CUES SUBJECTIVE: Mayda gad mg langawngaa adto hit garawsanhin inga am lababoperos ige la kay adto manla ha gawas.

As verbalized by the client. OBJECTIVE: Open drainage Presence of flies on the drainage system Presence of stagnant water at the end of the drainage tube

HEALTH PROBLEM Improper drainage system as a health threat

FAMILY NURSING PROBLEMS I. Inability to make decisions with respect to taking appropriate health action due to: A. Failure to comprehend the nature/magnit ude of the problem/condi tion. B. Low salience of the problem/condi tion C. Lack of/inadequate knowledge/insi ght as to alternative courses of action open to them.

GOALS OF CARE After 30 minutes of nursing interventions the family will be able to decide and demonstrate appropriate measures to eliminate, if not reduce problem to improve environmental sanitation.

OBJECTIVES OF CARE After 30 minutes of nursing interventions, the family will be able to: A. Be oriented with the problem and identify at least 3 importanc e of having a proper drainage system. B. Enumerat e at least 3 disadvanta ges of having an improper drainage system.

INTERVENTIONS 1. Establish rapport with the family. 2. State the purpose of the action.

METHOD Home visit Home visit

RESOURCES REQUIRED Material resources: a. Visual aids and materials needed Human resources: a. Time and effort of both nurse and the family Financial resources a. Money for the nurse transportati on

CRITERIA

STANDARD

METHOD/ TOOL

3. Assess the familys willingness to participate in solving the problem. 4. Assess the familys level of awareness in comprehending the condition.

Home visit

Verbal feedback

Home visit

5. Discuss with the family their present condition and allow them to verbalize their perception about the problem. 6. Discuss with the family the importance of having a proper drainage system such as: a. Prevention of possible breeding sites of vectors. b. Prevention of acquisition of vector-related illness c. Providing

Home visit

A. The family recognizes the condition and verbalizes the importanc e of having a proper drainage system. B. The family identified disadvant ages of having improper drainage system.

Interview

Verbal feedback

Interview

Parents class

C. Cite at least 3 vectorrelated illness that the family may

Verbal feedback

C. The family was able to enumerat e vectorrelated illness

Interview

acquire if improper drainage system will not be corrected. D. Identify at least 3 alternative courses of action to correct the improper drainage system.

sanitary home environment. 7. Encourage them to maintain a suitable environment for the family. Home visit Verbal feedback and complian ce to agreed upon intervent ion

that may occur if condition is not managed properly. D. The family regularly cleans the left-overs present at the end of the drainage tube and practices irrigation of stagnant water and covering it with sand to prevent breeding sites of vectors. Interview and Direct observation

8. Discuss with the Parents family class disadvantages of having an improper drainage system such as: a. Foul odor b. Presence of vectors c. Increase presence of leftovers d. Increase risk of vector-related illness. 9. Discuss with the family examples of vector related illness that the family may acquire if improper drainage system will not be corrected such as: a. Diarrhea b. Dengue c. Amoebiasis 10. Discuss and demonstrate alternative courses Parents class

Parents class

of action to correct/manage the improper drainage system such as: a. Place a pail or a deep container at the end of the drainage tube which will serve as a reservoir of the wastes b. Regular cleaning of the left-overs present at the end of the drainage system c. If stagnant water is present at the end of the tube, cover the area with sand. 11. Encourage familys participation on managing improper drainage system. 12. Follow-up the family if they have used the skills and knowledge on proper drainage system. Home visit

Home visit