TEAM C:

WRITTEN
OUTPUT
San Pedro, Jerome Gerald
Suarez, Maria Carina Rose
Tabuac, Maria Elizabeth
Tangan, Hannah Diane
Tuazon, Patricia Louise
Uycoque, Ryle Jonathan
 TEAM C: SALAZAR FAMILY

San Pedro, Jerome Gerald

Suarez, Maria Carina Rose
Tabuac, Maria Elizabeth
Tangan, Hannah Diane
Tuazon, Patricia Louise
Uycoque, Ryle Jonathan

GENERAL OBJECTIVE:
 To use a holistic approach in the management of a patient in a community setting

SPECIFIC OBJECTIVES:
 To apply clinical guidelines and medical knowledge in the treatment of patients
 To utilize family assessment tools in the management of a case
 To understand and relate family dynamics and its role in caregiving of sick patient
 To be able to identify health risks within the family and assist in screening and
preventive measures

I. CLINICAL HISTORY

GENERAL DATA
This is a case of an 83 year-old, female, Filipino, Roman Catholic, widow, born on January
15, 1935, currently residing in Brgy. Escopa III, Project 4, Quezon City, referred by barangay
officer for further evaluation and management.

CHIEF COMPLAINT: Cough

HISTORY OF PRESENT ILLNESS

One month prior to consult, patient experienced productive cough with whitish phlegm
associated with palpitations and easy fatigability during usual activities. Bilateral ankle
edema was also noted. No other associated symptom of fever, chest pain, orthopnea,
paroxysmal nocturnal dyspnea experienced. No medications were taken. No consult was
done.

Three weeks prior to consult, patient was still with productive cough with whitish
phlegm and palpitations with associated easy fatigability but now already experienced even
during rest and new onset symptoms of two-pillow orthopnea and difficulty breathing.
Bilateral ankle edema was still noted. Patient was brought at another institution in
Pampanga where a 2D-echocardiogram was done revealing a decreased ejection fraction
and depressed systolic function. Patient was then diagnosed with Coronary Artery Disease,
Atrial Fibrillation, Heart Failure Stage II. Patient was then started on Aspirin 80mg 1 tab OD,
Clopidogrel 75mg 1 tab OD, Isosorbide dinitrate 5 mg/tab TID, Enalapril 5mg/tab 1 tab OD,
Rosuvastatin 20mg 1 tab ODHS, and Metoprolol 50mg/tab BID. Patient was admitted at the
said institution and was subsequently discharged improved.
 During the interim, patient noted relief of symptoms with no more signs of fever, chest
pain, orthopnea, paroxysmal nocturnal dyspnea, and difficulty of breathing. Patient claims
to be compliant with the previously prescribed home medications.

4 days prior to consult, patient again complained of productive cough with easy
fatigability while doing activities of daily living. No fever, difficulty breathing, orthopnea,
edema, or chest pain noted. Patient was then referred by the Barangay officer for further
evaluation and management.

PAST MEDICAL HISTORY

 (+) Hypertension (2018):

o Highest BP: 150/80
o Usual BP: 120/80
o Maintained on:
o Enalapril 5mg/tab 1 tab once daily
o Rosuvastatin 20 mg/tab before bedtime
o Metoprolol 50mg/tab 2x a day
 (-) Diabetes Mellitus, Asthma, PTB, thyroid, kidney, liver disease
 (- )Allergy to food and medications
 (+) Cataract surgery on both eyes in 2018
 (+) History of hospitalizations
o (+) Cerebrovascular disease
2015: admitted at Villarosa Hospital; no residuals
2017: admitted at Quirino Memorial Medical Center; no residuals
2018: admitted at Makabali Memorial Hospital, no residuals
o (+) Congestive heart failure IV (October 2018)
o Unrecalled childhood immunizations and childhood illnesses

FAMILY MEDICAL HISTORY

PERSONAL AND SOCIAL HISTORY

Patient was a previous sari-sari store owner. She is a non-smoker, non-alcoholic

beverage drinker, and denies history of illicit drug use. Patient has no regular exercise and
diet is usually composed of vegetables, fruits, and milk. She lives in a 2-floor concrete house,
well-lit, well-ventilated with 1 pet dog. Drinking water comes from a nearby water refilling
station. Garbage is well-segregated and is collected thrice a week.

MATERNAL AND OBSTETRICAL HISTORY

The patient had her menarche at the age of 14, with an interval of 28-30 days lasting
for 3 days and consuming 1-2 ‘pasador’ moderately soaked in a day. She had her
menopause at the age of 50.
Patient’s obstetrical score is G8P8 (8007), for the past pregnancies were all in full
term, delivered via Normal Spontaneous Delivery with no fetomaternal complications
noted. She is a G7P7 (7006). Three children were delivered at home while four were
delivered at a hospital. All pregnancies were delivered full term via normal spontaneous
delivery with no fetomaternal complications noted.

REVIEW OF SYSTEMS

Constitutional symptoms: (-) weight loss, (-) chills (-) loss of appetite, (-) general malaise
Skin: (-) itchiness (-) excessive dryness/sweating (-) pallor (-) erythema
Eyes: (-) lacrimation (+) use of eyeglasses
Ears: (-) earache (-) ear discharge (-) deafness (-) tinnitus
Nose and Sinuses: (-) epistaxis (-) nasal obstruction (-) nasal discharge (-) paranasal sinus
pain
Mouth and Throat: (-) toothache (-) gum bleeding (-) sore throat (-) soreness
Neck: (-) pain (-) limitation of movement (-) mass
Respiratory system: (-) hemoptysis
Cardiovascular system: (-) muscle cramps/stiffness, (-) easy bruising
GIT: (-) abdominal pain (-) dysphagia (-) diarrhea (-) constipation (-) hematemesis (-) melena
GUT: (-) dysuria (-) urinary frequency (-) urgency (-) polyuria (-) hesitancy (-) incontinence
(-) polyuria (-) decreased urine output
Extremities: (-) joint pain (-) stiffness, (-) easy bruising, (-) ecchymosis
Nervous System : (-) confusion
Hematopoietic system: (-) bleeding tendencies (-) easy bruising
Endocrine system: (-) heat/cold intolerance (-) nocturia, (-) polyphagia (-) polydipsia

PHYSICAL EXAMINATION

• General Survey: conscious, coherent, not in cardiorespiratory distress with the

following vital signs: BP: 110/80 mmHg, HR: 73 bpm, RR: 21 cpm, T: 36.7°C, O2: 99%,
height: 152 cm, weight: 59kg and BMI: 25.5kg/m2
 • Skin: Brown in color, good skin turgor; no hair; nail beds are pink, nail plates are
smooth and thick, no lesions, nail folds are normal looking.
• HEENT:
• Head: Patient has black and white hair. Scalp is clean; Head is normocephalic,
symmetrical, no deformities, no tenderness. Temporal arteries are not visible
but palpable with strong equal pulsations.
• Eyes: Eyebrows are black and white, thin, evenly distributed, no
erythema and no lesions; symmetrical palpebral fissures; eyeballs are
normally set, no drooping of eyelid, eyelashes are thin with outward direction
of growth, no matting observed; pink palpebral conjunctiva; anicteric sclera,
lens are transparent on both sides, with grey opaque ring in the corneal
margin, irises are dark brown with regular contour; pupils are 2-3mm
equally reactive to light and accommodation; no exophthalmos.
• Ears: Symmetrical, no tenderness, no lesions, no tenderness, no discharge, no
swelling or redness of the walls of the ear canals, both ears with normal
contour and no perforation.
• Nose: Symmetrical, patent vestibule on the right, nasal septum is in the
midline, turbinates are pale, flat, with slightly abundant hair, no congestion,
no nasal discharges
• Neck: Normal in size, symmetrical, no visible mass, no neck vein
engorgement, normal muscle tone, no tenderness, no lesions, with full range
of motion; trachea is in the midline; no palpable lymph nodes; thyroid gland
is not visible or palpable.
• Oral Cavity: Lips are brown, moist, no lesions, no deformities; pink buccal
mucosa, non-hyperemic pharyngeal walls, tongue is moist and at the midline;
uvula is at the midline; with incomplete set of teeth

• Abdomen: Globuler, soft, normoactive bowel sounds, non-tender, liver edge is firm
and non-palpable, kidneys and spleen are non-palpable, no mass

• Chest and Lungs: Skin is fair, no deformity with normal muscle development,
symmetrical chest expansion, no lagging, no retractions, decreased breath sounds
on left lung area, (-) crackles, (-) wheezes

• Extremities: No gross deformities, full and equal pulses, no digital clubbing, CRT <2
seconds, with grade 1 bipedal edema

• Neurologic:

Mental Status F: Awake, alert, coherent, follows command, good insight and
Exam judgment
T: Intact immediate, remote, and recent memory; disoriented to time,
oriented to place and person
O: Cannot be assessed
P: No R-L disorientation, acalculia, agraphia or finger agnosia
Cranial Nerves CN I: (-) anosmia; able to identify test substance (1/1)
CN II: pupil 2-3mm ERTL
 CN III, IV, VI: Primary gaze midline, (-) nystagmus, (-) diplopia
CN V: intact and equal sensation on V1, V2, V3, good temporalis and
masseter tone, (+) corneal reflex
CN VII: No facial asymmetry
CN VIII: Intact gross hearing,
CN IX, X: Intact gag and swallow reflex
CN XI: Good shoulder shrug, good SCM tone and trapezius tone
CN XII: Tongue midline with no deviation, fasciculation or atrophy

R L
MOTOR UE 5/5 5/5
LE 5/5 5/5
R L
UE 100% 100%
LE 100% 100%
SENSORY Proprioception: Intact
Vibration: Intact
Pinprick Sensation: Intact

REFLEXES 2+ on all extremities, (-) Babinski, (-) Clonus

CEREBELLAR (-) Dysdiadokinesia; Normal gait

MENINGES (-) Brudzinski, (-) Kernig’s, (-) Nuchal rigidity

Comprehensive Geriatric Assessment

- MMSE: 17 (Abnormal for 8th grade education)
- Geriatric Depression Score: 4 (Normal)
- Katz Index Activities of Daily Living: 0 = Low (Patient very dependent)
- Lawton’s Instrumental Activities of Daily Living: 3 (high level of dependence)
- Nutritional Assessment: 21 (At risk for malnutrition)

ASSESSMENT
Atherosclerosis
Coronary Artery Disease
Congestive Heart Failure IIIC
Hypertension Stage II – Controlled
s/p CVD infarct (2015, 2017, 2018) MRS 0

PLAN
Problems:
- Congestive Heart Failure; Hypertension
Diet: Low salt, Low fat; Limit fluid intake
Diagnostics:
 - 2D echo – done
- 12L ECG
- Chest x-ray
- Laboratory work-up -done
Therapeutics:
- Aspirin 80mg 1 tab OD
- Clopidogrel 75mg 1 tab OD
- Isosorbide monitrate 5 mg/tab TID
- Enalapril 5mg/tab 1 tab OD
- Rosuvastatin 20mg 1 tab ODHS
- Metoprolol 50mg/tab BID
- Digoxin ½ tab OD
Disposition:
- For referral to Cardio;
- Daily monitoring of BP and record
II. FAMILY CASE

INTRODUCTION OF FAMILY MEMBERS

FIRST AGE/ B-DAY BIRTHPLACE CS HEALTH EDUCATIONAL OCCUPATION
NAME SEX STATUS ATTAINMENT
Analie 36/F 3/14/1982 Zamboanga Married Well College Student
City Undergrad
Noli 45/M 11/16/1971 Quezon City Married Well Highschool Factory
graduate Worker
Gian 12/M 05/08/2006 Quezon City Single Well Grade 7 Student
Sean 7/M 12/14/2010 Quezon City Single Well Grade 2 Student
Jacob
Hilario 48/M 03/21/1970 Quezon City Single Well Grade 6 Previous
Tricycle
Driver

FAMILY STRUCTURE
1.Type of Family: Extended Family
2. Family Life Cycle: Family in Late Years
3. Roles and Functions:
- Breadwinner: Marissa (OFW in Alaska)
- Decision maker: Noli (eldest child)
- Caregiver: Noli, Hilario, and Analie
4. Expectations within the Family:
- Within each family member: to support one another in times of need
- Parent’s Expectations: accompany her to the doctor; support financially when needed;
buy her medicines
- Are these expectations realistic? If yes, how can these be achieved? If no, why not?
What are the obstacles? Yes since most of her children are employed, they are able to
help one another in times of crisis.

ECONOMIC STATUS

SOURCE OF INCOME AMOUNT EXPENSES AMOUNT

Marissa 10, 000 Medication 2,500
Senior Citizen 500 Electricity 1,200
Pension
Water 500
Gas 800
Food 5,000
Savings 5000
Total 10, 500 10,000
FLOOR PLAN

A. FAMILY ASSESSMENT TOOLS

1. FAMILY GENOGRAM
 2. ECO MAP

3. FAMILY APGAR

Sagutin ang mga sumusunod ayon sa relasyon ninyong mag-anak Index

Hilario Analie
Patient

A Ako’y nasisiyahan dahil nakakaasa ako ng tulong sa aking pamilya 2 1 2

sa oras ng problema.

P Ako’y nasisiyahan sa paraang nakikipagtalakayan sa akin ang aking 2 2 2

pamilya tungkol sa aking problema.

G Ako’y nasisiyahan at ang aking pamilya ay tinatanggap at 2 2 2

sinusuportahan ang aking mga nais na gawin patungo sa mga
bagong landas para sa aking ikauunlad.

A Ako’y nasisiyahan sa paraang ipinadadama ng aking pamilya ang 2 2 2

kanilang pagmamahal at nauunawaan ang aking damdamin katulad
ng galit, lungkot at pag-ibig.

R Ako’y nasisiyahan na ang aking pamilya at ako ay nagkakaroon ng 2 1 2

panahon sa isa’t isa.

Total Score 10 8 10

Interpretation:
● 8-10: Highly functional*
● 4-7: Moderately dysfunctional
● <4: Severely dysfunctional
Likert Scale: 2 - Palagi; 1 - Paminsan-minsan; 0 - Halos hindi
4. SCREEM
Briefly specify/explain other items not included or described in the checklist.
PARAMETER STRENGTH
Social [✔] Open intrafamilial lines of
communication
[✔] Absence of animosity/rivalry
[]✔ Healthy/supportive intrafamilial
relationships
[✔] Healthy/supportive extrafamilial
relationships
Others:
_____________________________
Cultural [✔] Absence of or very few
beliefs/practices that are
unacceptable to our culture or
negatively affect way of living (e.g.,
.institutionalization of elderly,
dependency of married children to
parents, value for education, does
not advocate family closeness,
seeking help from traditional healers,
etc.)
Others:
_____________________________
Religious [✔] Spirituality is positively
influencing way of life
[✔] Practicing one’s faith, enduring
because of his faith
Others:
_____________________________
Educational [ ] Level of education is not a
hindrance to achievement,
livelihood, success
[ ] Level of education facilitates
comprehension of most challenging
circumstances
Others:
_____________________________
Economic [ ] Ability to allocate funds
appropriately
WEAKNESS
[ ] Lack of intrafamilial lines of
communication
[ ] Presence of animosity/rivalry
[ ] Unhealthy intrafamilial
relationships
[ ] Unhealthy extrafamilial
relationships
Others:
_____________________________
[ ] Presence of some beliefs/practices
that are unacceptable to our culture
or negatively affect way of living.
(Specify these practices)
______________________________
______________________________
______________________________
[ ] Spirituality is negatively
influencing way of life
[ ] Not practicing one’s faith
Others:
_____________________________
[ ] Level of education is a hindrance
to achievement, livelihood, success
[✔] Level of education hinders
comprehension of most challenging
circumstances
Others:
_____________________________
[✔ ] Inability to allocate funds
appropriately
 [✔] Ability to make ends meet most [ ] Inability to make ends meet most
of the time of the time
Others: Others:
_____________________________ _____________________________

Medical [✔ ] Good compliance with medical [ ] Poor compliance with medical

management
[ ] Timely and appropriate medical
consultation
[ ] Aware and practices wellness and
environmental sanitation
Others:
_____________________________
management
[ ] Inappropriate medical
consultation
[ ] Not aware or does not practice
wellness and environmental
sanitation
Others:
some family members are too busy
to bring patient to the doctor

● To what groups or organizations do the family members belong?

- Senior Citizen organization
- GK organization
● What national/community resources has the family used?
- Pension from Senior Citizen
● What are the positive and negative points of the community where the family
resides?

POSITIVE POINTS NEGATIVE POINTS

Good relationship with the people within the Noisy children playing outside her home
community Drinking sessions of neighbors

5. SCREEM-RES

SCREEM Family Strongly Agree Agree DisAgree Strongly

Resource Survey (3) (2) (1) Disagree
(SCREEM-RES) (0)
Questions


Social
>We help each
other in our family
>We are helped by
friends and other
members of the
community
 
Cultural
>Our Culture gives
our family strength
>A culture of
helping and
cooperation in our
community helps our
family


Religious
>Our faith and
religion helps our
family
> we are helped by
members of our
church or other
religious group


Economic
>Our family’s
savings is adequate
for our needs
>Our Family’s
income is adequate
for our needs


Educational
>Our
education/knowledge
is adequate to
understand
information about
the illness
>Our
education/knowledge
is adequate to care
for the patient


Medical
>It is easy to access
medical help in our
community
>We are helped by
doctors nurses and
health workers
Score: 17 (Adequate Family Resources)

SCORE INTERPRETATION
13-18 Adequate family resources
7-12 Moderately inadequate family resources
0-6 Severely inadequate family resources
6. FAMILY LIFELINE

YEAR EVENT
1954 Patient transferred to Manila
1956 Marriage of Index Patient
1957 Birth of first born child
1975 Patient’s husband died of Pneumonia
1980 Death of 2nd child
2000 6th child decided to work abroad
1981 First grandchild was born
2015 Patient was admitted at Villarosa Hospital due to stroke
2017 Patient was admitted at Quirino Memorial Hospital due to stroke
2018 Patient was admitted at Makabali Memorial Hospital, Inc. due to stroke

7. IMPACT OF ILLNESS TO THE FAMILY

- Impact of Illness: Stage III – Major Therapeutic Efforts

8. FAMILY HEALTH CARE PLAN

SHORT TERM LONG TERM

- To lessen symptoms such as shortness of - To improve functional capacity and
breath, decreased exercise tolerance, and quality of life
lower extremity edema
- To decrease likelihood of disease
- To let the patient and family understand progression
the disease fully
- To participate in activities or
organizations for senior citizens in the
community

III. PROGRESS NOTES

November 13, 2018

Subjective (+) cough
(+) easy fatigability
Objective BP: 110/80 mmHg; CR: 93 bpm; RR: 22 cpm; Temp: 36.7°C; SpO2: 99
Anicteric sclera, pink palpebral conjunctiva, no NAD, no CLAD
CBS, decreased breath sounds on left, no retraction, no lagging
 Adynamic precordium, normal rate, irregular rhythm, no murmur
Flabby, NABS, soft, non-tender, no mass
No gross deformities, (+) bipedal edema
Assessment Atherosclerosis, Coronary Artery Disease, Congestive Heart Failure
IIIC, Hypertension Stage II – Controlled
s/p CVD infarct (2015, 2017, 2018)
Plan Diet: Low salt, Low fat; Limit fluid intake
Diagnostics:
- 2D echo – done
- 12L ECG
- Chest x-ray
- Suggest laboratory work-up
Therapeutics:
- Aspirin 80mg 1 tab OD
- Clopidogrel 75mg 1 tab OD
- Isosorbide monitrate 5 mg/tab TID
- Enalapril 5mg/tab 1 tab OD
- Rosuvastatin 20mg 1 tab ODHS
- Metoprolol 50mg/tab BID
- Digoxin ½ tab OD
- Start NAC 600mg ODHS
Disposition:
- For referral to Cardio;
- Daily monitoring of BP and record

November 23, 2018

Subjective (+) cough

(+) easy fatigability
Objective BP: 110/80 mmHg; CR: 91 bpm; RR: 21 cpm; Temp: 36.5°C; SpO2: 99
Anicteric sclera, pink palpebral conjunctiva, no NAD, no CLAD
CBS, decreased breath sounds on left, no retraction, no lagging
Adynamic precordium, normal rate, irregular rhythm, no murmur
Flabby, NABS, soft, non-tender, no mass
No gross deformities, (+) bipedal edema
Assessment CAP-LR; Atherosclerosis, Coronary Artery Disease, Congestive Heart
Failure IIIC, Hypertension Stage II – Controlled
s/p CVD infarct (2015, 2017, 2018)
Plan Diet: Low salt, Low fat; Limit fluid intake
Diagnostics:
- 2D echo – done
- 12L ECG
- Chest x-ray
- Laboratory results noted – increased neutrophils and WBC
Therapeutics:
- Aspirin 80mg 1 tab OD
 - Clopidogrel 75mg 1 tab OD
- Isosorbide monitrate 5 mg/tab TID
- Enalapril 5mg/tab 1 tab OD
- Rosuvastatin 20mg 1 tab ODHS
- Metoprolol 50mg/tab BID
- Digoxin ½ tab OD
- NAC 600mg ODHS
- Start Cefuroxime 500mg BID for 7 days and Azithromycin 500mg
OD for 3 days
Disposition:
- For referral to Cardio;
- Daily monitoring of BP and record

December 21, 2018

Subjective Decreased frequency and severity of cough

Less oxygen dependent
More mobile
Objective BP: 110/80 mmHg; CR: 91 bpm; RR: 21 cpm; Temp: 36.5°C; SpO2: 99
Anicteric sclera, pink palpebral conjunctiva, no NAD, no CLAD
CBS, decreased breath sounds on left, no retraction, no lagging
Adynamic precordium, normal rate, regular rhythm, no murmur,
with s3 gallop
Flabby, NABS, soft, non-tender, no mass
No gross deformities, (-) bipedal edema
Assessment CAP-LR; Atherosclerosis, Coronary Artery Disease, Congestive Heart
Failure IIIC, Hypertension Stage II – Controlled
s/p CVD infarct (2015, 2017, 2018)
Plan Diet: Low salt, Low fat; Limit fluid intake
Diagnostics:
- 2D echo – done
- 12L ECG
- Chest x-ray
- Laboratory results noted – increased neutrophils and WBC
Therapeutics:
- Aspirin 80mg 1 tab OD after lunch
- Isosorbide monitrate 30 mg/tab 1 tab OD
- Captopril 25mg 1/2 tab OD in AM
- Metoprolol 50mg/tab OD in PM
- Atorvastatin 1 tab ODHS
Disposition:
- Cardio consult done – medications were modified
- Daily monitoring of BP and record
 ZUMBA! PARA IWAS-TUMBA!
By: Team C
San Pedro, Jerome Gerald
Suarez, Maria Carina Rose
Tabuac, Maria Elizabeth (Facilitator)
Tangan, Hannah Diane
Tuazon, Patricia Louise (Facilitator)
Uycoque, Ryle Jonathan (Facilitator)

Goal: To provide a sustainable activity for the senior citizen community that focuses on a
healthier and an active lifestyle.

Nature of the Activity:

 An on-the-spot demonstration comprising of a short lecture focusing on the benefits
of Zumba as an exercise and an exercise proper afterwards facilitated by the medical
interns.
 Date: Dec 18, 2018
 Time: 7:00 – 9:00 am
 Venue: Escopa III Basketball court

General Objective:
 To provide a sustainable activity that promotes good health for our senior citizens

Specific Objectives:
 To enhance their balance
 To provide them an activity that is both healthy and entertaining

Target Participants: 30-40 senior citizens of Escopa III

Materials:
 Handout about the activity
 Laptop
 Speakers

Methods:
 A 5-10-minute lecture about the benefits of Zumba was held prior to the exercise
proper using the materials mentioned as a guide.
 Each participant was given a copy of the handout.
 FIRECRACKERS PREVENTION AND FIRST AID MEASURES
By: Team C
San Pedro, Jerome Gerald (Facilitator)
Suarez, Maria Carina Rose (Facilitator)
Tabuac, Maria Elizabeth
Tangan, Hannah Diane (Facilitator)
Tuazon, Patricia Louise
Uycoque, Ryle Jonathan

GOAL: To encourage the community to avoid use of fireworks to lessen firework related
injuries

NATURE OF THE ACTIVITY: A group discussion where the group members acted as
facilitators and where the community actively participate

 Date: December 19, 2018

 Time: 1 PM
 Venue: OPD

GENERAL OBJECTIVE:

 To make the community choose alternative ways of welcoming the new year that
does not involve using fireworks

SPECIFIC OBJECTIVE:

 To educate the community on the various fire related injuries

 To teach first aid measures in case injury occurs
 To present alternatives to the use of fireworks in welcoming the new year
TARGET PARTICIPANT:

 20-30 participants

MATERIALS:

 Brochure

METHODOLOGY:

 Participants are gathered in the OPD Waiting Area

 Participants write their names on the attendance sheet
 Brochures are distributed to the participants
 Group members does the introduction of lecture
 Participants are asked to share their personal experiences regarding the topic
 Post lecture questions were asked to measure the receptiveness of the participants
to the information presented
ACCOMPLISHMENTS:

 Some participants voiced their decision to not use fireworks

 Many were willing to share their experiences
 CHRISTMAS ARTS AND CRAFTS!
By: Team C
San Pedro, Jerome Gerald
Suarez, Maria Carina Rose (Facilitator)
Tabuac, Maria Elizabeth
Tangan, Hannah Diane (Facilitator)
Tuazon, Patricia Louise
Uycoque, Ryle Jonathan

Goal: To provide a sustainable activity for the pre-school children that is both playful and
learning-oriented towards the Christmas Season.

Nature of the Activity:

 An on-the-spot demonstration comprising of a short story-telling focusing on the tale
of the Three Kings as they make their way to the manger and a culminating activity
requiring arts and crafts afterwards facilitated by the medical interns.
 Date: Nov 20, 2018
 Time: 7:00 – 9:00 am
 Venue: Escopa III Pre-school

General Objective:
 To provide a sustainable activity that promotes fun while learning about the
Christmas Season

Specific Objectives:
 To enhance the child’s artistic skills
 To provide them an activity that is both entertaining and that makes them
knowledgeable about the Christmas Season

Target Participants: 20 pre-school children

Materials:
 Art papers
 Stars made out of popsicle sticks
 Glue
 Christmas symbols pre-made cut-outs

Methods:
 The day's activity started with a prayer.
 Pupils were asked to dance as warm up before starting the activity.
 A 10-minute 'story telling' was narrated.
 Questions were asked about the Christmas story and those who answered were
given prizes.
 Parol-making was initiated by the group and help the students make their own
lanterns and were hung as additional Christmas decors for the room.
 Goodbye song was taught after the activity.