March 22, 2006, 2nd day of duty at the Pediatric Ward at MOP Hospital

At the set arrival time, 6:30 a.m., the brief meeting with clinical instructor started. This day, I was assigned to the Pediatric Ward. At 7:15 a.m., the same routine for personal care, vital signs taking, the I.V. monitoring, and the like were among of a caregiver concerns. Admission record showed the boy child, 14 years old, was taken in to the hospital on March 20, 2006. The next procedures done were to cut the finger nails and toenails of the a school child, assisted the attending nurse by properly regulating the blood flow (15 gtts/min) for type B blood transfusion. As the child had a febrile, I also assisted the parent in applying cold sponge bath.

My evaluation on this case is this:

Upon doing the care for the patient , the thing that came out of my mind was to do physical inspection which is both indirect and direct means. By indirect means, I saw the child looking pale and showing sign of anemia. I was moved at the sight and did the direct means through touching the hand, neck and forehead of the patient. I felt the coldness of his skin and also felt his needs for a care provider.

The parent/watcher told me that his son had taken liquid and food bought from a store uncertain if it all were sanitarily prepared. Later, in the evening his child had fever and stomach discomfort secondary to blood discharges through the rectum of which loss of much blood resulted to anemia. According to the parent his son was diagnosed of amoeba. In this case, I shared my opinion regarding eating of food and drinking of liquids that are not properly prepared that can cause diarrhea or amoeba. But, after the hour of duty, I came to think that the patient condition might be caused by complication of an ailment not being diagnosed and then aggravated by an insanitary food and liquids.