2. Introduction
The brain is clearly the central
computer, which controls all the functions
of the body. It is the most active and
complex area of the body, which means
that when something goes wrong with the
body, the brain is often the first thing to be
affected and the last thing to improve.
Therefore, the initial approach to treating
any problems of the body is exactly as
taking good care of the brain itself.
CEREBRAL ANEURYSM is not an unusual brain problem. It is the
enlargement of the wall of a cerebral artery or vein. Aneurysms affect
arteries throughout the body, including blood vessels in the brain.
Although more common in adults than children, cerebral
aneurysms occur in all age groups. Cerebral aneurysms are more
common—and the risk of aneurysm generally increases—with age; the
motivation why the group conducted the Seminar entitled:
TICK-TOCK: Methods and Mechanisms of
Cerebral Aneurysm

3. Introduction
The 3-hour seminar in collaboration
with Philippine Nurses Association-Iloilo
Chapter, held last May 24, 2012 at the
Victory Christian Fellowship, Paseo de
Iloilo, was with
Dr. Steven G. Bacalian, MD, FAFNI,
and Mr. Norwil G. Baguio, RN, MAN,
as the guest speakers. Dr. Steven G. Bacalian, MD, FAFNI
The event featured both the
medical and the nursing
perspective of the Cerebral
Aneurysm. Nursing management
and interventions were highlighted
especially in the second part of
the seminar.
Mr. Norwil G. Baguio, RN, MAN

4. Introduction
Newly nursing graduates
from the University of San
Agustin, Graduate school
students from Central Philippine
University and registered nurses
from West Visayas State University
Medical Center, Great Saviour
International Hospital and Iloilo
Mission Hospital were the
participants of the said activity.

5. Introduction
The Seminar organized by the
Medical-Surgical II students got
satisfactory reviews from the
participants.
Through the efforts of the class,
knowledge and awareness of
cerebral aneurysm was
heightened. Information about the
health problem was disseminated
which made a productive
afternoon for everybody.

6. GENERAL OBJECTIVE
At the end of this seminar, the participants will
be able to develop awareness on the trends and
updates about Cerebral Aneurysm.
SPECIFIC OBJECTIVES
Specifically, the participants will be able to:
1. understand the causes, the signs and symptoms and
pathophysiology of Cerebral Aneurysm;
2. determine the different medical-surgical managements for
Cerebral Aneurysm;
3. be familiar with the latest trends and updates in the diagnosis
treatment of patients with Cerebral Aneurysm;
4. identify nursing responsibilities in caring for clients with
Cerebral Aneurysm; and
5. determine appropriate health teachings for clients with
Cerebral Aneurysm.

7. Mr. Maccabeus Caberoy & Ms. Katrina Intrepido
Masters of Ceremony

8. Seminar Registration
The seminar
Registration was
systematic and in a first
come first served basis.
Participants were asked to
sign in a registration sheet
and were given seminar kits
which include paraphernalia
needed for the seminar
lecture.
Participants were then
ushered to their seats.

9. Seminar Committees
Jan Christian Deslate, RN Mary Kathrina Armonio, RN, MBA
CLASS MAYOR SEMINAR COORDINATOR
Mae Joy Espinosa, MN, MAN
SEMINAR ADVISER

10. Seminar Committees
Physical Set-Up and Food
Ivy Joy Coronado
Ryan Sartorio
Katherine Rose Monroy
Roan Patrial
Letters and Advertising
Jan Christian Deslate
Kristina Grace Llorico
Leonor Corvera
Ammi Hofilena
Roxan Latumbo
April Joy Suarez

11. Seminar Committees
Program
Rommel Jan A. Gestoso
Maccabeus P. Caberoy
Mary Kathrina Armonio
Davy Kertch Garcenila
Jasper Ortigas
Registration
Ainee Sampiano
Jeserie Gepana
Karen Choie Jurilla
Ma. Jorly Paclibar

12. SEMINAR committees
Documentation
Katrina Intrepido
Mary Kristelle Mago
Christy Jim Gallego
Jamea Olanday
Ray Jan Palada

13. Doxology
How lovely is your dwelling place,
O Lord mighty God, Lord of all HOW LOVELY IS YOUR
Even the lowly sparrow finds a home for her brood DWELLING PLACE
And the swallow a nest for herself
Where she may lay here young Sung by:
In your altars my king and my God
MARY KATHRINA ARMONIO, RN, MBA
How lovely is your dwelling place, ROMMEL JAN GESTOSO, RN
O Lord mighty God, Lord of all
Blessed are they whose dwelling
Is Your own Lord of peace
Blest are they refreshed by springs and by rain
When dryness daunts and scathes
Behold my shield
My king and my God!
How lovely is your dwelling place,
O Lord mighty God, Lord of all
I would forsake a thousand
Other days anywhere
If I could spend one day in Your
Courts belong to you alone
My strength are You alone
My glory, my king and my God!
How lovely is your dwelling place,
O Lord mighty God, Lord of all

14. Opening Prayer
―What am I to do? I will pray with
my spirit, but I will pray with my
mind also; I will sing praise with
my spirit, but I will sing with my
mind also.‖
-1 Corinthians 14:15

15. OPENING REMARKS
To our beloved adviser, Professor Mae Joy
Espinosa, to our distinguished guests, my fellow
coordinators/organizers of this seminar, and to our
dear participants, a pleasant afternoon.
It is my honor and great privilege to lead
this activity about cerebral aneurysm. This is relevant
to our present health setting since many of our
clients are diagnosed with this disease. I believe that
through this seminar, the health care providers
especially nurses can give inputs or health teachings
to the clients both in hospital and community. After
this, may we become change agents in our society
to help others by educating them with what we
know.May this activity enlighten our minds and be
the servants of Christ, to give care and aid the sick,
and help them in alleviating their sufferings. For this is
our passion – and that is to SERVE.
So without further ado, let’s enjoy the
learnings that we can get in this seminar. Seat back
and open our ears to gather information as much as
we can. Have a good day! Thank you.

16. Introduction of
Speaker
STEVEN GUIDO BACALIAN, MD, FAFNI (Fellow, Association of Filipino
Neurosurgeons, Inc)
Education
AB Premed and Doctor of Medicine – West Visayas State University
Residency Training – UP –PGH
Diplomate in Neurosurgery
Fellow of Association of Filipino Neurosurgeons
Consultant
West Visayas State University
Iloilo Mission Hospital
St. Paul’s Hospital
Western Visayas Medical Center
Great Saviour Internation Hospital
Faculty
West Visayas State University – College of Medicine
Central Philippine University – College of Medicine
St. Paul University Department of Physical Therapy
Organization
Member, West Visayas State University Alumni Association
Vice-President, Iloilo Medical Society
President, Philippine Board of Neurosurgery

17. Lecture Proper
Steven G. Bacalian, MD,
FAFNI

18. Lecture Outline
• What is cerebral aneurysm?
• What causes cerebral
aneurysm?
• Signs and symptoms
• Diagnostic tests:
– Computed tomography
scan
– Computed tomography
angiogram scan
– Magnetic resonance
angiography
– Cerebral angiogram
– Medical and surgical
management
• Medical and surgical
management

19. Open Forum
Dr. Bacalian enthusiastically
entertained questions from
the inquisitive audience. After
his lecture, an ample amount
of time was allotted for
queries and clarifications.
―There are no foolish questions,
and no man becomes a fool until
he has stopped asking questions.
-Charles Proteus Steinmetz

20. Intermission number
―Hide not your talents, they
for use were made. What's a
sundial in the shade?‖
-Benjamin Franklin
Rayjan Palada and Jamea
Olanday rendered a song number
to break the ice after the first-half
of the seminar.

21. Introduction of First Guest Speaker
By: Mary Kristelle Mago
Mr. Norwil G. Baguio finished
his Bachelor of Science in Nursing at
WVSU-CON in the year 2002. He
obtained his Masters of Arts in Nursing,
major in Medical Surgical Nursing at
the Philippine Christian University in the
2010.
He was a Senior Nurse in the
Medical ICU at St. Pauls Hospital, Iloilo
from year 2002-2004.
Currently, he is a part-time
clinical instructor of WVSU-CON and a
full time NLE, NCLEX, CGFNS reviewer
at NG Review and Training Center,
Inc. from year 2004 up to present.

22. Cerebral
I.Aneurysm of cerebral aneurysm
What are the causes
II. What is the pathophysiology of the cerebral
aneurysm
III. Hunt and Hess Scale
IV. Fisher Grade
V. The 3H approach
VI. Goals and outcomes
I. Maintain cerebral and tissue perfusion
II. Reduce anxiety
III. Reduce pain
VII. Health education and maintenance

23. Open Forum
The discussion proper
would not be a success
without clarifying and
understanding the
concept itself.
All participants are free to
raise their questions and
doubts regarding the
topic and write it in a
piece of paper included
in the seminar kit. The
facilitator gathers it all
after the speaker finished
her discussion.

24. Open Forum
One of them also is
tasked to read it one
by one.
Each questions and
clarifications raised
were clearly and
spontaneously
answered with the
help of Ms. Paclibar as
the moderator.

25. Awarding of
Certificates
Finally, after almost three hours of
lecture and sharing of knowledge, the
seminar came to an end. Dr. Steven
G. Bacalian, MD, FAFNI, and Mr. Norwil
G. Baguio, RN, MAN lived up to the
expectations of the participants.
Methods and Mechanisms of Cerebral
Aneurysm were clarified and the Dr. Steven G. Bacalian, MD, FAFNI
participants were satisfied. The
awarding of certificate of
appreciation and a token to the
speaker was facilitated by Mae Joy
Espinosa, MN, MAN, Advanced
Medical Surgical Nursing adviser and
Mary Kathrina Armonio, RN, MBA,
seminar coordinator.
Mr. Norwil G. Baguio, RN, MAN

26. Awarding of prizes
As a simple token to participants, the
coordinators draw lots for 3 lucky winners to
receive a gift during the seminar.

27. Closing Remarks
Ladies and gentlemen, first of all, let me
thank you for giving me this role of speaking on
behalf of the participants in this closing
ceremony of our Seminar on Cerebral Aneurysm.
It is a great honor for me to have this opportunity.
During the past few hours, the seminar
discussed the Methods and Mechanisms of
Cerebral Aneurysm and we have had the
opportunity to delve into this thought provoking
topic.
It is important for us to be able to utilize the
lessons learned today as we continue to grow and
work as nurses. I strongly believe that experiences
like this are fruitful and will, on its part, provide a
source of confidence for those aiming at a more
April Joy Suarez, RN knowledgeable and efficient role as nurses.

28. Closing Remarks
I would like to thank Dr. Steven G. Bacalian and Mr.
Norwil G. Baguio for their valuable and clear explanations,
and for generously sharing with us their time, experiences,
expert knowledge, and insights. We are very grateful to you.
I would also like to acknowledge the efforts made
by the MAN 711 class and its different committees for making
this event come to fruition. And let’s not forget our lovely
seminar adviser, Mrs. Mae Joy P. Espinosa for her guidance
and unwavering support. April Joy Suarez, RN
Above all, I would like to thank all of you here for making this seminar a
success through your valuable contributions and active participation throughout
the seminar and especially during the discussion panels.
I know that the knowledge we have gained and the thoughts we have
raised during this seminar will be useful in our continuing education and practical
application.
Once again, thank you, and good afternoon.

29. Acknowledgmen
t
With all our hearts, we, CLASS MAN 711 would like to
extend our deepest gratitude to the following whom
had sheltered us:
First and foremost, to the LORD GOD ALMIGHTY for
everything, especially for the gift of life;
DR. BACALIAN AND PROF. BAGUIO our beloved guest
speakers, for selflessly sharing their time and wisdom and
for opening our minds to a better understanding of
Cerebral Aneurysm, that will guide us nurses in providing
quality nursing care to pediatric clients;
DR. FELY P. DAVID, our beloved dean, for the firm
foundation of unwavering support;
PROF. MAE JOY P. ESPINOSA, for being the windows of
untiring effort in guiding and help us make this
undertaking a reality;
Our dear PROFESSORS, for being the frame, molding us
to be the best of what we can be;
Our FAMILIES and FRIENDS, for being the pillars of our
strength and inspiration;
STUDENTS of this GRADUATE SCHOOL, for their
cooperation and participation on this significant
endeavor.
CLASS MAN 621

30. Closing Prayer
Heavenly Father as we come
to the end of our time together, we
thank You for what has been
accomplished here today. May the
matters discussed serve as a catalyst
to move us forward and cause us to
advance and see growth in all areas
of our lives. May we leave here
recognizing You are the God of all
wisdom and You are willing to lead us
forward. This we pray in the name of
the Lord Jesus. Amen.
Katherine Rose Monroy, RN

31. Awarding of Certificate of
Appreciation
and Token
Prof. Mae Joy Peñaflor-Espinosa with
seminar coordinator Kathrina Armonio
awarded the certificate of
appreciation to Dr. Steven Bacalian
for his invaluable contribution as
resource speaker.

32. Evaluation
The participants were asked to evaluate the seminar on a
scale of one to five, where:
5 – Excellent
4 – Very Satisfactory
3 – Satisfactory
2 – Unsatisfactory
1 – Needs Improvement

33. Evaluation
The topic, speaker, physical set-up and organization
of the program were the components of the seminar to be
evaluated. The topic was rated based on relevance of the
topic to the nursing profession, whether it was an interesting
topic, and if the audience learned a lot from the lecture.
The speakers were evaluated based on knowledge and
mastery of the content, skillful method and manner of
presentation, level of presentation appropriate to the
audience, clarity and speaking ability, organization and
presentation and adequacy of discussion period. The
physical set-up was rated based on conductivity for
learning, cleanliness and orderliness and clarity of audio-
visual equipment. The organization of the program was
evaluated based on selection of the resource speaker, flow
of registration, accommodation, presentation of the
program, quality of lecture materials and seminar kits and if
the objectives were met.

34. Evaluation
The total scores corresponding to each component
of the evaluation were totaled and averaged. The following
are the average scores for each element of the seminar.
The highest average was given to the relevance of the
topic to the nursing with the score of 94%. The lowest
average with 84% was given to skillful method and manner
of presentation to the speaker 2.

35. Evaluation
TOPIC
99.3%- relevance to the topic to the nursing profession
96.8%- interesting topic
95.8% - learned a lot from the lecture
SPEAKER 1
97.8%- knowledge and mastery of the speaker
95.1% -skillful method and manner of presentation
94.1% -level of presentation appropriate to the
audience
94.3% -clarity and speaking ability
93.8% -organization of presentation
93.1%-adequate discussion period
SPEAKER 2
97.3%- knowledge and mastery of the speaker
97.3% -skillful method and manner of presentation
96.3% -level of presentation appropriate to the
audience
95.8% -clarity and speaking ability
95.2% -organization of presentation
94.3%-adequate discussion period

36. Evaluation
PHYSICAL SET-UP
91.1% -venue is conductive for learning
88.7% -cleanliness and orderliness
93.1%- clarity of audio visual equipment
ORGANIZATION OF THE PROGRAM
97.1% -selection of resource speaker
91.6% -registration is smooth flowing and organized
91.6% - accommodation
91.6% -presentation of the program
89.6% -lecture materials and seminar kits
92.6%- objectives met
The ratings were also tallied, determining the
frequency and percentage of participants’ rating the
different areas as 5, 4, 3, 2, or 1. The following table is
the summary of the frequencies and percentages of
how participants rated us in the overall performance
with comments and suggestions.