The list of health conditions or problems ranked according to priorities: Problem 1.

Arthritis as a health (Rheumatoid Arthritis) deficit 4 Score

2. Hypertension as a health deficit 4 3. Altered thought process health deficit 4. Accident hazards 4a.Improperly ept pointed and 3 2/3 sharp o!"ects and pesticides 4!. #$arupo na gal!a% and 3 2/3 improperly co&ered 'ell as fall hazards (. )oor *n&ironmental +anitation (a.)resence of !reeding and resting sites of &ectors of disease 3 2/3 as a 4

(!.Improper,-nsanitary gar!age 3 2/3 disposal (c.Improper drainage system .. -nhealthy lifestyle and personal ha!its and practices .a.. *ating ra' meat and fish .!. /igarette smo ing .c. +elf0medication 3 1/6 2 2/3 3 2/3

3 2/3

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1. Arthritis as Ina!ility to a health pro&ide deficit ade1uate nursing care to (Rheumatoid the family arthritis) mem!er 'ho has arthritis due to%

After nursing inter&ention3 $r.4onifacio 'ill ha&e a lesser attac s of arthritis ',in ( months !ut complete healing is 2ac of 1uite hard to ade1uate attain !ecause no'ledg someho' the e a!out disease is the hereditary. disease arthritis3 its nature3 complicati ons3 prognosis and managem ent. Inade1uat

After the nursing inter&ention3 $r. 4onifacio as 'ell as other family mem!ers 'ill % 4e no'ledgea!le a!out arthritis3 son they could ta e appropriate action regarding the patient5s condition -nderstand the !enefits of proper medical consultation and the !enefit of the care needed.

*ducate patient as Home 8isit 'ell as other family mem!ers a!out arthritis3 its nature3 complications and management. 6ell the patient that he should see for medical consultation for proper assessment3 management and prescription of medications. Instruct the patient to discontinue self medicating himself and e7plain that harm self medication and ta e in medications as prescri!ed.

$aterial resources% )hotocopy of information a!out arthritis and its management including diet and medications 6ime and effort of the student nurse and family mem!ers. 9inancial resource% +mall amount of money spent in photocopying and money spent for transportation of the student nurse.

e no'ledg e of the nature and e7tent of the health care needed. Inade1uat e family resources for care specificall y due to financial constraint s

)erform necessary measures in the care and management of the disease. He 'ill see proper medical consultation and 'ill stop ta ing :6/ drugs or stop self medication and 'ill ta e prescri!ed drugs as prescri!ed. /ontrol or limit ta ing in foods and other ha!its that could aggra&ate the attac s of arthritis.

Ad&ise patients to limit or restrict ta ing in meat organs3 'ine3 salmon and sardines and gra&y as 'ell as !eans and legumes3 e7plain to him that these things could precipitate the attac s of his arthritis. *ncourage the patient to ta e rest during or after attac s of arthritis and tell him not to go to 'or anymore during these times. *ducate the patient a!out the !enefits of ha&ing simple Home 8isit regular e7ercise and encourage him to do so. Ad&ise the patients to &isit their RH- at least t'ice or thrice a month although they dint e7perience signs and symptoms of hypertension3 for

2. Hypertensi onas a health deficit

After nursing inter&ention3 $r. 4onifacio and $rs. 2eticia 'ill ha&e minimize or reduce rise in !lood Ina!ility to pressure in 2 pro&ide months and ade1uate they 'ill !e nursing care to no'ledgea!l the family e enough

After nursing inter&ention the couple 'ill% Ha&e lesser times of rising

$aterial resources% )amphlets a!out the disease and its management and money spent in printing and researching it. .6ime and effort of the student nurse

mem!ers 'ho are hypertensi&e due to%

a!out the disease and the proper management or care 2ac of (independent) ade1uate to the no'ledg patients. e a!out the disease hypertensi on3 its nature3 complicati ons3 prognosis and managem ent. Inade1uat e family resources0 financial constraint s 2ac of necessary e1uipmen ts for the independe nt care needed

!lood pressure. 8isit the RHat least t'ice, thrice a month for chec 0up3 assessment of !lood pressure or either consult a doctor for a chec 0up and proper prescription of medication appropriate to their condition. 6a e medications as prescri!ed !y medical practitioners 4e a!le to ha&e dietary modifications !y a&oiding or restricting foods ',c could precipitate the rise in !lood pressure $r. 'ill 4onifacio stop

proper assessment and management 6ell the patients that if in case they are at home and they e7perience sings and symptoms of hypertension3 they should as the nearest person 'ho no's to assess the !lood pressure and no's independent management !efore going to the RH- or hospital !ecause their residence is 1uite far from these health facilities. Instruct patient to see for medical consultations on hospital for further assessment3 management and prescription of medications. 6ell the patient a!out the conse1uences and harm of ta ing :6/ drugs or self medication and ad&ise them to ta e

and mem!ers.

family

9inancial resource% *7penses in researching and printing the pamphlets and for the transportation of the student nurse.

such as 4) apparatus and lac of s ill in performin g the care needed.

smo ing gradually Ha&e a regular e7ercise or simple 'or out acti&ities

4e no'ledgea!le a!out the disease process3 its possi!le complications so they could ha&e the care needed accordingly

drugs only as prescri!ed 6each the client to a&oid or restrict too much salt in the diet(too much salty foods) 6each the client to a&oid high fat and high cholesterol containing foods such as meat(fats)3 sinangla'3 shrimps3 lo!ster3 cra!s and dairy products ',c are rich in fats and e7plain to them that these foods could cause rise in !lood pressure in ta en in e7cess. *ncourage them to ha&e !alanced diet that they should not totally stop ta ing in meat products and !ut they should limit specially those ', other foods high in fats and cholesterol !ecause anything in e7cess is not good as 'ell as anything deficient is also not good.

*ncourage them also to ta e in fruits and &egeta!les such as apple3 papaya3 oranges3 and other fruits and also green leafy &egeta!les. Ad&ise patient to increase inta e of potassium rich foods such as !anana3 !roccoli !ecause 'hen there is enough potassium in the !ody sodium ',c causes increase in 4) 'ill !e lo' in amount. *ducate to reduce stress or a&oid stressful situations !ecause it could also trigger the rise in !lood pressure. Ad&ise patients to ha&e regular e7ercise or simple daily 'or outs such as 'al ing3 "ogging3 cycling and stretching most specially in the morning. Instruct patients that

3. Altered thought process

After the nursing inter&ention3 the family 'ill ta e necessary measures and health actions regarding Ate Imelda5s 1.Ina!ility to condition 'ithin 4 ma e decisions 'ith months. respect to ta ing appropriate health action a!out the condition of Ate Imelda due to% 9ailure to comprehen d the nature and scope of

After the nursing inter&ention3 the patient as 'ell as the family 'ill% +ee for medical consultation or either consult a specialist -nderstand the scope and

'hene&er they e7perience signs and symptoms of hypertension3 they Home 8isit should ta e their medications as prescri!ed and ta e rest and not to go to 'or anymore. *7plain to the patients as 'ell as to other family mem!ers a!out hypertension3 its nature3 complications3 and independent care management3 for them to no' 'hat appropriate action to ta e. 2et them ha&e pamphlets or 'ritten materials that contain details a!out hypertension and its management and discuss it ', the patients and also ', other family mem!ers. *ducate the family a!out mental health and the and help

6ime and effort of the student nurse and family mem!ers. 9inancial resource% transportation of the student nurse.

the pro!lem /onflicting opinions among family mem!ers on 'hat action to ta e. 9ear of conse1uenc es specially social feed!ac s and emotional effects of health action to the patient and also 'ith the 'hole family

nature of the condition so they could decide 'hat appropriate action to ta e )ro&ide the needed care to the patient accordingly

them understand the condition of the patient. Relate patient5s condition 'ith someone 'ho has the same condition3 tell the family ho' it 'as diagnosed until it 'as managed and treated so the family could comprehend easier the !enefits of health consultation. /on&ince the family to see for medical consultation and tell them the !enefit of doing this is to% o )roper diagnosis of the disease or condition so appropriate nursing care and medical management and treatment 'ill !e done o )re&ent de&elopment of the condition into a se&ere

2. Ina!ility to pro&ide ade1uate nursing care to the patient due to inade1uate family resources

specifically financial matters. 3.9ailure to utilize community resources for health care due to feeling of alienation or lac of support from community.

mental disorder *numerate conse1uences3 ris or harm to the patient3 other family mem!ers and to other people if the patient5s condition is not gi&en immediate action li e the follo'ing% o 6he patient could harm or hurt herself as 'ell as other people o 6he patient5s condition could de&elop to a se&ere mental disorder. o 6he patient could !urn their house specially that she is left alone at home coo ing o +he could drin improperly ept pesticides and !e 'ounded !y

improperly ept sharp materials 6ell the family that she shouldn5t !e left alone at home3 some!ody should accompany her. *ducate the family a!out the proper care for the patient% o -nderstand her as often as possi!le and let her feel a real familial lo&e3 care and Home 8isit affection. o ;o not treat her as a different indi&idual or as an outcast !ut rather guide her in her daily routine. o ;on5t let her feel that she5s alone. Instruct family not to let her play ', children specially 'hen no adult is

4. Accident Hazards 4a.Improperly ept pointed and sharp o!"ects and pesticides

After nursing inter&ention3 'ithin a month3 the family 'ill ta e necessary measures in eeping their

Human Resources% 6ime and effort of the student nurse and family mem!ers. 9inancial resource% transportation of the student nurse.

en&ironment safe from accident and hazards from improperly ept pointed o!"ects and After nursing pesticides inter&ention3 the 1. Ina!ility to family 'ill% recognize the presence of )roperly ept the pro!lem sharp o!"ects due to lac of and pesticides ade1uate on the no'ledge appropriate and a!out the intended places. harm of ha&ing <no' the an organized conse1uences en&ironment and possi!le and on safety harm of of proper improperly ept storage of sharp and pointed pointed o!"ects o!"ects and as 'ell as pesticides. pesticides. 2. Ina!ility to pro&ide a safe en&ironment ',c is conduci&e to 4!. #$arupo health na gal!a% and maintenance and personal improperly co&ered 'ell de&elopment

'atching o&er them3 she could possi!ly hurt them. 6ell the family that they 'ill instruct children that they should not tease her or shout against her cause that may !e the reason for her to hurt them. 6ell the family that 'hen it is comes to their financial incapa!ility that hinders them to see for medical consultation3 tell them that there are agencies that offer support "ust li e this case or they should as help to the local go&ernment. Home 8isit *ducate the family a!out the possi!le harm3 hazard and conse1uences of improperly ept sharp and pointed o!"ects as 'ell as pesticides

Human Resources% 6ime and effort of the student nurse and family

as fall hazards

due to% 9ailure to see the !enefits of an organized en&ironme nt. 2ac of no'ledge a!out pre&enti&e measures of accidents and harm

After nursing inter&ention3 'ithin 1 = month3 the family 'ill ta e necessary measures in eeping their en&ironment safe from accident and fall hazards.

such as they could cause accidents3 'ounds 'hen they step on the improperly ept ni&es3 scythe and nails that could cause tetanus ',c is so dangerous and poison not only to the family !ut also to other people. 6ell them that considering Ate Imelda5s condition3 she could possi!ly drin the pesticides Home 8isit and poison her that After nursing may possi!ly cause inter&ention3 the her death. family 'ill% 6each the family to 4e a'are of store pesticides on a closed area? if the harm of possi!le it 'ill !e their #marupo loc ed or un no'n to na gal!a> and Ate Imelda and improperly unreacha!le !y co&ered 'ell children !ecause Replace their sometimes their #gal!a or sim> grandchildren &isit and pro&ide an them. appropriate 6each the family that co&er to the they should properly 'ell. eep sharp and pointed o!"ects such

mem!ers. 9inancial resource% transportation of the student nurse.

(. )oor en&ironme ntal sanitation (a.)resence of !reeding and resting sites of to &ectors of Ina!ility pro&ide a safe diseases en&ironment ',c is conduci&e to health maintenance and personal de&elopment due to%

Human Resources% 6ime and effort of the student nurse and family mem!ers. 9inancial resource% transportation of the student nurse.

After the nursing inter&ention3 the family 'ill decide the appropriate or needed

9ailure to see the !enefits of an organized en&ironme nt. 2ac of no'ledge a!out pre&enti&e measures of accidents and harm

Ina!ility to pro&ide a home en&ironment 'hich is conduci&e to health maintenance and personal de&elopment due to% 9ailure to see !enefits of proper sanitation and a clean

actions to as ni&es3 scythe3 -tilize or eliminate the nails and others also recycle e7isting !reeding and in ca!inets or materials ',c resting sites of containers. are still safe to &ector of use in sol&ing diseases this pro!lem to *ducate the family 'ithin 2 sa&e money that ha&ing these months. prone to fall hazards areas or materials 'in their en&ironment is After the nursing really a health threat inter&ention3 the to them especially to family 'ill% their safety. <no' the *ncourage them to !enefits of replace or fi7 the cleaning the #galda or sim> as soon en&ironment as human and and eradicating material resources are the !reeding a&aila!le to pre&ent and resting sites accidents. of &ector 6ell the family that diseases. although their 'ell is /an enumerate co&ered3 it is not 'ell the &arious 'ays fi7ed3 tell them that on ho' to they should co&er it ', eradicate the 'oods properly nailed !reeding and and secured ',in the resting areas of opening of the 'ell. &ector of diseases such as rodents3 mos1uitoes and flies. a. +elect the appropriate

en&ironment. Inade1uate no'ledge of the importance of sanitation Inade1uate no'ledge of pre&enti&e measures.

(!.Improper gar!age disposal

After the nursing inter&ention3 the family 'ill decide on the appropriate or needed plan and actions to !e a!le to impro&e their sanitation and 'ill !e a!le to dispose their

method to !e use in a&oiding the harmful effects of *ducate the family rodents3 a!out the !enefits of mos1uitoes and ha&ing a clean flies. en&ironment free from numerous !reeding Home 8isit and resting sites of &ectors of diseases. 6ell the family that resting and !reeding sites of mos1uitoes3 flies and rodents are present ',in their en&ironment that may !ring different diseases to the family such as malaria3 dengue3 diarrheal diseases3 thyphoid fe&er and etc. 6ell or help the family locate !reeding or resting sites of mos1uitoes3 rodents and flies for them to no' or help them target to clean these areas. 6ell or help the family to remo&e galloons3 open containers3 drums and old !asins

Human Resources% 6ime and effort of the student nurse and family mem!ers. 9inancial resource% transportation of the student nurse.

(c.Improper drainage system

'here rain 'ater (stagnant 'ater) 'ill 2 !e contained and could !e possi!ly After the nursing !reeding sites of inter&ention3 the mos1uitoes and if family 'ill % there is no stagnant 'ater rodents could 4e also !reed ',in those no'ledgea!le 1. Ina!ility to areas. Instruct also a!out the recognize the family to !urn or Home 8isit different presence of place old #dayami> in methods of pro!lem due the compost fit that 'ays disposal to lac of could !e used as ',c are safe and no'ledge organic fertilizer so proper and a!le a!out the ris y not for mos1uitoes to select 'hat effects of and rodents to stay method they 'ill ha&ing an there. use. improper 4e a!le to 6ell the family that gar!age the manure of their no' the disposal animals should !e harmful effects 2.Ina!ility to dried under the heat of improper pro&ide a of the sun to !e used gar!age home as an organic fertilizer disposal. en&ironment instead of !eing dup 'hich is in one area on the conduci&e to front side of their health house3 still moist and maintenance 'et that causes flies and personal to !e numerous ',in de&elopment their en&ironment. due to% After nursing *ducate the family 9ailure to inter&ention3 that they should clean see !enefits the family 'ill their surroundings of gar!age ta e al'ays and do all of

gar!age properly 'ithin months.

Human Resources% 6ime and effort of the student nurse and family mem!ers. 9inancial resource% transportation of the student nurse.

disposal Inade1uate no'ledge of the importance proper 'aste disposal

necessary measures to ha&e a proper and sanitary drainage system 'ithin 2 months.

the measures sited a!o&e to eradicate &ectors of different diseases and to reduce occurrence different diseases. 6each the family not to !urn their gar!age especially plastics and educate them that doing this so may cause air pollution and may possi!ly Home &isit. contri!ute glo!al 'arning ',c is dangerous to our health. 6ell the family that they should dig a pit that 'ill ser&e as their dumping site of gar!age Instruct the family to situate their dumping site on an area 1uite far from their house. If possi!le3 educate the family to segregate their 'aste according to !iodegrada!le and Home &isit. non0 !iodegrada!le ones and instruct

1. Ina!ility to recognize presence of pro!lem due to insufficient no'ledge a!out the dangerous .a. *ating ra' effects of meat and fish ha&ing an improper drainage system. 2. Ina!ility to pro&ide a

.. -nhealthy lifestyle and personal ha!its and practices

After the nursing inter&ention3 the family 'ill% A!le to plan the appropriate drainage for them to !e use? Ha&e an appropriate and safe drainage system 4e a!le to recognize the harmful effects of improper drainage system.

Human Resources% 6ime and effort of the student nurse and family mem!ers. 9inancial resource% transportation of the student nurse.

.!./igarette smo ing

home en&ironment 'hich is conduci&e to health maintenance and personal de&elopment due to% 9ailure to see !enefits of gar!age disposal Inade1uate no'ledge of the importance proper 'aste disposal

After the nursing inter&ention3 the family 'ill properly decide as to ta e healthy and nutritious foods a!d !e a!le to prepare and handle foods properly 'ithin 1 = month.

them that they should place the !iodegrada!le gar!ages li e lea&es3 papers3 'eeds #dayami> and others in the compost pit and could !e use as organic fertilizer 'hile on the other hand3 tell them that the non0 !iodegrada!le materials such as plastic !ottles3 old !ottles and tin cans should !e set aside f or it can !e recycled or sold. 6ell the family that ha&ing an open drainage system is not proper and unsanitary and additionally it is not safe to their health Instruct the family to not to thro' left o&er foods on their drainage area to lessen flies and other &ectors of diseases to accumulate on that area. *ncourage the patient

$aterial resources% )amphlets a!out the smo ing and its management and money spent in printing and researching it. .6ime and effort of the student nurse and family mem!ers. 9inancial resource% *7penses in researching and printing the pamphlets and for the transportation of the student nurse.

Ina!ility to recognize the presence of the pro!lem due to lac of ade1uate no'ledge a!out the

After the nursing inter&ention3 $r. 4onifacio 'ill ta e alternati&e 'ays to stop smo ing 'ithin 3

After the nursing inter&ention3 the family 'ill% 4e no'ledgea!le that eating ra' meat and fish is not healthy 4e no'ledgea!le of the possi!le effect of their practice +top or a&oid

harm or !ad months. effects of eating ra' meat and fish to their health

ta ing in ra' meat and fish and !e a!le to coo them properly

1. Ina!ility to recognize the presence of the pro!lem due to lac of ade1uate no'ledge a!out the harmful effects of smo ing. 2. Ina!ility to ma e decisions 'ith respect to ta ing appropriate health action due to lo' salience of the pro!lem.

After the nursing inter&ention3 $r. 4onifacio 'ill% +tart to stop smo ing until he 'ill get rid of it totally and perform alternati&e 'ays to help him in stopping and doing again his practice <no' the harmful effects of smo ing to him as 'ell as to his family Instruct the family to mem!er a&oid or if possi!le to stop eating ra' meat and fish. *ducate the family that !y eating ra' meat and fish they could possi!ly ac1uire different

that they should dig a hole in the ground 'here the tu!e ',c is connected to the la&atory 'ill !e placed so that the flo' of 'ater3 other materials and fluids 'ill !e !lind or sanitary.

diseases such parasitism and diaarrheal diseases 6each them to prepare their foods properly !y 'ashing them 'ell and coo ing them 'ell to ill the possi!le microorganisms 'ithin that food material. *ducate the patient and other family mem!ers a!out Home &isit. smo ing !y pro&iding a pamphlet a!out smo ing ',emphasizes the harmful effects of smo ing to health. 6ell the patient that his practice is not only dangerous to his health !ut also to his family mem!ers and other people 'ho 'ill inhale the smo e. 6each the patient of the alternati&e 'ays to help him stop smo ing such as% o +lo'ly reduce of

.c. +elf0 medication

Human Resources% 6ime and effort of the student nurse and family mem!ers. 9inancial resource% transportation of the student nurse.

After the nursing inter&ention3 $r.4onifacio 'ill stop self medicating himself and 'ill ta e necessary measures as to ta e prescri!ed medications 'ithin 2 months.

1. Ina!ility

to

After the nursing inter&ention3 $r.4onifacio 'ill% 4e a'are that self medication is not safe to

cigarettes per day until he has stopped completely. ;rin plenty of 'ater and eat fruits and &egeta!les. 6a e plenty of &itamins and minerals. /arrots3 apples3 sing amas3 che'ing gum3 and candies are good munching foods to replace the feel of a cigarette in the mouth. . 6a e naps3 'arm !aths or sho'ers during intensi&e cra&ings to smo e. 6ell friends and family that you ha&e stopped smo ing. 6his 'ill ma e you feel em!arrassed 'hen they catch you smo ing. /hange

recognize the presence of the pro!lem due to lac of ade1uate no'ledge a!out the possi!le harm or !ad effects of self medication. 2. Ina!ility to ma e decisions ', respect to ta ing appropriate health action to ta e due to% 2o' salience of the pro!lem 2ac of resource s in terms of financial matters

his health. +ee for medical consultation for proper prescription of medication +top self medicating himself and ta ing :6/ drugs 6a e medications for his disease as prescri!ed

acti&ities or ha!its that are associated 'ith smo ing. 9or instance3 find other 'ays to finish a meal 'ithout smo ing. @o out for a 'al 3 go to a place 'here smo ing is prohi!ited. o @o a'ay or a&oid places and people that 'ill cause temptation to smo e again. o 6ell the patient that if the a!o&e 'ays are not yet effecti&e3 there is another 'ay called the Aicotine Replacement 6herapy (AR6) 'herein a smo er 'ho stops smo ing is gi&en small amounts of nicotine o&er a period of si7

'ee s or more to reduce 'ithdra'al signs. 6he nicotine is gi&en either as che'ing gum. patch3 nasal spray or cigarette0li e inhaler !ut emphasize that !efore using this method the patient should consult a physician a!out AR6. *ducate the patient that self medication is not safe to health especially in e7istence of 2 or more disease conditions and emphasize to the patient that it is still !e the safest to ta e prescri!ed medications. Instruct the patient to stop self medication and to see for medical consultation

for proper prescription of medication. *ncourage them to utilize e7isting resources so he could afford to ha&e medical consultation and to finance medications that 'ill !e prescri!ed.