Volume XVIII Spring/Summer 2010

September is the Hunger Action Month. Over 49 million

Americans suffer from hunger annually. Our association did not have to wait until September to act on this cause.

PNA-Tampa President Victoria Fabreo contacted the local food bank to see how we can get involved. The local

food bank is one part of a network of charity organizations which bring hunger relief to its local residents.

A group of 13 officers and members, their spouses,

and children went out to volunteer at the Feeding America Tampa Bay last August 14, 2010. Wearing the official

yellow PNA pique shirts and working pants, we drove there in a true calling of the spirit. We were welcomed and then

shown a short film on how to sort the canned goods. These

goods have dents and/or were past their expiration dates therefore unable to sell, were donated by local

supermarkets. At this warehouse, we sorted out each good into larger boxes. We threw away items that were unfit for

consumption and saved those that can be used within a year's time. There were bottled juices, instant powder

coffee, dry milk, tea, canned vegetables, tomato sauces,

beans, chocolate bars, and candies and many more items. Two high school students got three hours of community

service credits. It was an easy and fun way to make a difference in the community.

PNA-Tampa would like to thank the following for their

participation: Victoria Fabreo, Romy Fabreo, Ariel Zabala & his two sons, Flory Magsakay, Mr. Magsakay, Elena

Garcesa, Arnel Garcesa, Nennette Apostol, Ana Resulta & her son, and Michelle Ann Ebrada. EG

PNA Tampa volunteers

at Feeding America

Top: The officers, Board of Directors, and their family after sorting goods at Feeding America Tampa Bay. Bottom: PNA volunteers in action.

Nurses week at the beach

The officers, members, and friends of PNA Tampa Bay, Inc. gathered on May 1, 2010 at the Fort De Soto Beach to celebrate the Annual Nurses Week.

Former PNA Tampa Treasurer Nenette Apostol was recognized as the Nurse of the Year, an award given yearly to the nurse who have demonstrated an outstanding contribution to the organization.

The recipients of the Nursing Scholarship Program were also officially announced as follows: Kristine Roxas, Niko Flores, Jameel Meneses, and Eunice Reyes.

It was a day of fun activities, games, and meeting new friends. This is the organization’s break from work environment as they enjoy one of the Florida’s best

beaches on a perfect sunny day. MZ The participants at the Annual Nurses Week Celebration held at Fort de Soto Beach on May1, 2010.

Victoria Fabreo, president of the PNA Tampa Bay, drove to Miami with Geal Irvine, Elizabeth Morris, Tess Ebrada, Cris Hermano, Nannett Tupaz, and Ana Resulta. The group arrived in Miami on June 23, 2010 and was welcomed warmly by the host PNA South Florida under the leadership of Josephine Villanueva. The delegates enjoyed the networking night.

Leo Jurado, an eloquent speaker, started the 7th

PNAA Leadership Institute on June 24th. He discussed

about “Leadership at its best.” There were exhibits and poster presentations as well. Rey Rivera, incoming president imparted to the group his theme for his term which is “BE ENGAGED…. MAKE A DIFFERENCE.” Nelson Tuazon presented “Strategic Planning Imperatives: Creativity, Innovation and Risk Taking.” Dr. Divina Grossman, one of our great nursing leaders, one of our own, and an inspiration discussed the “Hallmarks of Effective Leadership: Teamwork, Communication and Accountability”. Finally, Dr. Rose Estrada shared the “Bells

and Whistles of PNAA Website”. Gloria Beriones, PNAA National Education

Chairperson acted as the moderator during the Education Day. Leo Jurado, keynote speaker discussed “Reflections of Prism: Achievements and Future Directions.” The great presenters that followed were the Regional Vice Presidents Merlita Velasquez, our very own in South Central region, then Josephine Villanueva, Sofia Bole, and Victoria Navarro. There were concurrent sessions in the afternoon. Several speakers shared issues on "Latest Trends in Management of Diabetes Mellitus" and "Advanced Practice Nursing: Service, Program and Research Development."

Tess Ebrada, member of the Nomelec Committee counted ballots until late in the evening in a secluded room. They kept their code of silence the rest of the day and night.

The end of the day for PNA Tampa was the General Assembly on June 26. There were big sounds of welcome, surprise, excitement, cheers and congratulations to the new PNAA officers. PNA Tampa’s President, Victoria Fabreo drove the group back to Tampa safely. It

was indeed a very fulfilling event. VF

PNA Tampa, Inc. delegates to the National Conference in Miami, FL

The Philippine Nightingale Official Newsletter of PNA-Tampa Bay, Inc.

Volume XVIII Spring/Summer 2010

Ariel Zabala, RN, BSN, MN Editor-in-chief

Mary Rose Balunos, RN Victoria Fabreo, RN, BSN, CPN Elena Garcesa, RN, MSN, CCRN

Ma. Milani Zabala, RN, BSN, MN, PCRN Contributors

Geal Irvine, RN, BSN, MSHSA, CPHQ Advisor

The Green Team of the 5k Run/Walk for the benefit of the PNAA Foundation.

PNA TAMPA Travels to Miami for the

31ST PNAA National Convention

Volunteer Work

President Victoria Fabreo represented PNA Tampa as a volunteer worker for “Stand Down 2010” on June 11, 2010. This is an annual event that provides assistance relating to medical, health, financial, and social services to homeless men and women. Mobile clinics from Tampa General Hospital, VA Hospital, and Hillsborough Family Health Clinic also participated in this event. The homeless were given free items like food, clothing, bags, and other items like bus passes, and gift cards for grocery.

Mrs. Fabreo checked vital signs, recorded medical information, and directed those who need to see the doctor at the VA Medical Clinic. It was a very rewarding experience for her knowing that she was able to help even in a simple way to help our less fortunate brothers and sisters. She challenged and encouraged PNA Tampa members and officers to participate in this volunteer work

next year. VF

The Philippine Nightingale 2

The Philippine Nightingale

Ariel Zabala, president-elect is the lone representative at the 10th PNAA SCR Conference in Dallas, TX.

Exploring Dallas in Four Hours

By Ariel Zabala, RN, MN

As I embark on my very first attendance to the PNAA Regional Conference in Dallas, I thought of doing something that will make my stay memorable not only by learning and meeting nurses across the South Central Region but also doing what I like most – to travel.

Upon arrival to the hotel, I immediately asked the concierge for the complimentary ride to downtown Dallas. First on the list is to stop by Bodies… The Exhibition at the West End Market Place. The said exhibition was featured at Tampa’s Museum of Science & Industry in 2008 which I failed to see. Due to limited time, I have to make my sojourn the most out of it. When I learned that it’s in Dallas, I took the opportunity to spend the remaining time before businesses shut in the city albeit my flight from Tampa.

It was indeed a fantastic experience and wished that my Anatomy and Physiology lab could have been more like the display of bodies in describing each system. I couldn’t agree more with the exhibit’s catch phrase, “To see is to learn.”

Next stop is the Reunion Tower, one of the city’s most distinctive landmarks. Soaring 560 feet, the topmost houses the world-renowned chef Wolfgang Puck’s revolving restaurant. Unfortunately, I was turned away because of my destroyed pants which was not cool for a

visitor who’s squeezing the tour vis-à-vis with the conference. Apparently, casual business attire is required to enter the establishment which I could have complied with had they stated it clearly in their website.

After a long day at the Leadership Institute Workshop, I continued my quest to see more of what Dallas can offer for visitors. I was just in time to be admitted to the Sixth Floor Museum at the Texas School Book Depository as it takes an hour to an hour and a half to fully cover the exhibits. All in all, the museum offers very interesting sights and sounds even if you’re not a history buff. It’s the exact floor where John F. Kennedy (JFK) was allegedly shot by Lee Harvey Oswald in 1963.

As I stepped out from the building, I went near to the actual site where JFK was shot. The street has an X mark depicting the spot where the first shot was fired. Across Elm Street is the Dealey Plaza, where a small plaque can be found commemorating the assassination of JFK.

I went back to the Reunion Tower with a vengeance wearing my conference attire. There was no drama at this time. I was whisked away from the basement to the very top of the tower. It was an enduring experience to see the city by night and dine at the same time.

With the two-day activities, I learned a lot from the conference, met PNAA leaders and members, and most of all explored the musts in Dallas. The motto that you cannot mix business with pleasure is a lie!

President-Elect Ariel Zabala was the lone representative from PNA Tampa Bay, Inc to the 10th PNAA South Central Regional Conference held at Crowne Plaza Market Center in Dallas on May 21 to 22, 2010.

The Leadership Institute Workshop kicked-off with the presentation of the outgoing President Leo-Felix Jurado. He discussed a topic based from his mantra entitled, “PNAA PRISM Initiatives: Progress Report.” He addressed the ins and outs of recruiting more members among the 39 chapters of PNAA and encouraged sub-chapter formation.

Madelyn Yu of New Jersey followed suit by sharing the experience in creating sub-chapters across their state. She further challenged the audience as well as offered help to participants/leaders to support the process of attracting new members.

The next three topics involved on how local chapters can jump-start in keeping their chapter’s survival through budget management as well as pointers in organizing a Regional Conference.

The last talk on “How a Bill Becomes a Law: Nurses’ Influence on Healthcare Reform and Emergency Nursing Supply Relief Act” was presented by Leticia C. Hermosa, JD, PhD, RN. In view of the many changes in the health care arena, she primarily stressed the importance of acquiring higher education.

The highlight of the Education Day was the keynote address of Cole Edmonson, MS, RN, FACHE, NEA-BC dubbed as “Innovations Role: The Future of Nursing.” He commenced by enumerating the Seven Irrefutable Health Care Trends as well as the intended and unintended impact of the Healthcare Reform. Again, the speaker reiterated the need to aspire for a degree leading to Doctor of Nursing Practice in response to the changing health care context.

“Blazing through the changing landscape of health care t h r o u g h P R I S M ” served as the theme for the t w o - d a y conference. PNA North Texas acted as the host f o r t h i s annual event. AZ

10th PNAA South Central Regional Conference

Speakers challenge participants

towards higher education

3

On behalf of PNA Tampa, I take great pleasure in welcoming all of you, our guests and supporters to our Annual Halloween Ball. We truly appreciate your support to this fundraising event. As most of you are aware, this annual fundraising event has provided our organization the ability to maintain our commitment to provide scholarship money to deserving Filipino nursing students in the Philippines and here in the United States. The funds raised from this event also enable our members to attend PNAA Regional, National, and International conferences which have provided valuable learning experiences to our member attendees.

We owe the success of tonight’s fundraising event

to all of you, our friends, sponsors, and families who support our organization to attain its goals and objectives. The holding of tonight’s event would not have been possible without the hard work of officers and members who helped with their time and

resources. This success was achieved not by a few but through the collective efforts of many.

Once again, thank you to all of you for your generous support and contribution to this year’s fundraising event. Let’s enjoy tonight’s activities and have fun.

Warm regards to all. (Editor’s Note: This greetings was published in the 2010 Spooktacular Halloween Souvenir Program.)

Nannett Tupaz, treasurer, attended the Oncology

Nursing Congress held at the Convention Center in San Diego, California last May.

PNA-Tampa Bay is going green as they filed for the

first time their income tax electronically last May 15th. This

is a requirement for every 501-C-13 organization. The officers and members of PNA-Tampa volunteered

at the Tampa-VA sponsored event last March reaching out to our active duty military members and veterans. It was an event called Welcome Home Heroes Heath Fair held at USF Sun Dome. The PNA-Tampa volunteers helped out with the registration.

The Annual Philfest was held last April at the PCFI

Compound and Bayanihan Arts Center in Tampa Bay. PNA-Tampa participated in this fun-filled event that draws crowds from all over the state of Florida and other states. The Philippine Consul came to offer their services for Philippine passport renewal. Several dance troupes presented different dances representing the different regions in the Philippines. The food from the different vendors just filled the air and there were a lot of mouth-watering dishes to choose from. Different handicrafts were on sale together with the barongs and Filipiniana gowns. There was also the traditional Tawag Ng Tanghalan (the Filipino version of American Idol). It is a known fact that singing talents were being discovered on this venue. Ramielle Malubay, one the Top 10 of American idol, was one of the Champion of Tawag Ng Tanghalan few years ago. Then there was the crowning of Mr. and Mrs Philfest at the end of the 3-day event. The Annual Philfest is a must-see event for all the Filipino-Americans.

PNA-Tampa celebrated Nurses Week at Fort de Soto State Park last May with a picnic, games and potluck dishes. They enjoyed the beach and the camaraderie of each other’s company away from the grueling work of being a nurse. We salute all the nurses who contributes to the health and well-being of our nation.

Tampa VA celebrated the Asian-Pacific Islander

Heritage Day last May organized by Geal Irvine. The theme this year was Diverse Leadership for a Diverse Workforce and the keynote Speaker was Elizabeth Dinh, ABC newscaster. They also honored one of their members as Most Valuable Member for her unique contribution to this program. Asian artifacts ware put on display from different countries. The Korean Children’s Choir was invited to entertain both the veterans and hospital staff. It was a very touching presentation and made the audience teary-eyed when these children extended their gratitude to the veterans for saving their country from communism and each one of them gave the veterans and staff a warm hug during one of their songs. It was truly a memorable event as they unruffled both the US flag and Korean flag side by side and sang America, the Beautiful.

The Annual South Central Regional Conference was

held in Dallas, Texas. PNA-Tampa President-elect, Ariel Zabala represented the organization at this conference held last May. See related article on this issue.

The PNAA Annual Conference was held in Miami

sponsored by PNA South Florida last June. PNA-Tampa was represented by Vicky Fabreo, Tess Ebrada, Geal Irvine, Cris Hermano, Beth Morris, Nannett Tupaz and Rhodora Haight. See related article on this issue.

PNA-Tampa also participated in America’s Second

Harvest of Tampa Bay with the theme of “Feeding the Hungry Today, Ending the Hunger Tomorrow” last August

14th led by President Victoria Fabreo. GI

The Philippine Nightingale

President’s Message

Success through

collective efforts

by Victoria Fabreo, RN, BSN, CPN

4

Around the Town and Beyond

Introduction Pain is considered the fifth vital sign. Pain is the most common reason why patients seek

health care (as cited in Cohen et al., 2008). The Joint Com-mission (TJC) is encouraging all patients to speak up to their physicians and nurses about pain management. The Joint Commission also requires all hospitalized patients including children to have documentation of pain assess-ments and reassessments (as cited in Kaplan, Sison, & Platt, 2008). However, depending on a child’s age, most pediatric patients who are in pain are unable to verbalize their wants and needs, and pain assessments in this popu-lation are often inadequately treated (Wong & Baker, 1988; as cited in Keck, Gerkensmeyer, Joyce, & Schade, 1996).

According to the American Pain Society, acute pain is the most common stimuli experienced by children, which is often inadequately assessed and treated (2009). Chronic pain is also a significant problem in 15 to 20% of children (American Pain Society, 2009). In a survey of physicians and nurses from several teaching hospitals, researchers found that sixty percent of the participants had standards of care or protocols for pain in their institutions, and only one-quarter followed these protocols 80% of the time (Broome, Richtsmeier, Maikler, & Alexander, 1996). Only 73% of the participants reported using a formal pain assessment tool, and that effectiveness of pain management and assess-ment was lower for infants and younger children (Broome et al.). Does the use of the Wong and Baker Faces Pain Scale improve pediatric pain assessments? Is the Wong and Baker Faces Pain Scale an appropriate tool for use in pediatric pain assessment?

Nurses play a major role in assessing pain in the pedi-atric population. Knowledge of pain rating tools, children’s behavior, and developmental milestones are important in adequate pain assessments. Many hospitals and outpatient clinics currently use the Wong and Baker Faces Pain Scale (WBFPS) to assess pain for children ages 3 years and older. The WBFPS developed by Donna Wong PhD, RN, PNP, CPN, FAAN and Connie Baker MS, CLS consists of six different faces shown to a child ranging from a very happy smiling face to a sad and tearful face. The nurse or physician will explain to the child that “each face is for a person who is happy because who feels happy because he has no pain (hurt) or sad because he has some or a lot of pain. Face 1 is very happy because he doesn’t hurt at all. Face 2 hurts just a little bit. Face 3 hurts a little more. Face 4 hurts even more. Face 5 hurts a whole lot, but Face 6 hurts as much as you can imagine.” (Baker & Wong, 1987, figure 4). After explanation of the WBSFS, the child will be asked to point to a face that best describes how he or she is currently feeling, both before and after pain interventions. The purpose of this synthesis of literature is to review cur-

rent evidenced-based articles for the effectiveness of using the WBSFS in pediatric pain assessment.

Synthesis of Literature It is more challenging to assess children’s pain com-

pared to adults, because children cannot communicate their pain effectively (Baker & Wong, 1987). Children may show different behaviors to cope with their pain such as fatigue, irritability, anxiety, or furiously playing, which may mislead an observer (Baker & Wong). The use of pain rat-ing tools helps a nurse in assessing medication effective-ness and understanding the child’s progression of pain (Baker & Wong).

Current research suggests that several pain assess-ment tools may be used to assess pediatric pain, such as the Simple Descriptive Scale, the Numeric Scale, the Faces Scale, the Glasses Scale, the Chips Scale, the Word Descriptor Scale, and the Color Scale. When compared to other pain scales available, the WBFPS is preferred by chil-dren and adolescents ages 3 to 18 years of age (Keck et al., 1996; Wong & Baker, 1988). The Faces Scale also has the potential to improve pain management among children when used effectively, and is cost-effective when copies of the pain assessment tool are provided in each child’s bed-side (Keck et al.).

However, children have higher pain intensity ratings on the WBFPS because the first face choice was neutral or no pain, which may have distracted the use of the scale (Chambers, Hardial, Craig, Court, & Montgomery, 2005; Chambers, Griesbrecht, Craig, Bennett, & Huntsman, 1999). Despite this fact, the WBFPS remains to be the most preferred choice among other pain scales not only by the children, but also by parents and nurses (Chambers et al., 2005). Research has also shown that children’s pain scores are higher than their parents, which in turn is lower than the nurse’s pain scores (Chambers et al., 2005). The WBFPS is now widely used not only because of the user’s preference, but it has been found that no gender differ-ences exist in the children’s pain ratings (Chambers et al.; Wong & Baker, 1988).

Cohen et al. (2008) suggests providers to use the best pain scale “based on the purpose of its use, the questions being asked, and the context in which it will be imple-mented” (p. 949). Among seventeen measures examined, Cohen et al. found the WBPFS as “approaching well-established”, which they translated as having at least two articles, sufficient detail available, or moderate or vague psychometrics presented (p. 941).

The WBPFS has been found to be useful in different settings. Incorporating the WBFPS on a hospital’s emer-gency medical record in the pediatric department was found to significantly improve pain assessments by physi-cians (Kaplan, Sison, and Platt, 2008). Although the rates of analgesia administration remain unchanged, a 5-fold

(Continued on page 6)

The Use of the Wong-Baker Faces Pain Scale

in Assessing Pain in the Pediatric Population

by Mary Rose Balunos, RN

The Philippine Nightingale 5

increase in physician pain assessments was found (Kaplan et al.). However, assessment of a patient’s subjective pain did not match functional mobility when used in a physical therapy setting, and further research may be needed to relate other factors such as stiffness, throbbing, aching, or itching to pain to avoid false negatives with pain scores (Metivier & Hasson, 2006).

In addition, the WBFPS may also be useful in children of different cultural backgrounds. The WBFPS instructions have been translated in different languages, such as Span-ish, French, Italian, Portuguese, Romanian, and Vietnam-ese (Wong, Hockenberry-Eaton, & Wilson, 1999). Both Thai children (Newman et al., 2005) and African-American children (Luffy & Grove 2003) show preference for the WBSFS and were found to be appropriate for use with both cultural backgrounds.

Evidence-Based Practice Change The assessment of pain should be done at least

once daily to all patients at risk for pain, and pain assess-ments must come from the primary source, including chil-dren (National Guideline Clearinghouse, 2009). The WBFPS has established validity and is one of the standard-ized tools that may be used to assess pain. In addition the use of a pain assessment tool, a comprehensive pain as-sessment must be completed, which includes physical ex-amination, history of pain, coping responses, effects on activities of daily living, psychosocial, psychological, and situational factors (National Guideline Clearinghouse). The American Pain Society also recommends health care pro-viders to expand their knowledge about pediatric pain man-agement and techniques, provide a calm environment for procedures, use appropriate pain assessment tools, use a multimodal approach to pain management, involve parents and families, and advocate for child-specific research in pain management (American Pain Society, 2009).

Implementation and Evaluation The Wong-Baker Faces Pain Scale is a helpful tool

in assessing children’s pain. The WBFPS has been widely used in different settings, and has shown to be an effective pain assessment tool for children ages 3 to 18 years old. The WBFPS has been well documented for both reliability and validity. Pain management is more effective when proper pain assessment and reassessment are done using the WBFPS. Studies show that the WBFPS is preferred by children, parents, and nurses among other scales.

Part of a nurse’s responsibility is to provide their pa-tients comfort with pain. Nurses should be knowledgeable about the use of the WBFPS and instruct both the child and the parent on how to properly use the pain-rating tool. The WBFPS should be used to measure pain with assess-ments, as well as after an intervention has been imple-mented. Once a child chooses a pain score from the WBFPS, proper interventions such as pharmacological, distraction, or relaxation techniques must be implemented based on the child’s severity of pain. All members of the health care team should be well oriented with the WBFPS to measure effectiveness of interventions. Finally, the WBFPS should be readily available at the child’s bedside for easy access for all members of the health care team.

Remaining Gaps Although the WBFPS has been translated into different

languages, there is a lack of research on the effectiveness

of the pain-rating tool on non-English speaking patients. Most research studies excluded non-English speaking chil-dren and parents from the study subjects. Also, the use of the WBFPS has not been widely studied on patients with moderate to severe developmental delays such as autism, learning disorders, or blindness. More research is neces-sary to determine if the WBFPS is indeed the universal pain rating scale used in children.

Conclusion In conclusion, the WBFPS is an appropriate tool for

pediatric pain assessment that can be used in different set-tings. Health care professionals should be knowledgeable on the proper use of the tool, and use the same pain as-sessment tool with each pain assessment. Current evi-dence suggests that most children, nurses, and parents prefer the WBFPS. Hospitals, pediatrician’s offices, and health departments who already use the WBFPS should continue using the tool, and for those who does not use the tool, must look at current evidence that suggests the most effective pain assessment tool.

References

American Pain Society (2009). Pediatric Chronic Pain. Retrieved November 29, 2009, from http://www.ampainsoc.org/advocacy/pediatric.htm

American Pain Society (2009). The assessment and management of acute pain in infants, children, and adolescents. Retrieved November 29, 2009, from http://www.ampainsoc.org/advocacy/pediatric2.htm

Baker, C. M., & Wong, D. L. (1987). Q.U.E.S.T.: A process of pain assessment in children. Orthopaedic Nursing, 6, 11-21.

Broome, M. E., Richtsmeier, A., Maikler, V., & Alexander, M. (1996). Pediatric pain practices: a national survey of health professionals. Journal of Pain and Symptom Management, 11, 312-320.

Chambers, C. T., Griesbrecht, K., Craig, K. D., Bennett, S. M., & Huntsman, H. (1999). A comparison of faces scales for the measurement of pediatric pain: children’s and parents’ ratings. Pain, 83, 25-35.

Chambers, C. T., Hardial, J., Craig, K. D., Court, C., & Montgomery, C. (2005). Faces scales for the measurement of postoperative pain inten-sity in children following minor surgery. Clinical Journal of Pain, 21, 277-285.

Cohen, L. L., Lemanek, K., Blount, R. L., Dahlquist, L. M., Lim, C. S., & Palermo, T. M. et al. (2008). Evidenced-based assessment of pediatric pain. Journal of Pediatric Psychology, 33, 939-955.

Kaplan, C. P., Sison, C., & Platt, S. L. (2008). Does a pain scale improve pain assessment in the pediatric emergency department?. Pediat-ric Emergency Care, 24, 605-608.

Keck, J. F., Gerkensmeyer, J. E., Joyce, B. A., & Schade, J. G. (1996). Reliability and validity of the faces and word descriptor scales to measure procedural pain. Journal of Pediatric Nursing, 11, 368-374.

Luffy, R., & Grove, S. K. (2003). Examining the validity, reliability, and preference of three pediatric pain measurement tools in African American children. Pediatric Nursing, 29, 54-61.

Metivier, H., & Hasson, S. M. (2006). Use of the faces pain scale to evaluate pain of a pediatric patient with pauciarticular juvenile rheumatoid arthritis. Physiotherapy Theory and Practice, 22, 91-96.

National Guideline Clearinghouse (2009). Assessment and manage-ment of pain. Retrieved November 29, 2009, from http://w w w . g u i d e l i n e . g o v / s u m m a r y / s u m m a r y . a s p x ?doc_id=11507&nbr=005960&string=faces+AND+pain+AND+scale

Newman, C. J., Lolekha, R., Limkittikul, K., Luangxay, K., Chotpitaya-sunondh, T., & Chanthavanich, P. (2005). A comparison of pain scales in Thai children. Archives of Disease in Childhood, 90, 269-270.

Polit, D. F., & Beck, C. T. (2008). Nursing research: Generating and assessing evidence for nursing practice (8th ed.). Philadelphia: J. B. Lip-pincott.

Wong, D. L., & Baker, C. M. (1988). Pain in children: comparison of assessment scales. Pediatric Nursing, 14, 9-17.

Wong, D. L., Hockenberry-Eaton, M., & Wilson, D. (1999). Whaley and Wong’s Nursing Care of Infants and Children (5th ed.). St. Louis, MO: Mosby.

The Philippine Nightingale 6

Potpourri (from p. 7)

Happy wedded bliss to Andrew Iyog, son of Advisor

Gwen and Emilio Iyog, who got married last June. Sometimes happiness could be shadowed with the loss

of our loved ones and we would like to extend our condolences to:

Julie Miranda-Lindsey on the loss of her mother-in-law

and Geal Irvine on the loss of her father. PNA-Tampa welcomes new members Marlen Lim Dy

who currently works at University Community Hospital and Maria Buchanan, an ER Clinical Nurse at Tampa General Hospital.

PNA Tampa Bay, Inc, would like to thank members and

friends who supported the Cookie Dough Fundraising project which was spearheaded by President Victoria Fabreo. Money earned from the drive will be added to the organization’s fund for the Annual Scholarship Program.

James Haley Veterans Hospital, a redesignate Magnet Hospital received the recent Beacon Award Recognition given by the American Association of Critical-Care Nurses (AACN) organization for Coronary Intensive Care Unit (CICU) and Surgical Intensice Care Unit areas(SICU) . Only 5% of ICU in the nation garnered this prestigious award. Nurses working in CICU who are supporters for the PNA organization are Wilma Garay, BSN,CCRN-CMC; Virginia Elminshawy, BSN, CCRN-CMC; Jennifer Salgado BSN, CCRN-CMC; Claudette Patricio BSN,CCRN-CMC; Cynthia Ouano, BSN,CCRN-CMC; Maria Clarissa del Rosario, BSN,CCRN-CMC; Sheila Cornelio, BSN, CCRN-CMC; Christine Flores, BSN,CCRN; and Neomi Abueg, BSN, CCRN. Nurses working in SICU are Maria Teresa Ebrada, MSN, CCRN-CMC; Lorna Combs, RN, CCRN; Teresita Almeda, BSN, CCRN; Alvara Escano, BSN; Vivian Espino, BSN; Eden Brigino, BSN; and Maria Phillips, BSN, CCRN.

Last but not least, Happy Birthday to all those who

celebrated their birthdays this past Spring and Summer. It’s another year of added wisdom and though we may get

older, our heart and spirit will forever stay young…GI (Editor’s Note: Elena Garcesa, Ariel Zabala, and Wilma Garay contributed to this report)

"I am surprised to have been chosen in the Spotlight sect ion of our Night ingale newsletter, but thank you very much! " was her reaction. She is M iss Nanne t t T upa z , ou r association secretary for 2 consecutive terms now.

She is the lovely daughter of Federico and Luz Tupaz. She has 3 other siblings, 2 of whom also chose a nursing career like her. She graduated with a Bachelor of Science in Nursing degree, Cum Laude, class of 2003, from the Remedios Trinidad Romualdez Medical Foundation in Taliban City, Philippines.

Working at Moffitt Cancer Center and Research Institute since 2007, she cares for bone marrow transplant patients, and medical surgical oncology patients. She is a member of the Oncology Nursing Society.

Last May, she was invited to be a speaker during the PNAA South Central Regional Conference hosted by the PNA Gulf Coast. She moved the audience to tears and to a standing ovation.

She likes to volunteer in the community. She is

active in her church. She loves to read and to travel. She dances well too.

Her life goals are to obtain a degree of Master of

Science in Nursing, to get married soon and have a happy family of her own, as well as to continue to help her

countrymen. EG

Spotlight

Nannett Tupaz, RN, BSN

Nannett Tupaz in Las Vegas, Nevada

The Philippine Nightingale The Philippine Nightingale 7

The Philippine Nurses Association of Tampa Bay, Inc.

Membership Application Form

MISSION STATEMENT: PNA-TAMPA is a non-profit, professional, educational, and community-service oriented organization whose pur-pose is to uphold the positive image and welfare of its con-stituent members, promote professional excellence and con-

tribute to significant outcomes to healthcare and society.

GOALS: Unify Filipino-American Nurses in the Tampa Bay area. Develop, implement and evaluate programs in nursing lead-

ership, practice, education and research relevant to professional growth of its members and healthcare needs of the community.

Promote a positive image of nursing to the community through health programs and projects, independently or in col-laboration with other local, state and national nursing and other allied health organizations

Participate actively in socio-cultural activities of the Filipino-American community.

To encourage, assist and support worthy causes as deter-mined by the Executive Board.

Date: ___________ ( ) New Member ( ) Renewal Last Name:______________________________ First Name: _____________________________ Middle Name:____________________________ Date of Birth: ____________________________ Employer:_______________________________ School of Nursing _________________________ Degree Attained: _________________ Year Gradu-ated:_______ Other Degrees: ________________________ Ad-dress:_____________________________________________ Home Phone: _______________ Work Phone: _____________ Cell Phone: _________________ Fax no: ____________ E-mail: _____________________

Please indicate which committees you are interested in: ( ) Bylaws ( ) Publication

( ) Education & Scholarship

( ) Nominations and Elections

( ) Membership ( ) Awards

( ) Budget and Finance

( ) Community Service

( ) Socio-Cultural ( ) Ad Hoc:

Referred by: _______________________

Membership Fee $40

Make check payable to: PNA of Tampa Bay, Inc.

c/o Nannett Tupaz

1805 Sassafras Dr

Wesley Chapel, Fl 33543

e-mail: nannett_tupaz@yahoo.com

Thank you very much

for your interest and payment.

Potpourri

Summer is almost over and the fall season is just around the corner. The PNA-Tampa officers and members and their families will soon be able to enjoy the cool weather and the change of colors of the trees around us.

The Far Eastern University Nursing Alumni of Florida

celebrated their 7th Inaugural Dinner-Dance last June at

Rosen Center Resort in Orlando. This is a fundraising event for the four scholars that they sponsor here in Florida. The Vice-President of the Florida Nurses Association was the keynote speaker. It was a great success and well-attended by the alumni of this great school. Cris Hermano, board member was one of the organizers of this event.

Well-deserved congratulations to the following family

members of our PNA-Tampa Officers and members who had achieved great honors in different areas:

Kristina Soriano, daughter of Maribel Soriano, vice-

president, graduated Cum Laude in Sun Lake High School. She was also awarded $10,000 Anniversary Scholarship from Full Sail University in Winter Park, Florida to study computer animation. She also achieved Superior Rating in piano solo from the Florida Band Association.

Natasha Angelique Acio, niece of Nannette Tupaz,

Secretary, won third place in the Tropicana Speech Contest.

Michael Ebrada, son of Tess Ebrada, advisor

graduated with Highest Honors at the Galen School of Nursing last June. He is now employed at the Bayonet Point Hospital as Oncology Staff Nurse. His sister, Michelle Ebrada, was inducted in the Mathematics Honor Society at the Academy of Holy Name. She is also a member of the National BETA Honor Society.

Congratulations to Nennette Apostol for being chosen

as the PNA-Tampa Nurse of the Year Award. She was honored during Nurses Week last May held at Fort de Soto State Park. She was the treasurer for PNA-Tampa for over four years and kept our association’s financial stability. Thank you for all the support and countless hours you spent over those accounting ledgers of PNA-Tampa!

Congratulations to Beth Morris, board member for

getting the position of Community Health Nurse Coordinator at the James A. Haley VAMC. We wish you success in your next chosen career!

Congratulations to Advisor, Geal and Dan Irvine for

being grandparents again for the 5th time. Their son,

Jonathan and wife, Natasha, gave birth to their third child, Vera Vaux Irvine who was born on September 14

th.

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8 The Philippine Nightingale