PREVENTIVE

COMMUNITY
MEDICINE
PFC MATRIX

GROUP 9 MEDICAL CLERKS

SOUTHWESTERN UNIVERSITY
GROUP 9
GUADES, VICENTE III
JAIN, SHAINA
CAMPOS, BUNSEN PAUL
CORTAGA, MAE BERNADETTE
GASPAN, ROUEN LISNER
PALMEJAR, ELAINE MARIE
ROMERO, EBB HERSHEY
 Table of contents

01 02 03
PATIENT FAMILY-FOCUSED COMMUNITY
CENTERED ORIENTED
 01
PATIENT CENTERED
 GENERAL DATA
Patient’s Initials R.B.

Age/Sex 44/M

Civil Status Married

Nationality Filipino

Religion Roman Catholic

Address Tubigan, Compostela

Chief Complaint
Follow-up Check-up

S/P CVD Ischemic Stroke w/

Right-sided Residual
Hemiplegia
 History of Present Illness
22 years prior to consultation, the patient experienced
sudden onset right-sided hemiparesis that was not
accompanied by dysarthria, aphasia, visual
disturbances, or other neurological deficits—only
muscle weakness. His mother applied hot compress to
the affected area, but no medication was taken, and
no formal medical evaluation was sought at that time.
The patient gradually recovered after approximately
one month and returned to his job as a painter.
 History of Present Illness
9 months prior to consultation, the patient developed
new-onset symptoms consistent with stroke, including
dysarthria, gait disturbance, and generalized weakness. He
sought medical attention at Danao District Hospital where
he was diagnosed with CVD Ischemic stroke and was
prescribed with medications (Citicoline 1gm/tab,
Telmisartan 40mg/tab, Amlodipine 5mg/tab, Clopidogrel
75g/tab, Atorvastatin 80mg/tab and Aspirin 80 mg/tab). He
was also referred for two months of physical therapy which
helped him regain the ability to walk. However, he was left
with persistent right-sided hemiplegia and difficulty
speaking clearly.

In the interim, patient had persistence of condition thus

this follow-up consultation.
 Past Medical History
M- Hypertension (2020), Cerebrovascular Disease Ischemic
Stroke with Right-sided Residual (2023)

M- Citicoline 1gm/tab, Telmisartan 40mg/tab, Amlodipine

5mg/tab, Clopidogrel 75g/tab, Atorvastatin 80mg/tab

A- No known food and drug allergies

S- None

H- December 20, 2023, Danao District Hospital, CVD Ischemic

Stroke

I- Complete vaccinations including COVID

 Family History
● Paternal:
○ (-) Asthma
○ (+) Hypertension
○ (-) Diabetes Mellitus

● Maternal:
○ (-) Asthma
○ (+) Hypertension
○ (-) Diabetes Mellitus
○ (+) CVD-MI
 Personal and Social History
● Lives in a 1-storey house with his mother and father
● Second year High School educational attainment
● Painter of Condominiums
● Smoker for 26 years (1997-2023), 4-5 sticks per day,
stopped after being diagnosed with CVD Ischemic
Stroke
● Alcoholic for 26 years (1997-2023), stopped after being
diagnosed with CVD Ischemic Stroke
● Diet:
○ Before CVD Ischemic Stroke (Fatty foods, canned
foods, softdrinks)
○ Current: (1 meal a day, Fish and Vegetables)
 VITAL SIGNS DURING INTERVIEW
BLOOD PRESSURE 160/100 mmHg
HEART RATE 69 bpm
RESPIRATORY RATE 19 cpm
TEMPERATURE 36.6° C
O2 SATURATION 95%
 PSYCHOSOCIAL HISTORY
Education/Employment Second Year Highschool/ Painter in Iloilo
Crime/Legal No legal trouble in the past
Suicidal Denies suicidal or homicidal ideation
Spiritual Roman Catholic; Practicing
Financial Financial problem
Stress and Coping Skills Copes with stress well; Optimistic
Interests Sports and spends time using phone
 REVIEW OF SYSTEMS
General (-) fever (-) chills (-) weight loss (-) fatigue (+) loss of speech

(-) skin lesions (+) rash (-) laceration (-) bruising (-) burn (-) tinea
Skin
versicolor
(-) headache (-) dizziness (-) syncope (+) right side acuity
HEENT change/blurring vision (-) vertigo (+) limited range EOM in the
right eye (+) right side hearing loss

Cardiovascular (-) chest pain (-) palpitations (-) orthopnea

Respiratory (-) cough (-) dyspnea (-) hemoptysis

(-) nausea/vomiting (-) watery stool (-) abdominal pain (-)

Gastrointestinal
melena (-) hematochezia
(-) dysuria (-) hematuria (-) nocturia (-) flank pain (-) urgency (-)
Genitourinary
frequency
 REVIEW OF SYSTEMS
(-) bone/joint pain (-) back problems (-) pain radiation (+) limited
Musculoskeletal range of motion on right upper and lower extremities, Muscle
strength for RUE and RLE 2/5

Extremities (-) edema (-) varicosities

Neurologic (-) weakness (-) tremors (-) seizure (-) ALOC (-) numbness

(-) depression (-) anxiety (-) suicidal ideation (-) homicidal (-) delusion
Psychiatric (-) paranoia

Hematopoietic (-) easy bruising (-) bleeding

Endocrine (-) polyuria (-) polydipsia (-) heat/cold intolerance (-) hyperhidrosis

Allergic/Immunology (-) urticaria (-) hay fever

 PHYSICAL EXAMINATION

HEENT Skin
Black hair, face symmetric, anicteric No jaundice, no rashes, no
sclerae, pink palpebral conjunctivae, lesions, no pallor, no cyanosis,
pupils equally round and reactive to dry, no discoloration at the
light, limited range EOM in the right extremities, good skin turgor
eye, right side hearing loss, right side
visual difficulties, no naso-aural
discharges, pink moist oral cavity

Neck Chest & Lungs

Equal chest expansion, no
Supple, trachea is midline, no
retraction, clear breath
thyroid enlargement, no
sounds, no wheezes, no rales
lymphadenopathy
 PHYSICAL EXAMINATION

Heart Extremities
Adynamic precordium, distinct No evidence of deformity,
heart sounds, normal rate, good muscle bulk and tone,
regular rhythm, no murmurs limited range of motion on
right upper and lower
extremities, Muscle strength
for RUE and RLE 2/5

Abdomen Genitourinary
Flat, nondistended, No costovertebral angle
normoactive bowel sounds tenderness, no active
(16 clicks/min), tympanitic, bleeding, no discharges
soft nontender
 NEUROLOGICAL EXAMINATION
I : Mental Status: Awake and Oriented to time , place and people
II. Sensory: Pinprick, light touch, stereognosis, graphesthesia, point localization
impaired in right upper and lower extremities, left side intact
III. Reflexes: Biceps, triceps, brachioradialis, patella and ankle reflexes 1+ on the
right side, 2+ on the left side
III: Cranial Nerves
CN I : Sense of Smell is intact
CN II : PERRL, limited range EOM in the right side, no ptosis
CN II,III : (+) Pupillary Light Reflex, (+) Accommodation-Convergence Reflex
CN III, IV, VI : Unremarkable
CN V : Corneal Reflex Intact
CN VII : Symmetric , can crease forehead , sense of taste intact
CN VIII : Unremarkable
CN IX, X : Present gag reflex, unable to articulate words and low voice quality
CN XI : Can shrug shoulder and can turn head with resistance
CN XII : Tongue is at midline
IV: Motor : RUE: 2/5, LUE: 5/5, RLE: 2/5, LLE: 5/5
 BIOMEDICAL ISSUES
Hypertension
● Citicoline 1gm/tab
● Telmisartan 40mg/tab
● Amlodipine 5mg/tab
● Clopidogrel 75g/tab
● Atorvastatin 80mg/tab
● Aspirin 80mg/tab
● Citicoline 1gm/tab
○ Treatment of depression, schizophrenia, stroke, Parkinson disease, brain
injury, and cognitive deficits (ie, mild to moderate dementia and Alzheimer
disease, cerebrovascular disorders)
● Telmisartan 40mg/tab
○ Angiotensin II receptor antagonists. It works by blocking the action of certain
natural substances that tighten the blood vessels, allowing the blood to flow
more smoothly and the heart to pump more efficiently.
● Amlodipine 5mg/tab
○ A calcium channel blocker medication used to treat high blood pressure,
coronary artery disease and variant angina
● Atorvastatin 80mg/tab
○ An HMG-CoA reductase inhibitor used to lower lipid levels and reduce the
risk of cardiovascular disease including myocardial infarction
● Clopidogrel 75g/tab
○ An antiplatelet medicine. It prevents platelets (a type of blood cell) from
sticking together and forming a dangerous blood clot
● Aspirin 80mg/tab
○ A nonsteroidal anti-inflammatory drug used to reduce pain, fever, and/or
inflammation, and as an antithrombotic
 PSYCHOSOCIAL ISSUES
Limited stress
e.g. due to financial problem
 DIAGNOSIS
CEREBROVASCULAR DISEASE ISCHEMIC
STROKE WITH RIGHT-SIDED RESIDUAL
HEMIPLEGIA SECONDARY TO
UNCONTROLLED HYPERTENSION TYPE 2
 DIAGNOSTICS
HISTORY PHYSICAL

● Family history of hypertension ● Loss of speech

● No immediate medical evaluation and ● Right side acuity change/blurring vision
treatment ● limited range EOM in the right eye
● Duration of hypertension (right side hearing loss)
● Cerebrovascular Accident with Right-sided
● Pinprick, light touch, stereognosis,
Residual
● Medication non-compliance
graphesthesia, point localization impaired
● Other risk factors: Smoker for 26 years in right upper and lower extremities
(1997-2023), 4-5 sticks per day, Before CVD ● Biceps, triceps, brachioradialis, patella
Ischemic Stroke (Fatty foods, canned foods, and ankle reflexes 1+ on the right side
softdrinks) ● Limited range of motion on right upper and
lower extremities
● Muscle strength for RUE and RLE ⅖
 CEREBROVASCULAR ACCIDENT or STROKE
Clinical Presentation: A thorough evaluation of signs and symptoms, including sudden onset of
neurological deficits such as weakness, speech difficulties, visual disturbances, and balance problems.
SSP emphasizes using the BE FAST method (Balance, Eyes, Face, Arms, Speech, Time) to quickly
identify signs of a stroke.

Imaging: Immediate brain imaging, particularly a non-contrast CT scan or MRI, is crucial to

differentiate between ischemic and hemorrhagic strokes and guide treatment decisions.

Risk Factor Assessment: Evaluating underlying risk factors such as hypertension, diabetes, atrial
fibrillation, and lifestyle factors (e.g., smoking, diet) plays a significant role in both diagnosis and
prevention.

Neurological Examination: A detailed neurological examination helps assess the severity and
location of the stroke, often using standardized stroke scales like the NIH Stroke Scale.

Source: SSP (Stroke Society of the Philippines)

CEREBROVASCULAR ACCIDENT or STROKE
 MEDICAL MANAGEMENT
Acute Management: Intravenous thrombolysis with tissue plasminogen activator (tPA) is a
primary intervention, ideally administered within 4.5 hours of symptom onset for eligible
patients. This improves outcomes by dissolving clots in ischemic stroke.
Blood Pressure Control: For patients with systolic blood pressure (SBP) over 220 mm Hg,
antihypertensive therapy is recommended. However, in clinical practice, some neurologists
start treatment at lower SBP thresholds due to concerns over complications.
Anticoagulation: In cases of nonvalvular atrial fibrillation (NVAF), warfarin or newer oral
anticoagulants may be prescribed to prevent future strokes. There is, however, some
variability in the adherence to anticoagulant use among Filipino neurologists.
Mechanical Thrombectomy: For large vessel occlusions, mechanical thrombectomy can be
performed up to 24 hours from stroke onset, particularly if advanced imaging supports it.
Neuroprotective Drugs: Despite limited evidence, many Filipino neurologists continue to use
neuroprotective medications, although their efficacy is not definitively proven.
Secondary Prevention: Antiplatelet therapy with aspirin or clopidogrel is typically
recommended for long-term management, along with lifestyle modifications and risk factor
control (hypertension, diabetes, etc.)

Source: SSP, Acta Medica Philippina, World Stroke Organization

MEDICAL MANAGEMENT
 NON-MEDICAL MANAGEMENT
Stroke Rehabilitation: Psychosocial Support:

● Physical Therapy ● Emotional and Psychological

● Occupational Therapy Care
● Speech and Language Therapy ● Support Groups

Lifestyle Modification: Home and Community-Based Care:

● Smoking Cessation ● Home Modifications

● Dietary Changes ● Community Resources
● Physical Activity

Patient Education:

● Risk Factor Management

● Stroke Awareness
 HYPERTENSION

Source: Microsoft Word - 13 July_ Clinical Practice Guidelines for the Management of Hypertension in
the Philippines (Executive Summary) (1)-3.docx (philippine society of hypertension.org.ph)
 MEDICAL MANAGEMENT
The 2020 Clinical Practice Guidelines (CPG) for Hypertension is a collaboration of different stakeholders in the
field of hypertension, particularly the Philippine Heart Association (PHA), Philippine Society of
Hypertension (PSH), Philippine Society of Endocrinology, Diabetes and Metabolism (PSEDM),
Philippine Neurology Association (PNA), Philippine Obstetrics and Gynecological Society
(POGS), Philippine Society of Maternal and Fetal Medicine (PSMFM), Philippine Pediatric Society
(PPS), and the Philippine Society of Nephrology (PSN).

First-Line Antihypertensive Drugs:

● ACE inhibitors, ARBs, calcium channel blockers, and thiazide/thiazide-like
diuretics are all suitable as monotherapy or combination therapy for
uncomplicated hypertension.

Ideal Combination Therapy:

● Combine a renin-angiotensin system (RAS) blocker (ACE inhibitor or ARB)
with a calcium channel blocker (CCB) or thiazide/thiazide-like diuretic.
● Other combinations may be used based on specific patient indications.
 MEDICAL MANAGEMENT
Avoid Certain Combinations:
● Do not combine ACE inhibitors with ARBs.
● Do not combine ACE inhibitors or ARBs with direct renin inhibitors.

Free Combinations:
● If single-pill combinations are unavailable or unaffordable, free combinations are
recommended.

Beta Blockers:
● Use as initial therapy in patients with coronary artery disease, acute coronary syndrome,
high sympathetic drive, or pregnancy.
● For congestive heart failure, use bisoprolol, carvedilol, metoprolol succinate, or nebivolol.

Severe Hypertension (BP >150/100 mm Hg or >160/100 mmHg in elderly):

● Start with a combination of two agents, preferably a RAS inhibitor (ACE inhibitor or ARB)
with a CCB or diuretic, as one agent is unlikely to achieve target BP.
 NON-MEDICAL MANAGEMENT
1. Sodium Restriction: Limit sodium intake to as low as 1500 mg per day.

2. Dietary Approaches to Stop Hypertension (DASH): Adhere to the DASH meal

plan, which emphasizes fruits, vegetables, whole grains, and low-fat dairy products
while minimizing saturated fat and cholesterol intake.

3. Physical Activity: Engage in regular aerobic physical activity, complemented by

dynamic resistance exercises.

4. Alcohol Intake: Abstain from alcohol or maintain moderate alcohol consumption.

5. Weight Management: Achieve significant weight loss, defined as greater than 5%

of baseline body weight.

6. Smoking Cessation: Actively pursue cessation of smoking.

 02
FAMILY FOCUSED
 FAMILY CATEGORY

NUCLEAR FAMILY
 GENEROSO CLAUDIA
LEGENDS

- FEMALE
FAMILY GENOGRAM
90, HPN, MI 82, HPN, MI
- MALE

- PATIENT PRISCELA PACEFECKO

- DECEASED

66, HPN M. -1976 67, HPN

LILIBETH RACHEL RODEL LISA LOLITA SUSAN

48, HPN 41, Healthy 36, HPN 34, HPN 32, Healthy 27, Healthy

RANILO NANCY

44, HPN, CVA 48, Healthy

m 2007 s 2019
Pcefecko (Father

FAMILY MAP
 FAMILY LIFE CYCLE
STAGE I THE YOUNG UNATTACHED ADULT

STAGE II THE NEWLY MARRIED COUPLE

STAGE III THE FAMILY WITH YOUNG CHILD

STAGE IV THE FAMILY AT MIDLIFE; ADOLESCENTS AND AGING PARENTS

STAGE V THE STAGE OF LAUNCHING CHILDREN AND MOVING ON

STAGE VI THE FAMILY IN LATER LIFE

 FAMILY APGAR I
STATEMENTS ALMOST SOME OF HARDLY
ALWAYS (2) THE TIME EVERY
(1) (0)

A I am satisfied that I can turn to my family for help ✔

when something is troubling me

P I am satisfied with the way my family talks about ✔

things with me and share problems with me

G I am satisfied that my family accepts and supports ✔

my wishes to take on new activities or directions

A I am satisfied with the way my family express ✔

affection responds to my emotions such as anger,
sorrow and love

R I am satisfied with the way my family and I share ✔

time together
 FAMILY APGAR II
PATIENT APGAR SCORE: 10 HIGHLY FUNCTIONAL

WHO LIVES IN YOUR HOME? HOW WELL DO YOU GET ALONG?

Name & Relationship Age Sex Well Fairly Poorly

1. Priscela Baco-Jaime/ 66 F ✔
Mother

2. Pacefecko Baco / Father 67 M ✔

FAMILY SCREEM RES
RESOURCES When someone in our family gets sick… Strongly Agree 2 Disagree Strongly
Agree 3 1 Disagree
0
SOCIAL
FAMILY SCREEM RES
We help each other in our family.
We are helped by friends and other members of the
✔

✔
community.
CULTURAL Our culture gives our family strength. ✔

A culture of helping and cooperation in our community ✔

helps our family
RELIGIOUS Our faith and religion helps our family. ✔

We are helped by members of our church or other ✔

religious groups.
ECONOMIC Our familyʼs savings is adequate for our needs. ✔

Our familyʼs income is adequate for our needs ✔

EDUCATIONAL Our education/knowledge is adequate to understand ✔

information about the illness.
Our education/knowledge is adequate to care for the ✔
patient.
MEDICAL It is easy to access medical help in our community. ✔

We are helped by doctors, nurses, and health workers. ✔

Resource: Score INTERPRETATION
***When someone in our family gets sick… 012
Severely inadequate family resources
SOCIAL 4
1324
CULTURAL 6
Moderately inadequate family resources
RELIGIOUS 6
2536
ECONOMIC 0 Adequate family resources

EDUCATIONAL 3

MEDICAL 6

TOTAL 25 Adequate family resources

Family Lifeline
2023 Admitted in Danao District
1979 Born
Hospital,due to
1996 Works as CEREBROVASCULAR
woodworker/furniture DISEASE ISCHEMIC STROKE
maker WITH RIGHT-SIDED
RESIDUAL SECONDARY TO
2000 Works as a painter UNCONTROLLED
HYPERTENSION TYPE 2
2002 Had his first stroke
attack
2024 Follow up check- up

2003 Went back to work

2007 Got married

2019 Got separated

2020 Diagnosed with

hypertension
Family Coping Mechanism

● Social support
● Problem-focused coping
● Spiritual coping
● Emotion-focused coping
 03
COMMUNITY ORIENTED
COMPOSTELA
- Compostela is a coastal municipality in
the island province of Cebu.
- Land area of 53.90 square kilometers or
20.81 square miles (1.09% of Cebu's
total area)
- 2020 Census: population of 55,874
(1.68% of the total population of Cebu
province)
- Population density is computed at 1,037
inhabitants per square kilometer or
2,685 inhabitants per square Mile
 Cerebrovascular Accidents in the Philippines
Cerebrovascular Accident (CVA)
- commonly known as a stroke, occurs when the blood supply to a part of the brain is
interrupted or reduced, depriving brain tissue of oxygen and nutrients. This can lead to the
death of brain cells within minutes.

Prevalence
- A 2017 study noted that stroke is the second leading cause of death, accounting for
approximately 8-12% of total deaths annually.
- In 2022, stroke caused 71,803 deaths, representing about 11.59% of total deaths in the
country .
- The prevalence of stroke in the Filipino adult population was 1.9% in 2017, meaning that
approximately 1.2 million Filipinos had suffered a stroke at some point in their lives.
- Associated with several risk factors common in the population, including high rates of
hypertension, diabetes, smoking, and high cholesterol.

Philippine Statistics Authority (PSA); Department of Health (DOH)

 Cerebrovascular Accidents in the Philippines
Challenges
- Rapid response is crucial for stroke treatment, yet the EMS system in the Philippines
is underdeveloped, particularly outside urban centers.
- Many Filipinos, especially in rural communities, are not familiar with the symptoms of
a stroke
- While public health campaigns exist, health literacy remains a challenge. A significant
portion of the population lacks sufficient knowledge about the risk factors for stroke,
such as hypertension, smoking, and unhealthy diet.
- Many Filipinos engage in unhealthy behaviors, including poor diet, sedentary
lifestyles, smoking, and alcohol consumption
- Access to stroke care is heavily concentrated in urban areas like Metro Manila, where
large hospitals and specialized stroke centers are located.
- Patients in remote areas often face difficulties reaching healthcare facilities

Philippine Statistics Authority (PSA); Department of Health (DOH)

 Cerebrovascular Accidents in the Philippines
Challenges
- In the Philippines, stroke treatment can result in significant out-of-pocket costs, even
with PhilHealth coverage. Costs vary depending on whether care is provided in public
or private hospitals:
- Hospitalization: ₱500 to ₱1,500 per day in public hospitals and ₱2,000 to ₱30,000 per
day in private hospitals (ICU care is more expensive).
- Diagnostic Tests: CT scans cost ₱5,000 to ₱15,000, while MRIs range from ₱10,000 to
₱25,000.
- Medications: Acute treatments like thrombolytics can cost ₱100,000 to ₱150,000,
with ongoing medications adding ₱5,000 to ₱10,000 per month.
- Rehabilitation: Therapy sessions cost ₱500 to ₱1,500 each, leading to monthly
expenses of ₱20,000 to ₱60,000.
- Long-term Care: Nursing or caregiver services range from ₱15,000 to ₱30,000
monthly
Philippine Statistics Authority (PSA); Department of Health (DOH)
 Existing Health Programs
- Hearts Technical Package
- This WHO-backed initiative focuses on
improving cardiovascular disease
management at the primary healthcare level.
The program emphasizes lifestyle
modifications, such as increasing physical
activity, improving diets, and reducing
tobacco use.
- Bringing Evidence-based Stroke Treatment to
Hospitals (BEST-PH):
- his project provides training to hospitals
across the Philippines, including in the Visayas
region where Compostela is located.
- The program focuses on enhancing stroke
treatment, especially during the acute phase,
and improving rehabilitation processes
Philippine Statistics Authority (PSA); Department of Health (DOH)
 Existing Health Programs
Hypertension-Diabetes Mellitus ”HPN-DM” Club
- Zumba
- Updates of Maintenance Medicines

Health Education Program

- Standard Information, Education and
Communication (IEC) materials
- Lectures on Barangays

Source:
1. RHU NAabua. https://m.facebook.com/RHUnabua
2. Official Gazette PH. https://twitter.com/govph/status/686804859450986496
 SOCIAL DETERMINANTS OF HEALTH
Patient relies on his parents. Financial situation is not adequate for daily
ECONOMIC STABILITY
needs and current medications.

Patient only finish 2nd year high school. Patient knows that taking
EDUCATION medications for his condition is important but is not compliant due to
financial constraints.

Patient can visit the RHU any time and is provided transport by their
HEALTHCARE
barangay.

NEIGHBORHOOD AND Patient resides in a barangay away from the municipal center, however, an
ENVIRONMENT ambulance is available for public use

Patient eats whatever is available, but mostly eats vegetables and fish;
FOOD SECURITY
1 meal a day

Patient watches movies and plays games on his phone for recreation, and is
SOCIAL AND COMMUNITY
cared for by his mother.
 STIGMA OF THE DISEASE
● Lack of Awareness: Many Filipinos are unaware of stroke and hypertension
risks.
● Cultural Beliefs: Some view it as a normal aging process, some people
associate the disease with "bad karma" or personal failings.
● Fear of Diagnosis and Disability: People often avoid testing due to fear of
being labeled.
● Access to Healthcare: Limited access to regular check-ups contributes to
stigma.
● Social Discrimination: Those diagnosed may face social isolation or
judgment.
● Medication Reluctance: Stigma leads to hesitance in seeking treatment or
adhering to medication.
● Social Isolation: Stroke survivors may face exclusion from social activities due
to perceived limitations.
 EMPLOYMENT OPPORTUNITIES
● Remote Work Options: Increased availability of remote jobs that
accommodate health needs.
● Flexible Hours: Employers offering flexible schedules to manage treatment
and recovery.
● Supportive Work Environments: Companies promoting wellness programs
and health education.
● Skill Development: Access to training programs tailored for individuals with
health conditions.
● Non-Physically Demanding Roles: Availability of sedentary jobs in
administration or customer service.
● Community Programs: Initiatives aimed at integrating people with
hypertension or stroke into the workforce.
 EVALUATION OF THE DISEASES IN THE
COMMUNITY
● Hypertension awareness in the Philippines is around 67.8% and out of those who are aware,
only 75% are treated with only 27% of those who are treated have it under control.

● A therapeutic threshold of 140/90 mmHg to

achieve a goal of less than 130/80 is recommended
for most adults with hypertension.
● For the very elderly, defined as 80 years old and
above, a therapeutic threshold of 150/90 mmHg to
achieve a goal BP of less than 140/90 mm Hg is
recommended

https://www.philippinesocietyofhypertension.org.ph/ClinicalPracticeGuidelines.pdf
 EVALUATION OF THE DISEASES IN THE
COMMUNITY
● Challenges that contribute to the growing burden of stroke in the country include
inadequate service delivery and support to the different sectors particularly the poor and
the underprivileged.
● Risk Factors: High rates of hypertension, diabetes, smoking, high cholesterol diet, family
history, age, and alcohol consumption.
● Diagnostic tools and criteria for stroke:
○ Clinical Assessment
○ Imaging Studies (CT scan, MRI)
○ Ultrasound
○ Blood Tests
○ Electrocardiogram (ECG)
○ Cerebral Angiography

https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/download/1753/2674/
 PROPER IMPLEMENTATION OF COMMUNITY
PROGRAMS
● Awareness Campaigns: Launch educational initiatives on hypertension and stroke
prevention.
● Regular Screenings: Organize community health fairs for free blood pressure checks
and screenings.
● Support Groups: Establish peer-led support groups for sharing experiences and coping
strategies.
● Nutrition Workshops: Offer cooking classes focusing on heart-healthy diets and
lifestyle changes.
● Physical Activity Programs: Create group exercise sessions tailored for different
fitness levels.
● Access to Healthcare: Collaborate with local clinics to provide ongoing health
monitoring and resources.
● Training for Healthcare Workers: Educate community health workers on managing
hypertensive and stroke patients effectively.
 SUGGESTIONS
● Commitment for the planned program
○ Public Awareness Campaigns
○ Physical Activity Program
● Regular Screenings
○ Blood pressure monitoring
○ Assess lifestyle factors
○ Evaluate family history and existing medical conditions
● Strengthen linkages to the Municipal Government
○ Budget Assistance
○ Mobile Clinics