Progress notes

Name: Neil Aldrin T. Buquia Placement:

BSN-3E (D3)
Date: Nov.28, 2008
Concept: Stress and illness
Area: St. Mary’s college (high school department’s
clinic)
C.I: Mr. Allen Yecyec, R.N

Summary:

What we have done this day was, we have

collected the data in high school department’s clinic
and counted the population and the incidents that we
saw on the log book of the clinic. Then after which we
finalized our requirements and our garden.

Reflection;

I do notice in our top ten incidents that the

headache is the majority, there are a lot of factors
why they experienced it, just like being tired of
studying their lessons, or maybe they just trying to
make excuses to their teacher during discussions.
Also one of the possibility factor is stress, which we
all know that it can cause illness. But of course we are
the one who have the only idea of what we feel, and
we can’t deny the fact that we are also responsible to
take care of ourselves.

741 – Total population of high school students as

of 2007 – 2008
Formula for the percentage:

Total of the number of the incident

registered in a given
calendar year
Crude birth rate = _____________________________________
Estimated population as of July 1 of
same year

Incident total percentage

1. Headache 332
44.8 %
2. Colds 200 26.9 %
3. Fever 114
15.3 %
4. Stomach ache 110 14.8 %
5. Tooth ache 80
10.7 %
6. Wound 50
6.7 %
7. Dysmenorrhea 48 6.4 %
8. Cough 38 5.1 %
9. Skin allergy 28 3.7 %
10. LBM 26 3.5 %

PLAN OF CARE
Headache - stop smoking or avoid people who are
smoking
- avoid delaying meals
- Be aware of your posture. Avoid craning formed
 - have a regular patterns of sleep and aerobic
exercise
- reduce stress
- headache are often result of fatigue, tension and
emotional upset, avoid these things

Colds - wash the hands properly

- have a rest
- take medicine regularly
- take plenty of water
- keep away from people who are coughing and had
colds
- always take the advice of your guardian (parents)

Fever - taking a cool bath

- eat regular meals, even w/ poor appetite
- report to the clinic if your in the school
- take the medicine/s given
- increase fluid intake
- have a rest

Stomachache – take a rest, as needed

- Take paracetamol for pain relief. Do not use aspirin
or anti-inflammatory medications
- avoid taking alcohol and caffeine
- take warm baths
- roll over a warm bottled water to the affected area
to ease pain
- do not use laxatives or enema

Toothache - brush the teeth twice or thrice a day

- avoid sweet and sticky food
- brush the teeth properly
- meet your dentist if pain at least twice a year
- teach proper dental care
- report immediately any signs of tooth decay

Wounds - teach children to safety use of knives and

scissors
- always keep up broken glass promptly and
carefully
- play and work in areas free of trash and bottles
- use sharp objects intended for their use only
 - remove nails from boards and dispose of it
promptly
- always obey the safety precautions, report
promptly any wound

Dysmenorrhea – apply heat (e.g., warm baths putting a hot

water bottle or heating pads on the abdomen).

- Drink plenty of fluids, but avoid alcohol.

- Do regular exercise, particularly aerobics (cycling,
jogging, brisk walking).
- Take simple painkillers and antispasmodics
recommended by the doctor.

Cough - take plenty of water

- teach coughing and breathing exercise
- have a rest
- take the prescribed medications
- avoid things that could trigger your cough
- report if cough last long

Skin Allergy - avoid foods and things that can trigger your
allergies
- report immediately to significant others if allergy
occurs
- take the medications as prescribed
- consult your doctor if allergy continues for a long
period of time
- teach them the signs and symptoms of allergies
- always remind them to avoid foods that are
restricted to them

LBM - Take plenty of fluids (water clear soups, etc).

Avoid alcohol, coffee, tea, milk, and fizzy beverages. When an
infant has diarrhea, continue breastfeeding. When bottle-
feeding, however, dilute cows milk with twice the normal
amount of water.
- Take dehydration fluids or salts to replace last
electrolytes.
- Continue eating regular meals, but alter your diet
to include binding foods (e.g., bananas, rice,
toast). Avoid high fat and junk food at least until
your bowel movements returns to normal.
- Prolonged diarrhea, especially if accompanied by
weight loss, should be investigated thoroughly as
soon as possible.
- Consult a doctor if the diarrhea persists for more
than a week (two days, in a child) or worsens; if
there is dehydration; if there is continues
abdominal cramps; or if the stool is black,
bloodstained or slimy. Infant's young children and
elderly people should be taken to a doctor
immediately.

St. Mary’s College

Tagum city

Bachelor Science of Nursing

In partial fulfillment of the requirements in

Related Learning Experience III

 Concept:

Stress and Illness

Presented to:

Mr. Allen Ceriel Yecyec, R.N

Clinical instructor

Presented by:

Neil Aldrin T. Buquia, SN – SMC

BSN 3E (D3)

S.Y 2008 - 2009