MID-ROTATION REPORT USTFMS Batch 2011 October 30, 2010 Garcia, Garzon, Gaspar, Gatchalian, Gaw, Geraldoy, Geronimo, Geronimo, Geronimo University of Santo Tomas Faculty of Medicine and Surgery Department of Family, Community and Preventive Medicine
Feb 15, 2016
MID-ROTATION REPORTUSTFMS Batch 2011
October 30, 2010Garcia, Garzon, Gaspar, Gatchalian, Gaw, Geraldoy, Geronimo, Geronimo, Geronimo
University of Santo TomasFaculty of Medicine and Surgery
Department of Family, Community and Preventive Medicine
OUTLINE
• Baseline Physical Examination Mid-rotation Results
• Health Education Lecture– Aural and Oral Hygiene Lecture
• College Health Program– UTI Screening (Dipstick Urine Test)
SCHOOL DATA
LOCATION Navotas Polytechnic CollegePRESIDENT Dean Francisca RoquePOPULATION 2nd Year College Students
(665)S.Y. 2010-2011
OBJECTIVES
1. To conduct a baseline physical examination of 2nd year college students enrolled for the school year 2010-2011 at the Navotas Polytechnic College
2. To educate students on proper oral and aural hygiene and how it affects individual's health
OBJECTIVES
3. To continue the previously conducted free dipstick urinalysis test to identify patients with disease findings and be advised for further evaluation and management.
October November
Activities Persons in charge 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12
I. Planning Inform the College Administration of the Plans and Goals of the group
9 persons
Gather the information regarding the total no. of 2nd year College students
9 persons
Development of learning objectives
3 persons
Acquisition of materials 2 persons
Scheduling of activities 2 persons
Selection and Assignment of Venue
2 persons
II. ImplementationConduct a Baseline PE (2nd year students)
7 persons
Conduct a Baseline PE. (Athletes)
Lecture on Aural and Oral Hygiene
5 persons
UTI Screening: Urinalysis 7 persons
III. EvaluationQ & A 9 persons
Open Forum 9 persons
Evaluation/Feedback Forms 2 persons
GANTT CHART
OPERATIONAL PLAN
OPERATIONAL PLAN
• Title: Baseline Physical Exam of Second Year Students in Navotas Polytechnic College for S.Y. 2010-2011
• Objective: To identify the health problems of the second year college students enrolled in NPC for the S.Y. 2010-2011 by history and physical examination techniques
Objective Strategy Activities Persons-in-charge
Time Frame Resources
1. To acquire
Clinical history of the students
Interview Establish rapport Ask for the
patient’s general data
Conduct a review of systems and assess for any symptoms that may need to be evaluated further.
Inquire about the patients’:
- Review of System- Past Medical
History- Family History- Personal and Social
history- Ob-Gyn History
Garcia, Mark JesreelGarzon, Maria Monica PamelaGaspar, Irish Gatchalian, CheryllGaw, Gem Minnie MaeGeraldoy, Isabelle ReynaGeronimo, CherryGeronimo, Maria Angelica Geronimo, Ralph Ernesto
1 month History form
Objective Strategy Activities Persons-in-charge Time Frame Resources
2. To assess the nutritional status of the students
Determination of height, weight, and BMI status
Determine height and weight of each student
Compute for BMI Classify whether
student is underweight, normal, overweight or obese (using Asia-pacific criterion)
Garcia, Mark JesreelGarzon, Maria Monica PamelaGaspar, Irish Gatchalian, CheryllGaw, Gem Minnie MaeGeraldoy, Isabelle ReynaGeronimo, CherryGeronimo, Maria Angelica Geronimo, Ralph Ernesto
1 month Weighing ScaleHeight ChartPE form
Objective Strategy Activities Person-in-charge
Time Frame Resources
3. To determine the vital signs of each student
Measurement of the vital signs: blood pressure, pulse rate, respiratory rate, and temperature
Measure the vital signsGet the blood pressurePalpate for the radial pulse and
count the pulsations in 1 minute. Note rhythm & amplitude.
Observe the rise and fall of the chest. Count the number of respiratory cycles in 1 minute. Assess for the regularity and rhythm
Get the axillary temperature.Assess for any abnormalities in
the vital signs and correlate it with the patient’s history and physical examination
Garcia, Mark JesreelGarzon, Maria Monica PamelaGaspar, Irish Gatchalian, CheryllGaw, Gem Minnie MaeGeraldoy, Isabelle ReynaGeronimo, CherryGeronimo, Maria Angelica Geronimo, Ralph Ernesto
1 month SphygmomanometerStethoscopeDigital ThermometerWatchPE form
Objective Strategy Activities Person-in-charge Time Frame Resources
4. To conduct a thorough physical exam of each student
Physical examination
Assess for the ff:- Mental status- Skin and mucosa- Head and neck- Eyes- Ears, nose, and throat- Chest (lungs and
heart)- Abdomen- Extremities- Determine any
abnormalities in the physical exam that may point out to a medical problem
Garcia, Mark JesreelGarzon, Maria Monica PamelaGaspar, Irish Gatchalian, CheryllGaw, Gem Minnie MaeGeraldoy, Isabelle ReynaGeronimo, CherryGeronimo, Maria Angelica Geronimo, Ralph Ernesto
1 month Penlight (amber color)Jaeger’s ChartSnellen’s ChartOphthalmoscopeOtoscopeTuning ForkStethoscopeReflex HammerTape MeasurePE form
Objective Strategy Activities Person-in-charge Time Frame Resources
5. To identify health problems among the students
Critical thinking and application of medical knowledge
1. Formulate a diagnosis based on the patient’s history and physical exam findings
2. If needed, refer the patient to OPD for further evaluation and management
Garcia, Mark JesreelGarzon, Maria Monica PamelaGaspar, Irish Gatchalian, CheryllGaw, Gem Minnie MaeGeraldoy, Isabelle ReynaGeronimo, CherryGeronimo, Maria Angelica Geronimo, Ralph Ernesto
1 month
CURRENT RESULTS AND DATA ANALYSIS
OBSERVATIONS
RECOMMENDATIONS
COMMUNITY HEALTH PROGRAMS
Urinalysis: Urine Dipstick Test
Objective Strategy Activities Person-in-charge Time Frame Resources
To conduct a health service program on UTI for the college students of Navotas Polytechnic College
Urinalysis •Preparation of Materials
•Explanation to the students on proper urine collection
•Receiving and Processing of Specimens
•Dipstick analysis and Microscopic Analysis
•Record and correlation of results with students (symptomatic and asymptomatic
Garcia, Mark JesreelGarzon, Maria Monica PamelaGaspar, Irish Gatchalian, CheryllGaw, Gem Minnie MaeGeraldoy, Isabelle ReynaGeronimo, CherryGeronimo, Maria Angelica Geronimo, Ralph Ernesto
1 day Dipsticks, Microscope Centrifuge,Result forms
Objective Strategy Activities Person-in-charge Time Frame Resources
To conduct a health service program on UTI for the college students of Navotas Polytechnic College
Urinalysis •Preparation of Materials
•Explanation to the students on proper urine collection
•Receiving and Processing of Specimens
•Description of physical and biochemical characteristics of urine using the Dipstick
•Record and correlation of results with students (symptomatic and asymptomatic)
Garcia, Mark JesreelGarzon, Maria Monica PamelaGaspar, Irish Gatchalian, CheryllGaw, Gem Minnie MaeGeraldoy, Isabelle ReynaGeronimo, CherryGeronimo, Maria Angelica Geronimo, Ralph Ernesto
1 day Dipsticks,Result forms
GENERAL OBJECTIVE
• To examine urine specimen physically and biochemically using the Dipstick urinalysis method
SPECIFIC OBJECTIVE
• To screen for diseases such as urinary tract infections, renal disease, and other diseases of the body which result in the formation of compounds that can be detected in the urine at abnormal levels
Letter to DeanFrancisca RoqueDean,Navotas Polytechnic CollegePhase I Kaunlaran Village, North Bay Blvd. South, Navotas City
Dear Madam Roque: Greetings in the name of St. Thomas Aquinas!We are the UST Medical Clerks Batch 2011, currently undergoing our community medicine rotation at North Bay Boulevard, South Dagat-Dagatan, Navotas City. As part of our health promotion activities, we have conducted complete baseline physical exam among the second year students enrolled at Navotas Polytechnic College. Through this activity we were able to find several students with signs and symptoms of urinary tract infection. Urinary tract infection, when treated promptly and properly rarely lead to complications. But if left untreated, a urinary tract can lead to acute or chronic kidney infections , which could permanently damage the kidneys. One method of screening for UTI is through the dipstick urinalysis method.In line with this, we would like to conduct a urinalysis program for the students with symptoms of UTI on November 9 and 10, 2010, 9:00AM-12:00PM at the San Lorenzo Ruiz Community Socio-Medical Center. The aim of this program is to be able to diagnose students with UTI and other renal disease. This way, the students will be able to be treated promptly in order to avoid more serious complication of UTI.
We would therefore like to ask permission from your good office to allow us to pull out the affected students from their classes on the day of the urine analysis .
We greatly appreciate your support of our efforts for health promotion in the past, and we are hoping for your continued support in our present endeavor.
Informed Consent Petsa: _______________________
Sir/Ma’am,Kami po ay mga medical clerks ng University of Santo Tomas Faculty of Medicine and Surgery na nagsagawa ng eksaminasyong pangkalusugan sa mga mag-aaral ng _________________________________________. (PANGALAN NG PAARALAN)
Gusto po naming ipaalam na si ______________________, ______ taong gulang, Course & Section___________ (PANGALAN NG PASYENTE) (EDAD) ( Kurso/Section)
ay aming natingnan at na-eksamin. Napag-alaman po namin na siya ay mayroong sintomas ng urinary tract infection. Ini-rerekomenda po namin na siya ay mabigyan ng kaukulang atensyong medical sa pamamagitan ng urine analysis.Maraming salamat po.
________________________________M.D. / Medical Clerk
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - REPLY SLIP- - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Petsa: ___________________________
Sa mga doktor,Amin pong napag-alaman at naintindihan na si ___________________________________ ay nangangailangan ng
(PANGALAN NG PASYENTE)atensyong medical dahil sa: urinary tract infection.
(RESULTA NG EKSAMINASYON)
Dahil dito, ako _______________________________, magulang/ nangangalaga kay _______________________ ay pinahihintulutan siyang sumailalim sa Urine analysis sa darating na September 13-14, 2010.
__________________________________Pangalan at pirma ng magulang o tagapag-alaga__________________________________Relasyon sa pasyente
URINALYSIS: Urine Dipstick Test
• Materials– Urine Dipstick reagent strips– Labeled canister for comparison– Specimen collection container
• Person-in-Charge: Medical Clerks• Time Frame: 1 day
POPULATION
• 2nd year college students with previous and current symptoms associated with the genitourinary tract
DETERMINATION OF BIOCHEMICAL CHARACTERISTICS OF URINE
• pH• Protein• Glucose• Ketones• Blood• Bilirubin• Specific gravity• Nitrite • Urobilinogen• Leukocytes
Thank you!!!!