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Friday, July 31, 2009

Rh positive (+)

"...bottoms up!...:D"

.,what's wrong with being tipsy and drunk?... i still managed to go home all by myself anyway...

plus, i was able to post this up...

why do people drink (of course beer!)?... they said, i have a problem... how did they know?... if i myself on the first place didn't know i have such...

my vision is blurring... my eyes wants to shut... tired and intoxicated from duty... add it up with a very dull, quite boring, and a not much appreciable preparation and programs from the coordinators of the acquaintance party...

if anybody's happy... well, it's certainly not me...:D

good night everyone...

for my tankard mates, "CHEERS!!!..."

"Bottoms up!..."

Monday, July 27, 2009

SO, ano NA?...

.,break muna ako sa pagi-ingles... engalog muna...

it has always been a pleasure to watch PGMA's STATE OF THE NATION ADDRESS... nung una naiisip ko lang, san kaya nagpapatahi ng damit si Madam President?... ubeng ube siya kanina... suman na lang solve na!... :D

natutulog ako mga alas kwatro, tapos nagising ako, narinig ko may nagpapalakpakan sa tv... aun bumangon ako mula sa mahimbing kong siesta at nakiusyoso sa kung ano ang meron.. "ai oo ngapala, SONA!" (anu naman sa'kin... hindi naman ginawang half-day yung klase... tsaka kung mag half-day man, eah half-day lang naman talaga schedule namin ngayon...kainis!) balik sa SONA...

I, initially, upon taking a fast glance have noticed PGMA's hair style, "uy bago!.." but it does not suit her best. The one's she have had before were much better... kailangan kasi ipakita talaga yung earrings. Color coordinated din Siya mula ulo hanggang paa... those purple earrings, the pink hanky, the shoes, and of course yung masalimuot na terno... (meron pang handy baglet na pang abay ng ninang sa kasal...) sabagay, hindi lang naman siya yung may suot ng Filipiniana... pati yung ibang congresswoman hindi papatalo... magkano kaya ginastos nila sa pagpapa hair-do?... well, its none of my business, i guess...

of all the SONA's I've watched and heard, this is the only one, I think.. which was the strongest of all... (eah dalawa lang naman ang napanood ko... may pasok kasi lagi...) PRESIDENT ARROYO have always amazed me of her speeches.. which makes me wonder how long she prepares for this very awaited moment, not only by her alliances but also by the opposition... I didn't pay much attention with the ralliers.. now, i have had more time on listening and bringing down deep through my thoughts Madam President's quotable qoutes...

She have said, "My term does not end... until next year." - if I'm not mistaken, this was for the opposition people who, says that PGMA is laying down the plans on extending her term in Malacanang... (Charter Change baga...) "I have not declared Martial Law.", she added. what does it imply? why have she said such words? may be she just used those words to put emphasis on the people that she, for an instance, may be (dami naman LOl), have thought of making other strategies to lengthen her stay at the highest seat but then, eventually, as her term is now coming to an end, she have realized that it was all enough that she tried... (just an opinion...) for her critics/critiques, Mrs. Gloria Arroyo uttered such words, "They are frightened by their own shadows." and she also said, "I will defend democracy." Mrs. Arroyo is indeed a very courageous woman to say such words... and that she is very strategic that she was able to use this time to speak up for herself.

a phrase left me hanging on air, and i still wonder who she was pertaining to when she said, "Those who lives in glass houses should not throw stones." the crowd went shouting and clapping and also some giving praises i guess... are those the crazy politicians
? I am not a very outspoken person and that I seldomly give my opinion regarding political issues... but upon hearing this SONA, somehow, i got interested on finishing a puzzle about politics.

Mrs. Arroyo have also acknowledged the presence of, and the contributions of Manny Pacquiao, and made a statement, it goes... "...however, a national problem cannot be knocked out by a single punch." I say, Madam President has got the 6th of the 5 senses...:) that is, humor. I see, it feels such a great honor to be a part of the 'special mentions' of the President. Manny Pacquiao has got the biggest smile among all those who was regarded by the President as a 'contributor' to the Philippine panorama.

"Nasa kamay natin ang ating kakayahan...", said PGMA. yeah right, we can't always wait for the government to take action... to initiate making programs, sometimes we can only depend on a single person at a time... Ourselves. She even gave thanks to the countrymen who, in their 'earnest' considerations have put her on where she is presently standing. "Maraming Salamat!", said the President (not very much welcome, replied by some...:D). A long standing ovation was given to the Her. Sadly, i was not able to count the "eager/ more than willing" appraisal of the audience to each and every 'pause' made by the President.

"MABUHAY ANG PILIPINAS!...", were the last words of the President... in fairness to her, galing niya mag memorize ng speech, ala eah kahaba ai!... I have had only a 6 or 7 minute speech as my longest. That's what makes her stand out from the rest, the best example for a "Small but Terrible" individual.

To the President, "I Salute You...",hair-well done, I mean, Job well done.


P.S.
hirap siguro mamuno sa Pilipinas?.. maging leader nga lang ng Group sa school haggard na haggard na ko... pano pa pag humabol ako sa pagka presidente at manalo... gano kaya kahirap?...
(sabagay, libre naman mangarap... kaso gusto ko magapari muna eah... San kaya ko pupunta?... Seminaryo ba oh Malacanang?)

Sunday, July 26, 2009

.,this is what we have done Thursday last week, i have told my classmate to 'act' (only) as a leader of our group but then, at the end... the words came out from his mouth... he said that he was really just an acting leader... and he is partly right... why?... cause i am the one who initiates the actions that he as the leader himself must be the one acting it out... i have hurt him by my words... i know, that is why he was able to said those words... sum it up with our 'know-all' clinical instructor at the site saying non sense ideas...
hmmm... let's see... we need to verbalize all the things that we as a group have done while at the site but then we also need to provide a computerized narrative report for her... we consume so much more than the time on our schedule... and so we go home late and exhausted but then she is so demanding that she requires that each of us make a report on stuffs like diseases acquired by most of the people in the barangay and so much more that makes us feel not so good under her supervision... how i wish this duty ends soon...
good thing i am good at paper works... writing somethings i guess... making the statements creamy... if you can read this, this is what i call a narrative report... compare!... (not the content, but the grammar...piz!)

Narrative Report
(Barangay Cataning)

Two groups underwent a merge for a community duty in a Rural Health Unit at Barangay San Jose, City of Balanga, but the group was then subdivided into five small groups of four to six members each and was evenly distributed into equal working forces to be designated at the smaller units of health care facilities at different sites/ Barangay which is the Barangay Health Centers.

Our group, which is comprised of four individuals, was assigned to be serving at Barangay Cataning’s Barangay Health Center. Barangay Cataning is situated nearby Barangay San Jose which is the location of the Major RHU in Balanga City and the Seat of Governance in the Province of Bataan (Bataan Provincial Capitol), and is adjacent to Poblacion, which is the center for commercial, political (City Hall of Balanga) and business establishments in the City of Balanga. We made a courtesy call at the aforementioned Health Center, a ‘meet, greet, and know’ process after a short briefing at San Jose. We were individually introduced to the Barangay Health Workers (BHW) and the Trainee Volunteers upon initial arrival at the said site, wherein the Assigned Midwife was not there yet.

Having known that the setting is a less formal one than that of in the Hospital, we (my group mates and I) have adopted a minor key profile for the individuals whom we are going to be working with to establish a more comfortable and fair feeling of atmosphere while in the work place. While waiting for Madam Olivia Perez (the Midwife who was assigned in Cataning) to arrive, we, together with our Clinical Instructor (and up to the time she left) conducted a minor form of interview with the Members of the staff (whom we call ‘Ate’ and followed by their names).

Every Wednesday is said to be a Maternal Day, wherein both the pregnant and the non child-bearing women visits the health center for immunizations through vaccines. Through further communication, we found out that the Barangay have just recently conducted a feeding program, but when asked about the next possible schedule of the following feeding program, the Health Workers informed us of the lack of sponsors to possibly help on the conduct of the next feeding program. We have also found out that the said Health Center sells packages of Iodized Salt for the community people in which the offer is a program of the association of the BHW’s. Upon ocular Inspection, we have seen that the Facility has been well managed; it has an updated Spot Map of the Barangay regarding people’s nutritional status. A Causal Model of Malnutrition is also posted which was made by the Barangay Officials, a foreseen health threat to the community. An accomplished EPI chart and a bulletin with packages of foods fortified with vitamins and minerals, commonly known as the “Sangkap Pinoy Seal” is posted on a certain part of the entrance door.

We have had Seven patients in total: Three(3) patients who have been weighed; Two (2) who’s Blood Pressures was taken, and another two (2) women has been vaccinated by Tetanus Toxoid, one of whom received her fifth and last dosage. About three infants have received their Hepa-B vaccine which was administered by Ma’am Olive. We have observed that the facility practices safety in the disposal of used Hazardous Materials such as needles and medication vials, keeping the container regularly closed and separate from other waste materials. We were also given a sample of and were oriented on information regarding Referral forms.

The group has also observed the Vital Statistics of the Barangay. Provided data was as of year 2008, included are; the causes of Morbidity, which was commonly Coughs and Colds followed by Fever; Notified Diseases includes Hypertension and Multi Organ Failure as part of the list for Mortality; other information includes the Total Population of the Barangay, Sex distribution, other relevant and related information.

We were told stories of previous home visits and have been given the chance to administer vaccines, specifically Tetanus Toxoid to Mothers under Ma’am Olive’s guidance and supervision. We were also taught on how to read Blood Pressure via the radial pulse, and were informed that there was a previous reported case of typhoid fever but was then treated immediately, and fortunately, there has not been any reported case of Dengue Hemorrhagic Fever so far.

*************

...tomorrow i will be posting the other one... these are the things that I am doing (or my group rather) when in the community... i still can report and write down this kinds of stuffs right now... but sooner, i will be as busier as the ants and have to work harder as the bees...

climb the hills and roam around the trees... a sweet honey please...

Monday, July 20, 2009

Training Grounds... (Last day)

.,The rain was pouring so hard and it was not that easy for someone in an all white attire to travel a long pouring-wet road. The weather was so dull that the flow of emotions was greatly affected. A wordless day i guess.
Things happen so unexpectedly, always! I was appointed by our Clinical Instructor as the group leader for that day, which I have never presumed for to happen... I don't know what to do, It felt like I was in the muddy waters... I have experienced to be a group leader in the 'utmost' times all so unexpected... but this one feels a little rare than the usual...

I never realized that it would be that hard to be a leader even for a day, unlike when I was just handling one or two patients at a time for q1 and q30 respectively. We have 37 admitted patients. I have thought of handling even one or a single patient but I am afraid to do so, thinking that I might not handle the situation well. It's like I have more than eight to ten patients all at the same time for q1 each. I was always on call, and at all times on track. This feels really different, people asking you for help, that you need to think of ways on handling lots of diverse situations.

I was dead tired for the hours past half the duty and I wonder if I can still be able to continue for the next four hours left. I was like a bee roaming all around the flowers in a huge forest with an aim to produce lots of honey. I was walking all around the hospital wards for almost 7 or eight hours, monitoring and asking if somebody needs my help.

Every action has an equal and opposite reaction… i have been a leader, before- I was dead tired of being a bed-side nurse, but I was triple dead tired of being a supervisor hospital nurse. From now on, I shall be responsible enough to be willing to take the lead but I shall also be flexible enough to whole heartedly follow.

At the end of the day, I still think of those things that i have done, and then i start to evaluate myself...
Somebody, tap me on my shoulder for a job-fairly done!... :D

Sunday, July 19, 2009

Training Grounds...

"...tap me on my shoulder for a job fairly done!..."

we were exposed to our future world of endeavor a week ago. it has been quite a rough start for me as i am a first timer. It was hard to cope up with the new situation and a different atmosphere around me.. I have never expected and thought of seeing a woman in labor in that surprising manner. I was in a state of shock, i felt that this is really it, that this is going to be my life... my future nursing life.
*****
First day...
My first patient was a 76-year old woman with diabetes, and a clinical impression of/or having pneumonia... she is closely bed-ridden for it has been hard for her to ambulate or move even a single muscle. She is so weak and has only few words to utter. I felt a certain feeling of sympathy for her, and was so nervous to initiate certain actions. I have been quite good enough on facing people whom i personally don't know, i got good grades on impromptu speeches, yet it has always been not that easy to seek for a good start. Time is running... my patient is q1, which means her v/s needs to be monitored hourly and she needs to take four different types of meds for about every three or four hours, just imagine, this old woman being deprived of having a continuous rest... will she be able to cope up for this big lost?... i just wonder how difficult was it for her... good thing Nanay's relatives were there... i have been in touch with them since day 1... and am very appreciative of their compassion and care to Nanay... they've told me different stories of her life while we were sitting at the bed corner side by side... i have felt an unexplainable happiness within me... because these people trusts me even if we don't know each other personally and come to think of it, they have just known me for hours then... Nanay needs to take her meds exactly by the time when I entered the room. Her daughter-in-law said that Nanay Labinia does not want to take her meds earlier that time and that maybe, i can convince her to take them all, of course one at a time... i talked to nanay... she wants to take sometime... she needs to concentrate... minutes and minutes passed and we were then able to convince her to take her meds. "buti na lang ikaw ang na-assign kay nanay... napakabait mo...", said Nanay Labinia's daughter... ('good thing you were the the one assigned to my mom... you're such a nice guy...')
this was for the simple acts that i have done. Knowing that people appreciates what i am doing for their loved one puts a great smile in my heart...

******
2nd day...
Nanay has been waiting for me to arrive, said her daughter... and at long last, i have heard Nanay say my name for the first time... i have just started my work, and she asked me to eat snack with her daughter, she said she wants to have some cola but unfortunately she was not allowed to take even a sip. It has been a little smoother as i go along the way, but with a new patient with v/s to be monitored q 30, who does not know what tiring and toxic means?... He is hypertensive and has claimed of being asthmatic.. from private room 2 and then to the hallway, from the hallway back to private room 2... this has been my routine for more than three or four hours... i have not taken a sit during those long exasperating hours... lots of work has been done... i feel the tiresomeness of each and everyone while we were travelling our long way back home... NCP's, a lot of Drug studies and a SOAPIE all awaiting to be done...

*******
Day 3...
It was raining smoothly... Little water droplets are falling/ sliding down the window pane... Everyone was quiet as we were travelling the way to our destination... An unusual scenario for a bubbly and high-spirited group of 14... Things were really quite atypical, i can make an inference...
for the first time, we all went out for a breakfast together... and it was soooo pleasurable!... not for long... I never expected to be away from my patient for that time... I was assigned to the respi ward for a change... At first, I thought it was gonna be an exciting ride, but that was just a thought, its far from reality. I have a new patient, a 3 years old little girl... I don't know how she was oriented and brought up by her mother... she refuses to take her medicine, she wants to wander around, she's like so disoriented - allow me to say she really is. This little girl is so restless and uncontrollable and no one can stop her from crying not even her mom... she cries and cries whenever she sees that pitiful bottle of suspension...
Hours passed and all the patients at the respi. ward were all discharged by the doctor, except Cathlen, my cry baby. While I was waiting for my partner in charting to finish writing stuffs... an unexpected thing, for the second time put me into shock! I saw everything without a blink of an eye... Did she just vomited? "Oh My Heavens", that was my initial response... What have she done? or what shall I do rather... I picked up the tissue from my pocket and with no second thought I cleaned the mess up... mind you i have forgotten to wear my clean gloves... eiw!... i have not thought of following her... to second the motion... that was an exact mind over matter phenomena. Good thing her mother doesn't have any materials to help me clean up during those times... I went to our quarters and gave her some of my good, and unused stuffs... that was my first time to clean the vomitus of other people (aside from mine). Think of it as an appetizer before our lunch Break.
This day was a hassle... but as it ended, knowledge and Learning still found their way... a lot of 'patience' continues to develop sum it up with an undying care and affection for others...

*************
- i would be posting my last day on duty tomorrow... my hands are dead tired... my neurons starts to burn up... and i don't want all of them to turn into dust...

Tuesday, July 7, 2009

Puzzled...

"Somebody Up There Somewhere... Does Love Me..."

.,I am really confused right now... feelings overlap each other... am i nervous or excited?...
just 3 or 4 hours left and our time is closely coming... we are now gonna be exposed to the real world... our diverse fields of endeavor... what does the cap and/or the pin symbolize?... and the light that is offered by the candle?... their true meanings will be revealed on the right time, the right place, with right individuals...

soon i will be wearing this white stuffs below... i don't know what to expect upon arriving at the situation... this is it... there is no turning back... the only way to travel is straight across the track...
later, we are going to Utter the Nightingale Pledge and make music with our voices... The Filipino Nurses' Hymn speaks for the and/or about the profession... and about 800 wishful student nurses are going to mark this day, 7th of July, year 2009 - the unveiling of their lives as future Professionals/ Registered Nurses... Serving not only their countrymen but also the whole wide world in general...

I'm gonna take one sure, slow step at a time... with my heart and mind equally open...

I may not be in certain about how i feel, but i am much positive of one thing, That Somebody Up there somewhere will guide me, teach me, help me, and really Does Love me...

Thursday, July 2, 2009

archieaddict3 - Let's talk About LOVE... :)

.,what's the best thing to alleviate boringness? easy!. to do what makes you happy... do my own ritualization process...:)

-Listen to archie's songs...:D now i have found a new one on the web... and it caught my interest and attention upon hearing the lyrics... which made me decide to share it with people now...

this song has a beautiful lyrics... speaks for itself... its the playing proof... :) I really can't explain how archie is being able to change my mood in an instant...:) maybe, just maybe... His smile is the key... Lol... I'm a BIG fan!!!...
happy watching/ listening everyone!...


Below is the Lyrics of the Song... (sing with me...:)

Let's Talk About Love
David Archuleta

Mhmmmmm, hmmmm
Sometimes I wondered
What I'd be when I grew up
And then I remembered
It was anything I dreamed of
I could be a poet or a singer
I can be scientist
But before I make that decision
Let's talk about my list...

Let's talk about love, let's talk about peace
And living in perfect harmony
Let's talk about hugs
and talk about ways that we can share
Let's talk about you, lets talk about me
Let's talk about how we can be one big family
Let's talk about love, talk about love

Sometimes I feel like I wanna give my friends a call
To tell them what I'm dreaming
And everything I want
I want us to be a little closer
And to always reach out a hand
To be kind to one another
And always understand

It's all about love, it's all about peace
And living in perfect harmony
It's all about hugs
It's all about ways that we can share
It's all about you, it's all about me
It's all about how we can be one big family
It's all about love

La la la la la la
La la la la la
La la la la la la la la
La la la la

Everybody has a heart
Everybody has a smile
Let's wrap bow around each one
And give it away once in a while

(Let's talk about love, lets talk about peace, and living in perfect harmony)
It's all about hugs
All about ways that we can share
It's all about you, it's all about me
It's all about how we can be one big family
It's about love
It's about love
It's all about hugs
All about ways we can share
It's all about you, it's all about me
Talk about how we can be one big family
Let's talk about love
Talk about love
Let's talk about love
Oh....
It's all about love

------end-----

and yes,
"...It's all about you, it's all about me..."
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