Community

“Eskwelahan, Simbahan, Barangay, Palengke at Buong Komunidad, Sama-Sama Nating Sugpuin ang Dengue” , DOH May 2011 theme of Dengue Awareness Month

Dengue fever infection has afflicted thousands of young and old Filipinos every year. Inspite of community and health authorities efforts to combat it, it has become a menace to a lot families in urban and rural areas.

There are several strategies of combating Dengue fever ,the DOH 4S Kontra Dengue strategy is  composed of Search and Destroy, Seek early consultation, Self-protective measures and Say no to indiscriminate fogging.

Another innovative strategy  is Mosquito Ovicidal/ Larvicidal Trap system, developed by the Department of Science and Technology (DOST).

The DOST-developed Mosquito OL Trap  has three important parts: a black container, a small strip of wood (lawanit) for mosquitoes to lay their eggs on, and a larvicide solution. The scent of the larvicide solution attracts female mosquitoes and encourages them to lay eggs on the immersed lawanit strip.  Once exposed to the solution, the eggs and hatched larvae will die.  The DOST Mosquito OL Trap prevents the next generation of mosquitoes from reaching adulthood and curbs the Aedes Aegypti  mosquito population.

Thus, DOST in partnership with DOH and  DepEd will distribute DOST mosquito OL Trap to all classrooms of both public and private schools in areas with high dengue cases in the metro.

According to the DOST website, some 34,910 DOST Mosquito OL Trap kits will be distributed to 17,454 classrooms in public and private elementary and secondary schools in Caloocan, Quezon City, Pasay, Valenzuela, Manila, Muntinlupa, and Pasig.

How to Use the DOST Ovi/Larvicidal (OL) Trap

1. Pour tap water into the black plastic cup until the lined mark just above the printed DOST logo. This volume is equivalent to 250 milliliters (ml).
2. Pour one pack of OL pellets into the plastic cup.
3. Place the lawanit stick in the solution with the rough surface facing up.
4. Put the plastic cup outside the house in a low-lying area protected from the sun and rainfall. Take care not to spill the contents. Keep out of reach of children and animals.
5. Let the cup stand for six (6) days.
6. After six days, gently brush off into the solution the mosquito eggs stuck on the lawanit strip. A used toothbrush will do the trick, but make sure that all the mosquito eggs drop into the solution.
7. Pour hot water into the solution until the cup is almost filled.
8. Dispose all the liquid contents of the cup down the drain.
9. Repeat steps 1 to 9 weekly for six (6) months.

Click here:      trap instructions

Community Health Nursing BSN CMO #14

by Anna Katharina on August 16, 2011

in Community,Nurse Quad,School

Community Immersion with Documentation Format

This course based on the BSN CMO #14 curriculum, focuses on the care of population groups and community as clients utilizing concepts and principles in community health development. It also describes problems, trends and issues in the Philippine and global health care systems affecting community health nursing practice.

Community immersion is an activity wherein nursing students live in the community and feel like what it is to be there. A chosen community ,preferably rural ,is focal point of this experience. Students will apply knowledge and skills from nursing and public health sciences to expand their understanding of caring for a community’s health. By situating academic learning within an intensive 2-3 weekcommunity immersion program this course offers students a truly unique and memorable learning experience.

Learning activities are:

• Community assessment (what does it feel like to live in this community) observations, interviews, data collecting, select a particular aspect of the community for a community project.
• Health teaching project. Select a specific group (school children, teen parents, young mothers) and present an appropriate teachin learning experience for them. Include the principles of health teaching, references, a plan and an evaluation.
• Attending selected community meetings that are related to your high risk population, your family, your health teaching project or any other facet of your community work.
• Students will keep a weekly clinical journal describing their learning activities, progress and plans. The journal will also include a critique/synopsis of selected readings related to your community health nursing practice. The journal may include questions for the instructor or other students.

Specific activities to be performed by students as reflected in the daily plan in actual community immersion are ( in order):
1. initiating contact with the community
2. establishing contact with local / barangay officials and health personnel
3. assessing the health status of the barangay
4. identifying problems in the community
5. interpreting and analyzing data gathered
6. formulating an action plan
7. implementing action plan
8. implementing strategies and activities
9. evaluating activities
10. disengaging from the community

A documentation of the activities is the last activity of the students.
Suggested COMMUNITY Immersion Program Documentation FORMAT

Title Page
Acknowledgement
Table of Contents

CHAPTER 1
I. Map
II. Analysis of the Community Situation
• Developmental Goals and Activities
• Municipality/Barangay Growth Plan
• Physical Characteristics
• Demographic Characteristics
• Selected Vital Indices
• Analysis of Health Status
• Economic Indices

III. Analysis of the Health Sector

CHAPTER II
• Identification and Analysis of problems
• Criteria for Ranking Priority problems
• Choosing the Barangay for the project

CHAPTER III
A. Situational Analysis of the Barangay
• Map / Location and Physical Characteristics
• Population
• Nutritional Status
• Health Status
• Socio-economic Factors
• Health Sector

B. Statement of the Problem IN Barangay ________
• Assessment Process
• Problem Tree
• Consultations with sectors of the Community

CHAPTER IV
• Planning for Change (Project Plan)
• Implementation, Accomplishment and evaluation
• Project Innovation
• Limitation and Difficulties Encountered
• Recommendation
• Disengagement
• Feedback of Results

ANNEX
DOCUMENTATION

Note: Integrate the principles of COPAR when going through with community immersion.COPAR (Community Organizing Participatory Action Research) is a social development approach that aims to transform the apathetic, individualistic and voiceless poor into dynamic, participatory and politically responsive community.

It is the aim of the new nursing curiculum  (CHED CMO # 14 s 2009) to develop competencies utilizing the nursing process in varying health situations.

The first step in the nursing process is assessment and four closely related activities are collection of data, organizing data, validating data and documenting data. Two types of data have to be collected, subjective, and objective data. Part of the subjective data is the nursing health history.

The nursing health history components are

A. Personal  or Biographic Data

Ex: Charan Sagar, 34 y/o male, married, accountant, Christian, Indian National, living at Project 7 Quezon City, was admitted for the first time at Century General Hospital.

B. Chief Complaint

  • “What’s troubling you?” or What brought you to the hospital or clinic?, it should be recorded in the client’s own words
  • Ex: ” masakit ang tiyan ko ” or ” epigastric pain”

C. History of the present Illness

  • Clear, chronological narrative account of the problems for which the client is seeking care.
  • It should include the onset of the problem, the setting in which it developed, its manifestations, treatments, its impact upon the patients life, and its meaning to the patient .
  • The principal symptoms should be describe in  terms of their location , quality, quantity or severity, timing, onset of duration and frequency, setting, factors that have aggravated or relieved these symptoms, associated manifestations.

Example:

The client states that he has been experiencing on and off epigastric pain one month prior to confinement. He claimed that the epigastric pain was accompanied by nausea and heartburn. When these symptoms are present, they wake him up at nigh..It is cramping , and radiates to the umbilical area. Antacids usually alleviate the symptoms

D. Past Health History

  • Childhood illnesses
  • Immunizations
  • Adult illnesses/ Injuries
  • Psychiatric illness
  • Previous Operations Hospitalizations
  • Current medications( frequency and dose)
  • Allergies to (both food and medication

D. Family History of Illness

  • The age and health or age and cause of death of each immediate family member
  • The occurrence within the family of any of the following conditions ( diabetes, TB. Heart disease, high blood pressure, stroke, kidney disease, cancer arthritis’ Anemia, mental patient

E. Lifestyle

  • Personal habits, diet, sleep/rest pattern, activities of daily living, recreation/ hobbies

F. Social Data

  • Quality of family relationships/friendships
  • Ethnic affiliation
  • Health customs and beliefs, cultural practices that may affect health care
  • Educational background
  • Occupational history
  • Economic status
  • information how the client is paying for medical care and hospitalization, whether the clients illness presents financial concerns
  • Home and neighborhood conditions
  • home safety measures, and adjustments in physical facilities
  • activity intolerance and activities of daily living
  • availability of neighborhood and community services

G.  Psychological Data

  • These are major stressors experienced by the client and their perception of them
  • how they cope up with these stressors
  • communication to relay appropriate emotion

H.  Patterns of Health Care

  • Includes all the health care resources that the client is currently using and has used in the past.

The nursing health history will provide a baseline data of your client, be sure you know how to phrase the right questions and in a language your client is comfortable with. Use your knowledge of communication techniques and know how to establish client rapport.

Be cordial and respect your client. Use the proper terms or words that your client can understand. When subjective data are incomplete these will create gaps in client’s data, thereby affecting your nursing diagnosis selection.

Be patient, you will learn doing your NCP the right way. Keep reading this blog to guide you in making your NCP the easy and proper way.

“I clean. I save,” the Philippine Spring Cleaning Day

In the Philippines, eight out of 10 top causes of morbidity are infectious in nature. These diseases like measles, chicken pox and pneumonia are transmitted by sneezing, coughing, spitting, talking and by air currents. On the other hand, diarrhea can be acquired by contaminated water, food, milk and blood.

The infection process is like a circle of links, its a cycle that goes on and on in a sequential manner. To prevent infection is to break the links in the chain of infection. The links are: infectious agent, reservoir, portal of exit from the reservoir, mode of transmission, and portal of entry into a susceptible host.

To break the link of the chain of infection , there are several ways and methods that can be practiced and thus prevent infection. Prevention of infections should start at home!

• Foremost is hand hygiene, either you use soap and water or the available hand sanitizer. Once I enter our home, the first thing that I do is hand washing.

• Anything that is moist is a breeding ground for microorganism thus a source of infection.

  1. 1. In the kitchen, clean and disinfect countertops especially crevices, it will prevent bacteria from hiding there.
  2. 2. Replace sponges and wash cloths often.
  3. 3. Air or sun dry wash cloths, bath, face towels every day, they can be breeding ground for fungus.
  4. 4. Spray the inside of shoes with disinfectant to kill off fungus spores. Never keep shoes in cabinets, air dry them.
  5. 5. Clean and disinfect the floor, vinyl tile, and walls inside an air conditioned room every now and then.

• For your children especially if they are toddlers, select play toys that can easily be cleaned and disinfected, stay away from stuffed furry toys if these will be shared with other children.
• Do away with the hanky, it’s unhygienic. Use tissue to Cover mouth/nose when sneezing, and then dispose properly.

If you have more tips on how to maintain cleanliness at home , Join the Philippine Spring Cleaning Day Contest

Give us your best tip on how to clean your home.

1. Put your best tip in Philippine Spring Cleaning Day in commitment/tips page.
2. You also have to email your tip to philippinespringcleaningday@gmail.com with your name and contact number.

Best 20 tips will receive gift packs from Lysol.
Winners will be announced thru Phil. Spring Cleaning FB Fan page – (http://www.facebook.com/philippinespringcleaningday) on May 10, Tuesday.