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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 Del Puerto, Charisse

Bacani, Leizel Gonzales, Venice T.

Bautista, Johanna Huypungco, Greal

Canda, Helaine Pido, Alexander

Cunanan, Michelle Tiglao, Gian Paolo

David, Nino Anthony Yumul, Sattria

Presented to:

Ms. Roxan Lopez, RN

Clinical Instructor

March 3, 2010

c
c
Theme:

Problema sa
Kalusugan ng mga
Mamamayan,
ating Pagtuunan
Para sa ating
Kinabukasan

c

c
TABLE OF CONTENTS

I. INTRODUCTION«««««««««««««««««««««««««..

II. COMMUNITY PROFILE

c History«««««««««««««««««««««««««««««
c Organizational Chart«««««««««««««««««««««««
c Spot map««««««««««««««««««««««««««««
c Description of the Community«««««««««««««««««««.
c Geographic
c Economic ( Resources)
c Political
c People
c Cultural
c Health
III. COMMUNITY HEALTH AND DEVELOPMENT

c Community Problems««««««««««««««««««««««.
c List of Identified Problems«««««««««««««««««
c Situational Analysis««««««««««««««««««««
c Problem Resolution«««««««««««««««««««««««
c Title of the Activity
c Goals and Objectives
c Target
c People Involved
c Time Frame
c Materials/ Resources Needed
c Actual Strategies
c Evaluation«««««««««««««««««««««««««««

IV. DAILY PLAN OF ACTIVITIES«««««««««««««««««««

V. COMMUNITY HEALTH NURSING ACTIVITIES

c Home Visits««««««««««««««««««««««««««.
c Case Finding««««««««««««««««««««««««««
c Clinical Management«««««««««««««««««««««.

VI. LEARNING DERIVED««««««««««««««««««««««.

VII. APPENDICES

c Action Plans Per Problem««««««««««««««««««««««.


c Communication Letter««««««««««««««««««««««««.
c Sample Invitation«««««««««««««««««««««««««.
c List of Registrants/ Attendees««««««««««««««««««««..
c Sample Programme««««««««««««««««««««««««««.
c Sample Brochures and Leaflet«««««««««««««««««««««.

VIII. DOCUMENTATION«««««««««««««««««««««««

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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 words in mind, to help and

work with people, by the people, and not just for the people.

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c History
History of Barangay Amsic started from ´Agoo treeµ which symbolizes

strength. According to the elderly, its name came from amting 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 Gzman, Protacio Pamintan and his wife Maxima de Gzman

Pamintan. The first inhabitants of the barangay were the Aetas. Some of them

decided to transfer in forest and montains de to the difficlty in socializing

with the Spaniards.

Dring the World War II, the residents experienced sffering and famine.

One of the Aetas, Estaqio Lmanlan, illed one of the Japanese soldiers

which cased the revenge of his comrades. They brned a hge portion of the

barangay and some of the hoses in the riverside.

In Jly 1945, the elementary school was established by Jose Lopez nder

the spervision 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 persected

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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

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(Barangay Captain)


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(Barangay Secretary) (Barangay Treasurer)


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c Description of the Community in terms of the following aspects:
c 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.

c 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.

c 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 dministrative Organization

Barangay msic upon ng Tagapamayapa Barangay msic Staffs

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c People
Based 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 populationµ 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

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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

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(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.

c 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

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c Community Problems

c List of Identified Problems


HEALTH PROBLEM

1.c 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.c 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.c 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

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acquire the nutrients needed makes the children poor in nutrition, as

well as those who have abnormally excessive intake.

4.c 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.c 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.

c Situational Analysis

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c Faulty infant feeding practices as evidenced by 52 (43.70%) mothers who use

formula milk for infant feeding.

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s.c Malnutrition as evidenced by 154 (34.3%) below normal weight (low and very

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-.c Inadequate/Lack of immunization status as evidenced by 2 (1.77%)

children who are never been immunized and 39 (34.51%) with

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·.c Poor environmental sanitation: Contaminated water supply (pitcher

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bacteriological test.

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c Problem Resolution

c Title of the Activity


´Pagpaplano ng Pamilya, Asenso ng bawat Isaµ

c Goals and Objectives


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Goal:
Xc to increase the number of couples who uses family planning method
by 50%

Objective:
Short term
Xc 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

Xc disseminate information to attain a maximum number of couples who


accepts various family planning method

c Target
Couples (female partner·s age is within the range of 15-49 years) who have
problems in the acceptance of family planning

c People Involved
4c Student nurses
4c Barangay Health Center Staffs, health providers
4c People in the community
4c Couples (female partner·s age is within the range of 15-49 years) who
have problems in the acceptance of family planning

c Time Frame
Three to four months

c Materials/ Resources Needed


- Leaflets
- Brochures
- Visual aides
- Sample materials used in family planning
- posters

c Actual Strategies

c Evaluation

c Problem Resolution
c Title of the Activity

c

c
c Goals and Objectives
c Target
c People Involved
c Time Frame
c Materials/ Resources Needed
c Actual Strategies
c Evaluation

c Problem Resolution
c Title of the Activity
c Goals and Objectives
c Target
c People Involved
c Time Frame
c Materials/ Resources Needed
c Actual Strategies
c Evaluation

c Problem Resolution
c Title of the Activity
c Goals and Objectives
c Target
c People Involved
c Time Frame
c Materials/ Resources Needed
c Actual Strategies
c Evaluation

c Problem Resolution
c Title of the Activity
c Goals and Objectives
c Target
c People Involved
c Time Frame
c Materials/ Resources Needed
c Actual Strategies
c Evaluation

c Problem Resolution
c Title of the Activity
c Goals and Objectives
c Target
c People Involved

c

c
c Time Frame
c Materials/ Resources Needed
c Actual Strategies
c Evaluation

c

c
DAILY
PLAN OF
ACTIVITIES

PLAN OF ACTIVITIES

Area: Barangay Amsic, Angeles City Date: November 19, 2009

Objectives:

c

c
After 8 hours of Community Health Nursing duty, the student- nurses shall have:

c Familiarized themselves with the community physical set up and resources


c Re-established a good working relationship with the leaders of the community
c Appreciated the significance of RLE policies, requirements and their clinical
instructors expectations of them
c Identified the requirement of the curse
c Identified the problems of the community based on the review of latest
community diagnosis report
c Drafted initial structured activities designated to address specific problems
through an action plan

TIME ACTIVITY

8:00-9:30  c Opening prayer


 c Pre-conference
†c Statement of plan activities
†c Getting to know activity
†c Expectation about the CHN
exposure
†c Review of CHN RLE
Policies and requirements
 c Giving of overview of CHN
activities
†c Home visits
†c Community assembly
†c Implementation
†c Evaluation
†c Clinic management
 c Discussion of the grading system
and evaluation system
 c Selection of leaders/key
people/group
 c Division of group members into
pair(buddy system)

9:00-10:00  c Courtesy call


 c Barangay officials
 c Barangay health center staff
 c RHU staff
 c Purols leaders/key people is the
community

10:00-12:00  c Community tour


 c Identification of community
facilities(resources),land marks
zones and street
 c Ocular inspections
 c Observation on evident community
health problems

c

c
12:00-1:00 Lunch break

1:00-3:30  c Community diagnosis review


 c Through review of the latest
community diagnosis report
 c Re-assessment/validation of
identified community problems
 c Brainstorming and setting on the
number of problems to resolve
 c Initial planning of activities for
community assembly and
implementation
 c Creation of student committees
and conveying of respective
responsibilities
 c Discussions of the action plan
 c Appraisal of the accomplishments
of the day objectives and activities
 c Students feedback
 c Difficulties/problems encountered
 c Solutions proposal for problem
identified
 c Recommendation
 c Statement of objectives for the
next RLE duty day
 c Closing prayer

Prepared by: Alisot, Alma

Noted by: Roxan Lopez, RN

PLAN OF ACTIVITIES

Area: Barangay Amsic, Angeles City Date: November 20, 2009

7c

c
Objectives:

After 8 hours of Community Health Nursing duty, the student- nurses shall have:

c Conducted home visits and performed assessment regarding the needs if the
individual, families and populations group
c Identified specific population groups who are at risk or have specific nursing
needs
c Collated information and identified proposed attendees of general assembly and
prospect household for home visits
c Drafted initial plan for the upcoming assembly and implementation
c Collaborated as class of terms of distribution of work and responsibilities
c Conceptualized theme for assembly and strategies for home visits.

TIME ACTIVITY

8:00-9:00 Opening prayer


(student Nurses Community people
contact)
1st purok
yc Establishing of rapport to
community people
yc Assessment and identification of
nursing needs of the families
yc Rendering of nursing care needed
using PHN Bag
yc Identification of specific
population groups(pregnant women,
children, elderly people who are at
risk or have specific nursing needs
yc Identification of prospect invites in
the assembly

10:00-12:00  c Presentation identified


families/population groups during
home visit
 c Consultation about home visit plans
and future activities(per pair)

12:00-1:00 Lunch break

1:00-3:00  c Continuation of planning of activities


for assembly and implementation
 c Initial consultation regarding the
action plan
 c Revision of action plans
 c Presentation of final draft of letters
and invitations
 c Preparations for community assembly

Cc

c
 c Logistics
 c Reservation of venue
 c Programmed
 c Visual aids
 c Assigning of emcee, speakers and
reporters
 c Constructing initial drafts, slogan,
posture and leaflets
 c Finalizing no. of attendance in the
assembly.

3:00-4:00  c Post-conference and evaluation


yc Appraisal of the accomplishments
of the days objectives and
activities
yc Student feedback
 c Closing prayer

Prepared by: Alisot Alma

Noted by: Roxan Lopez, RN

Dc

c
PLAN OF ACTIVITIES

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

Objectives:

After 8 hours of Community Health Nursing duty, the student- nurses shall have:

c Enumerated and describe the format of portfolio


c Conducted home visits and identified family nursing needs and problems.
c Demonstrated proper application of bag technique principles and actions.
c Identified prospects invitees for the assembly.
c Constructed feasible home visit plan after consultation with clinical instructor.
c Drafted community centered action plan related to address a specific
community problem.
c Collaborated as class in terms of distribution of work and responsibilities.

TIME ACTIVITY

8:00 - 9:00 Opening prayer


Pre - Conference
- recap of the previous activities
- presentation of plan of activities
- per pair consultation of home visit plan
to the C.I.

9:00 - 12:00 Home visits ( student nurses


community people contact )
-implement of home visits Plan

1:00 - 3:00 Continuation of preparation for assembly a


implementation
- follow up and update on accomplishing
tasks of each committee.
- construction of materials needed assembl
and implementation.
- brochure / leaflets
- posters
- slogans
- visual aids
- others

3:30 ² 4:00 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

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> recommendations
> Statement for objective for the next RLE
> closing prayer

Prepared by: Bacani, Leizel

Noted by: Roxan Lopez, RN

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PLAN OF ACTIVITIES

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

Objectives:

After 8 hours of Community Health Nursing duty, the student- nurses shall have:

c Constructed the health and brochures needed for the implementation.


c Distributed the invitation of prospects attendees of the upcoming general
assembly.
c Drafted and finalized the visual aids for the upcoming general assembly.
c Constructed slogan for implementation as part of health teachings.

TIME ACTIVITY

8:00-9:00 -Opening prayeor


Pre-conference
-Recap of the previous activities
-Presentation of plan of activities
-Per pair consultation of home visit
-Plan to the CI.

9:00-10:30 -Home Visits (Student Nurse- Community


People Contact)
-Implementation of home visit plan
- Provision of nursing interventions to
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

10:30- 12:00 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

12:00- 1:00 Lunch

1:00- 3:00 Dry run of community Assembly or

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Rehearsals of -Assembly presenters
-Laying out of actual set- up
-Recommendations for
improvement.
-Statements of objectives for the
next RLE Duty day
-Closing prayer

Prepared by: Bautista, Johanna

Noted by: Roxan Lopez, RN

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PLAN OF ACTIVITIES

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

Objectives:

After 8 hours of Community Health Nursing duty, the student- nurses shall have:

c Conducted home visits and reminded them about the General Assembly
c Provided health teachings or education with regards to the problem identified
in the community
c Disseminated the leaflets/ brochures to the invitees
c Carried out all the materials needed like the speakers, microphone and the like
for the conduction of General Assembly
c Prepared the setting of the program before the said time of the assembly

TIME ACTIVITY

8:00-8:45 Opening Prayer


Pre-conference
yc Recap of the previous activities
yc Presentation of Plan of Activities
yc Distribution of tasks and
assignments
yc Statement of Rubric for General
Assembly

8:45-10:00 Physical Preparation for the Community


assembly (Half of the class)
yc Venue
yc Tables
yc Sound System
yc Snacks
yc Visual Aids
Follow-up of Invitees (remaining half of
the class)
yc Reminding the expected attendees
of the time, place and activity

10:00-10:30 Community Assembly


yc Adherence to the Program set by
the students
yc Continuous Documentation

12:00-1:30 Aftercare and Lunch

1:30-2:30 Post Assembly Evaluation


yc Appraisal of the activity
yc Feedbacks from the Clinical

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Instructor
yc Difficulties/ Problems
Encountered
yc Recommendations

3:00-4:00 Final Preparation for Implementation


yc Revising the Action Plans
yc Assigning of Tasks and
Responsibilities
yc Brainstorming on the overall plan
for implementation (e.g.,
simultaneous activities, etc.)
yc Follow up of the materials to be
used
-Closing Prayer

Prepared by:

Noted by:

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PLAN OF ACTIVITIES

Area: Barangay Amsic, Angeles Date: December 4, 2009

Objectives:

After 8 hours of Community Health Nursing duty, the student- nurses shall have:

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TIME ACTIVITIES

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8:00-8:45 Opening prayer
Pre-conference
yc Recap of previous activities
yc Presentation of plan of activities
yc Distribution of task and assignment
yc Statement of rubric for general
assembly

8:45-10:00 Physical preparation for the community


assembly
yc Venue
yc Table and chairs
yc Sound systems
yc Snacks
yc Visual aids

Registration
10:00-10:30

Community assembly
10:30-12:00 yc Adherence to the program set by
the students
yc Continuous documentation

After care and Lunch


12:00-1:30

Post assembly evaluation


1:30-2:30 yc Appraisal of the activity
yc Feedbacks from the C.I.
yc Difficulties/problems encountered
yc Recommendations

2:30-4:00 Final preparation for implementation


yc Revising action plans
yc Assigning of task and
responsibilities
yc Brainstorming on the over all plan
for implementation
yc Follow up of materials to be used
Closing prayer

Prepared by:

Noted by:

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PLAN OF ACTIVITIES

Area: Barangay Amsic, Angeles City Date: January 7, 2010

Objectives:

After 8 hours of Community Health Nursing duty, the student- nurses shall have:

c Prepared all the cleaning materials to be used in the implementation


c Started the implementation program in Purok 1,2 & 3
c Cleaned the drainage
c Performed clean up drive in the designated Purok
c Evaluated the result of the clean up drive and the success of the activity

TIME ACTIVITY

8:00am-9:00am Opening prayer


Pre-conference
 c recap of the activities
 c presentation of plan of
activities
 c review of the action plans
per problem
 c distribution of tasks and
assignments

9:00am-12:00pm Implementation-Part 1
*1st Purok assigned (flow of activity
depends on the overall plan of students)
The ff. are the sample act.
 c contact with the community
volunteers
 c information dissemination drive
 c posting of posters and slogan
 c distribution of brochures and
12:00pm-1:00pm leaflets
 c cleaning of drainage
1:00pm-3:00pm Lunch

Continuation of implementation
Follow up home visits **1st Puroks
-reinforcement of family nursing
interventions and additional health
teachings

3:00-4:00pm Post-implementation discussion

Prepared by:

Noted by: Roxan Lopez, RN

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PLAN OF ACTIVITIES

Area: Barangay Amsic, Angeles City Date: January 8, 2010

Objectives:

After 8 hours of Community Health Nursing duty, the student- nurses shall have:

c Continuation of the implementation part


c Cleaning of the drainages
c Making home visits
c Discussion of the problem with the household
c Giving some health teaching
c Evaluation of the result of the clean-up drive
c Distribution of task in every group
c Review of action plan evaluated the result and success of implementation part
II
c Weighing of children 5 years old below from puroks 1,2,3

TIME ACTIVITY

8:00-9:00 Pre-conference
Recap of the previous activities
Presentation of the action plan
Review of the action plans per problem
Distribution of task and assignments

9:00-12:00 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

12:00-1:00 Lunch

1:00-3:00 Continuation of the implementation (flow


of activities depends overall plan of the
students)
Follow up home visits 2nd puroks
Reinforcement of the family nursing
interventions and additional health
teachings

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3:00-4:00 Post implementation discussion

Prepared by: del Puerto, Charisse

Noted by: Roxan Lopez, RN

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PLAN OF ACTIVITIES

Area: Barangay Amsic, Angeles City Date: January 14, 2010

Objectives:

After 8 hours of Community Health Nursing duty, the student- nurses shall have:

c Conducted home visits to the families in the community.


c Gotten the weight of the children ages 5 years old and below in puroks 1,2 and 3.
c Provided health teachings or education with regards to the problems identified
in the community.
c Prepared all the materials to be use in cleaning of the drainages.
c Cleaned the drainages.

TIME ACTIVITY

8:00-9:00 > Opening Prayer


-Pre-Conference
-Recap of the previous activities
-Review of the plan of action per problem
-Distribution of tasks and assignment

9:00-12:00 > 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

12:00-1:00 > Lunch Break


1:00-3:00 > Continuation of implementation
(Follow-up home visit)
-Reinforcement of family nursing
intervention and additional health
teachings

3:00-4:00 > Post implementation discussion


Appraisal of activities
Feed backs from clinical instructors
Difficulties and problems encountered
Recommendation

Prepared by:

Noted by:
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PLAN OF ACTIVITIES

Area: Barangay Amsic, Angeles City Date: January 15, 2010

Objectives:

After 8 hours of Community Health Nursing duty, the student- nurses shall have:

c Continued and finished weighing the children under 5 years of age

c Determined if the actions done by the students are goal met or unmet

c Accomplished the evaluation part of the action plan

c Evaluated all the implementation programs and actions if they are successful.

c Determined the changes that had happened in designated purok.

TIME ACTIVITY

8:00 ² 9:00 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:


9:00 ² 12:00
-contact community volunteers

-information dissemination

-weighing of child below 5 years old

-obtaining information regarding family

history for completion of Barangay Health

Center

12:00 ² 1:00 -Lunch

1:00 ² 3:00 -Follow-up of home visits

Evaluation

Completion of Action plans

Completion and carry out of Activities

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3:00 ² 4:00
Post Conference

Prepared by:

Noted by:

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PLAN OF ACTIVITIES

Area: Barangay Amsic, Angeles City Date: February 11, 2010

Objectives:

After 8 hours of Community Health Nursing duty, the student- nurses shall have:

TIME ACTIVITY

Prepared by:

Noted by:
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PLAN OF ACTIVITIES

Area: Barangay Amsic, Angeles City Date: February 12,


2010

Objectives:

After 8 hours of Community Health Nursing duty, the student- nurses shall have:

TIME ACTIVITY

Prepared by:

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Noted by:

PLAN OF ACTIVITIES

Area: Barangay Amsic, Angeles City Date: February 18, 2010

Objectives:

After 8 hours of Community Health Nursing duty, the student- nurses shall have:

TIME ACTIVITY

Prepared by:
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Noted by:

PLAN OF ACTIVITIES

Area: Barangay Amsic, Angeles City Date: February 19, 2010

Objectives:

After 8 hours of Community Health Nursing duty, the student- nurses shall have:

TIME ACTIVITY

Prepared by:
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Noted by:

PLAN OF ACTIVITIES

Area: Barangay Amsic, Angeles City Date: February 25,


2010

Objectives:

After 8 hours of Community Health Nursing duty, the student- nurses shall have:

TIME ACTIVITY

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Prepared by:

Noted by:

PLAN OF ACTIVITIES

Area: Barangay Amsic, Angeles City Date: February 26, 2010

Objectives:

After 8 hours of Community Health Nursing duty, the student- nurses shall have:

TIME ACTIVITY

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Prepared by:

Noted by:

EVALUATION

COMMUNITY HEALTH NURSING ACTIVITIES

c 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.

c Case Finding

c Clinical Management

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LEARNING DERIVED

Alisot, Alma

Bacani, Leizel

´You must do things you think you cannot doµ

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.

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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.

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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 successµ

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 PLACESµ

David, Nino Anthony

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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

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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

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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 ù

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.

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APPENDICES

c Action Plans Per Problem

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c Communication Letter

November 26, 2009

The Principal
Amsic 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.c Non-adherence to Family Planning Methods


2.c Malnutrition
3.c Improper Garbage Disposal
4.c Faulty Infant Feeding Techniques (Bottle, Mixed, and Glass-Fed)
5.c Contaminated Drinking Water Supply
6.c 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 ² 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 Gonzales
Group Leader, CON-202 (3and4)

Noted by:

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Joseph Hansel R. Canlas, RN
Faculty, College of Nursing

Roxan M. Lopez, RN
Faculty, College of Nursing

c Sample Invitation

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PROGRAMME

Opening Prayer June Galang

Singing of National Anthem Charisse Gascon


Dianne Paruli
Maria Kristina Valencia
Acknowledgement of the presence
Barangay Official, Worker, volunteers
And community people

Opening Remarks Hon. Gerom P. Costales

Welcome Remarks SK representative/member

A.c Interactive discussion and information Ma. Kristina Valencia


Dissemination about Breastfeeding

B.c Interactive discussion and information Gian Tiglao/ Alma Alisot


Dissemination about Improper Garbage Disposal

Energizer«««««««

C.c Interactive discussion and information


Dissemination about Vaccination Venice Gonzales

D.c Interactive discussion and information Nino Anthony David


Dissemination about Water Sanitation

Energizer«««««««

E.c Interactive discussion and information Greal Huypungco


Dissemination about Family Planning

F.c Interactive discussion and information Charrise Gascon


Dissemination about Malnutrition

Energizer«««««««

Intermission Number Group 3 and 4

Closing Remarks Venice Gonzales

Venice Gonzales
Master of Ceremony

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DOCUMENTATION

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