1 ACKNOWLEDGEMENT 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,
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Transcript
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
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;
7
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
10
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
11
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
13
-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
14
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
15
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.”
16
G E N O G R A MMATERNAL
LOLA AMPARODECEASEDHYPERTENSION
LOLO MINOYDECEASED
MAMA ELIZABETHHYPERTENSION
ANNABELLE JEANETTEALVINDECEASEDHYPERTENSION
PAPA ROGELIOHYPERTENSION
LOUIE MargeHYPERTENSION
LEAHROJELISA
JONREYARLIE
Maggie Bart
17
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
18
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.
20
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.
22
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
respect to taking appropriate
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
respect to taking appropriate
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
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.
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.
Inability to make decisions with
respect to taking appropriate
health action due to:
i) Failure to comprehend the
magnitude of the condition.
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
Inability to make decisions with
respect to taking appropriate
health action due to:
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
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
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
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
NATURE OF THE
PROBLEM
2/3 X 1 0.66 It is a health threat
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
0/2 X 1 0 The family doesn’t
view it as a
problem.
TOTAL SCORE: 3.32
48
PRESENCE OF FIRE HAZARDS
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
NATURE OF THE
PROBLEM
2/3 X 1 0.66 It is a health threat
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
0/2 X 1 0 The family doesn’t
view this condition
as a problem.
TOTAL SCORE: 2.66
IMPROPER GARBAGE DISPOSAL
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
NATURE OF THE
PROBLEM
2/3 X 1 0.66 It is a health threat
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
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
NATURE OF THE
PROBLEM
2/3 X 1 0.66 It is a health threat
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
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
NATURE OF THE
PROBLEM
2/3 X 1 0.66 It is a health threat
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
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
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
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
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
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:
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 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
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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.”
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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:
Time and effort of both the nurse and the family
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.