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The outbreak of coronavirus disease 2019 or most popular sa COVID19 put the whole in panic
on how to prevent the disease from spreading and killing their citizen. It all started in china in
late December 2019. But late informing the world regarding the incoming pandemic from the
Chinese government make the whole world in shock. Every country in the world do every thing
they can to make their country safe from the virus but despite their given measures, the virus
manage to escape from country to country as if we where finding a needle in the hays stock.
This make every county difficult to contain because COVID 19 has different strain from the
previous strain. To this date the total confirmed cases has caused 80 813 in all province of
China and 21 110 cases reported in 93 countries as of march 7, 2020. This data alarmed all
countries to develop the cure to virus but despite all moderm technology we have they haven’t
develop any single vaccine that will combat the virus, but the World Health Organization advised
the public to practice physical distancing, avoiding crowded places, wearing a facemask and
boosting your immune system. while theres no cure, every countries closed their borders to their
neighbors this measure slow the spread of virus but theres no guaranty of immunity to the
disease. The world is waiting for the vaccine and encourage every country to share a
information in order to develop the cure, this its nottime for bussines but for the good of
mankind and so that we can combat our enemy as a one nation.
As a nursing student this crisis has a grate impact to me because this put too many question in
my mind and put me in bizzare situation, first in this case the government should invest in health
sector because they see the situation and impact of lack of medical personel in times of crisis ,
second they should give them the right compensation for the medical personel because their
risking their life for the safety of their patient, and sacrificing their own safety for the others.
Third is, in research sector the nation should collaborate as one in order to prevent another
pandemic that would eradicate the mankind. We should encourage all countries to do the same
in order to create a vaccine that would make the world free from covid 19. Because while the
time and money is running out the economy of every nation that hit by this pandemic countries
hit by this virus is struggling already because of shutting down of their economy as primary
measure to fight the virus if this continue this coming months more will die not because of the
disease but because of hunger that brought by the lockdown imposed of their government. As
citizen of this Republic I know that prolonging the Enhance Community Quarantine or shifting to
General Community Quarantine this coming May 15, 2020 will hit our economy too much as I
know that our country have only limited resources to supply the lower and middle class family ,
aas the impact of COVID19 to the economy is widely seen . Todays pandemic, addressed the
issue of responsibility and liability in our nation. Also it strengthened our faith in God. This
suppressed the power of individualism and help grow unity within our hearts. This is the timw
when critics all over country must stop in a while and pray for those who are in position to do
their jobs right. The pandemic taught me the real meaning of camaraderie, of altruism and most
of all solidarity.
This is not an easy fight for all nation, it takes strength, man power, faith and devine intervention
to end this pandemic. After thid we will all rise together. Helping those who have been affected
to build another beginning of life, move forward and learn the lesson that this pandemic taught
us. That in times of a widespread pandemic we should work hand in hand to knock down the
enemy in this case we cant see the enemy that is targeting us but with working together we will
defeat the enemy no matter how small or big it is. Remember the tag line that we used in the
previous SEAGAME2019 “we win as one”, this fight is not only for the Filipino but for every
nation to defeat the virus, with the tag line hard times will end sooner and we will meet each
other in the blooming spring not now but soon.
Stroke is a medical emergency with ischaemic stroke being the most common type worldwide .
hypertension has been identified as the leading modifiable risk factors globally. The
management of Acute Ischemic Stroke is fast changing due to the advancement in technology
and the introduction of intravenous recombinant tissue plasminogen activator. Recanalization
strategies including administration on intravenous recombinant tissue type plasminogen
activator and intra arterial approaches attempt to establish revascularization so that cells in the
penumbra can be rescued before irreversible injury occurs, restoring bloodflow can mitigate the
effects of ischemia only if performed quickly.Theres is a limited time for window for early
intervention to salvage the ailing neurons. The first 24 hrs of presentation is therefore crucial in
management. Early recognizion of stroke symptoms with rapid intervention can lead to
favorable outcome . If you have experience stroke you may be suffer from permanent brain
damage or worst death. By acknowledging the symptoms of stroke may save your lives or
others, but when stroke occurs to your loveones or patient you should call Emergency Medical
Service EMS to save them from having permanent damage or death this know as the golden
hour of stroke. As stroke my happen anywhere or to anyone. We should live healthy and
exercise regularly to have a healthy heart .the goal for the management of patients with strokes
is to stabilized the patient and to complete initial evaluation and assestment, including, imaging
and laboratory studies within 60 minutes of patient arrival . Critical decisions focus on the need
of untubation blood pressure control and determination for thrombolytic intervention.
The onset of stroke is a dramatic and discouraging event both for the person having the stroke
and their family. A person may go from complete independence to complete dependence in a
matter of minutes. Upon entering the medical system, patients are confronted with a bewildering
array of tests, people, and places, as well as confusion about treatment and services.Medical
care for stroke survivors is often fragmented and inconsistent. In some cases the patient is
moved quickly from the acute hospital to a skilled nursing facility or an inpatient rehab
department for rehabilitation. In urban areas, care may be more comprehensive and organized,
but in many other areas followup care can be hit or miss.Advances in acute treatment are
saving the lives of people who would not have survived in the past. As a result, post stroke
therapy is more important than ever. Yet access to services and inconsistencies in healthcare
professional knowledge about how the brain heals after a stroke mean only a small percentage
of stroke survivors are able to access the latest information, equipment, and techniques.Nursing
and rehabilitation professionals play a critical role in the care of the person with a stroke. We all
play a role in improving outcomes through education, training, and knowledge about the
physical and psychological effects of stroke. It is our responsibility to become familiar with the
roles and responsibilities of each profession involved with post stroke care, as well to keep up
with the astounding advances in the emergency, acute, and long-term treatment of people who
have had a stroke.There is no doubt that, at least in developed countries, more people are
surviving stroke than did in the past. New medications and advances in prehospital and
emergency medicine mean people are surviving strokes that would have killed them in the past.
Post stroke rehabilitation is advancing also. Technologic advances, information gleaned from
brain imaging, and new theories about motor control have led researchers and clinicians to
consider new and more effective approaches to rehabilitation. Rehabilitation has become an
integral part of post stroke care. It has been shown to improve outcomes, decrease morbidity,
and increase independence. Not surprisingly, we are learning from research that organized
stroke unit care provided by nurses, doctors, and rehabilitation therapists is consistently
associated with better outcomes. as nursing student we can provides assistance to a person in
need or having ,helping with physical tasks such bathing, dressing, walking, and cooking, as
well as overseeing medication and home management and providing emotional support. As a
student we can provide direct care or manage care from a distance, with this little knowledge it
will mean a lot to people having stroke because we will save them from having permanent
damage or event death. Stroke patients are involved in extensive inpatient rehabilitation,
attending therapy, taking medications, and working arduously to regain lost functions. During
the rehabilitation process patients must adjust to their new physical abilities and learn self-care
practices to prepare for discharge. But most important is having a healthy life style is the most
important it will save yiu from having a stroke.

3.Guillane barre syndrome GBS.


GUILLANE BARRE SYNDROME or GBS is an acute autoimmune polyradiculonueropathyy that

carries great patient morbidity and significant mortality worldwide. The manifestation are highly
heterogeneous at the clinical electrophysiological and biochemical levels which means that it is
better to conceptualise GBS as a spectrum of disorders rather than a singular one. Despite the
diverse range of presentsion, the management of GBS is relatively stereotype. Treatment is
largely restricted to general supportive measure, intravenous immunoglobulin IVIG and Plasma
Exchange with no oral or intravenous corticosteroids in clinical practice. Several validated
prognosis scoring system which can predict the probability of a long term residual disability may
assist in targeting intensive therapies to high risk patient groups. Guillain-Barré syndrome (GBS)
is an eponym for a heterogeneous group of immune-mediated peripheral neuropathies. A
feature common in all GBS variants is a rapidly evolving polyradiculoneuropathy preceded by a
triggering event, most often an infection. GBS generally manifests as a symmetric motor
paralysis with or without sensory and autonomic disturbances. Patients with GBS who are
symptomatic but are able to walk unaided for more than 5 m and who are stable can be
managed conservatively at peripheral centers. However, they should be observed for
progression of the disease, especially if they are still within the first week of the onset of the
disease. Blood pressure and heart rate fluctuations, clinical signs of respiratory failure should be
carefully and meticulously monitored. Clinical signs of ileus should be watched. If any of these
signs are detected they should be immediately shifted to specialized centers for further
management. In the acute phase in bed-bound adult patients require both supportive therapy
and immunotherapy can be used taking into consideration the cost factors and the clinical status
(staging, complications, and other comorbid conditions) of individual patients.

The role of a nurse during the rehabilitation of someone who has experienced Guillain Barré
Syndrome is complimentary to the rest of the multidisciplinary team and involves providing
critical education to the patient and family, as well as support and reassurance during
recovery.This education can encompass a variety of areas and will differ depending on the
specific individual and their lifestyle. Often the education will be provided to help ensure
adherence to the treatment recommendations made by the multidisciplinary team.
Education may involve strategies to assist in the individual transferring safely or eating their
food safely and decreasing their aspiration risk, or medication management for when they
discharge home.As mentioned, recovery from GBS varies, however 30% of patients will still
have some residual weakness 3 years following the event, with 3% suffering further relapses of
muscle weakness and tingling for many years after the initial illness.Recovery can also be
hampered by the emotional and psychological difficulties that often hinder the patient with GBS,
especially those with residual and permanent disabilities following the illness. Therefore, nursing
care of the patient with GBS is varied but must look at the holistic view of the patient and take
into account where they are at in their recovery from GBS. There are two best way to prevent
GBS disease during the first week of a newborns life are: testing pregnant women for GBS
bacteria , second giving antibiotics during labor, to women, at increased risk, unfortunately
experts have not identified effective ways to prevent GBS disease in people older than one
week old. Currently, there is no vaccine to help pregnant women protect their newborns from
GBS bacteria and disease. Researchers are working on developing a vaccine, which may
become available in the future, that way many highly advance country are encourage to invest
in their research about GBS to develop a vaccine that would totally irradicate the disease .and
help to who reaaly in need of best treatment. A diagnosis of Guillain-Barre syndrome
can be emotionally difficult. Although most people eventually recover fully,
the condition is generally painful and requires hospitalization and months of
rehabilitation. You must adjust to limited mobility and fatigue. Maintain a
strong support system of friends and family Contact a support group,
for yourself or for family members,Discuss your feelings and concerns
with a counselor, with this measure we can lessen the axiety of
patient who is newly diagnosed with GBS. This remains a significant
worldwide cause of rapidly progressive masculat paralysis. GBS can
be devastating disorder because of its sudden and rappid , unexpected
onset of weakness and unsualy paralysis , fortunately people with GBS
eventually experience full recovery. With careful intensive care and
successful treatment of infection autonomic dysfunction and other
medical complicatios even those individuals with respiratory failure
usually survive. With all the mentiones complications families should
be educated on the illness, the disease process and the anticipated
course in a life event with potentially long lasting influence on patient
physical and psychosocial well being. Family education and training
also recommened to prevent complications during early stage of the
disease and to assist in the recovery of function during the recovery


SPINAL CORD INJURY is damage to the spinal cord that causes temporary or permanent
changes in its function, symptoms may include loss of muscle function , sensation or autonomic
function in the parts of the body served by the spinal cord below the level of the injury. Injury
can occurs at any level of the spinal spinal cord and can be completely injury with a total loss of
sensation and muscle function or incomplete meaning some nervous signal are able to travel
past th injured area of the spinal cord. Depending on the location and severity of the the
damage the symptoms vary from numbness to paralysis to incontinence. Long term outcomes
also range widely from full recovery to permanent tetraplegia or paraplegia. Complications can
include muscle atrophy pressure sores infections and breathing problems. Acute traumatic
spinal cord injury (SCI) is a devastating disease process affecting tens of thousands of people
across the USA each year. Despite the increase in primary prevention measures, such as
educational programs, motor vehicle speed limits, automobile running lights, and safety
technology that includes automobile passive restraint systems and airbags, SCIs continue to
carry substantial permanent morbidity and mortality. Medical measures implemented following
the initial injury are designed to limit secondary insult to the spinal cord and to stabilize the
spinal column in an attempt to decrease devastating sequelae. This chapter is an overview of
the contemporary management of an acute traumatic SCI patient from the time of injury through
the stay in the intensive care unit. We discuss initial triage, immobilization, and transportation of
the patient by emergency medical services personnel to a definitive treatment facility. Upon
arrival at the emergency department, we review initial trauma protocols and the evidence-based
recommendations for radiographic evaluation of the patient's vertebral column.


An accident that results in paralysis is a life-changing event. Suddenly having a disability can be
frightening and confusing, and adapting is no easy task. You may wonder how your spinal cord
injury will affect your everyday activities, job, relationships and long-term happiness.Recovery
from such an event takes time, but many people who are paralyzed progress to lead productive
and fulfilling lives. It's essential to stay motivated and get the support you need. If you're newly
injured, you and your family will likely experience a period of mourning and grief. Although the
grieving process is different for everyone, it's common to experience denial or disbelief, followed
by sadness, anger, bargaining and, finally, acceptance.The grieving process is a normal,
healthy part of your recovery. It's natural and important to grieve the loss of the way you were.
But it's also necessary to set new goals and find a way to move forward with your life.You'll
probably have concerns about how your injury will affect your lifestyle, your financial situation
and your relationships. Grieving and emotional stress are normal and common.However, if your
grief and sadness are affecting your care, causing you to isolate yourself from others, or
prompting you to abuse alcohol or other drugs, you may want to consider talking to a social
worker, psychologist or psychiatrist. Or you might find a support group of people with spinal cord
injuries helpful.Talking with others who understand what you're going through can be
encouraging, and members of the group may have good advice on adapting areas of your home
or work space to better accommodate your current needs. Ask your doctor or rehabilitation
specialist if there are any support groups in your area. One of the best ways to regain control of
your life is to educate yourself about your injury and your options for reclaiming an independent
life. A range of driving equipment and vehicle modifications is available today.The same is true
of home modification products. Ramps, wider doors, special sinks, grab bars and easy-to-turn
doorknobs make it possible for you to live more autonomously.Because the costs of a spinal
cord injury can be overwhelming, you may want to find out if you're eligible for economic
assistance or support services from the state or federal government or from charitable
organizations. Your rehabilitation team can help you identify resources in your area. Your
friends and family may respond to your disability in different ways. Some may be uncomfortable
and unsure if they're saying or doing the right thing.Being educated about your spinal cord injury
and willing to educate others is helpful. Children are naturally curious and sometimes adjust
rather quickly if their questions are answered in a clear, straightforward way. Adults also can
benefit from learning the facts. Explain the effects of your injury and what your family and
friends can do to help. At the same time, don't hesitate to tell friends and loved ones when
they're helping too much. Although it may be uncomfortable at first, talking about your injury
often strengthens your relationships with family and friends. Your spinal cord injury may affect
your body's response to sexual stimuli. However, you're a sexual being with sexual desires. A
fulfilling emotional and physical relationship is possible but requires communication,
experimentation and patience.A professional counselor can help you and your partner
communicate your needs and feelings. Your doctor can provide the medical information you
need regarding sexual health. You can have a satisfying future complete with intimacy and
sexual pleasure.
1. What did you do to make a difference with the present global
issue on COVID19 (as s family member and nursing student) ? as
I frontliners here in our town I make sure that my family are safe
by sacrificing without seeing my family members for the duration
of Enhance community quarantine we only see each other thru
video chat and as a nursing student I always make sure all my
colleagues wear their face mask properly whenever we go out to
some relief operation in our area.
2. Attach a photo as your evidence in the ways that you help in
addressing the issue on COVID19, IF NONE HOW WILL YOU