Showing posts with label Community Health Nursing. Show all posts
Showing posts with label Community Health Nursing. Show all posts

Tuesday, September 1, 2009

Health Promotion for Pregnant Women


According to the 2000 Philippine Health Statistics, 24 out of 1000 women who gave birth die due to pregnancy complications. 25% of these could be accounted to hypertension, 20.3% to postpartum hemorrhage (severe bleeding), and 9% to pregnancy related to abortion.
The underlying causes of maternal deaths are delays in taking critical action, seeking care, making referral, and providing medical management. Other factors that contribute to this situation is closely spaced births, frequent pregnancies, poor detection, poor access to health care facilities and management of high risk pregnancies (Public Health Nursing in the Philippines, 2007)

That is why health promotion among pregnant women is very important. Much like a make or break , do or die situation which poses great risks for the soon-to-be mothers. A way of health promotion not only for the mother but also for the baby is the prenatal check up. Ideally, the first visit to the clinic or health center is during the first four months or as early as detection and confirmation of pregnancy. The second visit should be done during the 2nd trimester (4-6months) while the 3rd visit would be on the 3rd trimester. Upon reaching the 8th month of pregnancy, the mother is advised to visit the clinic every 2 weeks to be assessed for labor readiness.

Since the pregnant mother provides nutrients for herself and for the baby, micronutrient supplementation is advised to prevent Vitamin A deficiency, anemia and other nutritional disorders. In the same light, pregnant women are advised to take in Vitamin A supplements to be given twice a week and Iron supplementation daily. However, Vit. A supplementation are contraindicated for women below 4 months of pregnancy as it may cause congenital problems for the baby.

Pregnant women are more susceptible to diseases. In line with this, immunizations are of utmost importance especially the Tetanus Toxoid vaccine that combats the disease called tetanus that could be passed down to the baby. Tetanus Toxoid immunization comprises of 5 doses, 3 of which act as booster shots, administered parenterally. After immunization the woman is now called a “fully immunized mother or FIM”

After following all these tips and procedures, it is rest assured that the mother could now better manage a safe and clean delivery.



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Saturday, August 29, 2009

Top 10 Leading Causes of Mortality in the Philippines

MORTALITY: TEN LEADING (10) LEADING CAUSES
Number and rate/100,000 Population Philippines
5-Year Average (2000-2004) & 2005

Cause
5 Year Average
(2000-2004)
2005*
Number
Rate
No.
Rate
1. Diseases of the Heart
66,412
83.3
77,060
90.4
2. Diseases of the Vascular system
50,886
63.9
54,372
63.8
3. Malignant Neoplasm
38,578
48.4
41,697
48.9
4. Pneumonia
32,989
41.4
36,510
42.8
5. Accidents
33,455
42.0
33,327
39.1
6. Tuberculosis, all forms
27,211
34.2
26,588
31.2
7. Chronic lower respiratory diseases
18,015
22.6
20,951
24.6
8.Diabetes Mellitus
13,584
17.0
18,441
21.6
9. Certain conditions originating in the perinatal period
14,477
18.2
12,368
14.5
10. Nephritis, nephrotic syndrome and nephrosis
9.166
11.5
11,056
3.6

Note: Excludes ill-defined and unknown causes of mortality
(R00-R99) n=23,235
* reference year
** External Causes of Mortality

Source: www.doh.gov.ph

Presented above are the Top 10 Leading Causes of Mortality or deaths in the Philippines, notice the dominance of diseases brought about by excessive intake of foods or products of unhealthy practices (smoking,alcoholism,etc), these are called the Lifestyle diseases. The good thing about them is that they can actually be prevented by having an health lifestyle, balanced diet and adequate exercise. Moreover, some of these diseases could be passed on vertically, passing them to your children that is why prevention is very important not only for your own health but also for the future generations to come.

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Saturday, August 22, 2009

Expanded Program on Immunization


Children need not die young if they receive complete and timely immunization. Children who are not fully immunized are more susceptible to common childhood diseases. The Expanded Program on Immunization is one of the DOH Programs that has already been institutionalized and adopted by all LGUs in the region. Its objective is to reduce infant mortality and morbidity through decreasing the prevalence of six (6) immunizable diseases (TB, diphtheria, pertussis, tetanus, polio and measles)

Special campaigns have been undertaken to improve further program implementation, notably the National Immunization Days (NID), Knock Out Polio (KOP) and Garantisadong Pambata (GP) since 1993 to 2000. This is being supported by increasing/sustaining the routine immunization and improved surveillance system.


*more information soon*

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Generic vs. Branded Medicines


Over the years, the use of medications had become an invaluable aspect in health care. Medications used to treat acute(short term) and chronic(long term) diseases have been available to consumers. Given these uses, can we really say that medicines are beneficial? – given the high cost of these drugs

First, let us talk about how these drugs come to reach their market prices. Once a drug has been hypothetically discovered, it would go through a series of tests before it would be recognized by the Bureau of Food and Drug (BFAD) as a scientifically-proven therapeutic drug. Then the drug would be patented and the manufacturer would have its sole rights as producer,marketer, and distributor of the drug. Fortunately, the patent of these drugs become expired in a decade or so. Once they expire, other manufacturers may reproduce the same drug but with a different brand name or they may opt to reproduce the drug and sell it using its generic name.

What’s the difference of the brand and generic name? A generic name is the official medical name of the active ingredient of the drug that produces its therapeutic (desired) effect. While the brand name is the trade name the manufacturer gives to the medicine. The brand name is chosen by the manufacturer, usually on the basis that it can be recognized, pronounced and remembered by health professionals and members of the public. An example would be Alaxan FR - this is the well-known brand name given by United Laboratories (UniLab) to the generic medicine ibuprofen. (Brand names are capitalised; generic names are not.)

Usually, branded medicines are more costly compared to their generic counterparts simply because of the additional expenditure that the manufacturer spends on the drug’s research, advertising, packaging, etc.

With regard to their quality, they are identical with the branded ones in terms of strength, dosage, form, safety, characteristics, and intended use as long as they follow the set government’s standard. However, some manufacturers produce these drugs illegally and sold at prices cheaper than that of generic drugs while compromising on its quality. Good thing the government now sponsors the Botika ng Bayan, a government-run pharmacy that provides the public with quality generic medications. Another is the Generics Pharmacy, although I am not certain if this is also under the administration of the government.

If you still have any questions about buying branded or generic medicines over-the-counter, it is still best to ask your pharmacist for advice.
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Who should be blamed for the deficient health care system in the Philippines?

About The Guy with the Lamp

The Guy with the Lamp is a health and wellness blog that aims to inform people about the current health situation, breakthroughs and alternatives in medicine,and other health-related concerns. Its moderator is Raymond John S. Naguit a student nurse from the University of Santo Tomas,Philippines. Through this blog, I would like to take pride in contributing to health promotion among the community.

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