[NCM 104 RLE] COMMUNITY HEALTH NURSING 1

S.Y. 2022 – 2023 | First Semester – Midterms

Professor/s: Ma’am Luz Ubana, Ma’am Floraine Saldana, & Ma’am Abigail P. Palig-ad

care nursing care to the 3. Time consuming and

TOPIC OUTLINE
sick family member costly on the part of the
I. Family Nurse Contact
II. Procedure for Bag Technique and Urine 4. Permits teaching in the nurse
Tests actual situation
III. Filipino Culture, Values, and Practices
in relation to Health Care of Individual 5. Family is more at ease in
and Family discovering their
MAIN TOPIC problems
SUBTOPIC hospital
* discussion notes in gray text * Bernardino
gen
6. Family is more confident
Ped19
in a personalized service
-

13 r
-

07
rego-zuivetal
- UB 0c+6+

WEEK 7: FAMILY NURSE CONTACT October

-
6 I
Clinic Visit
↳
outpatient
arcena
B
P5Of. pm
The nurse is able to help the family meet their needs, ease their
↳ 3
to
=am
FAMILY NURSE CONTACT ↳

anxieties and help them decide on what to do to promote and

- An activity with or on behalf of a particular family or
maintain their health.
individual. It is a crucial approach in delivering
community health nursing service for the family. Advantages Disadvantages
OBJECTIVES OF FAMILY NURSE CONTACT 1. Conserves nursing time 1. Family would be less at
1. To assess the health needs and problems of the family and effort ease in expressing their
utilizing a multidisciplinary approach 2. Resource persons and problems
2. To ensure family’s understanding and acceptance of consultants are nearby to 2. Going to the clinic would
their problems assist the family be difficult for
3. To provide the needed support and assistance o the 3. Availability of teaching client/family, physically or
family materials and other financially
4. To develop the individual’s and/or family’s facilities 3. Does not allow for
competence to cope with their health problems 4. Provides an opportunity firsthand information
5. To contribute to the personal and social development for the family’s self- about home situations
of the family through varied health activities development 4. Difficult for the nurse to
METHODS OF FAMILY NURSE CONTACT 5. Provides more privacy for schedule her activities
Home Visit conferences 5. Conditions in the home
A professional contact made by the nurse to or in behalf of a 6. Outside distraction sometimes neglected
patient or family to further a special activity of the agency. minimized

Advantages Disadvantages Group Conference

1. Opportunity to assess the 1. No opportunity for the The nurse can obtain the essential information to enhance the
family and home situation families to share community health nursing service for the people in the
2. Opportunity to seek out experiences with others community.
new health problems 2. Distractions at home may
Advantages Disadvantages
3. The nurse can assist and make instructions difficult
1. It provides an opportunity 1. Individual problems may
supervise the family on
for the members of the get lost in the group
how to render nursing

BSN-2C DICE | 1
 [NCM 104 RLE] COMMUNITY HEALTH NURSING 1
S.Y. 2022 – 2023 | First Semester – Midterms
Professor/s: Ma’am Luz Ubana, Ma’am Floraine Saldana, & Ma’am Abigail P. Palig-ad

group to share discussion, either might be a problem in 2. Some who must need
experiences and to help because the individual is home visits. frequent contact with the
one another. The too shy to bring them out 4. It is more personal than a nurse will not have access
potential self-help may be or because the problem is written communication. to a telephone.
higher than that of expert not common to others in 5. It provides a valuable
help by professional staff. the group and therefore of screening device for
2. It may stimulate no interest to them. deciding which of the
leadership among 2. The outcomes of group several situations require
members of the group. work is based on majority, a home visit.
Families come to realize other problems of the
Written Communication
their competencies when group may differ greatly.
This is the least individualized. The teaching materials sent with
they see in the “light of 3. Those who need service
a covering personal note commonly sent to a school child.
helping others”. must not take advantage
3. It provides an opportunity of opportunities for group Advantages Disadvantages
for consideration of work. In general, those 1. Low cost. 1. It gives no opportunity to
practical and tested already highly motivated 2. For the competent, assess accurately the
solutions discussed. tend to respond most independent family, the family situation.
4. It provides an opportunity often to group advantage of placing 2. It might not reach the
to verbalize thoughts, opportunities responsibility for action on persons for whom it is
feelings and concerns. the family rather upon the intended.
5. It provides opportunity to nurse. 3. It provides no opportunity
practice problem solving
Home Is It
CLINIC VISIt to uncover or help with
approach to health
·GrevinUntetenat a e
problems other than the
problems. one immediately under
consideration.
Telephone Contact
This will facilitate an easy access to communicate with the family. CLINIC/HEALTH CENTER VISIT
 Standard Procedure
Advantages Disadvantages
1. Registration/admission
1. It is inexpensive in time 1. It does not afford the
2. Waiting time
and usually in cost, both nurse a full opportunity to
3. Triaging
for the service and for the judge the situation he
4. Clinical evaluation
family. cannot see either the
5. Laboratory examination/diagnostic
2. It permits more frequent home conditions or the
6. Referral System
contact at the most small on-verbal reactions
7. Prescription dispensing
desirable time, despite in the client that might
8. Health education
pressures of other work. indicate stress or failure to
HOME VISIT
3. It relieves the family of understand.
- A professional contact made by the nurse to or in
hostess burden which
behalf.

BSN-2C DICE | 2
[NCM 104 RLE] COMMUNITY HEALTH NURSING 1
S.Y. 2022 – 2023 | First Semester – Midterms
Professor/s: Ma’am Luz Ubana, Ma’am Floraine Saldana, & Ma’am Abigail P. Palig-ad
- Family-nurse contact which allows the health worker
to assess the home and family situations – provide
necessary nursing care and health related activities.
- Essential to prepare a plan to meet the needs and
achieve the best result/desired outcomes.
PURPOSE OF HOME VISIT
1. Give nursing care to the sick, post-partum, newborn
and to the family members.
2. Assess the living condition of the patient, family, and
their health practices – provide appropriate health
teaching.
3. Give health teaching regarding the prevention and
control of diseases.
4. Establish close relationship between the health
agencies and the public for the health promotion.
5. Make use of the inter-referral system and to promote
the utilization of community services.
PRINCIPLES IN PREPARING HOME VISIT
1. Purpose and objective.
2. Make use of all the available information about the
patient and his family through family records.
3. Consider and give priority to the essential needs of the
individual and family.
4. Delivery of care should involve the individual and
family.
5. Plan should be flexible.
GUIDELINES FOR THE FREQUENCY OF THE VISIT
1. Physical, psychological, educational needs of the
individual and family.
2. Acceptance of the services, interest and willingness to
cooperate.
3. Policy of the agencies and the emphasis given
towards the health program.
4. Careful evaluation of the past services and how the
family avails of the nursing services.
5. Ability of the patient and his family to recognize their
own needs, knowledge of the available and make use
of the available resources.
COMPONENTS OF HOME VISIT
1. Planning – the plan will be an essential tool in
achieving precise and approachable application of
nursing inventions.
2. Implementation – the community health nurse and
the whole family are partners in restoring and/or
promoting positive family health behavior. Phases of
approach are as follows:
a. Socialization Phase: establish rapport with the
client and family
b. Working/Professional Phase: apply problem
solving techniques to situations found in the home;
plan with family to resolve health problem
situations
c. Summary Phase: documentation of significant
findings
3. Evaluation – evaluate the family situation
STEPS IN CONDUCTING HOME VISIT
1. Greet and introduce yourself.
2. State the purpose of the visit.
3. Observe and determine the heath needs.
4. Put the bag in a convenient place to perform the bag
technique.
5. Perform the nursing care needed and give health
teaching.
6. Record all important data, observation and care
rendered.
7. Make appointment for the next visit.
THE NURSING BAG (PUBLIC HEALTH BAG)
- A tool used by the nurse during home and community
visits to be able to provide care safely and efficiently.
BAG TECHNIQUE
- Tool which the nurse use during the visit to enable her
perform a nursing procedure with ease and neatness.
- Saves time and effort.
- Renders effective nursing care to the client.
BSN-2C DICE | 3
 [NCM 104 RLE] COMMUNITY HEALTH NURSING 1
S.Y. 2022 – 2023 | First Semester – Midterms
Professor/s: Ma’am Luz Ubana, Ma’am Floraine Saldana, & Ma’am Abigail P. Palig-ad

- Essential and vital material of a public health nurse – POINTS TO CONSIDER IN USING THE BAG
she has to carry all the time with the home visit. - Should contain all the necessary articles, supplies and
- Contains basic medications and supplies necessary materials used for emergency needs.
for rendering health care. - The contents should be cleaned very often, supplies
PRINCIPLES OF BAG TECHNIQUE replaced ready for use anytime.
- Minimize, if not prevent, the spread of the - Its contents should be well protected from contact with
microorganisms. any article in the patient’s article – clean and sterile.
- Saves time and effort in the performance of nursing - Arrangement of the contents is most convenient to the
procedures. user, facilitate efficiency and avoid confusion.
- Show effectiveness of total care given to individual and
family.
- Performed in a variety of ways depending agency’s
policy, home situation as long as principles of avoiding
the transfer of infection is always observed.
CONTENTS OF THE BAG
1. Paper lining 21. Test tube holder
2. Paper for waste bag 22. Lighter or match
3. Plastic lining 23. Solutions:
4. Apron o 15 ml. betadine
5. Hand towel o 15 ml. zephiran
6. Soap in a soap dish solution
7. Thermometer (digital) o 15 ml. spirit of
8. 1 pairs of ammonia
scissors(straight) o 5 ml acetic solution
9. 2 pairs of forceps (curved (10%)
and straight) o 5 ml benedict solution
10. 3 pcs. disposable syringes (5%)
with needles (g 23 and 25) o 60 ml 70% alcohol
11. 3 pcs each Hypodermic o 60 ml hydrogen
needles (19, 22, 23 and peroxide
25) 24. 1 bandage scissor
12. 2 Sterile dressing (4X4) 25. 3 pcs. Medicine dropper
13. Cotton balls with 26. Elastic bandage (3 inches)
container(dry & with 27. 30 ml denatured alcohol
alcohol) 28. Cotton applicator (sterile)
14. Cord clamp 29. 1 medicine glass
15. Micropore plaster 30. Bulb syringe suction
16. Tape measure 31. Sterile cord clamp
17. 1 pair of sterile gloves 32. 1 kidney basin
18. Baby’s scale 33. 2 tongue depressors
19. Alcohol lamp 34. 2 pairs clean gloves
20. 2 test tubes (10 ml)

BSN-2C DICE | 4
[NCM 104 RLE] COMMUNITY HEALTH NURSING 1
S.Y. 2022 – 2023 | First Semester – Midterms
Professor/s: Ma’am Luz Ubana, Ma’am Floraine Saldana, & Ma’am Abigail P. Palig-ad
WEEK 8: PROCEDURE FOR BAG TECHNIQUE AND
URINE TESTS
PROCEDURE
1. Upon arrival, place the bag on the left side of table
lined with clean paper and plastic lining on the top of
the paper.
2. Ask for basin of water if tap water is not available.
o To protect the bag from getting contaminated
o To be used for hand washing
3. Open the bag and take out the towel and soap.
4. Wash hands using soap and water. Wipe to dry.
5. Take out the apron from the bag and put it on with the
right side out.
6. Put all the necessary articles needed for the specific
care.
o To prepare for hand washing
o To prevent infection from the care giver to the
client
o To protect the nurse’s uniform
o To have them readily accessible
7. Close the bag at all times.
8. Proceed in performing the necessary nursing care
procedure.
9. After the procedure, clean all the things used and
perform hand washing.
o To prevent contamination.
o To give comfort and security, also hasten recovery
o To protect the caregiver and prevent infection
10. Open the bag and return all the things been used in
their proper places.
11. Remove the apron, folding away and the soiled side in
and the clean side out.
12. Fold the plastic lining, place it in the upper part of the
bag. Discard the paper lining.
13. Take the record and discuss the outcome of the
procedure. Write down pertinent data gathered,
observations, nursing care, health teaching and
treatment rendered.
14. Make appointment for the next visit (either home, clinic
or health center visit).
15. For follow-up care
TEST FOR SUGAR AND ALBUMIN IN URINE
- Purpose: To determine sugar and albumin in urine.
- Important points to remember: To obtain a “clean
catch” specimen.
- Instruct the client to:
1. Wash her perineum with soap and water.
2. Collect fresh midstream urine into small clean
bottle.
3. Wipe the specimen bottle before handling it back
to you.
4. Label the bottle with complete name of the client.
TEST FOR SUGAR
 Equipment:
1. Benedict’s qualitative reagent
2. Alcohol lamp
3. 10ml test tube
4. Dropper
5. Test tube holder
6. Urine specimen
 Procedure:
1. Give proper instructions to clients on “Clean Catch”
Urine Specimen (wash perineal area with soap
and water, obtain mid-stream urine specimen and
to wipe specimen bottle before handling back)
2. Wash hands and wear gloves before the
procedure
3. Perform urine test for sugar
4. Place about 6-8 drops of urine in a 10ml. tube
5. Add 3-5 ml. Benedict’s solution to the urine
6. Light the alcohol lamp
7. Use the test tube, holding the mixture near the
flame, nothing that the mouth of the test tube is
held away from the one doing the procedure
8. Bring the mixture to boil with proper technique
9. Remove from flame and put the flame out
BSN-2C DICE | 5
[NCM 104 RLE] COMMUNITY HEALTH NURSING 1
S.Y. 2022 – 2023 | First Semester – Midterms
Professor/s: Ma’am Luz Ubana, Ma’am Floraine Saldana, & Ma’am Abigail P. Palig-ad

10. Allow urine specimen to stand for one minute

11. Interpret result and record accordingly
2 O S

INTERPRETATION
+

O c+
x 11

UC+18
*

Negative Clear blue to marked cloudy green NOW

* 15

+ Bluish green
++ Yellow green
+++ Yellow BrOpper
*
TO BUt:

Test tube
*

++++ Orange Improvised

*
shoe box

I blackcover

↳handle

URINE TEST FOR ALBUMIN ↳ nook (for closing

SENTER
>INFORMAL
Rayo
nagma-manman
may think
no
They
*

 Equipment: a Emphasis on "Kalusugan"

I nursing studentn d

1. Acetic Acid magb1b, g ay ng Gaalaman

2. Alcohol lamp ocular survey

-check spot
map

3. 10 ml test tube buddy system

*

4. Dropper
5. Test tube holder
6. Urine specimen
 Procedure:
1. Fill the test tube about 2/3 full of clean urine
2. Heat the upper portion till it boils
3. Add 5 drops of 10% acetic acid, 1 drop at a time
4. Interpret report and refer accordingly
5. Maintain clean technique in performing the
procedure
A white precipitate forms giving rise to positive albumin

INTERPRETATION
No turbidity Negative
Faint turbidity +
Moderate turbidity ++
Heavy turbidity +++
Solid (Opaque) ++++

BSN-2C DICE | 6
 [NCM 104 RLE] COMMUNITY HEALTH NURSING 1
S.Y. 2022 – 2023 | First Semester – Midterms
Professor/s: Ma’am Luz Ubana, Ma’am Floraine Saldana, & Ma’am Abigail P. Palig-ad

WEEK 9: FILIPINO CULTURE, VALUES, AND

PRACTICES IN RELATION TO HEALTH CARE OF
INDIVIDUAL AND FAMILY
-0x 6 07
+ +

FILIPINO CULTURE October

↳
6(rego-zuIveta)
Outpatient
↳ Prof. Barcenas

- Is very family-oriented, and has made people have ↳> 7 am +O 3 PM

October 13

relaxed attitudes Pa U
(Vego-Ilvetal
↳ Pedia
am to 3 00pm
↳ 6:00

- Tightly knit social and family structures October 14

↳ Deparo lying
In (rego-vibac)
3
to 00 PM

- Very resilient 1, 7:00 am

+0 21
October 20
(Bernardmo
OD Ward
- Proud of their families 1 4 00 am to 2:20 PM

10 to 11
Now

- Very religious 1,

L
Bernardino
DR
IW
17t o
NOV
- Very respectful 1,0 U FP
at lent
to 3:00 pon
17:00 am

- Help one another (Bayanihan) community spirit

FILIPINO VALUES
- Family Orientation
- Faith and religious
- Hospitality
- Compassionate
- Ability to survive
- Flexibility, adaptability and creativity
- Spirit of kinship and camaraderie
- Love and caring
- Generosity and helpfulness
- Respect
- Regard for personal honor and dignity
- Love of God, country, and family
FILIPINO HEALTH PRACTICES AND TRADITIONS
- Older adults tend to cope with illness with the help of
family and friends and faith in God.
- Families greatly influence patients’ decision about
health care.
- Complete cure or even the slightest improvement in
illness is viewed as a miracle.
- Traditional health beliefs and practices may influence
the types of food, recreational activities and health
services in the community.
- People still practice home remedies or tribal health
customs as superior as and more dependable than the
health care practices.

BSN-2C DICE | 7
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