Post on 03-Jun-2018
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FAMILY ASSESSMENT
Name of Family: A Family
Place of Residence: Tophill. Lahug
A. STRUCTURE AND CHARACTERISTICSMEMBERS
OF THE
FAMILY
RELATION TO THE
HEADDATE OF BIRTH AGE SEX
CIVIL
STATUSRELIGION OCCUPATION INCOME
OTHER
SOURCES OF
INCOME
EDUCATIONAL
BACKGROUND
PLACE OF
BIRTH
O.A Head 12.16.1978 30 M Married Cathol ic Carpenter
Php
290.00/day None Grade 6 Cebu
M.J.A Wife 09.10.1980 29 F Married Christian Housewife None Washwoman Grade 4Negros
occidental
J.A Son 11.27.1998 10 M Single Christian Student None None Grade 2 Cebu
J.A Daughter 10.2.2000 8 F Single Christian Student None None Grade 3 Cebu
N.J.A Daughter 09.15.2002 7 F Single Christian Student None None Grade 1 Cebu
J.A Son 10.17.2004 4 M Single Christian - None None None Cebu
J.K.A son 02.2.2008 1 M Single Christian - none none none Cebu
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TYPE OF FAMILY STRUCTURE: The family has a nuclear type of f amily structure
FAMILY MEMBER WHO DECIDES ON MATTERS IN HEALTH CARE: Both M.J and O decide on health care matters and whenever they need medical assistance.
GENERAL FAMILY RELATIONSHIP (PRESENCE OF ANY OBVIOUS/READILY OBSERVABLE CONFLICT BETWEEN MEMEBERS) : The children of M.J. and O are obse rved to be always
quarreling with each other but not on serious matters. Most of thei r misunderstandings are caused by toys and food. M.J and her children also verbalized that M.J. and O have
conflicts every time O comes home not in the mood and drunk.
B. SOCIO ECONOMIC AND CULTURAL CHARACTERISTICSINCOME AND EXPENSES
O is a carpenter and earns Php 290.00/day while M.J. was a washwoman but stopped for a whi le due to her pregnancy. O and M.J were abl e to provide their children of
their basic needs. The famil y is able to eat three times a day and someti mes can be able to provide snacks in the after noon. The clothes of some of the couples children are
observed to be already worn out but were still usable and appropriate for their respective gender (dress for the daughter and shorts and shirts for the boys). The couple is able
to provide the ir family with a house to live in. i n terms of decisions on money matters, O gives his sal ary to his wife and M.J will be the one who w ill budget the money which can
meet the f amilys basic necessities such as food, clothes, school supplies and the li ke.
EDUCATIONAL ATTAINMENT OF EACH MEMBER
Both M.J and O were not able to finish studying because of financial problems. O was able to graduate elementary while M.J stopped attendi ng school when she was i n
her 4thgrade. Three of thei r children are currently studying in a school near their home. J1, the eldest i s still in hi s second grade since he had failures in some of his subjects that
needed him to re-enroll to grade 2. J2 on the other hand is in her 3rdgrade and was an honor student when she was in grade 2. NJ is in his 1stgrade while the rest of the family
members are staying at home.
ETHNIC BACKGROUND AND RELIGIOUS AFFILIATION
M.J. was born in Negros Occidental while O is from Cebu. O is a roman catholic and M.J is a Christian. Both of them decided a nd agreed to have their children baptized as
Christians. On Sundays, both M.J and O goes to colon to attend Christi an mass. They dont bring their ch ildren with them since they are not stil l discipline enough with their
behavior and actions.
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RELATIONSHIP OF THE FAMILY TO LARGER COMMUNITY
M.J. attends some of the activiti es implemented by the Barangay Health Workers such as immunization, garbage disposal and the li ke. Because of her present condition,
she seldom participates i n the activities since their house is far from the location of the programs. M.Js family has a good relationship with their ne ighbors and is willing to help
whenever anyone is in need.
C. HOME AND ENVIRONMENT
The family is living in a two (2) room house and is besi de the house of M.Js sister. The house is just enough for the family. In the presence of J1s wound (matag-tiki) on
his gluteus, he stayed on the room of his parents while the rest are currently staying on the other room which also served as the famil ys dining room and living room. Breeding
sites of inse cts and rodents such as uncovered pails with water and stagnant canals were observed in their surroundings. Thei r kitchen is situated at the side of the entrance of
their house. They use wood for cooking. They dont have refrigerator to store their food so they see to it that there will be no leftovers. In some cases, they just cover thei r food
with plastic plates and store it at the side near the sink which is reachable to the dogs and cats. They get the ir water from their neighbor and pays Php 50.00 f or 10 gallons, Php
3.00 for one pail. They have thei r own bathroom but is sti ll under construction. They use empty sacks to cover their toilet. They have pour-flush type of toilet facility. They throw
their garbage far from their house and where there are no more houses and just leave it there.
KIND OF NEIGHBORHOOD
The family is settled in a congested slum area. The houses are situated side by side.
SOCIAL AND HEALTH FACILITIES AVAILABLE
The Barangay hall and health center is far from the ir house. They seldom avail medications from the health center since they f ind it too far from their house but M.J had
the effort to go on prenatal visits.
COMMUNICATION AND TRANSPORTATION FACILITIES AVAILABLE
The familys mode of transportation is just public vehicle or they just walk to save money. Whenever they need to call, the f amily just borrows the cell ular phone of M.Js
sister.
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D. HEALTH STATUS OF EACH FAMILY MEMBERMEDICAL AND NURSING HISTORY
J.K was hospital ized because he fell from their four-stepped stairs and luckily, he didnt e xperience any complications. J2 had a tetanus toxoid shot because she was
wounded by a rusty metal on her right foot. Three of M.Js children are currently experiencing cough and colds and health teaching was done to hel p alleviate the illness. J1 had
a deep wound with abscess/pus on his right gluteus.
NUTRITIONAL ASSESSMENT
The family was not observed with dehydration, underweight, overweight or any kind of malnutriti on.
DEVELOPMENTAL ASSESSMENT
None of the famil y has any problem with their dev elopment. No one is mentally retarded or had any problems with their learning abilities. M.J verbalized that all of their
children learned how to walk at approximately 1-1 years old.
PHYSICAL ASSESSMENT INDICATING PRESENCE OF ILLNESS STATES
Productive cough and mucosal secretions were observed in M.Js three children. Wounds were also noted on J.K and J3s scalp a nd legs and the deep wound of J1.
E. VALUES AND PRACTICES ON HEALTH PROMOTION/MAINTENANCE AND DISEASE PREVENTIONJ1 and J3 were not able to be immunized with measles while the rest of the children had BCG, DPT, Hep B and measles. M.J. cannot recall i f she had received any
immunization during her childhood. She didnt know if her husband has also be en immunized. The family takes in mul tivitamins daily whenever they have money to supply. They
usually go to sleep at around 8 in the eve ning and wakes up at 6-7 am.
F. CLASSIFICATION OF HEALTH PROBLEMSHEALTH DEFICIT HEALTH THREAT FORESEEABLE CRISIS
Cough and colds Deep wounds
Poor environmental sanitation Family size beyond family resources canadequately provide
Pregnancy
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G. HEALTH PROBLEMS ACCORDING TO PRIORITIESCOUGH AND COLDS
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
1. Nature of the problem2. Modifiability of the problem3. Preventive potential4. Salience of the problem
3/3x1
1/2x2
3/3x1
1/2x1
1
1
1
0.5
3.5
-It is a health deficit and demands immediate attention
-The resources and interventions are not available to the family. The familychooses not to take medications because they dont have enough money to
avail medications
-transmission of illness can be prevented if i t is managed well as soon as
possible
-the mother recognizes the problem but she didnt attend to the problem
immediately
DEEP WOUND
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
1. Nature of the problem2. Modifiability of the problem
3. Preventive potential4. Salience of the problem
3/3x1
2/2x2
3/3x1
2/2x1
1
2
1
1
5
-It is a health def icit since the cli ent experienced the illness and is vulnerable
for infection
-The nurses and familys resources are available. The nurse can help in
treating the wound through wound dressing. The mother gives medication to
the infected person
-Infection can be prevented if the problem is attended well like giving proper
medications and wound dressing
-the mother recognizes the problem and seek i mmediate attention
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POOR ENVIRONMENT
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
1. Nature of the problem2. Modifiability of the problem
3. Preventive potential4. Salience of the problem
2/3x1
2/2x2
2/3x1
1/2x1
0.6
2
0.6
0.5
3.7
-it is a health threat since this can possibly cause diseases and illness like
dengue
-the family and the nurse have e nough resources to prevent the occurrence of
illnesses/diseases caused by poor sanitation
-the family is not the onl y one contributing to the problem
-the problem was recognized by the family but they didnt take any
immediate action to their condition
FAMILY SIZE BYOND FAMILY RESOURCES CAN ADEQUATELY PROVIDE
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
1. Nature of the problem
2. Modifiability of the problem3. Preventive potential4. Salience of the problem
2/3x1
2/2x2
3/3x1
2/2x1
0.6
2
1
1
4.6
-it is a health threat since the family can no longer provide the basic
necessiti es thus the members cannot have proper nutrition that can lead to
illness
-The nurses and familys resources are availableto solve the problem. The
nurse can help in budgeting the resources of the family
-The possibil ity of increasing family size is reduced through the use of
contraceptives like abstinence, condom, rhythm, pills and the like.
-the family recognizes it as a problem and believes that it needs immediate
attention and ensures that the sixth pregnancy will be the last
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PREGNANCY
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
1. Nature of the problem2. Modifiability of the problem
3. Preventive potential4. Salience of the problem
1/3x1
1/2x2
3/3x1
1/2x1
0.3
1
1
0.5
2.8
-it is a foreseeable crisis since pregnancy needs attention to the health of both
the mother and the baby. Also, it needs financial expenses
-The nurses resources and intervention are available but the familys
resources are not to solve the problem
-complications associated with pregnancy can be highly prevented if utmost
attention is given to the health of the mother
-the family recognized it as a problem si nce this could add up to their
expenses but they dont find it to be needing immediate attention
H. RANKING OF PRIORITIES1. Deep wound as a heal th deficit52. Family size beyond family resources can adequately provide as a health threat4.63. Poor environmental sanitation as a health threat3.74. Cough and colds as a health deficit3.55. Pregnancy as a foresee able crisis2.8
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UNIVERSITY OF SAN CARLOS
COLLEGE OF NURSING
FAMILY NURSING CARE PLAN
HEALTH PROBLEM
FAMILY
NURSINGPROBLEMS
GOAL OFCARE OBJECTIVES OFCARE NURSING INTERVENTIONS
METHODS OF
NURSE-FAMILYCONTACT
RESOURCESREQUIRED EVALUATION
Cough and colds as a
health deficit
Subjective cues: nah,
gpang.ubo ni silang tulo
ay. Usahay naai tambal,
usaha y wala. Depende
kung naai kwarta as
verbali zed by the
mother
Objective cues Productive
cough
Averageamount in
sputum
Clear-yellowish in
color
Mucosalsecretions
noted
>inability to
provide
adequate
nursing care
to the sick,
disabled,
dependent, or
vulnerable at
ris k member
of the family
due to:
- Lack of/inadequate
knowledge
about the
disease/healt
h conditions
(nature,
severity,
complications,
prognosis and
management)
>failure to
utilize
community
resources for
health care
due to:
After the
nursing
intervention
, the family
will be able
to eliminate
the cough
and colds
and will
prevent the
recurrence
of thedisease in
the future.
After nursing
intervention, the
family will be able to:
a. Acquireadequate
information
about the
disease
including
signs and
symptoms of
the disease,immediate
health care
assistance
and
preventive
measures
1. Discuss with the family the ca uses,signs and s ymptoms and
complications of cough and col ds.
1.1 cold-acute inflammation of themucous membrane of the upper
passages
1.2 causes: intake of cold food seasonal changes improper digestion of
food
1.3 s/s: running nose/blocked
nose
sneezing sore throat congestion headache low fever loss of appetite lethargy insomnia
1.4 complications ear infections sinus infections bronchitis pneumonia
1. Home visit2. Lecture3. discussion
Manpower:
Student
nurse
Family/client
Manhour:
Time and
effort of
family and
student
nurse
Materials:Visual aids
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-failure to
perceive the
benefits of
health
care/services
b. Be aware onhow to
reduce the
chances of
spreading
communicabl
e diseases to
other family
members
c. Identify lowcost home
remedies for
cough and
colds
d. Choose andperform
2. provide adequate knowledge on thevarious ways of maintaining
cleanliness in their s urroundings
2.1 ways: hand washing taking a bath everyday dispose garbage
properly
3. explain the importance of properfood preparation, good nutrition, rest
and sleep in strengthening ones
resistance against illness so as to
prevent the occu rrence of cough and
colds
3.1 importance prevent someone from
getting sick
prevent crosscontamination
prevent from spreadingthe disease
health promotion anddisease prevention
4. give the famil y some home remediesfor cough and colds
4.1 remedies SLK Lagundi leaves Black pepper and ginger Garlic (boiled with
sugar)
Chicken soup(colds)5. Help the client identify appropriate
remedy to be used
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correctly the
remedy
chosen
e. Utilizecommunity
resources
avail able in
resolving thecondition
experienced
f. Verbalizeunderstandin
g of proper
sanitation
and the
remedies
and
preventive
measures of
the condition
6. Assist cl ient in preparing the chosenremedy
7. Cite ways in eliminating the diseaseand limiting the occurrence of
transmission through medications
and al ternative medicines and
preventive measures such as coveringthe mouth when sneezing or
coughing and proper disposal of oral
and nasal discharges
8. Evaluate the familys understandingregarding proper sa nitation and
preventive measures of cough and
colds
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HEALTH PROBLEM
FAMILY
NURSINGPROBLEMS
GOAL OF
CARE
OBJECTIVES OF
CARENURSING INTERVENTIONS
METHODS OF
NURSE-FAMILYCONTACT
RESOURCES
REQUIREDEVALUATION
Presence of breeding
sites of vectors of
diseases
Subjectivecues:magpundo man
mi ug tubig kai wa man
mi amo.ang tubig, ang
uban wai takub.. nah
cana pud among canal
aiy pwerte cadaghan ug
lamok as verbalized by
the mother
Objective cues
uncovered pailwith water
observed stagnant canal
noted
unfinishedlaundry noted
unwasheddishes noted
>inability to
provide a
home
environment
conducive tohealth
maintenance
and personal
development
due to:
-ignorance of
the
importance of
hygiene and
sanitation
-lack of
knowledge
regardingpreventive
measures of
ill nesses and
diseases
After the
nursing
intervention
, the family
will be ableto eradicate
the
presence of
these
unwanted
sites of
vectors
causing
diseases and
therefore
will maintain
a home
environment conducive
to health.
After nursing
intervention, the
family will be able to:
a. Acquireknowledgeon the
importance
of proper
sanitation
especial ly at
home
b. Identifyvectors and
possiblebreeding
sites
1. Assess the clients home forbreeding sites and proper
sanitation/hygiene
2. Discuss to the family theimportance of proper sanitation
2.1reduce the numbers ofmicroorganisms such as
bacteria and viruses
2.2reduce transmission ofcommunicable and infe ctious
disease
2.3maintenance of health2.4promote health2.5prevent diseases and illnesses
3. explain to the client/family whatvector is and its different types
and breeding sites3.1vectors- described as any
agent that transmits a disease
organism
3.2examples include: bedbugs cockroaches flies lice mosquitoes rat fleas
3.3breeding sites include old tires clogged canals
Home visit Lecture discussion
Manpower:
Student
nurse
Family/client
Manhour:
Time andeffort of
family and
student
nurse
Materials:
Visual aids
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c. Enumeratemethods/
techniques
to eradicatethe breeding
sites of
vectors of
diseases
d. point outpossible
breeding
sites of
vectors of
diseases
e. choose fromthe
methods/tec
hniques
given to use
at home to
eradicate
breeding
sites
f. perform themethods
correctly
g. verbalizetheir
understanding of the
importance
of proper
plastic wrappers plants with large
leaves
4. familiarize to the client sometechniques and methods to
eradicate breeding sites
4.1use of mosquito/fly trap4.2use of mosquito repellent4.3use of mouse traps4.4proper sanitation of the
environment
5. help client in assessing their homefor possible breeding sites
6. assist client/family in choosing theappropriate techniques to be used
7. guide the client in performing thechosen methods/techniques
8. evaluate what the family haslearned and assess how they feel
about the activity
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sanitation
and its
effects to
humans
health
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HEALTH PROBLEM FAMILY
NURSINGPROBLEMS
GOAL OF
CARE
OBJECTIVES OF
CARE
NURSING INTERVENTIONS METHODS OF
NURSE-FAMILYCONTACT
RESOURCES
REQUIRED
EVALUATION
Health seeking
behaviors for health
maintenance and
promotion related to
the need to increaseintake of nutrients and
calori es during
pregnancy
Subjective cues:
gamay raman keu cog
caon nya sad coi
vitamins usahay cai wai
kwarta pero adto ko sa
health center para
prenatal a s verbali zed
by the mother
Objective cues:
9 monthspregnant
Average typeof body
>inability to
recognize the
presence of
the problem
due to:- lack of
inadequate
knowledge
regarding the
proper
nutrition
during
pregnancy
>inability to
make
decisions with
respect to
taking
appropriate
health action
due to:
-inaccessibility
of appropriate
resources
specifically
cost of
constraints or
economic/fina
ncial
inaccessibility
>failure to
utilizecommunity
resources due
After the
nursing
intervention
, the client
will be ableto
demonstrat
e changes in
her diet as
manifested
by proper
food
selection
and
achieved
proper
balanced
diet by
acquiring
the needed
nutrients
during
pregnancy
After nursing
intervention, the
cli ent will be able to:
a. Verbalizeunderstanding on the
importance
of proper
diet
especially
during
pregnancy
b. Enumeratefoods to be
included in
her diet as
well as
important
nutrients
c. Plan thedesired
meals with
properbalanced diet
suitable for
1. assess cleints attitude towardseating and her diet during
pregnancy
2. educate the client regarding theproper diet and its importance
during preganancy
3. educate the client about thevitamins and minerals that are
essenti al during her pregnancy
3.1protein3.2calcium3.3iodine3.4iron3.5carbohydrates3.6vitamin A3.7vitamin C3.8vitamin D3.9Folic Acid3.10 Water
4. Plan with the client her desiredmeals through providing her a
chart or the food pyramid as her
guide toward/on what foods sheshould prepare
5. Instruct client to avoid caffeinated
Home visit Lecture discussion
Manpower:
Student
nurse
Family/client
Manhour:
Time andeffort of
family and
student
nurse
Materials:
Visual aids
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to:
-
lack/inadequa
te knowledge
of community
resources for
health care
pregnant
women
d. Appreciatethe
importance
of prenatal
check-
ups/visits
e. Be aware ofthe
complication
associated
with
pregnancy
f. Recognizethe presence
of health
care facil ities
in their
barangay
that could
help herattain proper
health during
pregnancy
beverages. Caff einated beverages
may decrease the appetite andwill make the client feel full easily
6. Instruct client to avoid junk food7. Instruct client to follow the
required number of se rvings. Too
much or too littl e could bring
about complications8. Encourage client to maintain diet
throughout pregnancy and
puerperium
9. Assess clients vi ews on prenatalcheck-ups/visits
10.Assess i f client had prenatal check-ups/visits
11.Discuss to the client theimportance of prenatal check-up
for both mother and baby
12.Explain to the client thecomplications of pregnancy
13.Instruct client to seek medicalattention if client ex perienced
high risk pregnancy complications
14.Encourage client to recognize thepresence of their health care
centers and the faciliti es available
that could help them le arn more
about proper nutrition/health
during pregnancy
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