Copy of Forms Med December 2009

8/6/2019 Copy of Forms Med December 2009

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Republic of the Philippines

DEPARTMENT OF EDUCATION

Region I

City of San Fernando, La Union

CONSOLIDATED STATISTICAL REPORT OF SECON

FIRST QUARTER (Jan., Feb. and Mar. 20

SECONDARY

Jan. Feb.

No. of Schools

I. General Information

A. No. of sch. Visited

1. Initial visit

2. Revisit

B. School Enrolment (initial visit)

1. Year I

Male

Female

2. Year II-IV

Male

Female

C. Number of school personnel

1. Teaching

Male

Female

2. Non-teaching

Male

Female

II. Health Services

A. Health Appraisal

1. No. of pupils/students assessed

1. Year I

2. Year II- IV

2. No. of pupils/students found with:

a. Common ailments

1. Year I

2. Year II- IV

b. Physical deformities

1. Year I

2. Year II- IV


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SECONDARY I

Oct Nov

3. Hearing Test

1. Year I

2. Year II- IV

4. No. of Pupils Tested for Refraction

1. Year I

2. Year II- IV

B. Common Health Problems

1. Year I

2. Year II- IV

C. Treatments Done

a. No. of Students treated with:

1. Pharmaceutical drugs

Year 1

Year II - IV

2. Medicinal plants

Year 1

Year II - IV

Other Alternative Health Care

D. No. of Students Dewormed

E. No. of Students given Vit. A

F. No. of Students Immunized

G. Nursing consultation/ No. attended

1. Students

2. Personnel

3. Blood Pressure Reading

H. Referral (No. referred to)

1. Medical Officer

2. School Dentist

3. Other Agencies

4. RHU/Dist. Provl. Hosp.

5. Teachers (for follow up)

III. Health Education

A. No. of classess given health

lectures

B. No. of trainings conducted

1. Teachers

2. Others


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SECONDARY I

Oct Nov

D. No. of conferences with:

1. Teachers/administrators

2. Health officials

3. Pupils/students

4. Parents

5. Others

E. Involvement as resource person

consultant/adviser/health org.

1. Health Activities/prog./contests

2. Bulletin board display

3. Class discussions, educ'nal trip

sch. Projects

4. Health Clubs/Organization

IV. Sch. Com. Coordination for

Health and Nutrition

1. No. of community assemblies *

conducted

2. No. of school-community health

council/organized/reactivated *

3. PTA/homeroom organizations

meetings attended *

4. Parents Education seminar/

workshops/trainings *

5. No. of home visits conducted

6. No. of hosp. Visits made

FIRST YEAR HS

V. Common Health Problems

A. Skin and scalp

1. Pediculosis

2. Tinea flava

3. Scabies

4. Ulcers

5. Minor Injuries

6. Ringworm

7. Skin Allergy

8. Acne/Pimples

9. Warts

10. Infected Wound

11. Dandruff


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SECONDARY I

Oct Nov

B. Eye and Ears

1. Granular Eyelids

2. Inflamed Eyes

3. Squinting Eyes

4. Pale conjunctiva

5. Stye

6. Defective vision

7. Discharging ears

8. Impacted cerumen

C. Nose and Mouth

1. Colds

2. Cough

3. Defective teeth

4. Toothache

5. Stomatitis

6. Cleft Palate

7. Harelip

8. Defective Speech

9. Epistaxis

10. Dental carries

D. Throat and Neck

1. Enlarged tonsils

2. Inflamed throat

3. Enlarged glands

4. Enlarged thyroid glands

5. CLAD


E. Heart and Lungs

1. Normal

2. Irregular heart beat

3. Abnormal breath sounds

4. wheezes

5. Heart Murmur

6. Asthma

F. Extremities

1. Deformities

a. Acquired

b. Congenital

G. Nutritional Status


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FIRST YEAR HS I

Oct Nov

H. Gastrointestinal

1. Abdominal Pain

2. Distended abdomen

3. Parasitism

4. Indigestion

5. Loose Bowel Movement

6. Dysmenorrhea

7. Epigastric pain

I. Others

1. Headache

2. Dizziness

3. Nausea

4. Dirty teeth

5. Fever

6. Carbuncle/Furuncle

7. IDA

8. Vomiting

9. UTI

10. Hyperacidity

11. Vomiting

12. Dirty teeth

SECOND-FOURTH YEAR HS


A. Skin and scalp

1. Pediculosis

2. Tinea flava

3. Scabies

4. Ulcers

5. Minor Injuries

6. Ringworm

7. Skin Allergy

8. Acne/Pimples

9. Warts

10. Infected Wound

B. Eye and Ears

1. Granular Eyelids

2. Inflamed Eyes

3. Squinting Eyes


6/32


7/32

SECOND-FOURTH YEAR HS I

Oct Nov

I. Others

1. Headache

2. Dizziness

3. Nausea

4. Vomiting

5. Fever

6. RHD

7. Asthma

8. Measles

9. Flu

10.Heart murmur

11. Dandruff/Scalp Disease


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9/32

Dec T


10/32

Dec T


11/32

Dec T


12/32

Dec T


13/32

Dec T


14/32

Dec T

0

0

0

0

0

0

0

0

0

0

0

0


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DEPARTMENT OF EDUCATION

Region I

City of San Fernando, La Union

CONSOLIDATED STATISTICAL REPORT OF SECONDARY NURSES

FIRST QUARTER (Jan., Feb. and Mar. 2009)

ELEMENTARY

Jan. Feb. Mar. T

No. of Schools 0

I. General Information 0

A. No. of sch. Visited 0

1. Initial visit 0

2. Revisit 0

B. School Enrolment (initial visit) 0

1. Pre-school 0

Male 0

Female 0

2. Grade I-III 0

Male 0

Female 0

3. Grade IV-VI 0

Male 0

Female 0

4. SPED 0

Male 0

Female 0

5. Athetes/Sci Camp Part. 0

b. Number of school personnel 0

1. Teaching 0

Male 0

Female 0

2. Non-teaching 0

Male 0

Female 0

II. Health Services 0

A. Health Appraisals 0

1. No. of pupils/students assessed 0

1. Pre-school 0

2. Grade I-III 0

3. Grade IV-VI 0


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ELEMENTARY

Jan. Feb. Mar. T

4. SPED 0

5. Athletes 0

2. Hearing Test 0

1. Pre-school 0

2. Grade I-III 0

3. Grade IV-VI 0

4. SPED 0

3. No. of pupils Tested for refraction 0

1. Pre-school 0

2. Grade I-III 0

3. Grade IV-VI 0

4. SPED 0

B. No. of pupils/students found with: 0

a. Common Health Problems 0

1. Pre-school 0

2. Grade I-III 0

3. Grade IV-VI 0

4. SPED 0

b. Physical deformities 0

1. Pre-school 0

2. Grade I-III 0

3. Grade IV-VI 0

C. Treatments Done 0

1. Pharmaceutical drugs 0

2. Medicinal plants 0

3. Other alternative health care 0

D. No. of Pupils Dewormed 0

E. No. of pupils given Vit. A 0

F. No. of Pupils Immunized 0

G. Nursing consultation/No. attended 0

1. Pupils 0

2. Personnel 0

3. Blood Pressure Reading 0

H. Referral 0

1. Medical Officer 0

2. School Dentist 0

3. Other Agencies 0

4. RHU/District/Prov. Hospital 0

5. Teachers 0

0


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ELEMENTARY

Jan. Feb. Mar. T

III. Health Education 0

No. of classes given health * 0

lectures 0

A. No. of trainings conducted to: 0

1. Teachers 0

2. Others 0

B. No. of trainings/conf. conducted 0

1. Teachers/administrators 0

2. Health officials 0

3. Pupils/students 0

4. Parents 0

5. Others 0

C. Involvement as resource person 0

consultant/adviser/health org. * 0

1. Health clubs/health org. 0

2. Health act./prog./contest 0

3. Bulletin board display 0

4. Class discussions, educ'nal trip 0

sch. Projects * 0

IV. Sch. Com. Coordination for 0

Health and Nutrition 0

1. No. of community assemblies 0

conducted * 0

2. No. of school-community health 0

council/organized/reactivated * 0

3. PTA/homeroom organizations 0

meetings attended * 0

4. Parents Education seminar/ 0

workshops/trainings * 0

5. No. of home visits conducted 0

6. No. of hosp. Visits conducted 0


18/32

GRADE I-III


Jan. Feb. Mar. T

A. Skin and scalp 0

1. Pediculosis 0

2. Tinea flava 0

3. Scabies 0

4. Ulcers 0

5. Minor Injuries 0

6. Ringworm 0

7. Skin Allergy 0

8. Acne/Pimples 0

9. Warts 0

10. Infected Wound 0

B. Eye and Ears 0

1. Granular Eyelids 0

2. Inflamed Eyes 0

3. Squinting Eyes 0

4. Pale conjunctiva 0

5. Stye 0

6. Defective vision 0

7. Discharging ears/OM 0

8. Impacted cerumen 0

0

C. Nose and Mouth 0

1. Colds 0

2. Cough 0

3. Defective teeth 0

4. Toothache 0

5. Stomatitis 0

6. Cleft Palate 0

7. Harelip 0

8. Defective Speech 0

9. Epistaxis 0

D. Throat and Neck 0

1. Enlarged tonsils 0

2. Inflamed throat 0

3. Enlarged glands 0

4. Enlarged thyroid glands 0

5. CLAD 0


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GRADE I-III


Jan. Feb. Mar. T

E. Heart and Lungs 0

1. Normal 0

2. Irregular heart beat 0

3. Abnormal breath sounds 0

4. wheezes 0

5. Heart murmur 0

6. Irregular heart rate 0

7. RF/RHD 0

F. Extremities 0

1. Deformities 0

a. Acquired 0

b. Congenital 0

G. Nutritional Status 0

1. Weight 0

a. Normal 0

b. Below Normal 0

c. Above Normal 0

2. Height 0

a. Normal 0

b. Short 0

c. Tall 0

H. Gastrointestinal 0

1. Abdominal Pain 0

2. Distended abdomen 0

3. Parasitism 0

4. Indigestion 0

5. Loose Bowel Movement 0

6. Dysmenorrhea 0

I. Others 0

1. Headache 0

2. Dizziness 0

3. Nausea 0

4. Vomiting 0

5. Fever 0

6. Boil/Impetigo 0

7. Chix Pox 0

8. Dandruff 0


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9. Dental carries 0

10. Conjunctivitis 0

GRADE IV-VI


Jan. Feb. Mar. T

A. Skin and scalp 0

1. Pediculosis 0

2. Tinea flava 0

3. Scabies 0

4. Ulcers 0

5. Minor Injuries 0

6. Ringworm 0

7. Skin Allergy 0

8. Acne/Pimples 0

9. Warts 0


B. Eye and Ears 0


2. Inflamed Eyes 0

3. Squinting Eyes 0


5. Stye 0


7. Discharging ears 0


C. Nose and Mouth 0

1. AURI/Colds 0

2. Cough 0


4. Toothache 0

5. Stomatitis 0

6. Cleft Palate 0

7. Harelip 0


9. Epistaxis 0

10.Asthma 0






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5. Fever 0

6. Boil/Impetigo 0

7. Chix Pox 0

8. Dandruff 0

9. Dental carries 0

PRE-ELEM.


Jan. Feb. Mar. T

A. Skin and scalp 0

1. Pediculosis 0

2. Tinea flava 0

3. Scabies 0

4. Ulcers 0

5. Minor Injuries 0

6. Ringworm 0

7. Skin Allergy 0

8. Acne/Pimples 0

9. Warts 0


B. Eye and Ears 0


2. Inflamed Eyes 0

3. Squinting Eyes 0


5. Stye 0


7. Discharging ears 0


9. Conjunctivitis 0

C. Nose and Mouth 0

1. Colds 0

2. Cough 0


4. Toothache 0

5. Stomatitis 0

6. Cleft Palate 0

7. Harelip 0



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9. Epistaxis 0





4. Enlarged thyroid glands 0

5. CLAD 0

PRE-ELEM.


Jan. Feb. Mar. T

E. Heart and Lungs 0

1. Normal 0

2. Irregular heart beat 0

3. Abnormal breath sounds 0

4. wheezes 0

5. Heart murmur 0

6. Irregular heart rate 0

7. RF/RHD 0

F. Extremities 0

1. Deformities 0

a. Acquired 0

b. Congenital 0

G. Nutritional Status 0

1. Weight 0

a. Normal 0

b. Below Normal 0

c. Above Normal 0

2. Height 0

a. Normal 0

b. Short 0

c. Tall 0

H. Gastrointestinal 0

1. Abdominal Pain 0

2. Distended abdomen 0

3. Parasitism 0

4. Indigestion 0

5. Loose Bowel Movement 0

6. Dysmenorrhea 0

I. Others 0


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1. Headache 0

2. Dizziness 0

3. Nausea 0

4. Vomiting 0

5. Fever 0

6. Boil/Impetigo 0

7. Chix Pox 0

8. Dandruff 0


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PANGASINAN DIVISION II

Binalonan, Pangasinan

CONSOLIDATED MONTHLY MEDICAL STATISTICAL REPORTFOR THE MONTH OF DECEMBER 2009

Name of District Pozorrubio 1 Pozorrubio 2 Laoac

No. of Schools 14 13 14

No. of Sch. Visited 1 1 1

1. Pupils/student

Total Enrolment

Preschool 60 52 104

Grade I-III

Grade IV-VI

SPED/Athletes

1st yr HS

2nd -4th HS

Total ExaminedPreschool 57 52 104

Grade I - III

Grade IV-VI

Scouts/Athletes

1st yr HS

2nd -4th HS

Total Ailments/Defects

Preschool 8 10 13

Grade I-III

Grade IV-VI

SPED/Atheletes

1st yr HS

2nd -4th HS

Total Treated

A. Pharmaceutical Drugs

Preschool 3 3 6

Grade I-III

Grade III-VI

SPED/Athletes

1st Year

2nd -4th Year

B. Herbal Medicine

Preschool 5 7 7

Grade I - III

Grade IV-VI

SPED/Athletes

1st Year

2nd -4th Year

C. No. Dewormed

Preschool

Grade I- III

Grade IV-VI

SPED/Athletes

1st Year

2nd -4th Year

D. Consultations

Preschool 8 10 13

Grade I - IIIGrade IV-VI

SPED/Athletes

1st Year

2nd -4th Year

E. Referrals

Preschool

Grade I-III

Grade IV-VI

SPED/Athletes

1st Year

2nd -4th Year

Med. Cert. (Athletes)

II. Teachers

No. of Teachers

Examined

With Ailments/Defects

Treated

a. Drugs

b. Herbal Medicine

No Chest X-ray


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BP

Total Non-Teaching Pers.

Examined

With Ailments

Treated

a. Drugs

b. Herbal Medicine

No. Chest X-ray

No. w/ Abn. Xray

Referred

Medical Certificate

Consultations

BP

III Health Educ. Activities

Health Talk/School 5 5 6

Teachers Conferences

No. Conducted

No. of ParticipantsResource Speaker

Community Assemblies

No. Conducted

No. of Participants

Resource Speaker

MOST COMMON AILMENTS

MEDICAL

Ailments

A. Preschool

1. Pediculosis 3 3 6

2. Conjunctivitis3. Otitis Media

4. Impacted Cerumen

5. Colds/Rhinitis 3 2 4

6. Bronchitis

7. Stomatitis/Cheilosis

8. Tonsillitis

9. AURI/Pharyngitis 2 3 2

10. CLAD. 2

11. Primary Complex

12. RF/RHD

13. Bronchial Asthma

14. Pale conjunctiva/IDA

15. Skin Allergy

16. Ringworm

17. Impetigo/Carbuncle/Fur.

18. Tinea Flava 1

19. Scabies

20. OSD/Dermatoses

21. Minor Injuries

22. Harelip/Cleft Palate

23. Flu/Fever/SVI

24.Acute Gastroenteritis

25. Mumps/Chicken Pox

26. Cyst (infra-auricular)

27. Hernia28. Stye

B. Grade I-III

1. Pediculosis

2. Conjunctivitis

3. Otitis Media

4. Impacted Cerumen

5. Colds/Rhinitis

6. Bronchitis


8. Tonsillitis

9. AURI/Pharyngitis

10. CLAD

11. Primary Complex

12. RF/RHD


14. Pale Conjunctiva / IDA

15. Skin Allergy

16. Ringworm

17. Impetigo/Carbun/Fur.

18 Tinea Flava


27/32


23. EOR

24. Acute Gastroenteritis


MEDICAL

Ailments

C. Grade IV-VI

1. Pediculosis

2. Conjunctivitis

3. Otitis Media

4. Impacted Cerumen

5. Colds/Rhinitis

6. Bronchitis


8. Tonsillitis

9. AURI/Pharyngitis

10. CLAD.

11. Primary Complex

12. RF/RHD13. Bronchial Asthma

14. Pale conjunctiva / IDA

15. Skin Allergy

16. Ringworm

17. Impetigo/Carbuncle/Fur.

18. Tinea Flava

19. Scabies

20. OSD/Dermatoses

21. Minor Injuries

22. Harelip/Cleft Palate

23. Flu / Fever / SVI

24.Acute Gastroenteritis


D. 1st year HS

1. Pediculosis

2. Conjunctivitis

3. Otitis Media

4. Impacted Cerumen

5. Colds/Rhinitis

6. Bronchitis

7. Acid Peptic Dse

8. Tonsillitis

9. AURI/Pharyngitis

10. CLAD

11. Primary Complex

12. EOR


14. Pale Conjunctiva / IDA

15. Skin Allergy

16. Ringworm

17. Impetigo/Carbun./Fur.

18. Tinea Flava

19. Scabies

20. Dysmenorrhea

21. Minor Injuries

22. Headache

23. Flu / Fever / SVI

24. Acute Gastroenteritis

25. Pimples/Acne

TEACHERS

a. Teaching

1. Acute Gastritis/APD

2. Arthritis/OA

3. Anemia/IDA

4. Acute Bronchitis

5. Bronchial Asthma

6. Colds/Rhinitis

7. Cardiomegaly

8. Diabetes Mellitus

9. Eczema/Dermatoses

10. Goiter/Hyperthyroid

11. Gout

12. Headache,Tension

13. Hypertension

14. Influenzae

15. Atheromatous Aorta

16. Pneumonia/Pneumonitis

17 Breast Cancer


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22. RF/RHD

23. Skin allergy

24. Scoliosis

25. UTI

26. Gallstone

b. Non-Teaching

1. Acute Gastritis/APD

2. Arthritis/OA

3. Anemia/IDA

4. Acuite Bronchitis

5. Bronchial Asthma

6. Colds/Rhinitis

7. Conjunctivitis

8. Diabetes Mellitus

9. Eczema/Dermatoses

10. Goiter/Hyperthyroid.

11. Gout

12. Headaache, Tension

13. Hypertension

14. Influenzae

15. Ischemic Heart Dse.

16. Scoliosis

17. Breast Cancer

18. Pharyngitis/AURI

19. PTB

20. PMS

21. Skin Allergy

22. Tonsillitis

23. UTI

Prepared By:

JENNIFER G.TAMBAOAN

Medical Officer III

Noted:

VIRALUZ S. RAGUINDIN,CE


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O VI,CEO VI

Documents

Copy of Forms Med December 2009