“ASSESSMENT REPORT”

My first encounter with the Adan family was marked by the immediate impression of their cramped
living space. Their small house, squeezed between numerous others, hinted at the challenges they
faced. Only the mother was home during my initial visit, readily providing the information needed for
my assessment. The central issue, she explained, was malnutrition affecting her two young daughters.
While their BMIs were surprisingly within the normal range, their vulnerability to undernutrition was
evident given their living conditions and the girls’ tender ages. This observation highlighted the need
for a more holistic approach to their care, going beyond simple BMI readings.

As I conducted the assessment, I observed their surroundings. The absence of a garbage bin, despite
the generally clean environment, was noteworthy. The mother explained that they burned their trash, a
practice I noted for further discussion regarding potential health implications. The shared bathroom
facilities, owned by her husband's parents, further emphasized their resource limitations. However,
amidst these challenges, the family was actively constructing their own home, a testament to their
resilience and hope for a better future. The mother was cooperative and communicative throughout
the interview, providing all the necessary details.

My second visit focused on health teaching, addressing the family's undernutrition concerns. The
session proceeded smoothly, with the mother actively participating and demonstrating a keen interest
in learning about nutritious foods to improve her daughters' and the family's overall health. I provided
a detailed list of recommended foods, emphasizing the importance of balanced nutrition.

The Adan family's case underscores the complexities of malnutrition. Their limited living space,
resource constraints, and young children all contribute to their vulnerability. However, their proactive
efforts in building their own home and their willingness to embrace health education offer a beacon of
hope. My role extends beyond simple assessment; it involves providing ongoing support and guidance
to empower the family to overcome these obstacles and build a healthier life. Further follow-up visits
are planned to monitor their progress and offer additional assistance as needed.
 “LEARNING INSIGHT”

My five-day CHN exposure was an unparalleled experience, a whirlwind of learning, growth, and
unexpected discoveries that far surpassed any previous experience in my life. Each day presented
unique challenges and opportunities for personal and professional development, leaving me with a
profound sense of accomplishment and gratitude.

Day 1: Immunization, Home Visits

The day began with an intensive Q&A session focused on childhood immunizations. This wasn't just a
theoretical exercise; it was a practical training ground that significantly improved my understanding
of immunization schedules, contraindications, and potential side effects. The interactive nature of the
session allowed me to ask clarifying questions and address my anxieties about administering vaccines
in real-world scenarios. This newfound confidence proved invaluable later in the day. Our first home
visit involved interviewing a family assigned to our group. While the interview itself was relatively
short due to the family's cooperation, the experience provided a crucial lesson in the importance of
building rapport. The way we presented ourselves, our initial communication style, and our ability to
listen actively directly impacted the family's willingness to engage with us. This underscored the
significance of first impressions and effective communication in establishing trust with clients, a skill
I will continue to hone throughout my nursing career. The day concluded with our first quiz, a reality
check that highlighted areas where I needed improvement, particularly in my reading comprehension
and critical analysis of complex medical information. This experience emphasized the importance of
thorough preparation and the continuous pursuit of knowledge.

Day 2: Teamwork, Preparation

Day two started with a comprehensive feedback session on our first day's activities. Sir Assi's
constructive criticism and encouragement were instrumental in boosting our team's morale and
focusing our efforts. The day was largely dedicated to preparing for our upcoming IEC. My selection
as the master of ceremonies was both an honor and a challenge, but it provided an invaluable
opportunity to develop my public speaking skills and leadership abilities. The trust my team placed in
me to lead the IEC was incredibly motivating and served as a powerful catalyst for personal growth.
The unexpected absence of Sir Assi due to a prior commitment presented a unique opportunity to
demonstrate our team's independence and collaborative spirit. We worked seamlessly together,
demonstrating our ability to manage tasks and responsibilities effectively without direct supervision.
The afternoon trip to Sumbiling to buy IEC supplies further solidified the strong bond within our
team. The decision of Jellyn and Mardi to entrust their safety to me while driving the motorcycle was
a profound gesture of trust and underscored the depth of our camaraderie. It was a powerful reminder
that our team functions not just as colleagues but as a supportive family unit.

Day 3: Creativity, Health Education, and Unexpected

Day three was a whirlwind of activity, pushing me beyond my comfort zone and revealing hidden
talents. Creating the certificates for the IEC and culminating activity allowed me to explore my
creative side, a skill I hadn't previously recognized. The positive feedback from my team was
incredibly encouraging and validated my artistic abilities. My second home visit, focused on
providing health education, presented a different set of challenges. My focus on the certificate
creation earlier in the day impacted my ability to fully engage with the client, highlighting the
importance of prioritizing tasks and maintaining focus. The experience served as a valuable lesson in
time management and resource allocation. The visit with my teammate to her client's remote mountain
home was particularly impactful. The arduous journey highlighted the disparities in healthcare access
and the challenges faced by individuals in underserved communities. This experience provided a
profound sense of empathy and reinforced my commitment to providing equitable healthcare to all.

Day 4: The IEC and Final Assessments

Day four was the culmination of our efforts – the IEC. The morning was a flurry of activity as we
prepared the venue, equipment, and ourselves for the event. The large turnout was both exciting and
daunting, pushing us to adapt and maintain composure under pressure. The success of the IEC was a
testament to our teamwork, collaborative spirit, and meticulous preparation. The positive feedback we
received was incredibly rewarding and validated our hard work. The afternoon brought our final quiz,
and I was delighted to achieve a high score, reflecting my dedication to reviewing the material. The
final exam, though unexpectedly extensive, was manageable due to my diligent note-taking and
review of Sir Assi's lectures.

Day 5: Culminating Activity and Reflections

Our final day focused on the culminating activity, where I once again served as master of ceremonies.
The event was a success, and the positive messages from the speakers were incredibly inspiring and
affirming. The final feedback from Sir Assi was overwhelmingly positive, leaving us feeling a deep
sense of accomplishment and gratitude. This five-day experience was more than just a community
health nursing exposure; it was a transformative journey that challenged me, taught me invaluable
lessons, and instilled in me a profound sense of purpose and dedication to my chosen profession. The
memories created, the bonds formed, and the knowledge gained will stay with me throughout my
nursing career. The teamwork, camaraderie, and support within our team were exceptional, creating
an environment of mutual respect, encouragement, and shared success. This experience has not only
strengthened my professional skills but also enriched my personal growth in ways I could never have
anticipated.
 “HEALTH EDUCATION MATERIAL”

MALNUTRITION
(undernutrition)

 Ano ang Malnutrition?

Ang malnutrition ay kondisyon kung saan ang katawan ay walang sapat o tamang nutrisyon.

Dalawang uri ng Malnutrition:

 Undernutrition (kulang sa nutrisyon)
 Overnutrition (sobra sa pagkain o nutrisyon)

Ano ang Undernutrition?

(Lalaki: Mas mababa sa 7.4 kg)
(Babae: Mas mababa sa 7.0 kg)
 Ang undernutrition ay kakulangan ng nutrisyon tulad ng protina, enerheya, bitamina, at
mineral.
 Result anito ang pag hina ng katawan, mabagal na paglaki, at mas madaling pagkasakit.

Sanhi ng Undernutrition
 Kakulangan sa pagkain dahil dahil sa kahirapan.
 Hindi tamang kombinasyon ng pagkain sa diet.
 Mga sakit tulad ng diarrhea o parasitic infections.
 Kakulangan ng kaalaman sa tamang nutrisyon.

Palatandaan ng Undernutrition
 Pagiging payat o sobrang payat.
 Mabagal na paglaki.
 Panghihina at kawalan ng enerhiya.
 Pagkakaroon tuyong balat o buhok.
Paano ito maiiwasan o Magagamot?
(Mga kailangan ng Bata)
Para matugunan ang pangangailangan ng bata:
 Iron: Para sa malusog na dugo
Ex: Malunggay, Itlog, Atay
 Vitamin A: Para sa paningin at paglaban sa sakit.
Ex: Kalabasa, Karot, Kamote
 Zinc: Para sa Immune System.
Ex: Isda, Mani, Itlog
 Calcium: Para sa buto at ngipin.
Ex: Gatas, Tofu, Sardinas
 Vitamin C: Para sa immune system at pagsipsip ng iron.
Ex: Kalamansi, Papaya, Saging
 Protein: Para sa paglaki at repair ng tissue.
Ex: Itlog, Chicken, Monggo

Mga Abot-Kayang Solusyon para sa Kahirapan

 Alternatibo sa Kanin: Gamitin ang kamote o mais bilang source ng enerheiya.
 Abot-Kayang Pagkain
 Lugaw na may gulay (kalabasa, malunggay).
 Monggo na may sardinas o malunggay.
 Isda tulad ng dilis o galunggong.
 Saging (lakatan o saba).
 Gardening: Magtanim ng gulay tulad ng malunggay, kamote, at kangkong para sa
suistainable food source.

Mga Tulong mula sa Komunidad

 Health Center: Libreng bitamina at check-up.
 Feeding Program: Maaring tumulong ang barangay o simbahan.
 Relief Goods: Magtanong sa barangay para sa tulong sa pagkain.

Konklusyon at Mensahi
Ang Malnutrition ay maiiwasan sa pamamagitan ng kaalaman at tamang pagpapakain. Hikayatin ang
Pamilya na mag magtulungan para mapanatili ang kalusugan ng bata. Magtanong sa health center o
barangay sa karagdagang tulong at kaalaman.