT/ METHOD OF 187 . she can do things on her own such as walking towards the kitchen and urinating alone in her own chamber. Upon assessment. explained that she is eating garlic to reduce her BP. 55. There are also portions of her skin that are near to break. She answers questions but not that clear. Mellita is a farmer and a caretaker at the same time. During the blood pressure taking. her daughter. LEARNING NEED: How to prevent hypertension LEARNING DIAGNOSIS Knowledge Deficit: Hypertension related to treatment regimen and control of disease process GOAL After 2 hours (1 hour per day for two days) of nursing interventions patient Mellita will be able to understand of the condition. her eyes were not reactive to light.TEACHING PLAN FOR HYPERTENSION DESCRIPTION OF THE LEARNER Mellita Carap. is blind and right-body paralyzed. she usually withdraws her arms due to pain experienced when the BP cuff is inflated. resides in 0175 Kawal. Mellita has also blurred vision but claims not to feel headache or dizziness. She has stiff extremities. sons Gil and Geoffrey. Anita. She has long fingernails and toenails. the caretaker of Anita Carap. Mellita’s blood pressures were high ranging about 160-180 as the systole and 80 as the diastole. such as those located in her hands and in her back (like bedsores). and granddaughter Regyne. 74F. On further assessment of Anita. She has also halitosis. She has poor hygiene due to her situation.

interest and willingness. PHN book Goal partially met: The patient was not able to maintain blood pressure at less than 140/90 mmHg even with lifestyle modifications. time and effort of both the nurse and learner. the learner will be to: 1. Needs to be monitored still 188 .LEARNING OBJECTIVES Upon completion of the nursing interventions. Maintain blood pressure at less than 140/90 mmHg with lifestyle modifications • Lifestyle modificati ons CONTENT TEACHING STRATEGY RESOURCES NEEDED EVALUATION One on one lecture Discussion Story telling 30 minutes. Handouts.

increase fruit and vegetable intake. time and effort of both the nurse and learner. • Complicat ions of hypertensi on One on one lecture Discussion 15 minutes.interest and willingness. Maintain pulse rate and respiratory rate within normal ranges. sodium. Goal met: The patient abstained from coffee intake. time and effort of both the nurse and learner. 1. time and effort of both the nurse and learner.1.interest and willingness. and fat intake. • Complicat ions of coffee intake One on one lecture Discussion Story telling 15minutes. Goal met: The patient adhered to the dietary regimen.interest and willingness. 189 . She reduced the intake of salt and fat. She needs to be monitored. Adhere to the dietary regimen: reduce calorie. Abstain from coffee intake • Dietary manageme nt on hypertensi on One on one lecture Discussion Examples 30 minutes. Goal partially met: The patient didn’t maintain pulse rate and respiratory rate within normal ranges. 1.

heart attack.interest and willingness. The heart must work harder to pump blood through the narrowed arteries. handout. If the condition persists. time and effort of both the nurse and learner. and kidney or heart failure. pictures Goal partially met: The patient has no dizziness and headache but has high BP. causing an increase in blood pressure against vessel walls. Blood pressure is classified in four categories: normal. and stage 2 hypertension.” hypertension usually causes no symptoms until it reaches a life-threatening stage. Often called the “silent killer. prehypertension. stage 1 hypertension.1. Exhibit no complications • Complicat ions of hypertensi on One on one lecture Discussion Question and answer 30 minutes. damage to the heart and blood vessels is likely. 190 . in which 120 describes systolic pressure and 80 describes diastolic pressure. Normal blood pressure in an adult is less than 120/80 mm Hg. LEARNING CONTENT Hypertension or High Blood Pressure is a medical condition in which constricted arterial blood vessels increase the resistance to blood flow. increasing the risk for stroke.

either by retaining salt or excreting salt into urine. which causes arteries to contract. thereby raising blood pressure. they increase the resistance to blood flow. the higher the blood pressure. the salt attracts water. and race. As a higher volume of blood passes through arteries. People with prehypertension are likely to develop hypertension at some point during their life. physical inactivity. obesity. The kidneys play a major role in the regulation of blood pressure. Complications: Increased pressure on the inner walls of blood vessels makes the vessels less flexible over time and more vulnerable to the buildup of fatty deposits in a process known as atherosclerosis. forming an 191 . and heavy alcohol consumption. Risk factors that may contribute to elevated blood pressure in some people include a diet high in salt.Prehypertension is defined as a systolic pressure of 120 to 139 mm Hg or a diastolic pressure of 80 to 89 mm Hg. Included also are family history. The heart works harder to pump more blood to make sure the same amount of blood circulates to all the body tissues. When the arteries narrow. increasing the fluid volume of blood. The more blood the heart pumps and the smaller the arteries. Kidneys secrete the hormone renin. advancing age. Stage 2 hypertension is defined as 160/100 mm Hg or higher. When kidneys retain salt in the bloodstream. Development of Hypertension: Two factors determine blood pressure: the amount of blood the heart pumps and the diameter of the arteries receiving blood from the heart. Weakened portions of the blood vessel wall may balloon. it increases blood pressure. The kidneys also control the fluid volume of blood. Stage 1 hypertension is defined as a systolic pressure of 140 to 159 mm Hg or a diastolic pressure of 90 to 99 mm Hg.

Both atherosclerosis and a ruptured aneurysm in the brain can lead to a stroke. Beta blockers reduce heart rate and the amount of blood the heart pumps.aneurysm. internal hemorrhaging (bleeding) results. This extra work causes the muscles of the heart to enlarge. Without medical treatment. ACE inhibitors prevent the narrowing of blood vessel walls to control blood pressure. and eventually the enlarged heart becomes inefficient in pumping blood. Hypertension forces the heart to work harder to pump adequate blood throughout the body. Increased blood pressure may damage the small blood vessels within the kidney. Some patients can lower their blood pressure by limiting salt in their diet. and waste products may build up in the blood in a condition known as uremia. If an aneurysm ruptures. in which the heart can not pump enough blood to meet the body’s needs. Treatment: Physicians recommend that people with prehypertension undergo diet and lifestyle changes. For those with stage 1 and stage 2 hypertension. in order to prevent a rise in blood pressure. Studies show that two drugs are more effective than one drug at lowering blood pressure to less than 140/90 mm Hg. Diuretics are antihypertensives that promote excess salt and water excretion. The kidney then becomes unable to filter blood efficiently. a physician may prescribe diet and lifestyle changes. Increasing physical activity and reducing alcohol consumption to less than two drinks per day for men and one drink per day for women may also lower blood pressure. 192 . reducing the amount of fluid in the bloodstream and relieving pressure on blood vessel walls. such as losing weight and quitting smoking. as well as one or more drugs known as antihypertensives. Calcium channel blockers slow heart rate and relax blood vessels. An enlarged heart may lead to heart failure. kidney failure will result.

stimulates the central nervous system. vegetables. providing ample protein. discovered in tea in 1827. Treat meat as one part of your whole meal. such as pasta. if you drink alcohol. It is also present in most cola beverages. issue of the New England Journal of Medicine. an alkaloid (C8H10O2N4·H2O) found in coffee. The effectiveness of the diet in reducing hypertension was reported in the April 17.DASH DIET The Dietary Approaches to Stop Hypertension (DASH) diet is an eating plan designed to prevent and treat hypertension. and. beans. keeping a healthy weight. being physically active. calcium. Caffeine was discovered in coffee in 1820. Center your meal around carbohydrates. is identical to caffeine. and fish. Caffeine is used in treating migraine because it constricts the dilated blood vessels and thereby reduces 193 .” • • • CAFFEINE Caffeine. or vegetables. promotes urine formation. In 1838 it was established that theine. The drug increases the blood pressure. and some other plants. make it part of a lifestyle that includes choosing foods lower in salt and sodium. Based on their experience prescribing the diet. this diet was developed and tested at several major medical centers. rice. 1997. DASH also includes portions of meat. tea. In addition DASH provides large amounts of fiber. The DASH diet is rich in fruits. instead of as the main course. the scientists who developed the DASH diet offer these tips: • • Start small. and dairy products that are low in total and saturated fat. poultry. Funded by the United States government. doing so in moderation. low-calorie foods such as sugar-free gelatin for desserts and snacks. The DASH experts add: “Remember! If you use the DASH diet to help prevent or control high blood pressure. Make gradual changes in your eating habits. cacao. Use fruits or low-fat. potassium. and magnesium. and stimulates the action of the heart and lungs.

Caffeine is produced commercially chiefly as a byproduct in making caffeine-free coffee. Caffeine has been suggested as a possible cause of cancer and of birth defects. It also increases the potency of analgesics such as aspirin. No studies. however.the pain. 194 . and it can somewhat relieve asthma attacks by widening the bronchial airways. have yet confirmed any of these charges.

TEACHING PLAN FOR HYGIENE DESCRIPTION OF THE LEARNER The learners are the children of Mr. and Mrs Pepito Saoyao, they are currently residing at Lower Kawal, Bokod, Benguet. Some of them are elementary students but some are out of school. They are physically fit with no known deformities. Their musculoskeletal abilities are good and no known sensory deficits. They can speak and understand Ibaloi and Ilocano. The mother verbalized that they are difficult to discipline regarding hygiene and added that she would appreciate if we talk to them regarding the said matter. LEARNING NEED Understanding of the child, of the importance and ways of maintaining good personal hygiene. LEARNING DIAGNOSIS Knowledge Deficit: importance and ways of maintaining good personal hygiene GOAL The client will apply in their activities of daily living the ways to maintain good hygiene

LEARNING

TIME

METHOD OF
195

LEARNING OBJECTIVES After the lecture and demonstration of the topic on personal hygiene, the client will be able to: 1. Define in own word what is hygiene. Definition and importance of hygiene in simple words using Ilocano CONTENT

TEACHING STRATEGY

ALLOTMENT/ RESOURCES NEEDED EVALUATION

One-on-one lecture

2 minutes - Booklet prepared which includes definition in Ilocano -time, effort and cooperation of the student nurse and the learners -Knowledge of the student nurse

Instant oral feedback: the learners will accurately answer the questions about the importance of hygiene

2. Enumerate ways to maintain good

Discussion of enumerated ways

One-on one lecture with illustrations

15 minutes

Instant oral feedback: the learners will be able to
196

hygiene and how to do it

of maintaining good hygiene

and demonstrations

enumerate ways of maintaining good hygiene  Return demonstration: the learners will demonstrate to the student nurse the proper hand washing.

LEARNING CONTENT Good Personal Hygiene Iti good hygiene ket importante tapno maiwasan iti sakit, aytoy ket naglaon ti pagmintenar iti nalinis nga bagi. 1. Pag-alaga iti Buok

Washing: Digusin iti buok kada , makalipas ti maysa nga aldaw, tapno maikkat iti rugit nga dumket ken maiwasan iti pinagdadael iti buok. Cutting: Nu atiddog unayen iti buok, mayat nga ipapukis tapno haan ng araken iti kuto wenno isupay nga makaalaan iti rugit.

1. Pag-alaga iti ngipin • Brushing: pinirmi ng narugit iti ngewat isu nga pinirmi nga agsipilyo maminduwa wenno mamin tallo ti maysa nga aldaw tapno haan ng madadael iti ngipin. 1. Pag-alaga iti pisikal ng bagi
197

• • •

Bathing: Agdigos maminsan kada aldaw tapno malinisan iti rugit nga naala ti pinagayayam. Nu nalinis iti bagi, awan ti gagatel nga haan ng agpaturog wenno makaalaan iti sugat. Trimming Nails: Ti kuko ket narugit la unay, tila maigiggaman nu agayayam ti ubing. Pinirmi da met nga isubo iti ima da isu nga kailangan mapututan iti kuko da, tapno haan nga sumeksek iti rugit. Hand washing: narugit iti ima isu nga dapat pinirmi nga aggugas tapno makaiwas iti sakit kasla, diarrhea o sakit iti tiyan.

REFERENCE:  http://www.hygiene.com/article/good personal hygiene/tips
 Shryock, Shryock, Modern Medical Guide,Pacific Press Publishing association, 1999

TEACHING PLAN FOR PROPER SANITATION DESCRIPTION OF THE LEARNER
198

7 years old. Ibaloi and Tagalog. Mrs. The mother wants to learn more about keeping the family’s health by providing proper sanitation. LEARNING NEED To improve knowledge on maintaining the health of the family through proper sanitation LEARNING DIAGNOSIS Knowledge deficit: Proper Environmental Health and Sanitation related to lack of information on proper interventions.The Palos Family is a nuclear type of family which is composed of Mr. the student nurse observed that the peelings of the potatoes were left inside the plastic which is open and was surrounded with flies. The water they used for household purposes and for drinking comes from the spring through the faucet. 45 years old and their son Elton John. They owned a wooden house with 3 rooms but only one room is used for sleeping purposes. While Mrs. According to the client they usually eat vegetables which they gather in their farm. GOAL The client will have a healthy sanitation habit and limit the cause of possible diseases LEARNING OBJECTIVE LEARNING CONTENT LEARNING STRATEGIES/ TIME ALLOTMENT AND RESOURCES EVALUATION 199 . Cornelia. 48 years old. The entrance to their house is a narrow stairs without rails. The family resides in a small community of Otbong Boboc Bisal Bokod Benguet. Douglas. They speak Ilocano. Cornelia was cooking.

200 . the clients would be able to: 1. Explain the importance of environmental health and sanitation. 1978) ✔ Sanitation related diseases Pneumonia Tuberculosis Intestinal parasitism Schistosomiasis Malaria Infectious hepatitis Filariasis Dengue Hemorrhagic Fever One-on-one lecture discussion • • NEEDED 2 minutes Hand-out Instant oral feedback: explain the importance of environmental health and sanitation in own words. • • • • • • • • ✔ Implementation (PD 856.ACTIVITIES After 15 minutes of teaching session.

One-on-one lecture discussion • • 3 minutes Hand-out Observation. Demonstrate ways to prevent potential injury on the presence of accident hazard. ✔ Importance of water ✔ Correct water boiling time. ✔ Possible health risk on the presence of health hazard. ✔ Ways to prevent the risk.2. Enumerate and explain the 4 rights in food safety • • • • 3. Oral feedback and question and answer 201 . 4. One-on-one lecture discussion • • 5 minutes Hand-out Instant oral feedback: the client will verbalize the importance of water supply sanitation. ✔ The Four Rights in Food safety: Right source Right Preparation Right cooking Right storage One-on-one lecture discussion • • 5 minutes Hand-out Instant oral feedback: the client will enumerate and explain the 4 rights in food safety. Verbalize the importance of water supply sanitation ✔ Importance of Food sanitation program.

infectious hepatitis. broken seals and improper seams. Right Preparation ➢ Avoid contact between cooked foods and raw foods. ➢ Always wash hands and kitchen utensils before and after preparing foods. Diarrheal diseases ranked the first in the leading causes of morbidity among the general population. ➢ Wash hands thoroughly before and after eating. fruits and vegetables. tuberculosis. intestinal parasitism.LEARNING CONTENT The Department of Health. Food Sanitation  Four Rights in Food Safety: 1. 202 . 1. fish. Other sanitation diseases are pneumonia. schistosomiasis. 1. Right Source ➢ Always buy fresh meat. Right Cooking ➢ Eat cooked food immediately. filariasis and dengue hemorrhagic diseases which are controlled and/are eradicated by health programs and environmental sanitation components but still afflicting a great number of people. through the EOHO. 1978). Environmental health and Sanitation is still a health problem in the country. ➢ Sweep kitchen floors to remove food droppings to prevent the harbor of rats and insects. has authority to act on all issues and concerns in environment and health including the very comprehensive Sanitation Code of the Philippines (PD 856. malaria. ➢ Avoid buying canned foods with dents. bulges. ➢ Wash vegetables well if to be eaten raw. deformation.

throw it out!” Water Sanitation ➢ Importance of water Think about the different ways you use water. even at high altitude. ➢ Correct water boiling time According to Wilderness Medical Society.survivaltopics. You swim in water.1. All rights reserved. Right Storage ➢ Store cooked foods carefully. Water pouring over huge dams may even make the electricity that lights up your home. ➢ Rule in Food safety: “When in Doubt. REFERENCES:  Public Health Nursing in the Philippines  http://www. So in the time it takes for the water to reach the boiling point 100 C from 70 C. all pathogens will be killed. © 1993-2008 Microsoft Corporation. You take a bath and wash your clothes with water. Living things are mostly made up of water. Without water. You water the grass or other plants. water temperatures above 160 F (70 C) kill all pathogens within 30 minutes and above 185 F (85 C) within a few minutes. there would be no life on Earth. About three-quarters of Earth’s surface is water.com/survival/how-long-do-you-need-to-boil-water/  Microsoft ® Encarta ® 2009. You drink water when you are thirsty. Be sure to use tightly sealed containers for storing food. DOCUMENTATION 203 . ➢ Reheat stored food before eating.

Ellaine Joy Aquisan hit by a bicycle 204 .GROUP M1 M1 on their way to Sitio Otbong and passing thru the hanging bridge Blood Pressure Taking Wound cleaning of a 5 year-old child.

Assessment of Client with Goiter School Health Teaching on Hygiene and Nutrition at Otbong Primary School 205 .

Dominga Arinos Mr.Student Nurses Improved and Cleaned Kawal Elementary School’s Herbarium Community Immersion during the Burial of Mrs. Indalos delivering his Eulogy 206 .

Meeting Old Community Folks Attending the Ceremony Witnessing the Ibaloi Way of Culture in Butchering Pigs 207 .

GROUP M2 Home Visit: Diano Family “Physical Assessment” 208 .

Home Visit: Confisal Family Beautification of Kawal Elementary School 209 .

Replanting and regrouping the plants 210 .Herbarium Removing the weeds and.

Placing the Foundation of the Fence Fencing of the Herbarium 211 .

Putting up the sign and Aftercare GROUP M3 212 .

Mauricio Macay. Lilian Velasco) Courtesy Call and Retrieving Data from Bisal- Boboc Midwife Catalina Segundo 213 . Mayor-Elect of Bokod at Bokod Municipal Hall Courtesy call with the Municipal Health Officers (sitting is MHO Dra.Courtesy call with Hon.

Jaylord Indalos Working on with Kawal Elementary’s Herbarium 214 .Blood pressure monitoring on community folks Ocular Survey with Clinical Instructor Mr.

Promoting Hygiene of Unable Client Conduction of Family Survey with Barangay Health Worker Irene Pacya School Health Teaching 215 .

M3 at Kawal Elementary School GROUP M4 Sitio Bisal 216 .

Home Visit Hanging Bridge Experience Courtesy Call to Bobok Bisal c/o Kapitan’s wife Sitio Mangagew 217 .

Hiking to Mangagew Bolo Elementary School Sitio Kawal Coordinating with Teachers at Kawal Elementary School Sitio Otbong 218 .

Sitio Libacong Oath taking and Turn over Ceremony 219 .

School Health Teaching on Proper Hygiene 220 .

221 .

SPOTMAP 222 .

223 .