Script

Hey there, curious minds! Today, we're about to embark on a journey into the
mysterious realm of a disease that has challenged humanity for centuries. Imagine an
invisible intruder, cunningly making its way from one person to another, lingering in
the air we breathe—let's talk about tuberculosis!

Now before we dive into the play, let’s first have a sneak peek at how we acquire
tuberculosis. This will help us further understand not only the disease but its process,
treatment, and prevention.

We can acquire TB in many ways, thus its main route is through airborne. (When an
infected person talks, coughs, or even sneezes, these invisible passengers take flight,
looking for their next host. It's like a suspenseful spy novel, only it's happening all
around us)

But aside from this, we can also acquire TB by touching contaminated surfaces. Let's say
someone with active TB coughs into their hand and then touches a surface. If you touch
that surface and then touch your face, you could introduce the bacteria into your
respiratory system.)

Now, here's the plot twist: TB doesn't play favorites. It can strike anywhere, from
bustling city centers to the quiet corners of the globe. But don't let that give you the
shivers just yet—understanding how this crafty bacterium spreads is the first step in
defeating it.

Join us on this journey as we unravel the enigma of tuberculosis, exploring the ways it
sneaks into our lives and what we can do to outsmart it. Together, we'll shed light on
the secrets of TB, because knowledge is our most powerful weapon against the unseen
foe. Ready to unmask the mystery? Let's dive in!

Now let me tell you a short story, wherein the Family Madriaga had an encounter with
this disease: Scene one, Disease transmission and infection

Maridhel and Melrhean are childhood best friends. On the weekends, they would
always play together sharing their toys and things. Unbeknownst to them, Melrhean
was a carrier of the Mycobacterium Tuberculosis – The bacteria responsible for TB.

(Mapan melrhean ken eliza bumisita balay madriaga)

(Agkupkupin ni Isa ag phophone ni maridhel)

*Door bell

Melrhean: Good morning mare! Adda kami manen ket saan makatalna ni elaine kayat
na umay maki ayayam ken maridhel. Ag minminessage da kano nga duwwa
Isa: Isumet gayam nga inruar na amin nga ayayam na manen. Sige lang mare umuneg
kayo, ananusan yon ket agkupkupin nak gamin.

Melrhean: Sige lang mare

Isa: Maridhel! Adda da eliza! Isardeng mo ta kaka cellphone mon!

Maridhel: Yeyy! Okay mommy, coming!

Wahhh, elaine!! (Hugs)

I already prepared our toys, lets go!

Eliza: Okay lets go!

Sige po tita maglalaro lang po kami ni maridhel

Isa: Sige lang anak

(Ag chischismis ni Isa ken Melrhean habang agkupkupin ni isa)

(Focus ken da Maridhel ken eliza)

Maridhel: Look what ive prepared! Barbie dolls and for cooking!

Eliza: Oh me too! I brought my barbie! (Aguyek ni elaine ima na sana iyiggem jay
barbie)

Maridhel: Oh! Can I take a look? Heres mine if u want!

Eliza: Sure!

(Tas agay ayam dan tapos agatchi aching ni Elaine)

Narrator: In this scenario, the M. Tuberculosis had already been transmitted through
airborne and close contact. Elaine is a carrier of the bacteria but the immunity of her
body will be able to withstand the disease. But how about Maridhel who was in close
contact with her?

Melrhean: Elaine! Intan ket kailangak pay agluto pangrabii tayo. Ag babye ka ken
Maridhel’n

Eliza: Okay mommy, bye maridhel. Next week end ulit (Kiss sa cheeks)

Maridhel: Okay! Be safe!

(Maridhel and elaine fixes their gamit)

Melrhean: Sige mare ta inkami metten ta makalpas met da tao jay balay.
Isa: Sige mare ingats kayo!
(Pumanaw ni Elaine ken Melrhean’ n)

Narrator: For the following days Maridhel was not exhibiting any symptoms of TB. It
means that she is in a Latent TB infection. However, one day she began coughing. Then
as days and weeks passed by it became worse.

Scene two: Symptoms and Diagnosis of the disease

Mardihel: *coughs. Daddy I don’t feel well.

Angeline: Apay baby? Go and rest in your room garoden.

Maridhel: Okay daddy.

Angeline: Mommy? Apan munto man check up’n ni maridhel ket madi kano bagbagi
na.

Isa: Ay sige garod, inka man alaen jay thermometer jay cabinet.

Angeline: Sige

(Mapan isa ken angeline I check ni maridhel)

(Naka kumot ni maridhel nga agpigpigerger)

(nangato temp na)

Isa: Halla, apayen. Anya inububra nan. Nagngato met temperature nan. Inka man
mangala paracetamol pang. Adda dijay cabinet, ken danom.

Angeline: Sige wait

Isa: Baby? Anya marikriknam?

Maridhel: Mommy im cold. And my chest hurts. (Cough)

Isa: Kanno pay nga madi bagbagim anak?

Maridhel: I think last night po mommy.

Isa: Apay attam la inbaga?

Maridhel: Sorry mommy, jak gamin kayat ungtan nak.

Angeline: Neh baby, agtumar ka ta bareng bumaba baram

(Pinatumaran ni maridhel)

Isa: Sige baby, iyinanam. Mommy and daddy is here lang.

(Tepid Sponge bath)

Isa: Nu saan pay bumaba bara na nu bigat, mapan ta ipa check up’n

Angeline: Sige mommy.

Narrator: For the following day, maridhel’s condition worsens. The color of her sputum
was darker. So her parents rushed her to the hospital for a check-up.

(In the emergency room)

Isa: Goodmorning po ma’am.

Steph: Goodmorning maam, anya maytulong ko?

Isa: Ipa check up mi man anak ko maam. Kase nagngato met fever na tas aguyuyek

Steph: Kaano pay nangrugi nga naggurigor maam? Adda plemas na?

Isa: Ag tallo dominggo suna aguyuyeken maam sunga pinatpatumarak lagundi, tapos
idi rabii bigla bimmara suna nga nakaro ken sabsbaali kulay jay plemas na. sunga may
mi kuma ipacheck upn maam

Steph: Anya kulay plemas na maam.

Isa: Yellow nga adda da-dark na maam.

Steph: Kumpleto ba vaccinations nan maam?

Isa: Wen maam.

Steph: Ayyy, la sige maam ta icheck ta la vital signs na a, baka may confine ni baby.

(Checks vital sign)

Steph: Nangato pala fever na ma’am. Anya pay marikrikna ni baby?

Isa: Kunana ket nadagsen kano barukong na maam maslalo nu aguyek. Tapos awan
ganas na mangan sunga limmag-an.

Steph: Ay sige ma’am, ta iyabak lang ni doc biit.

Isa: Sige maam.

(Steph goes to doc)

Steph: Doc adda patient nga high fever, 38.9. 110 PR, 16 RR. Positive sputum. Nadagsen
barukong na. Aglalammin ken aglilinget. Suspected TB patient.

Elaine: Sige, Prepare for isolation ken admission. Check ko patient, ayan na?
Steph: Tuy doc.

(Elaine checks on the pt)

Elaine: Goodmorning ma’am. Umay ko I check ni bby ah.

Isa: Sige doc

Elaine: Hello baby, mabalin umanges ka nauneg?

(Steth listen to breathing)

Elaine: Nurse, prepare for a tuberculin skin test.

Steph: Sige Doc

Elaine: Mommy, need tay I confine ni baby ah? Nangato gamin fever na tas adda cough
na. Need tayo nga imonitor ni baby kase suspected adda TB na.

Isa: Ay halla doc, sige doc. Tattan doc?

Elaine: Wen mommy, iyalaan mi la suna dara ken ajay uyek na ta mapan tay ipa
laboratory. Tapos nu mabang-aran bassit i baby mapan tay to ipa xray suna mommy
nya?

Isa: Wenla doc ta bagak garod ken asawak nga apan mangala gamit min.

Elaine: Sige mommy

Narrator: And so, the nurses performed the Tuberculin skin test. Got her blood and
sputum specimen. And after a few hours of confinement, the patient went to get her x-
ray. And sadly, through the diagnosis and test, she is a confirmed TB patient.

Scene 3: Treatment of the disease.

In this phase, the role of nurses is of major importance. As they monitor the pt’s vital
signs, patient education, medication administration, nutritional support, emotional and
psychosocial support, and collaboration with other health care team.

(Mapan ni Gerard I monitor ni pt)

Gerard: Goodmorning ma’am! Umay ko man patumaran ken I check ni baby’n.

Isa: Sige sir

Gerard: Nagan ni baby ma’am?

Isa: Maridhel Madriaga sir

Gerard: Birthdate po?

Isa: October 5, 2014 sir

Gerard: Okay ma’am, madi palang ba marikrikna ni baby ma’am? Kumusta met suna?
(Habang ichechek iV line)

Isa: Kasi ni apo awan met fever nan sir.

Gerard: Sige maam ta check ta vital signs ni baby sako patumaran antibiotics na.

Isa: Sige sir

Gerard: Hello baby, Kumusta kan? Nadagsen palang ba barukong mo?

Maridhel: Not anymore po, I am able to cough na po without much pain.

Gerad: Oh that’s nice baby, how about chills? Aglammis ka pay ba?

Maridhel: Not as of the moment sir

Gerard: Okay, icheck ta ulit vital signs mo ah? Sa tanto ag tumar

Maridhel: Yes po sir

(Checks vs and patumar oral and IV)

Gerard: Ma’am I administer ko tuy agas nan a. Antibiotic atoy, isu ti mangutlong jay
bagi ni baby nga labana jay bacterial infection jay lungs na. Sunga limmag an
marikrikna na.

Isa: Wen sir

Gerard: Jay paracetamol na maam ken vitamins adda pay?

Isa: Adda sir ditoy neh

Gerad: Sige mommy ta patumaran ta ni babyn

Isa: Sige sir

Gerard: Agtumar kan bb tapno mapalaingan ka niya? Ta pumigsa ka ken maka ayayam
kan. Kayat mo met maki ayayam friends mon niya?

Maridhel: Yes po doc, i miss my bestfriend.

Gerard: La lalaingen ta garod agpalaing niya. Mangan ka ti healthy foods wen? Bawal
palang t soft drinks ken junkfoods
Maridhel: Yes po sir

Gerard: Anya agiti healthy foods?

Maridhel: Fruits and vegetables!

Gerard: Very good bby, wen ananusamon niya ta mapalaingan ka dagos

Maridhel: Yes sir! No soft drinks and no junk foods.

Gerad: Tapos nu marigatan ka umanges, ket inhale and exhale lang bb ah? Kastoy ne.
(Demonstrate) La sika man padasem man

Maridhel: (Pinadas)

Gerard: Very good.

Mommy, kitkitam ni baby ken bagbagim wen. Always nga ag alcohol ka malpas
mo igganan ni baby ken always wear your mask for protection. Saan tay met kayat nga
agkasakit ka mommy niya?

Isa: Yes po sir

Gerard: Remind your mommy to always use her face mask ah? And always clean her
hands with alcohol

Maridhel: Yes po sir!

Gerard: Sige po ma’am innak pay. Iyaban nak latta maam nu adda damage ken
masapol yo. Umay kunto ulit i check man ni baby later’n

Isa: Sige sir, Thank you.

Narrator: This continued for weeks, patient monitoring, medication administration,

reminders, and emotional support to the patient and significant other of the patient.

After a few weeks, the patient was ready to be discharged.

Scene 3: Discharged plan

Elaine: Goodmorning ma’am n sir!

Isa: Good morning doc!

Elaine: Kumusta met ni babyn?

Isa: Okay metten doc, nakulit manen.

Elaine: Nasyaat met nu kasta maam. Hello baby how are you?
Maridhel: Hello doc, okay lang po. Will I go home na today?
Elaine: Yes bby, are you excited?

Maridhel: Yes doc! I miss my room na.

Elaine: Okay okay, let me check on you garod ta kitan ta if ready to be discharge kan.

(Steth bagam umanges nauneg)

Elaine: mmm awanen, simmayat metten. Good girl, tinumtumar mo siguro agiti agas
mo nasyaat niya?

Maridhel: Yes po doc, I even ate healthy foods!

Elaine: Great job! Mommy, upon discharge ni baby’n pero continue to monitor palang
suna a. Addan to pay jay agas nan ga need na latta itultuloy pay for 1 week. Dijay to
latta nurses station yo alaen jay reseta nan.

Isa: Wen doc, thank you po

Elaine: la sige garod, mommy ken daddy banbantayan yo palang ni baby wne? Pati
sikayo ag alcohol kay latta kada ag mask palang. Agsublin to suna after 1 week ta jay
follow up check up na.

Isa: Wen doc, thank u po ulit.

(Pumanaw ni doc)

Angeline: Sige mommy, mapan ko la isimpa papers ni baby.

Isa: sige daddy

Gerard: Agawiden ni baby’n. High five man garod

Maridhel: (Nag high five)

Gerard: Good job! Neh saan ka palang unay napalaingan sunga kitkitam pala bagabgim
wen? Saan mo baybay an bagbagim. Nu adda madi marikriknam anya ti ubraem?

Maridhel: Go to mommy and tell her.

Gerard: good job!

Maridhel: Can I already eat junk foods po?

Gerard: Sorry baby, saan pay wen? Ingana fully nga mapaimbagan ka. Tapno saan nga
agsubsubli jay sakit. Kayat mo ba agsubli ulit tuy hospi?

Maridhel: No doc I don’t want to

Gerard: Wen sunga saan ka pay mangmangan junkfood ken umininom soft drinks
wen? Always eat healthy food palang.

Maridhel: Yes po doc

Gerard: Mommy, check mo panag usar na jay gadget na ah. Minimal palang dapat ta
saan ma strin mata ken jay bagi na nu agpuyat. Madi pala kanya na ti agbannog unay.

Isa: yes po sir. Sir mabalin ba suna mapan school ton?

Gerard: Ay, madi pay ma’am ingana jay follow up check up nan to. Kase nakapsot pala
immune system na ken to protect agiti classmates ken makasalamuha na outside. Sunga
saan pala suna mabalin rumwa rumwar unay.

Isa: Ayy sige sir.

Gerard: Habang dipay napaplaingan ni baby unay maam ket always use precaution
wen. Wear face mask and frequently apply alcohol before and after kayo agiggem agiti
iniggaman ni baby. Madi pala suna agiti natataba unay ken nasasam-it. Healthy diet
pala suna mommy ah, karne, gulay kada prutas.

Isa: Noted sir

Gerard: Sipsiputan yo latta marikrikna ni baby, nu makita yo nga bigla man naguyek
tas adda plemas na, umay yo agad ireporten ta saan agsubli jay sakit na. Sunga
laglagipen yo patumaran jay vitamins ken agas na.

Isa: Yes po sir, adda mabalin mi paka contact’an agad sir nu adda kayat mi damagen?

Gerard: Ay sige ma’am, mabalin yo met alan number ko ta nu adda damage yo textan
dakto lattan. Tapos alaen yo pay jay landline tuy hospitalen.

Isa: Sige sir

Gerard: Sige ma’am ta isurat kunto amin ti papel agiti kailanganen tayo a lagipen pati
agiti contact information mi

Isa: Wen man sir, agyaman nak unay kenka

Gerard: Walang anuman ma’am. Agpalaing ka baby wen? Di ka agsubusbli tuy

hospitalen! Dapat healthy ka tapno makapan ka schoolen nya?

Maridhel: yes sir!

Gerard: Good job! Sige mama innakon, mayak to damdama ta iyeg jay discharge plan ni
baby. Laglagipen yunto umay ag follow up check up maam ah.

Isa: Wen sir, thank u ulit!

Narrator: Upon discharge doesn’t mean the monitoring and treatment stops. We still
need to take care of the patient until we are sure that the body is fully recovered from
the disease. Because our body still needs time to adjust.

Thank you all for participating in this insightful role-play about tuberculosis. It's clear
that understanding TB is crucial for effective prevention and treatment. Let's take this
knowledge beyond the role play and continue to raise awareness, promote early
detection, and support those affected by TB. Remember, every informed conversation
brings us one step closer to a world free from the burden of tuberculosis. Together, we
can make a lasting impact on global health.

I am Angelika B. Unida

- And so on
I hope you have learned a lot about tuberculosis through our role-play. That will be all,
thank you.