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Name: Luz Anel Date: 11/ 20 / Total Clinical Hour: 10 Preceptor Name: Professor. Garg Phone number:
Clinical Journal---N342L West Coast University
Name of Agency/Clinic: Healthy Aging Center: Laguna Woods Agency/Clinic Address: Activity Type:
o Clinical site o Conference o Community Observation o other
This activity applies toward the following requirement (check one):
o General PH Nursing o Senior Center o Homeless Shelter o Soup Kitchen o
FRC ( minimum 90hours)
o Vulnerable Populations ( which pop ): Elderly, Dementia, Alzheimer’s
Public Health Focus of this activity: ( check all that apply ) Core Function(s) of Public Health :
o Assessment o Policy Development o Assurance
Essential Public Health Service: o Monitor health status o Develop policies & plans for o Ensure comprehensive PH work individuals & community force
o Diagnose & investigate health o Link people to needed personal o Evaluate effect, access & quality
of problems services care
o Inform, educate, empower re: health o Enforce laws & regs for health o Research new insights &
innovative issues safety solutions
o Mobilize community partnerships
Services rendered/observed : This morning, I started by helping with breakfast from 8 to 9 am, making sure everyone had their meals and felt settled for the day. I also assisted one of the participants with eating, feeding them by mouth to ensure they had a good start to the day. After breakfast, I spent some time welcoming everyone and making sure they were comfortable until 10 am. It was a nice way to connect with the participants and help them feel at ease. From 10 to 11 am, we played a lively
game of "Jingo." It was a lot of fun everyone got into the spirit of friendly competition. We faced a couple of hiccups during the game but we worked through it and in the end still managed to entertain and have fun. By lunchtime, I helped serve meals from 12 to 12:30 pm, making sure everyone had what they needed. I also took a little extra time to assist a few participants who needed some help, offering encouragement and making sure they felt comfortable. In the afternoon, from 1 to 3 pm, I helped with transportation, making sure everyone got ready to head home. It was such a warm feeling to see families arrive and witness the happy reunions. Overall, it was a fulfilling day, full of little moments of connection, laughter, and care that made it all feel meaningful. Problems or difficulties identified : Today during our Jingo game, I encountered a situation that made me realize how much the environment can impact the participants. One of the participants started yelling, clearly upset, because the loudness of the microphone was hurting her hearing aids. I could see how uncomfortable it made her, and she seemed genuinely distressed. At the same time, another participant said we were going too slow, while yet another felt we were moving too fast. It was like we couldn’t find the right balance, and I could tell that the different reactions were making things tense. With so many people in the room today, the atmosphere felt a bit more intense than usual, and I think it left some of the participants feeling uneasy and overstimulated. It made me reflect on how sensitive the elderly can be to these things. What might seem like small details to us, like the speed of a game or the volume of the microphone, can really affect their experience and comfort. I approached the participant with the hearing aids and offered to lower the volume, which seemed to ease her discomfort a bit. For the others, I tried adjusting the pace of the game,
I am using CLO #4, which focuses on using leadership to collaborate with health team members in the community to identify, educate about, and facilitate change. Effective leadership involves recognizing areas for improvement and working together with the team to create positive change. For example, during the Jingo game today, I noticed some participants were feeling overstimulated due to the loud microphone and fast pace. As a nurse, I saw the need to adjust the environment to make everyone more comfortable. A simple change in volume and pacing helped calm the group and improve the experience for everyone. Once we identified the need for change, the next step was educating the team about the effects of overstimulation on older adults. It’s important to help the team understand why small adjustments matter and to encourage participants to speak up about their needs. Facilitating change takes cooperation from everyone, healthcare providers, participants, and families. By being patient, flexible, and open to feedback, I was able to make sure everyone felt heard and supported. This experience reminded me that leadership in community health nursing is about listening, collaborating, and adjusting meet the needs of the community. It's not just about making decisions but about creating an environment where everyone’s voice is valued.
