Tuesday, December 10, 2013
Friday, December 6, 2013
I see my mother in them
Until now I can't get over with the reality I have seen last day when we have our tour. The people are very, very, very pitiful. Marked faces of worriness, fear, insufficiency, in tears, hopelessness, etc. dominantly seen all over the place. It is overcrowding. For me, it is definitely not conducive for health.
Those faces are the kind of faces I remember, the time before, when my mother is suffering from the excruciating pain of her disease, an "endless" struggle of her Stage-4 cancer, way back in 2004.
Her pains are my extreme pains. Her tears are my unstoppable tears. Her discomforts are my super discomforts. Her determination to combat the disease is my hope, but unfortunately, she was not able to make it.
Those times reveal the bitter-sweet reality. But life is not really ours. I can't hold the time, but to accept the fact and let it transcendingly slip away, like to gradually accept like the wind and let it passes by.
It is my topmost pain that in realiy until now. I am struggling to feel her presence. I miss her so much.
That is the kind of feeling I have seen in the people being admitted and confined in the so-called "living cell" (I prefer to name it). I see my mother in them because it seems like when they are suffering in a very serious disease, one can't rightfully do something because they will not be able to make it. The reality calls for an end. Most of the people there are helpless. They need 100% care. They need the kind of care that is rightfully due to them.
Everytime I see them struggling and in pain, everytime I see them helpless because of their pain, everytime they cry because of their condition, I knew that I could not leave them because I see my mother in them.
If there is an instant magic that only men could do, then I will transform all of them to being well. But I don't have the capacity to directly bring "magic" literally for the power I have is only through the power of truer, vibrantly and rightful care that only my hands, my heart and my mind can do to help them.
I see my mother in them.
Those faces are the kind of faces I remember, the time before, when my mother is suffering from the excruciating pain of her disease, an "endless" struggle of her Stage-4 cancer, way back in 2004.
Her pains are my extreme pains. Her tears are my unstoppable tears. Her discomforts are my super discomforts. Her determination to combat the disease is my hope, but unfortunately, she was not able to make it.
Those times reveal the bitter-sweet reality. But life is not really ours. I can't hold the time, but to accept the fact and let it transcendingly slip away, like to gradually accept like the wind and let it passes by.
It is my topmost pain that in realiy until now. I am struggling to feel her presence. I miss her so much.
That is the kind of feeling I have seen in the people being admitted and confined in the so-called "living cell" (I prefer to name it). I see my mother in them because it seems like when they are suffering in a very serious disease, one can't rightfully do something because they will not be able to make it. The reality calls for an end. Most of the people there are helpless. They need 100% care. They need the kind of care that is rightfully due to them.
Everytime I see them struggling and in pain, everytime I see them helpless because of their pain, everytime they cry because of their condition, I knew that I could not leave them because I see my mother in them.
If there is an instant magic that only men could do, then I will transform all of them to being well. But I don't have the capacity to directly bring "magic" literally for the power I have is only through the power of truer, vibrantly and rightful care that only my hands, my heart and my mind can do to help them.
I see my mother in them.
Friday, November 29, 2013
Saturday, November 9, 2013
Typhoon "Yolanda" 2013
From the many natural havoc that our nation experienced, "Yolanda" is one of the toughest. It destroys almost everything in us.
Tuesday, August 27, 2013
RLE 20 - Community Health Nursing - Compilation of the surveyed data
The survey that we, the Group 1, have conducted in the community of Puntod, Cagayan de Oro City last July of the 2nd week until August of the 2nd week (1 month) doesn't stop there. We need to consolidate everything in order to come up with the final output.
Part of the task is to compile what we have gathered out from the results of our survey. The questions on our survey forms comprise of the various programs of the Department of Health (DOH) that pertains to Immunization, Nutrition, Pre-natal, Family Planning, Water, Sanitary Toilet, Compost Pit, Drainage, Surroundings and availability of Health Insurance.
Our group have interviewed 135 families all-in-all.
Our main task doesn't really stop at collecting all those data. It has to be documented and kept in record through a compilation.
There should have a Cover Page, Table of Contents, Introduction, Overview of the Place with the map, Summarized Output of the Surveyed Data, Interpretation of the Data with Pie Graph reflecting the Percentage of each component, Activities (reflecting the desired plan of action), Pictures (captured moments in the said activity), Receipts (all expenses covered) and Reflections (What have you learned from the activity, answered by each member of the group).
The output will be placed in a scrapbook to be submitted to the assigned Clinical Instructor and to the Barangay Health Center as their record.
The output will serve as the basis of progression if there is something that has been changed or improved. From then on, through the succeeding students who will conduct the survey (RLE 20), out from their gathered data and results, it can be detected if there is a positive change or not out from the percentages of results.
That is why, this activity is a continuous process and it doesn't stop here.
Part of the task is to compile what we have gathered out from the results of our survey. The questions on our survey forms comprise of the various programs of the Department of Health (DOH) that pertains to Immunization, Nutrition, Pre-natal, Family Planning, Water, Sanitary Toilet, Compost Pit, Drainage, Surroundings and availability of Health Insurance.
Our group have interviewed 135 families all-in-all.
Our main task doesn't really stop at collecting all those data. It has to be documented and kept in record through a compilation.
There should have a Cover Page, Table of Contents, Introduction, Overview of the Place with the map, Summarized Output of the Surveyed Data, Interpretation of the Data with Pie Graph reflecting the Percentage of each component, Activities (reflecting the desired plan of action), Pictures (captured moments in the said activity), Receipts (all expenses covered) and Reflections (What have you learned from the activity, answered by each member of the group).
The output will be placed in a scrapbook to be submitted to the assigned Clinical Instructor and to the Barangay Health Center as their record.
The output will serve as the basis of progression if there is something that has been changed or improved. From then on, through the succeeding students who will conduct the survey (RLE 20), out from their gathered data and results, it can be detected if there is a positive change or not out from the percentages of results.
That is why, this activity is a continuous process and it doesn't stop here.
Friday, August 23, 2013
RLE 20 - Community Health Nursing (Labor Watch) The best experience EVER!
Yesterday, it was the best experience for I have witnessed the real scenario of the pregnant women who is delivering her baby. It was my first time to hear the cry of the baby as she was delivered from her mother's womb. It was my first time to see the real placenta, the rupture of the membrane (bag of water), the amniotic fluid dripping through the mother's vaginal orifice, the umbilical cord, blood that is coming out from the vagina, etc. Life is indeed a miracle!
We arrived at Puntod Barangay Health Center at about 7:30 in the morning and there was this pregnant woman who is already there in the Health Center at 1 a.m. because she is about to deliver her baby. Yesterday is the time for her delivery. At that moment at 1 a.m., her IE is 7 cm.
Our instructor, Prof. Fredelina S. Chua, RN, MN, told us (Group 1), of who is going to watch the delivery. Me and Cylyn Cagasan volunteered. We are so excited to wear our scrub suit because it is our first time to really watch a pregnant woman who will deliver her baby. It is also our first time to wear the suit.
Upon opening the door in the delivery room, we have seen the pregnant mother who is kneeling on the floor because she can't bear the pain no matter how she rubbed her back at the sacral area. Good thing that her husband is there to give comfort as well.
Seeing the woman who is in pain is really a pitiful one. I know that she experienced the extreme pain because her face is in total grimace. We rubbed gently her back as I also took the duration and interval of the contraction.
I asked the pregnant woman to tell me when she experienced the total pain and when does the pain subsides. The duration is 1 minute and 24 seconds time (first take) and the interval is 20 seconds. It was so fast. The spacing of her contraction is just so near. It is like an intermittent feeling. But the time changes gradually. It is not fixed.
The patient is in her gravida 2. She has a daughter who is 2 years old now and her child is also in the center with his father.
At 9:45 a.m., the pregnant women is lying in the bed in a lithotomy position. The Registered Nurse do the I.E and it was 2 cm. She told us that the mother is really nearing to her delivery.
At 10:00 am, the "poo poo" appeared first and then afterwards, the bag of water ruptured. With the effort of the mother to push, the baby was delivered normally at 10:20 a.m. The baby girl is healthy.
It was really my first time to see little volume of blood dripping out from the mother's vaginal orifice, the rupture of the placenta, the umbilical cord, etc.
The baby at first is colored like she is powder-like (white). Then, she gradually turned pinkish. She is so cute and tiny. She cries very loud. She is really like a little angel.
The mother was in relief after the delivery, but the nurse do episiorraphy because there was a slight laceration in her perineum. She was in anesthesia while the nurse performed the procedure.
The baby is placed at the tummy of the mother - "Unang yakap" so that there is a connection between the mother and the child. A kind of bond that extraordinarily be felt between them. It explains the love and care of the mother to her child.
The one who is assigned in the cord care is considered sterile. She is wearing sterile gloves. He should not touched anything around the field. He is not advised to help, getting things while the procedure of delivery is in process. He should be alertly waiting for her turn to do the cord care. That is why, he is like a robot. The hands with sterile gloves should lift at the upper portion of the body, on the chest area. Below the half of the body is considered not sterile.
The one in-charge for the "Assist" is going to pay attention what the nurses will command him to do. He is also wearing sterile gloves so with the in-charge in the "handle".
All of us there are observing safety precautions. Me and Cylyn are wearing glean gloves. We just assist the mother in providing her with comfort and supporting her when she goes to bed.
After the delivery, the mother is comfortably lying in the bed. She is not allowed to stand for she will collapsed because of the blood loss.
It was my first time to see a huge diaper as well.
The experience is really grand. I can't totally put everything in details because the event is just happening. All I know is I will really not forget this very first exposure that I have in the DR (Delivery Room).
Once the situation happens, prioritization is a must. Common sense and focus should always be the armor at all times. Then, I have thought, how was my mother feels when she gave birth to me before.
Indeed, women are precious. Mothers should be taken care of. Women should be loved. It is not easy to see how painful it is for pregnant women who is in labor. Good thing that the patient is in her gravida 2. How much more if it is her primigravida?
Now, I was like floating to feel the scenario. I want to witness that kind of experience again. I was like in the state of being in the situation even until now. I was not able to sleep well. I was all the time thinking of the scene. It is like coming back and forth.
It adds more my confidence.
Indeed, God is so powerful. He is really amazing for He plans that everything has its own placement, everything has its own time, everything is indeed unfathomable.
Life is absolutely a gift!
We arrived at Puntod Barangay Health Center at about 7:30 in the morning and there was this pregnant woman who is already there in the Health Center at 1 a.m. because she is about to deliver her baby. Yesterday is the time for her delivery. At that moment at 1 a.m., her IE is 7 cm.
Our instructor, Prof. Fredelina S. Chua, RN, MN, told us (Group 1), of who is going to watch the delivery. Me and Cylyn Cagasan volunteered. We are so excited to wear our scrub suit because it is our first time to really watch a pregnant woman who will deliver her baby. It is also our first time to wear the suit.
Upon opening the door in the delivery room, we have seen the pregnant mother who is kneeling on the floor because she can't bear the pain no matter how she rubbed her back at the sacral area. Good thing that her husband is there to give comfort as well.
Seeing the woman who is in pain is really a pitiful one. I know that she experienced the extreme pain because her face is in total grimace. We rubbed gently her back as I also took the duration and interval of the contraction.
I asked the pregnant woman to tell me when she experienced the total pain and when does the pain subsides. The duration is 1 minute and 24 seconds time (first take) and the interval is 20 seconds. It was so fast. The spacing of her contraction is just so near. It is like an intermittent feeling. But the time changes gradually. It is not fixed.
The patient is in her gravida 2. She has a daughter who is 2 years old now and her child is also in the center with his father.
At 9:45 a.m., the pregnant women is lying in the bed in a lithotomy position. The Registered Nurse do the I.E and it was 2 cm. She told us that the mother is really nearing to her delivery.
At 10:00 am, the "poo poo" appeared first and then afterwards, the bag of water ruptured. With the effort of the mother to push, the baby was delivered normally at 10:20 a.m. The baby girl is healthy.
It was really my first time to see little volume of blood dripping out from the mother's vaginal orifice, the rupture of the placenta, the umbilical cord, etc.
The baby at first is colored like she is powder-like (white). Then, she gradually turned pinkish. She is so cute and tiny. She cries very loud. She is really like a little angel.
The mother was in relief after the delivery, but the nurse do episiorraphy because there was a slight laceration in her perineum. She was in anesthesia while the nurse performed the procedure.
The baby is placed at the tummy of the mother - "Unang yakap" so that there is a connection between the mother and the child. A kind of bond that extraordinarily be felt between them. It explains the love and care of the mother to her child.
The one who is assigned in the cord care is considered sterile. She is wearing sterile gloves. He should not touched anything around the field. He is not advised to help, getting things while the procedure of delivery is in process. He should be alertly waiting for her turn to do the cord care. That is why, he is like a robot. The hands with sterile gloves should lift at the upper portion of the body, on the chest area. Below the half of the body is considered not sterile.
The one in-charge for the "Assist" is going to pay attention what the nurses will command him to do. He is also wearing sterile gloves so with the in-charge in the "handle".
All of us there are observing safety precautions. Me and Cylyn are wearing glean gloves. We just assist the mother in providing her with comfort and supporting her when she goes to bed.
After the delivery, the mother is comfortably lying in the bed. She is not allowed to stand for she will collapsed because of the blood loss.
It was my first time to see a huge diaper as well.
The experience is really grand. I can't totally put everything in details because the event is just happening. All I know is I will really not forget this very first exposure that I have in the DR (Delivery Room).
Once the situation happens, prioritization is a must. Common sense and focus should always be the armor at all times. Then, I have thought, how was my mother feels when she gave birth to me before.
Indeed, women are precious. Mothers should be taken care of. Women should be loved. It is not easy to see how painful it is for pregnant women who is in labor. Good thing that the patient is in her gravida 2. How much more if it is her primigravida?
Now, I was like floating to feel the scenario. I want to witness that kind of experience again. I was like in the state of being in the situation even until now. I was not able to sleep well. I was all the time thinking of the scene. It is like coming back and forth.
It adds more my confidence.
Indeed, God is so powerful. He is really amazing for He plans that everything has its own placement, everything has its own time, everything is indeed unfathomable.
Life is absolutely a gift!
Thursday, August 22, 2013
RLE 20 - Group 1 - Community Health Nursing's First Exposure in the Community
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| RLE 20 - Community Health Nursing, Group 1 |
As we, the Group 1 of RLE 20 - Community Health Nursing under Prof. Fredelina S. Chua and with our Practicing Clinical Instructor, Ms. Nhestly Abejero are on-duty in the community in our Community Health Nursing (RLE 20) subject, we are challenged, excited and as well as happy to have really witnessed and applied what we have learned from the principles, theories, concepts, information and ideas out from reading the Nursing books in actual performance with the pregnant mothers who are having their pre-natal visit in the Barangay Puntod, Health Center in Purok 4, Cagayan de Oro City.
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| RLE 20 - Community Health Nursing, Group 1 |
With all the procedures that we have performed in the community, we are trained by our professional instructors. There is also the Barangay Health Nurse, the Barangay Health Workers together with our Clinical Instructor and our Practicing Clinical Instructor who assist us in doing the task to the patients. We don't directly do the procedure unless our Instructor will tell us. We follow what is really the right thing.We observed aseptic technique all the time.
Thursday is scheduled for the pre-natal visit of the pregnant women and Friday is the schedule for "labor day". There are numerous pregnant women who went in the health center and so, we never mind taking our snacks because we will prioritize our patient in accommodating them as we don't know how many of them are going for their check-up. One can't be able to think of taking his snack especially when all of us are taking turns in assessing them. We are all busy. We are all working.
At the end of the day, we repeatedly and countlessly express that the first exposure that we have in the community indeed challenged and even pursues us like we don't want to stop our work because we are totally glad and very, very, very much happy. It is a nice feeling that when the patients leave the center, they never forget their "Thank you" to us and it makes us really proud of ourselves that indeed we have the potential to perform the procedure as licensed nurses do, as professional nurses do. We are delighted and very much inspired to perform our task well. Though it can't be denied that at first we are trembling, but we never let the feeling of fear dominantly taking our day out. We stand very confident and vigorously conquer our fear that we never tremble. We faced the patients with a smile on the face, clipped our trembling hands at the side of our body and accommodatingly be courteous to our them.
All of us, as we gathered in the Nursing lobby as we returned to school, no other words are coming out from our mouth but only "Wow. Daghan gyd kog natun-an karon nga adlaw. Tsada man diay gyd ang feeling pag e-apply na atong natun-an."
The experience that we had, added more to our knowledge and enhancement of our skills to further bring excellence into the whole world. We can't forget this day, the day of our first, ultimate actual exposure in the community. We are all happy, feeling the boost of confidence and worth that we too can be great professionals even though we are just Student Nurses.
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