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PAUL UNIVERSITY ILOILO College of Nursing General Luna Street, Iloilo City
Presented to Maria Lalaine N. Cristales, RN, MSN Iris Mae Margarico, RN, MAN Scarlet Pedgregosa, RN, MAN Clinical Instructors St. Paul University Iloilo
Presented by Second Shift CHN Affiliates Third Year Music Track Summer Academic Year 2012
ACKNOWLEDGEMENT
Consider all those people in our lives who make our lives better in many ways. God made each of them and all of them deserve our thanks. God created a wonderful world that operates under scientific principles, that is the laws of nature that permits us to live in this world. We need to thank God for His creation of the world we live in and the laws of nature that He created. We need one another to make this world a wonderful place to live. We, the BSN 3 (Music Track) would like to express our deepest gratitude to the following people for being with us throughout the making of this Community Development report. To our Creator, our outmost gratitude for making us experience a life which taught us to endure our hearts and minds in the service of others. Thank you Lord for letting us live a life dedicated to the service of our less privileged brothers and sisters. To Hon. Joel G. Jaboneta, Barangay Captain of Brgy. Ticud, Lapaz, Iloilo City, we are very much grateful for allowing us to have our Community exposure to Brgy. Ticud, Lapaz. We wish that this partnership will give way for the development of Brgy. Ticud, Lapaz. Together we will withstand the challenges that time will throw on us. May the Lord all mighty bless you with good health and strength to continue to serve the people in Brgy. Ticud, Lapaz. To Sr. Carolina Agravante, SPC, our beloved Dean and President, thank you for the prayers and support during our community exposure. Thank you for the never ending enthusiasm that had served as our inspiration to continue our vocation. To Mrs. Marilyn Junsay, RN, MSN, our beloved Associate Dean, we are greatly grateful for the time and effort in imparting to us the true meaning of service in the community. All the lessons you had teach us will forever be in our hearts. To Mrs. Leilani Pasaporte, RN, MAN, Level III Team Leader, thank you for the support you had given us. We really appreciate the teachings you have imparted to us that had greatly influence us. To Mrs. Lalaine Cristales, RN, MSN, Ms. Scarlet Pedregosa, RN and Mrs. Iris Margarico, RN, MAN, our clinical instructors, we are truly grateful for teaching us the meaning of selfless service and care for other people. We are also thankful for the guidance you have given to us throughout our community exposure. We are grateful for the patience and understanding you had display with us. We are also thankful for the opportunity you had gave us to experience the things we had learned in the four wall of our classroom. Thank you for believing in us which empowers us to do our best. To the residents of Zone 1- Brgy. Ticud, Lapaz, Iloilo City, we thank you for the warm welcome and for accepting us in your home. Thank you for the hospitality that you had shown us which boost our confidence during our home visit. The things we had shared with you will forever be engrave in our heart. It was fun being with you. To our dutymates, thank you for the unity that help us conquer the challenges we had encounter. It has been a great journey being with all of you. Thank you for the small
talks that we shared which lightens our task. Thank you for the strength we had all shared. Surely, it was a fun exposure. And lastly, to our families and friends, all of these will never be possible without your undying love and support. We will always love you form the bottom of our heart.
Third Year Music Track Jarrel Fritz E. Macahilig Harrelson S. Saliba Roland Donn M. Salvador Zelane Marie B. Albaa April Rose A. Almeria Maria Jonalen J. Alcazar Andrenette Marina P. Barela Willa Joy C. Capilastique Karen Lou S. Colacion Rama Mei G. Dagulo Maureen M. Ledesma Fely Theresa L. Loreno Charmaine Ruth D. Martinez Michelle P. Nuevaexcija April Dhary Joy P. Padernal Joyce G. Pantaleon Angelique Marie E. Salazar Mary Mae L. Sedaria
Maria Lalaine N. Cristales, RN, MSN Iris Mae Margarico, RN, MAN Scarlet Pedgregosa, RN, MAN Level III - Clinical Instructors
TABLE OF CONTENTS
CHAPTER I
INTRODUCTION
The World Health Organization defines health as a state of complete physical, mental and social well-being not merely the absence of disease or infirmity. Nursing is one of the significant contributors to health. It requires a wide variety of knowledge and skills in order to help to improve the health of a client. The nature of community health nursing is directed towards the individual, groups, families, and community. The community health nurse plays a unique role in the community, promoting health, prevention of illness and care of the sick at home. One of the tasks that you will do as a Community Health Nursing is to find out everything you can about the people in your community and the factors that influence their health. This information is vitally important because the services you provide must be targeted to meet the communitys needs. The way you begin to find out this information is to conduct a community survey, which is a specific type of health research. The purpose of the survey is to generate data to help you construct a community profile a report on the households in the community, their inhabitants and their health needs and problems. Public health nurses provide a range of health care services in the community. They are usually based in your local health center and are assigned to cover specific geographical areas. They provide services in schools, in __________, in day care and other community centers and in people's homes. Public health nursing teams provide basic nursing care as well as advice and assistance to their patients. They provide planned essential weekend nursing and, in some cases, twilight nursing (this is the service for terminally ill patients). Public health nurses also act as an important point of access for other community care services.
Within 3 weeks of community exposure at Zone 1- Ticud ,Lapaz the student nurse will be able to:
1.) Identify the different health threats and environmental hazards present in the community 2.) Render quality health care services to the different families in the community 3.) Provide health teachings and information necessary regarding their present condition
B. Specific objectives
Within 12 days of community exposure at Zone 1, Ticud, Lapaz the student nurse will be able to:
1.) Familiarize the community setting and their way of living 2.) Establish rapport to the people using therapeutic technique for easy communication 3.) Provide health care services such as vital signs taking, wound dressing and proper health teachings. 4.) Conduct family assessment survey on every household in the community 5.) Spread information regarding upcoming activities held by the school 6.) Develop sense of responsibility and unity among selves and for other students.
1.) The community exposure at Zone 1 - Ticud, Lapaz, Iloilo aims to promote health awareness and disease prevention. 2.) The community people will be able to identify different health threats and problems present in their community. 3.) Improve health through application of health teachings given by the student nurse.
Specific objectives Within 3 weeks of community exposure at Zone 1 Ticud, Lapaz, Iloilo the community people will be able to:
A.) Specific objectives Within 12 days of community exposure at Zone 1 - Ticud, Lapaz, Iloilo the community people will be able to:
1.) Establish rapport and cooperation for a better communication with the student nurse. 2.) Perform health teachings taught of the nursing student. 3.) Show willingness and active participation in every activity that was given to them. 4.) Verbalize worries and concern regarding their health and present condition. 5.) Reflect and gain new insights and knowledge from the activities done by the student nurse.
Scope and Limitations We the BSN III Music Track of St. Paul University Iloilo was exposed for three weeks at Zone 1 at Barangay Ticud, Lapaz, Iloilo from April 30 May 17, 2012. Within three weeks, the home visit was made by the student nurses wherein the exposure in the community were scheduled Monday to Thursday as part of the fulfilment of the required number of hours in our Related Learning Experience in Nursing Care Management 104 within the said dates. The scope of this community profile report includes the following: Courtesy call with the Barangay Captain. Basic nursing procedures such as vital signs taking, and wound dressing were rendered to the community people during home visit. Also, student nurses assess the different families during home visits and provide independent nursing interventions for problems identified at home as well as the clients understanding of the interventions given. The Community Profile Report only covers Zone 1 of Barangay Ticud, Lapaz. The student nurses were able to identify the communities health problems through ocular survey, home visits, interview and the utilization of the standard community survey form.
CHAPTER II
A. Demographic Data
Gender
Figure 1.1
Gender
The chart shows that the female has the highest percentage with 51% and male with 49%.
Civil Status
0% 5% 6% 37% Married Single Widowed 52% Common Law Separated
Figure 1.2
Civil Status
37% of the population is married; 52% are single; 5% are windows, 6% are common law and 0% for separated.
Family Structure
1% 4% 33% Nuclear 62% Extended Dyad Living Alone
Figure 1.3
62% of the population has a nuclear family; 33% has an extended family, 1% is dyad and 4% for living alone.
Family Income
24% 4% 10% <1000 28% 1000-2,500 2,500-5000 34% 5,000-10,000 >10,000
Figure 2.1
Family Income
28% of the family has an income of 2,500 5,000 a month; 34% for 5,000 10,000; 10% for 1000 2,500; 24% has an income above 10,000 a month and 4% has an income of less than a 1000 a month.
Occupation
2% 7% 2% 15% 52% 21% Farming Handicraft Factory worker Construction Driver Weaving Others
1%
Figure 2.2 7% of the family is into farming, 2% is into handicraft, 2% is into factory worker, 15% is into construction, 21% is into driving (sikad, jeep, tricycle), 1% is into weaving and 52% into others like (office employee, Vendor, Repairman, Business man, Carpenter, Saleslady or boy, Painter and others)
Religion
1% 3% 1% 3%2% 1% Roman catholic Protestant Iglesia Born again Aglipay 89% Mormon Baptist
Figure 2.3
Religion
89% of the population is Roman Catholics, 1% are protestant, 3% are Iglesia, 1% are born again, 3% are aglipay, 2% are Mormon, 1% are Baptist.
Housing
Figure 2.4
Housing
46% of the houses are made of mixed materials; 35% are made of light materials and 19% are made of strong materials.
Figure 2.5
Lighting Facility
Type of Toilet
1% 1% 12% 32% Open pit privy Cathole Antipolo Flush type 51% 3% Communal Water sealed
Figure 2.6 Types of Toilet 1% uses open pit privy, 1% uses cathole system, 12% has an antipolo type toilet, 51% has flushed type, 3% communal and 31% for water sealed
Garbage Disposal
3% 7% 48% 29% 6% 5%
2%
Burying Throwing anywhere Composting Throwing at the bodies of water Collection Segregation Burning
Figure 2.7 Garbage disposal 7% of the family burry their garbage, 3% are throwing anywhere, 5% does composting, 2% throw garbage at bodies of water, 29% are thru garbage collection, 6% does segregation and 48% thru burning.
Food Storage
1% 13% 1% 7% 26% 32% 20% Basket Cabinet Plates Refrigerator Pots and pans Oldrefrigeratorw/noelectricity Oven
Figure 2.8 Food Storage 7% of the family place them at baskets, 26% at cabinets,20% at or covered by plates, 32% uses refrigerator, 13% uses pots and pans, 1% for both the Oven and Old Refrigerator.
Kitchen location
31%
Figure 2.9 Cooking Area 69% of the family has their kitchen inside the house and 31% has their kitchen outside.
Figure 3.0 Use in cooking is/are 36% of the family uses wood for cooking, 52% uses charcoal, 1% using kerosene and only 11% uses LPG.
Figure 3.1 Keep Cooking Facilities 52% of the family keep them at open cabinets; 33% at closed cabinets; 2% for dapog and tray, 9% of them throws anywhere and 1% throws at a plastic container or cabinets.
Drainage Facility
9% 23% Open 68% Close None
Figure 3.2 Drainage Facilities in the Kitchen 68% has an open drainage; 23% has a close drainage facility and 9% has no drainage system.
Water Supply
39% 61% Public Private
Figure 3.3 Water Supply 61% of households use public water supply while only 39% of them use private water supply. 17% of households has a level 3 water supply, 17 % are level 2 and 16% are level 1.
Deep Well
8% Open Close 92%
Figure 3.4 Source of Drinking Water 47% take their water at the water pump; 44% uses deep well, 8% buy or connected to nawasa and 1% from rain water. 8% who uses open deep well while 92% uses close deep well.
Figure 3.5 Distance of Water source to the toilet 30% of the family has their toilet 7-12meters away from water source; 5% is greater than 30 meters; 28% is 1-6meters; 23% is 13-18meters; 8% is 2530meters; and 6% is 19-24meters.
Figure 3.6 Water Purification Method 78% of the family buy mineral or purified water for drinking; 10% do nothing to the water, 10% thru boiling, 1% thru filtration, 1% Erosion and 0% for sedimentation
Water Storage
1% 3%
Figure 3.7 Water Storage 96% of the family stores their water at plastic containers; 3% at closed banga or tadyaw and only 1% uses a tank.
17%
22% Education
Figure 3.8 Services in the community 25% of the families are using the available health services, 19% uses recreational services, 17% of the family uses communication, 17% for policeman and fireman and 22 for Education.
Health Facilities
3%1% 4% Private Hospital Barangay Health Services PrivateClinics 92% Lying-in Clinic
Figure 3.9 Health Facilities 92% of the families state that there is a presence of Barangay health services, 4% for Private clinics, and 4% for private hospitals.
Transportation
1% 1% 0%
32%
30%
4% 32%
Figure 4.0 Transportation 32% uses trisikad and another 32% uses tricycle, 30% uses the jeepney,4% uses private cars, 1% is for the Bus and Taxi and 0% for truck.
Communication
2% 4% 27% 30% Landline Cellphone Newspaper Television 10% 27% Radios Internet
Figure 4.1 Communication 30% have cell phones, 27% has radios and another 27% has televisions, 10% has newspaper, 4% has landlines and 2% has internet connections.
Figure 4.2 Medical preferences during the course of illness 42% of families prefer Government Physicians, 1% prefer Nurses, 14% prefer Traditional and spiritual healers, 28% prefer private practioner, 14% also prefer midwives and 1% has none.
Go For Consultation
9% 18% 4%
49%
Figure 4.3
49% of the family go to Barangay health centers, 9% to Traditional/Spiritual healers, 18% to private clinics, 12% to Government Hospitals,4% to RHUs and 8% to Private Hospitals.
Figure 4.4
23% family has encountered cough, 22% has encountered colds, 8% encountered asthma,11% encountered LBM, 7% encountered abdominal pain, 19% had fever.
Preferred Medication
1%
Figure 4.5 Preferred Medication 46% of the families use both herbal and pharmacological drugs, 53% use pharmacological only and 1% uses herbal only.
3%
Figure 4.6 Herbal medication used for Cough 24% uses oregano, 16% uses alibhon, 13% uses lagundi, 12% uses artamesa, 9% uses lampunaya, 1% for yerbabuena, sambag and luha ni veronica, 14% to ampalaya,3% to pito-pito and suha and 3% to banaba.
14% 14%
15%
Figure 4.7 Herbal medication used for Colds and Flu 29% uses oregano for cold and flu,15% is using lapunaya, and the others for 14% each.
20%
20% alibhon
20%
20%
20%
agunoy
8% 8%
Figure 4.9 Herbal medication used for fever 38% for alibuhon and pasaw, the rest is 8%.
50%
Figure 5.0 Herbal medications used for fever 50% uses artamesa and also 50% who uses pito-pito
Figure 5.1 Mostly Bought OTC Drugs 27% of the families mostly buy paracetamol as over the counter drug, 18% buy carboceistein, 19% buy amoxicillin, 8% buy cotrimoxazole, 6% buy mefenamic acid.