12. Community Care Plan(24-35)

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    COMMUNITY CASE STUDY ON PUROK 5 BRGY. BALUGO, VALENCI

    STATEMENT OF THE PROBLEM

    1. Statement of the Health Problem/ Community Diagnosis:

    *Unhealthy dietary habits related to consumption of a more energy-dense diet, nutrient poor diet high in saturated fats, salt and refined

    carbohydrates as a high risk factor for hypertension leading to cardiovascular diseases

    2. Statement of the Health Problem/ Community Diagnosis:* The certain group of people of those who practice sedentary lifestyle or physical inactivity are at high risk of hypertension leading tocardiovascular diseases

    3. Statement of the Health Problem/ Community Diagnosis:

    * Failure to utilize community resources for health care, as a health deficit.

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    COMMUNITY NURSING CARE PLAN

    1. Statement of the Health Problem/ Community Diagnosis:

    *Unhealthy dietary habits related to consumption of a more energy-dense diet, nutrient poor diet high in saturated fats, salt and refined carbohydrates as a hrisk factor for hypertension leading to cardiovascular diseases

    Goal:

    * To reduce and control the risk factors associated with unhealthy dietary habit consumption of the hypertensive group of people in Purok 5

    Objectives Intervention Plan MaterialsNeeded

    Budget Schedule ofActivities

    PersonsResponsible

    Outcome/Evaluation CriteriaStrategies/Activities

    Within 3 months ofcommunity nursing healthintervention thehypertensive group ofpeople in Purok 5 whichpractice unhealthy dietaryhabits shall activelyparticipate & demonstratethe following as evidencedby:1. Participate & interact

    with the student nurses& a dietary nutritionist (if

    available) in planning ahealthy dietary regimen

    1. House to house visitation& incidental healthteachings

    1. 5 manpowerof studentnurses

    2. PH Bag withcompleteequipment

    3. Umbrella4. Backpack with

    importantpersonalcontents (pen,paper, notebooketc.)

    5. Individualsnacks

    P 50 each

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

    1. SUCN A3students

    2.Asst. Prof.Lourdes L.Oliva

    After 3 months of communursing health interventiohypertensive group of peoin Purok 5 has shown anddemonstrated healthy diehabits as evidenced by thfollowing:1. Met since after BP ta

    most of them were givhealth teachings regaron nutrition the student nursestogether with the

    participation of Mr. Rplanned a healthy diet

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    which includes:DASH DIET (dietaryapproaches to stop

    hypertension) whichemphasizes on fruits andvegetables, low fat-dairyand high fiber grains,modest portion of leanmeat & reduce sodiumintake

    2. Shares his/her ideas &own opinion to thestudent nurse regardingthe planned dietary

    regimen

    3.Agrees with the studentnurses proposed dietaryregimen appropriate totheir budget:root crops, fruits,vegetables found in theirplace

    4. Improved BP during thefollow-up home visits ofthe student nurses

    2. Conducting a StructuredHealth Education Session

    on Proper Healthy dietaryhabits / promoting propernutrition that includes thefollowing:a. Strategies to promote

    healthy nutrition-related practices

    b. Nutritional Guidelinesfor a healthy diet

    c. Nutritious Foodexamples

    d. Essential Nutrientse. Nutritional

    Assessmentf. Benefits of good

    nutrition

    6.Visualaids/Teaching

    materials on thefollowing: Nutritious Foods Food Pyramid Diiferent foodgroups Writtennutritionalguidelines in themanila paper7. Giveaways or

    tokens

    8. Pentel pens9. Cartolinas10.Manila paper11.Construction

    paper12.Bond papers13.Attendance

    sheet14.Backdrop15.Hand-outs16.Food and

    Snacks17.Venue

    P 100

    P 100

    P 40P 50P 30P 30

    P 20P 80P 500

    P500

    August 13,14, 20, 21, 2009

    (2

    nd

    week & 3

    rd

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

    3. Kag. CelsaAlbina

    4.

    Brgy. Capt.UldaricoMaquiling

    5. Communitypeople ofPurok 5

    regimen like the DASHDIET (dietary approacto stop hypertension)

    which emphasizes on and vegetables, low fadairy and high fiber grmodest portion of leanmeat & reduce sodiumintake the person verbalizthat they have been tavegetables and alsopracticing a DASH DIE

    2. Met was given athoroughly planned dieregimen through the group stated anunderstood that it isimportant to have thisof regimen since it woaid in lowering his bloopressure, maintain goohealth, prevent thelikelihood of diseases, reversing disease

    processes

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    110-140/60-90 mmHg

    5. Improved & a normalcardiac rate uponauscultation 60-100 bpm

    3. Conducting a nursinghealth clinic at thebarangay hall

    4. Conduct a health clinic atthe barangay hall

    18.Venue19.Chairs20.Tables21.

    Drapes22.Mats

    23.Weighing Scale24.Charts25.Transportation26.5 - Manpower27.PH Bag with

    completecontents

    28.Backdrop29.Food30.Transportation31.Tables32.Chairs33.Flyers & posters34.Attendance

    sheet

    35.5 - Manpower36.PH Bag with

    completecontents

    37.Backdrop38.Drapes39.Mats

    P500P50 each

    P100

    August 13,14, 20, 21, 2009(2nd week & 3rd

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

    August 13,14, 20, 21, 2009(2nd week & 3rdweek) September 3,

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

    6.Asst. Prof.Lourdes L.Oliva

    7.

    StudentsSUCN-A38. Community

    people ofPurok 5

    9. Doctors10.Dietary

    Nutritionist

    3. Met proposed plan ohealthy dietary regimeincludes the following

    some are seen andabundant in their backfrontyard, & surroundicommunity Proteinfish, egg, dry beans Vegetablesmalunggay leaves, lemgrass, kamote tops,eggplant, ampalaya,kangkong Fruits

    mangoes, banana, parambotan, lansones,jackfruit, Carbohydratesroot crops, potato, ricebread, LiquidsWater, fruit and vegetjuices

    4. Not met since it neebe assessed for over aperiod of time

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    5. Follow-up visits by thestudent nurses

    40.Food41.Transportation42.Tables43.

    Chairs44.Flyers & posters

    45.Attendancesheet

    46.5 - Manpower47.PH Bag with

    completecontents

    48.Backdrop49.Snacks50.Transportation51.Tables52.Chairs53.Flyers & posters

    P1000

    P100

    P50

    P100

    July 9, 10, 17,23, 24, 31 2009 August 13,14, 20, 21, 2009(2nd week & 3rdweek) September 3,

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

    11.SUCN-A312.Asst. Prof.

    Lourdes L.Oliva

    13.Communitypeople

    5. Partially met since thclient were out during

    home visits

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    2. Statement of the Health Problem/ Community Diagnosis:* The certain group of people of those who practice sedentary lifestyle or physical inactivity are at high risk of hypertension leading to cardiovascular disease

    Goal:

    * To reduce and control to 75% the likelihood and incidence of the risk factors which is obesity and the practice of having a sedentary lifestyle which is cexist in certain members of the Purok 5 that may direct to hypertension and eventually leading to cardiovascular diseases

    Objectives Intervention Plan MaterialsNeeded

    Budget Schedule ofActivities

    PersonsResponsible

    Outcome/Evaluation CriteriaStrategies/Activities

    Within the 3 months ofnursing health interventionthe certain members ofPurok 5 which practice asedentary lifestyle shall:1. Participate and attend

    during the structuredhealth education sessionon cardiovasculardiseases & doh physicalfitness programDOH HATAW KO

    VIDEO PROGRAM

    2. Participate and activelyjoin in planning an idealphysical fitness exercise

    appropriate for thosethat are experiencing

    1. House to house visitation

    2. Conduct a StructuredHealth Education Sessionon Cardiovascular

    1. 5 manpowerof studentnurses

    2. PH Bag withcompleteequipment

    3. Umbrella4. Backpack with

    importantpersonalcontents (pen,paper, notebooketc.)

    5. Individualsnacks

    6. DOH hataw kovideo program7. Laptop

    P 40

    July 9, 10, 17,23, 24, 31 2009 August 13,14, 20, 21, 2009(2nd week & 3rdweek)

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

    August 13,

    14, 20, 21, 2009(2nd week & 3rd

    1. SUCN A3students

    2.Asst. Prof.Lourdes L.Oliva

    After 3 months of nursinghealth intervention the cemembers of Purok 5 thatpractice a sedentary lifesthas actively shown anddemonstrated the followin

    1. Not met since thestructured health teaceducation session oncardiovascular diseasephysical fitness needsimplemented by thefollowing group

    2. Met this was done dour house to house vis they chose among t

    appropriate physical fitexercise

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    physical inactivitywhich involves a: cardiopulmonaryendurance(simple aerobicexercises, brisk walking,jogging, running,bicycling, swimming,dancing, & gardening) muscular strength(moving the limbs andtrunk of the bodythrough their completerange of motion) muscular endurance

    (working with freeweights man madedumbels) muscular flexibility(moving each joint in theupper and lower limbs intheir full range of motion& stretching flexion,extension, internal &external rotation, & etc.)

    3.Adequate rest and sleep 8 hours of sleep

    diseases:a. Situation & trends of

    cardiovasculardiseases

    b. Common risk factorsleading tocardiovasculardiseases

    c. Ways to prevent andcontrol the risk factorsleading to CVD

    d. Movie watching aboutDOH HATAW KOVIDEO PROGRAM

    3. Conducting a nursinghealth clinic at thebarangay hall

    8. LCD projector9.Visual

    Aids/Powerpoint10.Cartolinas11.Manila paper12.Construction

    paper13.Backdrop14.Hand-outs15.Food and

    Snacks16.Venue17.Chairs18.Tables19.Transportation

    20.5 - Manpower21.PH Bag with

    completecontents

    22.Backdrop23.Drapes24.Mats25.Food26.Transportation27.Tables

    P 50P20P 50

    P 50P 50P500P 50P 50P 250

    P 250

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

    August 13,14, 20, 21, 2009(2nd week & 3rdweek) September 3,4, 10, 11, 2009(1st & 2nd week)

    3. StudentsSUCN A3

    4. Kag. CelsaAlbina

    5. Communitypeople ofPurok 5

    6.Asst. Prof.Lourdes L.Oliva

    7. StudentsSUCN-A3

    8. Communitypeople ofPurok 5

    cardiopulmonaryendurance(simple aerobic exercibrisk walking, joggingrunning, bicycling,swimming, dancing, &gardening) musculastrength (moving the and trunk of the bodythrough their completerange of motion) muscular enduranc(working with free we man made dumbels) muscular flexibility

    (moving each joint in upper and lower limbstheir full range of motstretching flexion,extension, internal &external rotation, & et

    3. Partially Met since nfollow the 8 hours of spattern, others exceedmore than 8 hours du

    the weather in their plwhich is very conduciv

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    4. Decreased weight orchange in weight statusappropriate for bodymass index BMI not exceeding orlowering between therange of 25-27

    4. Conducting a health clinicat the barangay hall

    5. Conducting a physicalfitness exercise programat the barangay hall

    28.Chairs29.Flyers & posters30.Attendance

    sheet

    31.5 - Manpower32.PH Bag with

    completecontents

    33.Backdrop34.Drapes35.Mats36.Food37.Transportation38.Tables39.Chairs40.Flyers & posters41.Attendance

    sheet

    42.5 - Manpower43.PH Bag with

    completecontents

    44.Backdrop45.Drapes46.Mats47.Food

    August 13,14, 20, 21, 2009(2nd week & 3rdweek) September 3,4, 10, 11, 2009(1st & 2nd week)

    August 13,14, 20, 21, 2009(2nd week & 3rdweek) September 3,4, 10, 11, 2009

    (1st

    & 2nd

    week)

    9.Asst. Prof.Lourdes L.Oliva

    10.StudentsSUCN A3

    11.Doctors12.Dietary

    Nutritionist

    13.PhysicalInstructor

    14.Communitypeople ofPurok5

    15.SUCNstudentsA3

    sleeping, and they alstake long hours of sleeduring daytime.

    4. Not met since it woutake a longer time toevaluate the outcome their weights

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    48.Transportation49.Tables50.Chairs51.Flyers & posters52.Attendance

    sheet

    16.Asst. Prof.Oliva

    17.Brgy. Capt.UldaricoMaquiling

    18.Councilors

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    3. Statement of the Health Problem/ Community Diagnosis:* Failure to utilize community resources for health care, as a health deficit.

    Goal:* At the end of the COPAR rotation, the group of Hypertensive clients in Purok 5 will be able to acquire skills, gain knowledge, manifest desirable attitudes

    values in utilizing resources in the community, to prevent and detect disease, and to improve and enhance health status.

    Objectives

    Intervention plan

    Materials Needed BudgetSchedule of

    activities

    Personsresponsible

    Outcome/evaluatiocriteriaStrategies/Activity

    Within our 3 months ofnursing intervention, thegroup of Hypertensive clientsin Purok 5 will be able toutilize community resourcesas evidenced by:1. Participate actively in

    making a plan of actionabout utilizing communityresources: Approaching Brgy.

    Health workers if theneed arises, such asthe onset of B.P.

    Visit to Brgy. HealthClinic at Palinpinonfor health advises

    and to allow peoplein Purok5 to utilize or

    1.Community Assessment-Roam around Purok 5 andlook for health problems.

    2. SHT (Structured HealthTeaching).- Gathers people in acertain place then performHealth Teaching on asocialized discussion.

    1. 5man power.2. CHN bag3. Umbrella4. Transportation

    to Brgy. Balugo,Valencia

    5. 5 man power6. Posters (made

    by Cartolina andother artmaterials)

    7. Transposrtationto Brgy. Balugo,

    Valencia.8. Snacks: Bihon

    P50.00

    P500

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

    August 13,14, 20, 21,2009(2nd week & 3rdweek) September 3,

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

    1.A3-students

    efforts andtime.

    2.Asst. Prof.Lourdes L.Oliva

    3. Time andefforts ofthe peopleof Brgy.BalugoValencia.

    4. Brgy. Capt.UldiricoMaquiling.

    After 3 months of our nuintervention, the group ofHypertensive clients in Puwas able to partially utilicommunity resources asevidenced by:

    1. Met since theyparticipated in makplan of action abouutilizing communityresources.

    2. Met since they spout 3 understandinabout the importanutilization on comm

    resources.

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    use of resources bymeans ofparticipation

    Use of of theprograms that theRHU is imposing suchas regular aerobics atValencia Plaza.

    2. Speaking and apply intopratice 3 understandingabout the importance ofutilization on communityresources

    3.Agrees in the proposedgiven ways by thestudent nurses inpreventing the onset ofcertain condition which isrampant in thecommunity such asHypertension with theuse of resources in thecommunity: Regular Exercises

    or aerobics everySunday.

    3. Home to home visits-Selecting the mostprioritize case in Purok 5.

    4. Clinics- Offering services to 3different puroks in thecommunity to facilitate theneeds of the people.

    5. Individual HealthTeaching

    and Pan de

    Sal with Juice.

    9. 5 man power10.CHN bag with

    completecontents

    11.Umbrella12.Assessment

    tools such asStethoscope.

    13.15 man power14.Clothes for

    drapings15.Urinal cups16.CHN bag with

    completecontents

    17.Mats18.Transportation

    to Brgy, BalugoValencia

    19.5-man power

    Php50.00

    Php50.00

    Php

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

    (1st & 2nd week)

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

    3. Met since they agin the proposed wagiven by the studenurses in preventinonset of certaincondition which isrampant in thecommunity such asHypertension with use of resources incommunity, such aregular exercises, aeating healthy andnutritious foods tha

    help improve theirhealth.

    4. Not met since theto Demonstrateutilization of resourearly detection andprevention of disea

    5. Partially met sincthey participated inhealth awareness

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    Eat healthy dietaryfoods that isadequate forhealthmaintenance.

    Regular BPmonitoring by theBrgy. HealthWorkers/ studentnurses

    4. Demonstrating the use ofresources in earlydetection and preventionof diseases:

    Visitation in theRural health unitor in Brgy. HealthUnit.

    Approaching Brgy.Health Workers forBP monitoring.

    5. Participating in a healthawareness programs suchas SHT, Forums, Clinics.

    6.

    Stating the benefits theycan avail in RHU and BHU

    - During home visitsindividual health teaching isdone.

    20.Umbrella21.CHN bag with

    completecontents

    22.Transportationto Brgy. Balugo,Valencia

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

    programs such asNursing health clini

    6. Not met since faistate and recognizebenefits they can aRHU and BHU.

    7. Met since they ma plan of visitation health clinic at RHBHU.

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    such as having BPmonitoring, urineanalysis, medicines, andothers

    7. Proposing a plan ofvisitation in the healthclinic at the bhu or rhu.

    7-31-09

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