Michael Luna who works as a community health nurse in his suburban community in La Union. He visits 7-10 clients each day. On today's visitations, Michael will provide care for four clients who are recovering from Tuberculosis and three clients who are recovering from Diabetes (increase blood sugar level), and he will provide oral antibiotics for a man with an infected wound. Among this list of clients, Michael visits Mrs. T., an 87-year-old white woman who lives alone and is recovering Tuberculosis that she experienced coughing for almost 3 months ago. Michael's goals are to check on her recovery progress, reminding her medications in her weekly medication container, and administer an influenza vaccine. Upon entering Mrs. T.'s small house, Michael finds the house in disarray: clothes are scattered about, dirty dishes with crusted food line the kitchen counters, and no lights are on. Michael finds Mrs. T. lying in bed watching television. Mrs. T. complains to Michael of feeling too tired to do anything; she eats only what is already prepared (e.g., frozen dinners or snack foods like potato chips and cup noodles) because cooking requires too much effort. She spends most of her days lying in bed and has not bathed in a week. Michael helps Mrs. T. out of bed and assists her with a bath. After the bath, Michael fixes Mrs. T. a quick lunch and refills her medication box while she eats. Michael encourages Mrs. T. to start getting some exercise by doing the household chores so that her lungs can get stronger. "The stronger your lung is, the more energy you will have," Michael tells Mrs. T. Michael also enlists several services for Mrs. T.: A barangay health worker will come to the house three times a week to help Mrs. T. bathe, and meals will provide by the Barangay Nutrition Scholar that will bring her breakfast and lunch. Finally, Nurse Michael administers the influenza vaccine. During Nurse Michael's visit the following week, Mrs. T. is showing improvement. She tells Michael, "I just love that Barangay Health Worker who comes to help me; she is just so sweet and kind. And the Barangay Nutrition Scholar is a blessing, I now have more energy to keep this place clean the way I like it."

1. What challenges in the role and responsibilities of Nurse Michael face in his first visit with Mrs. T. that a community health nurse (CHNs) Nurse Michael faced? 2. From your knowledge about the public health nursing, compare an example of care displayed by nurses of the past versus to the current activities of Nurse Michael made to Mrs. T. 3. How do the Roles and Responsibilities of Nurse Michael affect the health of Mrs. T? 4. What other health promotion activities besides Nurse Michael prepare to Mrs. T that will improve her health?