Ten Leading Cause of Morbidity

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    TEN LEADING CAUSE OF MORBIDITY

    1. URTI = 25072. Bronchitis = 6723. HCVD = 5934. GID/AGE = 5675. Dermatological Disorder = 4856. Musculo Skeletal Disorder = 3857. UTI = 2928. Minor Injuries = 2329. EENT = 20110.Pneumonia = 194

    Upper Respiratory Tract Infection or URTI tops the list on the leading cause of morbidity. There

    are 2,507 clients who had been diagnosed having this disease. Other respiratory-related diseases include

    Bronchitis and Pneumonia which ranked number 2 and 10 consecutively.

    Contributive factors that includes the changing weather tends to affect ones resistance in

    getting the causative agent of the diseases. These diseases are transferred via airborne and droplet.

    Productive cough, and colds are the main chief complaint of those patients having these diseases. But

    the main problem here is the clients never have or late medical consultation.

    Boosting the immune system is the main key to prevent these diseases. Good nutrition

    (exclusive breastfeeding for infants aged 0 6 months and maybe extended upto 2 years old) and

    proper hygiene are important and easy ways to prevent such diseases. Pneumonia has a vaccine and

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    proper hygiene are important and easy ways to prevent such diseases. Pneumonia has a vaccine and

    For that, I want to recommend that healthy lifestyle for all clients should be properly done and

    disseminated. Health education should be rendered because as I said earlier that only during

    symptomatic stages that the clients come for consultation and with that everybody should know that

    this disease (hypertension) is a silent killer and can occur or aggravated anytime, anywhere.

    As a summary, healthy community is a prerequisite to national development, and caring for the

    health of citizens is one of the best demonstrations of the governments concern for the countrys

    welfare. The Municipality of Bantays record on morbidity and mortality reveals an urgent need to

    reexamine the efforts towards disease management and a tremendous opportunity to apply a simple

    program of public health education and awareness to address the unresolved burden of preventableillnesses. In a related aspect, the contribution of healthcare professionals, who are in the best position

    to effect change in this field, to addressing these most pressing needs also needs evaluation, if they are

    aware of the problems, their possible solutions, and their critical role in helping the community to uplift

    the healthcare situation they can contribute to the elevation of knowledge, and hence expectations and

    standards for hygiene, sanitation and lifestyle among the populations at risk. Meanwhile, the healthcare

    professionals may also share this knowledge with their families to break the cycle of health risk by

    starting healthier practices that may prevent the development of the top mortality causes in theiradulthood. The common thread of education and awareness runs through these conditions as a possible

    consolidating solution, if the promotion and maintenance of health is emphasized to the public through

    basic education, and awareness approach which influences individuals primarily may prove to be the

    most efficient, practical, realistic and effective way to reduce the burden of diseases in Bantay and the

    community may be able to promote a healthier society in a cost-effective way.

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    TEN LEADING CAUSE OF MORTALITY

    1. Pneumonia = 422. HCVD = 303. CVA = 224. Malignancy = 175. Accident = 136. Undetermined Cause = 77. COPD = 48. Sepsis = 39. Anemia = 2

    Kidney Disease = 2

    Asthmaticus = 2

    Diabetes Mellitus = 2

    Multi organ failure = 2

    10.Bleeding Peptic Ulcer = 1Pulmonary Tuberculosis = 1

    Upper Gastro-Intestinal Bleeding = 1

    Malnutrition = 1

    Graves disease = 1

    Atrial Fibrillation 2o

    to CAD = 1

    Intestinal Obstruction 2o to Emphysema = 1

    Lower Back Pain 2o to Osteoarthritis = 1

    Asphyxiation = 1

    In the 2012 annual report of Municipal Health Unit of Bantay, the top leading cause of death is

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    HCVD or Hypertensive Cardiovascular Disease, CVA or Cerebrovascular Accidents, Atrial

    Fibrillation 2o

    to Coronary Artery Disease and Diabetes Mellitus are also in the list of the leading cause of

    mortality in Bantay. Its prevention, diagnosis and management are of fundamental importance to public

    health and require a cooperative and multidisciplinary approach.

    These diseases are preventable in the first place. You dont have to wait to have these diseases.

    The common risk factors that could be avoided are sedentary lifestyle and lack of exercise, smoking,

    excessive consumption of alcohol, dietary excesses particularly in the consumption of fats and sugar,

    and faulty regimen in taking of maintenance drugs.

    And with these things, healthy lifestyle is the prevention for these diseases. We, as healthcare

    providers should educate them about these diseases and what are the things they should or should not

    do in order not have or aggravate more these diseases. Health education includes the disease, its

    causes, signs and symptoms, and prevention. Also, there should be a kit for those hypertensive and

    diabetic patients and they should be monitored monthly.

    Malignancy is the 4th leading cause of mortality in the town. Patients are referred to hospital for

    the care and management.

    Road Accidents is also in the list. In relation with us healthcare team, we should prepare

    ourselves in any accidents that may happen in the road. We should equip with the items that are

    essential during accidents. The problem here in the municipality of Bantay is the communication and

    coordination of the Police Officers and the equipment of the Ambulance and the first aid kit. And with

    this, I want to recommend that the LGU and MHU of Bantay shall equip the ambulance the necessary

    equipments for ambulance management and also, they should conduct trainings in first aid, ambulance

    management and other essential trainings.

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    KALUSUGAN PANGKALAHATAN COMMUNITY HEALTH TEAM STRENGTHS AND WEAKNESSES

    Many Filipino families in our communities suffer from health conditions that could have beenprevented if they had only been treated early enough or had received the proper attention and care. In

    Kalusugan Pangkalahatan, I have seen that this is very effective in the health implementation of the

    people especially in the Municipality of Bantay. They are now capacitated to access health services, but

    not all because of the hesitance to learn and go in the health facilities to have their medical

    consultation. Through us RNHeals and other health personnel and community health partners,

    townfolks are now more educated in the different diseases including Dengue Fever and Hypertension.

    They now know their health risk and needs.

    Through this KP or the Universal Health Care, financial means to get the health services are now

    possible especially the poor ones who belongs to NHTS PR families (National Household Targetting

    System Poverty Reduction) through PHILHEALTH and the government and DSWDs 4Ps (Pantawid

    Pamilyang Pilipino Program). The problem that I can see in this matter is that some members of the

    NHTS-PR families that are much deserving than those who are chosen.

    Also, through this KP, it is a great help for us nurses especially those who are unemployed ones

    to have this kind of training with honoraria to enhance our skills and knowledge through the DOHs

    programs, RNHeals (Registered Nurses for Health Enhancement and Local Services) and RHMPP

    (Registered Health Midwives Placement Program). And with this, nursing workforce in the MHU is now

    augmented meaning more improved health care services is given to the townfolks. The weakness is that

    some of the chosen ones are not dedicated to their work. They just only work when there is an

    instruction coming from the supervisors or anyone who is superior to them.

    The Community Health Teams focus on the promotion of health and wellness, supporting

    individuals and families to build knowledge, confidence, and skills to help make healthy lifestyle choices

    and to better prevent and manage risk factors that are common across chronic conditions The

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    SUMMARY OF DEPLOYMENT IN THE MUNICIPAL HEALTH UNIT of BANTAY

    In March 6, 2012, the Department of Health spearheaded the deployment of nurses (RNheals

    Batch III) and midwives (RHMPP Batch II.) Its aim is to assist in the provision of health services in poor

    communities as part of the DOHs support to thePantawid Pamilyang Pilipino Program (4Ps) of the

    DSWD and also, it seeks to augment the inadequate nursing workforce in DOH hospitals and a number

    of Local Government Unit (LGU) health facilities to improve patient care and health services.

    I am deployed as part of the program as a Public Health Nurse and undergone learning and

    development in public health during one (1) year of deployment. We were exposed to the

    implementation of public health programs and provision of health services.

    Universal Health Care (UHC), also referred to as Kalusugan Pangkalahatan (KP), is the provision

    to every Filipino of the highest possible quality of health care that is accessible, efficient, equitably

    distributed, adequately funded, fairly financed, and appropriately used by an informed and empowered

    public. The Aquino administration puts it as the availability and accessibility of health services and

    necessities for all Filipinos. It is a government mandate aiming to ensure that every Filipino shall receive

    affordable and quality health benefits. This involves providing adequate resources health human

    resources, health facilities, and health financing.

    Its been almost 12 months now and Im still on that stage wherein I keep on telling myself that

    Ive made the right decision as far as professional growth is concerned. I dont know if its denial but

    there are a lot of times within this unemployment period that I feel Im just waiting in vain and the

    risk I took will not work at all. For this reason, I was elated when I heard the news that RNHeals

    (Registered Nurses for Health Enhancement and Local Service) Batch 3 is now opening its doors for

    thousands of unemployed registered nurses wanting to have a paid clinical experience of one year.

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    growing emotionally and spiritually as well. I got the chance to witness several heart-wrenching realities

    you will never witness if youre just working inside an air-conditioned office for these reason, I have a lot

    of things to be thankful for and develop the real heart of compassion every nurse should have. I have

    encountered different types of patients, children, adult, and senior citizens who seek for medical

    assistance. Though it can be stressful most of the time, bearing in your mind that the lives of patients

    lies in our hands will turn our nursing job from a monotonous responsibility to a fulfilling calling that is

    even way beyond simple acts of heroism.

    Being a nurse is carrying a God-given gift and its a vocation that requires a lifetime of

    commitment and compassion. There is no doubt that at the end of the day, Registered Nurses for Health

    Enhancement and Local Service is still one of the most inspiring and fulfilling jobs ever created.

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    EXIT CONFERENCE

    Learning/Insights During the Program Memorable and Funny Experiences Negative Experiences Recommendations to Improve the

    Program

    Being a part of RNHEals program isone of the most memorable

    experienced id ever had.

    Ive been with different people with

    different walks of life yet weve

    learn to appreciate and care for

    each others especially when we are

    in the community.

    I admift that it is not easy to walkunder the sun just to reach out

    people however, those efforts are

    worth it when you see the smile on

    their faces though how simple the

    things you did for themSome shares

    stories of their own lives but the

    funny thing there is that they make

    their stories exaggerated.

    Even though we are starving

    There are some community peoplewho take for granted their health

    even though the health care team

    are the ones who are reaching

    them.

    There are some who doesnt even

    bother to entertain us and doesnt

    come and listen to the activities

    with regard to health.