Revised Manuscript

COMMUNITY PROFILE OF BARANGAY 836, ZONE 91, DISTRICT 6 PANDACAN, MANILA

A Community Care Study Presented to: The Faculty of MAPUA Institute of Technology San Lorenzo Ruiz School of Health Sciences College of Nursing

In partial fulfillment of the requirements In NRS 111L / AN0 Group

Submitted to: Professor Carol Fortuno Professor Elizabeth Paragas Professor Auralyn Reyes

Submitted by: AN0 Group, Batch 2006

March 3, 2008

ACKNOWLEDGEMENT First and foremost, we express our deepest gratitude to our Lord Almighty God for giving us strength and will to contribute such data for the said project. Our Lord God helped us to finish this requirement. Thank you.

To our Health Care 2 Laboratory Professors, Mrs. Carol Fortuno, Mrs. Elizabeth Paragas, and Mrs. Auralyn Reyes, we are grateful for your kindness and guidance. The things that we learned during our class and community visits, we will not forget those memorable experiences with you. Thank you.

To the officials of Barangay 836, Hesus St., Pandacan Manila, we show our gratitude to your warm welcome and acceptance to us. This experience will never be this fun without you people. Thank you.

To the families that welcomed us during our community visits, we express our great appreciation for the time and active participation. We are very happy that you’ve been part of this requisite. We hope for the best of our loved ones. We’re sorry if we were entailed to ask some questions that may have offended you.

To our family, the encouragement, help, support, time, and understanding that you showed us during our compilation, we are very thankful for those. This requirement is dedicated to you and to God.

To the group, we are grateful for all the hardworks that contributed in the completion of this requirement. The time that we gave in this requirement is surely a great thing in exchange for those.

And for those we haven’t mentioned for acknowledgement, thank you for the loving support. Maybe without all of you, this requirement wouldn’t be possible. The experience that we cultured through you is really a remarkable one. This completion is for all of you who made this possible. Once again, thank you everyone.

Via Con Dios! (Go with God!)

AN0 Group

TABLE OF CONTENTS PAGE TITLE PAGE ACKNOWLEDGMENT TABLE OF CONTENTS LIST OF FIGURES LIST OF TABLES CHAPTER 1

INTRODUCTION Manila Pandacan Dependency Ratio Sex Ratio Organizational Structure

2

STATEMENT OF THE PROBLEM Community Faculty Administrators Future Researchers Limitations and Delimitations Significance of the Study Objectives of the Study

3

OPERATIONAL DEFINITION OF TERMS

4

RESEARCH METHODOLOGY Sampling and Subjects Setting Alley I Alley II Alley III Bliss Research Design Data Gathering Procedures Data Gathering Instruments

5

ANALYSIS OF DATA AND INTERPRETATIONS

6

SUMMARY, CONCLUSIONS AND RECOMMENDATIONS Summary Conclusions Recommendations

APPENDICES A. Map of Manila B. Map of Pandacan C. Spot Map D. Community Priorities – Scale Ranking and Community Nursing Care Plan E. Tool Assessment Guides

PICTURES F. Barangay 836 Hall G. Transportation Facilities H. Health Facilities I. Social Facilities J. Alley I K. Alley II L. Alley III M. Bliss N. List of Students and Clinical Instructors

LIST OF FIGURES Figure 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Page Family Size of Each Family Interviewed Families’ Length Residency Family Structure Dominant Family Members Religion of Each Family Assessed Educational Attainment Employment of Male and Female above 18 years old Type of Occupation of Employed Population Type of Employment Monthly Family Income Dialect Used Languaged Used Psychological History Immunization Status of Adult Population (Assessed Only) Immunization Status of Children 6 years old and below Results of the Metro Manila Development Screening Test Consultation for Health Related Problems Materials Used for Home Construction Number of Rooms for Sleeping Source of Drinking Water Supply Potability of Water Method of Storing Drinking Water Cooking Facilities Available In Each Family Type of Drainage Methods of Keeping Garbage Methods of Disposing Garbage Toilet Ownership of Families Presence of Breeding Sites in Houses Status of Reproductive Women; Pregnant vs. Not Pregnant Family Planning Methods Member of the Family Diagnosed with Tuberculosis

LIST OF TABLES Table 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

Page Family Size of Each Family Interviewed Families’ Length Residency Family Structure Dominant Family Members Religion of Each Family Assessed Educational Attainment Employment of Male and Female above 18 years old Type of Occupation of Employed Population Type of Employment Monthly Family Income Dialect Used Languaged Used Psychological History Immunization Status of Adult Population (Assessed Only) Immunization Status of Children 6 years old and below Results of the Metro Manila Development Screening Test Consultation for Health Related Problems Materials Used for Home Construction Number of Rooms for Sleeping Source of Drinking Water Supply Potability of Water Method of Storing Drinking Water Cooking Facilities Available In Each Family Type of Drainage Methods of Keeping Garbage

26 27 28 29 30 31

Methods of Disposing Garbage Toilet Ownership of Families Presence of Breeding Sites in Houses Status of Reproductive Women; Pregnant vs. Not Pregnant Family Planning Methods Member of the Family Diagnosed with Tuberculosis

CHAPTER 1: THE PROBLEM

INTRODUCTION Pandacan In 1574, Pandacan was officially established as a community when Franciscan priests established the first mission in the district. In the 19th century, Pandacan was described as "Little Venice" for its numerous canals leading to the Pasig River. Often, many would leisurely row in slender wooden bancas during late afternoons as described by Francisco Balagtas in his early writings. Pandacan was also home to many prominent Filipino artists such as Francisco Baltazar, Ladislao Bonus, Lope K. Santos, Miguel Masilungan and Pantaleon Lopez.

Three major oil companies known as the "Big Three" operates its oil distribution depots in Pandacan. They are the Royal Dutch Shell, Chevron's Caltex and Saudi Aramco majority owned Petron Philippines. Adjoining riverside lots and other unoccupied ones were bought by the following companies to aid in the expansion of their warehouses with hopes of providing better service to the country by supporting its petroleum needs. To briefly explain it, Pandacan plays a major role in petroleum production. Barangay 836 One of the communities nearest to the oil depot is Barangay 836 Zone 91 District 6, created under the 1987 Local Government Code, which houses more than one thousand households. It is composed of Alley 1, Alley 2, Alley 3 and Bliss. The history of the community includes being engulfed by fire twice during the 70’s and 80’s due to faulty electrical wiring, and enduring severe property losses and damages because of it. After undergoing such, the residents still managed to adjust to all the changes and regain what they have lost during the tragic fire. As the adopted community of Mapua Institute of Technology’s School of Health Sciences, the people of the barangay have been constant recipients of simple health care services offered by the Nursing students and data gathering for health related purposes since 2005. At present, with the 2nd year Nursing students of Batch 2006, evaluation of health deficits, health practices, health beliefs, and environmental factors related to health or may affect it still continues. As a form of confirmation with regards to the data collected and the assessments made, tables indicating the dependency ratio and sex ratio will verify the total number of families and individuals assessed during the community visits.

Dependency Ratio (As Based on Age Pyramid)

For Dependency ratio (DR): DR = (0-14 yrs. old) + (65 and above yrs. old) (15 yrs. old) + (64 yrs. old) MALE 78 + 2 5 +2

=

80 7

=

11.4

FEMALE 57 + 3 12 + 0

=

60 12

=

5

Sex Ratio

Sex Ratio (SR)

=

_____# of females______ (x100) # of males

=

_______192______ (x100) 182

There are 95 males for 105 females.

Organizational Structure

Barangay Chairman Santos S. Uy, Jr Peace and Order

Clean and Green

Committee Chairman Kagawad Ronnie G. Limen

Committee Chairman Kagawad Rommel M. Seposo

Health and Sanitation

Internal and External

Committee Chairman Kagawad

Committee Chairman Kagawad Renz Rosary G. Rapiz

Rowena M. Espiritu

STATEMENT OF THE PROBLEM

Vice Chairman Kagawad The following problems were formulated Vice duringChairman the courseKagawad of the community study. Sports and Education

Livelihood

Committee SK Community Chairman I. To the

Committee Chairman Kagawad

Maria Ellen L. Placio

Eduardo O. Riparip

a. What must the community do to improve their living conditions and

lessen the risk factors brought about by poor environment sanitation? Vice Chairman Kagawad Vice Chairman Kagawad

b. Given the numerous social organizations in the community that may Housing

Ways and Means

contribute to their further development, what stepsChairman should be executed Chairman Kagawad Committee Kagawadto Bernard A. Garcia, Jr. Francisco H.promote Gabatbat proper awareness? c. Due to the fact that Barangay 836 Pandacan ManilaKagawad is within different Vice Chairman

Vice Chairman Kagawad station of oil depots, what should the community do to utilize the health Secretary Treasurer

programs being implemented? Fleurilyn May U. Prado

II.

Roque F. Estrada

To the Faculty Administrators a. What should the faculty administrators do to improve the curriculum or course description in relation to the short-time exposures of the nursing students in the community? b. Being formally aware the Barangay 836 in Pandacan is a developed community, and not considered “poorest of the poor”, what should the faculty administrators do to respond to the other health problems and needs of the other communities? c. What activities can the faculty provide in order to motivate and prepare nursing students especially beginners in dealing with the community?

III.

To the Future Researchers a. After giving much emphasis to the significant outcomes of the community’s diagnosis, what will be the next proper action of the future researchers in relation with the results of the health assessments ad the environmental risk factors? b. Along with the organizational body of the barangay, what must the future researchers do to somehow equally contribute in the intervention planned after the identification of the community’s health needs? c. What course of health actions must the future researchers perform to improve the assessment techniques they have further in the community?

LIMITATIONS AND DELIMITATIONS This study’s aims are primarily concentrated on the evaluation of the community’s current health and environmental conditions and are strictly rationed to the stated relevant concerns. Under these relevant concerns are procedures or methods such as data gathering (physical and family assessment) and evaluation of the Barangay’s health status, health beliefs, health deficits, health practices and amount of knowledge with regards to important community concerns such as possible prevalence of certain diseases and how to control them, family planning, and maternal and child health.

This study is limited to 374 individuals belonging to the 78 families assessed in Barangay 836 Zone 91 District 6 and will only focus on the courses of health actions mentioned above.

SIGNIFICANCE OF THE STUDY The findings of this study will help the providers of health care to prioritize the different issues regarding the health and concerns of individuals in the community and also the various health care needs. The results can also be used by independent groups as reference and in formulating programs to sustain the development of the community.

The outcome of the findings may be of help to the community leaders for the preparation, organization, and implementation of health programs in coordination with the Department of Health through the health center and other interested non government organizations.

In addition, the conduction of various health evaluation methods will benefit the families in the Barangay in terms of health education. New information with regards to improvement in health conditions and environmental sanitation will greatly help the families better their lifestyles. The application of the said methods will also integrate the Nursing students’ skills in different aspects of assessment and appraisal, and it will provide them with more exposure for better application of health actions in the future.

OBJECTIVES OF THE STUDY The following objectives were originated:

a) To illustrate the community profile of Barangay 836 in terms of biologic or vital events like the total population size, number of families, births, marriages, illnesses, mortality and morbidity. b) To recognize the health status, health practices and health beliefs of each families in Barangay 836. c) To evaluate the current living conditions of the residents and educate them by giving essential points on how to improve environmental sanitation. d) To promote further assessment on the health problems and heath needs identified and provide recommendations or suggestions on proper interventions to the Barangay’s organizational body.

OPERATIONAL DEFINITION OF TERMS

ASTHMA. Asthma is a lung disorder with attacks of breathing difficulty. BCG VACCINE. BCG vaccine is an immunizing vaccine (bacile Calmette-Guerin) against tuberculosis. BLOOD DYSCRASIA. Blood dyscrasia is a condition in which any of the blood elements are abnormal, as in leukemia or hemophilia. BLUE-COLLAR JOB. Blue-collar jobs are workers who are skilled, but are not employed permanently due to lack of education or skills. These are the janitors, drivers, and other contractual workers. CANCER. Cancer is a general term for malignant tumor or forms of new tissue cells that lack a controlled growth pattern. CARDIOVASCULAR DISEASE. Cardiovascular disease is any one of many defects that may cause problems with the heart and blood vessels. DIABETES. Diabetes is a condition in which there is too much excretion of urine. DPT VACCINE. DPT vaccine is an abbreviation for diptheria, tetanus toxoids and pertussis. EXTENDED FAMILY. Extended family is a family pattern where two or more nuclear families or several generations of families live together in one abode. FAMILY PLANNING. Family planning is the regulation or control of childbith so as to limit the number or children. FERROUS SULFATE. Ferrous sulfate is a blood-building drug given to treat iron deficiency anemia and is usually given to pregnant women and children. HAZARDS. Hazards are situations or things that increases the chance of a loss from some danger that may cause injury or illness. HYPERTENSION. Hypertension is a condition of abnormally high pressure within the arteries and veins. They may experience headaches, and easy

exhaustion. KIDNEY DISEASE. Kidney disease is any of a large group of conditions including infectious, inflammatory, obstructive, circulatory, and cancerous disorders of the kidney. LIVER CANCER. Liver cancer is a malignant tumor of the liver. MATRIARCHAL FAMILY. Matriarchal family is a family pattern wherein the members of the family trace their relationships and affiliations with the relatives on the mother side. MENOPAUSE. Menopausal period is the permanent cessation of menstruation, normally during ages of 45-50. MMR VACCINE. Measles, Mumps and Rubella (MMR) Vaccine is a vaccine intended to fight against the said disease, and is given to children in 3 doses. NUCLEAR FAMILY. Nuclear family is a family pattern where married couples establish an independent household. OBESITY. Obesity is an abnormal increase in the amount of fat, mainly in the stomach and intestines, and in tissues behind the skin. OPV VACCINE. Oral polio virus (OPV) vaccine is a drug of changed live poliovirus that makes a patient immune to poliomyelitis. PATRIARCHAL FAMILY. Patriarchal family is a family pattern wherein the members of the family trace their relationships and affiliations with the relatives on the father side. POTABILITY. Potability is the condition of water, that is, safe to drink. REPRODUCTIVE. The reproductive state is a period of both male and females when their germ cells are mature and ready to make an offspring. RHEUMATIC FEVER. Rheumatic fever is disease that may develop within 1 to 5 weeks after recovery from a sore (strep) throat or from scarlet fever. RURAL. Rural community or living is a state in which the area is underdeveloped, still using agricultural or non-industrial means of living. SANITATION. Sanitation is the condition in which an environment or surrounding is properly managed, organized, and cleaned, maintaining a healthy and hygienic environment. SEIZURE DISORDER. Seizures, or convulsions are sudden violent uncontrollable

contractions of a group of muscles. STROKE. Stroke is a presence of blood clot or bleeding in the brain. This results in lack of oxygen to the brain tissues. TUBERCULOSIS. Tuberculosis is a long term, grainy tumorous infection caused by a bacterium, Mycobacterium tuberculosis. General exposure is through droplet and airborne, and is usually accompanied by productive cough for more than 2 weeks. URBAN. Urban community or living is a state in which the area is developed, further industrialized, with establishment of offices offering the white-collar jobs, and uses technology for means of living. WHITE COLLAR JOB. White-collar jobs are jobs in which employed people are professional skilled workers, has attained proper educational attainment, and has achieved a non-limited quota. They are the officemen, seaman workers, and overseas Filipino workers (OFWs).

RESEARCH METHODOLOGY

This portion of the study presents the methods and procedures that include subjects of the study, setting, research design, data gathering procedures and instrument, statistical treatment and the data presentations.

Sampling and Subjects Respondents of this study are families with at least 1 child aged 5 years old and below to whom the MMDST or Metro Manila Developmental Screening Test will be performed. There was no particular distribution of the students regarding the selection of the families. However, the AN0 group interviewed families from the Bliss and some were designated in Alley 1 and Alley 2. The AN0 group comprises of 26 students. The ratio of the student per family is 1:3. All in all, 78 families were interviewed; 3 families assigned for each student. The youngest respondent was 2 months old and the oldest was 78 years old. Mostly mothers of the family were the ones who provide accommodation for the students because the head of the family is not around due to some circumstances. The clinical instructors chose Alley 1 and Alley 2 as the target population because the target samples were located in those areas. Most of the assessed families in the Barangay have children in their developmental stage that can be test with MMDST.

Setting The conduction of the community/family case study by the AN0 group of Health Care II Nursing students of Mapua Institute of Technology was at Barangay 836 Zone 91 District 6, Pandacan, Manila – a community located near Sampaloc, Paco, Sta. Mesa and San Andres. It is a low profile area wherein the so called “big three” is located; these are the top 3 oil companies in Royal Dutch Shell Chevron’s Caltex and Petron Philippines. The community is often described as a poor urban society because of the congested houses. The average ratio of student/family is 1:3 in the Barangay. It is composed of Alley I, Alley II, Alley III and the Bliss. There’s also a view of the Pasig River in Barangay 836. Following this section are the descriptions of each alley in the community: Alley I Alley 1, a congested area in Barangay 836, characteristically interconnects with Alley 2 at a certain point near the train tracks. It consists of numerous small passageways lined with crammed houses either leading to various areas within the alley itself or the other vicinities of the communities. Despite the ongoing drainage repair and construction in the alley, children still manage to play in the alley’s localities. It also has a court and foul odor is clearly evident in the place. Alley II Alley II is located upon entering the barangay at the right side of the area. In the said alley, there were improperly disposed garbage and uncovered trash bins. Houses are more congested than the ones in Alley 3. Self-employment is also dynamic in the locality due

to the presence of copious sari-sari stores and eateries. There is also a health post adjacent to the court. Alley III Alley 3 is the first area located adjacent to the Barangay Hall. It extends up to the Day Care Center, overlooking the Pasig River. Based on the geographic layout of the vicinity, the road is quite smooth and the surrounding areas including the houses are clean. There is less congestion in this region of the barangay. Bliss Bliss is located just within Alley I. The walkways are very narrow and the area is immensely congested. Houses within the vicinity are built on extreme and hazardous conditions such as being piled on top of each other and improper waste disposal of some of the residents within the area. Although some of the families are able to promote apposite waste containment, accumulation of breeding sites of insects and other pests is inevitable. Bliss is considered as unsafe and the most unsanitary of all the localities of Barangay 836.

Research Design The case study conducted by the AN0 students of Mapua utilized the descriptive method of research and documentary analysis. These methods are used for the evaluation of the data gathered from the assessment guides such as health related factors and concerns of the community. Descriptive analysis was used to establish the demographics of Barangay 836 residents. Frequency distribution was used to describe the age, occupation, family income etc.

Data Gathering Procedures Permission to conduct the survey was obtained from the residents of Barangay 836 who were participative enough with the assessment procedures performed by the second year nursing students and supervised by the clinical instructors during the survey carried out from January to February 2008. Each student was assigned to three families for data accumulation via interview using the given family assessment guide, physical assessment guide and MMDST data sheets. The barangay tanods and barangay health care workers volunteered in the distribution and assignment of families in the different alleys. They also served as the students’ directional guide in traversing the various areas of the community. Assessing the health care needs and other health related concerns of each individual in every family was the top priority of each student.

Data Gathering Instruments Three different forms were utilized to gather data. These are the family assessment guide, MMDST and health assessment guide. •

Family assessment guide

-

Family Assessment Guide provides systematic and clear information about the family. It is composed of questions regarding a family’s characteristics, socioeconomic standing, health status, history, health practices, home and environment conditions. Data collation and tallying is made easy through this assessment. The common causes of family health problems and how health teachings can apply to them are easily determined.

•

Nursing Health Assessment

-

Nursing health assessment is composed of information about the patient including admission data, appearance and mental status, family history, psychological history. The mechanics of this form is to assess the patient from head to toe including vital sign, cardiovascular and gastrointestinal. Every physical feature and possible irregularities are examined in this part of the evaluation.

•

M.M.D.S.T.

-

Metro Manila Development Screening Test is an evaluation of children below five years of age. It is a test given to determine if the development of children is normal or inadequate in relation to their age bracket. There are certain tasks for the children to follow. The four domains of this test that require assessment are gross motor, language, fine motor adaptive and personal-social.

Statistical Treatment of Data Data from the respondents were tabulated. The used of sampling method was utilized in the study. Specifically, the nonprobability sampling method was used. In nonprobability sampling, the degree to which the sample differs from the population remains unknown. Part of the study computes for the percentage population of the respondents. The following statistical analyses were used: For % population:

% f = _n_ (x 100) N

For Sex ratio (SR):

SR = _# of total females_ (x 100) # of total males

For Dependency ratio (DR): DR = (0-14 yrs. old) + (65 and above yrs. old) (15 yrs. old) + (64 yrs. old)

Data Presentations Use of data presentations was utilized to visualized the data and see what happened and make interpretations. Furthermore, it is a way to show the data in comparison of two variables. Bar graphs and pie charts are the graphical form of data presentation used in this study. A bar graph compares values across categories or treatments. Pie charts are used to show the contribution of each item to the whole. The values are commonly given as a percent or a proportion. Tabular form was also used in this study for the purpose of easy interpretation and analysis of the data collected.

Population Pyramid

For % population:

% f = _n_ (x 100) N

ANALYSIS OF DATA

RESULTS AND DISCUSSION

SUMMARY, CONCLUSIONS AND RECOMMENDATIONS Summary Pandacan, the adopted community of Mapua Institute of Technology’s School of Health Sciences, is composed of Alley 1, Alley 2, Alley 3 and Bliss. The people of the barangay have been constant recipients of simple health care services offered by the Nursing students and data gathering for health related purposes since 2005. We have interviewed 97 families with a total population of 374 and majority of which is composed of females. 255 people were assessed and mostly comprised of young and middle adults. The family size of 1 to 4 members has the highest percentage in the data collected gathering 46.15% and 19.23% (15 families) has been living for not more than 5 years in Pandacan. 70.51% (55 Families) are nuclear and the rest are 24.36% (19 families) extended, 3.85% (3 families) matriarchal type and 1.28% (1 family) is patriarchal. The dominant member and basic provider of the family in Jesus St, Pandacan, Manila is the father which is usual to Filipino type of family. Singles comprised the majority class in community. Majority of the assessed couples were legally married at the right age. Mostly their houses are owned and made up of mixed type of housing materials with one room to sleep. Their appliances are colored television, refrigerator and fm/am radio. Their toilets are owned and pail system is used. When it comes to their lighting, the main source is electricity. For water potability, they order from drinking stations and keep it refrigerated. They cooked their foods using gas stove and their left over were covered. Their garbage is not covered and they just throw it on a plastic bag and it is collected by the dump collector everyday. Majority of the families do not have household pets and if they do have one those pets are not vaccinated. When it comes to religion, majority of the respondents are Roman Catholic and the others are Iglesia Ni Cristo and Born Again. For educational attainment, the highest percentage is to those who graduated from high school which is 20.10%.

The main type of employment is regular employed blue collar jobs. Most of them have a monthly income varying from 5000 and below. Most of the families in Pandacan prefer the use of cell phones for communication purposes due to its reliability and accessibility in any given area. For transportation, the residents of the community utilize various kinds of vehicles such as PUVs, pedicabs, tricycles, and trolleys. The means of social, creational, and political update of the families in the community are daily newspapers, TV, and radio. But the major bulk goes to the use of TV. The current health status were impaired vision, high blood and non productive cough ranked accordingly while most of them have a family history of hypertension, heart disease and diabetes. For the immunization of adult and children 6 years and below, most of them have complete immunizations due to the affordability of the immunizations that are sufficient on their income and the availability of the free vaccines on their works and center. Most of the kids assessed aged 5 years and below show a normal result in MMDST. When it comes to tuberculosis control, the community has only 2 positive individuals. In psychological history there is a higher percentage of alcohol user rather than tobacco user. When the time that the members of the family get sick, most of them consult or go to the health center or to the public doctor. Out of 374 total populations, 192 are females and nearly all are in the non reproductive state and if they are planning to conceive majority agreed that it will happen two years from now. They will use natural method of family planning. Expecting mothers, usually have their regular pre natal checkups and have their tetanus vaccine and ferrous sulfate received. The preferred place of delivery and manner of feeding is at the lying in clinic and to be breastfed. This community is not considered poorest of the poor but they also need attention. Their health status is not that severe they just need to have regular check-ups and do preventive method so that their health will be better. Health threats are still eminent and needs immediate response from the community. Health teaching can improve their health

and life style. In this community, you could see that they are civilized yet it needs improvement so that it will be well-developed. It just needs someone to facilitate them for further development. Not all civilized community has diminished the threats of diseases and that we as students should be aware of the situations that our people are in.

Conclusions 

The community of Barangay 836, as the designated location for the health care application of the 2nd year nursing students, was given full evaluation in various facets of health such as related illnesses and familial concerns. In the span of time the area was appraised, concerns of each family were somehow alleviated through the services specifically rendered by the nursing students. Along this, factors such as skills, interventions, and care plans were tested in terms of effectiveness.



Barangay 836 Pandacan, Manila with a total population of 374 majorities of which are females (192) 51.34% while (182) 48.36% are males.



Nursing students can improve their skills during the clinical and community duty and they can develop handling care for the patient. Health teaching skills can also be improved during the community duty in the Barangay’s. Nursing students can also improve their skills on the experience during the clinical and community duty.



The community manages the health intervention by improving the community like conducting different health teaching in the community and improving the health facilities. The health teachings help the residence to improve their awareness in different diseases and infections. Most of the environmental problem in the community is the fire hazard.



Barangay 836 has inadequate space living. Majority of the community that the group assessed has a poor environmental sanitation resulting into breeding sites found in the area.



There a lot of dogs roaming around the facility and it is dangerous for the people who live there because majority of them has no immunization.



Due to visible faulty wirings it may bring about fire hazards that ca affect their livelihood.



Not all the improving their health conditions but also all the respondents must apply to their everyday life activities.



The nursing students, as mediums of health care service, must have assessed the effectualness of the health techniques they have used and regard skill improvement as their top priority to provide better service to their future clients. The faculty, as an immense influence to the students, must work more on a greater motivation that they can bid their learners. Health intercessions must also be taken into consideration to see if further and greater enhancement is possible.



Lastly, the community must also take into account the importance of awareness and express a more positive response with regards to participation or cooperation with the barangay organizations. This may help assuage their present conditions and modify their outlook on health into a better one.



For the generalization of all the mentioned aspects of the case study, the core subject which is improvement must be given the greatest of all considerations due to the fact that it has been the most regarded in the study. For all applications and interventions to be successful, and for full awareness to gradually spread among the

residents of the community, the three main players of the study – nursing students, administrators, and community, must always bear in mind that enhancement and development are the key ingredients of every health care program.

Recommendations COMMUNITY 

The community should have a segregation scheme. They can make a craft out of it and income. Those things that could be recycled can be use for added they could sell it in the market. So even if they are just at home they could have additional income.



The community should file a request that the oil depot within the area should provide a safety measures. If health programs are to be implemented, the community should cooperate and be fully involved in the betterment of their community.



There should have regular updates, and seminars. There should also have posters and flyers.

FACULTY ADMINISTRATORS 

The faculty administrators should update the curriculum or course description based on the need or outcome that needs to be develop.



The faculty administrators should extend their capacities or broaden the scope of the community assigned. In Barangay 836 and on their own they just need someone who could facilitate them.



Faculty preceptors should once in a while have a session to all nursing students and have a preview of what is happening on the community diagnosis in preparation on their own. Second, the nursing faculty should help hand in hand with the NSTP department as a starter for the community diagnosis for nursing students should be aware on the place so that they would implement their own; they won’t have a hard time looking for families to be interviewed. There should be less time of exposure and more time in preparation for defense.

FUTURE RESEARCHERS 

The mean umbrella here is prevention. Like on those who have hypertension, they should avoid being stressed out, eating fatty foods and they should do their daily exercise. With the people with asthma, they should avoid the things which will induce their asthma and they should also avoid being exhaust. Therefore, the future researchers should find ways on how to minimize or prevent risk factors. They should educate the community on how to maintain their environment clean to prevent having illness and they should also eliminate the possible breeding sites of insects or pests.



The future researchers should conduct more frequent visit into the family, have a medical mission or free check-ups. They should coordinate with DOH to have a low priced medicine.

They could also educate the community or carry out

seminars so that people will be aware of different ways how to prevent illness and they could also voice their comments or what they feel.



The future researchers should build rapport with the people in the community. They should not just do assessment or interviews by mere question and answer; they should have open-ended questions and let the people express their feelings, because if they will just base it on the given questionnaire, the information will be limited. They should not be judgmental because what they thought they know could be wrong. The person who knows him best is his self.

APPENDICES

MAP OF MANILA (APPENDIX A)

MAP OF PANDACAN (APPENDIX B)

SPOT MAP (APPENDIX C)

Assigned Student

Spot Map Number

Name of Head of the family

Address

Del Prado

Enrile

Abuan

Agustin

Neri

Nicdao

Padillio

Odtojan

1

Diga, Alexis

2

Labnao, Ricardo

3

Mipa, Eduardo

4

Mipa, Francisco

5

Garcia jr., Arturo

6

Gajardo, Rolando

7

Gula, Genie

8

Tamayo, Donald

9

Labnao, Ruben

10

Ashote, Fidel

11

Vallejo, Ferdinand

12

Lomibao, Domingo

13

Espiritu, Juan

14

Bonus, Santiago

15

Dominquez, Ralph

16

Nepomuceno, Mildred

17

Hildap, Lolita

18

Laurente, Noel

19

Macupa, Fernando

20

Labnao, Rodel

21

Martines, Tomas

22

Silvino, Agol

23

Labnao, Ramil

2611 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 2609 L Jesus St. Pandacan Manila 2609 J Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2609 L Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 5645 Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 2601 K Jesus St. Pandacan Manila 229,2609 L Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 6415,2611 K Jesus St. Pandacan Manila 032,26-11 Jesus St. Pandacan Manila 047,26-11 Jesus St. Pandacan Manila 0172,26-11 Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila

Veluz

Toledo

San Pedro

De Guzman

De Mesa

Racpan

Galang

Frac

24

Villaroza, Rustica

25

Llenas, Teddy

26

Santander, Marcelina

27

Banhaw, Rey

28

Portes, Dennis

29

Perdon, Leticia

30

Santos, Alma

31

Ardidon, Samuel

32

Lomibao, Teresita

33

Caratay, Vergilio

34

Palero, Annabelle

35

Romeo, Cocoy

36

Lachica, Rose

37

Omar, Batan

38

Maslog, Ernesto

39

Dinglasan, Arnold

40

Dela Pena, Roger

41

Molina, Feliza

42

Bien, Allan

43

Panambitan, Arnel

44

Banaag, Leo

45

Delos Santos, Bryan

46

Esperas, Gerry

2611 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 6295 ME Alley 2 St. Peter & paul CPD Pandacan Manila 2609 Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila Alley 2 Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila Alley 2 Jesus St. Pandacan Manila Alley 2 Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2609 J Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila

Paraiso

Dayola

Realco

Guilliem

Garcia

Bao

Jalandoni

47

Basbas, Jomar

48

Guerrero, Dionito

49

Apuyan,Alberto

50

Esperidion, Salem

51

Muna, Renaldo

52

Triste, Danny

53

Nepumuceno, Mildred

54

Nepumuceno, Editha

55

Santos, Valentino

56

Solo, Ely

57

Estoya, Rene

58

Manuel, Romia

59

Indig, Alejandro

60

Mante, Revo

61

Dacies, Marcelino

62

Jalagat, Danilo

63

Mabanta, Ariel

64

Apuyan, Jason

65

Jabalde, Elmer

66

Panano, Jonathan

67

Cabangon, George C.

68

Cuarez Sr. Cyril G.

69

Damasco Gerald A.

2609 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 6611 K Jesus St. Pandacan Manila 2609 G Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2609 L Jesus St. Pandacan Manila Jesus Extension Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 2611 bliss I pandacan Manila 2609 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila

San Pablo

Tan

Fernandez

Pajara

70

Gange, Wilma

71

Andaya, Marie

72

Dela pena, Marnelle

73

Panambitan, Simplicio

74

Salanio, Ceasar

75

Solo, Maria

76

Suleta, Xyrus

77

Costodio, Ferdinand

78

Sarding, Lonrado

79

Arquero, Anghelito

80

Frenda, Ferdinand

81

Aguirre, Jose

2609 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 2609 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila 2611 K Jesus St. Pandacan Manila

COMMUNITY PRIORITIES -SCALE RANKING AND COMMUNITY NURSING CARE PLAN (APPENDIX D)

TOOL ASSESSMENT GUIDE (APPENDIX E)

HEAD AND NECK

ADMISSION DATA

Date:__________Time:__________Language used:__________ Arrived via: [ ]wheel chair [ ]stretcher [ ]ambulatory From: [ ] admitting [ ] ER [ ] MD clinic [ ] other:__________ Weight:_____kgs Height:_____ft_____in Temp:___________ Pulse:_______ Resp:_______ BP: RA_______ LA_______ Reason(s) for admission (Onset, Duration, Pt’s Perception): ___________________________________________________ ___________________________________________________

Informant: _________________________________________ Relationship to patient:______________________________ Unable to obtain history: [ ]reason(s): _________________ __________________________________________________

ORIENTATION TO UNIT Yes No [] [] [] [] [] [] [] [] [] []

Use of telephone Hot water for drinking Bed controls, Side rails Mealtime Arm bands

Yes No [] [] [] [] [] [] [] [] [] []

Mental Status: Oriented to: [ ] people [ ] time [ ] place [ ] disoriented Thought organization: [ ] comprehensible [ ] incomprehensible [ ] use inappropriate words [ ] w/speech disorder [ ] no response Speech: [ ] clear [ ] slurred [ ] others, specify:________________

General Appearance: Skin color: [ ] brown [ ] black [ ] pink [ ] pale [ ] cyanotic [ ] jaundice Uniformity of skin color: [ ] generally unifrom [ ] hyperpigmetation on: (specify area):____________ [ ] Hypopigmentation on: (specify area):____________ [ ] other, specify:_____________________________ Presence of edema: [ ] yes [ ] location:________ color:________ Temperature:__________ shape:__________ Degree of edema: [ ] 1+ barely detectable (2mm) [ ] 2+ indentation of 2-4 mm [ ] 3+ indentation of 5-7 mm [ ] 4+indention of more than 7 mm Presence of lesion: [ ] yes type: [ ] primary [ ] secondary Size:_______mm [ ] circumscribed [ ] irregular [ ] round [ ] oval [ ] elevated [ ] flat [ ] depressed [ ] solid [ ] soft [ ] hard [ ] rough [ ] thickened [ ] fluid filled [ ] flakes [ ] others, specify:_______ RESPIRATORY

APPEARANCE & MENTAL STATUS

Visiting Hours Use of Microwave TV, Room lights Call lights Use of hospital gowns

Hair & scalp: [ ] thick [ ] thin [ ] silky [ ] resilient [ ] dry [ ] oily [ ] with/ [ ] without dandruff [ ] patches of hair Others, specify:____________________ Nails (hand/feet): [ ] convex curvature [ ] smooth texture [ ] pink/brown color [ ] bluish/purplish [ ] pallor Face: [ ] symmetrical facial movement [ ] others, specify:___________________ Eyebrows: [ ] hair evenly distributed [ ] thin hair [ ] skin intact [ ] others, specify:___________________ Eyelids: [ ] skin infact [ ] no discharge [ ] no discolorization [ ] bilateral blinking [ ] others, specify:_______________ Sclera: [ ] white [ ] yellowish (dark skin) [ ] jaundice [ ] exessively pale [ ] reddened [ ] with lesions/modules Cornea: [ ] tranparent, shiny, smooth [ ] opaque [ ] others, specify:____________________ Pupil: [ ] round & reactive to light and acommodation [ ] others, specify:____________________ Visual acuity: [ ] 20/20 [ ] others, specify:_______________ [ ] wears corrective lenses/glasses [ ] no corrective lenses/glasses Ears: [ ] outer ear aligned with external canthus of eye (10˚) [ ] color same as skin color [ ] stmmetrical Nose: [ ] external: symmetrical, straight [ ] no flaking [ ] no discharge [ ] septum intact and in midline Lips & buccal mucosa: [ ] pink color [ ] lips: soft, moist, Smooth texture and symmetric [ ] others, specify:______ [ ] buccal mucosa: pink, moist, soft, smooth, glistening [ ] teeth: white, complete [ ] wears dentures: [ ] upper [ ] lower [ ] both [ ] gums: pink in color, moist, firm texture [ ] no retractions Tongue: [ ] smooth, lateral margins [ ] no lesions Tonsils: [ ] pink, smooth [ ] no lesions [ ] others, specify:_______ Neck: Lymph nodes: [ ] not enlarge [ ] others, specify:________ Thyroid gland: [ ] not enlarged [ ] others, specify:___________

Chest expansion: [ ] full, even & symmetric [ ] others, specify:________________________________ Breathing pattern: [ ] even [ ] uneven [ ] shallow [ ] dyspnea Vocal fremitus: [ ] symmetric [ ] others, specify:__________ Secretions: [ ] none [ ] others, specify:__________________ Cough: [ ] none [ ] productive [ ] non-productive

CARDIOVASCULAR No

[] [] [] [] [] [] [] []

[] [] [] [] [] [] [] []

Hypertentsion Eye disease Heart disease Obesity Rheumatic fever Tuberculosis Asthma Stroke

Yes

No

[] [] [] [] [] [] [] []

[] [] [] [] [] [] [] []

Recent Srtess:________________________________________ Coping mechanism:___________________________________ Support system:______________________________________ Calm: [ ] yes [ ] no Anxious: [ ] yes [ ] no Afraid: [ ] yes [ ] no Religion:____________________________________________ Tobacco use: [ ] yes, number of sticks/day:_________ [ ] no Alcohol use: [ ] yes, number of glasses/day:_________ [ ] no Type of beverage: [ ] beer [ ] wine [ ] champaigne [ ] others:________ Drug use: [ ] yes [ ] no

SAN LORENZO RUIZ SCHOOL SCHOOL OF HEALTH SCIENCES MAPUA INSTITUTE OF TECHNOLOGY

SELF-CARE GENITO-URINARY

PSYCHOLOGICAL HISTORY

GASTROINTESTINAL

FAMILY HISTORY

Diabetes Blood dyscrasia Hearing loss/problems High blood pressure Congenital heart diesease Cancer, specify:________ Kidney problem Seizure disorder

Yes

Pulses: Apical rate:__bpm__[ ]regular [ ]irregular [ ]pacemake S=strong W=weak A=absent D=Doppler Radial: right___ left:___ pedal: right:___ left:___ Perfusion: [ ] warm [ ] dry [ ] diaphoretic [ ] cool Others: [ ] site:_______________ [] site:_______________ [] site:_______________ [] site:_______________

Oral Mucosa: [ ] normal others, specify:______________ Bowel sounds: [ ] normal [ ] others, specify:___________ Stool frequency:__________ Character:_______________ Last bowel movement date:__________________________

Urine Last voided: date/time of day: [ ] am [ ] pm [ ] normal [ ] anuria [ ] hematuria [ ] dysuria [ ] montinent Others: ___________________________________________ Cather type:_______________ others:_________________ [ ] Vagina/penile discharge: describe:__________________ Menarche:_________ Last Menstrual Period:______________ Need assitance with: [ ] meals [ ] elimination [ ] ambulation [ ] hygiene [ ] dressing

Patient’s Name:__________________________ Age/Sex:__________Hospital no.____________ Room no:__________

MAPUA INSTITUTE OF TECHNOLOGY School of Health Sciences College of Nursing FAMILY ASSESSMENT GUIDE Client Head of the Family:_________________________________________________ Surname First Name MI I. Demographic Data:

Household No.:___________

Address:___________________________

Barangay House No.:_________________

II. Family Data: Family size:____________________ III. Family Characteristics: A. Type of family structure: [ ] nuclear

[ ] extended

Length of residancy:________________ [ ] matriarchal

[ ] patriarchal

[ ] others, pls. specify: ________________

B. Dominant family member:____________________________ C. Family member’s chart : Family Members

Age

Sex

Religion

Civils Status

Birthday Month

Year

Relationshi p to the head of the family

Educational Attainment

Occupation Type of Work

Place of work

IV. Socio-economic Characteristics: A. Source of Income: Husband: [ ] regular employee [ ] contracual [ ] casual [ ] self-employed [ ] none [ ] others, pls. specify:_____ B. Monthly family income: Total (please, check): below Php above Php above Php above Php

5,000.00 5,001.00 - 10,000.00 10,001.00 - 15,000.00 15,001.00 - 20,000.00

[] [] [] []

above Php 20,001.00 - 30,000.00 above Php 30,001.00 - 40,000.00 above Php 40,001.00 - 50,000.00 more than Php 50,001.00

[] [] [] []

C. General family relationship Dynamics: Language used:__________________ Dialect used:____________________________________________________ Any noticable favorable & unfavorable communication pattern in expressing oneself:______________________________ ___________________________________________________________________________________________________________ _ D. Kind of neighborhood: [ ] poor rural

[ ] poor urban

[ ] urban

[ ] others, specify:__________________________________

E. Social & health facilities available:____________________________________________________________________________ F. Communication & transportation facilities:_____________________________________________________________________ V. Family health current status/ health history ( use the Physical Assessment form for each member of the famiy ) A. Father:__________________________________________________________________________________________________ B. Mother:_________________________________________________________________________________________________ C. Elderly:

Name

Age

Current illness

Immunization Record Hepa B

Influenza

Hepa A

Others (Specify)

D. Children: ( age 72 months and below ) Children’s Name

Age (mos)

Ht (cms)

Wt (kgs )

Bcg

Dpt 1

2

1

OPV 2 3

[ ] albularyo

[ ] nurse

3

B

Immunization HepaB B 1 2 3

B

1

MMR 2 3

b

1. 2. 3. 4. 5. 6. 7. VI. Health and health practices: A. Who do you consult for heath related problems? [ ] manghihilot [ ] midwife [ ] doctor [ ] BHW

[ ] health center

[ ] others, specify:_______

B. For problems other than health, who do you consult? [ ] family members [ ] friends [ ] priest [ ] relatives C. Have you had adequate: rest & sleep? exercise? relaxation activities stress management activities? VII. Home & Environment: A. Ownership: [ ] owned

[ ] rented

B. Type of housing materials: [ ] light

[ ] barangasy official

[ ] yes [ ] yes [ ] yes [ ] yes

[ ] no [ ] no [ ] no [ ] no

[ ] others,specify:______________________

why?:_________________________________________ why?:_________________________________________ why?:_________________________________________ why?:__________________________________________

[ ] rent-free [ ] mixed

[ ] strong

C. Number of rooms for sleeping:______________________ D. Is the living space adequate? [ ] yes

[ ] no

E. What are the appliances owned by the family? [ ] television set : [ ] black & white [ ] colored [ ] radio: [ ] FM/AM simple radio battery operated [ ] component (describe):_____ [ ] refrigerator [ ] microwave oven [ ] air conditioning unit F. Lighting facilities: [ ] electricity

[ ] kerosene

[ ] others, specify:

G. General sanitary condition:___________________________________________________________________________________ ___________________________________________________________________________________________________________ _ ___________________________________________________________________________________________________________ _ ___________________________________________________________________________________________________________ _ H. Drinking water supply: Source: [ ] private [ ] public [ ] others, specify I. Potability:__________________________________________________________________________________________________ J. Drinking water storage: [ ] refrigerated

[ ] large uncovered container with faucet [ ] large covered container without faucet [ ] none (direct from the faucet or pipe

[ ] large uncovered container with faucet [ ] large covered container with faucet [ ] others, specify:_____________________

K. Kitchen: cooking facility: [ ] electric stove [ ] gas stove [ ] firewood/ charcoal Drainage: [ ] open drainage [ ] blind storage [ ] none Food storage: [ ] covered [ ] refrigerated [ ] uncovered [ ] cabinet Sanitary condition:__________________________________________________________________________________ ___________________________________________________________________________________ L. Waste Disposal: 1. Garbage: Container of the garbage: Method of the Disposal: 2. Toilet Type:

[ ] covered [ ]collected [ ] burying in pit

[ ] not covered [ ] none [ ] hog feeding [ ] open dumping [ ] throw in the river [ ] composting

[ ] open burning [ ] others,specify:___

[ ] none [ ] overhung latine [ ] closed pit privy [ ] open pit privy [ ] bored-hole latrine [ ] pail system [ ] Antipolo[ ] water-sealed latrine [ ] flush type [ ] none [ ] others, specify:_____________________

Distance from the house:___________________________ Sanitary condition:___________________________________ ____________________________________ M. Common house hold pets found at home/yard: Kind

Quantity

Where Kept

With vaccination against anti rabies

(√)

N. Are there breeding sites of insects, rodent, etc. present? [ ] yes [ ] none M. Orderly & clean surrounding in & out of the house: [ ] yes

[ ] no

N. Are there accident hazards present? [ ] yes specify:________________________________________________________________ VII. Awareness of the community organization: A. Are you aware of existing organizations in the community? [ ] yes

[ ] none

B. Name all the organization you know: C. Are you or any member of your family a member of any of these organization? [ ] yes name of organizations & positions: Family member’s name

If member, specify names of children,

Name of organization/ position designation

D. Are you aware of its activities & projects? [ ] yes E. How are you involved in its activities? [ ] attend meeting regularly [ ] planning

[ ] no [ ] implementation

[ ] give donation

[ ] evaluation

[ ] others, specify:____

IX. Family Planning Practices of Married Women of Reproductive Age (MWRA- 15- 49 years old) (to be asked from the mother or expectant mother) A.Reproductive state: [ ] menopausal (inurungan ng regla) [ ] hysterectomized (natanggalan na ng bahay-bata) (end of interview, proceed to sector X. If not applicable, please proceed to letter B) B. Are you currently pregnant? (Kayo po ba ay buntis sa kasalukuyan?) [ ] yes, # of months:_________ due date:_________ order of sibling (current pregnancy):__________________(if yes,proceed to C) [ ] no [ ] not sure (for “no” or “not sure” response, proceed to D) C. Do you intend to have another child after this pregnancy? [ ] no [ ] yes, after 2 years (Nais pa po ba ninyong dagdagan ang inyong mga anak?) (proceed to letter D)

[ ] yes, within 2 years

D. Are you interested to use a family planning method? [ ] yes [ ] current user (proceed to letter E) [ ] no, why?______________________________________________________(if “no”, end of interview, proceed to sector X) (interesado po ba kayong gumamit ng kahit anong pamamaraan ng pagpaplano ng pamilya?) If yes, what do you intend to use? (Kung OO, ano po ang inyong nais gamiting pamamaraan?) [ ] Temporary Method : [ ] Pill [ ] IUD [ ] Injectables [ ] Mucus/Billings/Ovulation [ ] Basal Body Temperature Condom [ ] Standard Days Method [ ] Permanent Method: [ ] Vasectomy

[ ] Tubal Ligation

(end of interview proceed to sector X)

E. Are you using any type of family planning method? [ ] yes, tick (√) the box that applies: [ ] Temporary Method : [ ] Pill [ ] IUD [ ] Injectables [ ] Mucus/Billings/Ovulation Condom [ ] Standard Days Method [ ] Permanent Method: [ ] Vasectomy (proceed to letter F)

[]

[ ] Basal Body Temperature

[]

[ ] Tubal Ligation

F. Where did you get the information about the family planning you are currently using? (Saan po ninyo nalaman kung paano gamitin ang pamamaraan ng pagpaplano na kasalukuyang ninyong ginagamit?)

(end of interview) X. Maternal & Child Care: (Proceed only if the the mother is pregnant, If not or there’s no other pregnant women in the family, proceed to Sector X. However, if pregnant women is other than the mother, proceed to ask the following questions) Name of pregnant mother:_______________________________________________ Relatiionship to the head of the family:______________________ Remarks:______________________________________________________________________________________________________ ________________ A. When was your last menstruation? (Kailan po ang inyong huling regla?)_____________________________(day/month/year) B. Did you have your pre-natal check-up? (Kayopo ba ay naka-pag-pre-natal check-up na?) [ ] yes, where?_______________________________________ How many times? (Ilang beses na po?)_________________________ [ ] no, why?__________________________________________ C. Did you receive your tetanus vaccination? (Nabakunahan na po ba kayo ng tetanus toxoid?) [ ] yes [ ] no, why?__________________________ How many tetanus vaccintation did you already received? (Sa kabuuan, ilan na pong bakuna para sa tetano ang inyong natanggap?)_________________ D.Do you have ferrous sulfate?(Nakatanggap na po ba kayo ng ferrous sulfate?) [ ] yes

[ ] not yet

E. Where dou have to intent to have your baby delivered?(Saan po ninyo binabalak na manganak?) [ ] house (bahay) lying-in clinic

[ ] hospital

F. How do you intent to feed your baby?(Paano po ninyo pasususuhin ang inyong bagong silang na anak?) [ ]breast feeding feeding

[]

[ ] bottle

G. Did you exclusively breastfeed your other children before they are 6 months old? (Kayo po ba ay eksklusibong nagpasuso ng inyong mga anak bago sumapit ang ika-anim na buwan nilang kapanganakan?) [ ] yes [ ] no IX. Tuberculosis Control A. Are you or anyone in your family that has cough & colds for more than 2 weeks or more? (Kayo po ba o sino man sa inyong kapamilya ang may ubo at sipon na may 2 linggo na o higit pa?) [ ] none [ ] there is B. Have you or the other member of your family have consulted a physician because of this? ( Kayo po ba o ang inyong kapamilya ay nakapagkonsulta dahil dito?) [ ] yes where: [ ] public MD [ ] private MD [ ] no C. Have you or the other member of the family been diagnosed with pulmonary tuberculosis? ( Kayo po ba o sino man sa inyong kapamilya ay kasalukuyang may tuberculosis ayon sa diagnosis ng doctor?) [ ]none [ ] there is how many:_________ age(s): 1st : ______ 2nd : ______ 3rd:_______ D. Do you or your other member of the family currently taking medicines for tuberculosis? ( Kayo po ba o o ang inyong kapamilya ay umiinom ng gamot para sa tuberculosis?) [ ] yes [ ] no E. Where did you get your medicines for tuberculosis? (Saan po ninyo kinukuha ang inyong mga gamot para sa TB?)________________________________ F. Do you or other member of the family take your medicines regularly?( Kayo po ba o ang inyong kapamilya ay umiinom ng gamot araw-araw?) [ ] yes [ ] no G. Do you “have treatment partner” who assist you or the other member of the family to take your medicines regularly?(Mayroon po ba kayo o ang inyong kapamilya na “treatment partner” sa pag-inom ng gamot laban sa TB?) [ ] yes, there is who is your “treatment partner”?_______________ [ ]none (end of interview) Maraming pong salamat sa panahon na iniukol po ninyo sa amin. Ako po ay muling magbabalik sa susunod na linggo.

BARANGAY 836 HALL (APPENDIX F)

We students assembled in the Barangay Hall on the first day of our community duty. We met the Barangay officials who guided us throughout our community stay.

TRANSPORTATION FACILITIES (APPENDIX G)

These pictures describe the transportation used in this Barangay. These shows that these vehicles are what the inhabitants of the community use to get around.

HEALTH FACILITIES (APPENDIX H)

Shown above is the City of Manila Health Center, Isidro Mendoza Jesus St., Pandacan Manila. This is the nearest health center in the community & this is where all first aids and care can be implemented immediately in times of emergency situations.

The pictures above show the Health and Nutrition Post and Botika ng Barangay. This is the nearest pharmacy where some medicines can be bought at an affordable price in the community

SOCIAL FACILITIES (APPENDIX I)

Department of Social Welfare District VI Manila Day Care Center, this picture shows the day-care center of the Barangay, wherein the children of the community are for the 1st time are taught more about the world around them.

Peter Paul Park was the greenest part of the barangay, and it provided a spectacular view of the Pasig River. This place was said to be the most focused project of the Barangay captain.

Recreational facilities found in the Barangay, the Basketball court & the playground provides people of all ages a fun place to go to.

San Roque Community Chapel and the Seventh-Day Adventist Church, these are the places where religious gatherings take place.

ALLEY I (APPENDIX J)

Alley 1 was the first area of the Barangay in our priority list; this is the 1st area that we visited, this area is a bit congested & all the houses seem to be close to each other.

ALLEY II (APPENDIX K)

Alley 2 was our second stop; this area was a bit more spacious than alley 1 because it was located at a wider road and vehicles could pass through.

ALLEY III (APPENDIX L)

Alley 3 is the most spacious & one of the cleanest parts of the Barangay where not much rubbish litters the streets.

BLISS (APPENDIX M)

Bliss is located just within Alley I. this area is the most congested and hazardous due to possible danger of fire and exposed electrical wiring.

LIST OF STUDENTS (APPENDIX N)

List of students

Surname

Given Name

Middle Initial

Section

Student Number

Abuan

Sid Nicholas

M.

AN02

2006171011

Agustin

John Joseph

S.

AN02

2006170327

Bao

Jean Marc

S.

AN02

2005170708

Dayola

Rose Marie

G.

AN01

2006170906

De Guzman

Ronnel

V.

AN02

2006170807

Del Prado

Ana Michaela

M.

AN02

2006170918

De mesa

Matthew

C.

AN02

2006170421

Enrile

Samantha Danielle

C.

AN01

2006170519

Frac

Eda Marie

S.

AN02

2006170902

Galang

Jean Abegail

B.

AN02

2006170117

Garcia

Arriane Rose

B.

AN02

2006170523

Guillem

Jayson

V.

AN02

2006170717

Jalandoni

Rhea

V.

AN01

2006170104

Neri

Kathleen Joyce

A.

AN01

2006170406

Nicdao

Marlon

B.

AN01

2006170813

Odtojan

Jun Philip

N.

AN01

2006170753

Padillo

John Michael

M.

AN01

2006170745

Pajara

Jerome Niko

B.

AN01

2006170921

Paraiso

Jeraldine May

M.

AN01

2006170103

Racpan

Joana Lyn

M.

AN02

2006170413

Realco

Robert Daryl

A.

AN01

2006170520

100

Adrienne Bianca

G.

AN02

2005173012

San Pedro

Angie Lee

P.

AN02

2006170817

Tan

Ron Christopher

M.

AN01

2006170832

Toledo

Rosedeelyn

B.

AN01

2006170503

Veluz

Maria Corazon

S.

AN01

2006170348

Fernandez

Maria Leslie Hays

R.

AN02

2004171417

Clinical Instructors: Professor Elizabeth C. Paragas - AN01 Professor Carolina P. Fortuno - AN02

COMMUNITY PRIORITIES -SCALE RANKING AND COMMUNITY NURSING CARE PLAN (APPENDIX D)

TOOL ASSESSMENT GUIDE (APPENDIX E)

HEAD AND NECK

ADMISSION DATA

Date:__________Time:__________Language used:__________ Arrived via: [ ]wheel chair [ ]stretcher [ ]ambulatory From: [ ] admitting [ ] ER [ ] MD clinic [ ] other:__________ Weight:_____kgs Height:_____ft_____in Temp:___________ Pulse:_______ Resp:_______ BP: RA_______ LA_______ Reason(s) for admission (Onset, Duration, Pt’s Perception): ___________________________________________________ ___________________________________________________

Informant: _________________________________________ Relationship to patient:______________________________ Unable to obtain history: [ ]reason(s): _________________ __________________________________________________

ORIENTATION TO UNIT Yes No [] [] [] [] [] [] [] [] [] []

Use of telephone Hot water for drinking Bed controls, Side rails Mealtime Arm bands

Yes No [] [] [] [] [] [] [] [] [] []

Mental Status: Oriented to: [ ] people [ ] time [ ] place [ ] disoriented Thought organization: [ ] comprehensible [ ] incomprehensible [ ] use inappropriate words [ ] w/speech disorder [ ] no response Speech: [ ] clear [ ] slurred [ ] others, specify:________________

General Appearance: Skin color: [ ] brown [ ] black [ ] pink [ ] pale [ ] cyanotic [ ] jaundice Uniformity of skin color: [ ] generally unifrom [ ] hyperpigmetation on: (specify area):____________ [ ] Hypopigmentation on: (specify area):____________ [ ] other, specify:_____________________________ Presence of edema: [ ] yes [ ] location:________ color:________ Temperature:__________ shape:__________ Degree of edema: [ ] 1+ barely detectable (2mm) [ ] 2+ indentation of 2-4 mm [ ] 3+ indentation of 5-7 mm [ ] 4+indention of more than 7 mm Presence of lesion: [ ] yes type: [ ] primary [ ] secondary Size:_______mm [ ] circumscribed [ ] irregular [ ] round [ ] oval [ ] elevated [ ] flat [ ] depressed [ ] solid [ ] soft [ ] hard [ ] rough [ ] thickened [ ] fluid filled [ ] flakes [ ] others, specify:_______ RESPIRATORY

APPEARANCE & MENTAL STATUS

Visiting Hours Use of Microwave TV, Room lights Call lights Use of hospital gowns

Hair & scalp: [ ] thick [ ] thin [ ] silky [ ] resilient [ ] dry [ ] oily [ ] with/ [ ] without dandruff [ ] patches of hair Others, specify:____________________ Nails (hand/feet): [ ] convex curvature [ ] smooth texture [ ] pink/brown color [ ] bluish/purplish [ ] pallor Face: [ ] symmetrical facial movement [ ] others, specify:___________________ Eyebrows: [ ] hair evenly distributed [ ] thin hair [ ] skin intact [ ] others, specify:___________________ Eyelids: [ ] skin infact [ ] no discharge [ ] no discolorization [ ] bilateral blinking [ ] others, specify:_______________ Sclera: [ ] white [ ] yellowish (dark skin) [ ] jaundice [ ] exessively pale [ ] reddened [ ] with lesions/modules Cornea: [ ] tranparent, shiny, smooth [ ] opaque [ ] others, specify:____________________ Pupil: [ ] round & reactive to light and acommodation [ ] others, specify:____________________ Visual acuity: [ ] 20/20 [ ] others, specify:_______________ [ ] wears corrective lenses/glasses [ ] no corrective lenses/glasses Ears: [ ] outer ear aligned with external canthus of eye (10˚) [ ] color same as skin color [ ] stmmetrical Nose: [ ] external: symmetrical, straight [ ] no flaking [ ] no discharge [ ] septum intact and in midline Lips & buccal mucosa: [ ] pink color [ ] lips: soft, moist, Smooth texture and symmetric [ ] others, specify:______ [ ] buccal mucosa: pink, moist, soft, smooth, glistening [ ] teeth: white, complete [ ] wears dentures: [ ] upper [ ] lower [ ] both [ ] gums: pink in color, moist, firm texture [ ] no retractions Tongue: [ ] smooth, lateral margins [ ] no lesions Tonsils: [ ] pink, smooth [ ] no lesions [ ] others, specify:_______ Neck: Lymph nodes: [ ] not enlarge [ ] others, specify:________ Thyroid gland: [ ] not enlarged [ ] others, specify:___________

Chest expansion: [ ] full, even & symmetric [ ] others, specify:________________________________ Breathing pattern: [ ] even [ ] uneven [ ] shallow [ ] dyspnea Vocal fremitus: [ ] symmetric [ ] others, specify:__________ Secretions: [ ] none [ ] others, specify:__________________ Cough: [ ] none [ ] productive [ ] non-productive

CARDIOVASCULAR No

[] [] [] [] [] [] [] []

[] [] [] [] [] [] [] []

Hypertentsion Eye disease Heart disease Obesity Rheumatic fever Tuberculosis Asthma Stroke

Yes

No

[] [] [] [] [] [] [] []

[] [] [] [] [] [] [] []

Recent Srtess:________________________________________ Coping mechanism:___________________________________ Support system:______________________________________ Calm: [ ] yes [ ] no Anxious: [ ] yes [ ] no Afraid: [ ] yes [ ] no Religion:____________________________________________ Tobacco use: [ ] yes, number of sticks/day:_________ [ ] no Alcohol use: [ ] yes, number of glasses/day:_________ [ ] no Type of beverage: [ ] beer [ ] wine [ ] champaigne [ ] others:________ Drug use: [ ] yes [ ] no

SAN LORENZO RUIZ SCHOOL SCHOOL OF HEALTH SCIENCES MAPUA INSTITUTE OF TECHNOLOGY

SELF-CARE GENITO-URINARY

PSYCHOLOGICAL HISTORY

GASTROINTESTINAL

FAMILY HISTORY

Diabetes Blood dyscrasia Hearing loss/problems High blood pressure Congenital heart diesease Cancer, specify:________ Kidney problem Seizure disorder

Yes

Pulses: Apical rate:__bpm__[ ]regular [ ]irregular [ ]pacemake S=strong W=weak A=absent D=Doppler Radial: right___ left:___ pedal: right:___ left:___ Perfusion: [ ] warm [ ] dry [ ] diaphoretic [ ] cool Others: [ ] site:_______________ [] site:_______________ [] site:_______________ [] site:_______________

Oral Mucosa: [ ] normal others, specify:______________ Bowel sounds: [ ] normal [ ] others, specify:___________ Stool frequency:__________ Character:_______________ Last bowel movement date:__________________________

Urine Last voided: date/time of day: [ ] am [ ] pm [ ] normal [ ] anuria [ ] hematuria [ ] dysuria [ ] montinent Others: ___________________________________________ Cather type:_______________ others:_________________ [ ] Vagina/penile discharge: describe:__________________ Menarche:_________ Last Menstrual Period:______________ Need assitance with: [ ] meals [ ] elimination [ ] ambulation [ ] hygiene [ ] dressing

Patient’s Name:__________________________ Age/Sex:__________Hospital no.____________ Room no:__________

MAPUA INSTITUTE OF TECHNOLOGY School of Health Sciences College of Nursing FAMILY ASSESSMENT GUIDE Client Head of the Family:_________________________________________________ Surname First Name MI I. Demographic Data:

Household No.:___________

Address:___________________________

Barangay House No.:_________________

II. Family Data: Family size:____________________ III. Family Characteristics: A. Type of family structure: [ ] nuclear

[ ] extended

Length of residancy:________________ [ ] matriarchal

[ ] patriarchal

[ ] others, pls. specify: ________________

B. Dominant family member:____________________________ C. Family member’s chart : Family Members

Age

Sex

Religion

Civils Status

Birthday Month

Year

Relationshi p to the head of the family

Educational Attainment

Occupation Type of Work

Place of work

IV. Socio-economic Characteristics: A. Source of Income: Husband: [ ] regular employee [ ] contracual [ ] casual [ ] self-employed [ ] none [ ] others, pls. specify:_____ B. Monthly family income: Total (please, check): below Php above Php above Php above Php

5,000.00 5,001.00 - 10,000.00 10,001.00 - 15,000.00 15,001.00 - 20,000.00

[] [] [] []

above Php 20,001.00 - 30,000.00 above Php 30,001.00 - 40,000.00 above Php 40,001.00 - 50,000.00 more than Php 50,001.00

[] [] [] []

C. General family relationship Dynamics: Language used:__________________ Dialect used:____________________________________________________ Any noticable favorable & unfavorable communication pattern in expressing oneself:______________________________ ___________________________________________________________________________________________________________ _ D. Kind of neighborhood: [ ] poor rural

[ ] poor urban

[ ] urban

[ ] others, specify:__________________________________

E. Social & health facilities available:____________________________________________________________________________ F. Communication & transportation facilities:_____________________________________________________________________ V. Family health current status/ health history ( use the Physical Assessment form for each member of the famiy ) A. Father:__________________________________________________________________________________________________ B. Mother:_________________________________________________________________________________________________ C. Elderly:

Name

Age

Current illness

Immunization Record Hepa B

Influenza

Hepa A

Others (Specify)

D. Children: ( age 72 months and below ) Children’s Name

Age (mos)

Ht (cms)

Wt (kgs )

Bcg

Dpt 1

2

1

OPV 2 3

[ ] albularyo

[ ] nurse

3

B

Immunization HepaB B 1 2 3

B

1

MMR 2 3

b

1. 2. 3. 4. 5. 6. 7. VI. Health and health practices: A. Who do you consult for heath related problems? [ ] manghihilot [ ] midwife [ ] doctor [ ] BHW

[ ] health center

[ ] others, specify:_______

B. For problems other than health, who do you consult? [ ] family members [ ] friends [ ] priest [ ] relatives C. Have you had adequate: rest & sleep? exercise? relaxation activities stress management activities? VII. Home & Environment: A. Ownership: [ ] owned

[ ] rented

B. Type of housing materials: [ ] light

[ ] barangasy official

[ ] yes [ ] yes [ ] yes [ ] yes

[ ] no [ ] no [ ] no [ ] no

[ ] others,specify:______________________

why?:_________________________________________ why?:_________________________________________ why?:_________________________________________ why?:__________________________________________

[ ] rent-free [ ] mixed

[ ] strong

C. Number of rooms for sleeping:______________________ D. Is the living space adequate? [ ] yes

[ ] no

E. What are the appliances owned by the family? [ ] television set : [ ] black & white [ ] colored [ ] radio: [ ] FM/AM simple radio battery operated [ ] component (describe):_____ [ ] refrigerator [ ] microwave oven [ ] air conditioning unit F. Lighting facilities: [ ] electricity

[ ] kerosene

[ ] others, specify:

G. General sanitary condition:___________________________________________________________________________________ ___________________________________________________________________________________________________________ _ ___________________________________________________________________________________________________________ _ ___________________________________________________________________________________________________________ _ H. Drinking water supply: Source: [ ] private [ ] public [ ] others, specify I. Potability:__________________________________________________________________________________________________ J. Drinking water storage: [ ] refrigerated

[ ] large uncovered container with faucet [ ] large covered container without faucet [ ] none (direct from the faucet or pipe

[ ] large uncovered container with faucet [ ] large covered container with faucet [ ] others, specify:_____________________

K. Kitchen: cooking facility: [ ] electric stove [ ] gas stove [ ] firewood/ charcoal Drainage: [ ] open drainage [ ] blind storage [ ] none Food storage: [ ] covered [ ] refrigerated [ ] uncovered [ ] cabinet Sanitary condition:__________________________________________________________________________________ ___________________________________________________________________________________ L. Waste Disposal: 1. Garbage: Container of the garbage: Method of the Disposal: 2. Toilet Type:

[ ] covered [ ]collected [ ] burying in pit

[ ] not covered [ ] none [ ] hog feeding [ ] open dumping [ ] throw in the river [ ] composting

[ ] open burning [ ] others,specify:___

[ ] none [ ] overhung latine [ ] closed pit privy [ ] open pit privy [ ] bored-hole latrine [ ] pail system [ ] Antipolo[ ] water-sealed latrine [ ] flush type [ ] none [ ] others, specify:_____________________

Distance from the house:___________________________ Sanitary condition:___________________________________ ____________________________________ M. Common house hold pets found at home/yard: Kind

Quantity

Where Kept

With vaccination against anti rabies

(√)

N. Are there breeding sites of insects, rodent, etc. present? [ ] yes [ ] none M. Orderly & clean surrounding in & out of the house: [ ] yes

[ ] no

N. Are there accident hazards present? [ ] yes specify:________________________________________________________________ VII. Awareness of the community organization: A. Are you aware of existing organizations in the community? [ ] yes

[ ] none

B. Name all the organization you know: C. Are you or any member of your family a member of any of these organization? [ ] yes name of organizations & positions: Family member’s name

If member, specify names of children,

Name of organization/ position designation

D. Are you aware of its activities & projects? [ ] yes E. How are you involved in its activities? [ ] attend meeting regularly [ ] planning

[ ] no [ ] implementation

[ ] give donation

[ ] evaluation

[ ] others, specify:____

IX. Family Planning Practices of Married Women of Reproductive Age (MWRA- 15- 49 years old) (to be asked from the mother or expectant mother) A.Reproductive state: [ ] menopausal (inurungan ng regla) [ ] hysterectomized (natanggalan na ng bahay-bata) (end of interview, proceed to sector X. If not applicable, please proceed to letter B) B. Are you currently pregnant? (Kayo po ba ay buntis sa kasalukuyan?) [ ] yes, # of months:_________ due date:_________ order of sibling (current pregnancy):__________________(if yes,proceed to C) [ ] no [ ] not sure (for “no” or “not sure” response, proceed to D) C. Do you intend to have another child after this pregnancy? [ ] no [ ] yes, after 2 years (Nais pa po ba ninyong dagdagan ang inyong mga anak?) (proceed to letter D)

[ ] yes, within 2 years

D. Are you interested to use a family planning method? [ ] yes [ ] current user (proceed to letter E) [ ] no, why?______________________________________________________(if “no”, end of interview, proceed to sector X) (interesado po ba kayong gumamit ng kahit anong pamamaraan ng pagpaplano ng pamilya?) If yes, what do you intend to use? (Kung OO, ano po ang inyong nais gamiting pamamaraan?) [ ] Temporary Method : [ ] Pill [ ] IUD [ ] Injectables [ ] Mucus/Billings/Ovulation [ ] Basal Body Temperature Condom [ ] Standard Days Method [ ] Permanent Method: [ ] Vasectomy

[ ] Tubal Ligation

(end of interview proceed to sector X)

E. Are you using any type of family planning method? [ ] yes, tick (√) the box that applies: [ ] Temporary Method : [ ] Pill [ ] IUD [ ] Injectables [ ] Mucus/Billings/Ovulation Condom [ ] Standard Days Method [ ] Permanent Method: [ ] Vasectomy (proceed to letter F)

[]

[ ] Basal Body Temperature

[]

[ ] Tubal Ligation

F. Where did you get the information about the family planning you are currently using? (Saan po ninyo nalaman kung paano gamitin ang pamamaraan ng pagpaplano na kasalukuyang ninyong ginagamit?)

(end of interview) X. Maternal & Child Care: (Proceed only if the the mother is pregnant, If not or there’s no other pregnant women in the family, proceed to Sector X. However, if pregnant women is other than the mother, proceed to ask the following questions) Name of pregnant mother:_______________________________________________ Relatiionship to the head of the family:______________________ Remarks:______________________________________________________________________________________________________ ________________ A. When was your last menstruation? (Kailan po ang inyong huling regla?)_____________________________(day/month/year) B. Did you have your pre-natal check-up? (Kayopo ba ay naka-pag-pre-natal check-up na?) [ ] yes, where?_______________________________________ How many times? (Ilang beses na po?)_________________________ [ ] no, why?__________________________________________ C. Did you receive your tetanus vaccination? (Nabakunahan na po ba kayo ng tetanus toxoid?) [ ] yes [ ] no, why?__________________________ How many tetanus vaccintation did you already received? (Sa kabuuan, ilan na pong bakuna para sa tetano ang inyong natanggap?)_________________ D.Do you have ferrous sulfate?(Nakatanggap na po ba kayo ng ferrous sulfate?) [ ] yes

[ ] not yet

E. Where dou have to intent to have your baby delivered?(Saan po ninyo binabalak na manganak?) [ ] house (bahay) lying-in clinic

[ ] hospital

F. How do you intent to feed your baby?(Paano po ninyo pasususuhin ang inyong bagong silang na anak?) [ ]breast feeding feeding

[]

[ ] bottle

G. Did you exclusively breastfeed your other children before they are 6 months old? (Kayo po ba ay eksklusibong nagpasuso ng inyong mga anak bago sumapit ang ika-anim na buwan nilang kapanganakan?) [ ] yes [ ] no IX. Tuberculosis Control A. Are you or anyone in your family that has cough & colds for more than 2 weeks or more? (Kayo po ba o sino man sa inyong kapamilya ang may ubo at sipon na may 2 linggo na o higit pa?) [ ] none [ ] there is B. Have you or the other member of your family have consulted a physician because of this? ( Kayo po ba o ang inyong kapamilya ay nakapagkonsulta dahil dito?) [ ] yes where: [ ] public MD [ ] private MD [ ] no C. Have you or the other member of the family been diagnosed with pulmonary tuberculosis? ( Kayo po ba o sino man sa inyong kapamilya ay kasalukuyang may tuberculosis ayon sa diagnosis ng doctor?) [ ]none [ ] there is how many:_________ age(s): 1st : ______ 2nd : ______ 3rd:_______ D. Do you or your other member of the family currently taking medicines for tuberculosis? ( Kayo po ba o o ang inyong kapamilya ay umiinom ng gamot para sa tuberculosis?) [ ] yes [ ] no E. Where did you get your medicines for tuberculosis? (Saan po ninyo kinukuha ang inyong mga gamot para sa TB?)________________________________ F. Do you or other member of the family take your medicines regularly?( Kayo po ba o ang inyong kapamilya ay umiinom ng gamot araw-araw?) [ ] yes [ ] no G. Do you “have treatment partner” who assist you or the other member of the family to take your medicines regularly?(Mayroon po ba kayo o ang inyong kapamilya na “treatment partner” sa pag-inom ng gamot laban sa TB?) [ ] yes, there is who is your “treatment partner”?_______________ [ ]none (end of interview) Maraming pong salamat sa panahon na iniukol po ninyo sa amin. Ako po ay muling magbabalik sa susunod na linggo.

BARANGAY 836 HALL (APPENDIX F)

We students assembled in the Barangay Hall on the first day of our community duty. We met the Barangay officials who guided us throughout our community stay.

TRANSPORTATION FACILITIES (APPENDIX G)

These pictures describe the transportation used in this Barangay. These shows that these vehicles are what the inhabitants of the community use to get around.

HEALTH FACILITIES (APPENDIX H)

Shown above is the City of Manila Health Center, Isidro Mendoza Jesus St., Pandacan Manila. This is the nearest health center in the community & this is where all first aids and care can be implemented immediately in times of emergency situations.

The pictures above show the Health and Nutrition Post and Botika ng Barangay. This is the nearest pharmacy where some medicines can be bought at an affordable price in the community

SOCIAL FACILITIES (APPENDIX I)

Department of Social Welfare District VI Manila Day Care Center, this picture shows the day-care center of the Barangay, wherein the children of the community are for the 1st time are taught more about the world around them.

Peter Paul Park was the greenest part of the barangay, and it provided a spectacular view of the Pasig River. This place was said to be the most focused project of the Barangay captain.

Recreational facilities found in the Barangay, the Basketball court & the playground provides people of all ages a fun place to go to.

San Roque Community Chapel and the Seventh-Day Adventist Church, these are the places where religious gatherings take place.

ALLEY I (APPENDIX J)

Alley 1 was the first area of the Barangay in our priority list; this is the 1st area that we visited, this area is a bit congested & all the houses seem to be close to each other.

ALLEY II (APPENDIX K)

Alley 2 was our second stop; this area was a bit more spacious than alley 1 because it was located at a wider road and vehicles could pass through.

ALLEY III (APPENDIX L)

Alley 3 is the most spacious & one of the cleanest parts of the Barangay where not much rubbish litters the streets.

BLISS (APPENDIX M)

Bliss is located just within Alley I. this area is the most congested and hazardous due to possible danger of fire and exposed electrical wiring.

LIST OF STUDENTS (APPENDIX N)

List of students

Surname

Given Name

Middle Initial

Student Number

Abuan

Sid Nicholas

M.

2006171011

Agustin

John Joseph

S.

2006170327

Bao

Jean Marc

S.

2005170708

Dayola

Rose Marie

G.

2006170906

De Guzman

Ronnel

V.

2006170807

Del Prado

Ana Michaela

M.

2006170918

De mesa

Matthew

C.

2006170421

Enrile

Samantha Danielle

C.

2006170519

Frac

Eda Marie

S.

2006170902

Galang

Jean Abegail

B.

2006170117

Garcia

Arriane Rose

B.

2006170523

Guillem

Jayson

V.

2006170717

Jalandoni

Rhea

V.

2006170104

Neri

Kathleen Joyce

A.

2006170406

Nicdao

Marlon

B.

2006170813

Odtojan

Jun Philip

N.

2006170753

Padillo

John Michael

M.

2006170745

Pajara

Jerome Niko

B.

2006170921

Paraiso

Jeraldine May

M.

2006170103

Racpan

Joana Lyn

M.

2006170413

Realco

Robert Daryl

A.

2006170520

San Pablo

Adrienne Bianca

G.

2005173012

San Pedro

Angie Lee

P.

2006170817

Tan

Ron Christopher

M.

2006170832

Toledo

Rosedeelyn

B.

2006170503

Veluz

Maria Corazon

S.

2006170348

Fernandez

Maria Leslie Hays

R.

2004171417

Clinical Instructors: Professor Elizabeth C. Paragas - AN01 Professor Carolina P. Fortuno - AN02