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

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    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

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    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

  • 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.

  • 8/4/2019 COM NCP

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    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

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    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

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    accident/fire hazards. f

    f

    m

    a

    k

    et

    w

    c