COMMUNITY PROFILE OF BARANGAY 836, ZONE 91, DISTRICT 6

PANDACAN, MANILA

A Community Care Study Presented to:The Faculty of

MAPUA Institute of TechnologySan Lorenzo Ruiz School of Health Sciences

College of Nursing

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

Submitted to:Professor Carol Fortuno

Professor Elizabeth ParagasProfessor 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 Page

1 Family Size of Each Family Interviewed

2 Families’ Length Residency

3 Family Structure

4 Dominant Family Members

5 Religion of Each Family Assessed

6 Educational Attainment

7 Employment of Male and Female above 18 years old

8 Type of Occupation of Employed Population

9 Type of Employment

10 Monthly Family Income

11 Dialect Used

12 Languaged Used

13 Psychological History

14 Immunization Status of Adult Population (Assessed Only)

15 Immunization Status of Children 6 years old and below

16 Results of the Metro Manila Development Screening Test

17 Consultation for Health Related Problems

18 Materials Used for Home Construction

19 Number of Rooms for Sleeping

20 Source of Drinking Water Supply

21 Potability of Water

22 Method of Storing Drinking Water

23 Cooking Facilities Available In Each Family

24 Type of Drainage

25 Methods of Keeping Garbage

26 Methods of Disposing Garbage

27 Toilet Ownership of Families

28 Presence of Breeding Sites in Houses

29 Status of Reproductive Women; Pregnant vs. Not Pregnant

30 Family Planning Methods

31 Member of the Family Diagnosed with Tuberculosis

LIST OF TABLES

Table Page

1 Family Size of Each Family Interviewed

2 Families’ Length Residency

3 Family Structure

4 Dominant Family Members

5 Religion of Each Family Assessed

6 Educational Attainment

7 Employment of Male and Female above 18 years old

8 Type of Occupation of Employed Population

9 Type of Employment

10 Monthly Family Income

11 Dialect Used

12 Languaged Used

13 Psychological History

14 Immunization Status of Adult Population (Assessed Only)

15 Immunization Status of Children 6 years old and below

16 Results of the Metro Manila Development Screening Test

17 Consultation for Health Related Problems

18 Materials Used for Home Construction

19 Number of Rooms for Sleeping

20 Source of Drinking Water Supply

21 Potability of Water

22 Method of Storing Drinking Water

23 Cooking Facilities Available In Each Family

24 Type of Drainage

25 Methods of Keeping Garbage

26 Methods of Disposing Garbage

27 Toilet Ownership of Families

28 Presence of Breeding Sites in Houses

29 Status of Reproductive Women; Pregnant vs. Not Pregnant

30 Family Planning Methods

31 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)

MALE78 + 2 = 80 = 11.45 +2 7

FEMALE57 + 3 = 60 = 512 + 0 12

Sex Ratio

Sex Ratio (SR) = _____# of females______ (x100)# of males

= _______192______ (x100) 182

There are 95 males for 105 females.

Organizational Structure

Barangay ChairmanSantos S. Uy, JrPeace and Order

Committee Chairman Kagawad Ronnie G. Limen

Vice Chairman Kagawad

Francisco H. Gabatbat

Clean and Green

Committee Chairman Kagawad Rommel M. Seposo

Vice Chairman Kagawad Rowena M. Espiritu

Health and Sanitation

Committee Chairman Kagawad

Rowena M. Espiritu

Vice Chairman KagawadRenz Rosary G. Rapiz

Internal and External

Committee Chairman Kagawad Renz Rosary G. Rapiz

Vice Chairman Kagawad

Rommel M. Seposo

Sports and Education

Committee SK Chairman

Maria Ellen L. Placio

Vice Chairman KagawadEduardo O. Riparip

Livelihood

Committee Chairman Kagawad

Eduardo O. Riparip

Vice Chairman Kagawad

Bernard A. Garcia, Jr. Housing

Chairman Kagawad

Francisco H. Gabatbat

Vice Chairman Kagawad

Ronnie G. Limen

Ways and Means

Committee Chairman Kagawad Bernard A. Garcia, Jr.

Vice Chairman Kagawad

Renz Rosary G. Rapiz

Secretary

Fleurilyn May U. Prado

Treasurer

Roque F. Estrada

STATEMENT OF THE PROBLEM

The following problems were formulated during the course of the community

study.

I. To the Community

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

lessen the risk factors brought about by poor environment sanitation?

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

contribute to their further development, what steps should be executed to

promote proper awareness?

c. Due to the fact that Barangay 836 Pandacan Manila is within different

station of oil depots, what should the community do to utilize the health

programs being implemented?

II. 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, socio-

economic 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 1 Diga, Alexis2611 K Jesus St. Pandacan

Manila

2 Labnao, Ricardo2609 K Jesus St. Pandacan

Manila

3 Mipa, Eduardo2609 L Jesus St. Pandacan

Manila

Enrile 4 Mipa, Francisco2609 J Jesus St. Pandacan

Manila

5 Garcia jr., Arturo2611 K Jesus St. Pandacan

Manila

6 Gajardo, Rolando2609 L Jesus St. Pandacan

Manila

Abuan 7 Gula, Genie2611 K Jesus St. Pandacan

Manila

8 Tamayo, Donald2609 K Jesus St. Pandacan

Manila

9 Labnao, Ruben2609 K Jesus St. Pandacan

Manila

Agustin 10 Ashote, Fidel5645 Jesus St. Pandacan

Manila

11 Vallejo, Ferdinand2609 K Jesus St. Pandacan

Manila

12 Lomibao, Domingo2601 K Jesus St. Pandacan

Manila

Neri 13 Espiritu, Juan229,2609 L Jesus St.

Pandacan Manila

14 Bonus, Santiago2611 K Jesus St. Pandacan

Manila

15 Dominquez, Ralph6415,2611 K Jesus St.

Pandacan Manila

Nicdao 16 Nepomuceno, Mildred032,26-11 Jesus St. Pandacan Manila

17 Hildap, Lolita047,26-11 Jesus St. Pandacan Manila

18 Laurente, Noel 0172,26-11 Jesus St.

Pandacan Manila

Padillio 19 Macupa, Fernando2611 K Jesus St. Pandacan

Manila

20 Labnao, Rodel2609 K Jesus St. Pandacan

Manila

21 Martines, Tomas2609 K Jesus St. Pandacan

Manila

Odtojan 22 Silvino, Agol2609 K Jesus St. Pandacan

Manila

23 Labnao, Ramil2609 K Jesus St. Pandacan

Manila

24 Villaroza, Rustica2611 K Jesus St. Pandacan

Manila

Veluz 25 Llenas, Teddy2611 K Jesus St. Pandacan

Manila

26 Santander, Marcelina6295 ME Alley 2 St. Peter

& paul CPD Pandacan Manila

27 Banhaw, Rey2609 Jesus St. Pandacan

Manila

Toledo 28 Portes, Dennis2609 K Jesus St. Pandacan

Manila

29 Perdon, Leticia2609 K Jesus St. Pandacan

Manila

30 Santos, Alma2609 K Jesus St. Pandacan

Manila

San Pedro 31 Ardidon, Samuel2611 K Jesus St. Pandacan

Manila

32 Lomibao, Teresita2609 K Jesus St. Pandacan

Manila

33 Caratay, VergilioAlley 2 Jesus St. Pandacan

Manila

De Guzman 34 Palero, Annabelle2611 K Jesus St. Pandacan

Manila

35 Romeo, CocoyAlley 2 Jesus St. Pandacan

Manila

36 Lachica, RoseAlley 2 Jesus St. Pandacan

Manila

De Mesa 37 Omar, Batan2609 K Jesus St. Pandacan

Manila

38 Maslog, Ernesto2609 K Jesus St. Pandacan

Manila

39 Dinglasan, Arnold2611 K Jesus St. Pandacan

Manila

Racpan 40 Dela Pena, Roger2609 J Jesus St. Pandacan

Manila

41 Molina, Feliza2611 K Jesus St. Pandacan

Manila

42 Bien, Allan2611 K Jesus St. Pandacan

Manila

Galang 43 Panambitan, Arnel2611 K Jesus St. Pandacan

Manila

44 Banaag, Leo2611 K Jesus St. Pandacan

Manila

45 Delos Santos, Bryan2609 K Jesus St. Pandacan

Manila

Frac 46 Esperas, Gerry2609 K Jesus St. Pandacan

Manila

47 Basbas, Jomar2609 K Jesus St. Pandacan

Manila

48 Guerrero, Dionito2609 K Jesus St. Pandacan

Manila

Paraiso 49 Apuyan,Alberto2609 K Jesus St. Pandacan

Manila

50 Esperidion, Salem2611 K Jesus St. Pandacan

Manila

51 Muna, Renaldo2611 K Jesus St. Pandacan

Manila

Dayola 52 Triste, Danny2611 K Jesus St. Pandacan

Manila

53 Nepumuceno, Mildred2611 K Jesus St. Pandacan

Manila

54 Nepumuceno, Editha2611 K Jesus St. Pandacan

Manila

Realco 55 Santos, Valentino2611 K Jesus St. Pandacan

Manila

56 Solo, Ely2611 K Jesus St. Pandacan

Manila

57 Estoya, Rene2611 K Jesus St. Pandacan

Manila

Guilliem 58 Manuel, Romia2609 K Jesus St. Pandacan

Manila

59 Indig, Alejandro2609 K Jesus St. Pandacan

Manila

60 Mante, Revo6611 K Jesus St. Pandacan

Manila

Garcia 61 Dacies, Marcelino2609 G Jesus St. Pandacan

Manila

62 Jalagat, Danilo2611 K Jesus St. Pandacan

Manila

63 Mabanta, Ariel2609 L Jesus St. Pandacan

Manila

Bao 64 Apuyan, JasonJesus Extension Jesus St.

Pandacan Manila

65 Jabalde, Elmer2611 K Jesus St. Pandacan

Manila

66 Panano, Jonathan2609 K Jesus St. Pandacan

Manila

Jalandoni 67 Cabangon, George C.2611 bliss I pandacan

Manila

68 Cuarez Sr. Cyril G.2609 K Jesus St. Pandacan

Manila

69 Damasco Gerald A.2609 K Jesus St. Pandacan

Manila

San Pablo 70 Gange, Wilma2609 K Jesus St. Pandacan

Manila

71 Andaya, Marie2609 K Jesus St. Pandacan

Manila

72 Dela pena, Marnelle2611 K Jesus St. Pandacan

Manila

Tan 73 Panambitan, Simplicio2611 K Jesus St. Pandacan

Manila

74 Salanio, Ceasar2611 K Jesus St. Pandacan

Manila

75 Solo, Maria2611 K Jesus St. Pandacan

Manila

Fernandez 76 Suleta, Xyrus2611 K Jesus St. Pandacan

Manila

77 Costodio, Ferdinand2609 K Jesus St. Pandacan

Manila

78 Sarding, Lonrado2609 K Jesus St. Pandacan

Manila

Pajara 79 Arquero, Anghelito2611 K Jesus St. Pandacan

Manila

80 Frenda, Ferdinand2611 K Jesus St. Pandacan

Manila

81 Aguirre, Jose2611 K Jesus St. Pandacan

Manila

COMM UNITY PRIORITIES -

SCALE RANKING AND

COMMUNITY NURSING CARE

PLAN

(APPENDIX D)

TOOL ASSESSMENT GUIDE

(APPENDIX E)

AD

MIS

SIO

N D

AT

A

Date:__________Time:__________Language used:__________Arrived via: [ ]wheel chair [ ]stretcher [ ]ambulatoryFrom: [ ] 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 Yes NoVisiting Hours [ ] [ ] Use of telephone [ ] [ ]Use of Microwave [ ] [ ] Hot water for drinking [ ] [ ]TV, Room lights [ ] [ ] Bed controls, Side rails [ ] [ ]Call lights [ ] [ ] Mealtime [ ] [ ]Use of hospital gowns [ ] [ ] Arm bands [ ] [ ]

HE

AD

AN

D N

EC

K

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 [ ] pallorFace: [ ] 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/modulesCornea: [ ] 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/glassesEars: [ ] outer ear aligned with external canthus of eye (10˚) [ ] color same as skin color [ ] stmmetricalNose: [ ] external: symmetrical, straight [ ] no flaking [ ] no discharge [ ] septum intact and in midlineLips & 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 retractionsTongue: [ ] smooth, lateral margins [ ] no lesionsTonsils: [ ] pink, smooth [ ] no lesions [ ] others, specify:_______Neck: Lymph nodes: [ ] not enlarge [ ] others, specify:________Thyroid gland: [ ] not enlarged [ ] others, specify:___________

AP

PE

AR

AN

CE

& M

EN

TA

L S

TA

TU

S

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

General Appearance: Skin color: [ ] brown [ ] black [ ] pink [ ] pale [ ] cyanotic [ ] jaundiceUniformity 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 mmPresence of lesion: [ ] yes type: [ ] primary [ ] secondarySize:_______mm [ ] circumscribed [ ] irregular [ ] round [ ] oval[ ] elevated [ ] flat [ ] depressed [ ] solid [ ] soft [ ] hard[ ] rough [ ] thickened [ ] fluid filled [ ] flakes [ ] others, specify:_______

RE

SP

IRA

TO

RY 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

CA

RD

IOV

AS

CU

LA

R Pulses: Apical rate:__bpm__[ ]regular [ ]irregular [ ]pacemake S=strong W=weak A=absent D=DopplerRadial: right___ left:___ pedal: right:___ left:___Perfusion: [ ] warm [ ] dry [ ] diaphoretic [ ] coolOthers: [ ] site:_______________ [ ] site:_______________ [ ] site:_______________ [ ] site:_______________

FA

MIL

Y H

IST

OR

Y

Yes No Yes No

Diabetes [ ] [ ] Hypertentsion [ ] [ ] Blood dyscrasia [ ] [ ] Eye disease [ ] [ ] Hearing loss/problems [ ] [ ] Heart disease [ ] [ ] High blood pressure [ ] [ ] Obesity [ ] [ ]Congenital heart diesease [ ] [ ] Rheumatic fever [ ] [ ]Cancer, specify:________ [ ] [ ] Tuberculosis [ ] [ ]Kidney problem [ ] [ ] Asthma [ ] [ ] Seizure disorder [ ] [ ] Stroke [ ] [ ]

GA

ST

RO

INT

ES

TIN

AL Oral Mucosa: [ ] normal others, specify:______________

Bowel sounds: [ ] normal [ ] others, specify:___________Stool frequency:__________ Character:_______________

Last bowel movement date:__________________________

PS

YC

HO

LO

GIC

AL

HIS

TO

RY

Recent Srtess:________________________________________Coping mechanism:___________________________________Support system:______________________________________Calm: [ ] yes [ ] noAnxious: [ ] yes [ ] noAfraid: [ ] yes [ ] noReligion:____________________________________________Tobacco use: [ ] yes, number of sticks/day:_________ [ ] noAlcohol use: [ ] yes, number of glasses/day:_________ [ ] noType of beverage: [ ] beer [ ] wine [ ] champaigne [ ] others:________Drug use: [ ] yes [ ] no

GE

NIT

O-

UR

INA

RY

Urine Last voided: date/time of day: [ ] am [ ] pm[ ] normal [ ] anuria [ ] hematuria [ ] dysuria [ ] montinentOthers: ___________________________________________Cather type:_______________ others:_________________[ ] Vagina/penile discharge: describe:__________________Menarche:_________ Last Menstrual Period:______________

SE

LF

-CA

RE

Need assitance with: [ ] meals [ ] elimination [ ] ambulation[ ] hygiene [ ] dressing

SAN LORENZO RUIZ SCHOOL SCHOOL OF HEALTH SCIENCESMAPUA INSTITUTE OF TECHNOLOGY

Patient’s Name:__________________________Age/Sex:__________Hospital no.____________Room no:__________

MAPUA INSTITUTE OF TECHNOLOGYSchool of Health Sciences

College of Nursing

FAMILY ASSESSMENT GUIDE

Client Head of the Family:_________________________________________________ Address:___________________________Surname First Name MI

I. Demographic Data: Household No.:___________ Barangay House No.:_________________

II. Family Data:

Family size:____________________ Length of residancy:________________

III. Family Characteristics: A. Type of family structure: [ ] nuclear [ ] extended [ ] matriarchal [ ] patriarchal [ ] others, pls. specify: ________________

B. Dominant family member:____________________________

C. Family member’s chart :

Family Members Age Sex Religion Civils Status

Birthday Relationship to the head

of the family

Educational Attainment

Occupation

Month Year 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 5,000.00 [ ] above Php 20,001.00 - 30,000.00 [ ]

above Php 5,001.00 - 10,000.00 [ ] above Php 30,001.00 - 40,000.00 [ ] above Php 10,001.00 - 15,000.00 [ ] above Php 40,001.00 - 50,000.00 [ ] above Php 15,001.00 - 20,000.00 [ ] 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)

ImmunizationBcg Dpt OPV HepaB MMR

1 2 3 B 1 2 3 B 1 2 3 B 1 2 3 b1.2.3.4.5.6.7.

VI. Health and health practices:A. Who do you consult for heath related problems? [ ] manghihilot [ ] midwife [ ] doctor [ ] BHW [ ] albularyo [ ] nurse [ ] health center [ ] others, specify:_______

B. For problems other than health, who do you consult? [ ] family members [ ] friends [ ] priest [ ] relatives [ ] barangasy official [ ] others,specify:______________________

C. Have you had adequate: rest & sleep? [ ] yes [ ] no why?:_________________________________________ exercise? [ ] yes [ ] no why?:_________________________________________ relaxation activities [ ] yes [ ] no why?:_________________________________________ stress management activities? [ ] yes [ ] no why?:__________________________________________

VII. Home & Environment:A. Ownership: [ ] owned [ ] rented [ ] rent-free

B. Type of housing materials: [ ] light [ ] 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 uncovered container with faucet[ ] large covered container without faucet [ ] large covered container with faucet[ ] none (direct from the faucet or pipe [ ] 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: [ ] covered [ ] not covered [ ] noneMethod of the Disposal: [ ]collected [ ] hog feeding [ ] open dumping [ ] open burning

[ ] burying in pit [ ] throw in the river [ ] composting [ ] others,specify:___

2. ToiletType: [ ] 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 If member, specify names of children, name of organizations & positions:

Family member’s name Name of organization/ position designation

D. Are you aware of its activities & projects? [ ] yes [ ] no

E. How are you involved in its activities?[ ] attend meeting regularly [ ] planning [ ] 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 [ ] yes, within 2 years (Nais pa po ba ninyong dagdagan ang inyong mga anak?) (proceed to letter D)

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 [ ] Basal Body Temperature [ ] Condom

[ ] Standard Days Method

[ ] Permanent Method: [ ] Vasectomy [ ] Tubal Ligation (proceed to letter F)

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) [ ] hospital [ ] lying-in clinic

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

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

COMM UNITY PRIORITIES -

SCALE RANKING AND

COMMUNITY NURSING CARE

PLAN

(APPENDIX D)

TOOL ASSESSMENT GUIDE

(APPENDIX E)

AD

MIS

SIO

N D

AT

A

Date:__________Time:__________Language used:__________Arrived via: [ ]wheel chair [ ]stretcher [ ]ambulatoryFrom: [ ] 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 Yes NoVisiting Hours [ ] [ ] Use of telephone [ ] [ ]Use of Microwave [ ] [ ] Hot water for drinking [ ] [ ]TV, Room lights [ ] [ ] Bed controls, Side rails [ ] [ ]Call lights [ ] [ ] Mealtime [ ] [ ]Use of hospital gowns [ ] [ ] Arm bands [ ] [ ]

HE

AD

AN

D N

EC

K

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 [ ] pallorFace: [ ] 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/modulesCornea: [ ] 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/glassesEars: [ ] outer ear aligned with external canthus of eye (10˚) [ ] color same as skin color [ ] stmmetricalNose: [ ] external: symmetrical, straight [ ] no flaking [ ] no discharge [ ] septum intact and in midlineLips & 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 retractionsTongue: [ ] smooth, lateral margins [ ] no lesionsTonsils: [ ] pink, smooth [ ] no lesions [ ] others, specify:_______Neck: Lymph nodes: [ ] not enlarge [ ] others, specify:________Thyroid gland: [ ] not enlarged [ ] others, specify:___________

AP

PE

AR

AN

CE

& M

EN

TA

L S

TA

TU

S

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

General Appearance: Skin color: [ ] brown [ ] black [ ] pink [ ] pale [ ] cyanotic [ ] jaundiceUniformity 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 mmPresence of lesion: [ ] yes type: [ ] primary [ ] secondarySize:_______mm [ ] circumscribed [ ] irregular [ ] round [ ] oval[ ] elevated [ ] flat [ ] depressed [ ] solid [ ] soft [ ] hard[ ] rough [ ] thickened [ ] fluid filled [ ] flakes [ ] others, specify:_______

RE

SP

IRA

TO

RY 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

CA

RD

IOV

AS

CU

LA

R Pulses: Apical rate:__bpm__[ ]regular [ ]irregular [ ]pacemake S=strong W=weak A=absent D=DopplerRadial: right___ left:___ pedal: right:___ left:___Perfusion: [ ] warm [ ] dry [ ] diaphoretic [ ] coolOthers: [ ] site:_______________ [ ] site:_______________ [ ] site:_______________ [ ] site:_______________

FA

MIL

Y H

IST

OR

Y

Yes No Yes No

Diabetes [ ] [ ] Hypertentsion [ ] [ ] Blood dyscrasia [ ] [ ] Eye disease [ ] [ ] Hearing loss/problems [ ] [ ] Heart disease [ ] [ ] High blood pressure [ ] [ ] Obesity [ ] [ ]Congenital heart diesease [ ] [ ] Rheumatic fever [ ] [ ]Cancer, specify:________ [ ] [ ] Tuberculosis [ ] [ ]Kidney problem [ ] [ ] Asthma [ ] [ ] Seizure disorder [ ] [ ] Stroke [ ] [ ]

GA

ST

RO

INT

ES

TIN

AL Oral Mucosa: [ ] normal others, specify:______________

Bowel sounds: [ ] normal [ ] others, specify:___________Stool frequency:__________ Character:_______________

Last bowel movement date:__________________________

PS

YC

HO

LO

GIC

AL

HIS

TO

RY

Recent Srtess:________________________________________Coping mechanism:___________________________________Support system:______________________________________Calm: [ ] yes [ ] noAnxious: [ ] yes [ ] noAfraid: [ ] yes [ ] noReligion:____________________________________________Tobacco use: [ ] yes, number of sticks/day:_________ [ ] noAlcohol use: [ ] yes, number of glasses/day:_________ [ ] noType of beverage: [ ] beer [ ] wine [ ] champaigne [ ] others:________Drug use: [ ] yes [ ] no

GE

NIT

O-

UR

INA

RY

Urine Last voided: date/time of day: [ ] am [ ] pm[ ] normal [ ] anuria [ ] hematuria [ ] dysuria [ ] montinentOthers: ___________________________________________Cather type:_______________ others:_________________[ ] Vagina/penile discharge: describe:__________________Menarche:_________ Last Menstrual Period:______________

SE

LF

-CA

RE

Need assitance with: [ ] meals [ ] elimination [ ] ambulation[ ] hygiene [ ] dressing

SAN LORENZO RUIZ SCHOOL SCHOOL OF HEALTH SCIENCESMAPUA INSTITUTE OF TECHNOLOGY

Patient’s Name:__________________________Age/Sex:__________Hospital no.____________Room no:__________

MAPUA INSTITUTE OF TECHNOLOGYSchool of Health Sciences

College of Nursing

FAMILY ASSESSMENT GUIDE

Client Head of the Family:_________________________________________________ Address:___________________________Surname First Name MI

I. Demographic Data: Household No.:___________ Barangay House No.:_________________

II. Family Data:

Family size:____________________ Length of residancy:________________

III. Family Characteristics: A. Type of family structure: [ ] nuclear [ ] extended [ ] matriarchal [ ] patriarchal [ ] others, pls. specify: ________________

B. Dominant family member:____________________________

C. Family member’s chart :

Family Members Age Sex Religion Civils Status

Birthday Relationship to the head

of the family

Educational Attainment

Occupation

Month Year 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 5,000.00 [ ] above Php 20,001.00 - 30,000.00 [ ]

above Php 5,001.00 - 10,000.00 [ ] above Php 30,001.00 - 40,000.00 [ ] above Php 10,001.00 - 15,000.00 [ ] above Php 40,001.00 - 50,000.00 [ ] above Php 15,001.00 - 20,000.00 [ ] 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)

ImmunizationBcg Dpt OPV HepaB MMR

1 2 3 B 1 2 3 B 1 2 3 B 1 2 3 b1.2.3.4.5.6.7.

VI. Health and health practices:A. Who do you consult for heath related problems? [ ] manghihilot [ ] midwife [ ] doctor [ ] BHW [ ] albularyo [ ] nurse [ ] health center [ ] others, specify:_______

B. For problems other than health, who do you consult? [ ] family members [ ] friends [ ] priest [ ] relatives [ ] barangasy official [ ] others,specify:______________________

C. Have you had adequate: rest & sleep? [ ] yes [ ] no why?:_________________________________________ exercise? [ ] yes [ ] no why?:_________________________________________ relaxation activities [ ] yes [ ] no why?:_________________________________________ stress management activities? [ ] yes [ ] no why?:__________________________________________

VII. Home & Environment:A. Ownership: [ ] owned [ ] rented [ ] rent-free

B. Type of housing materials: [ ] light [ ] 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 uncovered container with faucet[ ] large covered container without faucet [ ] large covered container with faucet[ ] none (direct from the faucet or pipe [ ] 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: [ ] covered [ ] not covered [ ] noneMethod of the Disposal: [ ]collected [ ] hog feeding [ ] open dumping [ ] open burning

[ ] burying in pit [ ] throw in the river [ ] composting [ ] others,specify:___

2. ToiletType: [ ] 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 If member, specify names of children, name of organizations & positions:

Family member’s name Name of organization/ position designation

D. Are you aware of its activities & projects? [ ] yes [ ] no

E. How are you involved in its activities?[ ] attend meeting regularly [ ] planning [ ] 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 [ ] yes, within 2 years (Nais pa po ba ninyong dagdagan ang inyong mga anak?) (proceed to letter D)

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 [ ] Basal Body Temperature [ ] Condom

[ ] Standard Days Method

[ ] Permanent Method: [ ] Vasectomy [ ] Tubal Ligation (proceed to letter F)

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) [ ] hospital [ ] lying-in clinic

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

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