CUES

HEALTH PROBLE M Schistoso miasis as a Health Deficit

HEALTH PROGRA MS

OBJECTIVE

ELIGIBLE POPULATION # 12 DESCRIPTIO N # of households who don t have their own toilets # of people infected with schistosomia sis

TARGET POPULATI ON # 150 % 100

PLAN OF EVALUATION ACTIVITIES RESOURCES TIME FRAME CRITERIA 1. Establish rapport 2. State the purpose of the visit 3. Assess community s perception regarding the problem 4. Assess community s knowledge on schistosomiasis and it s causes. 5. Determine the extent of community s willingness to participate in the solution formation of the problem 6. Conduct health teachings in the community about disease process, its etiologic agents, incubation period and pathology. 7. Discuss with the community possible sources of infection such as: a. feces of infected persons b. dogs,pigs, carabaos, cows, monkeys and wild rats who have been infected. c. snail infested ricefields 8. Discuss with the Materials: -visual aids equipments Human resources: -time and effort of both the nurse and family Financial: -money for the nurse s transportati on -expenses for teaching aids Februa ry to March STANDARD METHOD

GENERAL -proper waste disposal program -improve farming by proper irrigation and constructi ng drainage (canals) -building foot bridges over snail infested streams -providing health education through communit y assembly on the disease process, After 1 month of nursing interventio n, the community will be able to decide about the appropriat e actions to properly treat and manage schistosom iasis

SPECIFIC After 3 weeks of nursing interventi on the communit y will be able: A.)To recognize magnitud e of the health problem

Objective : -skin rash -itchy skin -muscle aches -chills and fever -cough -enlarged liver with tenderne ss -bloody diarrhea or blood in stool -jaundice abdomin al pain -icteric and jaundice -belly becomes big -weak and pale verbalizat

33

Verbal Feedback

A.)The community identifies the nature, magnitude and scope of the problem

Interview

After 1

B.) Take appropriat e actions to manage health problems of the affected family member in the

Complian ce to agreed upon intervent ion and verbal feedback

B.)Enacted at least 2 appropriat e actions to address the problem by having diagnostic procedure at RHU and taking Praziquant

Interview and direct observati on

ion of problem -request of informati on

mode of ransmissio n and preventio n

month of nursing interventio n, the community will be able provide adequate nursing care to a community member with schistosom iasis with adequate knowledge about the disease process & the nursing care needed

communit y

After 3 weeks of nursing interventi on the communit y will identify and demonstr ate necessary measures to properly manage and prevent the spread of schistoso miasis in their family and within communit y by: A.)Enumer ate at least 3 manifesta tion of a person with schistoso

community about it s mode of transmission through: a. skin penetration, ex walking barefooted b. transmitted by it s host, Oncomelania quadrasi, a snail 9. Discuss with the community it s common clinical manifestations such as: a. swimmmer s itch b. fever, muscle pain and cough c. abdominal discomfort d. icteric sclera and jaundice e. tummy becomes big f. weak and pale g. bloody diarrhea 10. Discuss with the community the significance of proper treatment of the disease such as: a. to avoid reinfestation b. to prevent complications c. to prevent and control the spread of the disease 11. Assist the community in taking immediate actions regarding patient s condition such as: a. Having diagnostic procedures such as stool exam, u/a to detect and confirm the disease b.Taking medications to treat the disease such as Praziquantel

el medication

Verbal Feedback

A.)The community verbalizes at least 3 manifestati on of a person with

Interview

miasis

B.)Enumer ate at least 3 nsg.care interventi ons for a person with schistoso miasis

12. Teach with the community the different nursing interventions to a family member with schistosomiasis such as: a. drinking lots of water b.bed rest for fatigue c. education for control of release of parasites and control of interaction with wet areas to stop reinfestation. d. nonpharmacological pain relief e. judicious taking in their medications such as Praziquantel 13.Encourage community maintenance regarding proper sanitation and hygiene to promote health and well-being such as: a. proper waste disposal b. use of safe water for drinking c. proper hand hygiene d. maintaining personal hygiene e. preventing contact with infected water or stream. 14.Inform with the community the advantages and disadvantages of each alternative action to encourage better decision making.

schistosom iasis

Verbal feedback and complian ce to agreed upon intervent ion

B.) The community verbalizes interventio ns appropriat e for schistosom iasis such as drinking lots of water, bed rest and taking medication -

Interview and direct observati on

C.)Select with the communit y appropriat e actions best for them to prevent or decrease the incident of schistoso miasis

Verbal feedback and complian ce to agreed upon intervent ion

C.)The community starts on proper waste disposal, doing proper hand hygiene and using safe water for drinking

Interview and direct observati on

OBJECTIVE CUES HEALTH PROBLEM HEALTH PROGRAMS GENERAL Objective : - open dumping Gavage disposal Presence of flies and mosquito es in the house Presence of breeding places for vectors of diseases such as uncovere d drainage system, hanging clothes Poor home/env ironmenta l condition/ sanitation: Improper garbage disposal as health threat -libong mo,limpyo mo program -waste segregation program -different types of composting After 1 month of nursing interventi ons the communit y will recognize the problem and the importanc e of maintaini ng a clean environm ent in the promotio n of health and proper sanitation in the home and environm ent. SPECIFIC After 3 weeks of nursing interventi ons, the communit y will be able to: A.) Recognize presence of the problem by enumerati ng at least 2 conseque nces of improper garbage disposal. # 42

ELIGIBLE POPULATION DESCRIPTION Households without trashcans Households which throw their garbage anywhere and burn their garbage Households with uncovered trash bins

TARGET POPULATI ON # 150 % 100

PLAN OF EVALUATION ACTIVITIES RESOURCE S TIME FRAME CRITERIA 1.) Establish rapport to the community. 1.a. Assess the community s knowledge & understanding on the nature, scope & magnitude of the problem. 1.b. Observe community practices that affect environmental condition such as on how they dispose their used water or garbage. 2.) Discuss with the community the implication and consequence of improper garbage disposal such as: a. Development of sanitation-related diseases such as malaria, dengue fever & diarrheal diseases b. Emergence of breeding places for vectors such as mosquitoes, rodents, roaches and flies. Human: Time and effort of the student nurses and the communit y Financial: Money for the nurses transport Material: Visual aids for health teaching Within February to March STANDARD METHOD

108

Verbal feedback

81

A.)The community enumerate s2 consequen ces of improper garbage disposal such as developme nt of diseases such as malaria, dengue fever and emergence of breeding places of vectors.

Direct observati on & interview

-no segregati on of garbage

c. Environmental pollution B.)Enumer ate at least 2 means of maintaini ng a suitable environm ent for the communit y. 3.) Impart and demonstrates with the community the proper disposal tips: a.Burial as the method wherein trenches/pits are dug and the garbage is deposited. b. Segregation of waste materials as to biodegradable and non biodegradable wastes, e.g. cans & plastic bottles as non biodegradable; paper & dried leaves as biodegradable. c. Utilize covered receptacles in disposal of garbage to avoid vectors breeding on them 4.) Assist the community in using the chosen method of proper garbage disposal, 5. Follow up the community if they have Verbal feedback and complian ce to agreed upon interventi on B.) The community enumerate at least 2 means of maintainin g suitable environme nt by utilizing covered receptacle in disposal of garbage and doing compostin g Interview and direct observati on

C.) Assist communit y in selecting appropriat e action to improve environm ental sanitation

Verbal feedback and cooperati on in agreed upon interventi on.

C.) The community has presence of 2 trash cans (biodegrad able and nonbiodeg radable)

Interview and direct observati on

CUES

HEALTH PROBLEM

HEALTH PROGRAM S

OBJECTIVE

ELIGIBLE POPULATION # DESCRIPTIO N # of household with open or no drainage system # of household without trashcans Household with left uncovered trash cans Households which throw their garbage anywhere and burn their garbage

TARGET POPULATI ON # %

ACTIVITIES

RESOURCE S

TIMES FRAME

PLAN OF EVALUATION

GENERA L Objectiv e: - open drainage system presence of stagnant water nearby the house presence of animal manure presence of used tires and bottles in the backyard -they put their trash in a Poor home/env ironment al condition or sanitation : Presence of breeding sites of insects as a health threat -libong mo limpyo mo bahay program -clean and green program After 2 months of nursing intervent ions the communi ty will recogniz e the importan ce of maintaini ng a clean environ ment in the promotio n of health and proper sanitatio n in the home and in their surround ing environ

SPECIFIC

CRITERIA

STANDAR D

METHOD

After 1 month of nursing care, the community will: A.) Recognize the problem and decide taking appropriat e actions with understan ding of the condition.

115

150

100

42

81

1.) Assess d the community s knowledge & understanding on the nature, scope & magnitude of the problem. 2.) Observe important/significant practices that affect environmental condition such as on how they dispose their used water or garbage.

Human: Time and effort of the student nurses and community Financial: Expenses for home visit Material: Visual aids for health teaching

Within Februar y to March

108

Verbal feedback and complian ce to agreed interventi on decided on the communi ty

A.)Compre hend the existence of the problem and took appropriat e actions with understan ding of the condition

Direct observati on & interview

B.) Enumerate at least 2 means of maintainin g a suitable environme nt and

3.) Suggests & emphasize ways in eliminating vectors and rodents and the presence of breeding places such as: a. Keeping water containers covered & garbage sacks covered/tied. b. Avoiding too many hanging clothes inside the house. c. Destroying breeding

Verbal feedback

B.) The communit y identifies at least 2-4 means of maintainin ga

Interview and direct observati on

container without a cover - house has a piggery about 510 meters away the house -foul odor coming from the pigpens with flies in it improper garbage disposal -lack of informati on

ment.

applies it at the community

places of mosquitoes by disposal of empty bottles & cans d. Washing dishes immediately after eating. e. Discarding soiled foods. f. Cleaning of stagnant canals frequently. 3.) Provide health teachings & return demonstrations about: a. Environmental sanitation & proper garbage/waste disposal such as covering of garbage containers b. Segregation of biodegradable from nonbiodegradable waste & recycling technique. 4.) Discuss importance and advantages of environmental sanitation such as: a. Being free from possible illnesses such as malaria, dengue fever, diarrheal diseases, & amoebiasis. b. A clean environment is a pleasant place to live in & favorable for health prevention, protection & maintenance.

suitable environme nt such as regular cleaning of their houses and preventing stagnant water in pots/conta iners

C.) Identify alternative courses of action to minimize presence of breeding places of insects and applies it in their home and community

Complian ce to the alternativ e courses of action agreed to the communi ty

C.) Decreased number of breeding places in the communit y.

Interview and direct observati on

OBJECTIVE CUES HEALTH HEALTH PROBLE PROGRA M MS Poor -proper home/en excreta vironmen and tal sewage condition disposal /sanitatio program n:Improp er -libong drainage mo, system limpyo mo as a program health threat GENERAL After 2 months of nursing intervent ion the communi ty will recognize the condition and make an appropri ate action or move to solve the problem using resource s and will have an improvis ed drainage system. SPECIFIC After 2 months of applying the nursing interventio ns, the community will be able to 1.) Enumerate at least 2 possible ways of maintainin g a clean environme nt especially drainage system regardless of limited physical facilities and applies it on their home.

ELIGIBLE POPULATION # DESCRIPTION 115 # of household with open drainage system

TARGET POPULATION ACTIVITIES # 150 % 100 1. Establish rapport 2. Assess perception of the community with regards to problem identified 3. Allow community to express their perception and understanding regarding the problem 4. Assess the community s willingness to learn and participate in managing identified condition. 5. Assess the environment of the community and the available resources that can be found/utilized - kawayan 6. Advise to place a cover on the exposed drainage to prevent utilization of the vectors as breeding sites and habitats. -Emphasize cleaning of the drainage 7. suggest the construction of an improvised drainage RESOURCE S Time and effort of the student nurses and the Barangay Officials , BHW s, RHM and Familes TIMES FRAME January to March

PLAN OF EVALUATION CRITERIA STANDARD METHOD

Objective domestic waste water is eliminate d by directly pouring it in the ground - sink wastes (eg.left over foods)are directly drained into the ground domestic waste water forms pond of stagnant water -foulsmelling drainage

1.) Verbal feedback

Money for needed resources

Visual aids for health teaching

1.) The community maintains clean environme nt such as frequent cleaning of drainage and covering exposed drainage to minimize vectors of diseases

1.) Interview

2.) Utilize available

2. Verbal feedback

2.) The community

2. interview

-children playing near stagnant water, barefoot ed -flies and mosquito es are present in the drainage system -lack of informati on

community resources in correcting present condition through family and community participatio n.

3.) enumerate income generating activities for possible usage on constructin g drainage system

system using the community s resources such as: 7.1 kawayan as pipes 7.2 gravel as filter beds 8. Seek assistance from officials and community in the action of the decided intervention and refer to sanitary inspector and LGU. 9. Encourage family and community participation in the action of interventions. 10. Alert proper authorities (brgy. Official) of condition for strict compliance and application of environmental sanitation programs such as: 10.1 libong mo, Limpyo mo 11. Guide the family and community persons in the implementation of the intervention. 12. Health teachings on the: a. importance of environmental sanitation b. possible consequences of improper drainage system such as greater

and complian ce to agreed upon interventi on.

uses kawayan as pipes and gravel as filter beds as improvised drainage

and direct observati on

3. verbal feedback and complian ce to agreed upon interventi on

3.) The community will have income generating activities to help the family

3. Direct observati on and interview .

risk of having infection brought about by vectors (e.g. dengue, diarrhea, and cholera) c. possible ways of managing a clean and odorfree environment despite the limited physical factors (frequent cleaning of drainage) 13. Teach community ways of income generating activities such as: 10.1 planting and selling vegetables to add up their income. 14. Follow up the community on the application of the knowledge on having proper drainage system.

CUES

HEALTH PROBLE M

HEALTH PROGRA M

OBJECTIVE

ELIGIBLE POPULATION # 65 DESCRIPTIO N # of houses made up of wood

TARGET POPULATI ON # 150 % 100

PLAN OF EVALUATION ACTIVITIES RESOURCES TIME FRAME CRITERIA 1. Establish rapport. 2. State the purpose of the action. 3. Determine the extent of community s willingness to participate in the solution formation of the problem. 4. Assess community s perception regarding the problem. 5. Assess community s knowledge on fire accidents and its causes. 6. Discuss with the community the presence of fire hazards in the home and safety. 7. Discuss with the community the common causes of fire such as: a. Candles and Material resources: Visual aids Human resources: Time & effort of student and family Financial resources: Money for the nurse s transportati on Expenses for the visual aids Februa ry to March STANDARD METHOD

GENERAL -providing health education on presence of fire hazards in the home -observing fire safety to prevent fire accidents at home After one month of nursing interventio n the community will be able to: a. Recognize the existence and seriousness of the problem. b. Identify possible consequen ces of fire accidents and apply preventive measures to prevent the occurrence of fire.

SPECIFIC After 3weeks of nursing interventio ns, the community will: a. Be able to recognize the presence of the problem and enumerate at least 3 common causes of fire found in their surroundin gs.

Objective:

PRESEN CE OF FIRE - Family cooks food HAZARD S AS A inside the HEALTH house. THREAT -Firewood is utilized when cooking. -Uses kerosene as their light source. -Kerosene lamp and candles are placed within the reach of children. -House is made of wood and bamboo/lig ht materials that will

Verbal feedback

a. The community enumerate s3 common causes of fire such as candles and kerosene lamps left unattende d, presence of flammable materials in the house and flammable materials left within the reach of children.

Interview

easily cause fire. -Wooden structure near the pugon . Education al backgroun d: Head of the family and wifeElementar y Graduate c. Identify at least 4 ways of preventin g fire and applies it on their home b. Enumerate at least 3 consequen ces of fire accidents.

kerosene lamps left unattended. b. Presence of flammable materials inside the house. c. Flammable materials left within the reach of children. 8. Discuss with the community the effects and consequences of fire accidents such as: a. Destruction of properties b. Loss of livelihood c. Burns or even death of loved ones and other people. 9. Explore with the community the different ways of preventing fire accidents such as: a. Not leaving lit candles and lamps unattended. b. Maintaining a safe cooking area. c. Placing flammable materials out of reach of children. 10. Evaluate the community in applying their skills and knowledge regarding the prevention of

Verbal feedback

b. The community enumerate s3 consequen ces of fire accidents such as destruction of properties, loss of livelihood and death of loved ones.

Interview

Verbal feedback

c. The community keeps flammable materials situated on a high cabinet not within reach of children, kerosene lamps and matchbox are properly stored, cooking foods far

Interview

accident/fire hazards.

from flammable materials and keeping an eye on their pugon when cooking.