FAMILY NURSING CARE PLANS

Problem # 2: Presence of Fever 1st level of assessment: Presence of health deficit due to fever 2nd Level of Assessment: Inability to recognize the presence of a problem due to inadequate knowledge Cues S> nandin yapa gagaga at mapali ya salat as verbalized by the mother O> anak legs is seen irritated and crying. > with skin flushing > skin warm to touch > body temperature of 38. 3C Analysis of the Problem > inability to provide nursing care to the sick because of lack of financial resources and knowledge regarding the problem Objectives Short term: After 1-2 days of home visits, the family will verbalize understanding on the importance of preventive measures as evidenced by children having trimmed nails, wearing slippers and washing of hands before and after eating. Long term: After 4-5days of home visit, Anak Legs temperature will decrease to 37C Nursing Intervention >Establish rapport with the family Rationale >To gain familiarity and to establish a good working relationship with the family >To obtain baseline data Method of Family Contact > Home visits Resources Required >Time, effort and skills of the student nurses >Family participation and cooperation Expected Outcome Short term: After 1-2 days of home visits, the family shall have verbalized understanding on the importance of preventive measures as evidenced by children having trimmed nails, wearing slippers and washing of hands before and after eating. Long term: After 4-5days of home visit, Anak Legs temperature shall have decreased to 37C

>Assess their finger and toenails and walking barefooted inside and sometimes outside the house >Discuss with the family the importance of wearing foot wears inside and outside the house >Discuss and demonstrate the proper way of hand washing before and after eating and defecating

>This practice promotes hygiene and decreases the occurrence of diseases >To prevent cross contamination

>Explain the possible disease that can be acquired from not wearing slippers >Advise family to have a good personal hygiene >Advise the family to visit the health center in order to seek proper medical attention to get medications that would disinfest the children

>Proper hand washing can help prevent transmission of microorganisms >To have a good protection against parasitism >In order to have the therapeutic regimen that will address the problem of the family

Problem # 2: Presence of Cough and colds 1st level of assessment: Presence of health deficit due to cough and colds 2nd Level of Assessment: Inability to recognize the presence of a problem due to inadequate knowledge Cues S> adwa neng aldo manguko I anak legs as verbalize by the mother O> non productive cough (mild to moderate in amount) > with nasal flaring > with nasal discharge that is clear in color. >presence of wheeze upon auscultation on right lung field. Analysis of the Problem >Inability to provide a home environment which is conducive for health maintenance and personal development due to: a. inadequate family resources, specially financial constraints b. inadequate living space c. poor personal hygiene Nursing Rationale Method of Family Intervention Contact Short term: >Establish rapport > To gain trust > Home visits After one day of and > Health teachings home visit, the cooperation family will determine the >Assess patients >For baseline preventive condition (V/S and data factors about the physical condition like assessment) increase fluid intake, maintain > Assess the house > to determine a good hygiene condition the factors that and triggers the keep the disease. childrens back dry >Instruct to >To liquefy Long term: increase fluid intake secretions home visits, the family will > Auscultate lung >To determine demonstrate area the part of compliance to affectation and health severity of the teachings. problem >Instruct the > To boost the motherto give Vit C immune to her child. system. >Encourage the use of herbal medicines >Herbal medicines are free and easy Objectives Resources Expected Required Outcome >Knowledge, Short term: skills and time of After one home the student visit, the family nurses shall have >Compliance determine the and cooperation preventive of the family or factors about the patient condition as evidence by complying to the health teachings given. Long term: After 4-5 days of home visits, the family shall have maintained demonstrated compliance to health teachings as evidence by relief from cough and colds

(oregano)

to prepare.

Problem # 2: Presence of Dental Caries 1st level of assessment: Presence of health deficit due to dental caries 2nd Level of Assessment: Inability to recognize the presence of a problem due to inadequate knowledge Cues S> O O> Presence of tooth decay on the teeth of all the family members that were assessed. > Children loves to eat candy. > Presence of bad breath on all the family members that were assessed. Analysis of the Problem Inability to provide proper care to the members because: a. lack of financial resources. Objectives Short term: After 1-2 days of home visits, the family will comply with the causes of tooth decay as discussed by the student nurses. Long term: After 4-5days of home visit, the family will demonstrate proper way on how to brush their teeth and maintain a good oral hygiene. Nursing Intervention >Establish rapport Rationale >To gain trust and cooperation of the family. > To note any abnormalities. > To educate the family about the condition. Method of Family Contact > Home visits Resources Required Knowledge, skills and time of the student nurses. Expected Outcome Short term: After 1-2 days of home visits, the family shall have complied with the causes of tooth decay discussed by the student nurses, as evidenced by the discussion with the family. Long term: After 4-5days of home visit, the family shall have demonstrated proper ways on how to brush their teeth as evidenced by the absence of bad breath in the family members.

> Assess the teeth of the family > Provide health teachings about the diseases they can get from poor oral hygiene. > Teach the children the proper way of brushing their teeth. > Emphasize the importance of brushing their teeth after every meal.

> To assure that all the teeth are brushed properly.

> To prevent growth of microorganisms.

Problem # 4: Unhealthful lifestyle: Walking barefooted

1st level of assessment: Presence of health threat due to unhealthy lifestyle: walking barefooted. 2nd level of assessment: Inability to recognize the presence of a problem due to ignorance of facts. Cues Method of Family Contact Short term: >Establish rapport with >To gain familiarity > Home Visit After one home the family and to establish a visit, the mother good working will be able to relationship with the identify factors that family contribute to parasitism. >Assess their finger and >To obtain baseline Long term: toenails and walking data After 4-5 days of barefooted inside and home visits, the sometimes outside the family will initiate house necessary lifestyle changes. >Discuss with the family >This practice the importance of promotes hygiene wearing foot wears and decreases the inside and outside the occurrence of house diseases >Discuss and >To prevent cross demonstrate the proper contamination way of hand washing before and after eating and defecating >Advise family to have >To have a good a good personal protection against hygiene parasitism Objectives Nursing Intervention Rationale Expected Outcome Short term: After one home visit, the mother shall have identified factors that contribute to parasitism as evidenced by the mothers verbalization of possible causes of parasitism.. Long term: After 4-5 days of home visits, the family shall have initiated necessary lifestyle changes as evidenced by children having trimmed nails, wearing slippers and washing of hands before and after eating.

Analysis of the Problem S> >Inability to O> Anak Wings recognize the with dirty and presence of a untrimmed finger problem due to lack and toe nails to adequate >Seen walking knowledge as to the barefooted inside potential to cause and sometimes injury outside the house >Inability to >anak legs and recognize the anak wings was presence of the seen eating problem due to without even ignorance of the fact washing their and inadequate hands knowledge about >Presence of preventive garbage around measures the house >Presence of dirty surroundings >Stagnant drainage system Presence of flies

>Advise the family to visit the health center in order to seek proper medical attention to get medications that would disinfest the children

>In order to have the therapeutic regimen that will address the problem of the family

Problem # 7: Presence of Rodents and Insects 1st level Assessment: Poor Home/Environmental Condition/Sanitation: Presence of Rodents and vectors of diseases (eg. rats and cockroaches) 2nd level Assessment: Inability to make decusions with respect to taking appropriate health action Cues Analysis of Objectives Nursing Intervention Rationale Method of Resources Expected the Problem Family Required Outcome Contact S> O Inability to Short Term: > Emphasize the > These pests may > Home Human Short Term: provide a After 1 home importance of insect cause contamination visits Resources: After 1 home home visit, the and rodent control. of stored food and visit, the family O> environment family will control is important. 1. Time and shall have Presence which is comply with effort of complied with of insects conducive to ways on how > Discuss alternative > To maximize both the ways on how and health to control methods of insect available resources nurse and to control rodents, maintenance insects and and rodent control in the family. insects and cockroach and personal rodents. such as: eradication/alleviating rodents. es and development the problem: 2. mice seen due to: Long Term: Knowledge Long Term: inside the Lack of or After 5 home > Regular house >To avoid formation of the After 5 home house inadequate visits, the cleaning and proper of breeding place student visits, the during the knowledge of family will garbage disposal nurse about family shall first home the demonstrate the different have visit. importance of behaviors that > Mosquito net may >To prevent the ways of demonstrated home will help in continue to be used transmission of insect and methods that environment controlling the in keeping insects microorganisms rodent help in improvement. presence of away from the family through insect control. controlling the insects and members especially vectors through a presence of rodents. at night when asleep. mechanical barrier 3. insects and that prevents contact Participation rodents such of family members to and as keeping insects. cooperation and of the maintaining > Encourage the > To avoid food family. the house family to continue the contamination of clean. practice of covering insects and rodents. stored food.

Problem # 7: Presence of Pediculosis 1st level Assessment: Poor Home/Environmental Condition/Sanitation: Presence of Rodents and vectors of diseases (eg. rats and cockroaches) 2nd level Assessment: Inability to make decusions with respect to taking appropriate health action Cues Analysis of the Objectives Nursing Intervention Rationale Method of Resources Expected Problem Family Required Outcome Contact

Problem # 7: Improper Garbage Disposal

1st level of Assessment: Poor Environmental Sanitation: Improper Garbage Disposal 2nd level of Assesment:Inability to recognize the presence of the problem

Cues S= O= - Garbage is scattered inside and outside the house - Open and stagnant drainage system with garbage - presence of flies around the house

Family Nursing Problem Analysis

Objectives

Interventions

Rationale

Method of Nurse Family Contact

Resources Required

Expected Outcome

Inability toShort Term: -Establish rapport -To gain familys Home visit recognize the After one trust and presence of theHome visit and cooperation condition orhealth teaching problem due tothe family will be - To obtain attitude andable to- Assess the baseline data philosophy in lifedemonstrate familys towards acceptingcompliance withenvironmental the magnitude ofthe healthsanitation the problem. teachings given as evidenced by - To encourage Inability to providethe cooperation of- Explain to the the family to a homethe family. family the effects of place the environment improper garbage garbage in which isLong Term: disposal such proper place conducive for After 4-5 daysoccurrence of health of home visit, thediseases maintenance andfamily will practice personal and maintain a - To foster development duegood - Discuss to the awareness to the to ignorance ofenvironmental family how garbage family thus preventive sanitation could cause preventing measures illnesses. This potential could be a breeding diseases from site of insects and occurring rodents

-Time and effortShort Term: of the student After one Home visit and nurses & thehealth teaching the family family shall have demonstrate compliance with the health -Participation andteachings given as cooperation ofevidenced by the the family cooperation of the family. Skills andLong Term: knowledge of the After 4-5 days of home student nurses visit, the family shall have practiced and maintained a good environmental sanitation

- Teach the family on how they can improve their environment by having time schedule in cleaning their surroundings - Instruct the family to never leave their garbage unattended

- Let them be aware that they can maintain their environment free from infections and diseases. - To prevent the breeding sites of insects and rodents that may cause diseases. - To prevent the accumulation of flies

- Encourage the family to use a large can with cover for their garbage

- To let them know that they - Assist the family too can keep in cleaning their their environment surroundings and in safe and clean disposing their and free from garbage properly. infections - To become orderly in disposing different waste

-Apply proper segregation of

trash of the family. - To allow them recognized the present problem

- Assess the level of understanding of the family regarding to the problem. - To allow them to reflect in their - Discuss the current situation problem to the family

- To promote the increase of finance - Present to them the consequences of the present condition - to help the family sustain - Show to them and prioritize some alternatives their needs ways on how to increase income to meet the needs of all the members > to help the - Encourage the family sustain children to practice and prioritize saving money and their needs buy those things that are only needed

Problem # 7: Presence of breeding sites or vector of diseases 1st level of Assessment: 2nd level of assessment: Cues Analysis of the Objectives Nursing Intervention Problem

Rationale

Method of Family Contact

Expected Outcome

Problem # 7: Family Size beyond what Family resources can adequately provide

1st level of Assessment: Family Size beyond what Family resources can adequately provide 2nd level of Assessment: Inability to recognize the presence of the condition or problem

Cues S= O= -Family expenses exceed family resources. Income is p10,000 per month for the whole family -Presence of malnourishment on some family members

Problem Analysis

Objectives

Interventions

Rationale

Method

Resources Required

Expected Outcome

Inability toShort Term: -Establish rapport -To gain familys Home visit recognize the After 2-3 trust and presence of thehours of Home cooperation condition orvisit and health problem due toteaching the- Assess the - To obtain attitude andfamily will be ablegeneral condition baseline data philosophy in lifeto identify theof the family towards presence of the accepting theproblem and - To identify magnitude of theways on how to- Assess the living related factors problem. alleviate thecondition of the that affects the problem asfamily. health of the evidenced by the family. discussion of the family. - To obtain - Assess the level baseline data Long Term: of understanding of After 4 days ofthe family home visit, theregarding to the family will be ableproblem. to comply and demonstrate the- Discuss the - To allow them health teaching ofproblem to the recognized the the studentfamily present problem nurses such as to find ways on how to increase - To allow them

-Time and effortShort Term: of the student After 2-3 hours of nurses & theHome visit and health family teaching the family shall have identified the -Participation presence of the problem and cooperationand ways on how to of the family alleviate the problem as evidenced by the Skills anddiscussion of the family. knowledge of the student nurses Long Term: After 4 days of home visit, the family shall have complied and demonstrated the health teachings of the student nurses such as to find ways on how to increase income to meet the needs of all the members

income to meet to reflect in their the needs of all- Present to them current situation the members the consequences of the present condition - To promote the increase of - Show to them finance some alternatives ways on how to increase income to meet the needs of all the members

- Encourage the children to practice saving money and buy those things that are only needed

- to help the family sustain and prioritize their needs

Problem # 11: Poor Status of Toilet Facility as a Health Threat

CUES

1st level of assessment: Presence of health threats due to Poor home sanitation 2nd level of assessment: Inability to provide a home conducive to health maintenance and personal development due to inadequate family resources ANALYSIS OBJECTIVE INTERVENTION RATIONALE METHOD OF FAMILY CONTACT Home Visits RESOURCES REQUIRED 1.Knowledge, skills and time of the student nurses 2.Compliance and cooperation of the family or patient EVALUATION

S: O Inability to Short term: >Establish O: The toilet recognize the After 1 day of rapport facility is poor presence of home visit the with regards to the problem. family will hygienic Inability to identifyimportance >Assess the status and provide home of cleaning the quality of the they have a environment toilet facility toilet facility. communal conducive for regularly and gain comfort room. health necessary >Explain the >Presence of maintenance knowledge on the importance of dirty stains in and personal proper sanitation of having a clean the toilet. development toilet facility. toilet facility. >With foul due to: Long term: smell a. Inadequate After 5 days of family home visits the >Provide health resources family will be able teachings specifically to demonstrate regarding the financial compliance to the disease that can constraints health teachings be acquired due b. Lack of given . to poor toilet adequate facility. knowledge in the >Aid in the importance of cleaning of the having good toilet.

>To gain familys trust and cooperation >To obtain base line data. >To increase the awareness on the benefits of having a good toilet facility. >To be aware of the danger that may occur if necessary actions would not be initiated. >To facilitate proper ways of cleaning on how

Short term: After 1 day of home visit the family shall have identified the importance of cleaning the toilet facility regularly and gained necessary knowledge on the proper sanitation of toilet facility as evidenced by the family shall comply to the health teachings given.. Long term: After 5 days of home visits the family shall have demonstrated compliance to health teachings as evidenced by maintaining the cleanliness of the toilet facility

status of toilet facility and the disease can be acquired through improper cleaning of toilet.

to clean toilet. >Encourage family to maintain the cleanliness of the toilet facility >To provide cleanliness and good condition of the toilet facility.

>Encourage them >To prevent to practice proper cross hand washing contamination and cleaning the and maintain the toilet after using. cleanliness of the toilet >Discuss with the >To increase family about the awareness on parasites and parasitism their effects to the body >Encourage the family to use detergent in cleaning the toilet >To prevent staining and unpleasant odor and to decrease the occurrence of parasitism

Problem # 11: Malnutrition: Undernourishment

Cues S>

1st level of Assessment: Presence of Health deficit: Malnutrition: undernourishment 2nd level of Assessment: Inability to provide a home environment conducive to health maintenance and personal development Analysis of the Problem Inability of the family to recognize the problem due to inadequate knowledge. >Inability to provide nursing care due to inadequate family resources specifically financial constraints. Nursing Intervention Short term: >Discuss with After 1 home the family the visit the family presence of the will comply problem. about the preparation and >Explain to the serving family especially nutritious foods to the mother as evidenced by the causes and discussion with effects of the family. malnutrition. Long term: After 5 days of home visit the family will demonstrate willingness to serve and eat cheaper but nutritious foods to gain the appropriate weight such as malunggay, or kangkong, in place of broccoli; dilis and tilapia >Assist the mother in planning nutritious meals that the whole family will like >Encourage mother to have firm discipline towards her childrens eating habits, such as discouraging them from eating junk Objectives Rationale >To make the family aware of the presence of such problem >To give background idea on malnutrition so as to prevent the problem. >To improve their eating habits by eating variety of nutritious foods >To correct faulty found habits and to avoid loss of appetite during meal times. Method of Family Contact > Home visits > Health teachings Resources Required >Knowledge, skills and time of the student nurses >Compliance and cooperation of the family or patient Expected Outcome Short term: After 1 home visit the family shall have complied about the preparation and serving nutritious foods as evidenced by discussion with the family. Long term: After 5 days of home visit, the family shall have demonstrated willingness to serve and eat cheaper but nutritious foods to gain the appropriate weight. such as malunggay, or kangkong, in place of broccoli; dilis and tilapia

O> > Two out of four seen family members are classified as malnourished specifically Anak breast and , Anak Thigh Anak Thigh = 9 kg = underweight

instead of milkfish; chicken as an alternative for pork.

foods all the time >Instruct the family to wash hands properly. >To eliminate microorganism since these can cause food poisoning and GI diseases.

instead of milkfish; chicken as an alternative for pork.

Problem # 11: UNSAFE DRINKING WATER

1st level of assessment: Presence of health threat: unsafe Drinking water 2nd level of assessment: Inability to recognize the presence of a problem ANALYSIS OF THE PROBLEM OBJECTIVES NURSING INTERVENTIONS RATIONALE >To gain the trust and cooperation >To kill the water borne molecules and microorganisms. >To have an adequate supply of clean water. >To develop awareness and initiate action in controlling this problem. >To have a safe and potable water to drink. METHOD OF CONTACT >Home visits >Observations RESOURCES REQUIRED > Time effort with participation of the family and student nurse. >Health Teachings. EVALUATION Short Term: After 1 day of home visit the family shall be able to recognize the importance of water storage and the proper way of acquiring safe and steady water supply at home AEB they cooperate with the SN. Long Term: After 4 days of home visit, the family shall be able to show compliance to the health teachings given AEB they apply their new learnings in their daily lives.

S: sa gripo kami umiinom, kinakabit lang naming dyan sa gallon, hindi man naming pinakukuluan

>Inability to Short Term: >Establish rapport recognize the After 1 day of presence of home visit the a problem family will be able >Encourage the family due to to recognize the to boil their drinking ignorance of importance of water. facts. water storage and the proper way of O: The family >Inability of acquiring safe >Encourage the family gets water from the family to and steady water to store their water in their faucet solve the supply at home. a clean container with (NAWASA) existing Long Term: cover. >The family does problem. After 4 days of not cover the home visit, the >Explain to the family pitcher family will be able the effect of this to show problem in their compliance to the health. health teachings given. >Monitor the familys compliance to health teaching.

Problem # 13.5: Inadequate Living space

1st level of assessment: poor home condition due to inadequate living space 2nd level of assessment: inability to provide a home environment conducive to helath maintenance and personal development due to inadequate family resources specifically financial constraints METHOD OF RESOURCES FAMILY REQUIRED CONTACT Home Visits >Knowledge, skills and time of the student nurses >Compliance and cooperation of the family or patient

CUES S: O

ANALYSIS

OBJECTIVE Short term:

INTERVENTION

RATIONALE

EVALUATION Short term: After one home visit, the family shall have recognized the existing problem as evidenced by holding and arranging clothes, removing unnecessary things in the house. Long term: After 4-5 days of home visits, the family shall have developed ways on how to minimize the problem as evidenced by rearrangement of furniture to maximize their living space

Inability to provide a home O: Living environment space is not which is sufficient for conducive for family members as health maintenance evidence by total floor area and personal of 15.89 sq m, development due to in which if divided into 6, inadequate per individual family has 2.65 sq m resources specifically which is financial considered constraints inadequate and limited financial Furniture appliances and resources. clothes are not properly arranged

>Measure the house >For baseline data >To identify possible factors that will help in solving the problem >To foster self reliance from the family and to develop initiative

After one home visit, the family >Assess the living will recognize the space and taking existing problem note of the as evidenced by measurements holding and arranging >Suggest ways on clothes, how to maximize the removing available living unnecessary space by things in the rearrangement house. Long term:

>So as to >Advise the family to minimize the separate those limited space of After 4-5 days of things they dont use their house home visits, the anymore family will >To motivate the develop ways on >Inform the family family and how to minimize regarding the easy create the problem as transmission of awareness disease due to evidenced by rearrangement of

furniture to maximize their living space

inadequate space >To increase awareness regarding the possible effects of the said condition

>Explain to the family the possible effects of having inadequate living space

>Explain to the family the advantages of having adequate living space >Aid the family in maximizing the living space available

>To gain further knowledge

>To improve the resolution of the problem

>To increase awareness >Explain to the regarding the family the problem and importance of having motivate the adequate living family further space

Problem # 13.5: inadequate Lighting and Ventilation

1st level of assessment: poor home condition due to poor lighting and ventilation 2nd level of assessment: inability to provide a home environment conducive to health maintenance and personal development due to inadequate family resources specifically financial constraints NURSING OBJECTIVES Short Term: RATIONALE METHOD OF CONTACT RESOURCES REQUIRED

ANALYSIS OF THE PROBLEM S: Inability to provide a home environment O: which is conducive to >There is health only two maintenance windows and personal There is also development inadequate due to: CUES

EVALUATION

day light due to the lack of -Limited Long Term: appropriate financial windows and resources the location After 5 home of the house Inability to visits the family make decision will be able to >Unable to with respect to perform taking health measures to read actions due to: have adequate handouts ventilation and inside the -Failure to lighting house during comprehend on daytime the nature of the problem

After 1 home visit, the family will be able to comply on the teachings given about the effects > Provided some of poor health teachings to ventilation and eliminate the problem lighting

INTERVENTIONS >Explain the >To provide Home visits importance of having information an adequate ventilation and to increase awareness regarding the problem >To helped them to realize the importance of having a good ventilation >To promote proper ventilation and entry of sunlight in the house

>Instructed the family remove the curtain

>Time and effort of Short Term: the student nurses and the family After 1 home visit the family shall have >Cooperation of the complied on the family teachings about the effects of poor lighting >Knowledge of the and ventilation student nurses Long Term: >Tape measure After 5 home visits the family performed measures to have adequate ventilation and compensate for the inadequacy of lighting in their house

>Provided information >To provide on the importance information having adequate

and low salience of the problem -Lack of adequate knowledge in the importance of having adequate lighting and ventilation

lighting and how it affects health

and to increase awareness regarding the problem.

>Encourage the family >To facilitate to modify the structure passage of air. of the windows and remove unnecessary materials that black passage of air.

>Explain to the family the possible consequences of lighting

>To increase the awareness of the family regarding the possible consequences of poor lighting

>to promote >Instructed the family lighting to open the florescent lamp always >Instructed the family To prevent to perform activities unnecessary that require light during accidents day time such as cooking and cleaning the house

Problem # 16.5: unsanitary food handling

CUES

1st level of assessment: Unsanitary food handling and preparation 2nd level of assessment: Inability to recognize the presence of the condition or problem due to inadequate knowledge ANALYSIS OF OBJECTIVES NURSING RATIONALE METHOD OF THE PROBLEM CONTACT INTERVENTIONS >Inability to Short Term: >Establish rapport >To gain trust and Home visits maintain proper cooperation food handling After 1 day of Observations which is home visit, the >Assess for the food >To have a base conducive for family will preparation of the line data health demonstrate family maintenance understanding and personal of the >Demonstrate and development importance of discuss the importance >To educate the due to: proper food of handling of food family on the handling. importance of >Lack of proper food knowledge of the Long Term: handling. importance of proper hand After 4 days of >To aid in washing home visits, >Instruct the family to cleanliness and the family will clean and keep their prevent occurrence >Lack or perform the of health problems cooking utensils on inadequate health related t0o un kept their proper places. knowledge on teachings cooking utensils. the importance given and will >Instruct the family to of proper food continuously wash their hands before >To prevent handling. practice proper and after eating. microorganisms food handling. >Lack or > To get a baseline >Assess the hygiene inadequate practices of the family data for planning RESOURCES REQUIRED EVALUATION

S: O: >Presence of dirty fingernails among the family members >The food utensils are not kept well >During preparation of foods, hand washing is not being done by the family >Hand washing before eating is not being done by the family

>Time and effort Short Term: of the student nurses and the After 1 day of family home visit, the family will >Cooperation of demonstrate the family understanding of the importance of >Knowledge of proper food handling. the student nurses Long Term: After 4 days of home visits, the family will perform the health teachings given and will continuously practice proper food handling.

knowledge as to potentially causing health problems. -Attitude in Life which hinders recognition of a problem

and implementation > Discuss to the family the importance of proper hand washing > To know the effects and advantages of having and practicing good personal hygiene > To avoid dirt from accumulating in between the nails

>Clean and cut nails regularly

Problem # 16.5: presence of pointed objects and improperly placed wirings 1st level of assessment: Presence of health threat due to pointed objects and improper wirings 2nd level of assessment: Inability to identify the presence of the condition or problem due to lack of inadequate knowledge METHOD OF RESOURCES CUES ANALYSIS OBJECTIVE INTERVENTION RATIONALE FAMILY REQUIRED CONTACT S : Nilagyan Presence of Short term: >Discuss with >To gain Home Visits 1. The familys namen ng accident After 1 day of the family why familys cooperation and kahoy yung s hazards is home visit the presence of cooperation. physical attribution itaas namen related to the family will accident hazards baka kasi inability to perform could be harmful 2. The student mahulog sa provide some to the health of nurses skills, amin yung sa home interventions the family knowledge, and taas, as environment to reduce or attitude. verbalized by conducive to minimize the >Tell the family the mother. health problem such about the >To make the maintenance as taping possible family aware of O: Seen and hanging consequences of the protruding personal electrical having consequences nails, and development wires and disorganized of the problem. many woods due to etc. wires and as a support inadequate protruding nails. to the upper knowledge Long term: room and lack of After 5 days >Demonstrate to family of home visits the family the >To establish Disorganized resources the family will ways on how to self-reliance. electrical maintain an prevent accident wirings environment hazards within which is free the familys Open wires from injury available hanging on and resources the ceiling accidents. >Instruct the Seen holes family to always on the edge check for open >To prevent of their roof wires, while the short circuit to

EVALUATION Short term: The family shall have performed some interventions to reduce or minimize the problem such as taping hanging electrical wires and etc. Long term: The family shall have maintained an environment which is free from injury and accidents.

which could make the water run through the wires during rainy days

main power is switched off. They should not be run by water.

cause fire. Possible occurrence of electrocution.

>Instruct family to change the wires immediately if >To provide they found them knowledge and not working. prevent potential accident.

PROBLEM # 16.5: Poor personal hygiene 1st level assessment: presence of health threat due to unhealthful lifestyle: poor personal hygiene 2nd level of assessment: Inability to recognize the presence of a problem due to inadequate knowledge

Cues S> O> All of the members had dirty, uncut fingernails and toenails >The children do not practice proper hand washing before meals >The children do not practice proper oral care as evidenced by presence of tooth decay

Analysis of the Problem >Inability to maintain good personal hygiene which is conducive for health maintenance and personal development due to: >Lack of adequate knowledge of the importance of hygiene and sanitation >Lack of skills in carrying out measures to improve personal hygiene >Ignorance of facts about the possible effects of poor personal hygiene that may cause probable disease condition

Objectives Short term: >After the first home visit, the family shall have understood the importance of good personal hygiene and its implications on our health. Long term: After 4-5 days of home visits, the family shall have performed correctly the health teachings given to them such as combing of hair, cutting and keeping the fingernails and toenails shorter and clean and wear neat clothes.

Nursing Intervention -Assess the hygienic practices of each family member. -Provide health teaching about the importance of good hygiene.

Rationale -To get a baseline data for planning and implementation -To know the effects an advantages of having and practicing good personal hygiene -To prevent the transmission of diseases

Method of Family Contact > Home visit

Resources Required >Community: The health center can be utilized to have the familys regular dental check-up and treat the dental caries of the affected members. >Knowledge, time and perseverance of the student nurses >Familys understanding, cooperation, participation, resources and compliance.

Expected Outcome Short term: >The family understood the importance of good personal hygiene and how it affects the health of a person. Long term: The family applied the health teachings given to them as evidenced by combing of hair, cutting and keeping the fingernails and toenails shorter and clean and wears neat clothes.

- Encourage the family to practice hand washing before and after eating - Encourage them to take a bath everyday and instructed the mother to assist in bathing her children -Encourage regular trimming of fingernails and toenails - Encourage brushing of teeth of all members at least 3 times a day.

- To aid in washing out microorganisms away form their bodies which may cause several diseases - To avoid ingestion of unwanted microorganisms - To prevent dental caries of the affected to worsen and to prevent the occurrence of dental caries to the members who are well. -To promote hygiene -To supply them with the proper

-Bath the children -Demonstrate the proper bathing,

Problem # 16.5: Lack of food storage 1st level of assessment: Presence of health threat due to lack of food storage facility 2nd Level of Assessment: Inability to recognize the presence of a problem due to inadequate knowledge Cues S> o O> foods were seen left uncovered >the plates that were already washed were left on a dirty container of plates Analysis of the Problem > lack of food storage facility related to inability to recognize the presence of problem due to ignorance of facts/ lack of inadequate knowledge Objectives Short term: After 1 home visit the family will comply to the health teachings given. Long term: After 5 days of home visits, the family will demonstrate behavioral changes with regards to proper storage of foods. Nursing Intervention >discuss with family the importance of having proper food storage >tell the family about the possible complication it could bring to the familys health if the plates were left unattended and being contaminated with insects. >instruct the family the different ways in how to keep the food without spending: llike keeping the plates in a covered and clean conatainer. Rationale >to gain the familys cooperation Method of Family Contact > Home visits Resources Required >Time, effort and skills of the student nurses >Family participation and cooperation Expected Outcome Short term: After 1 home visit the family shall have complied to the health teachings given as evidenced by performing some of the interventions taught such as covering the left food with a clean plate. Long term: After 5 days of home visits, the family shall have demonstrated behavioral changes with regards to proper storage of foods such as keeping the container of food and plates

>to make the family aware of the consequences of the problem

>to provide knowledge and prevent occurrence of disease.

properly covered and clean.

Problem # 19 : Absence of drainage system

1st level of assessment: poor home/environmental condition/sanitation: absence of drainage system 2nd level of assessment: inability to provide a home environment conducive to health maintenance and personal development CUES ANALYSIS OF THE PROBLEM Inability to provide a home environment which is conducive for health maintenance and personal development due to inadequate resources especially time and man power to have a drainage system. OBJECTIVES Short term: After 1 day of home visit, the family will comply with the health teachings given by the student nurses AEB maintaining the floor dry. Long term: After 4 days of home visits, the family will perform the health teachings given and will continuously maintain a clean environment NURSING INTERVENTIONS RATIONALE To gain familys trust and cooperation > To let them be aware of the presence of the problem >To prevent any possible disease/illness that may occur due to the present problem > To obtain baseline data METHOD OF CONTACT > Home visits RESOURCES REQUIRED >Time, effort and skills of the student nurses >Family participation and cooperation EVALUATION Short term: After 1 day of home visit, the family shall have complied with the health teachings given by the student nurses AEB maintaining the floor dry. Long term: After 4 days of home visits, the family shall have perform the health teachings given and shall have continuously maintain a clean environment

S: O: No drainage system in their house

>Establish rapport

>Discuss with the family the presence of the problem >Discuss with the family the importance of having drainage system

>Assess the level of understanding of the family regarding to the problem.

> Provided some health teachings to eliminate the problem.

>To helped them to realize the importance of having a drainage system >To aid in cleanliness and prevent risk of injury

>Instruct the family to clean and keep dry floor areas.