Health Concerns

“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

In the CHED CMO #14 , 2009 nursing curriculum, a nursing student is required to complete 2346 hours of Related Learning Experience (RLE). Related Learning Experiences (RLEs) are teaching-learning opportunities designed to develop the competencies of students utilizing processes in various health situations. These could be sourced from, but not limited to: lying-in clinics, schools, industrial establishments, community, out-patient clinics and general and specialty hospitals.

Make the most of your RLE duties, your Clinical Instructor will be there to lead and guide you. That day might be the last time you will be handling a particular client and the next time you will be the nurse and have the sole responsibility for the care of your client, no one will be behind your back to help you.

How to prepare for your RLE?

  • Know beforehand your duty schedule , take note of the time and date. Lates have corresponding demerits.
  • Ask about  directions on how to reach the RLE area. What transportation to take, how much transpotation money do you need?
  • Prepare your required clinical uniform and materials. If you will be assigned to the operating room, bring your scrb suit. Most schools have several sets of uniform depending on the area of RLE assignment.
  • Bring your vital signs kit. Check  the battery of your digital thermometer, it might not be reliable in reading the temperature. Can your stethoscope hear breath sounds? Is your sphymomanometer calibrated?
  • Bring your personal protective equipment (PPE), and practice standard transmision based precautions .
  • Bring your NANDA book and NCP forms with you. Clinical instructors have the habit of asking you to do NCP’s.
  • Bring a guide in assessment such as Nursing health  history and Gordon’s health patterns.
  • Review basic nursing skills e.g if you will be assigned in the obstetrics ward, review leoplolds maneuver and the mechanism of labor.
  • Load your cell phone with a medical dictionary, it will help you a lot to be familiar with medical terms.
  • Be prepared to see blood, clients in pain and invasive procedures! Be ready to conquer your fear.

On the day of your RLE:

  • Practice how to establish patient’s rapport, Be courteous ,and feel confident.
  • Brush up on communication techniques. I find this as one of the deficiencies of my students.
  • Know your client’s diagnosis. Collect data such as  history and physical, medications, procedures, lab values.
  • If your client is hook on several contraptions such IV fluids, catheters, take note of them.
  • Know your client’s medications. Read about them, the generics, mechanism of action, side effects and nursing implications, and how to compute drug dosages.
  • Be prepared to carry out interventions ordered by the physician.
  • Be familiar with how documentation is done at the health facilities.
  • If you don’t know someting, write it down., and read on it when you come home.

Your clinical instructor will be watching you. For sure you will make mistakes, but your CI is there, you can ask her questions. Sometimes you perceive her as to be  so demanding , let her be because you will benefit from it.

The RLE activities are carefully selected to develop competencies utilizing the nursing process in varying health situations. Our tool in all these things will be the nursing process.

Don’t complain when you have so many nursing interventions to be implemented, it is the nursing way, and it means  care.

Important CHED memo about RLE:

http://www.annakatharinamd.com/2010/02/22/rle-cases-guidelines-for-2010-nle-takers/

http://www.annakatharinamd.com/2010/10/10/prc-bon-memo-medical-missions-and-use-of-social-media-network/

Listening to AM radio stations is always a part of my daily routine. Aside from reading newspapers and news on the net, it’s my source of general information on topics like business, showbiz, political views and most specially health news. When I am at home, my AM-FM radio is always on and would switch channels to catch up on my favorite shows.

Even if I am a doctor myself, I do listen to fellow doctors discuss health topics on different radio shows.  I find them very educational in terms of the latest trends in medicine at the same time I learn strategies on how to explain certain topics in simple terms and delivered in Filipino language. On my part I try to apply this in teaching my patients and my students as well.

The doctors who have regular AM radio shows are:

Dr Robin Navarro

“Dis Is Manolo” ,  Monday and Thurs 10:30 PM to 12:00 MN, DZBB.

A segment of Don Manolo Favis’ show is dedicated to answer questions about the health, with Dr Navarro as resource person. He supports proper nutrition such as eating functional food such as “bulalo” ,eggs and drinking milk.

Dr Jaime Galvez Tan

“Doctor’s Order “Monday to Friday, 7:30 to 8:30 Am, DWWW.

He advocates the use of traditional, herbal medicine and Filipino healing practices such as “hilot”. Listeners can text or call in questions on various health topics.

Dr Bles  Salvador

“DRA. BLES@ UR SERBIS”, ?Sundays, 6:00-7:00PM. DZMM,

She offers free consultation on different health problems. Listeners can text or call in question on various health topics.

Dr Noel Lacsamana

“Super Kalusugan” (with Manang Rose Clores) 9:00 – 10:00 PM DZBB 1st and 3rd Monday.

He is an ophthalmologist and answers questions regarding general eye health.

I miss Dr Gary Sy, do you know if he is on air in any of the AM radio stations?

For info: I have my podcast show at Online Doktora, it is also available for download.

 

Hangover, the Day After

by Anna Katharina on May 9, 2011

in Events,Family,Food,Health Concerns,Safety

Let us celebrate! Its time to party after graduation, anniversaries,birthdays etc. Part of the party will be food, dancing, karaoke singing and the intake of alcohol.

There are different types of alcoholic beverages like wines,beer, whisky, rhum, brandy, vodka, and gin. Brandy, vodka and gin have 40 -50 % alcohol content. It’s not how many drinks that you have, but how much alcohol that you consume to be intoxicated.

The problem lies the day after , you have a hangover because of alcohol intake. You want to relieve yourself of a headache, lethargy, sensitivity to light and sound, nausea, an upset stomach and even diarrhea.You curse alcohol and sometimes swear you will give up alcohol ….

In the first place, a fun night can turn into a “feel good” a day after. Here are some tips to avoid a hangover:

• Drink on a full stomach. Food slows the absorption of alcohol. The slower you absorb alcohol, the less alcohol reaches the brain. The larger the meal and closer in time between eating and drinking, the greater the decrease of peak alcohol concentration in blood.
• Drink slowly. The more slowly you drink, the less alcohol actually reaches the blood and eventually the brain.
• Drink the right drinks. The less alcohol content of an alcoholic drink the less hangover. An evening spent with too much red wine can also causes headache the day after.
How to get through with hangover the dayafter?
• Drink fruit juice, buillon or soup to replenish your water supply. This helps the body burn alcohol faster and accelerate the removal of alcohol still in the body.The buillon or soup will replace the salt and potassium loss and helps in regaining strength of your muscles.
• Pain relief: You may take paracetamol the night before you sleep or when you get up in the morning after eating a light breakfast.
• Take B complex vitamins , your stress vitamins.This will help shorten the duration of your hangover.
• Eat a light meal , but a balanced one with essential nutrients
• Get a good night’s sleep the day after.

Don’t drink alcoholic beverages when :
• If you have to drive a vehicle after
• If you are allergic to alcohol
• when taking antibiotics and medicines for allergy
• hepatic disease
• gastrointestinal ulcers
• cardiac or skeletal myopathy
• Pregnant women in the first and third trimesters

What about that cup of coffee?
Coffee has not been proven to alleviate hangover symptoms. Caffeine can further dehydrate the body. Water, green tea, sports drink or other decaffeinated teas are a better choice.

The best is still to avoid excessive alcohol intake.