family case study

1

A C K N O W L E D G E M E N T

The study has provided our group opportunities to know the different problems

and needs of the family in order for them to develop more in terms of their environment

and especially with their health status. But all of these could not be done without the

help of those significant people that help us throughout the study.

The group would like to thank the following:

First of all, The Lord, we thank you for giving us a chance to live and experience

this opportunity. Thank you for making all things possible, for giving us all we needed,

and for making us earn insights in this way knowing the worth of our life. For His

guidance and safety which He gives every day, for all the blessings that He has

showered upon us, and for giving us the strength to pursue everything. Next To our

loving parents, thank you so much for helping us with your prayers, for allowing us to be

exposed in the community, and for helping us with our needs especially financial

matters. To our clinical instructors Mrs. Evangeline Ocop, Mrs. Brenda Morales, Ms.

Honeylette Villanueva, and especially Mrs. Anabel Bauzon who were always there to

help and support us especially in our activities and programs, and in making our case

presentation successful. We are grateful for the encouragement you gave us every time

we feel discouraged especially for the outcome of our activities, for the patience, for

understanding our differences, for the concern, and for the guidance you gave us. We

appreciate it and it inspires us more to continue and pursue and we are happy and

blessed to have you as our clinical instructors. We would also like to thank the Rural

health unit of Calinan that organized and find a proper and appropriate place for us to

have our community exposure. To The barangay health workers at Subasta health

center, for their warm welcome and for extending their help and assistance if we

needed to. We would also like to extend our gratitude to the Panadero family for

accommodating, welcoming, and for trusting us to share their basic and personal

information that made our case study successful. Next, to the members of the

community for attending and participating in our different activities and programs and for

2

understanding our purpose in the community. The community was participative and

interactive during the activities that motivated us to do our best.

Lastly we would like to thank our classmates and for our group. For the support and

friendship, for the team building in our programs and activities and working altogether to

make this case study a successful one.

I N T R O D U C T I O N

3

“ It is health that is real wealth and not pieces of gold and silver. ”

A saying that strongly correlates to Community health nursing in such a way that

it focuses on the welfare of everybody. Community Health Nursing is a specialized field

of nursing, public health and some phase of social assistance and function as well as

part of the total public health program for the promotion of health, improvement of the

conditions in the social and physical environment, rehabilitation of illness and disability

according to WHO. The philosophy of Community Health Nursing is based on the worth

and dignity of man (Margaret Shetland). Its goal is to raise the level of health citizenry.

The traditional function of the community health nursing is to help other help

themselves. To achieve any degree of self reliance, people need to cultivate their own

resources, both human and material at all stages and phases of development. The

community health nurse, as a practitioner, teacher, interpreter, stimulator, listener and

organizer is a significant factor in determining the success or failure of the health effort.

The nature of these efforts will be constantly challenged and changed by goals,

resources and constraints of the socioeconomic, ideological and political situation. The

practice of the community health nursing will need to remain fluid and flexible if it is to

be consistent with community needs, available resources, scientific knowledge and

capabilities of people being served.

According to WHO, (World Health Organization), a community is a social group

determined by geographic boundaries and/or common values and interests. Its

members know and interact with one another. It functions within a particular social

structure and exhibits and create norms, values and social institutions. It may be a

neighborhood or cluster of families, an ethnic group, an industry or a school. With these

definitions, it is evident that community is a very important target of health care. Every

community has problems to be identified. Communities with poor financial and

environmental conditions in particularly, are some concerns of the nation with regards to

health.

Davao City is the biggest in Southern Mindanao in terms of population area. The

city contributed 22.11 % of the total 5.2 million populations in the region, said National

Statistics Office XI We chose Panaderol Family because we had identified problems

http://thinkexist.com/quotation/it_is_health_that_is_real_wealth_and_not_pieces/215191.html

4

that would affect their health and give solutions for them to cope up. We prioritized the

problems seen in the family and take methods on knowing the problems. By rendering

health teachings and interventions, the family will be able to understand and learn about

the existing and potential health problems and the family will be able to take appropriate

actions to solve their problems on their own.

O B J E C T I V E S

5

GENERAL:

At the end of our 5 week exposure on Barangay Subasta, Calinan, Davao City; we,

student nurses of Ateneo de Davao University, BSN 3-D group 2, will be able to apply our

learnings in our community health nursing concept and will be able to provide adequate and

proper nursing care.

SPECIFIC:

In order to achieve above the general objectives, our group will be able to:

Psychomotor:

Conduct an ocular survey to find a family suitable for the case study;

Gather demographic data and other pertinent information about the client as well as the

family to support the case study;

Illustrate the family eco map;

Extrapolate to the family the health teachings applicable to their problems;

Trace the client’s genogram, family diseases and health conditions in a diagram format with

a corresponding legend;

Formulate 5 Family Nursing Care Plans for the family;

Cognitive:

Identify observable and underlying problems within the family;

Lay down information about the background of our family case study, its purpose , why the

client was chosen and how can they be an attractive and proponent of the study;

6

Present the initial data base of the client;

Rate the family’s coping potential/capacity based on the Family Coping Index;

List down problems noted in the family;;

Prioritize problems based on the Scale for Ranking Health Conditions and Problems

According to Priorities;

Evaluate the results of our interventions if the family improved their condition;

Lay down the contributions of our Case Study to Nursing Education, Research and Practice;

and

List down all references used for this particular Case Study.

Affective:

Establish rapport with the family to develop a good working relationship;

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I N I T I A L D A T A B A S E

A. FAMILY STRUCTURE, CHARACTERISTICS AND DYNAMICS

NAME SEX AGE CIVIL

STATUS

EDUCATIONAL

ATTAINMENTOCCUPATION RELIGION

RELATION

TO THE

FAMILY

HOMER

PANADEROMALE MARRIED 1st yr College Motor driver

Roman

catholicFATHER

MARJ

PANADEROFEMALE 26 MARRIED 1st yr College Vendor

Roman

catholicWIFE

BARK

PANADERO MALE 8 SINGLE Grade2Roman

catholicSON

MAGGIE

PANADEROFEMALE 6 SINGLE Kinder2

Roman

catholicDAUGHTER

STEWIE

PANADEROMALE SINGLE

Roman

catholicSON

PLACE OF RESIDENCE OF EACH MEMBER

-The Panadero family is living together in one house, located at purok 1 Subasta,

Calinan Davao city.

TYPES OF FAMILY STRUCTURE

According to membership

- The Panadero family is a nuclear type of family because they are living

in one household and consisting of a mother, father and their children.

According to Residence

8

- The Panadero family is matrilocal since they live in one compound with

Marj’s parents and siblings.

According to Authority

- Egalitarian is the authority in Panadero family in which decision lies

with both couple.

DOMINANT FAMILY MEMBER IN TERMS OF DECISION-MAKING, ESPECIALLY IN

MATTERS OF HEALTH CARE

- Both Marj and Homer are responsible in making decisions with regards

to health care. The two of them work hand in hand to provide the

family’s health needs. Financial matters are discussed by both Marj

and Homer. They help and support each other in making decisions for

their family.

GENERAL FAMILY RELATIONSHIP

- The panadero family is peaceful and loving family though sometimes

the family experience quarrels but they easily resolve it by talking

through it.

ACTIVITIES OF DAILY LIVING

Sleeping pattern

- The couple, Homer and Marj, together with their sons and daughter,

sleeps together in one room. There have been regular hours for getting

up and retiring every night for the family. They usually sleep at around

8 or 9 pm and wakes up 6am In the morning because marj needs to

cook and prepare her children in going to school.

Eating Pattern

9

- The family shares four meals in a day breakfast, lunch, snacks and

dinner. They cook using charcoals/woods because they have no

stove. Ellen usually cooks the food since she also cook viands in which

she sells during lunch.

Leisure time activities

- During free time, the family would just watch television on their

neighbor’s house since their television set is broken. And also, they

sleep and clean the house during free time. If they have extra money

or they need to buy something, they go to town.

B. SOCIO-ECONOMIC AND CULTURAL FACTORS

SCHEDULE FOODS WHO

PREPARES

BREAKFAST Rice, Fish/vegetables ELLEN

LUNCH Rice, meat/vegetables ELLEN

MERIENDA Bananacue ELLEN

DINNER Rice,

fish/meat/vegetables/soup

ELLEN

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INCOME AND EXPENSES

The family’s income is above minimum wage (referring to Davao’s minimum

wage level which is P248), having an income of 400-600 per day. It has an adequacy in

meeting family’s basic need such as food and shelter. They can afford to send their

children to school and able to eat at least 3-4 times a day.

EDUCATIONAL ATTEINMENT OF EACH MEMBER OF THE FAMILY

Name Educational Attainment

MEMBERS OCCUPATION PLACE OF

WORK

INCOME

HOMER

PANADERO

MOTOR DRIVER SUBASTA P300-P500/day

MARJ

PANADERO

VENDOR SUBASTA P300/day

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Homer Panadero Undergraduate First yr college

Marj Panadero Undergraduate First yr college

Bart Panadero Currently on Elementary Grade 2

Maggie Panadero Currently on Kinder 2

Stewie Panadero Doesn’t go to school yet

ETHNIC BACKGROUND AND RELIGIOUS AFFLIATIONS

Basically, our clients are Christians. Both Homer and Marj lived in Subasta.

SIGNIFICANT OTHERS

Each of the family members has its own significant roles in the family. In times of

financial crises, they have their neighbors who can help them in some matters matters

because most of their neighbours are their relatives,

RELATIONSHIP OF THE FAMILY TO THE LARGER COMMUNITY

. They are active members in their baranggay. Whenever there are activities in

the Barangay, they participate.

C. ENVIRONMENTAL FACTORS

12

HOUSING

Adequacy of living space

- There is inadequate living space for the entire family. The house

consists of a multifunctional room because the room serves as their

bedroom, dining room, living room and kitchen. The room has a floor

area of 311cm x 250cm x 300cm. They have a separate room for their

comfort room which has a floor area 80cm x 100cm x 300cm. The

cooking facility is separated from the house located few feet away

which has a floor area of 83cm x 110cm x 300cm.

Sleeping arrangement

- The family altogether sleeps inside the main room. The children sleep

on the floor mat while Mr. and Mrs. Panadero sleep on the bed.

Adequacy of furniture

- They have furniture. There is a television set and DVD player but it is

broken. They have few kitchen utensils. A dining table and wooden

chairs, they have a wooden cabinet wherein they place or keep their

clothes and other things.

Presence of insects and rodents

-There were cobwebs noted at their ceilings. There were mosquitoes in

the kitchen and their bedroom. There are also small rats and ants

noted. It is highly possible for insects to get in because their windows

are not screened.

Presence of accident hazards

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-There are large and sharp stones outside their door. Marj verbalized

“nadagma dra akong anak, naigo sa bato unya nasamad ang ulo”.

Food storage and cooking facilities

-There is no proper food storage. They have no refrigerator; they store

their fresh meats on their mother’s refrigerator. We also noticed the

cooking utensils such as plates & cooking pan left unwashed in the

washing area. They are using wood and charcoals for cooking.

Water supply

-They get their water supply in water district. This is where they use for

taking a bath, washing clothes and use for cooking. In terms of paying

they pay their own water bill.

Toilet facility

- The toilet is privately owned and is located inside their house. It is

approximately 80x210x300 cm. The toilet is not that clean. The walls of

the toilet room are covered with sacks. The type of toilet is an open pit.

Garbage disposal

- There is exposed garbage in plastic cellophane mixed with

biodegradable and non-biodegradable. Flies and rodents are seen around the

garbage plastic cellophane. There is garbage collector that makes rounds every

week. The family has no proper container for their garbage wastes. They just put

it in plastic cellophane where flies and rodents are present.

Drainage System

- The type of drainage system they have is an open pit.

KIND OF NEIGHBORHOOD

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The houses in the community are not congested. They are spaced adequately.

The Panadero family lives in a peaceful community. Whenever they need something

like they need to put their fresh meats in a refrigerator their neighbors would let them

store their food in their refrigerator. Since some of their neighbors are their relatives,

they sometimes watch TV in their relative’s house.

SOCIAL AND HEALTH FACILITIES

Health Center is present where immunizations and check-ups are rendered.

Subasta also houses the Subasta Elementary School wherein almost all of the children

study. The community has a basketball area and a chapel that is used by the people for

recreation and official activities. There are also several sari-sari stores in the area

wherein they could buy the things they need.

COMMUNICATION AND TRANSPORTATION FACILITIES AVAILABLE

They own a motorcycle which serves as their transportation and also to earn a

living. They have their television but it is broken.

D. HEALTH ASSESSENT OF EACH MEMBER

FAMILY MEMBER WEIGHT HEIGHTHomer PanaderoMarj Panadero 59kg 156cmBart Panadero 20kg 115cmMaggie Panadero 20kgStewie Panadero 11kg 85cm

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FAMILY MEMBER Blood pressureHomer PanaderoMarj Panadero 140/100Bart PanaderoMaggie PanaderoStewie Panadero

Mrs. Panadero has an undiagnosed hypertension. After taking her blood pressure during our home visit, her blood pressure was 140/100. She also verbalized “naa sa among lahi ang high blood. Pirminte naga taas akong dugo labi na kung kapuyon ko sa akong pagbaligya ug saging ug sud-an. Makasamot pa jud ang init ug kakapoy sa trabaho.”

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G E N O G R A MMATERNAL

LOLA AMPARODECEASEDHYPERTENSION

LOLO MINOYDECEASED

MAMA ELIZABETHHYPERTENSION

ANNABELLE JEANETTEALVINDECEASEDHYPERTENSION

PAPA ROGELIOHYPERTENSION

LOUIE MargeHYPERTENSION

LEAHROJELISA

JONREYARLIE

Maggie Bart

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PATERNAL

T Y P O L O G Y

LOLADECEASEDOLD AGE

LOLODECEASEDDIABETES

NIN NINING MAMA NOEMIHYPERTENSION

JUNDECEASEDHYPERTENSION

ABRAHAMDECEASEDHYPERTENSION

PAPA JAIME SR.

Homer.

29 Y.0

WILSON

26 Y.OMAILAH

12 Y.O

Stewie

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DATE CUES FIRST LEVEL ASSESSMENT

(Health Problem)

SECOND LEVEL ASSESSMENT

(Family Nursing Problem)

HEALTH THREAT

November 13,

2010

The Panadero family is living in a house where there is an inadequate space for household members.

The house consists of a multifunctional room because the room serves as their bedroom, dining room, living room and kitchen. The room has a floor area of 311cm x 250cm x 300cm. They have a separate room for their comfort room which has a floor area 80cm x 100cm x 300cm. The cooking facility is separated from the house located few feet away which has a floor area of 83cm x 110cm x 300cm.

The family altogether sleeps inside the main room. The children sleep on floor mat while Mr. and Mrs. Panadero sleep on the bed.

Inadequate living space for a family of five members.

Inability to provide a home environment conducive to health maintenance and personal development due to inadequate family resources specifically financial constraints.

November 13, Presence of vectors such Poor environmental sanitation due to: Inability to make decisions with

19

2010 as flies and mosquitoes as well as their breeding places like used cans, bottles and drums.

Exposed garbage in plastic cellophane mixed with biodegradable and non-biodegradable. Flies and rodents are seen around the garbage plastic cellophane.

Noticeable dirty sink and cooking area.

Pots and pans are not washed properly and are kept at their cooking area which is an open area.

Flies are evidently noticed over the cooking facilities and foods.

Uncovered container particularly filled with water seen near the toilet facility

Presence of flower pots that collects rain water

Mrs. Panadero verbalized “daghan lamok diri sa amoa, tungod siguro ni sa mga cacao”

a. Presence of breeding and resting sites for flies and mosquitoes.

b. Unsanitary food storagec. Unsanitary cooking facilities

respect to taking appropriate health action due to:

a) Failure to comprehend the magnitude of the condition.

b) Low salience of the condition.c) lack of knowledge on the

consequences of the problem.

Absence of a refrigerator.

Food supplies need to be bought daily.

Mrs. Panadero verbalized “sa lamesa

Lack of food storage facilities manifested by uncovered food on the table

Inadequate family resources, specifically due to financial resource and physical facilities, i.e living space and water supply.

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lang ginatakluban ang sobra na pagkaon. Wala man gud mi ref.”

No food storage facilities such as plastic container or tupperwares, refrigerator and etc.

Mrs. Panadero verbalized “maulaw mi muadto sa Barangay Health Center para makakuha ug libre na tambal ug check-up”

Failure to utilized community resources for health care

Failure to utilize community resources for health care due to:

a) Failure to perceive benefits of health care

November 13,

2010

“kung nay magkasakit naga palit ra mi ug tambal sa botika.”

“ gapalit pud mi ug kanang suroy suroy lng gud na mga ugat para sa kalintura ug ubang sakit2x”

Self-medication as unhealthy lifestyle and personal habits or practices as health threat.

Inabilty to recognize the presence of the problem due to:

a) Ignorance of facts

Inabilty to make decisions with respect to taking appropriate health actions due to:

a) Failure to comprehend the nature or magnitude of the problem

b) Low salience to the problem

The house is made of wood

Cooking facilities are improperly kept outside the house.

The cooking area is just inches away from the house

Presence of fire hazards Inabilty to make decisions with respect to taking appropriate health actions due to:

a) Failure to comprehend the nature or magnitude of the problem

b) Low salience to the problemNovember 13, The family has no Improper garbage disposal. Inability to make decisions with

21

2010 proper container for their garbage wastes. They just put it in plastic cellophane where flies and rodents are present.

Biodegradable and non-biodegradable garbage are not properly segregated.

respect to taking appropriate health action due to:

a)Failure to comprehend the magnitude of the condition.

b)Low salience of the condition.

Mr. Panadero smokes and drinks occasionally

Unhealthful lifestyle and personal habits/practices due to cigarette/tobacco smoking

Inability to recognize the presence of the problem due to ignorance of facts and attitudes.

Inability to make decisions with respect to taking appropriate health action due to:a) Failure to comprehend the magnitude of the condition.

b) Low salience of the condition.

November 13, 2010

Water overflows easily when it rains.

The sink of the kitchen area in the house is directly connected to the drainage system. All of the wastes are directly thrown in the drainage system.

Improper drainage system Inability to recognize the presence of the problem due to ignorance of facts and attitudes.

Inability to make decisions with respect to taking appropriate health action due to:

d) Failure to comprehend the magnitude of the condition.

e) Low salience of the condition.

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HEALTH DEFICIT

November 13, 2010

Mrs. Panadero has an undiagnosed hypertension. After taking her blood pressure during our home visit, her blood pressure was 140/100. She also verbalized “naa sa among lahi ang high blood. Pirminte naga taas akong dugo labi na kung kapuyon ko sa akong pagbaligya ug saging ug sud-an. Makasamot pa jud ang init ug kakapoy sa trabaho.”

Presence of health deficits:

a) Undiagnosed Hypertension

Inability to make decisions with respect to taking appropriate health action due to:

b) Failure to comprehend magnitude of the problem.

c) Low salience of health maintenance.

d) inaccessibility of appropriate resources of care, specifically:

a. Physical inaccessibility.b. Cost constraints.

DATE CUES FIRST LEVEL ASSESSMENT

(Health Problem)

SECOND LEVEL ASSESSMENT

(Family Nursing Problem)

HEALTH THREAT

November

13, 2010

The Panadero family is

living in a house where

there is an inadequate

space for household

members.

Inadequate living space for a

family of five members.

Inability to provide a home

environment conducive to health

maintenance and personal

development due to inadequate

family resources specifically

23

The house consists of a

multifunctional room

because the room

serves as their

bedroom, dining room,

living room and kitchen.

The room has a floor

area of 311cm x 250cm

x 300cm. They have a

separate room for their

comfort room which has

a floor area 80cm x

100cm x 300cm. The

cooking facility is

separated from the

house located few feet

away which has a floor

area of 83cm x 110cm x

300cm.

The family altogether

sleeps inside the main

room. The children

financial constraints.

24

sleep on the bed while

Mr. and Mrs. Panadero

sleep on the floor mat.

November

13, 2010

Presence of vectors

such as flies and

mosquitoes as well as

their breeding places

like used cans, bottles

and drums.

Exposed garbage in

plastic cellophane

mixed with

biodegradable and non-

biodegradable. Flies

and rodents are seen

around the garbage

plastic cellophane.

Noticeable dirty sink

and cooking area.

Pots and pans are not

washed properly and

are kept at their cooking

Poor environmental sanitation due

to:

d. Presence of breeding and

resting sites for flies and

mosquitoes.

e. Unsanitary food storage

f. Unsanitary cooking facilities

Inability to make decisions with

respect to taking appropriate

health action due to:

f) Failure to comprehend the

magnitude of the condition.

g) Low salience of the condition.

h) lack of knowledge on the

consequences of the

problem.

25

area which is an open

area.

Flies are evidently

noticed over the

cooking facilities and

foods.

Their water supply

which is put in a water

container is junked in

the kitchen area and

some are not covered

well.

Absence of a

refrigerator.

Food supplies need

to be bought daily.

Lack of food storage facilities Inadequate family resources,

specifically due to financial

resource and physical facilities, i.e

living space and water supply.

Mrs. Panadero

verbalized “maulaw

mi muadto sa

Barangay Health

Center para

makakuha ug libre na

Failure to utilized community

resources for health care

Failure to utilize community

resources for health care due to:

b) Failure to perceive benefits

of health care

26

tambal ug check-up”

November

13, 2010

“kung nay

magkasakit naga

palit ra mi ug tambal

sa botika.”

“ gapalit pud mi ug

kanang suroy suroy

lng gud na mga ugat

para sa kalintura ug

ubang sakit2x”

Self-medication as unhealthy

lifestyle and personal habits or

practices as health threat.

Inabilty to recognize the presence

of the problem due to:

b) Ignorance of facts

Inabilty to make decisions with


health actions due to:

c) Failure to comprehend

the nature or magnitude

of the problem

d) Low salience to the

problem

The house is made

of wood

Cooking facilities are

improperly kept

outside the house.

The cooking area is

just inches away

from the house

Presence of fire hazards Inabilty to make decisions with


health actions due to:

c) Failure to comprehend the

nature or magnitude of the

problem

d) Low salience to the problem

27

November

13, 2010

The family has no

proper container for

their garbage

wastes. They just

put it in plastic

cellophane where

flies and rodents

are present.

Biodegradable and

non-biodegradable

garbage are not

properly

segregated.

Improper garbage disposal. Inability to make decisions with



a)Failure to comprehend the


b)Low salience of the condition.

Mr. Panadero smokes

and drinks occasionally

Unhealthful lifestyle and personal

habits/practices due to

cigarette/tobacco smoking

Inability to recognize the presence

of the problem due to ignorance of

facts and attitudes.




a) Failure to comprehend the


28

b) Low salience of the condition.

November

13, 2010

Water overflows easily

when it rains.

The sink of the kitchen

area in the house is

directly connected to

the drainage system. All

of the wastes are

directly thrown in the

drainage system.

Improper drainage system Inability to recognize the presence

of the problem due to ignorance of

facts and attitudes.




i) Failure to comprehend the


j) Low salience of the condition.

HEALTH DEFICIT

November

13, 2010

Mrs. Panadero has an

undiagnosed

hypertension. After

taking her blood

pressure during our

home visit, her blood

pressure was 140/100.

She also verbalized

“naa sa among lahi ang

Presence of health deficits:

e) Undiagnosed

Hypertension




f) Failure to comprehend

magnitude of the problem.

g) Low salience of health

maintenance.

h) inaccessibility of

appropriate resources of

29

high blood. Pirminte

naga taas akong dugo

labi na kung kapuyon

ko sa akong pagbaligya

ug saging ug sud-an.

Makasamot pa jud ang

init ug kakapoy sa

trabaho.”

care, specifically:

c. Physical inaccessibility.

d. Cost constraints.

F A M I L Y C O P I N G I N D E X

30

DATE COPING AREA RATING JUSTIFICATION HEALTH EDUCATION DATE FINAL

SCORE

JUSTIFICATION

31

N

O

V

E

M

B

E

R

1

3

2

0

1

PHYSICAL

INDEPENDENCE

3 All the family members

have the ability to

perform activities of daily

living and are able to

move about

independently. However,

during visits, some

members of the family

are with dirty clothes on,

and unclean, long nails.

These signify that there

is only a partial provision

of basic care to the

members of the family.

Educate the family

the importance of

good personal

hygiene as

evidenced by

having trimmed

nails since

untrimmed nails

may harbor

microorganisms

and these may be

induced through the

mouth.

Advise members of

the family to wear

clean clothes to

avoid harboring

microorganisms

that could cause

them illness.

N

O

V

E

M

B

E

R

2

5

2

0

1

5 The family has

the capacity to

move and perform

physical activities

within their

physical limits

such as walking,

and personal

grooming. They

now receive the

necessary health

care as evidenced

by trimmed finger

and toe nails, and

wearing of clean

clothes.

THERAPEUTIC 3 The family visits the Encourage the 5 There was a

32

0 INDEPENDENCE health care

professionals and avails

the health care services,

such as for Bart’s colds.

They also carry out

some needed

medications. Aside from

that, the family is

practicing self-

medication as evidenced

by the usage of

unrecalled medicines

they received from the

Health Center. They use

herbal medicines like

“tawa-tawa” when a

member of the family

experiences fever but

they don’t know the

specific use and

preparations.

family to seek for

professional help

for illnesses which

you are not sure of

the cause and cure.

When taking

medications on

their own, it is

important that they

have general

knowledge on when

and how to take

them. Educate the

family on the right

time to take their

medicines and

symptoms that they

need to be aware of

so as to avoid

further

complications.

Explain to the family

0 significant

improvement on

the family’s

therapeutic

independence.

They verbalized

that Bart was

already scheduled

to visit the health

center and they

emphasized that

they will do this as

soon as possible.

The family was

able to include

that they now

became

conscious when it

comes to giving

self-medications.

They watch out

for some

33

that “tawa-tawa” is

not approved by the

Department of

Health as one of

the 10 Herbal

Medicines and it

needs further study.

unusuallities that

may occur after

they give the

medicines. They

are also aware of

the fact that most

medications

should be taken

with plenty of

water and with a

full stomach.

KNOWLEDGE

OF HEALTH

CONDITION

3 The family has some

general knowledge

about certain illness and

conditions. Marge had

her children immunized

at the health center.

However, they are not

aware of the underlying

Educate the family

with regards to

common diseases

such as cough and

colds.

Frequently visit to

health centers and

other medical

5 They now know

what to do if one

of them suffer

from colds or

cough. They were

also taught with

the ten approved

herbal medicines

34

principles and the care

of illness. For example,

hypertension which they

know that is very

common in their family

and they had not taken

preventive actions yet.

institutions.

Encourage them to

have Marge and

Bart’s health be

checked at the

health center to

know if they have

hypertension.

Teach them how to

use the ten

approved herbal

medicines by the

DOH.

and showed

comprehension

for they were

asked questions

regarding the

herbal medicines

and were able to

answer them. In

addition, they also

said that they are

going to take

necessary action

at right time if

they have already

observed

significant

symptoms of a

disease. They are

starting to avoid

foods that can

trigger

hypertension.

35

APPLICATION

OF PRINCIPLES

OF PERSONAL

AND GENERAL

HYGIENE

3 The family secured initial

immunization to the

children. Though all the

members have adequate

sleep, there is an

inadequate and

improper safe

homemaking habits in

relation to storing and

preparing foods. They

only store them in plastic

containers since there is

no refrigerator is

available. They have no

proper ventilation

because when they

cook, the smoke enters

their house. Also, the

Advise the family to

observe proper

hygiene to maintain

health such as

bathing everyday

and proper hand

washing before and

after eating, in

preparing and

handling meals and

after going to the

toilet.

Emphasize the

importance of

cleaning their

surroundings to

avoid pests and

rodents in their

5 The family is able

to follow the

health teachings

that were taught

to them. The

members are now

observant in their

personal hygiene.

They now always

take a bath at

least once a day

and wash their

hands when they

handle things that

may contaminate

them such as

when they use the

toilet, before and

36

house and its

surroundings are not

properly maintained and

cleaned.

environment.

Instruct them to

properly store the

food in sealed

plastic containers.

Encourage to

always wear

slippers to protect

their feet from the

microorganisms on

the ground.

after eating and

when handling

meals. They are

now conscious

with their

environment and

they show this by

always cleaning

the inside and

outside of their

house. They now

also have a

proper food cover

to protect their

left-over and

some containers

that are more

secured than

before if not, they

use the

refrigerator of

their neighbor to

37

store food. They

are also observed

in wearing their

slippers.

HEALTH

ATTITUDES

3 The family accepts

health care in some

degree. However, they

have some reservations.

They accept the need for

medical care and the

services offered, yet

they do not have follow-

up check-up afterwards.

Encourage the

family to give

importance to

follow-up check-up.

Explain the

importance of

follow-up check-up

for the proper

treatment of the

illness.

Inform that signs

and symptoms

should be observed

and reported so

that complications

could be avoided.

Advise the family to

visit the health

5 Significant

changes occurred

after the family

received the

health teachings.

They are now

aware of the

possible

consequences

that they may

face if they do not

submit

themselves for

follow-up check-

up. They also

verbalized that

their confidence

towards

38

center to lessen

their anxiety and to

gain information

when illness

occurs.

In order to assist

with the financial

conditions of the

family, inform them

of the benefits that

they can get from

their health center.

healthcare

professionals has

now increased.

EMOTIONAL

COMPETENCE

5 All the members of the

family are able to

maintain a degree of

calmness. They consider

the needs of other

members of the family

as well as the

community. However,

the couple seems to

Advise the family

that emotional

stability will aid

them to decide on

matters with

confidence.

5 The family as a

whole has grown

to become more

emotionally

competent. They

verbalized that

arguments within

them have now

become less

39

argue over their financial

problems.

serious and less

frequent.

FAMILY LIVING

PATTERNS

3 The family does things

together and shared

their tasks at home.

However, there are also

conflicts due to financial

problems as verbalized

by the mother. Also,

most of the family

members are unable to

finish high school and

they have low academic

competence.

Guide the family to

budget their income

for future purposes

such as illnesses

that may come in

unexpected times,

education and food

supply.

Be aware of the

activities in every

member of the

family.

If it would be

possible, do self-

education by

reading books with

their children.

5 The family was

able to share their

tasks at home.

There was also a

decreasing

frequency and

seriousness of the

arguments that

occur within them.

They now talk

things out in order

to come out with

sound decisions

for the whole

family.

40

PHYSICAL

ENVIRONMENT

1 The house is in poor

condition. The floors are

not cemented and

unsafe for the children,

windows are

unscreened, cooking

facilities and toilet is not

in good condition. They

have no proper

ventilation for cooking.

Rodents and other

insects are also present

which serves as hazards

to the members of the

family. Aside from that

the living space is too

small for the family of 5

members. Furthermore,

there are a lot of

accident hazards inside

and outside the family

such as the stairs that

Cleanliness should

be observed to

shun insects and

rodents.

Compost pit is also

advisable for waste

disposal. Instruct

them to do waste

segregation.

The house should

be repaired well for

the safety of the

family. If is

impossible to

cement the entire

house, advise them

to screen some

areas for the

protection of the

family members.

Maintain the

cleanliness of their

3 The neighborhood

is congested and

the air in their

environment is

not polluted. The

cleanliness of the

house has

improved

significantly yet

there were still

some accident

hazards present.

41

may cause untoward

accidents, and unsafe

for children. They also

have a poor backyard as

evidenced by the

garbage scattered there;

a few meters away,

scattered dry leaves,

muddy area, pieces of

rotten wood and

untrimmed grasses.

surroundings.

Regularly check

and clean the toilet

and cooking

facilities.

Have a proper

ventilation for

cooking so as not

to suffocate the

members of the

family.

USE OF

COMMUNITY

FACILITIES

3 They are aware of the

services offered in their

community and use

some of these such as

immunizations for the

children. However, at

certain times, they are

unable to avail the

services offered since

they are busy because

of work. They don’t

It would be

beneficial to

participate in

community activities,

such as GKK

gatherings, fiesta,

and other programs

offered by the

Baranggay officials.

Provide referrals for

the family about the

3 They are still not

active in the

community

gatherings. When

there was a

health class about

nutrition

conducted at the

school gym, the

mother was

present in order to

42

attend seminars

conducted by the

Baranggay.

services offered by

the health care

center.

Encourage the

family to continue

utilizing the available

facilities and

resources in the

community.

learn from the

seminar but after

the next health

class she was not

present.

43

P R I O R I T I Z A T I O N

O F P R O B L E M S

INADEQUATE LIVING SPACE

CRITERIA COMPUTATION ACTUAL

SCORE

JUSTIFICATION

NATURE OF THE

PROBLEM

2/3 X 1 0.66 There is a possibility of

acquiring communicable

diseases when a family

member is sick. As the

children grow older, the

more the congested they

are.

MODIFIABILITY

OF THE PROBLEM

1/2 X 2 1 It is partially modifiable

because the family doesn’t

have enough income to

expand their home.

However, the furniture can

be arrange to allow more

space.

PREVENTIVE

POTENTIAL

3/3 X 1 1 Increasing the living space

provides privacy and

reduces possibility of

accidents and transfer of

communicable diseases.

SALIENCE OF THE

PROBLEM

1/2 X 1 0.5 The family sees it as a

problem. However, it does

not see the problem as

44

needing immediate action.

TOTAL SCORE: 3.16

LACK OF FOOD STORAGE FACILITIES

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

NATURE OF THE

PROBLEM

2/3 X 1 0.66 The problem is a

health threat that

requires action in

order to avoid

possible health

problems from lack

of food storage.

MODIFIABILITY

OF THE PROBLEM

1/2 X 2 1 The problem is

partially modifiable

since the family

could make use of

various improvised

ways of temporary

food storage. The

best possible

solution to this

problem would be to

increase their

finances in order to

purchase more

efficient storage

devices.

PREVENTIVE

POTENTIAL

3/3 X 1 1 Acquiring proper

food storage

facilities will help

45

prevent the family

from acquiring

communicable

diseases, prevent

food poisoning and

spoilage as well as

save family

resources.

SALIENCE OF THE

PROBLEM

2/2 X 1 1 The family seems to

recognize the some

disadvantages of

not being able to

preserve their food.

TOTAL SCORE: 3.66

FAILURE TO UTILIZED COMMUNITY RESOURCES FOR HEALTH


NATURE OF THE

PROBLEM

2/3 X 1 0.66 It is a health threat

because this

condition is a

hindrance to the

realization of one’s

health potential. It

also obstructs the

members of the

family from

achieving their

optimal health

potential.

MODIFIABILITY 2/2 X 2 2 It is modifiable

46

OF THE PROBLEM because the family

can avail freely to

the resources that

barangay health

center gave to

them.

PREVENTIVE

POTENTIAL

3/3 X 1 1 Utilizing community

resources for health

care can help

lessen the cost of

the medicines or

treatments. This will

also make the

family be more

aware of their health

status.

SALIENCE OF THE

PROBLEM

0/2 X 1 0 The family doesn’t

see this as a

problem.

TOTAL SCORE: 3.66

SELF-MEDICATION AS UNHEALTHY LIFESTYLE AND PERSONAL

HABITS/PRACTICES


NATURE OF THE

PROBLEM


because when the

family doesn’t know

principles of right

medication (dosage,

route, frequency),

47

instead of

recovering from the

disease/illness this

could worsen this

condition.

MODIFIABILITY

OF THE PROBLEM

2/2 X 2 2 It is modifiable

because the check-

ups in the

clinic/health center

are free for them

and they can avail it

anytime they want.

PREVENTIVE

POTENTIAL

2/3 X 1 0.66 The family needs to

be informed about

the right

medications or

treatments on

certain health

problems, by this

way they would

know the proper

medication must be

given.

SALIENCE OF THE

PROBLEM


view it as a

problem.

TOTAL SCORE: 3.32

48

PRESENCE OF FIRE HAZARDS


NATURE OF THE

PROBLEM


because this has

the potential to

cause future

accidents,

particularly fire-

related incidents, if

not immediately

resolved.

MODIFIABILITY

OF THE PROBLEM

1/2 X 2 2 The problem is

partially modifiable

because even

though there are

immediate

interventions that

can be done the

family do not have

the income to

modify this problem

and they have a

hard time thinking of

an alternative

interventions.

PREVENTIVE

POTENTIAL

3/3 X 1 1 The preventative

potential is high if

safety measures

and precautions are

promoted in the

family. Elimination

49

of fire hazards will

also reduce the risk

of injury and

subsequent family

stressors due to

fire-related

accidents.

SALIENCE OF THE

PROBLEM


view this condition

as a problem.

TOTAL SCORE: 2.66

IMPROPER GARBAGE DISPOSAL


NATURE OF THE

PROBLEM


because the

manner in which

they dispose of their

waste can be

detrimental to their

health which is

conducive to

disease.

MODIFIABILITY

OF THE PROBLEM

1/2 X 2 0.50 It is partially

modifiable because

they do not know

the proper disposal

of garbage.

PREVENTIVE

POTENTIAL

3/3 X 1 1 The preventative

potential of the

50

problem is high,

since the

implementation of

proper waste

disposal will prevent

the formation of

possible reservoirs

of disease.

SALIENCE OF THE

PROBLEM

0/2 X 1 0 The family does not

perceive the waste

disposal as a

problem and are

content with their

method since it

saves time and

energy.

TOTAL SCORE: 2.16

UNHEALTHFUL LIFESTYLE AND PERSONAL HABITS/PRACTICES


NATURE OF THE

PROBLEM


since unhealthy

lifestyle can greatly

affect the health of

the family.

MODIFIABILITY

OF THE PROBLEM

1/2 X 2 1 It is partially

modifiable because

the family has to

change their lifestyle

51

to prevent acquiring

illnesses/diseases.

PREVENTIVE

POTENTIAL

2/3 X 1 0.66 The preventive

potential is moderate

because the family

needs to understand

the bad effects of

unhealthy lifestyle.

They have to start

changing their

lifestyle within

themselves.

SALIENCE OF THE

PROBLEM

1/2 X 1 0.5 The family sees it as

a problem but doesn’t

need immediate

action.

TOTAL SCORE: 2.82

IMPROPER DRAINAGE SYSTEM


NATURE OF THE

PROBLEM


since it can cause

diseases to the

members of the

household and It

can also be

potential breeding

place for insects

and rodents

52

MODIFIABILITY

OF THE PROBLEM

1/2 X 2 1 The lack of funds and

facilities as well as

man power makes

this only partially

modifiable.

PREVENTIVE

POTENTIAL

2/3 X 1 0.66 The preventative

potential of the

problem is

moderate, since the

establishment of a

proper drainage

system will prevent

the formation of

possible reservoirs

of disease.

SALIENCE OF THE

PROBLEM

0/2 X 1 0 The family does not

perceive drainage

as a problem.

TOTAL SCORE: 2.66

UNDIAGNOSED HYPERTENSION


NATURE OF THE

PROBLEM

3/3 X 1 1 It is a health deficit

because if the

illness will not be

treated, it could get

worse.

MODIFIABILITY

OF THE PROBLEM

1/2 X 2 1 Problem is partially

modifiable because

53

it is dependent on

Mrs. Marj

compliance to the

health teachings

given to him to

alleviate discomforts

felt such as

headaches and

giving priority and

importance to such

health problem.

PREVENTIVE

POTENTIAL

3/3 X 1 1 The possibility of

complications of

hypertension can be

prevented if health

actions are done.

SALIENCE OF THE

PROBLEM

1/2 X 1 0.5 The family sees it

as a health problem

but is not

considered as the

priority among the

family’s problems.

TOTAL SCORE: 3.5

Presence of resting sites of vectors of diseases such as insects and rodents


NATURE OF THE 2/3 X 1 0.66 The problem is

54

PROBLEM classified as a health

threat because this

condition is conducive

to disease.

MODIFIABILITY

OF THE PROBLEM

2/2 X 2 2 It is easily modified

since it only needs

effort, knowledge,

and cooperation of

the family.

PREVENTIVE

POTENTIAL

3/3 X 1 1 If proper sanitation

of environment is

practiced, diseases

and infection can be

prevented.

SALIENCE OF THE

PROBLEM

1/2 X 1 0.5 The family is aware of

the existing potential of

a health threat but they

are taking this as

problems that need not

much attention and

immediate action.

TOTAL SCORE: 4.16

THE PRIORITIZED NEEDS

PRESENCE OF RESTING SITES OF VECTORS OF

55

DISEASES SUCH AS INSECTS AND RODENTS 4.16

LACK OF FOOD STORAGE FACILITIES 3.66

FAILURE TO UTILIZED COMMUNITY RESOURCES FOR HEALTH 3.66

SELF-MEDICATION AS UNHEALTHY LIFESTYLE AND

PERSONAL HABITS/PRACTICES 3.32

INADEQUATE LIVING SPACE 3.16

UNDIAGNOSED HYPERTENSION 3.5

UNHEALTHFUL LIFESTYLE AND PERSONAL HABITS/PRACTICES 2.82

PRESENCE OF FIRE HAZARDS 2.66

IMPROPER DRAINAGE SYSTEM 2.66

IMPROPER GARBAGE DISPOSAL 2.16

56

F A M I L Y N U R S I N G C A R E

P L A N S

PRESENCE OF RESTING SITES OF VECTORS OF DISEASES SUCH AS INSECTS AND RODENTS

Cues Health Problem

Family Nursing Problems

Goal of Care

Objectives of Care

Nursing Intervention

Method of Nurse Family Contact

Resources Required

Evaluation

Subjective

“”daghangyuddinhisaamoa, sigurosa cacao ningakahoy”

Objective

Presence of resting sites of vectors of diseases such as insects and rodents

Inability to perform appropriate health actions due to:

A. Lack of knowledge in identifying possible unwanted outcomes.B. They do not have control

After nursing interventions, the family will be able to recognize and perform appropriate measures in order to

After nursing intervention, the family will:A. Understand the effects of the presence of breeding sites in the area.

1. Inform the family members the possible consequences of neglecting the problem of rodents and insects inside their homeR: In order to inform the family about the problem and broaden

HOME

VISIT

Material Resources

They need the following material s in order to get rid or lessen

Goal achievement on process

The family was able to learn the importance of preventing the formation of breeding sites of vectors however; they are still

57

Presence of mosquitoes inside and outside the household.

Uncovered containers partially filled with water seen near the toilet facility.

Presence of flowe

over the situation.

Inability to provide a healthy environment due to financial crisis.

minimize or prevent the formation of breeding sites of vectors.

B. will be able to spot the places in their house where insects and pests reside.C. Implement agreed upon measures to reduce the breeding sites of vectors in their environment.

their knowledge about it.2. Discuss to the family ways on how to promote proper extermination of pests.R: For the family to avoid from getting diseases.3. Explain to them the importance of having a clean and pest free living environment.R: To provide them a healthy environment and to maintain their area clean.4. Teach the family how to get rid of the insects and rodents in their house.

pests inside their house:

Mouse traps, mosquito nets, “katol” or bug spray.

Human Resources

Time and effort of the nurse and cooperation of the family.

Financial Resources

Money for the

on the process of fully implementing such preventive measures in their environment.

58

r pots that collect rain water.

R: Rodents and insects are carriers of certain diseases.5. Assess the house for any openings where rodents or insects may enter.R: To be able to know where the portal of entry of rodents and insects for repair. 6. Explore for home remedies for pest control.R: To be able to help the family find cheaper materials if they have financial constraints.7. Search the house for likely breeding

transportation of the nurse and the money for the family to buy materials to exterminate pests.

59

sites like dark corners or stagnant water etc.R: To be able to find the source of the pests to eliminate them completely.8. Encourage them to maintain proper environmental sanitation.R: proper sanitation measures serve as a safeguard to various illnesses.

60

LACK OF FOOD STORAGE FACILITIES

Cues Health problem

Family nursing problem

Goal of care

Objectives of Care

Nursing Intervention

Method of Nurse Family Contact

Resources Required

Evaluation

SUBJECTIVE:

Mother verbalized, “SA lamesalangginabutangangsubranapagkaon, wala man gud me ref.”

OBJECTIE:

NO food storage facilities such as plastic

Lack of food storage facilities manifested by uncovered food left on the table.

Inability to recognize the presence of a problem due to economical constrains.

After 12 days of community exposure, the family will be able to provide storage facilities for their food.

After 12 days of community exposure, the family will be able to:

Find alternative food storage facilities by improvising and recycling used cans, plastic containers; asking from someone

1, discuss with the family the importance of maintaining a conducive environment for health maintenance such as having storage facilities.R: Proper food storage facilities contribute in ensuring the safety of the food consumed by the family,

Home visit

Human resources:-time and effort of both the nurse and family-people who could give unused tin cans, containers, etc.-cooperation of the members of the

GOAL ACHIEVEMENT IN PROCESS.

Although the family was able to recognize potential health conditions that might occur if food will be contaminated due to improper storage, however they haven’t

61

containers, refrigerator, ect. Noted

who might give; or buy a new but cheap one.

Recognize potential health condition that might occur if food will be contaminated due to improper storage.

thus contributing directly to their health. 2, Cite the possible diseases that members of the family will acquire such as diarrhea, parasitism, ect. And the possible food poisoning If foods will be contaminated or spoiled due to improper storage.®harmful pathogens that could cause a variety of infections such as diarrhea, etc. are likely to be found in contaminated foods. This

barangay health team, particularly the barangay health workers.

Material sources:-food, storage facilities, bought or recycled.

Financial resources:-money for the nurse transportation-money if food storage facilities are going to be bought.

found alternative food storage facilities yet.

62

could also cause poisoning.3. Identify the family’s reason for the lack of food storage facilities.®identifying the motives behind the identified problem aids in coming up with appropriate solutions.4. recognize how the family perceives the problem.®knowing if the family’s concern with the identified problem could enhance the family’s participation in solving the

63

problem.5. identify measures that have been implemented to alleviate the problem or see if there is any.®for the student nurse to have an idea with what measure still needs to be implemented and what measure implemented by the family needs to be continued.6. explore with the family the courses of action available for them to solve the problem specifically:

64

a. using recycled tin cans, plastic containers, used plastic jars as food storage facilities.®to provide materials that are free without the need of spending money.b.looking for people whom they could possibly ask the above mentioned items.®identifying possible people who could help in obtaining the necessary materials will be of help to save time.

65

FAILURE TO UTILIZED COMMUNITY RESOURCES FOR HEALTH

cues Health problem

Family Nursing Problem

Goal of care

Objective of care

Nursing Interventions

Method of Nursing- Family Contact

Resources required

evaluation

subjective:

‘maulaw mi adto sa health center kay bag’o ra man gud mi nag renta ug balay diri.”

Failure to utilized community resources for health care

A. Failure to perceive benefits of health care due

B. Inadequate knowledge about the available community resources of health care.

After 8 hours of Nursing Interventions, the family will be able to verbalized understanding about the benefits they can get in the community health center.

After 8 hours of nursing interventions, the family will be able:

A. To verbalized understanding about the available community resources for health.

a.Educate the family about the beneficiaries of the available community health resources.

Rationale:To give further information about the benefits of available community health resources.

B. Introduce

H

O

M

E

V

I

S

I

T

Human resources:

Time and effort of both the nurse and the family

Knowledge of the Nurse he/she could impart

Financial resources: expenses

Goal met.

The family is now aware that they can avail the government programs offered in their community.

66

B. Learn further informations about available health services .

to the family the government programs offered in the community.

Rationale: To let the family sort the available health services regarding to their needs.

C. Inform the family that they can avail the services offered in the community.

Rationale: it will help them gain confidence to seek help and avail the health facilities in their community.

on trasportation

67

SELF-MEDICATION AS UNHEALTHY LIFESTYLE AND PERSONAL HABITS/PRACTICES

Cues Health Problem

Family Nursing Problem

Goal of care

Objective of care

Nursing intervention

Method of Nurse-Family Contact

Resources required

Evaluation

Subjective:

“ kung nay magkasakit naga palit ra mi ug tambal sa botika.”

“ gapalit pud mi ug kanang suroy suroy lng gud na mga ugat para sa kalintura

Self-medication as unhealthy lifestyle and personal habits or practices as health threat.

Inabilty to recognize the presence of the problem due to:

A. Ignorance of facts

Inabilty to make decisions with respect to taking appropriate health actions due to:

B. Failure to comprehend the nature or magnitud

After 1 week Nursing Interventions, the family will be aware of the possible effects and complications of self-medicating,

After 1 week of nursing interventions, the family will be able:

A. To recognize the importance of consulting with health care providers.

B. The family should

A. Inform the client about 10 herbal medicines approved by DOH.

Rationale:

Give them alternative medication that is assured and approved by DOH.

B. Inform the client

H

O

M

E

V

I

S

I

T

Human resources:


Knowledge of the Nurse he/she could impart

Financial resources: expenses

Goal Met.

The family recognized the importance of consulting health care providers as they verbalized “ mas nakablo nami karon na importante man gyud mag pa consulta o mag pa

68

ug ubang sakit2x”

e of the problem

C. Low salience to the problem

not easily comply to any medication without prescription of a health care provider.

the importance of having a consult action with a health care provider before using any medication.

Rationale: this will help the family be aware of what underlying condition

on trasportation

check up.”

They also verbalized understanding about using the 10 herbal medicines approved by DOH

“ dili man diay tanan herbal medicines ky pwede lng gamiton.”

69

INADEQUATE LIVING SPACE

CUES HEALTH PROBLEM

FAMILY NURSING PROBLEM

GOAL OF CARE

OBJECTIVE OF CARE

NURSING INTERVENTION

METHODS

RESOURCES

EVALUATION

Family Verbalized:“Pasensyahan niyo na among balay kay guot kayo”

Objective:- The Panadero family is living in a house where there is an inadequate space for household members.

- The

Inadequate living space for a family of 5 members.

Inability to provide a home conducive to health maintenance due to inadequate family resources, specifically limited financial resources.

Within one meeting of community exposure family will be able to maximize the living space without renovating the house.

After nursing intervention the family will be able to:a. obtain knowledge on what areas to maximizeb. understand the importance of maximizing the living space.c. know the things that are important inside the house

1. Establish rapport.R: To gain trust and cooperation of the family.2. Teach the family on the importance of having adequate space.R: Having adequate space enables the family to move freely in their house.3. Encourage the family to arrange their things properly to

HOME

VISIT

Human resources:


GOAL MET

After providing the appropriate nursing interventions the family was able to:a. obtained knowledge on what areas to maximizeb. understand the importance of maximizing the living space

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house consists of a multifunctional room because the room serves as their bedroom, dining room, living room and kitchen. The room has a floor area of 311 cm x 250 cm x 300 cm. They have a separate room for their comfort room which has a floor area 80 cm x 100cm x 300 cm. The

maximize their living space.R: Arranging things properly will maximize their living space.4. Encourage to maintain the family size since they have inadequate space for living.R: Since the house is too small if they will add another member in their family the chances is they will be more crowded inside their house. 5. Instruct the family to dispose

Knowledge of the nurse he/she could impart

Financial resources:

Expenses on transportation

c. know the things that are important inside the house

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cooking facility is separated from the house located few feet away which has a floor area of 83cm x 110cm x 300cm.

-The family altogether sleeps inside the main room. The children sleep on the bed while Mr. and Mrs. Panadero sleep on the floor mat.

unnecessary things in their house.R: Disposing unnecessary things will help them to maximize their house.6. Instruct the family not to buy things that are unnecessary.R: If they will add more things in their house the chance is they will be fuller.7. Instruct the family to clean always the house.R: Cleaning the house will prevent them from getting disease.

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C O N C L U S I O N

The family Panadero cannot provide adequate resources for their needs because

of their low income. They couldn’t even afford to buy a refrigerator to keep their food

fresh. The family member, especially the children are susceptible to the disease that the

rats, mosquitoes, and cockroaches may harbor because of the scattered garbage

outside their house. Fire hazards in their home shows because cooking facilities are

improperly kept outside the house and their house is made up of wood.

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R E C O M M E N D A T I O N

The goal of Community Health Nursing is to aid the individual, family and

community in acquiring their optimum level of holistic health. Promotion and

preservation of health lifestyle and disease prevention through proper health teachings,

appropriate application of health actions, community activities are some of the ways to

build a stepping stone for the certain aims of Community Health Nursing. To fulfill the

certain objectives the cooperation and collaboration of not only the assigned family,

community but also with the barangay health officials and workers of Barangay Subasta

are needed. The members of the group would like to recommend:

To the Clinical Instructors

Despite the responsibilities given and the different pressures around, the clinical

instructors still managed to overcome certain situations in the community with

confidence and respect. They were willingly able to impart their vast knowledge and

experiences regarding Community Health Nursing. They offered their uttermost

guidance, patience, support and understanding that paved a way for the students to

learn and apply those teachings given. Thus, the members of the group recommend the

clinical instructors to continue their helpful acts that made them role models to different

student nurses.

To the Barangay Health Officials and Workers

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To be able to help and provide proper health care and services, the workers of

the Barangay Health centers should continue to portray being role models to the

residents of the community. They should also be more open and accommodating in

order to be effective health teachers. Lastly they should be updated with the latest

studies and researches for prevention and the betterment of the quality of health

services.

To the Panadero Family

In order to acquire more knowledge regarding health, the family should engage in

certain different programs that can serve as a basis in handling health matters at home.

In certain situations which require appropriate health actions, decision-making is very

crucial and the health of all the family members are at risk, the integration of promotion

and maintenance of health are essential. If the family encounters a certain illness, they

should go to the Barangay Health Center for proper consulation and diagnosis. The

family should also be open to the suggestions and introduction of health teachings for

them to practice regularly at home to manage good health conditions. Moreover, as

concern and responsible residents of the community, the family should share and impart

their newly acquired knowledge to their neighbors, friends and to the rest of the people

in the community.

To the Student Nurses

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Exposures in the community strengthened the meaning of being a Student

Nurse. It unlocks certain opportunities for the Student Nurses to handle real situations in

the community and allow them to deal and interact with different types of families, and

also apply Nursing knowledge and skill. In order to properly provide health actions, the

student nurse should be patient and willingly able to assist in certain situations when

required.

To the Members of the Group

During the community exposure, responsibilities, hardships and obstacles are

encountered but with patience and hard work everything may come to pass, along with

the moral lessons. Hence , we encourage the members of the group to be dedicated in

their work, working together as one and be open to suggestions from others. Unity acts

as key to success, we should properly utilize this trait to achieve our objectives.

family case study

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Transcript of family case study