HOLY ANGEL UNIVERSITY..

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

http://everything2.com/title/validation

http://everything2.com/title/assessment

http://everything2.com/title/scientific+method

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



Preoccupied in the

earnings of the family

Lack of knowledge on effects of poor environmental

sanitation


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


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


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


Evaluation

Problem ResolutionTitle of the ActivityGoals and ObjectivesTargetPeople InvolvedTime FrameMaterials/ Resources Needed

Actual StrategiesEvaluation


Evaluation


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:


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


PLAN OF ACTIVITIES

Area: Barangay Amsic, Angeles City Date: Nov. 26, 2009

Objectives:


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 activitiespresentation 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


PLAN OF ACTIVITIES

Area: Barangay Amsic, Angeles City Date: Nov. 27, 2009

Objectives:


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 setup-Recommendations for improvement.-Statements of objectives for the next RLE Duty day

-Closing prayer

Prepared by: Bautista, Johanna


PLAN OF ACTIVITIES

Area: Barangay Amsic, Angeles City Date: December 3, 2009

Objectives:


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:


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:


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:


PLAN OF ACTIVITIES


Objectives:


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


PLAN OF ACTIVITIES


Objectives:


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


Objectives:


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:


TIME ACTIVITY

Prepared by:

Noted by:

PLAN OF ACTIVITIES


Objectives:


TIME ACTIVITY

Prepared by:

Noted by:

PLAN OF ACTIVITIES


Objectives:



TIME ACTIVITY

Prepared by:

Noted by:

PLAN OF ACTIVITIES


Objectives:


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


E. Interactive discussion and information Greal HuypungcoDissemination about Family Planning

F. Interactive discussion and information Charrise GasconDissemination about Malnutrition


Intermission Number Group 3 and 4

Closing Remarks Venice Gonzales

Venice GonzalesMaster of Ceremony

DOCUMENTATION

http://www.facebook.com/photo.php?pid=30968847&id=1111491614

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.



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