PAMANTASAN NG LUNGSOD NG MARIKINA COLLEGE OF NURSING

In Partial Fulfillment of the Requirements for the Degree BACHELOR OF SCIENCE IN NURSING In Related Learning Experience

Submitted To: Ms. Vilma S. Cordova, RN, MAN (LEVEL IV COORDINATOR) Head Nurse: Louise Noreen Leoncio Submitted by: Agag, Marvin E. Aguirre, Ma. Concepcion M. Aguirre, Ma. Elena M. Alviar, Roxanne R. Arce, Rose Antoinette S. Bucala, Jeffrey C. BSN 401 GROUP 1 January 13, 14, 15,20,21,22, 2014

We are the Group 1, deployed at Barangay Nangka together with our clinical instructors. Barangay Nangka is part of the District II in the Municipality of Marikina. Most of the people living in the Barangay are those families that are relocated by the local government. They were given houses as their shelter and a health center as their primary source of Health Assistance. We, the student Nurses, promoting health in different ages and people, were given the chance to apply our knowledge in the community setting and help the two adopted families improve their hygiene and health. We learned how the two families live in their barangay. How they are working and how they are able to work to live. The adopted families were chose based on their socioeconomic status. This includes their daily income, the materials used for their house, how they were able to get their resources and their family orientation, which are the number of family and the availability of health care services that they were able to get. We, the student nurses, are going to adopt them and help them to improve their health status.

First Day (January 15, 2014) Our meeting place is at school. We had our planning for the whole day about the things that we are going to do until the rest of the week. We had followed the COPARs first phase, which is pre-entry phase. We brainstormed to formulate a good plan that involves different criteria about the specific community like the age of participants, area of venue, topics selection and the way that we are going to implement our intervention not only for the community participants but also for the family that we adopted. Our main goal is to improve the way of living of the community people. Activity Meeting time Courtesy call Pre- conference Checking paraphernalia Family visit Lunch break Pre-test Community profiling Ocular survey Post- conference Second Day (Jan.15, 2014) Area Health center Health center of First family Second family 8:00 am 10:00 am 10:00 am -12:00 nn. 12:00 nn. 1:00 pm 1:00 pm -1:45 pm 1:45 pm 2:30 pm 2:30 pm 4:30 pm 4:30 pm 5:00 pm Time 7:00 am - 7:30 am 7:30 am 8:00 am

Outpost Geriatrics

On the second day of our duty, our group met at Nangka Health Center and was introduced to the Barangay Health Workers as the new group for the community health nursing. We went to the area to conduct our initial visit to our adopted families. We gave our health teaching to the mother and did morning care to the children such as bathing, changing of clothes, brushing of teeth and combing of hair. In the afternoon, we did the community profiling and the ocular survey. We have chosen a new adopted family that we think is in really need of help. Activity Meeting time Pre- conference Family visit Lunch break Tutorial Post-conference Area Health center Health center First family Second family Time 7:00 am - 7:30 am 7:30 am 8:00 am 8:00 am 10:00 am 10:00 am -12:00 nn. 12:00 nn. 1:00 pm 1:00 pm - 4:00 pm 4:00 pm 5:00 pm

Outpost

Third Day (January 16, 2014) FIRST FAMILY SECOND FAMILY

On the third day of our duty, our meeting place is at Nangka health center. We waited for 30 minutes for Maam Gina, the head of the barangay health workers, to help us get a new adopted family. We decided to go to the community outpost after we made a call. At the outpost, we met Maam Gina. We had an ocular survey and had a look at the family that Maam Gina proposed. We decided to split into two groups. The first group will go to the first family. We found our second family, gathered information about them and informed them that we will return next week. The second group went to the first family where they gave health teachings and they did some

morning care like giving bath, brushing and changing of clothes. After that, we met again at the barangay outpost. In the afternoon, we gathered our students for our tutorial then we taught them the subjects they find difficult. We gave them some snacks and after that, we had our exam and post-conference. Fourth Day (Jan.20.2014)

Our meeting place is at school. We had our planning for the whole day about the things that we are going to do until the rest of the week. We had followed the COPARs phases. We brainstormed to formulate a good plan that involves different criteria about the specific community like the age of participants, area of venue, topics selection and the way that we are going to implement our intervention not only for the community participants but also for the family that we adopted. Our main goal is to improve the way of living of the community people.

ACTIVITY Registration and BP taking Opening prayer Ice Breaker Lecture Proper Question and Answer Souvenir dissemination Closing Prayer/Remarks

TIME 9:00 9:30 am 9:30 9:40 am 9:40 10:00 am 10:00 11:00 am 11:00 11:30am 11:00 11:35 am 11:35 - 12:00 am

FACILITATOR Agag, Marvin Alviar, Roxanne Aguirre, Ma. Concepcion Arce, Rose Antoinette Nursing Students Aguirre, Ma. Elena Nursing Students Bucala, Jeffrey

**This is our lecture on our program for the resident of Barangay Nangka**

HYPERTENSION
-Hypertension, also referred to as high blood pressure, is a condition in which the arteries have persistently elevated blood pressure. Every time the human heart beats, it pumps blood to the whole body through the arteries. -Blood pressure is the force of blood pushing up against the blood vessel walls. The higher the pressure the harder the heart has to pump. -The normal level for blood pressure is below 120/80, where 120mmHg represents the systolic measurement (peak pressure in the arteries) and 80 represents the diastolic measurement (minimum pressure in the arteries). Blood pressure between 120/80 and 139/89 is called pre-hypertension (to denote increased risk of hypertension), and a blood pressure of 140/90 or above is considered hypertension SIGN/SYMPTOMS Severe headaches Fatigue or confusion Dizziness Nausea Problems with vision Chest pains Breathing problems Irregular heartbeat Nose bleeding

RISK FACTOR Age (60 years old and above Gender Family history Diabetes Melitus Elevated serum level Excess dietary sodium Obesity Alcohol Cigarette smoking Stress Sedentary lifestyle Lack of physical activity

PREVENTICVE MEASURE Hypertension can best be prevented by adjusting your lifestyle so that proper diet and exercise are key components. It is important to maintain a healthy weight, reduce salt intake, reduce alcohol intake, and reduce stress. In order to prevent damage to critical organs and conditions such as stroke, heart attack, and kidney failure that may be caused by high blood pressure, it is important to screen, diagnose, treat, and control hypertension in its earliest stages. This can also be accomplished by increasing public awareness and increasing the frequency of screenings for the condition. DIET/EXERCISE Diet Low Salt Low Fat More on fruits, vegetables and high fiber foods

Exercise Walking , deep breathing and yoga House hold chores

FIRST AID/HOME REMEDY Cold Compress Cool and Quiet Environment Positioning Garlic Radish Cabbage Lettuce Carrots Sesame Seeds Omega -3 Foods Pineapple Juice

*Seek for Immediate Medical Attention COMPLICATION Heart Diseases Stroke

Nephrosclerosis Retinal Damage

Fifth Day (Jan. 21, 2014) Activity Call time Pre-conference Family visit (first and second family) Perform morning care Provide safe and comfortable environment Provide health teaching Perform nurse-family interaction Lunch break Distribution of stub for the program Altapresyon ay tutukan, kalusugan ay pahalagan Tutorial (preparatory and grades 1-6) Break time Post-conference First Family Visit 7:30-8:30 8:00-8:30 8:30-12:00 Time Area Health Center Barangay Outpost

12:00-1:00 1:00-2:00

2:00-4:00 4:00-4:30 4:30-5:00

Nangka Court

Community Outpost

Second Family Visit

On the second day of our second week in the community, we were divided into two groups. The first group were assigned to the Ducay family and the second group were assigned to the Fernandez family. The student nurses that were assigned to the first family did the morning care to the children of Mr. and Mrs. Ducay, they also did wound cleaning. Mr. Jeffrey Bucala also accompanied the child Sonny, the son of Mr. Ducay to the health center because a dog bitten by a dog on his right hand and he was also running a fever. They went there to have a check-up and to be vaccinated with anti-rabies. The second group cleaned the house of Fernandez family. They also separate clean clothes from dirty clothes. They also provided some health teaching to the family about proper hygiene. In the afternoon, we did our ocular survey around the area to find our target participants for our health teaching on the next day. Our target audiences are senior citizen with ages ranging from 60 and above. After giving the stub/ticket to those who will participate, we did our tutorial to the children who are having difficulties in their studies. The students are from grade I to grade VI. We also decided to teach pre-schooler and those children who are not yet studying. Our Tutorial

Sixth Day (Jan. 22, 2014) Activity Call time Pre-conference Preparation for the program Program proper: Altapresyon ay tutukan, kalusugan ay pangalagaan Registration and BP taking Opening prayer Health teachings Question and answer portion Food distribution Lunch Break Family visit (first and second family) Provide safe and comfortable environment Provide health teaching Perform nurse-family interaction Donation giving Break time Post-conference Time 7:30-8:30 8:00-8:30 8:30-9:00 9:00-12:00 Area Health Center Barangay Outpost Barangay Outpost Nangka Covered Court

12:00-1:00 1:00-4:00

4:00-4:30 4:30-5:00 Community Outpost

On the third day of duty at Nangka community, we conducted our health teaching about Hypertension in the Del court near Nangka High School. We have 23 participants in the said event. We discussed what Hypertension is about, the signs and symptoms, prevention and some complication of Hypertension. After the health teaching the participants are thankful to us because the knowledge we have provided them. In the afternoon we did our family visits, the first family that we visited is the Fernandez family. We told them that it would be our last day in the community. We did health teaching and after that we gave some donations like old clothes and we gave some foods like rice, biscuits etc. after the gift giving, the family was so thankful and happy. We also did the same thing with the Ducay family. We did gift giving and we gave two pregnancy tests to the two women who are also living there.

After all our activities we had a post conference together with our clinical instructor and head nurse and we are delighted that we finally finished our community duty and are satisfied about what we have learned in the community. We feel blessed because we have Clinical Instructors, a Head Nurse and group mates that are responsible enough to do their task individually.

Our Gift Giving to the Adopted Family