nd.ar proposal

7/31/2019 ND.ar Proposal

1/16

Dr. Aldrin Q. Ibbo

Medical Director

Good morning!

I am writing this proposal letter to serve as a recommendation that has something to do with

upgrading our Hospital/Organization with purposely touching my own skills and expertise.

Generally speaking, as a member of a Health Care Team, I would like to decrease problems

regarding the Food Intake and increase Proper Food preference of any residence of Bongao Doctors

Hospital in a way of a Health (Nutrition) Education which could be a good help and influence to the

welfare to become part of coping mechanism towards different diseases.

Here are some detailed explanations about why I want to pursue this idea.

Beneficiaries / Target respondents Reasons

Patient/Patients relative

Staff and other Allied Health Care Team

Doctors

- For them to learn more idea about thegiven topic and to add knowledge and

insights for them to be aware on the

importance of a good health through

good and proper nutrition.

- For them to be oriented about nutritionknowledge that can also serves as a cure

and prevention to different diseases

based on Medical Nutrition.

- For them to refresh their knowledgeabout the field of nutrition as a part of

cure and prevention for their clients and

patients.

As a Public Health Nutritionist, I highly nominate myself to render this type of services and to

be able for me to practice my own expertise with in my own capacity as a Nutrition Educator on our

good Hospital.

Furthermore, the said proposal will be basing on the Annual Calendar of the Department of

Health year 2011 with the primary goal of Educating Health Publicly. On my very own way, theplanned annual activity of the DOH will be part of my proposal through a Public Health Nutrition.

Thank you very much.

Ar-Qaishier Sahali Tarabasa

Nutritionist-Dietitian


2/16


3/16

PROJECT INFORMATION

Name of Organization: Bongao Doctors Hospital

Project Title:

HEALTH (NUTRITION) EDUCATIONDIET COUNSELING

Project Summary:

The Purpose of this proposal is to render a type of services

which is believed to give help to the welfare/ Hospitals

residence through Nutrition Education and by conducting a Diet

Counseling to the concerns of the Bongao Doctors Hospital.

Prepared by: Ar-Qaishier Sahali Tarabasa, R.ND


4/16

PROJECT SUMMARY

This project proposal is intended to the welfare and to the residence of Bongao

Doctors Hospital. It will serve as a helping hand to those involved during the session by giving

a Nutrition Education and by conducting a Diet Counseling to the patient individually.

By doing a Nutrition Education, the Nutrition Educator will be teaching to the staff and

to other Hospitals residence about Nutrition and sometimes it will be based upon the

demand and trends. The said session will be held at any area of the Hospital aiming to cater

the needs of the people in it. On the other hand, Diet Counseling will be done by a Dietitian,

he/she will explain to the patient of what are the food allowed and to be avoided based from

the interpreted data given by different department of the Hospital, prescribed diet by the

attending Physician and problems complained by a certain patient. It will be conducted on

patients room and can only consume 3-5 minutes of conversation.

PROJECT BACKGROUND

Tawi-Tawi lies in the southernmost region of the country, is considered as one of the

poorest provinces in the Philippines, the province is teeming with abundant and rich marine

resources but most of the people live in poverty due to unstable economic livelihood. Hence,

access to quality Health Care is a problem of the people with insufficient health facilities like

hospital and limited financial resources. In fact the province experience high maternal and

infant mortality rate. Coupled with poor health condition, is the lack of manpower of the

different health department in delivering the basic health services and implementing Public

Health program.

Public Health is a science and art of preventing diseases, prolonging life and promoting

health through organized community effort to enable every citizen to realize his birthright of

health and longevity. Also, it is an effort organized by society to protect, promote and restore

the peoples health through the application of science, practical skills and collective actions.


5/16

The 2008 National Nutrition Survey(NNS) is the 7th in the series of National Nutrition

Survey undertaken once every 5 years by the Food and Nutrition Research Institute of the

Department of Science and Technology ( FNRI-DOST).

From the outcome Data of the National Nutrition Survey (NNS), a high prevalence of

underheight-for-age or stunted pre-schooler was mostly observed in MIMAROPA, Bicol and all

the region in Visayas and Mindanao.(under nutrition among 0-5 years old children, by region).

Tawi-Tawi was one of the provinces with high magnitude of underweight adolescents. (11-19

years old adolescents, by region and province). ARMM was also one of the regions with

highest prevalence of underweight among lactating mothers.

PROJECT GOALS AND OBJECTIVES

GOALS A generalized equity among the residence of Bongao Doctors Hospital toward

Nutrition as an ART and SCIENCE which can be possibly applied by an

individual for everyday life.

And to support the Department of Health Annual Calendar by implementingthe planned activity, publicly.

HEALTH ( NUTRITION) EDUCATION

OBJECTIVES: To be able for the Hospitals residence ( Doctors, Staff and Patients relative)

to identify differences of the ideas based on the given topic.

To be able for the Hospitals residence ( Doctors, Staff and Patients relative)to apply the ideas and principles of nutrition for everyday life.

To be able for the Hospitals residence ( Doctors, Staff and Patients relative)tobe reminded about the latest and trends topic regarding Nutrition and Health.

To be able for the Hospitals residence ( Doctors, Staff and Patients relative)to participate during the said session as part of evaluation.


6/16

DIET COUNSELING

OBJECTIVES: For the patient to apply the proper diet said by the Dietitian based from

his/her case.

For the patient to know and to be well oriented about food allowed andavoided according from his/her case.

For the patient to interact or ask other inquiries about nutrition accordingfrom his/her case.

PLAN OF ACTION, METHODS AND DESIGN

HEALTH (NUTRITION) EDUCATION

MASS EDUCATIONTOPIC RESPONDENTS DATE/TIME RESOURCES ACTION

DESIGN

10 Nutritional

Guidelines

Patient/representative Sept.24,2011/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

The Food

Pyramid

Patient/representative Oct.08,2011/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

The Basic Food

Groups

Patient/representative Oct.22,2011/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

Malariaawareness Patient/representative Nov.12,2011/2:00-4:00 PM R.ND,Handouts L.A.E

Drug abuse

prevention and

control

Patient/representative Nov.26,2011/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

World AIDS Patient/representative Dec.10,2011/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

Food Fortification Patient/representative Dec.24,2011/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

Infant and Young

child Feeding

Patient/representative Jan.14,2012/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

Hand washing

and Oral Health

Patient/representative Jan.28,2012/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

Food Safety

awareness/

Typhoid

fever,UTI,Malaria

and Dengue fever

Patient/representative Feb.11,2012/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

Heart and Foods Patient/representative Feb.25,2012/2:00-

4:00 PM

R.ND,

Handouts

L.A.E


7/16

Womans

Health and

Nutrition

Patient/representative Mar.10,2012/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

Cancers and

Foods

Patient/representative Mar.24,2012/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

World health

day

Patient/representative Apr.14,2012/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

Malaria and

Food Safety

Patient/representative Apr.28,2012/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

Hypertension

and Foods

Patient/representative May 12,2012/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

Safe

motherhood

Patient/representative May 26,2012/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

Kidney and

Foods

Patient/representative Jun.09,2012/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

Proper waste

segregation and

its effect

Patient/representative Jun.23,2012/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

Nutrition

Month/ DM and

Foods

Patient/representative Jul.07,2012/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

Nutrition

Month/ DM and

Foods

Patient/representative Jul.21,2012/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

Family planning Patient/representative Aug.11,2012/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

Breastfeeding Patient/representative Aug.25,2012/2:00-

4:00 PM

R.ND,

Handouts

L.A.E

Obesity

prevention and

awareness


4:00 PM

R.ND,

Handouts

L.A.E

10 Nutritional

Guidelines


4:00 PM

R.ND,

Handouts

L.A.E

*L.A.E- Lectures and Evaluation

*2 :1 meaning, 2 representative/ patients relative per patient OR 1 patient and 1

representative/ patients relative.

METHOD. The given topic were individualized and it is not ladderized. Therefore different

patients/ patients relative or representative per session can relate with the topic, and not

requiring previous topic to understand the present lecture. Also, the enumerated topic above

are based from the DOH Annual Calendar, to support their activity by implementing it through

education,publicly.


8/16

HEALTH (NUTRITION) EDUCATION

HOSPITAL STAFFTOPIC RESPONDENTS DATE/TIME RESOURCES ACTION

DESIGN

New

Research

about Food

and Nutrition

that

something to

do on

individual

Health.

Hospitals Staff

and Doctors

Oct.14,2011 Nov.18,2011 Dec.16,2011 Jan.20,2012 Feb.17,2012 Mar.16,2012 Apr.20,2012 May.18,2012 Jun.15,2012 Jul.13,2012 Aug.17,2012 Sept.14,2012

*2:00-4:00 PM

R.ND and

Handouts

The Dietitian

will give

lectures about

new ideas,

new research

and new

information

about

Nutrition to

the different

Staff of theHospital

Organization.

DIET COUNSELING

TOPIC RESPONDENTS DATE/TIME RESOURSES Base on the

case

Patient/

Relatives

anytime of the

day

R.ND and

Handouts

ACTION DESIGN.

First, the Dietitian will approach nurse station to write some vital inputs on the DietList.

Second, the Dietitian will conduct a Nutritional Assessment and it will be done in aform of an interview by asking the patient about some information that will be

needed to fill-in on the Diet History Sheet. Third, after an interview, the Dietitian will going to analyze datas and compute the

diet to come up with a proper counseling regarding the food allowed and to be

avoided by the patient based from his/her case and can only take for about 3-5

minutes of conversation.


9/16

CONCLUSION

This project proposal are intended to the welfare and to any residence of Bongao

Doctors Hospital. It said to serve as a helping hand to those involved during the session

through the way of Nutrition Education and by conducting a Diet Counseling to the patient

targeting one goal which is allowing and adopting the world of Nutrition as an ART and as a

SCIENCE.


10/16

PROJECT BUDGET

Material needed: White Bond Paper ( Short ) Folder ( Long )

Estimated no. of patient per day: 10 Estimated no. of staff to attend: 15 No. of relative invited for the Health Educ.: 2( relative/representaine): per 1(patient)

For Diet Counseling( 2 sheets-Diet History Form, Diet Computation, Diet Distribution Plan,Meal Pattern)

ENOP/day No. of

sheets

Sheet/day Sheet/month No. of

reem

needed

Excess Remaining Cost

10 2 sheets 20 sheets 600 sheets 2 reem(

1,000

sheets)

- 400 sheets 300.00

For Diet List( 1 sheet for 2 days )Item No. of

sheets

Sheet/ 2

Days

Sheet/

month

Sheet/year No. of

sheet

needed


Diet List 1 sheet 1 sheet 15

sheets

180 sheets 180

sheets

- 220

sheets

(400

sheets

180

sheets)

-


11/16

For Mass Education( Twice a month, 2 copies/individual, estimated visitors: 2 per patient)ENOP/day No. of

Sheet

Sheet/day Sheet/month Sheet/year No. of

reem

needed


20( 2relative x

10

patient)

2sheets

40 sheets 80 sheets 960 sheets 2reem(1,000

sheets)

- 40 sheets 300.00

For Hospital Staff Nutrition Education( Once in a month, 2 copies per staff, estimated staff:15)ENOS/day No. of

sheets

Sheet/day Sheets/month Sheet/year No. of

reem

needed


15 2 30 sheets 30 sheets 360 sheets 1 reem(

500sheets)

- 140

sheets

150.00

*ENOP- Estimated no. of patient

*ENOS- Estimated no. of Staff

SUMMARY

300.00( Budget for 2 reem for Diet Counseling)

300.00(Budget for 2 reem for Mass Education yearly)

+ 150.00(Budget for 1 reem for Hosp.Staff Nutri.Educ. yearly)

750.00( Total Budget needed)

*But the First 300.00( Budget for 2 reem for Diet Counseling) is only good for 1 month.


12/16

DIET HISTORY FORM

NAME: DATE:

DIETARY PRESCRIPTION: MEDICAL HISTORY:

ADDRESS:

ATTENDING PHYSICIAN :

SOCIAL HISTORY :

FOOD PREPARED BY: AGE:

NUMBER IN FAMILY: WEIGHT:

OCCUPATION : HEIGHT:

FOOD HISTORY

BREAKFAST LUNCH SUPPER BETWEEN

MEALS

ESSENTIAL

FACTORS

REMARKS

DATE LAB. EXAM REMARKS


13/16

DIET COMPUTATION

DESIRABLE BODY WEIGHT(DBW)

BODY MASS INDEX(BMI)

TOTAL ENERGY REQUIREMENT(TER)

DIET PRESCRIPTION

% DISTRIBUTION:

( %, %, % )

KCALS- / CHO- /CHON- /FATS-

DIETARY NAMAGEMENT RATIONALE


14/16

DIET DISTRIBUTION PLAN

DIET PRESCRIPTION -

CAL - / CHO - / CHON - / FATS -

FOOD

LIST

NO. OF

EXCHANGE

H.H.M CHO(gm) CHON(gm) FATS(gm) CAL BF AM L PM S BT

I.VEG.A

VEG.B

II.FRUITS

III.MILK

WM

LFM

SM

IV.SUGAR

V.RICE

VI.MEAT

LFM

MFM

HFM

VII.FAT

TOTAL


15/16

DIET PRESCRIPTION:

MEAL PATTERN

MEAL SAMPLE MENU HOUSEHOLD MEASUREMENT

BREAKFAST

FRUIT

MEAT / SUBSTITUTE RICE/SUBSTITUTE BEVERAGES FAT SUGAR

AM SNACK

RICE/SUBSTITUTE MEAT BEVERAGES

LUNCH

SOUP MEAT/SUBSTITUTE VEGETABLE RICE/SUBSTITUTE FRUIT/DESSERT FAT

PM SNACK

RICE/SUBSTITUTE MEAT BEVERAGES

SUPPER

SOUP MEAT/SUBSTITUTE VEGETABLE RICE/SUBSTITUTE FRUIT/DESSERT FAT

BEDTIME SNACK

RICE/SUBSTITUTE MILK SUGAR


16/16

DIET LIST

WARD NO. PATIENT NAME ATTENDING

PHYSICIAN

DIAGNOSIS DIET

PRESCRIPTION

R.ND SIGN

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

nd.ar proposal

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