MID-ROTATION REPORT USTFMS Batch 2011 October 30, 2010 Garcia, Garzon, Gaspar, Gatchalian, Gaw, Geraldoy, Geronimo, Geronimo, Geronimo University of Santo

MID-ROTATION REPORTUSTFMS Batch 2011

October 30, 2010

Garcia, 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)


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


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


1 month Penlight (amber color)Jaeger’s ChartSnellen’s ChartOphthalmoscopeOtoscopeTuning ForkStethoscopeReflex HammerTape MeasurePE form


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


1 month

CURRENT RESULTS AND DATA ANALYSIS

OBSERVATIONS

RECOMMENDATIONS

COMMUNITY HEALTH PROGRAMS

Urinalysis: Urine Dipstick Test


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


1 day Dipsticks, Microscope Centrifuge,Result forms


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)


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!!!!

Documents

MID-ROTATION REPORT USTFMS Batch 2011 October 30, 2010 Garcia, Garzon, Gaspar, Gatchalian, Gaw, Geraldoy, Geronimo, Geronimo, Geronimo University of Santo