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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...

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