TAGUM DOCTORS COLLEGE, INC.

PUROK CAPAGNGAN, VISAYAN VILLAGE TAGUM CITY

IN PARTIAL FULFILLMENT OF THE REQUIREMENTS IN COMMUNITY HEALTH NURSING

Prepared by: Bagaforo, April Rose R. Claver, Roxanne G. Despi, Laniza Rica G. Hiloca, Christy Jean Q. Mirafuentes, Nerjaya Lea B. Remitar, Jule Pearl C. Yuson, Julie Dee H.

Instructor: VIVIEN BRATO, RN, MN (SEPTEMBER 19, 2012)

TABLE OF CONTENTS

Content

Page

Table of Contents Acknowledgement Introduction Objectives History of the Area Barangay Officials Spot Map Tabulation of Data Family Problems Family Nursing Care Plan Summary Conclusions Recommendations Community Activities Group Profile Bibliography

. . .. . . . .. .. .. ...

i ii 1 2 3 4-5 6 7-31 32 33-41 42-44 45 46 47 48-51 52-56 57

Health Picture of the Family .

Acknowledgement

We, the Bachelor of Science in Nursing Second year students would like to express our deepest and sincere thanks to the people who helped us made this research possible. First, we would like to convey our thanks to our clinical instructors especially to Mrs. Vivien Brato, RN, MN and Mrs. Lucille Chucas, RN for their time, support and knowledge which they have imparted to us. The things they have taught us will always be implanted in our minds and hearts as we go along our journey. To our beloved Program Head of the Nursing Department, Mrs. Anabel Franada, RN, and our warm thanks to you for providing us with inspiration for us to succeed in everything we do especially this research. To Hon. Brgy. Captain Ronald S. Eliot and the rest of the Barangay officials as well as the residents of Purok Capagngan, Visayan Village, Tagum City, we would like to deliver our sincere thank you for providing us with necessary information and with your warm welcome and acceptance to us students because without your cooperation we will not be able to accomplish this research. To our parents, who are always there to guide and support us as well as for providing our needs financially, emotionally and spiritually to enable us accomplished this research. To ourselves, for dedicating our time with effort to accomplished this task, let us give ourselves a big hand because without helped of every individual in this group and the ideas rendered we were not be able to finished this research. Finally, to the Most High, God for making us of what we are now, thank you God for guiding us and giving us wisdom in everything you and for giving us the above people as your instruments for us to pursue our dreams in life. Again, THANK YOU to all those people who, in their own little or big way have helped us to accomplished this research. The things that you have imparted to us will always be a blessing and will be one of the most worth remembering.

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Introduction Community Health Nursing is the utilization of the nursing process in the different levels of client-individuals, families, population groups and communities, concerned with the promotion of health, prevention of disease and disability and rehabilitation. (Maglaya et. Al) The community is the patient in CHN. The family is the unit of care and there are four levels of client: individual, family, population group (those who share common characteristics, developmental stages and common exposure to health problems.) and the community. Community exposure is needed for further research into communitybased nursing practice learning, including the factors that influence student nurses integration into and experience of such learning. Student nurses are exposed to the community for them to know how to identify health problems, to develop their competence, to enhance their skills literacy and mentorship and to have pace of change. Increased understanding about the nature of student nurses practice learning enables closer collaboration between nursing academic and practitioners, adding educational value to both setting. Developing such understanding in the community allows setting to be enhanced to the benefit of all.

Objectives

General:

Tagum Doctors College Inc. of level II student nurses aims to identify existing problems that needs attention to improve the quality of life in the community specifically Purok Capagngan , Visayan Village, Tagum City.

SPECIFIC:

Upon the completion of this exposure the group will be able to:

1. 2. 3. 4.

collect accurate data about the status of Purok Capagngan; identify arising problems in the community; prioritize the result of the survey based on the community diagnosis; provide caring services to clients in the community using therapeutic interventions, critical thinking and professional communication; and 5. provide health teachings to broaden their knowledge about community health issues and solutions to improve their community status.

History Background Visayan Village was created into barangays through a Municipal Resolution approved in 1938. Its name was derived from the fact that predominant tribe come from the Visayas. However, there are also other tribes who are living in the barangay that are Mindanao natives like Mansaka, Muslim, and Tboli but these are only the minority populace.

DATE CREATED LEGAL BASIS LAND AREA BARANGAY CLASSIFICATION NUMBER OF PUROK POPULATION MALE FEMALE NUMBER OF HOUSEHOLD AVERAGE HOUSEHOLD SIZE REGISTERED VOTERS APPROXIMATE DISTANCE FROM CITY HALL TO BARANGAY HALL MEANS OF TRANSPORTATION WATER SOURCES POWER SOURCES ACTUAL H.H. ENERGIZED FIESTA ARAW CELEBRATION IRA

1938 Resolution 1,520 hectares Urban 72 36,653 18,819 17,834 6,663 100 square meters 18,201

5 kilometers tricycle and motorcycle Tagum Water District/ cooperative DANECO 97 % April February 13. M

BARANGAY OFFICIALS

Punong Barangay Ronald S. Eliot

Barangay Kagawad Rey Cyril T. Alba Alfredo b. de Veyra Jr. Benjamin C. Manigo Antonio M. Encenzo Oliver O. Malacaste Cyril Leonard L. Muring

Barangay Secretary Rogelio A. Sanchez Jr.

Barangay Treasurer Ismael M. De Costo

SK Chairman Kheen V. Batingal

SK Kagawad Allena Sharm L. Rellon Aime Joy C. Pancho Shalamie P. Moralla Isabel Rea Malacaste Diana Ann Q. Mana Arthanne James R. Manigo Mc Vharn M. Carte

Purok Chairman Silvina R. Lulu

Purok Secretary Hearlen V. Arabejo

Purok Treasurer Nicanora De Tuyor

Purok Midwife Thelma Labastila

TABLES, FIGURES, INTERPRETATIONS AND ANALYSIS OF DATA

No. of Families Surveyed: 7 No. of Individuals: 26 Total No. of Males: 13 Total No. of Female: 13

Percentage Distribution Showing the Age Distribution of Families Surveyed, Barangay: Visayan Village, Purok Capagngan, Tagum City As of September 2012 Age 0-1 month 2-11 months 1-3 years 4-5 years 6-10 years 11-14 years 15-17 years 18-20 years 21-40 years 41-60 years 60 years and above Total Category Neonate Infant Toddler Pre-school School-age Early Adolescence MiddleAdolescence Late Adolescence YoungAdult MiddleAdult Late- Adult Male 0 0 0 1 0 1 2 0 4 5 0 13 Female 0 0 1 0 3 1 0 1 2 5 0 13 Frequency 0 0 1 1 3 2 2 1 6 10 0 26 Percentage 0 0 7.64 7.64 11.53 7.69 7.69 7.64 23.07 38.46 0 100%

6 5 4

38.46%

11.53%
3

7.69%
2

23.07%

Male Female

7.64%
1 0

7.64 %

7.64%

7.64%

Interpretation:

Based in the graph above there are 10 middle-adult out of 26 people live in Purok Capagngan. Therefore, middle-adult had the highest population. The Erikson model calls 35 to 65 the middle-age adult years and describes them as "generativity versus stagnation." This age group has more societal control than any other, and these years are busy and creative. A middle-age adult strives to be productive in the community. He works to pass his culture and values along to his children and guide the next generation. He may struggle with stagnation or selfabsorption when the children leave home or if his career is not fulfilling. (http://www.ehow.com/info_8676421_eriksons-stages-associated-adulthood.html )

Percentage Distribution Showing The Civil Status of Families Surveyed, Barangay: Visayan Village, Purok Capagngan, Tagum City As of September 2012

Category Single Married Widow Total

Male 6 7 0 13

Female 6 7 0 13

Total 12 14 0 26

Percentage 46.15 53.84 0 100%

Civil Status

Single

53.84%

46.15%

Married Widow

Interpretation: Based in the graph above there are 14 people are already married out of 26 people live in Purok Capagngan. Marriage is the only institution that allows two people to establish a very strong and enduring relationship that is fully backed by the law and

society as a whole. This is the main reason why the institution of marriage has been around for so long. (www.iguides.org/Importance-of-Marriage) MANILA, Philippines - Fewer Filipino couples are getting married, with the number of registered marriages declining by 1.5% between 2001 and 2010, according to the National Statistical Coordination Board (NSCB). In its Sexy Statistics, NSCB Director General Romulo Virola said Filipino couples that tied the knot preferred civil weddings to church weddings. Between 2001 and 2010, there was effectively a 1.5% annual decrease in the number of registered marriages in the country. NSCB said 43.5% of married couples preferred civil wedding rites compared to 35% who got married in church. NSCB Director General Romulo Virola said that more than 6 out of 10 marriages took place in Luzon and that most marriages happened in the National Capital Region (Metro Manila). The Autonomous Region in Muslim Mindanao, Cordillera Administrative Region and Caraga had the least number of registered marriages. NSCB said the average age of brides had been increasing, from 25.8 in 2007 to 26.1 in 2010. Bachelors who decided to get hitched were also older, from 28.8 in 2007 to 29.1 in 2010. Also, Filipino bridegrooms tended to be older than their brides. For all age groups, from age 25 and up, there were more bridegrooms than brides. However, for age groups 24 and below, there were more brides than bridegrooms. Those who wed no longer seemed to prefer the month of June, NSCB said. The attached agency of the National Economic and Development Authority added that the marry ingest months were May, December and January while couples typically avoided the months of November, August and July. (http://www.abs-cbnnews.com/lifestyle/06/28/12/fewer-filipinos-getting-hitched)

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Percentage Distribution Showing the Family Size of Families Surveyed, Barangay: Visayan Village, Purok Capagngan, Tagum City As of September 2012

Category Small (1-4) Medium (5-6) Large (7 up) Total

Frequency 5 2 0 7

Percentage 71.43 28.57 0 100%

Family size
28.57%

71.43%

Small Medium Large

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Interpretation:

Based in the graph above there are 5 small families out of 7 families lived in Purok Capagngan. There was a time when people were proud of having large families. But today, things have changed. People are realizing the importance of having small family. People are now realizing that small family is happy family. There are so many advantages of having a small family. Below are listed some of the advantages of being a small family. Financial conditional of family is deeply related to the size of the family. A living cost of large family is surely much higher than small family. A large family has more expenses on cloth, toys, education and food whereas expenses in small family are very low. Parents can easily fulfill the needs of one or two children. They can provide them best education and look after them very well whereas when there are many children to look after parents just cannot look even the basic needs of the children. Therefore, as a result, children suffer, the parents suffer and nation suffers. Parents can look after their child properly if they have one or two children. They can pay due attention to their upbringing and needs. Parents can give them their best support. Naturally, the children will grow into good citizens. A child in a small family receives more support from their parents than in large family. In large family, parents have many child to look after, so they cannot give their best support to everyone whereas in small family parents can give more support to children as they have only one or two children to look after. Family size also affect the health, especially that of mother and child. Frequent pregnancies can cause illness to both mother and children. It can disrupt the health of the women. It puts mother and babys health at risk. So having a small family definitely leads to healthy and happy family. Thus A small Family is indeed a happy family. (By: Manish Kapoor)

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Percentage Distribution Showing the Type of Family Structure of Families Surveyed, Barangay: Visayan Village, Purok Capagngan, Tagum City As of September 2012

Category Dyad Nuclear Extended Blended Total

Frequency 2 3 1 1 7

Percentage 28.57 42.86 14.29 14.29 100%

Family Structure

Dyad Nuclear Extended Blended

Interpretation:

Based in the graph above there are 3 nuclear families, 2 dyad families, 1 extended family and 1 blended family out of 7 families lived in Purok Capagngan. Therefore, nuclear family has the highest population in Purok

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Capagngan and Dyad family has the second highest population in Purok Capagngan. Nuclear family consists of husband, wife and their children. Dyad family consist only husband and wife. Extended family consists not only of the basic family unit of parents and their children but extends to include other adults and children with kinship ties. Extended families can include, aside from the parents and their children such as grandparents, spouses of children cousins, aunts, uncles etc. And the Blended family consists of 2 single parents with their children living in one house. (http://www.mysticmadness.com/advantages-disadvantages-nuclearfamily.html)

Percentage Distribution Showing the Education of Families Surveyed, Barangay: Visayan Village, Purok Capagngan, Tagum City As of September 2012 Category Not applicable (less than 7 years old) Kindergarten Primary level Primary undergraduate Secondary level Secondary undergraduate College Total Male 0 1 0 1 7 4 0 13 Female 1 1 3 0 4 3 1 13 Total 1 2 3 1 11 7 1 26 Percentage 3.85 7.69 11.54 3.85 42.31 26.93 3.85 100%

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8 7 6 5 4 3 2 1 0

42.31% 11.54% 3.85% 7.69% 3.85% % 26.93% 3.85%

Male Female

Interpretation:

Based on Percentage Distribution Showing the Age Distribution of Families in Visayan Village, Purok Capagngan, Tagum City, there are 16 people from young-adult to middle-adult lived in Purok Capagngan. Out of this 16 people there is only 1 female who reached college level and no one graduated from college. Some of them didnt reach college or graduated from college because of poverty. They cant afford to go to college because most of them are poor. And some of them didnt reach college because they built a family too early. In the present time the state of the educational system in the Philippines is a great cause of worry. We used to produce students who were well-rounded and ready for the challenges of the real world. Today, for every 10 children who started their primary education, only 6 go on to continue with their secondary education, and 4 will manage to enter college. May be one of the reasons might be poverty. (Chlienchan of englishforum.com)

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Percentage Distribution Showing the House Ownership of Families Surveyed, Barangay: Visayan Village, Purok Capagngan, Tagum City As of September 2012 Category Owned Rented Rent-free Total Frequency 0 6 1 7 Percentage 0 86 14 100%

Houseownership
14% 86%

Owned Rented Rent-free

Interpretation:

Based in the graph above there are 6 families who rents a house, 1 family who rents but for free (they only pay by their services such as by being a care taker of a land or lot or by being a house-boy or maid) and out of 7 families who lived in Purok Capagngan, no one owns a lot or a house.

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Only 42% of Filipino respondents own their home either outright or have a mortgage. Separate studies have pointed to enthusiasm for home ownership among Filipinos however these aspirations are often hampered by a lack of affordability particularly in metropolitan areas. This, combined with a culture of strong family ties, sees 27% of Filipino respondents adopting the option of living rent-free in the family home. (Citibank.com)

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Percentage Distribution Showing the Types of Housing of Families Surveyed, Barangay: Visayan Village, Purok Capagngan, Tagum City As of September 2012 Category Wood (light) Concrete(strong) Mixed Total No. of houses 6 0 1 7 Percentage 86 0 14 100%

Types of Housing
14%

86%

Wood Concrete Mixed

Interpretation: Based on the graph above there are 6 families that lived in a house made of light materials such as wood and 1 family that lived in a house which materials was mixed light and concrete materials such as hollow blocks and wood. Out of 7 families lived in Purok Capagngan, no one lived in a concrete

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house because based on our interview, they prefer to built a house using light materials because they are only renting the lot.

Percentage Distribution Showing the Employment Status of Families Surveyed, Barangay: Visayan Village, Purok Capagngan, Tagum City As of September 2012 Category Employed Unemployed Total Male 6 7 13 Percentage 46% 54% 100% Female 1 12 13 Percentage 8 92 100%

Unemployed

54%

92%

Male Female Employed

8%

46%

10

15

20

Interpretation:

Based on the graph above there are 6 males and 1 female are employed out of 26 people lived in Purok Capagngan and 7 males and 12 females are unemployed out of 26 people lived in Purok Capagngan.

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According to National Statistical Coordination Board the Philippines unemployment rate from January 2012 7.2 percent dropped slightly to 6.9 percent for April 2012. The latest figure is lower than the 7.2 percent recorded during the same period in 2011. The poll showed that Metro Manila registered the highest unemployment rate at 10.4 percent. Among the jobless, 62.3 percent are male and 37.7 are female. More than half51.7 percentare between 15 to 27 years old. Among educational groups, 32.8 percentor almost a thirdof the unemployed are high school graduates, 13.8 are college undergraduates and 21 percent are college graduates. The survey also revealed that the countrys employment rate was at 93.1 percent, compared to the 92.8 percent recorded in April 2011. It also showed that an estimated 37.8 million people have jobs in April. More than half, or 51.4 percent, of those employed work in the services sector, while 33 percent work in the agricultural sector and 15.6 percent in the industry sector. Of the estimated 62.8 million people aged 15 and older in April 2012, 40.6 million are in the labor force, up slightly from the estimated 39.7 million recorded in April 2011. The labor force participation rate [LFPR] in April 2012 was 64 percent, up from the 64.2 percent registered in April 2011. The countrys labor force is comprised of employed and unemployed people, 15 years old and older, who contribute to the production of goods and services in the country. (http://www.nscb.gov.ph/secstat/d_labor.asp) (Manila times/Philippine unemployment rate drops to 6.9 percent)

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Percentage Distribution Showing the Availability of Electricity of Families Surveyed, Barangay: Visayan Village, Purok Capagngan, Tagum City As of September 2012

Category Electricity Kerosene Candle Total

Frequency 5 1 1 7

Percentage 71 14.28 14.28 100%

Availability of Electricity
14.28% 71% 14.28%

Electricity kerosene Candle

Interpretation:

Based on the graph above there is 5 families who have electricity, 1 family use kerosene and 1 family whose using candle. According to our interview, these 2 families dont have electricity in their house because of low family income and some of their family members are unemployed.

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Percentage Distribution Showing the Means of Cooking of Families Surveyed, Barangay: Visayan Village, Purok Capagngan, Tagum City As of September 2012 Category Electric stove Gas stove Firewood/charcoal Total Frequency 0 2 5 7 Percentage 0 28.57 71.42 100%

Means of Cooking
71.42% 28.57%

Electric stove Gas stove Firewood/charcoal

Interpretation:

Based on our graph there are more people using firewood/charcoal. The percentage is 71.42% on our total surveyed areas. It is interesting to note that there more people used firewood/charcoal in cooking. Principally carbon dioxide from such fuel sources is obviated. Carbon dioxide is a colorless, odorless, none combustible gas with a slight

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acid taste. However, it is still used due to its affordability and availability. It is a common knowledge that the carbon dioxide, in elevated proportion can caused upper respiratory illness. It is likewise a leading air pollutant. Residents who live in a congested area are all vulnerable to fire with the use of any kind of cooking system. (Untalan, 2007) The heat Distribution of using firewood unlike central heating, which can have vents in all rooms in a house, a wood burning stove provides localized heat. For this reason, the areas immediately around the fireplace or stove can get much warmer than other areas in the home or room being heated. Wood burning contributes pollution to the environment in the form of the smoke emitted as the wood is burned. The smoke released serves as a pollutant to the outside, particular in winter months, and can also pollute the air inside the home if not properly vented, causing smoke to build up in your rooms. (http://www.ehow.com/info_7821373_disadvantages-firewood.html

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Percentage Distribution Showing the Food Storage of Families Surveyed, Barangay: Visayan Village, Purok Capagngan, Tagum City As of September 2012 Category With refrigerator Without refrigerator Total Frequency 1 6 7 Percentage 14.28 85.71 100%

Food Storage
14.28%

With refrigerator Without refrigerator

85.71%

Interpretation:

Based on the graph there is 85.71% who has no refrigerator and there are only 14.28% who has a refrigerator. Food is a prime necessity of all living things, from bacteria through insects and animals to man. Food sanitation should ensure primarily the consumption of safe and wholesome food and thereby protected the individual from illness and at the same time promote

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the health and well being. We should take into account that one process in which we could preserve is through refrigerator. (Untalan, 2007) Food and drink, being organic in origin, does not last forever. Shortly after food is bought or prepared it will begin to spoil, quickly becoming inedible through the effects of bacteria. By lowering the temperature of the food through refrigeration, you can slow or even temporarily halt the effects of bacteria, making the food stay edible longer, because refrigeration increases the amount of time a foodstuff will be edible, it is now possible to plan meals well in advance. Before refrigeration, meals that were prepared on one day would have to be either salted for temporary preservation, eaten that day or the day after at the very latest or they would begin to rot. Now you can eat meals several days after their original preparation.Many food and drink manufacturing processes require a certain temperature for best results, such as the requirement to store beer and ales at fixed temperatures to maintain the correct chemical balance once you brew them. Once it was only possible to produce the best products at certain times of the day, or even of the year. Refrigeration allowed the temperature to be maintained all the time, so manufacturers could produce these products constantly. As organic products such as food and drink as well as the raw materials used to produce them, decay over time, it was difficult to transport these products over long distances before refrigeration. As with food storage, distribution across countries and even continents became more viable once food could be chilled to the point where decay during the journey was no longer a problem. (http://www.ehow.com/info_8154597_benefits-refrigerators.html)

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Percentage Distribution Showing the Drinking Water Source of Families Surveyed, Barangay: Visayan Village, Purok Capagngan, Tagum City As of September 2012 Category Private Public Potability Total Frequency 5 2 0 7 Percentage 71.42 28.57 0 100%

Drinking Water Source

28.57% 71.42%

Private Public Potability

Interpretation:

Based on the pie graph above the source of their drinking water is 71.42% coming from private resources, 28.57% coming from public while there is 0% coming from the portability. We all know what the importance of water (drinking water) in our life is. Without water human life as well as no life is possible in this planet. All the

26

living beings in this planet earth need water for survival and without water there will be no life in this earth. Drinking water should be clean physically (there should be no turbidity) and there should be no bad odor. Drinking water should be free from microorganisms, free from harmful chemical and other pollutants. Consuming unsafe drinking water may lead to several water borne diseases, and other long term and chronic health problems. Provision of safe drinking water to each and every individual living in this planet is required. But unfortunately many developing and underdeveloped nations are unable to provide safe drinking water to its citizens, which are resulting in human sufferings, manpower wastage and drainage of economic resources which can be used for developmental works. (http://healthyone.org/what-is-the-importance-of-safe-drinking-water/)

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Percentage Distribution Showing the Garbage Disposal of Families Surveyed, Barangay: Visayan Village, Purok Capagngan, Tagum City As of September 2012 Refuse and garbage container covered open none Total Frequency 1 5 1 7 Percentage 14.28 71.42 14.28 100%

Garbage Disposal
14.28% 14.28%

71.42%
container open none

Interpretation:

Based on the pie graph above that we surveyed there is 71.42% persons who had an open garbage disposal. The production of waste is an inherent part of living in an industrialized society. The amount of waste produced by society is on the rise, largely due to the growth of populations in urban areas.

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Traditionally, waste is disposed in landfills and oceans or is incinerated. These procedures are proving to be unsustainable for the planet and for populations who rely on a healthy ecosystem to survive. The disadvantages of waste disposal may be mitigated by focusing more on management of waste and less on its disposal. (http://www.ehow.com/info_8413466_disadvantages-wastedisposal.html)

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Percentage Distribution Showing the Method of Waste Disposal of Families Surveyed, Barangay: Visayan Village, Purok Capagngan, Tagum City As of September 2012 Category Open dumping Burial in pit Garbage collection Total Frequency 1 1 5 7 Percentage 14.28 14.28 71.42 100%

Method Waste Disposal

14.28% 71.42% 14.28%
Open dumping burial in pit Garbage collection

Interpretation: The garbage collection is higher in percentage (71.42%). Then according to Senator Vincent Sotto garbage collection is essential to the public health and should be not curtailed. (Untalan, 2007)

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Percentage Distribution Showing the Toilet Type of Families Surveyed, Barangay: Visayan Village, Purok Capagngan, Tagum City As of September 2012 Category Pale system Water Sealed latrine Frequency 7 0 Percentage 100 0

Toilet Type

100%

Pale system Water Sealed Latrine

Interpretation: Based on the pie graph above there are 100% of person that we have surveyed who are using the pale system and there are 0% of them who used water sealed latrine. This type of toilet is an essential factor in considering bacterial contamination through stool. It is important to have a good type of toilet as to avoid the spread of disease such as cholera. Educating the people proper refuse disposal should be given priority in maintaining a healthy safe environment.(Untalan, 2007

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Health Picture of the Family

As we, student nurses of Tagum Doctors College Inc. observed from our chosen community Purok Capagngan, Visayan Village that there are stagnant water around their surroundings cause by an open drainage. We also observed that some of the respondents are lack of knowledge when it comes to health issues. Some were not able to visit the health center as verbalized by most of the respondents. The health in the community threaten due to lack of knowledge and participation in the activities that would promote the quality of their health.

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FAMILY PROBLEMS This chapter presents the different family health problems identified by the student nurses of Tagum Doctors College, Inc. level II after conducting the survey and analysis of the gathered data. Problem Prioritization

1. Poor Environment Sanitation as evidenced of: Poor drainage system Open drainage container Criteria Nature Problem of the Computation 2/3 x 1 Score 2/3 Justification It is a health threat because it can

threaten the health of the family. Open drainage

system and open garbage can container result in

acquiring communicable disease. x2 Modifiability of the Problem 1 The family does not have income enough and

resources to modify the However, students perform problem. we may health

teachings related to

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proper environment sanitation. 3/3 x 1 Preventive Potential 1 Open container preventive providing garbage can be by close

garbage containers. 2/2 x 1 Salience 1 Though the family does not consider it as a problem but it needs attention immediate because

this may result to cause communicable disease that may threaten helath. 3 2/3 Toatal their

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2. Unemployment Criteria Nature Problem of the Computation 1/3 x 1 Score 1/3 Justification The problem is

seen as foreseeable crisis because if a family member is the of the

unemployed demands

needs of the family are not able to

provide. x2 Modifiability of the Problem 1 The condition is

partially because

modifiable of the

increasing

number

of population and since most of the respondents undergraduate. 3/3 x 1 Preventive Potential 1 The problem is are

highly preventive. It can be totally

prevented by finding another means of earning money. x1 Salience The perceives problem as family the not

needing immediate attention there simple are ways because other of

35

earning money. 2 5/6 Total 3. Education Criteria Nature Problem of the Computation 3/3 x 1 Score 1 Justification The problem is as state through people

presented wellness because education

gain knowledge on how to have a

healthy lifestyle and environment. x2 Modifiability of the Problem 1 The problem is

partially modifiable because lack of

financial support 1/3 x 1 Preventive Potential 1/3 The family has in the

difficulty supporting

education needs of their because financial status. 2/2 x 1 Salience 1 The perceives problem as family the not children of

needed immediate attention because

for them there are other ways to find an extra income.

36

2 5/6 Total 4. Accidents Hazards and Fire Hazard Faulty Electrical Wirings Presence of Breeding of Vectors of Disease such as mosquitos and cockroaches. Criteria Nature Problem of the Computation 2/3 x 1 Score 2/3 Justification It is a health threat because result it may

accidents,

injuries, and health problems members family. x2 Modifiability of the Problem 1 The problem is to of the the

partially modifiable because they lack of knowledge

regarding protective measures. 1/3 x 1 Preventive Potential 1/3 The problem is

partially preventive because they have limited and resources lack of

financial support. x1 Salience 1/2 The perceive the problem as not

needing immediate attention because

they are lack of knowledge with

37

regards

of

this

condition. They are not aware of the danger it may

cause due to lack of knowledge.

2 1/2 Total

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Family Health Problem Prioritization

Rank
1 2 3 4

Community Problems According to Priority

Poor Environment Sanitation Unemployment Education Accident Hazards and Fire Hazards

Score
3 2/3 2 5/6 2 5/6 2 1/2

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SCALE FOR RANKING HEALTH PROBLEMS ACCORDING TO PRIORITY

CRITERIA 1. Nature of the condition or problem presented Scale: wellness state health deficit health threat foreseeable crisis 3 3 2 1

WEIGHT

2. Modifiability of the condition or problem Scale: easily modifiable partially modifiable not modifiable 3. Preventive Potential Scale: high Moderate low 3 2 1 1 2 1 0 2

4. Salience Scale: a condition or problem, needing immediate attention a condition or problem not needing immediate attention not perceived as a problem or condition needing change 0 1 1 2

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DEFINITION of TERMS

Health Threats conditions which are conductive to disease, accident to realize ones health potential.

or failure

Health Deficit instances of failure in health maintenance.

Foreseeable Crisis anticipated periods of unusual demand on individual/family or community in terms of adjustments/family resources.

the

Modifiability refers to the probability of success in minimizing, alleviating, or totally eradicating the problem through interventions.

Preventive Potential refers to the nature and magnitude of the future problems that can be minimized or totally prevented if intervention is done on the problem under consideration.

Salience refers to persons perception and evaluation of the problem in terms of seriousness and urgency of attention needed.

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Family Health Care Plan Meth Health Family Nursing Goal of Objectives Nursing od of Problems Problem Care of Care Interventi Nurs on eFamil y Cont act After -Poor Inability After 1 . ) Discuss Durin nursing environm to provide a nursing the health g ental home interven intervention problem hom sanitation environment tion, the , the that may e families in . conducive to family arise and visit. the health will be the effect community maintenance able to of poor will: & personal effective sanitation development ly to prevent 1.)Gain due to: promot health knowledge e and complicati on proper maintai ons. waste 1.) Failure n an 2.)Encou disposal. to environ r a g e the understa ment family to 2.)Gain nd the conduci reinforce knowledge nature ve to with the about of the health. neighborh effective problem ood to cleaning of . clean the their 2.) Lack of surroundin house & adequat their enviro gs and e eliminate nment. knowled the threats ge to their Resou rces Requir ed

Time and effort of studen t nurse and family.

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of the importa nce of proper sanitatio n. SCIENTIFIC BASIS: www.nursingc rib.com

3.)Know the correct basis for cleanlin ess.

health.

4.) E m p ha s i z e the importanc e of a 4.)Gain clean & knowledge healthy about importance environme nt to of a clean environmen promote a quality t. and healthy living. 5.) D i s cus s w / techniq ues & methods used in cleaning &sanitizing to improve proper way of cleaning. 6.) M o n i to r f o r places that are prone to soiling and dirt to prevent

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the spread of hazardous threats to their health.

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SUMMARY

COPAR or Community Organizing Participatory Action Research focuses on the transformation of the community and its people by taking actions that would resolve the problems in their community that would benefit to their health. We, the 2nd year Bachelor of Science in Nursing students of the Tagum Doctors College Inc. has a goal of organizing, promoting and enhancing the health of the community especially our chosen one- Purok Capagngan, Visayan Village, Tagum City through the active participation of its members, utilizing their available resources and connecting with the government agencies. Our pre-entry phase started in the month of August together with Mrs. Vivien Brato, RN, MN. We selected Purok. Capagngan, Visayan Village as our area and we do our act of respect by conducting a courtesy call to the Barangay officials. During our entry phase that was last August 13, 2012, we gathered ourselves at the Purok Capagngan Health Center and divided the class into two groups and started looking for a family that would serve as our client individually. We assessed our chosen family by asking questions in the given questionnaire of our clinical instructor. After gathering and collecting the datas, we went back to the health center. Last September 18, 2012, we went back to Purok Capagngan with our clinical instructor. We started by counting the households from the starting point of Purok Capagngan area to their health center and from there to our designated family assessed a month ago. We have divided the class into two groups inorder to properly count the number of houses in the right and left for our spot map. Then, we prepared the datas and information we gathered by interpreting them in the class.

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CONCLUSION

Community Health Nursing is a learned practice discipline with the ultimate goal of contributing, as individuals and in collaboration with others to the promotion of the clients optimum level of functioning through teaching and delivery of care. With CHN and the help of COPAR, the student nurses of TDCI especially we, 2nd year was able to provide a community service that would promote the wellness of the people. Throughout our duties in the community, we have embraced the calling of nursing profession by looking and doing beyond our capacities as student nurses by dedicating ourselves in promoting the welfare of others. We were able to recognize the needs of the community, families and individuals that need immediate attention that could possibly be a factor in the promotion of their health. Unemployment, lack of education, poor sanitation and accident and fire hazards are the leading problems which we have discovered during our collection of data.

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RECOMMENDATIONS The group would like to propose that: For Poor Sanitation 1. Governments and other stakeholders should jointly reassess the current and planned spending levels in the sanitation and related sectors, covering health, water resources, and environment, rural and urban planning and development, sheries, and tourism. 2. Sanitation investments should not be made just in latrine extension programs, but in improved sludge, water and solid waste management, and in hygiene programs to raise population awareness of personal and community hygiene issues. 3. People should know the water quality monitoring that be conducted to assess the extent and nature of water pollution and to inform populations which water sources are safe to use. For Unemployment 1. People itself must make use of the available resources in their community that could help for the development of their community such as those recyclable materials. 2. As a person, one should be responsible in itself when looking for a job and has the willingness for the opportunities to come. 3. Local government should conduct activities such as Job Fair for them to have the chances in having a job. For lack of Education 1. The local government should coordinate and asked assistance from the TESDA or other programs to help them in addressing the educational needs of the people in the community 2. Coordinate in non-government agencies in the area as well as other important entities, who can give some support and beneficiary in terms of providing them financial support to sent in school For families affected by accident hazards 1. People should become aware of the accident hazards in their environment 2. The families in the community would take appropriate action in reducing the possible risk of causes in accidents 3. People should had impart knowledge all about safety measures and first aid

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PICTURES

The Clinical Instructor

The Student Nurses

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Purok Capagngan, Visayan Village, Tagum City

BSN II students and clinical instructor of TDCI with clients of Purok Capagngan.

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Disposal of garbages of Purok Capagngan.

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Clients houses of Purok Capagngan.

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Hala! Ani di.ay ni pag gamit ug laptop? Patudlo mi bi!

Kapuya na uie!. Ing.ani di.ay ni? Unya mag nursing pa mo?

Ok lang ka Rox? Naay eyeglasses dri. ACHECHE!!!

Sige ug hangad-hangad. Unya naa kay makuha ana?

PREPARATION

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GROUP PROFILES

NAME: Julie Pearl Remitar NICKNAME: Candy ADDRESS: Apokon, Tagum City

NAME: Roxanne Claver

NICKNAME: Ading
ADDRESS: Villa Verde Subd. Tagum City

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NAME: April Rose Bagaforo NICKNAME: Cute-Cute ADDRESS: Semong ,Kapalong,Davao del Norte

NAME: Julie Dee Yuson NICKNAME: Jhingkay ADDRESS: Carmen, Davao del Norte

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NAME: Nerjaya Lea Mirafuentes NICKNAME: Ner ADDRESS: Santol, La Filipina, Tagum City

NAME: Christy Jean Hiloca NICKNAME: Cris

ADDRESS: Panabo City

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NAME: Laniza Rica Despi NICKNAME: Inday ADDRESS: Busaon, Tagum City

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BIBLIOGRAPHY

Aaron CY Tuesca Untalan, RN, Concepts and Guidelines in COPAR, revised edition 2007, Ermita, Manila, Educational Publishing House. Zenaida Nisce, RN, BSN, MPH, Community Health Nursing Services in the Philippines, 9th Edition Copyright, 2000, National League of Philippine Government Nurses Inc., www.nursingcrib.com www.nscb.gov.com

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