1. UNIVERSIDAD
NACIONAL “PEDRO
RUIZ GALLO”
FACULTAD DE MEDICINA HUMANA
MEDICAL ENGLISH
TEACHER:Dra. ROSA GONZÁLES LLONTOP.
GROUP 08
STUDENTS:
AGIP ALARCON WALTER
ARBOLEDA DIAZ OSCAR
BECERRA SILVA FRANK
CAMPOS TAPIA ALEXANDER
CARRASCO HERRERA DENIS
PISCOYA TENORIO JORGE
PLASENCIA DUEÑAS ESTEBAN
RIVERA PAICO MAYRA
ROJAS RUIZ ROMMEL
SALAZAR SALAZAR EDUARDO
TINEO TINEO DENNY
LAMBAYEQUE, DICIEMBRE DE 2011.

2. INTRODUCTION
In Health Center ToribiaCastro of Lambayeque UNPRG students
the second year of medical school we made a human
community work in public health based on health care to the
population in the areas of protection, promotion, recovery and
rehabilitation, finding a significant relationship at the beginning of
the basic actions of public health relations between infectious
diseases and low living standards. Thus began the rise of
communicable disease control and some sanitation activities. It
also is working on actions to promote health for different age
groups and occupational health and mental health. In this
process the health institutions are organized through the creation
of Ministries of Health and Social Security institutions as in the case
of the health center Toribia Castro. The research group to
conduct several research and observation and pregnant patients,
the drug discovery and natural medicines that people use as
usual in their daily lives, change the way you see the perspective
of health is well that ends in that health must necessarily be
understood, analyzed and interpreted within the overall context
of economic and social development. It should be noted that the
health conditions the process. Development is conditioned by the
different variables involved in this process. By virtue of this health
effect is a phenomenon resulting mainly from the interaction of
political, economic and cultural factors

3. SCHEDULE
WEEK ACTIVITIES
1 week Reconnaissance of zone and health center Toribia Castro
2 week Situacional Diagnostic of “February 18”
3 week Identification of health care providers
and health determinants in Lambayeque
4week Inquiry about medicinal plants in the Model market of
Chiclayo
5 and 6 weeks Intramural description of the work in the health
center Toribia Castro
7 week Situacional Diagnostic of “Old Mocce”
8 week Elaboration of “Old Mocce” map
9 week Familiar name in every home of “Old Mocce”
10 and 11 week Family Records in “Old Mocce”
13 week Training of vaccination

4. HEALTH CENTER TORIBIA CASTRO
CHIRINOS
DESCRIPTION OF THE FUNCTIONS OF STRUCTURAL UNITS
A. SITUATION ROOM
The young village is inhabited by a large number of people who
are in poverty and extreme poverty.

5. B. LEADERSHIP AND MANAGEMENT
FUNCTIONS
Manage the activities of health maintenance and meeting
the health care needs.
Efficiently manage human, financial and material resources
to the health center according to the parameters of
productivity.
C. MEDICAL RECORDS
The health center collects the information needed to provide
proper care for such care, preventive and social development.
D. ADMISSION
The unit that coordinates and integrates care movements and
contacts of all patients in the hospital complex and specialized
care in your area.
E. TRIAGE
Try to avoid delay of patient care would worsen the prognosis for
the delay in their care.
F. CHECK UP ROOM
The health center provides personal attention to each patient
taking into account the socioeconomic, cultural and
environmental comprising this jurisdiction.

6. G. SENIOR OPERATIONAL UNIT
Its purpose is to promote healthy aging through the
implementation of family support programs.
H. DENTISTRY
The goal is to maintain oral health of the population, providing
basic preventive dental care in order to promote self-care oral
hygiene and healthy habits of non-cariogenic food, intervening on
risk factors.
I. NURSING
The hospital has the function of primary health care in a society
which provides human resources prepared to strengthen the
health plans.
J. MATERNITY WARD
We found:
• Bed where delivery is made.
• Surgical Light Source.
• Warmer to receive the newborn.

7. K. STERILIZATION ROOM
Is the service you receive, conditions, processes, controls and
distributes textiles, biomedical equipment and instruments to all
sectors of the hospital, to provide an input safe for use with the
patient.
L. PUERPERIUM
This environment is for mothers after childbirth, is for the recovery of
the breastfeeding mother and the newborn.
M. OBSTETRICS
The specialist controls the pregnant woman regularly to monitor
possible problems during pregnancy that may be detectable.

8. SITUATIONAL DIAGNOSIS OF 18
FEBRUARY
1. GEOPOLITICAL SITUATION:
A. REGION:
SKETCH: 18 FEBRUARYDREN
Huaca
LosChinos
church
A
E
B Children’svillage
s
C Wáter
distribuidor
church
F
D G
Soccer field
wells
FARMS
UPIS: Urbanización Popular de Interés Social

9. GENERAL INFORMATION
Founded 9 years
Service light 5 years ago
Program "Water for All" (for Mz. A, B and half of E)
Sale of water: 0.40 x 1 or 3 buckets sun.
B. ORGANIZATIONS, AND MEDIA SERVICES
According consulted the residents themselves.
PUBLIC SERVICES:
Families of young people 18 FEBRUARY do have the basic services of
public lighting and electricity in their homes. But so you do not have it
with water and drain.
Families are provided with water through a tank of the Regional
Government of Lambayeque, which carries water 2 or 3 times a week,
but currently under repair.For this reason the people are forced to buy
at 60 cents a bucket of water sun for human consumption, this
purchase makes you a man of his community, which is not known as it
gets. They also have some grounds to remove the water but this is not
suitable for human consumption, so only use it to wash your clothes or
other complementary actions.
C. MAIN PROBLEMS AND NEEDS OF THE COMMUNITY:
ENVIRONMENTAL ISSUES
SOURCES OF CONTAMINATION
In human settlement "February 18" sources of pollution that cause the
most common diseases in the locality are:
a) Within the household
 Water: The lack of water and sanitation services have
become the main problem affecting the area. So hopefully
digestive disease outbreaks.
 Housing: Housing made of materials such as adobe, mats,
thatch, among others are the habitat of various

10. microorganisms that cause disease. The floor being of earth,
is a strong focus on respiratory diseases, bronchitis, etc.
 Food: That washed with water unfit for consumption or
undercooked foods may be causing digestive diseases.
 Animal husbandry: Inside the house is dangerous, as the hair
of attending these places also frequented by people and
cause massive contagion of disease.
 Centers of work, school, meeting: it is inevitable that every
day and establish social relationships with people.
b) Outside the home:
 Landfills, which accumulate in the corners of houses, or in the
ditches represent foci of infection that are the haunt of
scavengers and insects that carry disease.
 Food stalls, canteens: People who suffer from diseases due to
ignorance or irresponsibly
SOCIO ECONOMIC PROBLEM
After the recognition of the area we have an overview of the
critical situation being experienced by the community. That
issummarized as follows:
 The level of education of its residents is quite low, since not
everyone can access it.
 Apparently there are no neighborhood organizations to
expose their problems to authorities.
 Total disregard of the authorities to solve the basic problems
affecting the community.
 Poverty, frustration and exclusion, and social deviance
models to which they are exposed most of these residents
make this community can be fertile ground for crime.
2. EPIDEMIOLOGY OF POPULATION:
After making home visits, we learned about the major diseases afflicting
the population.
 Digestive System Diseases.
 Diarrhoeal diseases.
 Respiratory Diseases.

11. HEALTH CARE PROVIDERS IN
LAMBAYEQUE
Walking throughthe streetsof the district ofLambayeque, we observe
some places wherehealth servicesareofferedboth conventional
andalternative.We willdiscusstheseestablishments:
1. FORMAL HEALTH SERVICES:
PUBLICHEALTH SERVICES
HOSPITAL "TEACHING HOSPITALBELEN-LAMBAYEQUE PROVINCIAL"
HEALTH CENTER"TORIBIACASTRO"
HEALTH CENTER"SANMARTIN"

12. 2. EMPIRICAL MEDICINE PROVIDERS:
On the streets ofLambayequeand inthe marginal zone
ofOldMoxeefindsome people whoare dedicated to providinga type
ofhealth carepracticesbased onempirical
andhighlightingtraditionalmidwives,bone settersand shamans.Let's look
ateach:
a) MIDWIVES.
Midwife isaperson (usuallya woman)
whoassists the motherduringchildbirth
andinitially acquiredher
skillsattendingtheir
birthsorherselfworking with otherTBAs.
 EmelinaMs.PerezGonzalez domiciled in theMzGLt 24 told usasis that
fromliving inMoxeoldbegan
providingservicestopregnantandpostpartum womenprimarily.
b) BONERS.
They aretraditionalmedicine specialistswho master the techniquesaimed
attreating various disordersof the musculoskeletal system, using the
massage ordog-earedin therapy.
c) SHAMANS.
It is an individual who is credited
with the ability to heal, to
communicate with spirits and

13. presenting visionary and divinatory skills.
 Moxeareaarereferences to thefamousMr.Chicomasobadorwhose
jobit wasinherited from his fatherwho wasconsidered the
bestsobadorofLambayeque.
DETERMINING FACTORS OF THE
HEALTH IN LAMBAYEQUE's DISTRICT
1. PROTECTIVE FACTORS:
 The accessibility to services of health and the community activity
of these (specially the realized one for the center of health Toribia
Castro) is the principal protective factor that reaches to this sector
of the population.
 Sector possesses the basic services of water, outlet and light.
 The streets asfaltadas also constitute a protective factor.
 Many educational centers that they find are important also for the
information role.

14.  The parks and gardens that not only act supporting the local
ecology, but they serve as elements of distraction and anti stress.
 Also we possess Lambayeque's fire brigade.
 The Center of the major adult, located in A. B. Leguía 269-
Lambayeque, orientated to improving the process of the aging,
by means of the development of programs, sociocultural,
recreative, productive of familiar, intergenerational integration
and of ways of life for an active aging.
 In the intersection of the streets Augusto B. Leguía and
SebastiánOnetto we find to the CEDIF-Lambayeque (Center of
Integral Development of the Family) of the INABIF, which offers
food help to children in extreme poverty.

15.  The workers' union of civil construction, which also is a protective
factor of health for the worker.
 Also there exist services of recycling, which favor the
decontamination of Lambayeque's sectors.
2. FACTORS OF RISK:
 One of the principal factors that put in danger the health of the
population is the irrigation ditch that runs along the north margin of
the zone. In her they find important centers of infection as heaps
of garbage.
 The upbringing animal, especially cattle, which can predispose
some zoonosis.
 The terrible condition of the network of outlets is really worrying
since the places are different where there are situated collapses
and exhibition of the served waters.

16.  As well as there exist zones of considerable urban development,
they think also, adjacent, different very poor, that they are not
asfaltadas with housings adobes, in precarious condition, with
accumulation.
 Garbage in not suitable places: Part of the street SebastiánOneto.
LAMBAYEQUE MEDICINAL PLANTS
DEFINITION
Are those plants with several active substances are used in curative or
palliative treatment of certain diseases.
IMPORTANCE
Knowledge of the use of medicinal plants for our health is of vital
importance due to easy availability and low cost they have.
The use of medicinal plants must be very responsible, taking the
recommended doses. If discomfort persists, it is important to consult
people with more experience in the use of medicinal plants and doctors.
What are medicinal plants that have the greatest demand?
Depends on the season:
Summer: Desinflamante
Winter: Respiratory diseases: chamomile, peppermint, anise, lemon
verbena.

17. HERBALISM "MIRACLE CHILD" SINCE 80
Mercado.Model - Position. 80 - "B" (Cradle Sector) - Chiclayo, Peru
Representative: Segundo Elmer Cruz Aldaz: specialist in medicinal plants,
treat diseases: epilepsy, kidney, prostate and spills.
Mr.ElmerCruzgave usto know theherbsthat healevery diseaseor serveas a
dietary supplementto preventdiseasein particular:

18. Blood:Moradillo, canchalagua.
Stress:Valerian, marjoram, rosemary.
Cholesterol:dandelion, pasuchaca.
Constipation: sin with orange,honeyland (cleanse the digestive tract).
Nerves:burnet, marjoram.
Asthma:chilco,pulmonaria.
Cancer:cat's claw.
Diabetes:blackberry.
Inflammation:annatto
Allergy:Norba
Cirrhosis:extract,dandelionsaladserved withhoneyor juiceof land.
Gall:Chancapiedra, ponytail.
Muscle pain: analgesicherbs, welded withwelding,bloodsucker.
Acne:bloodroot,Moradillo.
Laxative-Antiparasitic:sen.
Epilepsy:preparing aMasssteeped inwine, and mixed: Heart of the
Condor, peak toucan,turkeyblood, 7 seedsmountain,beargall, gall of the
handle.
7 herbsalsoare mixeddepending on thetype of disease.The treatmentis
complemented bybathroomsevery 15days.
Prostate:achiote, sour sop, calahuala, horsetail, shepherd's purse.

19. INTRAMURAL ACTIVITIES AT THE
HEALTH CENTER
1. THE MEDICAL CONSULTANT
The medical consultation is the main opportunity for the doctor to
explore the patient’s problems and concerns and to start to
identify the reasons for their ill health.
Now let’s see its structure:
 Initiating the session
 gathering information
 physical examination
 explanation and planning
 closing the session
2. OBSTTRICS AND GYNECOLOGY
Obstetrics is the medical specialty dealing with the care of all
women's reproductive tracts and their children during pregnancy
(prenatal period), childbirth and the postnatal period.

20.  Uterine Measurements During Pregnancy
The fundal height--measured from the top of the pubic bone to
the top of the uterus--is generally measured in centimeters, and
it's a measurement, as you might suspect, that should increase
as the pregnancy continues toward your due date. Even
though the fundal height is generally a diagnostic tool held
over from the days before ultrasound, it is still useful in large
clinics where the same patient may not get the same doctor
twice in a row for her prenatal visits.

21.  Naegele's Rule:
It is a standard way of calculating the due date for a
pregnancy. The rule estimates the expected date of delivery
(EDD) by adding one year, subtracting three months, and
adding seven days to the first day of a woman's last menstrual
period (LMP). Theresultisapproximately 280 days (40 weeks)
fromthe LMP.
3. NURSING-CHILD CARE
 CHILDREN’S IMMUNIZATION SHEDULE
Vaccinations are some of the most important tools available for
preventing disease, according to the U.S. Centers for Disease
Control and Prevention (CDC). Vaccinations not only protect
children from developing a potentially serious disease but also
protect the community by reducing the spread of infectious

22. PHYSICAL THERAPY AND REHABILITATION MEDICINE
 Physical therapy (or physiotherapy), often abbreviated PT, is a
health care profession. Physical therapy is concerned with
identifying and maximizing quality of life and movement potential
within the spheres of promotion, prevention, diagnosis,
treatment/intervention, and rehabilitation.
Thisencompassesphysical, psychological, emotional, and social
wellbeing.
 Physical medicine and rehabilitation (PM&R), physiatry or
rehabilitation medicine, is a branch of medicine that aims to
enhance and restore functional ability and quality of life to those
with physical impairments or disabilities. A physician having
completed training in this field is referred to as a physiatrist or
rehab medicine specialist. Physiatrists specialize in restoring optimal
function to people with injuries to the muscles, bones, tissues, and
nervous system (such as stroke patients).
PSYCHOLOGY
BENDER-GESTALT TEST
The Bender Visual Motor Gestalt Test, or simply the Bender-Gestalt test, is
a psychological test first developed by child neuropsychiatristLauretta
Bender. The test is used to evaluate "visual-motor maturity", to screen for
developmental disorders, or to assess neurological function or brain
damage.

23. MATERIALS
THE MACHOVER TEST
This test is often used today in connection with psycho dynamic
evaluations and diagnostic assessments of children. The evolution of
developmental theory and the way in which children's psychological
difficulties are assessed has changed during the years. When interpreting
the Machover material an integration of theories from drive psychology,
ego psychology, object relation theory and the theories concerning the
self's development is recommended.

24. MOCCE ANTIGUO MAP
In order to support a research project with Dr. Patazca, went to the
Lambayeque sector: MocceAntiguo, for to do a sector map, to
investigate the chiefs of the area, to assess whether the services sector
accounts for water, sewer and electric lighting, to examine whether the
conditions of life are apt to have a good health and to recognizing and
living quarters uninhabitable.
The map was prepared as follows: we form groups of two to ask the
name of each family block by block, and one of us separately inquired
who the authorities of the sector.

25. FAMILY RECORDS
Health Center: _______________________ House Nº___________
I. GENERAL DATES DATE: ___________ Day: _____ Month: ______ Year: ________ II. RISK
Sector: _________________ Locality: ________________ Familiar Last name: ___________________ Nº Members: ____________
Address: ________________ Benchmark: _______________Nº Families: ____ Nº Contributors: ____ Religion: __________ Language: _______ HIGH MEDIUM LOW
III. FAMILIAR COMPOSITION

26. GENOGRAM
A genogram is a format for drawing a family tree that records
information about family members and their relationships, of over at least
three generations. The genogram is an excellent way to represent the
composition of family data in a concise and readable. Data can be
added as they are collected.
The family genograms display information in a way that provides a quick
overview of complex family patterns and a rich source of hypotheses
about how a clinical problem may be connected to the family
context and the evolution of the problem and context over time.
Genograms show three levels:
 The structure of a family: explains how family members are linked
together, either biologically or legally.
 Recording family information: demographic information on the
operation and critical family events.
 The relationships between family members: using different types of
lines to symbolize different relationships between family members.
Utility:
 Management of serious illness or death, symptoms shared by
other family members.
 Assessed and management of common symptoms. Identifying the
cause of symptoms rather than focusing on the patient presents.
 Anticipate or prevent medical problems. Considering and
managing acute and chronic biomedical problems induced by
stress.
 Recognize, diagnose, perform counseling or genetic
problems registering.
 Diagnose and manage emotional and
behavioral problems influenced by familystructure and function.
 In abuse and drug use.
Genogramcontent data:
 Three or more generations.
 The names of all family members.
 Age or date of birth of all family members.
 Death, including age or date and cause.

27.  Significant diseases or problems with family members.
 Demarcation of the family members living under one roof.
 Dates of marriages and divorces.
 The member who was born first must go to the left
and right siblings, in descending order.
 Description of the symbols used.
 Symbols selected for simplicity and maximum visibility.
Some symbols used in the genogram: members living in the
home evaluated, are contained in an en closed space within the
genogram.

28. ECOMAP
The eco-map is a supplement to familiograma and a great visual aid for
the family health team in understanding the environment in which life
unfolds headed households. Its routine use is intended to represent the
family and their contacts with their supra, the environment around them:
the extended family, work, recreation, education, health services,
educational institutions, the religion, etc.
DESIGN AND PERFORMANCE OF ECOMAPAS
The eco-map consists of a central circle containing the familiograma of the
family, living under the same roof, around the center circle are located
other circles representing friends, health facilities and education, work, the
extended family, etc., in the context of the nuclear family.
The size of the circles surrounding the familiograma can be variable and
must conform to the requirements of the design. Lines are drawn between
the family and the outer circles to it to indicate the nature of the
connections. The dotted lines indicate connections tenuous. Dashed lines
indicate relationships stressful. The wider lines indicate greater union. The
arrows that are used can be drawn along the lines indicating the flow of
energy and resources. Additional circles can be drawn if needed;
depending on the number of significant contacts you have family.
UTILITY
 He points out the interactions of the family and each of its members with
the systems that surround and summarized in graphical form.
 Allows you to identify potential sources of stress or conflict.
 Suggests resources to mobilize in times of crisis.
 Indicates whether some people have good relationships with elements
outside the family.