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HOLY ANGEL UNIVERSITY
College of Nursing
Angeles City
COMMUNITY HEALTH NURSING
PORTFOLIO
Presented to the College of Nursing
In partial fulfillment of the requirements in
CHN RLE
Presented by:
N-202/ Group 4
Alisot, Alma
Bacani, Leizel
Bautista, Johanna
Canda, Helaine
Cunanan, Michelle
David, Nino Anthony
Del Puerto, Charisse
Gonzales, Venice T.
Huypungco, Greal
Pido, Alexander
Tiglao, Gian Paolo
Yumul, Sattria
Presented to:
Ms. Roxan Lopez, RN
Clinical Instructor
March 3, 2010
Theme:
Problema sa Kalusugan ng
mga Mamamayan,
ating Pagtuunan
Para sa ating Kinabukasan
TABLE OF CONTENTS
I. INTRODUCTION…………………………………………………………………..
II. COMMUNITY PROFILE
History……………………………………………………………………………Organizational Chart……………………………………………………………Spot map…………………………………………………………………………Description of the Community………………………………………………….
GeographicEconomic ( Resources)PoliticalPeopleCulturalHealth
III. COMMUNITY HEALTH AND DEVELOPMENT
Community Problems………………………………………………………….List of Identified Problems……………………………………………Situational Analysis……………………………………………………
Problem Resolution……………………………………………………………Title of the ActivityGoals and ObjectivesTargetPeople InvolvedTime FrameMaterials/ Resources NeededActual Strategies
Evaluation………………………………………………………………………
IV. DAILY PLAN OF ACTIVITIES…………………………………………………
V. COMMUNITY HEALTH NURSING ACTIVITIES
Home Visits…………………………………………………………………….Case Finding……………………………………………………………………Clinical Management……………………………………………………….
VI. LEARNING DERIVED………………………………………………………….
VII. APPENDICES
Action Plans Per Problem………………………………………………………….Communication Letter……………………………………………………………….Sample Invitation………………………………………………………………….List of Registrants/ Attendees……………………………………………………..Sample Programme…………………………………………………………………….Sample Brochures and Leaflet……………………………………………………….
VIII. DOCUMENTATION……………………………………………………………
INTRODUCTION
Coming together is a beginning, staying together is progress, working together is success.
Henry Ford
The word beginning is defined as the act of doing that which begins anything,
commencement of an action, entrance into being or upon a course, the first act,
effort, or state of a succession of acts. In certain condition, everything should start
with the collection of data and it will progress to attain a certain success. In
expecting progress, one must stay with the other member to produce a combine
effect which will be better. Being together and working as one will assure a success
in the accomplishment of a certain things. In relation, the group 3 and 4 used
variety of methods to be able to meet all the goals that were set. During the course
of exposure, they used the nursing process to be able to attain reliable, valid and
constant results. Nursing Process is defined as a sequence of steps, quite similar to
the scientific method, which allows a nurse to make correct a decision regarding the
recipient of care. The first step of the nursing process is assessment. Assessment
includes the collection and organization of data, validation of the data collected,
and documentation of the data. Same as through with what the groups 3 and 4 had
done with their chosen community and that is Barangay Amsic. The group had to
undergo such approaches and methods on to how, in order to give emphasis on the
above-mentioned approaches. The groups applied a systematic and comprehensive
approach of the nursing process.
The group had performed home visits in order for them to gather pertinent
data that would be the starting point to unveil all the hidden concerns of the people
in the community mainly focusing on their health. The group also had a courtesy
call in order for them to be guided by the barangay officials, volunteers, key purok
leaders as well as with the barangay health workers in their entire exposure and
also to introduce their purpose of being in that place for a certain period of time.
After accomplishing such, the group had reviewed the records to familiarized
theirselves with the different settings and list of problems identified previously.
Records review is a process of going over documented information available in the
government, barangay center and health center. This was carried out during the
gathering of data regarding the barangay organizational charts, previous
community diagnosis, and immunization status of children.
As they become familiarized with the different setup in the community, the
group performed the next step in the nursing process which is planning. They
planned using the smart method to be able to meet the objectives that were set. In
the planning stage, they formulate action plans accordingly based on the identified
problems listed on the community diagnosis.
The flow of all activities went simultaneously. The planning stage was
followed by implementation and evaluation, respectively. The implementation is
based on the plans that were formulated. These implementation aims to develop
the self reliance and independence of the people in the community. The group was
exposed to serve as a guide in unveiling the awareness of the residents in the
barangay. In the entire community exposure, the group 3 and 4 put the following
words in mind, to help and work with people, by the people, and not just for the
people.
COMMUNITY PROFILE
HistoryHistory of Barangay Amsic started from “Agoo tree” which symbolizes
strength. According to the elderly, its name came from kamuting absican, a
spoiled sweet potato. In 1829, the barangay was discovered by Don Angel
Panteleon de Miranda. Santol was the first sitio in the barangay and residents
were Timoteo de Guzman, Protacio Pamintuan and his wife Maxima de
Guzman Pamintuan. The first inhabitants of the barangay were the Aetas.
Some of them decided to transfer in forest and mountains due to the
difficulty in socializing with the Spaniards.
During the World War II, the residents experienced suffering and
famine. One of the Aetas, Estaquio Lumanlan, killed one of the Japanese
soldiers which caused the revenge of his comrades. They burned a huge
portion of the barangay and some of the houses in the riverside.
In July 1945, the elementary school was established by Jose Lopez
under the supervision of Mayor Ricardo Canlas. After one year of
establishment, it was damaged.
In 1948, the residents of the barangay transferred to other places, majority of
them settling in barrio San Nicolas. All residents in the barrio were
persecuted due to the accusation that they are spies of the Japanese. The
tribes living in the barrio were known for their hospitality despite of having
different culture and religion.
In the year 1972, reconstruction and resurrection of the barangay was
initiated by Gonzalo Garcia. He submitted the petition to the government in
order to gain their independence. In 1979, the Resolution Act No.94 which
requested the reinstitution of their barangay was submitted by the
Sangguniang Panlusod to the City Council. The petition was not formally
acted upon due to the failure to meet legal requirements.
In 1982, the petition was reinstated with the assistance of Honorable
Estelito Mendoza and it was finally acted upon by Minister Jose P. Rono on
January 20, 1983. Barangay Amsic was then recognized and confirmed as the
newly added barangay of Angeles City.
HISTORICAL BACKGROUND OF BARANGAY AMSIC
(Barangay Captain)Gerom P. Costales
(Barangay Secretary)Gillermo V. Sarmiento, Jr.
(Barangay Treasurer)Lourdes D. Gamboa
Romoe J. MakaraenKAGAWAD
Edwardo C. Montes KAGAWAD
Jovito M. CandaKAGAWAD
Almario A. LumanlanKAGAWAD
Wilfredo D. de GuzmanKAGAWAD
Juan F. Candelario Jr.KAGAWAD
Jesus I. Garcia Jr. KAGAWAD
SK ChairmanRellie P. Silva
RURAL HEALTH PHYSICIAN Dra. Ma. Cheryl Tuazon
Organizational Charta. Local Government
b. Rural Health Unit
Spot map
Description of the Community in terms of the following aspects:Geographic
Barangay Amsic is the assigned community adopted by section N-202. It is
one of the thirty-three barangays of Angeles City and is located at the
western part. It has a total area of 1.6134 km2 and is 3 km away from the city
proper and 2 km from the national highway.
Economic ( Resources)From the actual data that the researchers gathered, most of the
establishments are sari-sari stores and bakeries. Other establishments
include barber shops, junk shops, vulcanizing, tricycle terminal, and internet
cafes. Most of the people in Barangay Amsic work as vendors. Other
economic institutions that contribute to the occupation of the people in
Barangay Amsic are the clubs and restaurants found in Balibago.
Political
The political organizations in Amsic are properly organized. They are all
grouped according. Here is the data of the political organization as well as
the corresponding official.
Political and Administrative Organization
Barangay Amsic Lupon ng Tagapamayapa
Mr. Mario Nabong
Mr. Sancho Catalino
Mrs. Milagros Nuqui
Mr. Petronilo Frias
Mr. Norberto Cayatano
Mr. Romeo Euperio
Ms. Virginia Laxamana
Ms. Ederly Prago
Barangay Amsic Staffs
Information Officer: Rolan M. Mallari
Clerk: Luis P. Flores
Brgy. Service Point Officer: Yolanda B. Guiao
Brgy. Midwife: Laura C. Lacap
Brgy. Day Care Teacher: Shirley B. Malimban
Brgy. Nutrition Scholar: Erlinda P. CortezBrgy. Health Worker: Teresita B. Maniago
Brgy. Janitress: Norma M. Arciaga and Lana C. Ramos
Amsic Organizational List for Barangay Council for the Protection of Children
Chairman
Gerome P. Costales
Co-Chariman
Juan F. Candelario
Members:
Jovito M. Canda
Nelson Mallari
Erlinda P. Cortez
Laura C. Lacap
Shirley P. Malimban
Rellie P. Silva
Barangay Amsic Purok Leaders
Executive Officer
Nelson M. Mallari
Purok Leader 1 & 2: Marlino D. Ramos
3: Greg Garcia
4 A & B: Dave V. Rogando
4 Bangkusay: Jaime P. Victoria
5 – A: Agosto De Vera
5 – B: Bayani Quiambao
Plaridel 2: Danilo T. CArolino
Villa Esperanza: Cirilo Bacislao
Pineda Compound: Junard P. Cabato
PeopleBased on the previous community diagnosis, majority of the male
population belongs to the age group 0-4 with 215 individuals (6.70%). On the
other hand, majority of the female population belongs to the age group 0-4
with 220 individuals (6.86 %).
The age group 0-4 years old, consisting of 435 (13.56%) respondents, has
the highest frequency. This includes children under 5 years old who are
recognized as a vulnerable and high-risk group with respect to health
maintenance (del Prado-Lu, 2005). The community of Barangay Amsic has
what is termed to be “young population” because of its high proportion of
young people. This can be related with the similar higher number of females
within reproductive age (15-49 years old), which is 875, indicating higher
probability of childbirth that contributes to the increase in population
(National Statistics Board, 2003).
The age group with the least frequency is the 60-64 years old age group
which accounts for 41 (1.28%) respondents. The decrease in number of
population at the latter stages of life may be attributed to the occurrence of
age-related conditions/physiologic alterations (e.g. declining immune system
function) affecting the overall health status of the elderly (Reyala, 2000). It
reflects that, in the community, as the individual pursues higher stages of
life, the more that he/she is prone to acquiring diseases and might lower
eventually his/her life span/survival. It may be also implicated that the
community will have a weakness in terms of health and productivity since
elderly are becoming immunosuppressed and weak.
The age group of 10-24, comprising of 983 (30.64%) respondents, may
show a healthy population in the community for they are already at the peak
of their health and may have developed physiologic resistance against
common acute infections (Grey, 2003).
A total of 346 (10.79%) participants are within the age of 15-19, being at
their onset to reproductive age, it implies that there is greater possibility for
young people, specifically females at this stage to have unwanted and
unexpected pregnancy for they may be sexually active (Cuevas, 2007).
Therefore, population growth is likely to increase due to pregnancies
attributed from the young population of the teenagers.
Two hundred eighty-nine (9.01%) of the surveyed individuals belong to
the 20-24 age group. Women at this stage have the highest possibility of
being pregnant and it is also at this stage where participation to work is
observed among men (Cuevas, 2007). Increase in population is expected at
this age group which can affect the community in acquiring enough
resources. However, since men at this stage start to work, it is compensated.
Ages 0-14 and 65 and above accounts for the dependents, 1182 (36.83%)
and 57 (1.78%) respondents respectively; having a total of 1,239 (38.61%)
individuals while the productive age group, which is 15-64 years old comprise
of 1,969 (61.39%) respondents. Since the community has a higher
percentage in the productive age group, there are more people with the
capability/capacity to work and contribute to the community resources
(Maglaya, 2004). Furthermore, it denotes that the community would also
need to have more projects and budget for the needs of the community.
Health
The Barangay Health Center in Barangay Amsic is located at Purok 1
near the Basketball Court. It is open from Mondays to Fridays, offering health
programs such as pre-natal checkups and Expanded Program on
Immunizations. The Rural Health Unit assigned to their health center is
located in Balibago, Angeles City
COMMUNITY HEALTH AND DEVELOPMENT
Community Problems
List of Identified Problems
HEALTH PROBLEM
1. Faulty infant feeding practices as evidenced by 52 (43.70%)
mothers who use formula milk for infant feeding.
Description of the Problem: This is a health related problem since
it contributes to the poor nutrition on ages 0-12 months.
Breastfeeding is one advocacy of the government that promotes
good nutrition for the infants. Infants under this problem do not
receive all the needed nutrients necessary for growth and
development which breast milk can provide.
2. Non-Adherence to Family Planning as evidenced by 353
(62.26%) non-acceptor couples in the community.
Description of the Problem: This is classified as health status
problem since it affects the fertility of couples. Due to the non
acceptance of family planning methods, occurrences of unexpected
pregnancy are heightened which leads to increase in population. In
effect, it can contribute to the future generations of the community
which can add to its need for manpower resources.
3. Malnutrition as evidenced by 154 (34.3%) below normal
weight (low and very low) and 23 (5.12) above normal weight
children within 0-5 years old.
Description of the Problem: This is a health status problem since
the great number of malnourished children manifests deficiencies /
abnormally excess situations in the community. Not being able to
acquire the nutrients needed makes the children poor in nutrition, as
well as those who have abnormally excessive intake.
4. Poor environmental condition: Improper waste disposal as
evidenced by 241 (35.44%) households which disposes waste
through open dumping.
Description of the Problem: This is a health resources problem
since the community lacks manpower resources that would collect
the garbage in the community. Material resources could also be the
reason. Only 1 truck serves the whole Barangay which could mean
lesser possibility of going through the whole barangay to collect
garbage.
5. Inadequate/Lack of immunization status as evidenced by 2
(1.77%) children who are never been immunized and 39
(34.51%) with incomplete immunization dose.
Description of the Problem: This is classified as a health status
problem since children 0 - 5 y/o are the most susceptible to diseases
such as measles, tuberculosis, tetanus and other immunizable
diseases that affect the morbidity and mortality of the community.
6 .Poor environmental sanitation: Contaminated water supply
(pitcher pumps) as evidenced by 4 out of 6 pitcher pumps failed the
bacteriological test.
Description of the Problem: This is classified as a health
related problem since it is becoming difficult for the government to
provide safe drinking water or at least have the water supply tested
for the assurance of its potability.
Situational Analysis
1. Faulty infant feeding practices as evidenced by 52 (43.70%)
mothers who use formula milk for infant feeding.
Faulty infant feeding practices
Health Condition of the Mother
Inverted Nipples and Cancer of the Breast
Knowledge deficit with the advantages of breast
feeding
Poor information dissemination in the
health center
Least prioritize in terms of budget
Mother is preoccupied with her work and
activities
2. Non-Adherence to Family Planning as evidenced by 353
(62.26%) non-acceptor couples in the community.
Non-Adherence to Family Planning
Lack of knowledge on the effects and disadvantages of having large family
Lack of awareness in the economic status of the country
Lack of resources for the couple to
comply in the family planning
Ignorance
Lack of family planning materials
such as pills, condoms and etc.
Poverty
3. Malnutrition as evidenced by 154 (34.3%) below normal weight
(low and very low) and 23 (5.12) above normal weight children
within 0-5 years old.
4. Poor environmental condition: Improper waste disposal as
evidenced by 241 (35.44%) households which disposes waste
through open dumping.
Malnutrition
Unable to meet nutritional needs
Poverty
Lack of knowledge about proper
nutrition
Low level of education
Lack of eating discipline in their
children
Preoccupied with the earnings of the
family
Poor environmental condition: Improper waste disposal
5. Inadequate/Lack of immunization status as evidenced by 2
(1.77%) children who are never been immunized and 39
(34.51%) with incomplete immunization dose.
Poor environmental condition: Improper waste disposal
Unsanitary waste Disposal
Lack of equipment in the community
Government neglect
Lack of budget/ inadequate budget
allotment
Lack of equipment in the community
Lack of equipment in the community
Preoccupied in the
earnings of the family
Lack of knowledge on effects of poor environmental
sanitation
Low level of education
Poverty
Inadequate/Lack of immunization status
6. Poor environmental sanitation: Contaminated water supply
(pitcher pumps) as evidenced by 4 out of 6 pitcher pumps
failed the bacteriological test.
Ignorance
Low level of education
Poor health seeking behavior
Unable to boil water from the pitcher
pump, deep well and water works
Preoccupied with the earnings for the family
Lack of cooperation in community services
Poverty
Poor environmental sanitation:
Contaminated water supply
(pitcher pumps)
Lack of information dissemination on
health services provided by
Community Health Services
Lack of knowledge in the effects of poor water sanitation
Poor sanitation practice
Lack of resources for a good water source
Problem Resolution
Title of the Activity“Pagpaplano ng Pamilya, Asenso ng bawat Isa”
Goals and Objectives
Goal: to increase the number of couples who uses family planning
method by 50%
Objective:Short term conduct home visits to easily provide health teaching in
order -To increase their knowledge in family planning-To give more information about the proper usage of family planning methods, the benefits of this as well as the advantages of it
Long term
disseminate information to attain a maximum number of couples who accepts various family planning method
TargetCouples (female partner’s age is within the range of 15-49 years) who have problems in the acceptance of family planning
Low level of education
Unable to boil water from the pitcher pump, deep well and waterworks
Preoccupied with the earnings for the family
Poverty
People Involved- Student nurses- Barangay Health Center Staffs, health providers- People in the community- Couples (female partner’s age is within the range of 15-49
years) who have problems in the acceptance of family planning
Time FrameThree to four months
Materials/ Resources Needed- Leaflets- Brochures- Visual aides- Sample materials used in family planning- posters
Actual Strategies
Evaluation
Problem ResolutionTitle of the ActivityGoals and ObjectivesTargetPeople InvolvedTime FrameMaterials/ Resources NeededActual Strategies
Evaluation
Problem ResolutionTitle of the ActivityGoals and ObjectivesTargetPeople InvolvedTime FrameMaterials/ Resources NeededActual Strategies
Evaluation
Problem ResolutionTitle of the ActivityGoals and ObjectivesTargetPeople InvolvedTime FrameMaterials/ Resources Needed
Actual StrategiesEvaluation
Problem ResolutionTitle of the ActivityGoals and ObjectivesTargetPeople InvolvedTime FrameMaterials/ Resources NeededActual Strategies
Evaluation
Problem ResolutionTitle of the ActivityGoals and ObjectivesTargetPeople InvolvedTime FrameMaterials/ Resources NeededActual Strategies
Evaluation
DAILY PLAN OF
ACTIVITIES
PLAN OF ACTIVITIES
Area: Barangay Amsic, Angeles City Date: November 19, 2009
Objectives:
After 8 hours of Community Health Nursing duty, the student- nurses shall have:
Familiarized themselves with the community physical set up and resourcesRe-established a good working relationship with the leaders of the communityAppreciated the significance of RLE policies, requirements and their clinical instructors expectations of themIdentified the requirement of the curseIdentified the problems of the community based on the review of latest community diagnosis reportDrafted initial structured activities designated to address specific problems through an action plan
TIME ACTIVITY
8:00-9:30
9:00-10:00
10:00-12:00
Opening prayer Pre-conference
Statement of plan activities Getting to know activity Expectation about the CHN
exposure Review of CHN RLE Policies
and requirements Giving of overview of CHN
activities Home visits Community assembly Implementation Evaluation Clinic management
Discussion of the grading system and evaluation system
Selection of leaders/key people/group
Division of group members into pair(buddy system)
Courtesy call Barangay officials Barangay health center staff RHU staff Purols leaders/key people is the
community
Community tour Identification of community
facilities(resources),land marks zones and street
12:00-1:00
1:00-3:30
Ocular inspections Observation on evident
community health problems
Lunch break
Community diagnosis review Through review of the latest
community diagnosis report Re-assessment/validation of
identified community problems Brainstorming and setting on the
number of problems to resolve Initial planning of activities for
community assembly and implementation
Creation of student committees and conveying of respective responsibilities
Discussions of the action plan Appraisal of the accomplishments
of the day objectives and activities
Students feedback Difficulties/problems encountered Solutions proposal for problem
identified Recommendation Statement of objectives for the
next RLE duty day Closing prayer
Prepared by: Alisot, Alma
Noted by: Roxan Lopez, RN
PLAN OF ACTIVITIES
Area: Barangay Amsic, Angeles City Date: November 20, 2009
Objectives:
After 8 hours of Community Health Nursing duty, the student- nurses shall have:
Conducted home visits and performed assessment regarding the needs if the individual, families and populations groupIdentified specific population groups who are at risk or have specific nursing needsCollated information and identified proposed attendees of general assembly and prospect household for home visitsDrafted initial plan for the upcoming assembly and implementationCollaborated as class of terms of distribution of work and responsibilitiesConceptualized theme for assembly and strategies for home visits.
TIME ACTIVITY
8:00-9:00
10:00-12:00
12:00-1:00
1:00-3:00
Opening prayer(student Nurses Community people contact)1st purok
Establishing of rapport to community people
Assessment and identification of nursing needs of the families
Rendering of nursing care needed using PHN Bag
Identification of specific population groups(pregnant women, children, elderly people who are at risk or have specific nursing needs
Identification of prospect invites in the assembly
Presentation identified families/population groups during home visit
Consultation about home visit plans and future activities(per pair)
Lunch break
Continuation of planning of activities for assembly and implementation
Initial consultation regarding the action plan
Revision of action plans Presentation of final draft of letters
and invitations Preparations for community assembly Logistics Reservation of venue Programmed Visual aids Assigning of emcee, speakers and
reporters Constructing initial drafts, slogan,
posture and leaflets
3:00-4:00
Finalizing no. of attendance in the assembly.
Post-conference and evaluation Appraisal of the accomplishments
of the days objectives and activities
Student feedback Closing prayer
Prepared by: Alisot Alma
Noted by: Roxan Lopez, RN
PLAN OF ACTIVITIES
Area: Barangay Amsic, Angeles City Date: Nov. 26, 2009
Objectives:
After 8 hours of Community Health Nursing duty, the student- nurses shall have:
Enumerated and describe the format of portfolioConducted home visits and identified family nursing needs and problems.Demonstrated proper application of bag technique principles and actions.Identified prospects invitees for the assembly.Constructed feasible home visit plan after consultation with clinical instructor.Drafted community centered action plan related to address a specific community problem.Collaborated as class in terms of distribution of work and responsibilities.
TIME ACTIVITY
8:00 - 9:00
9:00 - 12:00
1:00 - 3:00
3:30 – 4:00
Opening prayerPre - Conference- recap of the previous activities- presentation of plan of activities - per pair consultation of home visit plan to the C.I.
Home visits ( student nursescommunity people contact ) -implement of home visits Plan
Continuation of preparation for assembly and implementation - follow up and update on accomplishing tasks of each committee. - construction of materials needed assembly and implementation.
- brochure / leaflets - posters - slogans - visual aids - others
Post conferences and evaluation- appraisal of the accomplishment, of the day’s objective and activities - student feedbacks > difficulties / problem encountered > solution proposal for problem identify> recommendations> Statement for objective for the next RLE. > closing prayer
Prepared by: Bacani, Leizel
Noted by: Roxan Lopez, RN
PLAN OF ACTIVITIES
Area: Barangay Amsic, Angeles City Date: Nov. 27, 2009
Objectives:
After 8 hours of Community Health Nursing duty, the student- nurses shall have:
Constructed the health and brochures needed for the implementation.Distributed the invitation of prospects attendees of the upcoming general assembly.Drafted and finalized the visual aids for the upcoming general assembly. Constructed slogan for implementation as part of health teachings.
TIME ACTIVITY
8:00-9:00
9:00-10:30
-Opening prayeor Pre-conference -Recap of the previous activities -Presentation of plan of activities -Per pair consultation of home visit -Plan to the CI.
-Home Visits (Student Nurse- Community People Contact) -Implementation of home visit plan - Provision of nursing interventions to
10:30- 12:00
12:00- 1:00
1:00- 3:00
the family - Rendering of nursing care using the PHN bag - Conduct health teachings related to specific health concerns, issues and needs - Follow up invitees and listing of expected attendees in the assembly
Continuation of Preparations for Assembly and Implementation- Final Preparations for the assembly Implementation- Update on the accomplished tasks by each committee- Continuation of the construction of materials
Lunch
Dry run of community Assembly or Rehearsals of -Assembly presenters
-Laying out of actual set- up-Recommendations for improvement.-Statements of objectives for the next RLE Duty day
-Closing prayer
Prepared by: Bautista, Johanna
Noted by: Roxan Lopez, RN
PLAN OF ACTIVITIES
Area: Barangay Amsic, Angeles City Date: December 3, 2009
Objectives:
After 8 hours of Community Health Nursing duty, the student- nurses shall have:
Conducted home visits and reminded them about the General AssemblyProvided health teachings or education with regards to the problem identified in the communityDisseminated the leaflets/ brochures to the inviteesCarried out all the materials needed like the speakers, microphone and the like for the conduction of General AssemblyPrepared the setting of the program before the said time of the assembly
TIME ACTIVITY
8:00-8:45
8:45-10:00
10:00-10:30
Opening PrayerPre-conference
Recap of the previous activities Presentation of Plan of Activities Distribution of tasks and
assignments Statement of Rubric for General
Assembly
Physical Preparation for the Community assembly (Half of the class)
Venue Tables Sound System Snacks Visual Aids
Follow-up of Invitees (remaining half of the class)
Reminding the expected attendees of the time, place and activity
Community Assembly Adherence to the Program set by
12:00-1:30
1:30-2:30
3:00-4:00
the students Continuous Documentation
Aftercare and Lunch
Post Assembly Evaluation Appraisal of the activity Feedbacks from the Clinical
Instructor Difficulties/ Problems Encountered Recommendations
Final Preparation for Implementation Revising the Action Plans Assigning of Tasks and
Responsibilities Brainstorming on the overall plan
for implementation (e.g., simultaneous activities, etc.)
Follow up of the materials to be used
-Closing Prayer
Prepared by:
Noted by:
PLAN OF ACTIVITIES
Area: Barangay Amsic, Angeles Date: December 4, 2009
Objectives:
After 8 hours of Community Health Nursing duty, the student- nurses shall have:
Prepared all the material (nails, hammers, wires) to be used for implementation.Painted and improved the garbage can for proper garbage disposal.Distributed designated number of garbage can to each purok:
5 for purok 3 3 for purok 2 4 for purok 1
Posted all the placards and slogan about proper garbage disposal.
TIME ACTIVITIES
8:00-8:45
8:45-10:00
10:00-10:30
10:30-12:00
12:00-1:30
1:30-2:30
2:30-4:00
Opening prayerPre-conference
Recap of previous activities Presentation of plan of activities Distribution of task and
assignment Statement of rubric for general
assembly
Physical preparation for the community assembly
Venue Table and chairs Sound systems Snacks Visual aids
Registration
Community assembly Adherence to the program set by
the students Continuous documentation
After care and Lunch
Post assembly evaluation Appraisal of the activity Feedbacks from the C.I. Difficulties/problems encountered Recommendations
Final preparation for implementation Revising action plans Assigning of task and
responsibilities Brainstorming on the over all plan
for implementation Follow up of materials to be used
Closing prayer
Prepared by:
Noted by:
PLAN OF ACTIVITIES
Area: Barangay Amsic, Angeles City Date: January 7, 2010
Objectives:
After 8 hours of Community Health Nursing duty, the student- nurses shall have:
Prepared all the cleaning materials to be used in the implementationStarted the implementation program in Purok 1,2 & 3Cleaned the drainagePerformed clean up drive in the designated PurokEvaluated the result of the clean up drive and the success of the activity
TIME ACTIVITY
8:00am-9:00am
9:00am-12:00pm
12:00pm-1:00pm
1:00pm-3:00pm
3:00-4:00pm
Opening prayerPre-conference
recap of the activities presentation of plan of
activities review of the action plans
per problem distribution of tasks and
assignments
Implementation-Part 1*1st Purok assigned (flow of activity depends on the overall plan of students)The ff. are the sample act.
contact with the community volunteers
information dissemination drive posting of posters and slogan distribution of brochures and
leaflets cleaning of drainage
Lunch
Continuation of implementationFollow up home visits **1st Puroks-reinforcement of family nursing interventions and additional health teachings
Post-implementation discussion
Prepared by:
Noted by: Roxan Lopez, RN
PLAN OF ACTIVITIES
Area: Barangay Amsic, Angeles City Date: January 8, 2010
Objectives:
After 8 hours of Community Health Nursing duty, the student- nurses shall have:
Continuation of the implementation partCleaning of the drainages
Making home visitsDiscussion of the problem with the householdGiving some health teachingEvaluation of the result of the clean-up driveDistribution of task in every groupReview of action plan evaluated the result and success of implementation part II Weighing of children 5 years old below from puroks 1,2,3
TIME ACTIVITY
8:00-9:00
9:00-12:00
12:00-1:00
1:00-3:00
3:00-4:00
Pre-conference Recap of the previous activitiesPresentation of the action planReview of the action plans per problemDistribution of task and assignments
Implementation-part 2nd purok/s(flow of activities depends on the overall plan of the students)The following are the sample activities Contact with the community volunteers Information dissemination drive Posting of posters and slogans Distribution of brochures /leaflets Cleaning of drainages Feeding program
Lunch
Continuation of the implementation (flow of activities depends overall plan of the students)Follow up home visits 2nd puroksReinforcement of the family nursing interventions and additional health teachings
Post implementation discussion
Prepared by: del Puerto, Charisse
Noted by: Roxan Lopez, RN
PLAN OF ACTIVITIES
Area: Barangay Amsic, Angeles City Date: January 14, 2010
Objectives:
After 8 hours of Community Health Nursing duty, the student- nurses shall have:
Conducted home visits to the families in the community.Gotten the weight of the children ages 5 years old and below in puroks 1,2 and 3.Provided health teachings or education with regards to the problems identified in the community.Prepared all the materials to be use in cleaning of the drainages.Cleaned the drainages.
TIME ACTIVITY
8:00-9:00
9:00-12:00
12:00-1:001:00-3:00
3:00-4:00
> Opening Prayer-Pre-Conference-Recap of the previous activities-Review of the plan of action per problem-Distribution of tasks and assignment
> Implementation part 3*3rd purok assigned (flow of activities depends on the overall plan of students)- Contact with the community volunteers- Information Dissemination Drive- Posting of posters and slogan- Distribution of brochures and leaflets- Cleaning of drainages- Feeding program
> Lunch Break> Continuation of implementation(Follow-up home visit)-Reinforcement of family nursing intervention and additional health teachings
> Post implementation discussionAppraisal of activitiesFeed backs from clinical instructorsDifficulties and problems encounteredRecommendation
Prepared by:
Noted by:
PLAN OF ACTIVITIES
Area: Barangay Amsic, Angeles City Date: January 15, 2010
Objectives:
After 8 hours of Community Health Nursing duty, the student- nurses shall have:
Continued and finished weighing the children under 5 years of age
Determined if the actions done by the students are goal met or unmet
Accomplished the evaluation part of the action plan
Evaluated all the implementation programs and actions if they are successful.
Determined the changes that had happened in designated purok.
TIME ACTIVITY
8:00 – 9:00
9:00 – 12:00
12:00 – 1:00
1:00 – 3:00
3:00 – 4:00
Opening prayer
Pre-conference
-recap of the activities
-presentation of plan of activities
-review of action plans
-distribution of task
-continuation of activities
The following are sample activities:
-contact community volunteers
-information dissemination
-weighing of child below 5 years old
-obtaining information regarding family
history for completion of Barangay
Health Center
-Lunch
-Follow-up of home visits
Evaluation
Completion of Action plans
Completion and carry out of Activities
Post Conference
Prepared by:
Noted by:
PLAN OF ACTIVITIES
Area: Barangay Amsic, Angeles City Date: February 11, 2010
Objectives:
After 8 hours of Community Health Nursing duty, the student- nurses shall have:
TIME ACTIVITY
Prepared by:
Noted by:
PLAN OF ACTIVITIES
Area: Barangay Amsic, Angeles City Date: February 12, 2010
Objectives:
After 8 hours of Community Health Nursing duty, the student- nurses shall have:
TIME ACTIVITY
Prepared by:
Noted by:
PLAN OF ACTIVITIES
Area: Barangay Amsic, Angeles City Date: February 18, 2010
Objectives:
After 8 hours of Community Health Nursing duty, the student- nurses shall have:
TIME ACTIVITY
Prepared by:
Noted by:
PLAN OF ACTIVITIES
Area: Barangay Amsic, Angeles City Date: February 19, 2010
Objectives:
After 8 hours of Community Health Nursing duty, the student- nurses shall have:
TIME ACTIVITY
Prepared by:
Noted by:
PLAN OF ACTIVITIES
Area: Barangay Amsic, Angeles City Date: February 25, 2010
Objectives:
After 8 hours of Community Health Nursing duty, the student- nurses shall have:
TIME ACTIVITY
Prepared by:
Noted by:
PLAN OF ACTIVITIES
Area: Barangay Amsic, Angeles City Date: February 26, 2010
Objectives:
After 8 hours of Community Health Nursing duty, the student- nurses shall have:
TIME ACTIVITY
Prepared by:
Noted by:
EVALUATION
COMMUNITY HEALTH NURSING ACTIVITIES
Home Visits
The groups’ most essential community activity was conducting home visits. This kind of activity really requires a lot of demands from each students, like demand of time, demand of patience, demand of hard work, demand of cooperation and other aspects vital to meet all the assigned tasks. From day 2 until almost of the succeeding days of CHN Duty, the students were dispersed on their assigned puroks (Puroks 1,2 &3), to conduct home visits, eliciting pertinent data. These data would include the households’ compliance and also provide the necessary nursing care and health related activities. The home visits were made during the 1st and 2nd week mainly focused on the identification of households who are affected with the identified problems in the community after knowing such, home visits for the preparation with the general assembly was made so us to assure that almost all the participant are present in the program and continuous assessment in were is still a part of the activity. Home visits then after was focused on the reassessment part, so us to know if the households affected complied with the health teachings given during the general assembly and also for the reinforcement of the teachings given to them. This also the purpose of evaluating if there is an improvement/change within each identified problems. During clinic management was started, the groups assigned to conduct home visits for the reassessment of the patient cared during the clinic management and also to reach out with the other pregnant women in the assigned puroks who were not scheduled/not able to come in the health center for pre natal check up, other than that there were also the days were home visits were conducted for the weighing of children below 5 years of age in the three puroks.
Case Finding
Clinical Management
LEARNING DERIVED
Alisot, Alma
Bacani, Leizel
“You must do things you think you cannot do”
The requirement Portfolio it is like a collection of our experience and
the things that we learned in our CHN Duty. Doing this implementation phase
and clinical management is an unforgettable experience, and more
learning’s that we learn. The trials and sacrifices that we encountered in
cleaning the drainage and the sweeping the road at purok 1, 2, and 3 are
worth keeping. And also doing the general assembly to give solution for their
problems we do health teaching to them and give a game that they can
apply the knowledge of the solution that we told to the people of Barangay
Amsic.
In doing this work it helped a lot by means of developing my
personalities, from mental to social. In socializing with others in helping
others how to cope up in their problem is a very satisfying work in imparting
your knowledge is a therapeutic for a student nurse. Then also I learned is to
be patience, we need a lot of it since we encountered a lot of problem from
beginning up to end. No matter how complicated the problem you need a
patience to finish it. Another is the value of teamwork we need a teamwork
and unity to achieve our goal.
I realize that our duty in community is taught us many valuable lessons
that we encountered throughout our experience in community. This
experience was very fun and tiring but we gained a lot from it. Which even
though we would feel tired after a day’s work we would always feel glad to
serve or help the people needs and without expecting something return
Bautista, Johanna
Canda, Helaine
Having again a duty in the community helped us to enhance our skills
and it gave us new learning. This duty focused in the implementation to
lessen the community’s problem.
We’ve learned how to gain the trust of the community people again
without any problem, in going back for our implementation in Barangay
Amsic, because we’ve established a good relationship to them before. This
whole duty in the community helped me more in building and knowing my
personality. It made me realized the things that I will be doing as a nurse in
the near future. Like on how to communicate to the people whom you will
serve and understand/accept their personality. This duty made me a
cooperative and a responsible student nurse by helping my group mates and
by doing the task which the leader assigned me to do. Initiative and patience
is needed when having duty in the community or in even in the hospital.
And also, our clinical instructors gave us lessons to learn. They made
us realized that we should have confidence in doing the task that they
assigned to us. For me, giving task means they have trust in their students.
So we the student nurses should do our part so that they will not lose their
trust on us. They made us realized that we should work as a group and not to
depend on one member of the group. And there will be times that we should
learn how to stand alone.
Cunanan, Michelle
Every minute of our life there are learning, a learning that can be
applied in our daily lives, in this community health duty I’ve learned a lot of
things like on how to socialize with other people that I do not know yet.
“Learning that can be use as a key to success”
The past few months of having community health duty, I have learned
to have more patient, work hard, and also to make those things that are
difficult more easier because I have encountered some difficulties that tested
my patience and abilities, I have also seen the reality of lives beyond the
back of my knowledge it is not easy to have a community duty it is not
because of talking to some strangers but also to experience the HOTNESS of
the weather and doing home visits. I also need to cope up with other people
even though they are annoyed with us.
“LEARNINGS DO NOT ONLY COME FROM THE FOUR CORNERS OF THE
CLASSROOM BUT ALSO TO OTHER PLACES”
David, Nino Anthony
Del Puerto, Charisse
The past few months of community health nursing duty, I have learned
many things. I learn what really hard work is, because we have done things
we don’t usually do, like cleaning drainages, making home visits, sweeping
the streets and many more. And we have to do it well for the people to
realize that we can do it so as they. Also I learn to be cautious in whatever I
do especially whenever I am in the community because we are showing
them that we are showing some solutions in some of the problems in the
community.
It made me feel that I should start it in myself. Like I don’t throw trash
anywhere because there might other people see it and they might think that
we cannot do what we teach
And also patience is another key to success, because there are things
that we are encountering each day that makes us lose hope. But through
constant patience we have done it successfully. But everything we have
done in the community made me enjoy because we met different kind of
people and made me realize that there are much more things that are
important. And to make every work successful, we must work as a group,
have the unity because all work will be done if more hands will work rather
than one. The knowledge that we learn from the community will help to be a
better nurse someday and as well as better persons.
Gonzales, Venice T.
Huypungco, Greal
Pido, Alexander
As a student nurse, I have learned many things with regards to our
CHN exposure. I was able to see and be with different kinds of people with
different lifestyles and different ways of living. It was a good thing to be
exposed in such especially for us student nurses for us to be aware on what
are the common things that are happening within a specific community
particularly in Barangay Amsic. Exposure in the community gave me a new
dimension in the field of Nursing, especially in RLE which is one of the
priorities of a student nurse. I was able to apply my skills during the home
visits by providing the people the health teachings that they need and that is
applicable for their health status. Good communication skills and hard work
are very important especially in the implementation process. I also learned
that to be an effective CHN student nurse, I should provide health teachings
as many as I could to help in educating the people especially with their
health which is very important. I became socially aware and socially
responsible with the common community health problems present in
Barangay Amsic. In our CHN duty, we apply the knowledge that has been
taught to us at school. We get hands on with the skills that we needed to
learn and apply. CHN duty is very tiring but it was an achievement on our
part when at the end of the day, we have accomplished every task that we
were assigned to do and have gained knowledge and skills. We have
developed unity and we enjoyed every situation while we were working
together. This is a very unforgettable experience on my part
Tiglao, Gian Paolo
Yumul, Sattria
Being exposed in our adopted community is a fulfilling thing, because
we get socialized with the people in the community. We also enjoyed doing
the home visits because we were able to help the community people to
achieve wellness. We also improved our communicating skills, because
having a good communicating skills can able to help you to have a good
established rapport to the people, to be cooperative and for you to do your
task easy.
In this duty, as a student nurse, I learned that patience is important
during the implementation. Also working as a team is a foundation to make
the work easier and to have a good outcome to the task that was assigned to
us. I personally enjoyed the bonding of the group together with our clinical
instructors.
APPENDICES
Action Plans Per Problem
Communication Letter
November 26, 2009
The PrincipalAmsic Elementary School
Dear Sir,
Greetings of peace!
We are sophomore nursing students of Holy Angel University. We are the same persons who conducted the community diagnosis here in Barangay Amsic last semester (June-October 2009). In lieu with this, we would like to inform you and your good office about our intention of conducting a general assembly this Friday, December 04, 2009. The general assembly is actually a part of the implementation phase we are conducting as a response to the identified needs of the community concerning the following conditions:
1. Non-adherence to Family Planning Methods2. Malnutrition3. Improper Garbage Disposal4. Faulty Infant Feeding Techniques (Bottle, Mixed, and Glass-Fed)5. Contaminated Drinking Water Supply6. Non-compliance with Immunization Schedules
In lieu with this, we are requesting your favourable response of using the school’s covered court for the said general assembly. The assembly shall take place on the above-written date, from 10:00 AM – 12:00 Noon. The assembly will be a means of communication between the student nurses and the people on how these problems could be minimized, or better, be solved to the full use of the resources present in the community.
Hoping for your kind consideration.
Sincerely yours,
Venice GonzalesGroup Leader, CON-202 (3and4)
Noted by:
Joseph Hansel R. Canlas, RNFaculty, College of Nursing
Roxan M. Lopez, RNFaculty, College of Nursing
Sample Invitation
Holy Angel UniversityCollege of Nursing
Angeles City
Barangay AmsicCommunity General Assembly
Date: Dec. 04, 2009Time: 10-12pm
Venue: Amsic Elementary School
This serves as an invitation to:Mr/Ms:_________________
Sample Programme
PROGRAMME
Opening Prayer June Galang
Singing of National Anthem Charisse GasconDianne ParuliMaria Kristina Valencia
Acknowledgement of the presenceBarangay Official, Worker, volunteers And community people
Opening Remarks Hon. Gerom P. Costales
Welcome Remarks SK representative/member
A. Interactive discussion and information Ma. Kristina Valencia
Dissemination about Breastfeeding
B. Interactive discussion and information Gian Tiglao/ Alma Alisot
Dissemination about Improper Garbage Disposal
After the long preparation, here comes the most awaited moment of Gr. # 3 and 4, the
GENERAL ASSEMBLY
These are the members of Group 4. They are preparing for the start of the program.
Energizer…………………
C. Interactive discussion and information
Dissemination about Vaccination Venice Gonzales
D. Interactive discussion and information Nino Anthony David
Dissemination about Water Sanitation
Energizer…………………
E. Interactive discussion and information Greal HuypungcoDissemination about Family Planning
F. Interactive discussion and information Charrise GasconDissemination about Malnutrition
Energizer…………………
Intermission Number Group 3 and 4
Closing Remarks Venice Gonzales
Venice GonzalesMaster of Ceremony
DOCUMENTATION
These are the members of gr. 3 and 4. It is their way of
diverting the tension they feel during the GA.
These are the representatives of Puroks 1, 2 and 3 who
participated in the General Assembly..
The chosen representatives of the group gave health
teachings regarding proper way of boiling water..
As part of the registration, assigned students in the
registration booth took the BP of the participants.
They showed sample slogans to the people in the
community.
Note! Slogan- making and trashcan painting are part of the implementation process.
Assigned members of the group had demonstrated proper way of
putting condom as part of the health teachings about family
planning.