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

TABLE OF CONTENTS

I. INTRODUCTION…………………………………………………………………..

II. COMMUNITY PROFILE

History……………………………………………………………………………
Organizational Chart……………………………………………………………
Spot map…………………………………………………………………………
 Description of the Community………………………………………………….
Geographic
Economic ( Resources)
Political
People
Cultural
Health

III. COMMUNITY HEALTH AND DEVELOPMENT

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

IV. DAILY PLAN OF ACTIVITIES…………………………………………………

V. COMMUNITY HEALTH NURSING ACTIVITIES

Home Visits…………………………………………………………………….
Case Finding……………………………………………………………………
Clinical Management……………………………………………………….

VI. LEARNING DERIVED………………………………………………………….

VII. APPENDICES

Action Plans Per Problem………………………………………………………….

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

VIII. DOCUMENTATION……………………………………………………………

INTRODUCTION
Coming together is a beginning, staying together is progress, working together
is success.

Henry Ford

The word beginning is defined as the act of doing that which begins anything, commencement of
an action, entrance into being or upon a course, the first act, effort, or state of a succession of acts. In
certain condition, everything should start with the collection of data and it will progress to attain a certain
success. In expecting progress, one must stay with the other member to produce a combine effect which
will be better. Being together and working as one will assure a success in the accomplishment of a certain
things. In relation, the group 3 and 4 used variety of methods to be able to meet all the goals that were set.
During the course of exposure, they used the nursing process to be able to attain reliable, valid and
constant results. Nursing Process is defined as a sequence of steps, quite similar to the scientific method,
which allows a nurse to make correct a decision regarding the recipient of care. The first step of the
nursing process is assessment. Assessment includes the collection and organization of data, validation of
the data collected, and documentation of the data. Same as through with what the groups 3 and 4 had done
with their chosen community and that is Barangay Amsic. The group had to undergo such approaches and
methods on to how, in order to give emphasis on the above-mentioned approaches. The groups applied a
systematic and comprehensive approach of the nursing process.

The group had performed home visits in order for them to gather pertinent data that would be the
starting point to unveil all the hidden concerns of the people in the community mainly focusing on their
health. The group also had a courtesy call in order for them to be guided by the barangay officials,
volunteers, key purok leaders as well as with the barangay health workers in their entire exposure and
also to introduce their purpose of being in that place for a certain period of time. After accomplishing
such, the group had reviewed the records to familiarized theirselves with the different settings and list of
problems identified previously. Records review is a process of going over documented information
available in the government, barangay center and health center. This was carried out during the gathering
of data regarding 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.

COMMUNITY PROFILE
History
History of Barangay Amsic started from “Agoo tree” which symbolizes strength.
According to the elderly, its name came from kamuting 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 Guzman, Protacio Pamintuan and his wife Maxima de
Guzman Pamintuan. The first inhabitants of the barangay were the Aetas. Some of them decided
to transfer in forest and mountains due to the difficulty in socializing with the Spaniards.
 During the World War II, the residents experienced suffering and famine. One of the
Aetas, Estaquio Lumanlan, killed one of the Japanese soldiers which caused the revenge of his
comrades. They burned a huge portion of the barangay and some of the houses in the riverside.
In July 1945, the elementary school was established by Jose Lopez under the supervision
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 persecuted 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

Organizational Chart
a. Local Government

(Barangay Captain)
Gerom P. Costales

(Barangay Secretary) (Barangay Treasurer)

Gillermo V. Sarmiento, Jr. Lourdes D. Gamboa

Romoe J. Edwardo C. Jesus I. Garcia Jr. Jovito M. Canda Wilfredo D. de Almario A. Juan F.
Makaraen Montes KAGAWAD KAGAWAD Guzman Lumanlan Candelario Jr.
KAGAWAD KAGAWAD KAGAWAD KAGAWAD KAGAWAD

SK Chairman
Rellie P. Silva

b. Rural Health Unit

RURAL HEALTH PHYSICIAN

Dra. Ma. Cheryl Tuazon
 RURAL HEALTH RURAL HEALTH SANITARY RURAL HEALTH NURSE POPULATION RURAL HEALTH
DENTIST INSPECTATOR Marites C. Peralta OUTREACH MED TECH
Dr. Carlos Lacson Nolie Mejo VOLUNTEER Amelia C. Abala
Corazon Baldeo

RURAL DENTAL AIDE RURAL HEALTH

Princilla Arcibal MIDWIFE
Lanie C. Lacap

NUTRITION SCHOLAR HEALTH WORKER SERVICE POINT OFFICER

Erlinda Cortez Teresita Maniago Yolanda Guiao

Spot map
 Description of the Community in terms of the following aspects:
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.

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.

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 Administrative Organization

Barangay Amsic Lupon ng Tagapamayapa Brgy. Day Care Teacher: Shirley B. Malimban

Brgy. Nutrition Scholar: Erlinda P. Cortez

Brgy. Health Worker: Teresita B. Maniago
Mr. Mario Nabong
Brgy. Janitress: Norma M. Arciaga and Lana C. Ramos
Mr. Sancho Catalino

Mrs. Milagros Nuqui

Mr. Petronilo Frias

Amsic Organizational List for Barangay Council for the
Mr. Norberto Cayatano Protection of Children

Mr. Romeo Euperio

Ms. Virginia Laxamana Chairman

Ms. Ederly Prago Gerome P. Costales

Co-Chariman

Juan F. Candelario

Barangay Amsic Staffs Members:

Jovito M. Canda

Information Officer: Rolan M. Mallari Nelson Mallari

Clerk: Luis P. Flores Erlinda P. Cortez

Brgy. Service Point Officer: Yolanda B. Guiao Laura C. Lacap

Brgy. Midwife: Laura C. Lacap Shirley P. Malimban

Rellie P. Silva 4 A & B: Dave V. Rogando

Barangay Amsic Purok Leaders 4 Bangkusay: Jaime P. Victoria

5 – A: Agosto De Vera

Executive Officer 5 – B: Bayani Quiambao

Nelson M. Mallari Plaridel 2: Danilo T. CArolino

Purok Leader 1 & 2: Marlino D. Ramos Villa Esperanza: Cirilo Bacislao

3: Greg Garcia Pineda Compound: Junard P. Cabato

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 population” 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 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 (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.

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
COMMUNITY HEALTH AND DEVELOPMENT
Community Problems

List of Identified Problems

HEALTH PROBLEM

1. 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. 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. 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 acquire the nutrients needed makes the children poor in

nutrition, as well as those who have abnormally excessive intake.

4. 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. 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.

Situational Analysis

1. Faulty infant feeding practices as evidenced by 52 (43.70%) mothers who use formula
milk for infant feeding.

Faulty infant feeding

practices

Health Condition of the Knowledge deficit with the Mother is preoccupied

Mother advantages of breast with her work and
feeding activities

Inverted Nipples and

Cancer of the Breast Poor information
dissemination in the
health center

Least prioritize in terms

of budget
 2. Non-Adherence to Family Planning as evidenced by 353 (62.26%) non-acceptor
couples in the community.

Non-Adherence to Family
Planning

Lack of knowledge Lack of resources Ignorance

on the effects and for the couple to
disadvantages of comply in the
having large family family planning

Lack of awareness Lack of family

in the economic planning materials
status of the such as pills,
country condoms and etc.

Poverty
 3. 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.

Malnutrition

Unable to meet nutritional Lack of knowledge Lack of eating

needs about proper discipline in their
nutrition children

Poverty

Low level of Preoccupied with the

education earnings of the
family

4. Poor environmental condition: Improper waste disposal as evidenced by 241 (35.44%)

households which disposes waste through open dumping.
 Poor environmental condition:
Improper waste disposal

Unsanitary waste Disposal

Lack of equipment in Lack of equipment in Lack of equipment in

the community the community the community

Government neglect Preoccupied

in the
earnings of
the family
Lack of budget/ Lack of knowledge on
inadequate budget effects of poor
allotment environmental
sanitation

Low level of education

Poverty

5. 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.

Inadequate/Lack of immunization
status
 Ignorance Poor health seeking Lack of cooperation in
behavior community services

Low level of education

Unable to boil water Lack of information
from the pitcher dissemination on
pump, deep well and health services
Poverty water works provided by
Community Health
Services

Preoccupied with the

earnings for the family

6. Poor environmental sanitation: Contaminated water supply (pitcher pumps) as

evidenced by 4 out of 6 pitcher pumps failed the bacteriological test.

Poor environmental sanitation:

Contaminated water supply
(pitcher pumps)

Lack of knowledge in Poor sanitation Lack of resources for a

the effects of poor practice good water source
water sanitation
 Unable to boil water
Low level of education from the pitcher pump,
Poverty
deep well and
waterworks

Preoccupied with the

earnings for the family

Problem Resolution

Title of the Activity

“Pagpaplano ng Pamilya, Asenso ng bawat Isa”

Goals and Objectives

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

Objective:
Short term
 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

 disseminate information to attain a maximum number of couples who accepts

various family planning method

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

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

Time Frame
Three to four months

Materials/ Resources Needed

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

Actual Strategies

Evaluation

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

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

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

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

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

PLAN OF ACTIVITIES

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

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

Familiarized themselves with the community physical set up and resources

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

TIME ACTIVITY

8:00-9:30  Opening prayer

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

 Courtesy call
 Barangay officials
9:00-10:00  Barangay health center staff
 RHU staff
 Purols leaders/key people is the
community

 Community tour
 Identification of community
10:00-12:00 facilities(resources),land marks zones and
street
 Ocular inspections
 Observation on evident community health
problems

Lunch break

12:00-1:00  Community diagnosis review

 Through review of the latest community
1:00-3:30 diagnosis report
 Re-assessment/validation of identified
community problems
 Brainstorming and setting on the number
of problems to resolve
 Initial planning of activities for community
assembly and implementation
 Creation of student committees and
 conveying of respective responsibilities
 Discussions of the action plan
 Appraisal of the accomplishments of the
day objectives and activities
 Students feedback
 Difficulties/problems encountered
 Solutions proposal for problem identified
 Recommendation
 Statement of objectives for the next RLE
duty day
 Closing prayer

Prepared by: Alisot, Alma

Noted by: Roxan Lopez, RN

PLAN OF ACTIVITIES

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

Objectives:

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

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

TIME ACTIVITY

8:00-9:00 Opening prayer

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

 Presentation identified families/population

10:00-12:00 groups during home visit
 Consultation about home visit plans and future
activities(per pair)

Lunch break

12:00-1:00  Continuation of planning of activities for

assembly and implementation
1:00-3:00  Initial consultation regarding the action plan
 Revision of action plans
 Presentation of final draft of letters and
invitations
 Preparations for community assembly
 Logistics
 Reservation of venue
 Programmed
 Visual aids
 Assigning of emcee, speakers and reporters
 Constructing initial drafts, slogan, posture and
leaflets
 Finalizing no. of attendance in the assembly.

 Post-conference and evaluation

 Appraisal of the accomplishments of the
days objectives and activities
 Student feedback
 Closing prayer
3:00-4:00

Prepared by: Alisot Alma

Noted by: Roxan Lopez, RN

 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:

Enumerated and describe the format of portfolio

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

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

3:30 – 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
 > recommendations
> Statement for objective for the next RLE.
> closing prayer

Prepared by: Bacani, Leizel

Noted by: Roxan Lopez, RN

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:

Constructed the health and brochures needed for the implementation.

Distributed the invitation of prospects attendees of the upcoming general assembly.
Drafted and finalized the visual aids for the upcoming general assembly.
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

Continuation of Preparations for Assembly and

Implementation
-    Final Preparations for the assembly
10:30- 12:00    Implementation
-    Update on the accomplished tasks by each
committee
-    Continuation of the construction of materials

Lunch

Dry run of community Assembly or Rehearsals of

-Assembly presenters
12:00- 1:00    -Laying out of actual set- up
-Recommendations for improvement.
1:00- 3:00    -Statements of objectives for the next RLE
Duty day
-Closing prayer

Prepared by: Bautista, Johanna

Noted by: Roxan Lopez, RN

 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:

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

TIME ACTIVITY

8:00-8:45 Opening Prayer

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

Physical Preparation for the Community assembly

(Half of the class)
8:45-10:00  Venue
  Tables
 Sound System
 Snacks
 Visual Aids
Follow-up of Invitees (remaining half of the class)
 Reminding the expected attendees of the
time, place and activity

Community Assembly
 Adherence to the Program set by the
10:00-10:30 students
 Continuous Documentation

Aftercare and Lunch

12:00-1:30
Post Assembly Evaluation
 Appraisal of the activity
1:30-2:30
 Feedbacks from the Clinical Instructor
 Difficulties/ Problems Encountered
 Recommendations

Final Preparation for Implementation

 Revising the Action Plans
 Assigning of Tasks and Responsibilities
3:00-4:00  Brainstorming on the overall plan for
implementation (e.g., simultaneous
activities, etc.)
 Follow up of the materials to be used
-Closing Prayer

Prepared by:

Noted by:
 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:

Prepared all the material (nails, hammers, wires) to be used for implementation.
Painted and improved the garbage can for proper garbage disposal.
Distributed designated number of garbage can to each purok:

 5 for purok 3
 3 for purok 2
 4 for purok 1
Posted all the placards and slogan about proper garbage disposal.

TIME ACTIVITIES

8:00-8:45 Opening prayer

Pre-conference
 Recap of previous activities
 Presentation of plan of activities
 Distribution of task and assignment
 Statement of rubric for general assembly

Physical preparation for the community assembly

8:45-10:00  Venue
 Table and chairs
 Sound systems
 Snacks
 Visual aids

Registration

10:00-10:30
Community assembly
 Adherence to the program set by the
10:30-12:00 students
 Continuous documentation
 After care and Lunch

12:00-1:30 Post assembly evaluation

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

Final preparation for implementation

 Revising action plans
2:30-4:00  Assigning of task and responsibilities
 Brainstorming on the over all plan for
implementation
 Follow up of materials to be used
Closing prayer

Prepared by:

Noted by:

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:

Prepared all the cleaning materials to be used in the implementation

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

TIME ACTIVITY
 8:00am-9:00am Opening prayer
Pre-conference
 recap of the activities
 presentation of plan of activities
 review of the action plans per
problem
 distribution of tasks and
assignments

Implementation-Part 1
9:00am-12:00pm *1st Purok assigned (flow of activity depends on the
overall plan of students)
The ff. are the sample act.
 contact with the community volunteers
 information dissemination drive
 posting of posters and slogan
 distribution of brochures and leaflets
 cleaning of drainage
Lunch
12:00pm-1:00pm
Continuation of implementation
1:00pm-3:00pm Follow up home visits **1st Puroks
-reinforcement of family nursing interventions and
additional health teachings

Post-implementation discussion

3:00-4:00pm
Prepared by:

Noted by: Roxan Lopez, RN

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:

Continuation of the implementation part

Cleaning of the drainages
Making home visits
Discussion of the problem with the household
Giving some health teaching
Evaluation of the result of the clean-up drive
Distribution of task in every group
Review of action plan evaluated the result and success of implementation part II
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

Post implementation discussion

3:00-4:00

Prepared by: del Puerto, Charisse

Noted by: Roxan Lopez, RN

 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:

Conducted home visits to the families in the community.

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

> Lunch Break

12:00-1:00 > Continuation of implementation
1:00-3:00 (Follow-up home visit)
-Reinforcement of family nursing intervention and
additional health teachings

> Post implementation discussion

Appraisal of activities
3:00-4:00 Feed backs from clinical instructors
Difficulties and problems encountered
Recommendation

Prepared by:

Noted by:

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:

Continued and finished weighing the children under 5 years of age

Determined if the actions done by the students are goal met or unmet
Accomplished the evaluation part of the action plan
Evaluated all the implementation programs and actions if they are successful.
Determined the changes that had happened in designated purok.

TIME ACTIVITY

8:00 – 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 – 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

-Lunch

12:00 – 1:00 -Follow-up of home visits

Evaluation
1:00 – 3:00
Completion of Action plans
Completion and carry out of Activities

Post Conference
3:00 – 4:00

Prepared by:

Noted by:
 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:

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:

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:

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:

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
 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
 Prepared by:

Noted by:

EVALUATION

COMMUNITY HEALTH NURSING ACTIVITIES

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 1 st 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.

Case Finding

Clinical Management

LEARNING DERIVED

Alisot, Alma
Bacani, Leizel

“You must do things you think you cannot do”

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.

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.
 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 success”

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 PLACES”

David, Nino Anthony

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

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 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 

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.
APPENDICES

Action Plans Per Problem

 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. Non-adherence to Family Planning Methods

2. Malnutrition
3. Improper Garbage Disposal
4. Faulty Infant Feeding Techniques (Bottle, Mixed, and Glass-Fed)
5. Contaminated Drinking Water Supply
6. 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 – 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:

Joseph Hansel R. Canlas, RN

Faculty, College of Nursing

Roxan M. Lopez, RN
Faculty, College of Nursing

Sample Invitation
 Holy Angel University
College of Nursing
Angeles City

Barangay Amsic
Community General Assembly

Date: Dec. 04, 2009

Time: 10-12pm
Venue: Amsic Elementary School

This serves as an invitation to:

Mr/Ms:_________________
Sample Programme

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. Interactive discussion and information Ma. Kristina Valencia

Dissemination about Breastfeeding

B. Interactive discussion and information Gian Tiglao/ Alma Alisot

Dissemination about Improper Garbage Disposal

Energizer…………………

C. Interactive discussion and information

Dissemination about Vaccination Venice Gonzales

D. Interactive discussion and information Nino Anthony David

Dissemination about Water Sanitation
Energizer…………………

E. Interactive discussion and information After the long preparation, Greal

Huypungco
Dissemination about Family Planning here comes the most
awaited moment of Gr. # 3
F. Interactive discussion and information
Charrise Gascon and 4, the GENERAL
Dissemination about Malnutrition ASSEMBLY

Energizer…………………

Intermission Number Group

3 and 4

Closing Remarks Venice Gonzales

Venice Gonzales
Master of Ceremony
These are the members of
Group 4. They are preparing DOCUMENTATION
for the start of the program.
 These are the
representatives of Puroks 1,
2 and 3 who participated in
the General Assembly..

The chosen representatives

of the group gave health
teachings regarding proper
way of boiling water..

These are the members of

gr. 3 and 4. It is their way of
diverting the tension they
feel during the GA.
 They showed sample
slogans to the people in the
community.
Note! Slogan- making and trashcan painting are
part of the implementation process.

Assigned members of the group

had demonstrated proper way of
putting condom as part of the
health teachings about family
planning.

As part of the registration,

assigned students in the
registration booth took the
BP of the participants.