Republic of the Philippines

Province of Pangasinan MUNICIPALITY OF NATIVIDAD

MONTHLY JOURNAL MATRIX MARCH 2013 LEARNING INSIGHT I improved slowly mu communication skills in a language that they can understand Learned to use eye-to-eye contact, hand and body gestures, and easy ready materials to use in convincing people. PROBLEM ENCOUNTERED Many of our known diabetic clients(Brgy. San Eugenio and Salud) are still applying antibiotic powder directly to their wound How problem were Resolved Health teaching imparted as follows: Encouraged to clean the wound with running water and using mild soap Advised to avoid exposure to dust and pollutants Instructed to use of sleepers and booths going to the farm Demonstrated the handwashing technique Educated the importance of proper hygiene and grooming such as: Bathing for everyday Trimming of nails of both fingers and toes Changing of clothes after taking bath or as needed Washing of their feet everytime came from the farm Emphasized to eat nutritious foods such as fruits and vegetables Giving knowledge about the benefits of adequate rest at least 30minutes daily Demonstrated the advantages of healthy lifestyle for known diabetic clients suffering from two or three weeks wounds like the following: RNHeals IV

 Understand the insight/ comments/ opinion of every clients in my two barangays

Avoid smooking and drinking beverages Exercised at least 20- 30minutes twice a week Promote relaxation and alternative rest Emphasized to increase fluid intake Wound dressing done

 I understand the history of my client illness regarding the culture and beliefs of using and putting herbal preparation to the wound

o One of my client in Brgy. San Eugenio having known history of stroke for thirteen years with a large wound deep to the muscle on the back due to inadequate ambulation

o I did home visit everyday o Health teaching encourages as the following: Instructed to cough every two hours Demonstrated deep breathing exercise and respiratory clap Advised to expose at early morning sunlight Increased fluid intake Eat nutritious foods such as high in protein Emphasized to communicate Proper hygiene and grooming as the following: Changing of bed linens and clothes after and before sleeping Bathing everyday with warm water Trimming of nails of both fingers and toes Use of soft towel/ cloth with water as alternative mouth hygiene Encouraged to sip water and cotton with water to prevent dry lips I encouraged to avoid alcohol to the husband as a hand sanitizer to prevent dry skin and demonstrated handwasing technique Wound dressing done Referred to Dr. Felix C. Briones M.H.O.

Prepared and Submitted by: JERWIN B. OGOY, R.N. RNHeals IV

Approved by: MILAGROS N. CATIPON, R.N. PHN II/RSI DESIGNATE

Noted by: FELIX C. BRIONES, M.D. Municipal Health Officer