COMMUNITY CASE STUDY ON PUROK 5 BRGY.

BALUGO, VALENCIA

STATEMENT OF THE PROBLEM

1. Statement of the Health Problem/ Community Diagnosis: *Unhealthy dietary habits related to consumption of a more energy-dense diet, nutrient poor diet high in saturated fats, salt and refined carbohydrates as a high risk factor for hypertension leading to cardiovascular diseases 2. Statement of the Health Problem/ Community Diagnosis: * The certain group of people of those who practice sedentary lifestyle or physical inactivity are at high risk of hypertension leading to cardiovascular diseases 3. Statement of the Health Problem/ Community Diagnosis: * Failure to utilize community resources for health care, as a health deficit.

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COMMUNITY NURSING CARE PLAN 1. Statement of the Health Problem/ Community Diagnosis: *Unhealthy dietary habits related to consumption of a more energy-dense diet, nutrient poor diet high in saturated fats, salt and refined carbohydrates as a high risk factor for hypertension leading to cardiovascular diseases Goal: * To reduce and control the risk factors associated with unhealthy dietary habit consumption of the hypertensive group of people in Purok 5 Objectives Within 3 months of community nursing health intervention the hypertensive group of people in Purok 5 which practice unhealthy dietary habits shall actively participate & demonstrate the following as evidenced by: 1. Participate & interact with the student nurses & a dietary nutritionist (if available) in planning a healthy dietary regimen Intervention Plan Strategies/Activities 1. House to house visitation & incidental health teachings Materials Needed 5 manpower of student nurses PH Bag with complete equipment Umbrella Backpack with important personal contents (pen, paper, notebook etc.) Individual snacks Budget Schedule of Persons Activities Responsible July 9, 10, 17, 1. SUCN A3 students 23, 24, 31 2009 2. Asst. Prof. August 13, Lourdes L. 14, 20, 21, 2009 nd rd Oliva (2 week & 3 week) September 3, 4, 10, 11, 2009 (1st & 2nd week) Outcome/ Evaluation Criteria After 3 months of community nursing health intervention the hypertensive group of people in Purok 5 has shown and demonstrated healthy dietary habits as evidenced by the following: 1. Met since after BP taking most of them were given health teachings regarding on nutrition the student nurses together with the participation of Mr. R planned a healthy dietary

1. 2. 3. 4.

5.

P 50 each

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which includes: DASH DIET (dietary approaches to stop hypertension) which emphasizes on fruits and vegetables, low fat-dairy and high fiber grains, modest portion of lean meat & reduce sodium intake 2. Shares his/her ideas & own opinion to the student nurse regarding the planned dietary regimen 3. Agrees with the student nurses proposed dietary regimen appropriate to their budget: root crops, fruits, vegetables found in their place 4. Improved BP during the follow-up home visits of the student nurses

2. Conducting a Structured Health Education Session on Proper Healthy dietary habits / promoting proper nutrition that includes the following: a. Strategies to promote healthy nutritionrelated practices b. Nutritional Guidelines for a healthy diet c. Nutritious Food examples d. Essential Nutrients e. Nutritional Assessment f. Benefits of good nutrition

6. Visual aids/Teaching materials on the following: Nutritious Foods Food Pyramid Diiferent food groups Written nutritional guidelines in the manila paper 7. Giveaways or tokens 8. Pentel pens 9. Cartolinas 10. Manila paper 11. Construction paper 12. Bond papers 13. Attendance sheet 14. Backdrop 15. Hand-outs 16. Food and Snacks 17. Venue

P 100

3. Kag. Celsa August 13, 14, 20, 21, 2009 Albina 4. Brgy. Capt. (2nd week & 3rd week) Uldarico Maquiling September 3, 4, 10, 11, 2009 5. Community people of (1st & 2nd week) Purok 5

P 100 P P P P 40 50 30 30

regimen like the DASH DIET (dietary approaches to stop hypertension) which emphasizes on fruits and vegetables, low fatdairy and high fiber grains, modest portion of lean meat & reduce sodium intake the person verbalized that they have been taking vegetables and also practicing a DASH DIET 2. Met was given a thoroughly planned dietary regimen through the group stated and understood that it is important to have this type of regimen since it would aid in lowering his blood pressure, maintain good health, prevent the likelihood of diseases, and reversing disease processes

P 20 P 80 P 500 P500

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 110-140/60-90 mmHg 3. Conducting a nursing health clinic at the 5. Improved & a normal barangay hall cardiac rate upon auscultation 60-100 bpm

18. Venue 19. Chairs 20. Tables 21. Drapes 22. Mats 23. Weighing Scale 24. Charts 25. Transportation 26. 5 - Manpower 27. PH Bag with complete contents 28. Backdrop 29. Food 30. Transportation 31. Tables 32. Chairs 33. Flyers & posters 34. Attendance sheet 35. 5 - Manpower 36. PH Bag with complete contents 37. Backdrop 38. Drapes 39. Mats

P500 P50 each P100

4. Conduct a health clinic at the barangay hall

6. Asst. Prof. 3. Met proposed plan of a August 13, 14, 20, 21, 2009 Lourdes L. healthy dietary regimen nd rd (2 week & 3 Oliva includes the following: 7. Students some are seen and week) SUCN-A3 abundant in their backyard, September 3, frontyard, & surroundings/ 4, 10, 11, 2009 8. Community people of community (1st & 2nd week) Purok 5 Protein fish, egg, dry beans Vegetables malunggay leaves, lemon grass, kamote tops, eggplant, ampalaya, kangkong Fruits mangoes, banana, papaya, rambotan, lansones, jackfruit, Carbohydrates root crops, potato, rice, bread, 9. Doctors August 13, Liquids 14, 20, 21, 2009 10. Dietary Water, fruit and vegetable nd rd Nutritionist (2 week & 3 juices week) September 3, 4. Not met since it needs to 4, 10, 11, 2009 be assessed for over a (1st & 2nd week) period of time

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40. Food 41. Transportation 42. Tables 43. Chairs 44. Flyers & posters 45. Attendance sheet 5. Follow-up visits by the student nurses 46. 5 - Manpower 47. PH Bag with complete contents 48. Backdrop 49. Snacks 50. Transportation 51. Tables 52. Chairs 53. Flyers & posters

P1000 5. Partially met since the client were out during home visits P100

P50

P100

July 9, 10, 17, 11. SUCN-A3 23, 24, 31 2009 12. Asst. Prof. Lourdes L. August 13, Oliva 14, 20, 21, 2009 nd rd (2 week & 3 13. Community people week) September 3, 4, 10, 11, 2009 (1st & 2nd week)

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2. Statement of the Health Problem/ Community Diagnosis: * The certain group of people of those who practice sedentary lifestyle or physical inactivity are at high risk of hypertension leading to cardiovascular diseases Goal: * To reduce and control to 75% the likelihood and incidence of the risk factors which is obesity and the practice of having a sedentary lifestyle which is closely exist in certain members of the Purok 5 that may direct to hypertension and eventually leading to cardiovascular diseases Objectives Within the 3 months of nursing health intervention the certain members of Purok 5 which practice a sedentary lifestyle shall: 1. Participate and attend during the structured health education session on cardiovascular diseases & doh physical fitness program DOH HATAW KO VIDEO PROGRAM 2. Participate and actively join in planning an ideal physical fitness exercise appropriate for those that are experiencing Intervention Plan Strategies/Activities 1. House to house visitation Materials Needed 5 manpower of student nurses PH Bag with complete equipment Umbrella Backpack with important personal contents (pen, paper, notebook etc.) Individual snacks Budget Schedule of Persons Activities Responsible July 9, 10, 17, 1. SUCN A3 23, 24, 31 2009 students August 13, 14, 20, 21, 2009 (2nd week & 3rd week) September 3, 4, 10, 11, 2009 (1st & 2nd week) Outcome/ Evaluation Criteria After 3 months of nursing health intervention the certain members of Purok 5 that practice a sedentary lifestyle has actively shown and demonstrated the following: 1. Not met since the structured health teaching education session on cardiovascular diseases & physical fitness needs to be implemented by the following group 2. Met this was done during our house to house visit they chose among the appropriate physical fitness exercise

1. 2. 3. 4.

5. 2. Conduct a Structured Health Education Session on Cardiovascular

P 40 2. Asst. Prof. August 13, Lourdes L. 14, 20, 21, 2009 nd rd Oliva (2 week & 3

6. DOH hataw ko video program 7. Laptop

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physical inactivity which involves a: cardiopulmonary endurance (simple aerobic exercises, brisk walking, jogging, running, bicycling, swimming, dancing, & gardening) muscular strength (moving the limbs and trunk of the body through their complete range of motion) muscular endurance (working with free weights man made dumbels) muscular flexibility (moving each joint in the upper and lower limbs in their full range of motion & stretching flexion, extension, internal & external rotation, & etc.) 3. Adequate rest and sleep 8 hours of sleep

diseases: a. Situation & trends of cardiovascular diseases

8. LCD projector 9. Visual Aids/Powerpoint 10. Cartolinas 11. Manila paper b. Common risk factors 12. Construction leading to paper cardiovascular 13. Backdrop diseases 14. Hand-outs 15. Food and c. Ways to prevent and Snacks control the risk factors 16. Venue leading to CVD 17. Chairs 18. Tables d. Movie watching about 19. Transportation DOH HATAW KO VIDEO PROGRAM 3. Conducting a nursing health clinic at the barangay hall 20. 5 - Manpower 21. PH Bag with complete contents 22. Backdrop 23. Drapes 24. Mats 25. Food 26. Transportation 27. Tables

P 50 P20 P 50 P 50 P 50 P500 P 50 P 50 P 250

week) September 3, 4, 10, 11, 2009 (1st & 2nd week)

3. Students SUCN A3 4. Kag. Celsa Albina 5. Community people of Purok 5

P 250

6. Asst. Prof. August 13, 14, 20, 21, 2009 Lourdes L. nd rd Oliva (2 week & 3 7. Students week) SUCN-A3 3. Partially Met since not all September 3, 4, 10, 11, 2009 8. Community follow the 8 hours of sleep st nd people of (1 & 2 week) pattern, others exceed Purok 5 more than 8 hours due to the weather in their place which is very conducive for

cardiopulmonary endurance (simple aerobic exercises, brisk walking, jogging, running, bicycling, swimming, dancing, & gardening) muscular strength (moving the limbs and trunk of the body through their complete range of motion) muscular endurance (working with free weights man made dumbels) muscular flexibility (moving each joint in the upper and lower limbs in their full range of motion & stretching flexion, extension, internal & external rotation, & etc.)

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4. Decreased weight or change in weight status appropriate for body mass index BMI not exceeding or lowering between the range of 25-27

28. Chairs 29. Flyers & posters 30. Attendance sheet 4. Conducting a health clinic at the barangay hall 31. 5 - Manpower 32. PH Bag with complete contents 33. Backdrop 34. Drapes 35. Mats 36. Food 37. Transportation 38. Tables 39. Chairs 40. Flyers & posters 41. Attendance sheet 42. 5 - Manpower 43. PH Bag with complete contents 44. Backdrop 45. Drapes 46. Mats 47. Food August 13, 14, 20, 21, 2009 (2nd week & 3rd week) September 3, 4, 10, 11, 2009 (1st & 2nd week) 9. Asst. Prof. Lourdes L. Oliva 10. Students SUCN A3 11. Doctors 12. Dietary Nutritionist

sleeping, and they also take long hours of sleep during daytime. 4. Not met since it would take a longer time to evaluate the outcome for their weights

5. Conducting a physical fitness exercise program at the barangay hall

13. Physical August 13, Instructor 14, 20, 21, 2009 14. Community (2nd week & 3rd people of week) Purok5 September 3, 4, 10, 11, 2009 15. SUCN students (1st & 2nd week) A3

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48. Transportation 49. Tables 50. Chairs 51. Flyers & posters 52. Attendance sheet

16. Asst. Prof. Oliva 17. Brgy. Capt. Uldarico Maquiling 18. Councilors

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3. Statement of the Health Problem/ Community Diagnosis: * Failure to utilize community resources for health care, as a health deficit. Goal: * At the end of the COPAR rotation, the group of Hypertensive clients in Purok 5 will be able to acquire skills, gain knowledge, manifest desirable attitudes and values in utilizing resources in the community, to prevent and detect disease, and to improve and enhance health status. Objectives Within our 3 months of nursing intervention, the group of Hypertensive clients in Purok 5 will be able to utilize community resources as evidenced by: 1. Participate actively in making a plan of action about utilizing community resources: Approaching Brgy. Health workers if the need arises, such as the onset of B.P. Visit to Brgy. Health Clinic at Palinpinon for health advises and to allow people in Purok5 to utilize or Intervention plan Strategies/Activity 1.Community Assessment -Roam around Purok 5 and look for health problems. Materials Needed 1. 5 man power. 2. CHN bag 3. Umbrella 4. Transportation to Brgy. Balugo, Valencia Budget Persons Schedule of responsible activities July 9, 10, 17, 1. A323, 24, 31 2009 students efforts and August 13, time. 14, 20, 21, 2. Asst. Prof. 2009 nd rd Lourdes L. (2 week & 3 Oliva week) September 3, 3. Time and efforts of 4, 10, 11, 2009 st nd the people (1 & 2 week) of Brgy. Balugo August 13, Valencia. 14, 20, 21, 4. Brgy. Capt. 2009 Uldirico (2nd week & 3rd Maquiling. week) September 3, 4, 10, 11, 2009 (1st & 2nd week) Outcome/evaluation criteria After 3 months of our nursing intervention, the group of Hypertensive clients in Purok 5 was able to partially utilize community resources as evidenced by: 1. Met since they participated in making a plan of action about utilizing community resources. 2. Met since they speak out 3 understanding about the importance of utilization on community resources.

P50.00

2. SHT (Structured Health Teaching). - Gathers people in a certain place then perform Health Teaching on a socialized discussion.

5. 5 man power 6. Posters (made by Cartolina and other art materials) 7. Transposrtation to Brgy. Balugo, Valencia. 8. Snacks: Bihon

P500

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use of resources by means of participation Use of of the programs that the 3. Home to home visits RHU is imposing such -Selecting the most as regular aerobics at prioritize case in Purok 5. Valencia Plaza. 2. Speaking and apply into pratice 3 understanding about the importance of utilization on community resources 3. Agrees in the proposed given ways by the student nurses in preventing the onset of certain condition which is rampant in the community such as Hypertension with the use of resources in the community: Regular Exercises or aerobics every Sunday. 4. Clinics - Offering services to 3 different puroks in the community to facilitate the needs of the people.

and Pan de Sal with Juice. Php 50.00 July 9, 10, 17, 23, 24, 31 2009 August 13, 14, 20, 21, 2009 (2nd week & 3rd week) September 3, 4, 10, 11, 2009 (1st & 2nd week) September 3, 4, 10, 11, 2009 (1st & 2nd week)

9. 5 man power 10. CHN bag with complete contents 11. Umbrella 12. Assessment tools such as Stethoscope.

5. Individual Health Teaching

13. 15 man power Php 14. Clothes for 50.00 drapings 15. Urinal cups 16. CHN bag with complete contents 17. Mats 18. Transportation to Brgy, Balugo Valencia 19. 5-man power Php

3. Met since they agreed in the proposed ways given by the student nurses in preventing the onset of certain condition which is rampant in the community such as Hypertension with the use of resources in the community, such as regular exercises, and eating healthy and nutritious foods that will help improve their health. 4. Not met since they fail to Demonstrate utilization of resources in early detection and prevention of diseases. 5. Partially met since they participated in a health awareness

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 Eat healthy dietary foods that is adequate for health maintenance. Regular BP monitoring by the Brgy. Health Workers/ student nurses 4. Demonstrating the use of resources in early detection and prevention of diseases: Visitation in the Rural health unit or in Brgy. Health Unit. Approaching Brgy. Health Workers for BP monitoring. 5. Participating in a health awareness programs such as SHT, Forums, Clinics. 6. Stating the benefits they can avail in RHU and BHU

- During home visits individual health teaching is done.

20. Umbrella 21. CHN bag with complete contents 22. Transportation to Brgy. Balugo, Valencia

50.00 July 9, 10, 17, 23, 24, 31 2009 August 13, 14, 20, 21, 2009 (2nd week & 3rd week) September 3, 4, 10, 11, 2009 (1st & 2nd week)

programs such as Nursing health clinics. 6. Not met since fails to state and recognize the benefits they can avail in RHU and BHU. 7. Met since they making a plan of visitation in health clinic at RHU and BHU.

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such as having BP monitoring, urine analysis, medicines, and others 7. Proposing a plan of visitation in the health clinic at the bhu or rhu.

7-31-09

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