Republic of the Philippines

Province of Pangasinan MUNICIPALITY OF NATIVIDAD

MONTHLY JOURNAL MATRIX JULY 2013 LEARNING INSIGHT

>I gained experienced in dealing people suffered from emotional problem because of loss of her baby.

RNHeals IV PROBLEM ENCOUNTERED

> One of G2P1T0A0L1 pregnant woman in Brgy. Salud suffering from bloody discharge in the perineum for one day and she went to Eastern Pangasinan District Hospital (EPDH) for consultation. The doctor gave medicines for her and advised to have complete bed rest at home. After a day, she worked in the farm due to inadequate financial resources of the family, and felt severe abdominal pain and bleeding. She went back again in the hospital and undergone Dilatation and Curettage because of retain placental fragments as verbalize by her.

How problem were Resolved

Health teaching imparted together with her husband as follows: Advised to increase fluid intake Encouraged to provide adequate rest and avoid strenuous physical activity Instructed to eat nutritious foods high in folic acid to prevent anemia Emphasized to avoid smoking and alcoholic beverages Explained the importance of birth spacing method to gain usual health of the mother Instructed to her husband to comfort her wife. I did home visit on 13th of August 2013 for any emotional support given. I did monitor the vital signs, any symptoms of bleeding and infection due to miscarriage. Instructed to continue Ferrous Sulfate + Folic acid as ordered by the physician. Advised for follow- up at Outpatient Department.

Her last menstruation period (LMP) was on June 26, 2013 and ended 28th on the same month, with 9 weeks & 6 days AOG. She has one prenatal check-up in the same hospital.

>I learned to become more hardworking person in giving health information regarding Tuberculosis

>In my eight months in Brgy. Salud, I encountered 49 years old, female client suffering from on/off cough and colds with blood in the sputum for more than three months. She noticed weight loss, loss of appetite, and fever at night. Her vital signs are within normal such as follows; blood pressure: 110/80mmHg, pulse rate: 89bpm, respiratory rate: 19bpm and temperature of 36.2 degree Celsius last 5th of August 2013. She had undergone Direct Smear Sputum Microscopy as ordered by Dr. Felix C. Briones, MHO on the same day at Rural Health Unit and diagnose Category 1 Pulmonary Tuberculosis (PTB). Her 8 years old son is also suffering from cough for a

Health teaching imparted to her as follows: Explained the importance of hand washing technique Advised to cover her mouth and nose when coughing or sneezing to prevent transmission of infection Instructed to segregate nasal and oral discharges and burn it to the fire Encouraged to drink plenty of water at least 8- 10 glasses a day Instructed to eat nutritious foods high in Vitamin C to boost immune system Emphasized the value of adequate rest at least 8 hours a day and 30 minutes went from the farm Explained to her husband and children to undergo TB screening or check-up at RHU Encouraged to avoid smoking and drinking alcoholic beverages to the husband On 12th on the same month, she started to take anti- tuberculosis medicines under category 1 as prescribed by MHO. And her son went also for check-up. Advised for follow-up and take medicines. On the past 6 months, We conducted Mothers Class at Brgy. Hall regarding TB in children/adults, transmission, prevention, and treatment as discussed by Co-RNHeals Nigel Marin.

week as verbalize by her mother and advised for checkup.

Prepared and Submitted by:

Approved by:

Noted by:

JERWIN B. OGOY, R.N. RNHeals IV

MILAGROS N. CATIPON, R.N. PHN II/RSI DESIGNATE

FELIX C. BRIONES, M.D. Municipal Health Officer