The Quarantine

Portfolio

BY : INAH KRIZIA LAGUE

BSN 2A
 In a beautiful day of December 28,1999 was the day when I was able to see the beauty
of the earth .It was the day when I became INAH KRIZIA LAGUE .I have a very supportive parents, my father
Marlon F. Lague is an 'Electricaf 'Engineer and my mom Marie Ann O. Lague is a School 'Principal . I am
the only daughter. I was born and raised in the peaceful barangay of Tudela, Misamis Occidental . We are
a picture of a big happy family because we live together with our grandparents, my tita with her husband
and her three kids.
My favorite sport is badminton . When I don't have anything to do I love to surf in the
net, open my facebook account, twitter and instagram. I don`t usually play computer games. However, I
do love to read different types of books as long as I find it interesting and knowledgeable . My favorite
color are red , yellow and black. 'My friends sees me as a childish person because I still act like I am a child
sometimes, that’s the reason why I love my friends because they love me for who I am. I also have a few
friends in school who are willing to comfort me when i `m sad, or when I am having a bad day.

The only motto I have is that “ the future belongs to those who believe in the beauty of
their dreams”. I love that saying because it made me believe that nothing is impossible in reaching your
dreams as long as you believe that you can achieve it. I will because I can. Now , I`m currently studying in
Velez College , Cebu City as a nursing student. My dream is to be a Medical Doctor someday.
TWEETS ON COVID-19 DAILY UPDATES (March 30 – April 30 2020)

March 30, 2020

Chinese government sending team of Chinese medical experts to PH upon the request of PH government.
On the other hand, volunteers from the Philippine fashion industry have finally made a doctor-approved
protective suit that can be used by frontliners against the novel coronavirus.

March 31, 2020

The number of coronavirus disease 2019 (COVID-19) cases in the Philippines soared to 2,084, the health
department said today, as the country entered the third week of its Luzon-wide lockdown in a bid to
contain the virus. Meanwhile, Spain hit a new record with 849 coronavirus deaths in 24 hours today,
although health chiefs said the rate of new infections was continuing its downward trend.

April 1 2020

Two-thirds of Japanese firms doing business in India and Southeast Asia have been hobbled by supply
chain disruptions amid the ongoing coronavirus pandemic and a team in hazmat suits descended on a
densely packed neighborhood in Valenzuela City in response to a call that a resident was showing severe
flu-like symptoms.

April 2, 2020

Metro Manila, home to nearly 13 million people, remains the hardest-hit by the coronavirus disease 2019
(COVID-19) pandemic in the country, a government official said today and A filipino scientist agreed for
the lockdown's, saying it would take 2 to 3 months for the Philippines to flatten the curve of novel
coronavirus infections.

April 3 2020

55 Filipinos have tested positive for the coronavirus disease in Malaysia and Malaysian government is
preparing for a special flight to Manila . Confirmed COVID-19 cases in the Philippines are now doubling
every 4 days, according to Department of Health (DOH) .

April 4, 2020
A total of 517 Filipinos has tested positive for the coronavirus disease 2019 (COVID-19) as of today.
Meanwhile, the daily pace of new coronavirus infections and deaths in Spain slowed which proves the
effectiveness of the lockdown in place.

April 6 , 2020

Malaysia unveiled a 10 billion ringgit ($2.29 billion) stimulus package today targeted at small and medium
enterprises to soften the impact from the coronavirus pandemic that threatens to plunge the country into
a recession and aims to minimize job losses as businesses are hit by the one-month lockdown to curb the
spread of the virus.

April 7, 2020

The Overseas Workers Welfare Administration (OWWA) said today that they were looking for ways to
help overseas Filipino workers return to their home provinces, after they have completed the 14-day
quarantine. Estimated that 4,000 to 5,000 OFWs are stranded in Metro Manila.

April 8, 2020
Twenty-two inmates from different jails in Metro Manila urged the Supreme Court Wednesday to allow
their temporary release as they faced the threat of the coronavirus disease 2019 (COVID-19) spreading in
crowded jails.The inmates political prisoners and detainees who are elderly, sick or pregnant cited their
vulnerability to contract the virus, invoking compassion and humanitarian considerations.
April 9 2020

More than 700 Filipino workers abroad returned home , adding up to thousands of others who have been
repatriated as the world reels from the impact of the new coronavirus pandemic, the Philippine
government said.

April 10 2020

Spain has recorded its lowest daily death toll from the new coronavirus in 17 days, with 605 people dying,
the government said today. The update raised the overall number of fatalities to 15,843 in Spain, which
has suffered one of the worst outbreaks of COVID-19 in the world, and where the total number of
confirmed cases now stands at 157,022.

April 11 2020

A new study examining air samples from hospital wards with COVID-19 patients has found the virus can
travel up to 13 feet (four meters) twice the distance current guidelines say people should leave between
themselves in public.

April 13 2020

A man wearing a face mask comes out of a train at the Atocha Station in Madrid, Spain on Monday as
some companies were set to resume operations at the end of a two-weeks halt of all non-essential activity
amid a national lockdown to stop the spread of the COVID-19.

April 14, 2020

Spain's death toll from the novel coronavirus topped 18,000 today, as the rise in new infections dropped
to its lowest level since the country imposed a nationwide lockdown last month, officially third in the
world behind the United States and Italy.

April 15, 2020

The World Health Organization (WHO) said today that countries that ease restrictions imposed to fight
the spread of the coronavirus disease should wait at least two weeks to evaluate the impact of such
changes before easing again.

April 16, 2020

Nearly half or almost 49% of the COVID-19 patients in the Philippines who have recovered as of today, are
50 years old and above, according to Department of Health. Patients who recovered from the disease
surpasses the total number of deaths for the first time in about a month.

April 17, 2020

Swiss pharmaceutical had developed an antibody test that it hopes to roll out in May to detect people
previously infected with COVID-19, even those who displayed no symptoms.It had developed the Elecsys
Anti-SARS-CoV-2 immunoassay.

April 18, 2020

Economist suggests ‘selective quarantine’ in barangays after lockdown ends and let us not penalize the
barangays that are infection-free and have followed the President’s orders to stay home for 6
weeks. However, barangays that still have an "overwhelming" number of COVID-19 cases should remain
in quarantine.

April 20, 2020

DOH assures close monitoring of Sitio Zapatera in Cebu and the majority of 135 COVID-19 cases are 50
years old. They are ensuring the safety of the health care workers and that there are enough of them to
respond.

April 21, 2020

Long lines of unemployed relying on free food across Bangkok, scrambles for cash handouts and fishing in
fetid canals .Thais are getting increasingly desperate as the pandemic destroys the economy and the
government struggles to respond.

April 22, 2020

Some $2.5 million (P127 million) worth of laboratory equipment and 45,000 COVID-19 testing kits from
China arrived in the Philippines. The Philippines as well as other local government units have initiated
mass testing to identify clusters of COVID-19 infections.

April 23, 2020

In the Philippines, areas with a more than 70 percent occupancy of critical care facilities and are projected
to see cases double in less than a week are deemed in an "acceleration" mode, which merits a sustained
ECQ.

April 24, 2020

Mystery of India's lower death rates seems to defy coronavirus trend. While death rates in some countries
have risen sharply in recent weeks, in India the opposite seems to be happening, at least in some places,
leaving hospitals, funeral parlors and cremation sites wondering what is going on.

April 25 2020

We naturally associate candy with positivity, such as joy, comfort, love friendship and family. The
Mindanao State University in Tawi-Tawi made a "sweet twist" while distributing food packs to stranded
students due to the enhanced community quarantine.

April 27, 2020

DOH warns against buying test kits, medical supplies sold online, without FDA approval and the
government only allows licensed hospitals and pharmacies to sell rapid test kits. Only licensed health care
professionals can use and interpret its results.

April 28, 2020

President Rodrigo Duterte has ordered the Food and Drugs Administration (FDA) and the Department of
Science and Technology (DOST) to hire more personnel to enable their offices to operate 24 hours during
the coronavirus disease 2019 (COVID-19) crisis.

April 29, 2020

ASEAN Ministers Endorse New COVID-19 Response Fund. The ministers endorsed several collective steps
to fight the pandemic, including the establishment of a COVID-19 ASEAN response fund, the sharing of
information, and strategies and ways to ease the impact of the global health crisis on people and the
economy.

April 30, 2020

DoH could no longer expand and meet its aim of conducting 8,000 COVID-19 tests by today.The DOH, can
only afford to conduct about 5,000 tests per day, further dragging efforts to contain the virus via mass
testing.
 I Ethical Consideration in Leadership and Management: Moral Decision Making and/or Meaning
and Service Value of Medical Care

Moral decision-making, similarly to other types of decision-making, is a complex process. When

deciding how to act in a situation within the moral domain an individual must firstly recognise the situation
as having moral rules attached, retrieve relevant moral schemas from memory, encode and interpret
relevant features of the situation and generate and evaluate possible moral response options. As
communities and nations work together to confront the coronavirus disease 2019 (COVID-19) pandemic,
difficult decisions lie ahead that raise potential challenges, such as rationing limited health care resources,
imposing restrictions to individual movement and liberties, and upholding professional duty to treat in
the face of personal danger.

With medical experts and politicians now predicting that coronavirus cases will dramatically
exceed the capacities of hospitals across globe , doctors and nurses face the prospect of picking which
patients to prioritize for treatment. Though the term “triage” may conjure images of rough battlefield
medicine and crude estimates of patients’ survival odds, excruciating decisions on whom to treat already
confront doctors in some places and will likely to happen in one of the countries around the world.

In Italy, infections have skyrocketed so quickly that its fatalities have surpassed China’s, where
the outbreak started, and doctors are already weighing whom to treat as sick patients overwhelm the
hospital system. The published guidelines for an Italian intensive care unit noted that it may become
necessary to establish an age limit for access to intensive care. Doctors are reportedly weeping in the
hallways as they decide which patients to save. The United States is likely not far behind, with the
confirmed case count already above Italy’s, and the country may soon experience an equally severe
scarcity crisis. In New York City, health care workers are reporting that their resources are or will soon be
overwhelmed. These decisions run counter to everything that we stand for and are incredibly painful,

But difficult moral questions about how to allocate scarce medical resources have received
extensive consideration from both philosophers and doctors, and it’s been the subject of rigorous
academic study among bioethicists. As the coronavirus sweeps across the globe, these ethical principles
will collide with the messy realities of limited medical resources in dramatic ways. Despite the best efforts
of philosophers and physicians, the results will inevitably be imperfect compromises that invite a thousand
more questions on how to judge whose life is worth saving.

There are three theories of how to make ethical triage decisions, according to David Magnus,
director of the Stanford Center for Biomedical Ethics: egalitarianism, utilitarianism, and prioritarianism.
Each theory has its own moral logic. Egalitarianism seeks to treat patients equally while utilitarianism aims
to maximize total benefit, generally measured by the remaining life years or expected remaining high-
quality years that decisions will save and prioritarianism ,or the rule of rescue, treats the sickest people
first.

Sources:

https://journalofethics.ama-assn.org/covid-19-ethics-resource-center

https://www.vox.com/coronavirus-covid19/2020/3/31/21199721/coronavirus-covid-19-hospitals-
triage-rationing-italy-new-york

https://www.sciencedirect.com/science/article/pii/S027322971830025X
 II Bioethics and Research: Principles of Ethics in Research, Ethical Issues in Evidence-Based
Practice and/or Ethico-moral Obligations of the Nurse in Evidence-Based Practice

During this critical time, nurses must continue to uphold their ethico-moral responsibilities.
With the pandemic the way hospitals are operating have changed to accommodate the treatment of
patients with Covid-19. Since nurses are the healthcare professionals who have the most consistent day-
to-day contact with patients, it is crucial that they adhere to standard infection control and transmission-
based precautions to prevent further spread of healthcare-associated infections and resistant organisms.
Communicating with patients about infection prevention and control should be an open and continual
process in which patients are active participants.

Healthcare workers rely on personal protective equipment to protect themselves and their
patients from being infected and infecting others. But shortages are leaving doctors, nurses and other
frontline workers dangerously ill-equipped to care for COVID-19 patients, due to limited access to supplies
such as gloves, medical masks, respirators, goggles, face shields, gowns, and aprons.A comprehensive
understanding of how the virus is infected is essential for nurses when seeking to protect themselves,
patients, colleagues and the general public against the virus. Personal protective equipment is an
important aspect of infection prevention and control for all healthcare staff, including nurses. Its use
requires effective assessment, an understanding of the suitability of various types of PPE in various clinical
scenarios, and appropriate application. Understanding the role of PPE will enable nurses to use it
appropriately and reduce unnecessary cost, while ensuring that the nurse-patient relationship remains
central to care.

Hand hygiene is also recognized by infection prevention and control experts as the single most
important intervention in decreasing the spread of infection in both healthcare and community settings.
Because the hands are vectors for transmission between people as well as inanimate objects such as
environmental surfaces , it is critical to practice frequent hand hygiene using the traditional soap and
water or an alcohol-based hand rub as appropriate.

Sources:

https://journals.rcni.com/nursing-standard/cpd/use-of-personal-protective-equipment-in-nursing-
practice-ns.2019.e11260/full