Professional Documents
Culture Documents
INTRODUCTION
a. OVERVIEW
Many sociologists and anthropologists believe the primary function of the family is to
reproduce society, either biologically, socially, or both. Thus, one's experience of one's
family shifts over time. From the perspective of children, the family is a family of
orientation: the family serves to locate children socially, and plays a major role in their
enculturation and socialization. From the point of view of the parent(s), the family is a
family of procreation the goal of which is to produce and enculturation and socializes
children. However, producing children is not the only function of the family; in societies
with a sexual division of labor, marriage, and the resulting relationship between two
people, is necessary for the formation of an economically productive household.
After how many days of duty as a community health nurse, we were able to
identify a family for a family care study. These provided us a knowledge,
understanding, and information on basic community health approaches basing on actual
care. It also improves the health condition of the individual family members, through
providing information.
Sili-Sili Kisol, Pagatpat was our community; the people residing there are mostly
farmers and who earn from their farm for a living.
We choose family “ Caliso ” as our family case study because its status in terms
of health status, income which should be below 8thousand pesos and a child for IMCI
fits in the criterion that was given as our guide in choosing a family, and because they
1
are suitable to be given with attention, since they have a member in their family which is
Mr. W. Caliso, who is the head of the family needs further care and management
because of the health problem he has.
It is the objective of this study to present the highlights of the community exposure Sili-sili
Kisol, Pagatpat, Cagayan de Oro City. More importantly, it aims to:
● Introduce the condition of the family chosen as the subject for care which are
focused on Children below 5 years old--- their health problems, the family’s
available resources and their attitude towards change.
● Furthermore, it is its goal that the family care plan formulated and constructed
for the family may meet the family’s needs, priorities and resources well so
that it may cause the greatest possible improvement in both the health and
home condition of the family.
• The family must be a resident Sili-sili Kisol, Pagatpat, Cagayan de Oro City.
• The family must be assessed and cared for by the group for at least 5 visits.
• The group must have the consent coming from the family to make them the subject of
the study.
• The scope of the study includes the family member’s personal and health profile and
spot map of their residence, the chief complaint of the family member with a health
problem and the family members, the history of present illness of the member with a
health problem, the nursing assessment, the family coping index, the schematic
diagram of the family health problem, the integrated management of childhood illness,
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the family health plans, the nursing care plans for the member with a health problem
and the actual implementation of different interventions given to the family.
• The different references were also part of this study, which encompasses the use of the
different community health nursing books, nursing care plan books and other sources
which served as guide throughout the study.
• The information gathered were based on the testimonies of the informants, and the
client which may be subject for further critique in terms of its validity and reliability
We, the NCM501205 students, had the community duty in the different areas
of Pagatpat Cagayan de Oro Cty. Our Group, Group10 under the supervision of
Ma’am Dao-ayan, had the community exposure in Sili-sili Kisol, Pagatpat, Cagayan
De Oro City. Since the area of our exposure is away from the school we rented the
jeepney in an amount of Php 700.00. Group10 is composed of 15 members, each
group member paid Php 46/day for three days per week (every Thursday, Friday
and saturday). From our meeting place at LDCU, it took about 30 minutes by way of
chartered jeepney. We left the said area at exactly 7:30 am so that we will arrive at
the community area before 8:00 am.
3
N
W E
Macajalar Bay
To Tagoloan Proper
Sugbongcogon
To Butuan City
LEGEND
Transmitter
III. Family Service and Progress Records
Head of the Family: Sano Family Number: 3 members Monthly Income: Php 2,000
5
I. FAMILY PROFILE
Sex: Male
Weight: 64 kgs.
Nationality: Filipino
Occupation: Driver
RR: 20 cpm
Baseline Vital Signs:
PR: 84 bpm
Temp.: 36 . 7˚ C
Sex: Female
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Birth Place: Pagatpat, Cagayan de Oro City
Weight: 59 kgs.
Nationality: Filipino
Occupation: Housewife
RR: 19 cpm
Baseline Vital Signs:
PR: 79 bpm
Temp.: 36.6 ˚ C
Son: E.C
Sex: Male
Height: 5’3”
Weight: 65 kgs.
Nationality: Filipino
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Religion: Roman Catholic
Occupation: Driver
RR: 19 cpm
Baseline Vital Signs:
PR: 81 bpm
Temp.: 36.7 ˚ C
Daughter: I.C
Age: 17
Sex: Female
Weight: 75 kgs.
Nationality: Filipino
Occupation: Student
RR: 20 cpm
Baseline Vital Signs:
PR: 79 bpm
Temp.: 36 . 7˚ C
8
Son: W.C Jr.
Sex: Male
Height: 4’3”
Weight: 31 kgs.
Nationality: Filipino
Occupation: None
RR: 19 cpm
Baseline Vital Signs:
PR: 90 bpm
Temp.: 36.7 ˚ C
Son: S.C
Sex: Male
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Birthday: March 11, 2007
Weight: 14 kgs.
Nationality: Filipino
Occupation: None
RR: 19 cpm
Temp.: 36.6 ˚ C
Father
Mr. W.C was born through normal spontaneous vaginal delivery. He is the sixth child
among the seven siblings. As of his immunization, he was not able to recall it. He related to us
that he has been hospitalized due to his Hypertension at NMMC for 5 days last April 2001; he
haven’t had donated blood and received blood in the past. He admitted that his family has a
history of hypertension in his maternal side. He drinks occasionally and does smoke a minimum
of one pack a day. Mr. W.C has no known allergy to any food and drug.
Mother
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Mrs. R.C, 39 years-old, gravida 4, parity 4, abortion 0, was born at home through normal
spontaneous vaginal delivery (August 5, 1971). Mrs. R.C was not able also to recall if she had
any immunizations during her childhood years. She gave birth to her first child at NMMC and
her second, third and fourth child at home through normal spontaneous vaginal delivery
assisted with “Mananabang (hilot)”. She was never been hospitalized, nor donated blood. Mrs.
R.C has no known allergy to any food and drug.
Son (1)
E.C is the first child in the family. He was born through normal spontaneous vaginal
delivery at NMMC. According to her mother E.C is a sickly child while he was young, he easily
gets colds and cough. At 3 years old he was admitted at JR Borja Hospital due to his asthma.
According to Mrs. R.C he received complete Immunization from their health center and she
even has a record of it on her keeping.
Daughter (2)
I.C is the Second child in the family. She was born through normal spontaneous vaginal
delivery at home assisted by a “mananabang”. I.C grew up on the care of her Grandmother at
Zone 3 Pagatpat and is also complete with her Immunization from their health center. When she
was young she was not a sickly child unlike her older brother. I.C doesn’t have any food and
drug allergies and haven’t received blood or any blood products from the past.
Son (3)
W.C J.R is the third child in the family. He was born also through normal spontaneous
vaginal delivery at home assisted by the same “mananabang” who helped her mother give birth
to her second child. W.C J.R was also a healthy child; he does not easily get sick. He was never
admitted and never had any serious health problem. He is also complete with his immunization
and doesn’t have any food and drug allergies.
Son (4)
S.C is the youngest child in the family. He was born through normal spontaneous vaginal
delivery at home assisted by the same “mananabang”. S.C is also a healthy child; he does not
easily get sick. He only has minor problems like fever and cough but maybe only due to our
climate today especially that he always play outside with their neighbors. He is also complete
with his immunization and doesn’t have any food and drug allergies.
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II. PRESENT HEALTH STATUS
a. Immunization
All of their children are completely immunized at the Health Center.
b. Family Planning
The couple uses pills as a method for birth control. Mrs. R.C uses Trust pills because of
its affordability and sees to it that she will never miss to take the pill as scheduled.
c. Smoking
The husband is a chain smoker since his teen age life. He was 17 when he
started to smoke. Regardless of their financial instability, he managed to consume 1
12
pack everyday or even more by chance. He mentioned that he has difficulty on quitting
this kind of vices.
d. Allergy
Mrs. R.C states that all of them has no food or drug allergies.
When ask about any hereditary diseases, Mrs. R.C answered that Hypertension
is present on her husband’s side.
g. Alcoholic Beverages
Vital Signs:
EENT:
� Impaired vision � blind
� pain � reddened � drainage
� gums � hard of hearing � deaf
� burning � edema � lesion � teeth
Asses eyes, ears, nose
Throat for abnormality (X) no problem
RESPIRATION
�asymmetric � tachypnea
� apnea � rales � cough � barrel chest
� bradypnea � shallow � rhonchi
� sputum � diminished � dyspnea
� orthopnea � labored ( ) wheezing
� pain � cyanotic
Asses resp. rate, rhythm, depth, pattern
breath sounds, comfort � no problem
CARDIO VASCULAR
� arrhythmia � tachycardia � numbness
� diminished pulses � edema � fatigue
� irregular � bradycardia � murmur
� tingling � absent pulses � pain
Assess heart sounds, rate, rhythm, pulse, blood
pressure, etc., fluid retention, comfort
(X) no problem
GASTRO INTESTINAL TRACT
� obese � distention � mass
� dysphagia � rigidity � pain
Asses abdomen, bowel habits, swallowing,
(x )bowel sounds, comfort ( ) no problem
GENITO-URINARY and GYNE
� pain � urine color � vaginal bleeding
15
NURSING SYSTEM REVIEW CHART
Vital Signs:
EENT:
� Impaired vision � blind
� pain � reddened � drainage
� gums � hard of hearing � deaf
� burning � edema � lesion � teeth
Asses eyes, ears, nose
Throat for abnormality (X) no problem
RESPIRATION
�asymmetric � tachypnea
� apnea � rales � cough � barrel chest
� bradypnea � shallow � rhonchi
� sputum � diminished � dyspnea
� orthopnea � labored ( ) wheezing
� pain � cyanotic
Asses resp. rate, rhythm, depth, pattern
breath sounds, comfort � no problem
CARDIO VASCULAR
� arrhythmia � tachycardia � numbness
� diminished pulses � edema � fatigue
� irregular � bradycardia � murmur
� tingling � absent pulses � pain
Assess heart sounds, rate, rhythm, pulse, blood
pressure, etc., fluid retention, comfort
(X) no problem
GASTRO INTESTINAL TRACT
� obese � distention � mass
� dysphagia � rigidity � pain
Asses abdomen, bowel habits, swallowing,
(x )bowel sounds, comfort ( ) no problem
GENITO-URINARY and GYNE
� pain � urine color � vaginal bleeding
16
NURSING SYSTEM REVIEW CHART
Vital Signs:
EENT:
� Impaired vision � blind
� pain � reddened � drainage
� gums � hard of hearing � deaf
� burning � edema � lesion � teeth
Asses eyes, ears, nose
Throat for abnormality (X) no problem
RESPIRATION
�asymmetric � tachypnea
� apnea � rales � cough � barrel chest
� bradypnea � shallow � rhonchi
� sputum � diminished � dyspnea
� orthopnea � labored ( ) wheezing
� pain � cyanotic
Asses resp. rate, rhythm, depth, pattern
breath sounds, comfort � no problem
CARDIO VASCULAR
� arrhythmia � tachycardia � numbness
� diminished pulses � edema � fatigue
� irregular � bradycardia � murmur
� tingling � absent pulses � pain
Assess heart sounds, rate, rhythm, pulse, blood
pressure, etc., fluid retention, comfort
(X) no problem
GASTRO INTESTINAL TRACT
� obese � distention � mass
� dysphagia � rigidity � pain
Asses abdomen, bowel habits, swallowing,
(x )bowel sounds, comfort ( ) no problem
GENITO-URINARY and GYNE
� pain � urine color � vaginal bleeding
17
NURSING SYSTEM REVIEW CHART
Vital Signs:
EENT:
� Impaired vision � blind
� pain � reddened � drainage
� gums � hard of hearing � deaf
� burning � edema � lesion � teeth
Asses eyes, ears, nose
Throat for abnormality (X) no problem
RESPIRATION
�asymmetric � tachypnea
� apnea � rales � cough � barrel chest
� bradypnea � shallow � rhonchi
� sputum � diminished � dyspnea
� orthopnea � labored ( ) wheezing
� pain � cyanotic
Asses resp. rate, rhythm, depth, pattern
breath sounds, comfort � no problem
CARDIO VASCULAR
� arrhythmia � tachycardia � numbness
� diminished pulses � edema � fatigue
� irregular � bradycardia � murmur
� tingling � absent pulses � pain
Assess heart sounds, rate, rhythm, pulse, blood
pressure, etc., fluid retention, comfort
(X) no problem
GASTRO INTESTINAL TRACT
� obese � distention � mass
� dysphagia � rigidity � pain
Asses abdomen, bowel habits, swallowing,
(x )bowel sounds, comfort ( ) no problem
GENITO-URINARY and GYNE
� pain � urine color � vaginal bleeding
18
NURSING SYSTEM REVIEW CHART
Vital Signs:
EENT:
� Impaired vision � blind
� pain � reddened � drainage
� gums � hard of hearing � deaf
� burning � edema � lesion � teeth
Asses eyes, ears, nose
Throat for abnormality (X) no problem
RESPIRATION
�asymmetric � tachypnea
� apnea � rales � cough � barrel chest
� bradypnea � shallow � rhonchi
� sputum � diminished � dyspnea
� orthopnea � labored ( ) wheezing
� pain � cyanotic
Asses resp. rate, rhythm, depth, pattern
breath sounds, comfort � no problem
CARDIO VASCULAR
� arrhythmia � tachycardia � numbness
� diminished pulses � edema � fatigue
� irregular � bradycardia � murmur
� tingling � absent pulses � pain
Assess heart sounds, rate, rhythm, pulse, blood
pressure, etc., fluid retention, comfort
(X) no problem
GASTRO INTESTINAL TRACT
� obese � distention � mass
� dysphagia � rigidity � pain
Asses abdomen, bowel habits, swallowing,
(x )bowel sounds, comfort ( ) no problem
GENITO-URINARY and GYNE
� pain � urine color � vaginal bleeding
19
NURSING SYSTEM REVIEW CHART
Vital Signs:
EENT:
� Impaired vision � blind
� pain � reddened � drainage
� gums � hard of hearing � deaf
� burning � edema � lesion � teeth
Asses eyes, ears, nose
Throat for abnormality (X) no problem
RESPIRATION
�asymmetric � tachypnea
� apnea � rales � cough � barrel chest
� bradypnea � shallow � rhonchi
� sputum � diminished � dyspnea
� orthopnea � labored ( ) wheezing
� pain � cyanotic
Asses resp. rate, rhythm, depth, pattern
breath sounds, comfort � no problem
CARDIO VASCULAR
� arrhythmia � tachycardia � numbness
� diminished pulses � edema � fatigue
� irregular � bradycardia � murmur
� tingling � absent pulses � pain
Assess heart sounds, rate, rhythm, pulse, blood
pressure, etc., fluid retention, comfort
(X) no problem
GASTRO INTESTINAL TRACT
� obese � distention � mass
� dysphagia � rigidity � pain
Asses abdomen, bowel habits, swallowing,
(x )bowel sounds, comfort ( ) no problem
GENITO-URINARY and GYNE
� pain � urine color � vaginal bleeding
20
NURSING SYSTEM REVIEW CHART
Vital Signs:
EENT:
� Impaired vision � blind
� pain � reddened � drainage
� gums � hard of hearing � deaf
� burning � edema � lesion � teeth
Asses eyes, ears, nose
Throat for abnormality (X) no problem
RESPIRATION
�asymmetric � tachypnea
� apnea � rales � cough � barrel chest
� bradypnea � shallow � rhonchi
� sputum � diminished � dyspnea
� orthopnea � labored ( ) wheezing
� pain � cyanotic
Asses resp. rate, rhythm, depth, pattern
breath sounds, comfort � no problem
CARDIO VASCULAR
� arrhythmia � tachycardia � numbness
� diminished pulses � edema � fatigue
� irregular � bradycardia � murmur
� tingling � absent pulses � pain
Assess heart sounds, rate, rhythm, pulse, blood
pressure, etc., fluid retention, comfort
(X) no problem
GASTRO INTESTINAL TRACT
� obese � distention � mass
� dysphagia � rigidity � pain
Asses abdomen, bowel habits, swallowing,
(x )bowel sounds, comfort ( ) no problem
GENITO-URINARY and GYNE
� pain � urine color � vaginal bleeding
21
NURSING SYSTEM REVIEW CHART
Vital Signs:
EENT:
� Impaired vision � blind
� pain � reddened � drainage
� gums � hard of hearing � deaf
� burning � edema � lesion � teeth
Asses eyes, ears, nose
Throat for abnormality (X) no problem
RESPIRATION
�asymmetric � tachypnea
� apnea � rales � cough � barrel chest
� bradypnea � shallow � rhonchi
� sputum � diminished � dyspnea
� orthopnea � labored ( ) wheezing
� pain � cyanotic
Asses resp. rate, rhythm, depth, pattern
breath sounds, comfort � no problem
CARDIO VASCULAR
� arrhythmia � tachycardia � numbness
� diminished pulses � edema � fatigue
� irregular � bradycardia � murmur
� tingling � absent pulses � pain
Assess heart sounds, rate, rhythm, pulse, blood
pressure, etc., fluid retention, comfort
(X) no problem
GASTRO INTESTINAL TRACT
� obese � distention � mass
� dysphagia � rigidity � pain
Asses abdomen, bowel habits, swallowing,
(x )bowel sounds, comfort ( ) no problem
GENITO-URINARY and GYNE
� pain � urine color � vaginal bleeding
22
NURSING SYSTEM REVIEW CHART
Vital Signs:
EENT:
� Impaired vision � blind
� pain � reddened � drainage
� gums � hard of hearing � deaf
� burning � edema � lesion � teeth
Asses eyes, ears, nose
Throat for abnormality (X) no problem
RESPIRATION
�asymmetric � tachypnea
� apnea � rales � cough � barrel chest
� bradypnea � shallow � rhonchi
� sputum � diminished � dyspnea
� orthopnea � labored ( ) wheezing
� pain � cyanotic
Asses resp. rate, rhythm, depth, pattern
breath sounds, comfort � no problem
CARDIO VASCULAR
� arrhythmia � tachycardia � numbness
� diminished pulses � edema � fatigue
� irregular � bradycardia � murmur
� tingling � absent pulses � pain
Assess heart sounds, rate, rhythm, pulse, blood
pressure, etc., fluid retention, comfort
(X) no problem
GASTRO INTESTINAL TRACT
� obese � distention � mass
� dysphagia � rigidity � pain
Asses abdomen, bowel habits, swallowing,
(x )bowel sounds, comfort ( ) no problem
GENITO-URINARY and GYNE
� pain � urine color � vaginal bleeding
23
Integrated Management of Childhood Illness (0-5 years of age)
Date:July 8, 2010
Child’s Name: Sherwin Caliso Age: 40 mo. old Sex: Male Weight: 14kgs
Temperature 37. 8º C Initial Visit? Follow-up Visit________
CONVULSIONS
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eyes.
back?
Slowly?
Yes _No
- Has the child visited a malaria are in the past 4 weeks? - Look
for runny nose.
- For how long has the child had fever? _1 Day - Look
for signs of MEASLES
or red eyes.
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- Look for clouding of the cornea.
- Has the child had any bleeding from the nose or gums or -
Look for bleeding from
-
Look for skin petechiae
- Has the child had black vomitus or black stool? - Feel for cold &
clammy extremities
the ear.
26
If yes, for how long? ____ days
Very low?
Has the child received vitamin A in the past six months? Yes
___ No ____
27
ASSESS CHILD’S FEEDING if child has ANEMIA OR VERY
Feeding
LOW WEIGHT or is less than 2 years old.
problems:
- Do you breastfeed the child? Yes __ No
___
night?
Yes ___ No__
- Does the child take any other food or fluids? Yes __ No
___
How many times per day? _4_ Times. What do you use to
feed the child? Infant Bottle
If very low weight for age: how large are servings? __small_
_______
_____Mother__________
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III. HOME AND ENVIRONMENT
Distance of water source Common source and shared First come first served basis
but can delay other routinely
with other families located 50 household chores
Distance/location of kitchen Within the household Can save time and effort since
it’s inside the house
Ways of garbage disposal Burning/ burying Not good for one of her child
has asthma.
1.) Housing
29
The family is living in a poorly constructed house where there was no organization of
settlement inside the vicinity. Construction materials used were light materials – made of wood.
The family with 5 members has 2 bedrooms. Sherwin sleeps with his father and mother and
Irene and Winston shares the other room. They are prone to accidents since I observed that
there were nails left not fully hammered; their dirty kitchen’s roof is too short that, if they were
not careful enough, they might be in jeopardy. Their floor is made up of soil that makes them
more prone to any types of infection especially that it will be muddy if it is raining. They used
electricity as their lighting facility.
Their water source is the Deep Well used by the community. They used it for washing their
clothes and watering their plants. But when it comes to drinking water, they have to buy it in the
sari-sari store for 30 pesos per gallon. At times the water is contaminated and prone to cholera
disease and even among other water-borne disease. Their storage is through the use of galloon
that is covered, and stocked for 3 days or more approximately.
30
3.) Kitchen
The family used woods when cooking their foods, their kitchen was slightly cluttered with
the presence of unwashed dishes and soiled clothing, and they have a proper drainage facility.
Initially the main problem of the barangay was water supply and source. The people were used
with deep well. Even though the outbreak of diarrhea was rare still their health is at risk.
The community does not have proper drainage system and even garbage disposal.
During rainy season their surroundings is muddy and impassable and that can lead to skin
diseases. They have a pig and is smelly especially if Mrs. Racquel forgets to clean the area
31
It’s a water sealed type of toilet facility. It is connected to their house at the back portion,
the walls are made out of coconut lumber and the base is concrete. Sanitary condition is poor
Their only means of disposing their garbage is to burn it or burry it to the hole which they
32
The community has a poor drainage system. As the student nurses assess the entire
community, they had find out that their existing drainage backs flow and causes the garbage to
The family has a good relationship to their neighbor. But they had a neighbor who had a
piggery fronting their house and the smells was not good and they can’t complain about it
The objective of this indicator is to present a benchmark for approximating the nursing
needs of a particular family, thus Family Coping Index. It is the coping capacity and not the
underlying problem that is being rated, and it is designed to record family rather than individual
coping capacity. In public health nursing, the family cannot be seen only factor that affects
Legend:
5 – Complete Competence
33
3 – Moderate Competence
1 – No Competence
34
3
professionals during times of illness
and prefer to self medicate.
Environment Biological
Open
container
Easy
transmission of
harmful vector
within family
members.
Social Behavioral
Unsafe
The monthly practice of
income is Php utilization of
2500 water: drinking
without boiling
Biological
Psychological
38
Health Goal of Care Objectives of Intervention Method of Nurse- Resources
Family Nursing
Cues Problems care Measures family contact Required
39
Cues Health Problems Family Nursing Goal of Care Objectives of Intervention Methods of nurse- Resources required Evaluation
Problems care Measure family contact
Subjective: Insufficient funds Inability to At the end of At the end of 30 1. Encourage the Home visit Money, time and At the end
of 30
as a health make decisions 30 minutes to minutes to 1 hour patient the effort of the student
“Kaisa ra ko minutes to
threat with respect to hour, the the patient will be importance of nurse and family 1 hour, the
naka-anha sa objective
taking patient will be able to: regular check-up.
health center was met,
appropriate able to the patient
namo, katong 1. Recognized 2. Discuss the was able
health action verbalize the
nag cholera the importance of benefits of to report
related to: importance of the
ako bana, pero acquiring health saving money for importance
health check-
sa ako baby 1. Lack of care. emergency of
up. acquiring
wala pa kay financial purposes. of health
2. Improves her
wala mi kwarta resources. care.
attitude towards 3. make the
lagi.” As
2. Far from maintaining patient aware of
verbalized by
health care regular check-up. the possible
the patient.
institution. outcome of
irregular check-
3. inadeuquate
up.
knowledge of
community
resources
(Barangay
Health Center)
40
Cues Health Problems Family Nursing Goal of Care Objectives of Intervention Methods of nurse- Resources required Evaluation
Problems care Measure family contact
Subjective: Improper 1. Inability to After the After nursing 1. Provide Home visit Money, time and At the end
of 30
garbage properly nursing intervention, the teachings about effort of the student
“Gausahon ra minutes to 1
disposal as a segregate and intervention, patient will be the correct ways nurse and family hour the
namo among objective
health threat. dispose due to the patient will able to: in garbage
basura tapos was met,
lack of be able to segregation. the patient
inigkapuno na 1. Identify and was able to
awareness on demonstrate
laugan dayon classify types of 2. Educate the demonstrate
proper waste proper garbage proper
nako.” As waste as patient about the garbage
disposal. disposal.
verbalized by biodegradable risks and effects disposal.
41
Cues Health Family Nursing Goal of Care Objectives of Intervention Methods of Resources required Evaluation
Problems Problems care Measure nurse-family
contact
Subjective: Presence of Presence of health At the end of After nursing 1. Discuss with Home visit Money, time and At the end of
30 minutes
breeding sites theats related to: 30 minutes to 1 intervention, the the patient the effort of the student
“Primi lagi ulan to 1 hour the
of insects and hour the patient will be importance of nurse and family objective
sa amo lugar, 1. Poor was met, the
vector as a patient will be able to: maintaining
problema gyud home/environemental patient was
health threat. able to clean able to
inig ulan kay condition/sanitation 1. Identify and demonstrate
improves surroundings.
grabe ka lapok specifically presence classify types the
environmental of waste as importance
ug dugay of breeding or resting 2. Educate the of clean
condition to biodegradable
muhubas ang sites of vectors of and non- patient about the environment.
eliminate risk
tubig.” As diseases, biodegradable possible
of vector borne .
verbalized by breeding sites of
2 Absence of and carrier
the patient. 2. Practice insects and
drainage system. diseases. proper other vectors.
Objective: method of
waste 3. Demonstrate
-inaccessible management.
method of
passageway-
3. Identify and eliminating
visible mud at demonstrate
breeding sites.
the backyard. ways of
eliminating
breeding sites
of insects and
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other vectors
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IX. PRIORITIZING FAMILY PROBLEM:
Accident Hazard
Salience of the problem 0/2 x 1 0 The Family does not recognize the
mentioned problem.
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Poor home and environmental condition
X. Actual Implementation
On the first day of our exposure at Brgy. Sili-sili Pagatpat, we conducted a courtesy call
and followed by ocular survey. In view of the fact, we have still enough time to scout a family in
which we can make our family case study.
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At the time in which we had selected our family, we followed the standard protocol of
home visit, which we had introduced ourselves, we state the purpose of our visit and thus
rapport was initially established. We gathered data through interview by asking the name of the
family members including individual profile, observed the area and the surroundings that may be
cause of disease.
On the second day of visit, the student nurse conducted direct physical assessment to
include the immunization records, vital signs taking, height and weight. We had also conducted
interview including the present and history of health of each member, and we also observed the
nonverbal cues of the mother. There are several health problems and family nursing problems
identified as mentioned above.
On our third day of duty we went to the family and assess further on their health and
environmental conditions and at the same time conduct preliminary health and environmental
teachings. We shared different health teachings in terms of promotions, preventions, and cure in
order for them to cope up with their daily problems that had able to affect their health. The
following health teaching we had given includes maintenance of cleanliness of their house as
will as their environment, screening of doors and windows and using nets or long clothing
covering the body when sleeping, cover water containers to prevent breeding sites of victors
and proper waste segregations. On the other hand we stressed the importance of following
treatment such as strict compliance of medications. If not so the use of alternative medicines
such as “bawang” could somehow health control hypertension.
During our fourth and last visit we do our termination phase, we thank the family for
letting us have them as our family care study.
During our visits with our chosen family for our family care study we have known that Mr.
W.C. was hypertensive and has maintenance medication prescribe by the physician, but
unfortunately he was not able to take the medications due to financial problems. We discuss to
them the importance of therapeutic regimen including the different foods that needs to be
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avoided, and encouraged him as well to have a monthly checked of his blood pressure. Other
than that we also found out that E.C had occasional asthma. We discouraged him to play with
pets specially cats and dogs ,and those pets with feathers, that can trigger the attack of his
asthma. Other health teachings imparted were about proper environmental and personal
hygiene. We recommended them to give priority with their health maintenance by taking a bath
everyday , cleaning the environment , disposing their garbage accordingly, proper toilet and
proper drainage system because an individual cannot perform task effectively if they are sick
due to health problem.
EVALUATION
The study and activity served as an eye opener for the families that we have chosen. We
are one of the strangers that had come to their lives and then we became part of it. And as part
of it we became involved with their lives especially when it comes to their health and present
conditions in which we want to modify change and enhance.
With the knowledge that we had acquired from our AHSE 2 up to the present,
techniques were developed to identify health problems and threats, family problems as well as
social and political problems. Some of those aspects are poorly handled, and that’s the time that
we started to intervene to give guidance and interventions that could help their family become
better as well as a role model to their community. And with those interventions and health
teachings, slowly we can see the change that we want to see from them. The problem now is
their maintenance, but we think that if they like the result of the change that they went through,
they’ll surely practice and maintain a healthy living.
On our part, the study gave as the opportunity to explore more ways on how to be
effective in giving health teachings to our family. Patient was also our foundation. And most of
all it help us to be more mature and wise in terms of dealing with our daily lives.
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XII. Evaluation
At the end of 6 weeks CHN exposures and 5-7 days of nursing interventions, the Amerol
Family was very accommodating to us. They appreciate our efforts on emphasizing health
teachings and encourage them to visit or seek medical assistance as soon as possible for their
son. The baby is possible for hydrocephalus illness as discuss above. This is to prevent further
complications of the baby since his immunization is not yet complete due to altered immune
system.
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for as long as it has been detected immediately and therefore managed
properly, complications maybe prevented.
DISCHARGED PLAN
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MEDICATION We had instructed the mother to strictly follow therapeutic
regimen even if the patient was already discharged, and as
well as the importance of complying home medications with
right dosage, right timing of administration with
precautionary measures including the side effects of the
medications that were prescribed by the physician.
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