INITIAL DATABASE A.

Family Structure, Characteristics, and Dynamics Member of Relationship the household to the head of the family Jomer Father/ Calderon husband Ma, kita Ladta wife Calderon Lea Calderon Son of Jomer Calderon Josephine daughter Calderon Member of Place of the household residence of each member of the family Jomer Living with Calderon parents Ma, kita Ladta Living with Calderon parents Lea Calderon Living with parents Josephine Living with Calderon parents age 19 18 62 35 sex Male Female Female Female Civil status Common law Common law Married Common law Position in the family Father/husband Mother/wife Head of the familymother /daughter/sister

Type of family structure

Dominant family members in terms of decision making

Patriarchal/ nuclear Patriarchal/ None nuclear Patriarchal/ nuclear Patriarchal/ None nuclear

General family relationship or dynamics Cool/Hard working Hard working Hard working Hard working

B. Socio-economic and Cultural Characteristics Member of Income and expenses the Income of household occupation Place of work each working member Jomer Calderon Ma, kita Ladta Calderon Lea Calderon Josephine Calderon Side line worker House wife Laundry maid House wife San roque None San roque None P3, 000.00/mo None

Adequacy to meet basic necessities Adequate None

Who makes decisions about money

P3,000.00/mo Adequate None None

C. Home and Environment The Calderon Familys House is made of concrete and has one bedrooms, and a kitchen which is not enough or adequate for their living space. Every member of the family sleep in one bedroom. Mr. and Mrs. Calderon share bedrooms with their siblings which is not enough for them to have a rest and sleep and other family member sleep in the living room at night. The Laundry area outside the house, kitchen sink cabinet and the garbage cans are the resting sites of vectors of disease such as flies, mosquitoes and roaches present in Calderon familys house. Their foods are stored in the table with a basket and a cover. The Calderons water supply comes from NAWASA. The water coming from the NAWASA is used for washing, cleaning, and bathing and for drinking purposes. The Calderon family doesn`t have a bathroom and toilet but their only using is the public bathroom for all who lives in their place. Their garbage is taken out everyday and collected by garbage trucks everyday. They have one garbage cans outside the house. D. Health Status of Each Member Member of the Medical and household nursing history Jomer Calderon Ma, kita Ladta Calderon Lea Calderon Josephine Calderon None None None None Nutritional assessment Dietary history 3x a day 3x a day 3x a day 3x a day Risk factor assessment

Eating habits and practices Meat, fruits Cigarette and and stress vegetables Sea foods stress Meat, fish, fruits and vegetables meat, fruits, less vegetables and fish Stress Stress/ obesity

E. Value, Habits, Practices on Health Promotion, Maintenance and Disease Prevention Member of the Immunization Healthy lifestyle Practices household status of family members Jomer Calderon Ma, kita Ladta Calderon Lea Calderon Josephine Calderon Adequacy of : Member of the household Jomer Calderon Ma, kita Ladta Calderon Lea Calderon Josephine Calderon Rest/ sleep Exercises Use of protective / measures activities 1 hour Use umbrella when raining, and handkerchiefs Uses jacket Uses slippers in and out the house and umbrella Use umbrella when raining, and handkerchiefs Uses jacket Use umbrella when raining, and handkerchiefs Relaxation and other stress management activities Sleep Incomplete Incomplete Incomplete complete Work None Walk and Work None

7hour s 8 hours 6-8 hours 7hour s

5-10 minutes 1 hour

Rest and watch TV Rest or eat

5-10 minutes

Rest and watch TV.

Assessment prior to introduction

The area is congested, there are families in a compound who is expose to several health hazards like poor environmental sanitation, open drainage system and inadequate living space. The Calderon family is one of those families living in the area. Mrs. Kita is busy taking good care of her child who is about to sleep at the time when I arrived for the initial interview. Objectives

A. Short-term Objectives To be able to achieve integration within the family and to promote health education and active participation in terms of general and distinct health necessities B. Long term Objectives To be able to study the conditions of the community with focus on the health aspects Date, Place, Time and Duration of Nurse-Patient Interaction

The interview took placein front of Mrs. kitas house at exactly 10:10 a.m. It lasted for about 15 minutes and I was very glad that Mrs. kita was very accommodating. I did not hesitate to ask relevant questions because she showed a lot of interest in the conversation. Brief description of the setting

I was able to visit Mrs. kitas place twice and somehow I noticed that their house has no enough lighting and ventilation. I wonder how they manage to stay there for two years without water supply and no private toilet facility. Their house is considered to be a make shift type of house and has inadequate living space. The wooden bed found near the main door serves as the living room area leaving a small space for kitchen Evaluation

Based on my interview, the family needs more orientation and information regarding health issues. They should value or prioritize their health above all. The importance of prenatal check up and malnutrition should be given emphasis to ensure the development of the baby. Inadequate living space and poor environmental sanitation seems to be a threat to the familys health. Overall, the

health requirements of the family are not being met due to poverty and lack of awareness. Future Plan or Objectives for the next interaction

Promotion of health, prevention of diseases together with simple treatment and rehabilitation would be my next objective to help the family alleviate their health status and conditions

FAMILY NURSING CARE PLAN Problem Identified: Inadequate Immunization Status of the Child Family Nursing Diagnosis: Inability to recognize the presence of health threat due to lack of knowledge about the condition Goal of Care: Within 4 hours of nursing interventions, the family will be able to determine the importance of having complete immunization. Objectives: After two home visits, the family will be able to: 1. determine the importance o complete immunization of children; 2. enumerate the possible illnesses that can occur due to incomplete vaccination; 3. follow-up the vaccine of the children; 4. give specific attention to the schedules of the childrens immunization; 5. understand the advantages of having completion of the immunization.

INTERVENTIONS

RATIONALE

1. Assess the familys degree of perception with concerns to the immunization of the children 2. Discuss with the family the significance of completing the immunization schedules of the children 3. Encourage the family to actively visit the health center during scheduled immunizations for their 4 months child 4. Include health teachings to

To determine the level of understanding of the family To provide information and awareness about the advantages of vaccination

In order to be reminded and follow the scheduled dates and to prevent lapse from the schedule

protect the health of the family members such as: Advice them to let the children eat fruits and vegetables rich in essential nutrients Increase intake of foods rich in vitamin C such as oranges Always practice proper hygiene 5. Encourage the family to communicate and coordinate with the health care officials/team in the barangay health center To strengthen the immune system

To provide continuation of quality care to the children

Resources Required: Home Visits Assessment Discussion

Evaluation: Goal met. After 4 hours of nursing interventions, the family was able to know the importance of complete immunization.

FAMILY NURSING CARE PLAN Problem Identified: Improper Garbage Disposal Family Nursing Diagnosis: Inability to decide about taking appropriate actions due to failure to comprehend the nature and scope of the problem. Goal of Care: Within 4 hours of nursing interventions, the family will be able to determine the importance of practicing proper methods on waste disposal. Objectives: After two home visits, the family will be able to: 1. identify the different ways on proper disposal of garbage such as: a. use of compost pit with cover; b. segregate the non-biodegradable and biodegradable materials; c. recycling of can-be-used garbage; d. reusing or selling of some garbage like cans, bottles and plastics. 2. enumerate the proper techniques on keeping the surroundings clean and through using proper method of waste disposal; 3. define the meaning of proper garbage disposal and its advantages; 4. recognize the possible effects of garbage burning; 5. verbalize understanding about the importance of practicing proper waste disposal

INTERVENTIONS

RATIONALE

1. Assess the familys level of

In order to determine the cognitive level

understanding regarding the identified problem 2. Assess the surrounding and the house of the family 3. Provide the family information about the proper ways on waste disposal such as segregation of biodegradable from nonbiodegradable wastes and demonstrate the methods 4. Explore with the family the advantages and disadvantages disposal 5. Emphasize the importance of practicing proper garbage disposal with the family

of the family and acknowledge their perceptions about the problem Facilitate on making the appropriate actions needed by the family For the family to learn the proper ways of waste management and for visualization of the materialization of methods

To provide options with the family on disposal

of the different methods of waste selecting proper methods of waste

So that the family will grasp the significance and demonstrate interest in initiating lifestyle modification

Resources Required: Home Visits Assessment Discussion Time and Effort of the student nurses with the family members

Evaluation: Goal met. After 2 home visits conducted with nursing interventions, the family was able to understand the importance o practicing the proper method of waste disposal.

FAMILY NURSING CARE PLAN Problem Identified: Improper Hygiene Family Nursing Diagnosis: Inability to provide home environment conducive to health and maintenance due to improper hygiene techniques Goal of Care: Within 4 hours of nursing interventions, the family will be able to identify hygienic measures such as proper handwashing and its significance Objectives: Within 4 hours of nursing interventions, the family will be able to: 1. include proper handwashing technique before and after eating; 2. enumerate the health problems that will possibly cause spread of infection; 3. identify ways on how to maintain hygiene; 4. gain understanding about the importance of proper hygiene in the activities of daily living; 5. demonstrate interest with regards to the presented health teaching

INTERVENTIONS

RATIONALE

1. Assess the degree of awareness To identify the familys level of the family with regards to the existing health problem 2. Teach the client how to perform handwashing correctly To provide the family awareness in relation to the proper performance of handwashing and its role in the understanding about proper hygiene

prevention of the spread of infection 3. Discuss to the family the importance of proper hygiene in their health 4. Encourage them to wash their hands before and after eating 5. Discuss the potential health problems that could arise of proper hygiene is not implemented and practiced Resources Required: Home Visits Discussion Demonstration Time & Effort of the student nurses and the family members To promote comfortability and selfgrooming Emphasize to the family the prevention of arousal of potential health problems if proper hygiene is practiced To impart knowledge to the family

Evaluation: Goal met. After 4 hours of nursing interventions, the family was able to identify the importance of handwashing and was able to demonstrate the proper technique of the procedure.