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Transcript of COM NCP
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8/4/2019 COM NCP
1/13
CUES HEALTH
PROBLEM
HEALTH
PROGRA
MS
OBJECTIVE ELIGIBLE
POPULATION
TARGET
POPULATI
ON ACTIVITIES RESOURCES TIME
FRAME
PLAN
GENERAL SPECIFIC # DESCRIPTIO
N
# % CRITERIA S
Objective
:
-skin rash
-itchy
skin
-muscleaches
-chills
and fever
-cough
-enlarged
liver with
tenderne
ss-bloody
diarrhea
or blood
in stool
-jaundice
-
abdomin
al pain-icteric
and
jaundice
-belly
becomes
big
-weak
and pale-
verbalizat
Schistoso
miasis as
a Health
Deficit
-proper
waste
disposal
program
-improvefarming
by proper
irrigation
and
constructi
ng
drainage
(canals)
-building
foot
bridges
over snail
infested
streams
-providing
health
education
through
communit
y
assembly
on thedisease
process,
After 1
month of
nursing
interventio
n, the
communitywill be able
to decide
about the
appropriat
e actions to
properly
treat and
manageschistosom
iasis
After 1
After 3
weeks of
nursing
interventi
on the
community will be
able:
A.)To
recognize
magnitud
e of the
healthproblem
B.) Take
appropriate actions
to
manage
health
problems
of the
affected
familymember
in the
12
33
# of
households
who dont
have their
own toilets
# of people
infected with
schistosomia
sis
150 100 1. Establish rapport
2. State the purpose of the
visit
3. Assess communitys
perception regarding the
problem4. Assess communitys
knowledge on
schistosomiasis and its
causes.
5. Determine the extent of
communitys willingness to
participate in the solution
formation of the problem
6. Conduct health
teachings in the community
about disease process, its
etiologic agents, incubation
period and pathology.
7. Discuss with the
community possiblesources of infection such
as:
a. feces of infected persons
b. dogs,pigs, carabaos,
cows, monkeys and wild
rats who have been
infected.
c. snail infested ricefields
8. Discuss with the
Materials:
-visual aids
-
equipments
Humanresources:
-time and
effort of
both the
nurse and
family
Financial:-money for
the nurses
transportati
on
-expenses
for teaching
aids
Februa
ry to
March
Verbal
Feedback
Complian
ce toagreed
upon
intervent
ion and
verbal
feedback
A
c
i
t
m
ao
p
B
aa
e
a
p
h
d
p
at
P
-
8/4/2019 COM NCP
2/13
ion of
problem
-request
of
informati
on
mode of
ransmissio
n and
preventio
n
month of
nursing
interventio
n,
the
communitywill be able
provide
adequate
nursing
care to a
community
member
withschistosom
iasis with
adequate
knowledge
about the
disease
process &
the nursingcare
needed
communit
y
After 3
weeks ofnursing
interventi
on the
communit
y will
identify
and
demonstrate
necessary
measures
to
properly
manage
and
preventthe
spread of
schistoso
miasis in
their
family and
within
community by:
A.)Enumer
ate at
least 3
manifesta
tion of a
personwith
schistoso
community about its mode
of transmission through:
a. skin penetration, ex
walking barefooted
b. transmitted by its host,
Oncomelania quadrasi, asnail
9. Discuss with the
community its common
clinical manifestations such
as:
a. swimmmers itch
b. fever, muscle pain and
coughc. abdominal discomfort
d. icteric sclera and
jaundice
e. tummy becomes big
f. weak and pale
g. bloody diarrhea
10. Discuss with the
community the significanceof proper treatment of the
disease such as:
a. to avoid reinfestation
b. to prevent complications
c. to prevent and control
the spread of the disease
11. Assist the community in
taking immediate actionsregarding patients
condition such as:
a. Having diagnostic
procedures such as stool
exam, u/a to detect and
confirm the disease
b.Taking medications to
treat the disease such asPraziquantel
Verbal
Feedback
e
m
A
c
v
a
m
op
w
-
8/4/2019 COM NCP
3/13
miasis
B.)Enumer
ate at
least 3
nsg.care
interventi
ons for a
person
withschistoso
miasis
C.)Select
with the
communit
y
appropriat
e actionsbest for
them to
prevent or
decrease
the
incident
of
schistosomiasis
12. Teach with the
community the different
nursing interventions to a
family member with
schistosomiasis such as:
a. drinking lots of waterb.bed rest for fatigue
c. education for control of
release of parasites and
control of interaction with
wet areas to stop
reinfestation.
d. nonpharmacological pain
reliefe. judicious taking in their
medications such as
Praziquantel
13.Encourage community
maintenance regarding
proper sanitation and
hygiene to promote healthand well-being such as:
a. proper waste disposal
b. use of safe water for
drinking
c. proper hand hygiene
d. maintaining personal
hygiene
e. preventing contact withinfected water or stream.
14.Inform with the
community the advantages
and disadvantages of each
alternative action to
encourage better decision
making.
Verbalfeedback
and
complian
ce to
agreed
upon
intervent
ion
Verbal
feedback
and
complian
ce to
agreed
uponintervent
ion
s
i
Bc
v
i
n
a
e
s
ia
l
w
r
t
m
-
C
c
s
p
w
d
dp
h
h
a
s
f
-
8/4/2019 COM NCP
4/13
CUES HEALTH
PROBLEM
HEALTH
PROGRAMS
OBJECTIVE ELIGIBLEPOPULATION
TARGET
POPULATION ACTIVITIES RESOURCE
S
TIME
FRAME
PLAN O
GENERAL SPECIFIC # DESCRIPTION # % CRITERIA S
Objective
:
- open
dumpingGavage
disposal
-
Presence
of flies
and
mosquito
es in thehouse
-
Presence
of
breeding
places for
vectorsof
diseases
such as
uncovere
d
drainage
system,
hangingclothes
Poor
home/env
ironmenta
lcondition/
sanitation:
Improper
garbage
disposal
as health
threat
-libong
mo,limpyo
mo program
-waste
segregation
program
-different
types of
composting
After 1
month of
nursing
interventions the
communit
y will
recognize
the
problem
and the
importance of
maintaini
ng a clean
environm
ent in the
promotio
n of
healthand
proper
sanitation
in the
home and
environm
ent.
After 3
weeks of
nursing
interventions, the
communit
y will be
able to:
A.)
Recognize
presence
of theproblem
by
enumerati
ng at least
2
conseque
nces of
impropergarbage
disposal.
42
108
81
Households
without
trashcans
Households
which throw
their garbage
anywhere and
burn their
garbage
Householdswith
uncovered
trash bins
150 100 1.) Establish rapport to
the community.
1.a. Assess the
communitys knowledge& understanding on the
nature, scope &
magnitude of the
problem.
1.b. Observe community
practices that affect
environmental condition
such as on how theydispose their used water
or garbage.
2.) Discuss with the
community the
implication and
consequence of
improper garbage
disposal such as:a. Development of
sanitation-related
diseases such as
malaria, dengue fever &
diarrheal diseases
b. Emergence of
breeding places for
vectors such asmosquitoes, rodents,
roaches and flies.
Human:
Time and
effort of
thestudent
nurses and
the
communit
y
Financial:
Money forthe nurses
transport
Material:
Visual aids
for health
teaching
Within
February
to
March
Verbal
feedback
A
c
e
sc
c
i
g
d
s
d
nd
s
m
d
f
e
o
pv
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8/4/2019 COM NCP
5/13
-no
segregati
on of
garbage
B.)Enumer
ate at
least 2means of
maintaini
ng a
suitable
environm
ent for
the
community.
C.) Assist
community in
selecting
appropriat
e action to
improve
environm
ental
sanitation
c. Environmental
pollution
3.) Impart and
demonstrates
with the community theproper
disposal tips:
a.Burial as the method
wherein trenches/pits
are
dug and the garbage is
deposited.
b. Segregation of wastematerials as to
biodegradable and non
biodegradable wastes,
e.g.
cans & plastic bottles as
non biodegradable;
paper
& dried leaves asbiodegradable.
c. Utilize covered
receptacles in disposal
of garbage to avoid
vectors breeding on
them
4.) Assist thecommunity in using the
chosen method of
proper
garbage disposal, 5.
Follow up
the community if they
have
Verbal
feedback
andcomplian
ce to
agreed
upon
interventi
on
Verbalfeedback
and
cooperati
on in
agreed
upon
interventi
on.
B
c
ea
m
m
g
e
n
u
cr
i
o
a
c
g
Cc
h
p
o
c
(
a
nr
-
8/4/2019 COM NCP
6/13
CUES HEALTH
PROBLEM
HEALTH
PROGRAM
S
OBJECTIVE ELIGIBLE
POPULATION
TARGET
POPULATI
ON
ACTIVITIES RESOURCE
S
TIMES
FRAME
PLAN OF
GENERA
L
SPECIFIC # DESCRIPTIO
N
# % CRITERIA ST
Objectiv
e:
- open
drainage
system
-
presence
of
stagnant
water
nearby
thehouse
-
presence
of animal
manure
-presence
of used
tires and
bottles in
the
backyard
-they puttheir
trash in a
Poor
home/env
ironment
al
conditionor
sanitation
:Presence
of
breeding
sites of
insects as
a healththreat
-libong mo
limpyo mo
bahay
program
-clean and
green
program
After 2
months
of
nursing
interventions the
communi
ty will
recogniz
e the
importan
ce of
maintaining a
clean
environ
ment in
the
promotio
n of
healthand
proper
sanitatio
n in the
home
and in
their
surrounding
environ
After 1
month of
nursing
care, the
communitywill:
A.)
Recognize
the
problem
and decide
taking
appropriate actions
with
understan
ding of the
condition.
B.)
Enumerate
at least 2
means of
maintainin
g a suitableenvironme
nt and
115
42
81
108
# of
household
with open
or no
drainagesystem
# of
household
without
trashcans
Householdwith left
uncovered
trash cans
Households
which throw
their
garbageanywhere
and burn
their
garbage
150 100 1.) Assess d the
communitys knowledge
& understanding on the
nature, scope &
magnitude of theproblem.
2.) Observe
important/significant
practices that affect
environmental condition
such as on how they
dispose their used water
or garbage.
3.) Suggests & emphasize
ways in eliminating
vectors and rodents andthe presence of breeding
places such as:
a. Keeping water
containers covered &
garbage sacks
covered/tied.
b. Avoiding too many
hanging clothes inside thehouse.
c. Destroying breeding
Human:
Time and
effort of
the student
nurses andcommunity
Financial:
Expenses
for home
visit
Material:Visual aids
for health
teaching
Within
Februar
y to
March
Verbal
feedback
and
complian
ce to
agreed
intervention
decided
on the
communi
ty
Verbal
feedback
A.)C
hen
exis
of t
pro
and
appe a
wit
und
din
con
B.)
com
y id
at l
mema
g a
-
8/4/2019 COM NCP
7/13
container
without a
cover
- house
has apiggery
about 5-
10
meters
away the
house
-foul
odorcoming
from the
pigpens
with flies
in it
-
impropergarbage
disposal
-lack of
informati
on
ment. applies it
at the
community
C.) Identify
alternative
courses of
action to
minimize
presence
of
breedingplaces of
insects and
applies it in
their home
and
community
places of mosquitoes by
disposal of empty bottles
& cans
d. Washing dishes
immediately after eating.
e. Discarding soiled foods.f. Cleaning of stagnant
canals frequently.
3.) Provide health
teachings & return
demonstrations about:
a. Environmental
sanitation & propergarbage/waste disposal
such as covering of
garbage containers
b. Segregation of
biodegradable from non-
biodegradable waste &
recycling technique.
4.) Discuss importanceand advantages of
environmental sanitation
such as:
a. Being free from
possible illnesses such as
malaria, dengue fever,
diarrheal diseases, &
amoebiasis.b. A clean environment is
a pleasant place to live in
& favorable for health
prevention, protection &
maintenance.
Complian
ce to the
alternativ
e courses
of action
agreed to
thecommuni
ty
suit
env
nt s
reg
clea
thehou
and
pre
sta
wat
pot
ine
C.)
Dec
num
bre
pla
the
comy.
-
8/4/2019 COM NCP
8/13
CUES HEALTH
PROBLEM
HEALTH
PROGRAMS
OBJECTIVE ELIGIBLE
POPULATION
TARGET
POPULATION
ACTIVITIES RESOURCE
S
TIMES
FRAME
PLAN O
GENERAL SPECIFIC # DESCRIPTION # % CRITERIA S
Objective
-
domestic
waste
water is
eliminate
d bydirectly
pouring it
in the
ground
-sink
wastes
(eg.left
overfoods)are
directly
drained
into the
ground
-
domestic
wastewater
forms
pond of
stagnant
water
-foul-
smellingdrainage
Poor
home/en
vironmen
tal
condition
/sanitatio
n:Improper
drainage
system
as a
health
threat
-proper
excreta
and
sewage
disposal
program
-libong
mo,
limpyo mo
program
After 2
months
of
nursing
intervent
ion the
community will
recognize
the
condition
and
make an
appropri
ateaction or
move to
solve the
problem
using
resource
s and will
have animprovis
ed
drainage
system.
After 2
months of
applying
the nursing
interventio
ns, the
communitywill be able
to
1.)
Enumerate
at least 2
possible
ways of
maintaining a clean
environme
nt
especially
drainage
system
regardless
of limitedphysical
facilities
and applies
it on their
home.
2.) Utilize
available
115 # of household
with open
drainage
system
150 100
1. Establish rapport
2. Assess perception of
the community with
regards to problem
identified
3. Allow community toexpress their perception
and understanding
regarding the problem
4. Assess the
communitys willingness
to learn and participate
in managing identified
condition.5. Assess the
environment of the
community and the
available resources that
can be found/utilized
- kawayan
6. Advise to place a
cover on the exposeddrainage to prevent
utilization of the vectors
as breeding sites and
habitats.
-Emphasize cleaning of
the drainage
7. suggest theconstruction of an
improvised drainage
Time and
effort of
the student
nurses and
the
Barangay
Officials ,BHWs,
RHM and
Familes
Money for
needed
resources
Visual aids
for health
teaching
January
to
March
1.) Verbal
feedback
2. Verbal
feedback
1
c
m
c
e
n
fc
d
a
c
e
d
m
vd
2
c
-
8/4/2019 COM NCP
9/13
-children
playing
near
stagnant
water,
barefooted
-flies and
mosquito
es are
present
in the
drainagesystem
-lack of
informati
on
community
resources
in
correcting
present
conditionthrough
family and
community
participatio
n.
3.)
enumerate
income
generatingactivities
for possible
usage on
constructin
g drainage
system
system using the
communitys resources
such as:
7.1 kawayan as pipes
7.2 gravel as filter
beds8. Seek assistance from
officials and community
in the action of the
decided intervention
and refer to sanitary
inspector and LGU.
9. Encourage family and
community participationin the action of
interventions.
10. Alert proper
authorities (brgy.
Official) of condition for
strict compliance and
application of
environmentalsanitation programs
such as:
10.1 libong mo,
Limpyo mo
11. Guide the family and
community persons in
the implementation of
the intervention.12. Health teachings on
the:
a. importance ofenvironmental
sanitation
b. possibleconsequences
of improperdrainage system
such as greater
and
complian
ce to
agreed
upon
intervention.
3. verbal
feedback
and
compliance to
agreed
upon
interventi
on
u
a
a
a
bi
d
3
c
w
ig
a
h
f
-
8/4/2019 COM NCP
10/13
risk of having
infection
brought about
by vectors (e.g.
dengue,
diarrhea, andcholera)
c. possible ways ofmanaging a
clean and odor-
free
environment
despite the
limited physicalfactors
(frequent
cleaning of
drainage)
13. Teach community
ways of income
generating activitiessuch as:
10.1 planting and
selling vegetables to add
up their income.
14. Follow up the
community on the
application of the
knowledge on havingproper drainage system.
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8/4/2019 COM NCP
11/13
CUES HEALTH
PROBLEM
HEALTH
PROGRA
M
OBJECTIVE ELIGIBLE
POPULATION
TARGET
POPULATI
ON ACTIVITIES RESOURCES TIME
FRAME
PLAN
GENERAL SPECIFIC # DESCRIPTIO
N
# % CRITERIA S
Objective:
- Family
cooks food
inside the
house.
-Firewood
is utilized
when
cooking.
-Useskerosene as
their light
source.
-Kerosene
lamp and
candles are
placedwithin the
reach of
children.
-House is
made of
wood and
bamboo/light materials
that will
PRESEN
CE OF
FIRE
HAZARD
S AS A
HEALTHTHREAT
-providing
health
education
on
presence
of firehazards in
the home
-observing
fire safety
to prevent
fire
accidentsat home
After one
month of
nursing
interventio
n the
communitywill be able
to:
a. Recognize
the
existence
and
seriousnessof the
problem.
b. Identify
possible
consequen
ces of fire
accidentsand apply
preventive
measures
to prevent
the
occurrence
of fire.
After
3weeks of
nursing
interventio
ns, the
communitywill:
a. Be able
to
recognize
the
presence of
theproblem
and
enumerate
at least 3
common
causes of
fire found
in theirsurroundin
gs.
65 # of houses
made up of
wood
150 100 1. Establish rapport.2. State the purpose of
the action.
3. Determine the extentof communitys
willingness to
participate in the
solution formation of
the problem.
4. Assess communitysperception regardingthe problem.
5. Assess communitysknowledge on fire
accidents and its
causes.
6. Discuss with thecommunity the
presence of fire
hazards in the home
and safety.
7. Discuss with thecommunity the
common causes of firesuch as:
a. Candles and
Material
resources:
Visual aids
Human
resources:Time &
effort
of student
and family
Financial
resources:
Money forthe nurses
transportati
on
Expenses
for the
visual aids
Februa
ry to
March
Verbal
feedback
a
c
e
s
c
c
fc
a
k
l
u
d
o
fm
i
h
f
m
l
t
o
-
8/4/2019 COM NCP
12/13
easily cause
fire.
-Wooden
structure
near thepugon.
-
Education
al
backgroun
d:
Head of
the family
and wife-
Elementar
y
Graduate
b.
Enumerate
at least 3
consequences of fire
accidents.
c. Identify
at least 4ways of
preventin
g fire and
applies it
on their
home
kerosene lamps left
unattended.
b. Presence offlammable
materials inside the
house.c. Flammable
materials left within
the reach of
children.
8. Discuss with thecommunity the effects
and consequences offire accidents such as:
a. Destruction ofproperties
b. Loss of livelihoodc. Burns or even death
of loved ones and
other people.
9. Explore with thecommunity the
different ways of
preventing fire
accidents such as:
a. Not leaving litcandles and lamps
unattended.b. Maintaining a safe
cooking area.
c. Placing flammablematerials out of
reach of children.
10. Evaluate the
community in applyingtheir skills and knowledge
regarding the prevention of
Verbal
feedback
Verbal
feedback
b
c
e
sc
c
a
s
d
o
p
ll
a
o
o
cc
k
f
m
s
a
c
wr
c
k
l
m
a
p
sc
f
-
8/4/2019 COM NCP
13/13
accident/fire hazards. f
f
m
a
k
et
w
c