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Community Nursing Diagnosis PDF
Community Nursing Diagnosis PDF
Prepared By:
BSN 2-10
Instructors:
Ms. Geraldine Barbosa
Ms. Lourdes Cuevas
Ms. Alicia Plata
Date of Exposure:
February 7, 2008 March 8, 2008
Table of Contents
I.
Acknowledge ment
II.
Introduction
III.
Rationale
IV.
Statement of Objectives
V.
Methodology
VI.
VII.
Population
A. Total Population of the Barangay
B. Total Population of the Families Surveyed
C. Age and Gender Distribution (Table 1)
D. Pyramid- age Interval Distribution (< 1, 1-4, 5-9, etc.)
X.
Civil Status
A. Civil Status of Residents Surveyed (Table 2)
XI.
Families
A. Family Structure of Families Surveyed (Table 3)
XII.
Economic Indices
A. Type of Occupation (Table 4)
B. Average income (Table 5)
Environmental Indices
A. Water Supply (Table 11)
B. Garbage Disposal (Table12)
XV.
Health Indices
A. Infant Feeding Practices (Table 13)
B. Immunization Status (Table 14)
C. Family Planning (Table 15)
XVI.
Action Plan
XX.
Conclusion
XXI.
Picture Gallery
XXII. Appendices
A. Health Teaching
B. Sample Leaflets
C. The Programme
D. Registration
XXIII. References
Acknowledge ment
The Class of BSN 2-10 students of Lyceum St. Cabrini College of Allied
Medicine would like to extend their sincerest gratitude for the support, encouragement and
patience to the following people who made this community nursing diagnosis possible:
To the residents of Barangay Altura South, for their participation in the activities
done during our community service in Baranggay Altura South.
To our adviser Mrs. Alicia Plata and to our clinical instructors Mrs. Lourdes Cuevas
and Mrs. Geraldine Barbosa in Primary Health Care II for the educational experience,
outmost patience, understanding, guidance and support in making this community diagnosis
possible. Thank you for motivating us to do our best which in return was a real success.
To Dean Janet Calupitan for giving us this memorable experience by letting our
group immerse in a community where we learned how to communicate and understand the
lives of the people in a community.
To our beloved families who gave their moral and financial support in order to
finish this requirement for our Primary Health Care II subject.
To our friends, classmates and mentors who willingly helped and supported our
group through out the course of making this family assessment and for a job well done in
making this community nursing diagnosis and for the cooperation during the community
service done in Barangay Altura South, Tanauan City, Batangas.
And lastly, to Almighty God for the continuous knowledge, guidance and strength he
provided us despite adverse difficulties.
I. Introduction
Community Diagnosis is a process in which a team of students works with a
designated community to identify its strengths, weaknesses, overall needs, and future
directions for promoting health and well-being (Eng and Blanchard, 1991). In doing this
process, clinical instructors accompanied these students for initial introduction to the
community and help them in gathering information about its surroundings and social
environment.
The students conducted a survey and family nursing diagnosis among eighty seven
families of Barangay Altura South, reviewed various data sets and evaluated resources to
identify the areas of concern that affects the health of the residents. Community members
are highly involved throughout the process and collaboration is a way of implementing a
better solution for their problems.
As soon as health problems were identified from the data sources, the students made
certain interventions and prioritized its effectiveness. This document provides a description
on community diagnosis process and outcomes for Barangay Altura South.
This town has been observed of having strict compliance on waste segregation and
waste collection has already been eliminated for a year. The data are shown in the form of
tables and graphs summarizing the findings and local interventions of the students.
II. Rationale
The rationale of the community service was made to be accessible to individuals and
families. By means of full participation, members of the community can successfully attain
good health. Gaining more knowledge on health and practicing them can best lead to a
healthy lifestyle.
The community service would include all the interventions needed by the chosen
family and the community based on their current health status and needs in order for them
to attain the best possible health care service.
Through those preventive measures and health teachings, face to face discussion and
interaction among the community members was done. The researchers were able to bring
out the community of Barangay Altura Souths greater concerns and responsibility for
individuals, for the family and especially for community health resources.
Finally, the most important is, we were able to help the community, gain more and
necessary knowledge, attitudes and skills through this learning experience in order for them
to carry out activities to attain better and healthy lifestyle.
Specific Objectives:
1. To assess the consciousness of Barangay Altura South in terms of different ways in
maintaining a healthy environment.
2. To initiate possible actions in solving various community social and health
problems.
3. To conduct and document a holistic nursing assessment based on the knowledge of
systems theory for a family, group, and community
4. To apply the steps in the research process in supporting therapeutic care for the
promotion, protection and restoration of health within the people in the community.
IV. Methodology
The researchers conducted a survey regarding the family data in Barangay Altura
South. Upon conducting the said survey, the class of BSN 2-10 has identified 87 families out
of 155 to answer the prepared questionnaires.
for the Implementation of family nursing care based on the needs and current situation of the
selected family.
At the end of the community service, the class of BSN 2-10 conducted a lecture for
the adults on herbal medicines which was done through discussions on its preparation, health
benefits and importance. The group also presented a role play about personal hygiene and
games for the children of Barangay Altura South.
The clinical instructors divided the class of BSN 2-10 into 3 groups. Each student
per group were required to choose 2 families for the first week. After identifying the
possible needs of each families assessed, each group must chose 1 family with the most
number of health needs and nursing care. Later on, upon giving family nursing care to the
chosen family per group, the class has already identified the current situation and health
needs of Barangay Altura South.
This study aimed to understand the health related problems of the residents of
Barangay Altura South and implement certain interventions for the improvement of their
daily lives. The people learned to resolve their problems through health teachings.
To Brgy.
Cale
Legend:
- Zone 2
- Zone 3
- Zone 1
- Piggery
- Zone 4
Barangay
Health
Center
Male
CR
Female
CR
Day Care
Center
- Chapel
- Brgy. Health Center & Day Care Center
- Brgy. Hall
Barangay
Health
Center
Male Female
CR
CR
Day Care
Center
To Al
tura
Bata
Ml.oPulo
To u
To M. P
Altura experienced vast floods that lead to three passages around three parts of
Altura. This results to celebration of feasts on each division because people cannot pass
through this flood. Having this separation, the three Teniente del Barrrios, Severino, Juan
Landicho and Emilio de Castro decided to subdivide Altura into three Barangays: Altura
South, Altura Bata (West) and Altura Matanda (North).
B. Physical features
1. Location and boundaries
Barangay Altura South is located on the Southern part of Tanauan that has range of
8 kilometers from the city. It is 179 hectares wide beyond the valley of Mount Suplang. The
flood that passes within Altura North (most commonly known as Altura Matanda) flows on
Barangay Altura South,. Vehicles going to Calamba, Midland Tagaytay and Tagaytay City
pass the main road of Barangay Altura South.
2. Climate
Barangay Altura South has a tropical climate; the people cultivate their farms as
soon as the rainy season starts. Mornings are cold due to the cold mist coming from
Tagaytay Highlands. The heat of the sun is most felt at daylight and at noon.
because the availability of tricycle is much higher than the availability of the jeepneys. In
addition, 25% of the total population use jeepneys instead of tricycle and the remaining 2%
have their own vehicle to use.
Transportation is a necessity for the community. It has many uses such as to deliver
foods in the community, go to different places such as market, school, work place, hospital
and as their as their source of income.
4. Medium of Communication
The residents of Barangay Altura South uses Tagalog dialect / Filipino language
which makes the residents understand one another easily. Feelings can be expressed and
interact with one another freely.
VIII. Population
A. Total population of the Barangay
According to the 2007 survey, Barangay Altura South has 1,191 families and
increased by 3% by the year 2008 to 1,219 residents.
Male
0
11
12
16
55
21
51
15
6
21
Female
2
3
15
19
56
11
51
23
7
21
0.96%
1.44%
7.21%
9.13%
26.92%
5.29%
24.52%
11.06%
3.37%
10.10%
Total
2
14
27
35
111
32
102
38
13
42
Male %
0%
5.29%
5.77%
7.69%
26.44%
10.10%
24.52%
7.21%
2.88%
10.10%
Total
208
100%
208
100%
416
50%
0%
2.64%
2.88%
3.85%
13.22%
5.05%
12.26%
3.61%
1.44%
5.05%
Female % Total %
0.48%
0.48%
0.72%
3.37%
3.61%
6.49%
4.57%
8.41%
13.46%
26.68%
2.64%
7.69%
12.26%
24.52%
5.53%
9.13%
1.68%
3.13%
5.05%
10.10%
50%
100%
Female, 50%
Male, 50%
It shows that the population of the surveyed community is equal in terms of gender.
It is good for the community to have a balanced ratio of gender and role for both sexes in
terms of responsibility in the family and community.
Based on the graph and table, the highest number of frequency and percentage
belongs to females ages 15 to 29 with frequency of 56 at a percentage of 26.92%, next is for
males at the age of 15 to 29 with frequency of 55 males at a percentage of 26.44%.
Males and females ages 35 to 49 years old have a frequency of 51 and having a
percentage of 24.52 %. The last belong to both males and females at age of 60 and above
with a frequency of 21 both males and females at a percentage of 10.10%.
Most people in Barangay Altura South are able to work and earn income for their
families because of having a legal age.
Frequency
221
192
2
1
%
53.13%
46.15%
0.48%
0.24%
Total
416
100%
53.13%
46.15%
40%
30%
20%
10%
0.48%
0%
Single
Married
Widowed
0.24%
Separated
satisfy their personal needs and wants. Their focus is to gain experiences that will challenge
their ability and potentials.
Table 2 shows that most of the members of the families surveyed were married wit h
a frequency of 221 or 53.13%, most were ages 18 and above the remaining percent of 46.15
with frequency of 192 were single.
X. Families
Table 3: Family Structure Percentage Distribution of the Families Surveyed in
Barangay Altura South, Tanauan City, Batangas
Category
Nuclear
Extended
Frequency
47
40
%
54.02%
45.98%
Total
87
100%
Extended
45.98%
Nuclear
54.02%
In the Filipino culture, family solidarity is given emphasis. Families are close and
intact, relatives reside in the vicinity reaching out to each other to aid and assist. But, there
are cases that conflicts arise. The priorities of satisfying the basic needs of the members of
the family become a problem. The income cannot satisfy the needs or when the distribution
of resources tends to become small in amount that is left for each of the members of the
family.
Table 3 is based on the findings that nuclear families comprise the majority with the
total of 44 or 57.89% and the extended families with a frequency of 32 or 42.11%.
Frequency
188
33
%
85.07%
14.93%
Total
221
100%
Blue Collared
Jobs
85.07%
White Collared
Jobs
14.93%
labor. Residents educational attainment affects their occupation status beca use most of
them does not have a decent job and prefers to stay home. Most of the women of Barangay
Altura South are married in an earlier age and accepts manual labor.
The table shows that there are 188 or 85% of persons with blue collared job and
some are employed to a white collared job which comprises 33 or 15 % of the total 100% or
221 employees of Altura South.
10,000-12,000
7.41%
13,000-15,000
12.04%
7,000-9,000
34.26%
1000-3000
29.63%
4,000-6,000
16.67%
1000-3000
4,000-6,000
7,000-9,000
10,000-12,000
13,000-15,000
Based o n the graph and table, most of the families in Barangay Altura South has an
income of 7,000 to 9,000 peer month at a percentage of 34.26% on 37 families out of 108
respondents, the second belongs to 1000-3000 and has a percentage of 29.63% based on 32
families, the highest which is 13000-15000 has a percentage of 12.04 on 13 families. The
residents belong to an average class and earn enough income for their family, they can
afford to buy their needs and provide good health for their families.
Frequency
32
18
37
8
13
%
29.63%
16.67%
34.26%
7.41%
12.04%
Total
108
100%
Elementary
Graduate
33.71%
Highschool
Graduate
59.47%
Elementary Graduate
Highschool Graduate
College Graduate
Based on table 6 there are total of 264 (100%) are literate. Educational attainment is
low. Elementary is only 89 (33.71%) and the majority only reached high school graduate
which is 157 (59.47%). Those who finished college 4-year courses are only 18(6.82%).
This indicates that the community has an average of educational competence that are
classified also as competitive, have better opportunities and better quality of life.
Frequency
89
157
18
%
33.71%
59.47%
6.82%
Total
264
100%
B. Religion
Table 7: Percentage distribution showing the religion of individuals in Barangay
Altura South
Religious Sectors
Catholic
Iglesia Ni Cristo
Born Again
Others
Frequency
185
-
Total
185
- The total percentage of the Roman Catholic Religion was (185)
%
100%
100%
lifestyle, health attitude, practices and ones general outlook in life. People who are
response to healthcare is determined by their religious belief.
The Roman Catholic Church considers superstition to be sinful in the sense that it
denotes the lack of trust in the divine providence of God and is such a violation of the first
of the Ten Commandments. Superstition is a deviation of religious feeling and of the
practices this feeling imposes. It can even affect the worship we offer the true God.
Religion may not always operate favorably in human intervention especially when the
scientific method is applied. Based on the table, the people o f that community have the
same set of beliefs as evidence of 185 (100%) of the people living in that Barangay are all
Roman Catholics.
C. Place of Origin
Place of Origin Distribution Chart
Manila
5.05%
Laguna
1.68%
Tanauan
8.17%
Batangas
8.89%
Quezon
1.92%
Visayas
4.09%
Altura
70.19%
Altura
Quezon
Manila
Laguna
Tanauan
Batangas
Visayas
According to the graph, most of the people in Barangay Altura South came from
Altura itself where they grew up and adapted to its surroundings, thus affecting their culture
and tradition for the past years. Many of them are born with the other parts of Batangas
having a percentage of 8.89 with a frequency of 37.
Frequency
292
8
21
7
34
37
17
%
70.19%
1.92%
5.05%
1.68%
8.17%
8.89%
4.09%
Total
416
100%
D. Housing
1. Type of Houses
Shanty
3.45%
Bungalow
88.51%
Bungalow
Apartment
Nipa hut
Shanty
The data indicates that most of the houses in the community are made of bungalows
which 77 houses (89%) comprise the highest percentage which is out of 129 families.
Followed by nipa hut 4(5%) and lastly those with apartment and shanty house both having a
3(3%).
The data indicates that most of the families in the community can afford mixed type
of houses which are made of bungalows. This type of house is stronger, durable and can
endure to any type of weather but prone to fire hazard.
Therefore, people must be educated about safety precaution about fire prevention
and ways of safeguarding their houses against calamities to ensure safety and security in
their homes.
But the data also states that families with nipa hut houses got the second place in
ranking stating that people cannot afford better structured houses. Therefore it can be stated
that the economic stability of each family is one of the determination of a convenient life.
Frequency
77
3
4
3
%
89%
3%
4%
3%
Total
87
100%
2. House Ownership
Inherited
8%
Self - Owned
Renting
Inherited
The graph shows that 70% of the houses are self owned by the residents and 22%
are being rented, people preferred to have their own abode to stay as soon as they got
married to be independent from their parents and learn more about starting a family life.
Table 10: Percentage distribution of the house owners hip of the families surveyed in
Barangay Altura South
Category
Self - Owned
Renting
Inherited
Frequency
61
19
7
%
70.11%
21.84%
8.05%
Total
87
100%
Frequency
87
0
87
Percentage
100%
0
100%
The Water District is the main source of water in Barangay Altura South, Tanauan.
It is the main source of water in the community because it is safe to use and safe to drink.
Deep wells are seldom used these days because one cannot be sure of the potability of the
water and it can cause water-borne diseases.
B. Garbage Disposal
Garbage Disposal
19%
Burning
Segregation
18%
Decomposition
63%
Based on the graph, 63% of residents living in Barangay Altura South burn their
garbage and the other 18% of the families practice segregation of waste between
biodegradable and non-biodegradable. 19% of the families practice decomposition and no
one collected the garbage by dump truck.
Before the community service ends, the Barangay officials of Barangay Altura South
have already been implementing the proper segregation of waste for the whole community.
This is a good indication that the Barangay is participating in the maintenance of their
residents health.
0%
Breastfeeding
Bottle
F eeding
31%
Bottle F eeding
Lactating mothers believe that breastfeeding is cheaper and also convenient because
they dont have to clean baby bottles every now and then. Bonding for the mother and the
child also promoted. Breastfeeding is well recognized because it strengthens the babys
immune system and shows that it is the best way for the infant to acquire nutrients.
69% of the mothers chose to breastfeed their babies for the main reason that it is
cheaper and convenient, while 31% of the total mothers have given their children infant
formula milk.
Frequency
59
26
85
Percentage
69%
31%
100%
B. Immunization Status
Complete
57%
Incomplete
35%
Complete
Incomplete
None
Frequency
Complete
15
57%
Incomplete
35%
None
8%
Total
26
100%
C. Family Planning
Natural
Family
Planning
52.63%
Artificial Family Planning
There are ways on how to provide awareness to the people. First discuss the
decription and use of methods available to them to avoid an unwanted pregnancy. Another
is letting them know that effectiveness depends on how well follow the instruction use.
They should also be informed of its advantages and disadvantages and possible side effects
so they would know what to expect and not get alarmed when an easiness and unusual
condition is considered.
Based on the data gathered by the researchers, 52.63% of the parents are using
natural family planning and 34.21% uses an artificial family planning.
Table 15: Percentage distribution showing the Methods used on Family Planning of
families surveyed in Barangay Altura South
Category
Natural Family Planning
Artificial Family Planning
None
Frequency
20
13
5
%
52.63%
34.21%
13.16%
Total
38
100%
The Community has no own Elementary School, this lead the students aging from six
to twelve years old to travel at a far distance in order to reach the nearest town.
XIX. Conclusion
Barangay Altura, South is the community where the BSN 2-10 performed their
community service. When w first saw the community, we taught that the peop le there will
not participate to us for our health teachings, because they are busy. But upon introducing
ourselves to them and told them why we are there, we found out that are reachable and
needs our help and attention.
Barangay Altura South had different health problems which are mentioned in our
nursing care plans.
During our long stay in Altura South, we noticed that they have a lot of potentials to
development totally from their current situation. It is not easy to achieve a quality health if
the environment is not conducive, because the researchers observed that the garbage are not
properly segregate so the barangay captain implement segregation of garbage waste from
non-biodegradable and biodegradable. It wouldnt be more complicated if the community
members will be motivated to change their wrong practices.
Appendices
The Programme
Role play:
Adrian Domingo
Pansit- pansitan: June Gloria
Rose Ann Catapang
Bawang: Cristina Empleo
Shiela de Guia
Sambong: Kristine Balakit
Jenelyn Bernacer
Yerba Buena: Charisse Tagalog
Joan Malveda
Tsaang gubat: Jackie Navarro
Donna Villa
Bayabas: Angelica Lat
Shella Mendoza
Lagundi: Jade Malabuyoc
Rose Ann Erasga
Oregano: Grace Malabrigo
Ivy Micua
Palaro:Blessy at Janine
Demo in handwashing
Puzzle
Trip to Jerusalem
Registration
Participants
Percentage
Children
41
54%
Adult
35
46%
Total
76
100%
XXII. References
Concepts and Guidelines in COPAR 1st Ed. 2005; Untalan, Aaron CY Tuesca
Nursing Practice in the Community 4th Ed.; Maglayi, Araceli
www.wikipedia.com
www.dictionary.com