 Nausea and vomiting – this is due to the changes in hormone levels during

pregnancy. It is also called “morning sickness” because symptoms are most severe in
the morning.
 Fatigue – the woman often feels tired because the body works overtime to provide a
nourishing environment for the fetus.
 Hemorrhoids – this is because of the increased pressure on the rectum and
perineum.
 Varicose veins – caused by the increased pressure on the legs and pelvic veins and by
the increased blood volume.
 Heartburn and Indigestion – caused by pressure on the intestines and stomach.
 Bleeding gums – blood flow increases during pregnancy causing them to bleed easily.
 Skin changes – due to fluctuations in hormone levels causing patches in face,
forehead and cheeks.
 Backache – as a woman’s weight increases her balance changes and her center of
gravity is pulled forward, straining her back.
 Dizziness – caused by low blood pressure due to uterus compressing major arteries,
low blood sugar, low iron, and dehydration.
 Headaches – this usually happens during the first trimester because of hormonal
changes.
I Objectives:

a) General: to enhance skills in handling patients with communicable diseases and to gain
knowledge in the manifestations, managements as well as the etiology of communicable disease
and to experience actual care in this field.

b) Specific:
to appreciate nursing care for patient with communicable diseases as well as the signs and
symptoms of the diseases.
to gain knowledge on how to care for patient with infectious diseases.
to familiarize the clinical set up and management for patients with communicable diseases.

II Observations

To myself: I have observed that I still need to improve more to be an effective nurse in the future. I
also need to be resourceful and flexible at all times ion order to be a successful nurse someday.

To my group mates: I really appreciate the way they treat each other they are willing to lend a
helping hand and they know if one needs assistance even if they are not asked to do so.
To our C.I. I am thankful that she thought us and handled us well. She attend to our concern and
she wanted us to improved well and she treated us equally. I appreciate her eagerness to exposes
us to every cases so that we will be able to appreciate them. She corrects our errors and after we
are reminded so that we will not commit the same mistake again.

III Learnings

In my exposure at San Lazaro Hospital, I have learned about how they handle patient with
different cases of communicable diseases. they were able to avoid cross contamination by placing
patient with same cases in one room. I am really amazed with the system they have applied such
as placing the patient which is more infectious at the far side of the ward. I have also learned about
Herman's sign and the killing power and the strength of its communicability.

I know that affiliation is the highlight of nursing related experiences.I have expected a lot from
this and I feel nervous I was never excited in this duty because I was anxious due to lack of
information about the area we are assigned to but during our orientation I was relieved.
During the presentation of my case I begun to despise myself for not having done my task and I
was not able to deliver the topic.It was the first time that I fail in presenting my case so it was so
disappointing to me. My classmate look up to me as their older brother and I feel so ashamed with
myself. I feel like I lost their confident in me and that they would no longer look up to me
however I took it as a challenge and I swear that I will the best I can and that I will remember the
teachings given to me by the Clinical Instructors here and as well as my previous mentors.
I have lot of unforgettable experiences during our affiliation in San Lazaro Hospital. we have
encountered lots of gadgets that is new to us. one thing more is that I feel nervous whenever I am
with our CI I feel so intimidated and afraid because she is our academic coordinator so i have to
do the best that I could then i realized that my fear is not right, I should fear my Clinical
Instructors because of respect and not because of the duties they bestowed upon us I know that
they only want to bring out the best in us.

Regarding my classmates even if we have different issues in life we still manage to get along well.
We settled disputes as early as possible.

I was a resident of Sampaloc for almost seven years but one time I happened to misdirect my
classmate in returning to our dormitory. I guess I was preoccupied by the time and since I was
familiar with this place I was always asked by my classmates on directions and where to ride.

I love my exposure and I wish that our exposure would be extended.

Thank you Ma'am