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1. Arthritis as a health
Score deficit 4
(Rheumatoid Arthritis) 2. Hypertension as a health deficit 4 3. Altered thought process health deficit 4. Accident hazards 4a.Improperly kept pointed and 3 2/3 sharp objects and pesticides 4b. “Marupok na galba: and 3 2/3 improperly covered well as fall hazards 5. Poor Environmental Sanitation 5a.Presence of breeding and resting sites of vectors of disease 3 2/3 as a 4
5b.Improper/Unsanitary garbage 3 2/3 disposal 5c.Improper drainage system 6. Unhealthy lifestyle and personal habits and practices 6a.. Eating raw meat and fish 6b. Cigarette smoking 6c. Self-medication 3 1/6 2 2/3 3 2/3
FAMILY NURSING PROBLEMS
GOAL OF CARE
OBJECTIVES OF CARE
METHOD OF NURSEFAMILY CONTACT •
1. Arthritis as Inability
to a health provide deficit adequate nursing care to (Rheumatoid the family arthritis) member who has arthritis due to: •
After nursing intervention, Mr.Bonifacio will have a lesser attacks of arthritis w/in 5 months but complete healing is Lack of quite hard to adequate attain because knowledg somehow the e about disease is the hereditary. disease arthritis, its nature, complicati ons, prognosis and managem ent. Inadequat
After the nursing • intervention, Mr. Bonifacio as well as other family members will : • Be knowledgeable • about arthritis, son they could take appropriate action regarding the patient’s condition Understand the benefits of proper medical consultation and the benefit of the care needed.
Educate patient as Home Visit well as other family members about arthritis, its nature, complications and management. Tell the patient that he should seek for medical consultation for proper assessment, management and prescription of medications. Instruct the patient to discontinue self medicating himself and explain that harm self medication and take in medications as prescribed.
Material resources: • Photocopy of information about arthritis and its management including diet and medications • Time and effort of the student nurse and family members. Financial resource: Small amount of money spent in photocopying and money spent for transportation of the student nurse.
salmon and sardines and gravy as well as beans and legumes. • After nursing • intervention the couple will: • Have lesser times of rising Material resources: Pamphlets about the disease and its management and money spent in printing and researching it. Advise patients to limit or restrict taking in meat organs. . Bonifacio and Mrs. Advise the patients to visit their RHU at least twice or thrice a month although they dint experience signs and symptoms of hypertension. for • 2. Hypertensi onas a health deficit After nursing intervention.e knowledg e of the nature and extent of the health care needed. • • Inadequat e family resources for care specificall y due to financial constraint s • Perform necessary measures in the care and management of the disease. explain to him that these things could precipitate the attacks of his arthritis. Educate the patient about the benefits of having simple Home Visit regular exercise and encourage him to do so. Mr. wine. Leticia will have minimize or reduce rise in blood Inability to pressure in 2 provide months and adequate they will be nursing care to knowledgeabl the family e enough Control or limit taking in foods and other • habits that could aggravate the attacks of arthritis. Encourage the patient to take rest during or after attacks of arthritis and tell him not to go to work anymore during these times. He will seek proper medical consultation and will stop taking OTC drugs or stop self medication and will take • prescribed drugs as prescribed.Time and effort of the student nurse • .
Take medications as prescribed by medical • practitioners Be able to have dietary modifications by avoiding or restricting foods w/c could • precipitate the rise in blood pressure Mr. complicati ons. Visit the RHU at least twice/ • thrice a month for check-up.members who are hypertensive due to: • about the disease and the proper • management or care Lack of (independent) adequate to the knowledg patients. Tell the patient about the consequences and harm of taking OTC drugs or self medication and advise them to take • and members. Instruct patient to seek for medical consultations on hospital for further assessment. assessment of blood pressure or either consult a doctor for a check-up and proper prescription of medication appropriate to their condition. family Financial resource: Expenses in researching and printing the pamphlets and for the transportation of the student nurse. prognosis and • managem ent. • • • • . Inadequat e family resourcesfinancial constraint s Lack of necessary equipmen ts for the independe nt care needed such as blood pressure. will Bonifacio stop proper assessment and management Tell the patients that if in case they are at home and they experience sings and symptoms of hypertension. they should ask the nearest person who knows to assess the blood pressure and knows independent management before going to the RHU or hospital because their residence is quite far from these health facilities. its nature. management and prescription of medications. e about the disease hypertensi on.
its possible complications so they could have the care needed accordingly • drugs only as prescribed Teach the client to avoid or restrict too much salt in the diet(too much salty foods) Teach the client to avoid high fat and high cholesterol containing foods such as meat(fats). Encourage them to have balanced diet that they should not totally stop taking in meat products and but they should limit specially those w/ other foods high in fats and cholesterol because anything in excess is not good as well as anything deficient is also not good. shrimps. . sinanglaw. crabs and dairy products w/c are rich in fats and explain to them that these foods could cause rise in blood pressure in taken in excess. smoking gradually • Have a regular exercise or simple work out activities • • • Be knowledgeable about the disease process. lobster.BP apparatus and lack of skill in performin g the care needed.
jogging. broccoli because when there is enough potassium in the body sodium w/c causes increase in BP will be low in amount. and other fruits and also green leafy vegetables. Advise patient to increase intake of potassium rich foods such as banana. Instruct patients that . Educate to reduce stress or avoid stressful situations because it could also trigger the rise in blood pressure. papaya. Advise patients to have regular exercise or simple daily work outs such as walking. oranges. cycling and stretching most specially in the morning.• • • • • Encourage them also to take in fruits and vegetables such as apple.
complications. the patient as well as the family will: • Seek for medical consultation or either consult a specialist Understand the scope and • whenever they experience signs and symptoms of hypertension. Educate the family about mental health and the and help • Time and effort of the student nurse and family members. • Financial resource: transportation of the student nurse.3. they Home Visit should take their medications as prescribed and take rest and not to go to work anymore. and independent care management. • • . taking appropriate health action about the condition of Ate Imelda due to: • Failure to comprehen d the nature and scope of the problem Conflicting • • After the nursing intervention. its nature. Let them have pamphlets or written materials that contain details about hypertension and its management and discuss it w/ the patients and also w/ other family members. the family will take necessary measures and health actions regarding Ate 1.Inability to Imelda’s make condition decisions with within 4 respect to months. Altered thought process After the nursing intervention. Explain to the patients as well as to other family members about hypertension. for them to know what appropriate action to take.
Convince the family to seek for medical consultation and tell them the benefit of doing this is to: o Proper diagnosis of the disease or condition so appropriate nursing care and medical management and treatment will be done o Prevent development of the condition into a severe • 2. • Fear of consequenc es specially social feedbacks and emotional effects of health action to the patient and also with the whole family nature of the condition so they could decide what • appropriate action to take • Provide the needed care to the patient accordingly them understand the condition of the patient. Relate patient’s condition with someone who has the same condition.opinions among family members on what action to take. Inability to provide adequate nursing care to the patient due to inadequate family resources specifically financial . tell the family how it was diagnosed until it was managed and treated so the family could comprehend easier the benefits of health consultation.
3.Failure to utilize community resources for health care due to feeling of alienation or lack of support from community. • mental disorder Enumerate consequences.matters. other family members and to other people if the patient’s condition is not given immediate action like the following: o The patient could harm or hurt herself as well as other people o The patient’s condition could develop to a severe mental disorder. risk or harm to the patient. o The patient could burn their house specially that she is left alone at home cooking o She could drink improperly kept pesticides and be wounded by .
o Don’t let her feel that she’s alone. • 4. • • Instruct family not to let her play w/ children specially when no adult is . within a month.improperly kept sharp materials • Tell the family that she shouldn’t be left alone at home. Educate the family about the proper care for the patient: o Understand her as often as possible and let her feel a real familial love. care and Home Visit affection.Improperly kept pointed and sharp objects and pesticides • After nursing intervention. Financial resource: transportation of the student nurse. the family will take necessary measures in keeping their Human Resources: Time and effort of the student nurse and family members. somebody should accompany her. Accident Hazards 4a. o Do not treat her as a different individual or as an outcast but rather guide her in her daily routine.
the cause that may be presence of family will: the reason for her to the problem • Properly kept hurt them. pointed objects ask help to the local 2. “Marupok and personal consequences of na galba: and development improperly kept sharp improperly due to: and pointed objects as covered well • Failure to well as pesticides • Human Resources: Time and effort of the student nurse and family .environment watching over them. Inability to pesticides After nursing or shout against her recognize the intervention. hazard and 4b. safe from she could possibly accident and hurt them. Inability to as well as government. Home Visit environment w/c is conducive to • Educate the family health about the possible maintenance harm. tell of proper and possible them that there are storage of harm of agencies that offer pointed improperly kept support just like this objects and sharp and case or they should pesticides. an organized hinders them to seek environment • Know the for medical and on safety consequences consultation. due to lack of sharp objects adequate and pesticides • Tell the family that knowledge when it is comes to on the about the their financial appropriate and harm of having incapability that intended places. hazards from • Tell the family that improperly they will instruct kept pointed children that they objects and should not tease her 1. provide a safe pesticides.
the family will decide the appropriate or needed • . within 1 ½ month. 5. appropriate • Teach the family that cover to the they should properly well. family will: • Teach the family to store pesticides on a • Be aware of closed area. if the harm of possible it will be their “marupok locked or unknown to na galba” and Ate Imelda and improperly unreachable by covered well children because • Replace their sometimes their “galba or sim” grandchildren visit and provide an them.as fall hazards see the benefits of an organized environme nt. she could possibly drink the pesticides Home Visit and poison her that After nursing may possibly cause intervention. the family will take necessary measures in keeping their environment safe from accident and fall hazards. scythe and nails that could cause tetanus w/c is so dangerous and poison not only to the family but also to other people. the her death. Poor environme ntal sanitation 5a. • Lack of knowledge about preventive measures of accidents and harm After nursing intervention. Tell them that considering Ate Imelda’s condition. • Financial resource: transportation of the student nurse. After the nursing intervention. keep sharp and pointed objects such • members.Presence of breeding and resting sites of vectors of diseases Inability to provide a safe environment w/c is conducive to health maintenance and personal development due to: • Failure to see the • Human Resources: Time and effort of the student nurse and family members. Financial resource: transportation of the student nurse. wounds when they step on the improperly kept knives. such as they could cause accidents.
• Inadequate actions to • as knives. Utilize or eliminate the nails and others also recycle existing breeding and in cabinets or materials w/c resting sites of containers. • Know the benefits of • Encourage them to replace or fix the cleaning the “galda or sim” as soon environment as human and and eradicating material resources are the breeding available to prevent and resting sites accidents. it is not well the various ways fixed. a. scythe. are still safe to vector of use in solving diseases this problem to • Educate the family within 2 save money that having these months. of vector • Tell the family that diseases. although their well is • Can enumerate covered.benefits of an organized environme nt. • Lack of knowledge about preventive measures of accidents and harm Inability to provide a home environment which is conducive to health maintenance and personal development due to: • Failure to see benefits of proper sanitation and a clean environment. vector of diseases such as rodents. mosquitoes and flies. Select the appropriate . tell them that on how to they should cover it w/ eradicate the woods properly nailed breeding and and secured w/in the resting areas of opening of the well. the to them especially to family will: their safety. prone to fall hazards areas or materials win their environment is After the nursing really a health threat intervention.
knowledge of the importance of sanitation • Inadequate knowledge of preventive measures. drums and old basins where rain water • Human Resources: Time and effort of the student nurse and family members. environment free from numerous breeding Home Visit and resting sites of vectors of diseases. thyphoid fever and etc. the family will decide on the appropriate or needed plan and actions to be able to improve their sanitation and will be able to dispose their method to be use in avoiding the harmful effects of • Educate the family rodents. • Tell or help the family to remove galloons. • Tell or help the family locate breeding or resting sites of mosquitoes. 5b. dengue. rodents and flies for them to know or help them target to clean these areas. about the benefits of mosquitoes and having a clean flies. diarrheal diseases. Financial resource: transportation of the student nurse. flies and rodents are present w/in their environment that may bring different diseases to the family such as malaria.Improper garbage disposal After the nursing intervention. • . open containers. • Tell the family that resting and breeding sites of mosquitoes.
• Tell the family that the manure of their • Be able to animals should be know the dried under the heat harmful effects of the sun to be used of improper as an organic fertilizer garbage instead of being dup disposal. • Educate the family After nursing that they should clean intervention. in one area on the front side of their house. • . the there is no stagnant family will : water rodents could also breed w/in those • Be areas. Financial resource: transportation of the student nurse.garbage properly within months. Instruct also knowledgeable the family to burn or about the place old “dayami” in Home Visit different the compost fit that methods of could be used as ways disposal organic fertilizer so w/c are safe and not for mosquitoes proper and able and rodents to stay to select what there.Improper drainage system 1. still moist and wet that causes flies to be numerous w/in their environment. 5c. Inability to recognize presence of problem due to lack of knowledge about the risky effects of having an improper garbage disposal 2.Inability to provide a home environment which is conducive to health maintenance and personal development due to: • Failure to see benefits of garbage disposal • Inadequate (stagnant water) will be contained and 2 could be possibly breeding sites of After the nursing mosquitoes and if intervention. method they will use. their surroundings the family will always and do all of take the measures sited • Human Resources: Time and effort of the student nurse and family members.
Inability to recognize 6. • Have an appropriate and safe drainage system • Be able to recognize the harmful effects of improper drainage system. warning w/c is dangerous to our health. the family will: • Able to plan the appropriate drainage for them to be use. • Tell the family that they should dig a pit that will serve as their dumping site of garbage • Instruct the family to situate their dumping site on an area quite far from their house. 2. Unhealthy presence of lifestyle problem due and to insufficient personal knowledge habits and about the practices dangerous effects of having an 6a. Eating raw improper meat and fish drainage system. • If possible. educate the family to segregate their waste according to biodegradable and nonbiodegradable ones and instruct Home visit. Financial resource: transportation of the student nurse. • Teach the family not to burn their garbage especially plastics and educate them that doing this so may cause air pollution and may possibly contribute global Home visit. Inability to provide a home environment After the nursing intervention.knowledge of the importance proper waste disposal necessary measures to have a proper and sanitary drainage system within 2 months. • Human Resources: Time and effort of the student nurse and family members. above to eradicate vectors of different diseases and to reduce occurrence different diseases. • . them that they should place the 1.
the family will properly decide as to take healthy and nutritious foods abd be able to prepare and handle foods properly within 1 ½ month. weeds “dayami” and others in the compost pit and could be use as organic fertilizer while on the other hand. the family that having an open drainage system is not proper and unsanitary After the nursing and additionally it is intervention. . effect of their • Encourage the patient practice that they should dig a • Stop or avoid hole in the ground • Tell • Material resources: Pamphlets about the smoking and its management and money spent in printing and researching it. biodegradable garbages like leaves. Bonifacio will take alternative ways to stop smoking within 3 . • • Inability to recognize the presence of the problem due to lack of adequate knowledge about the harm or bad effects of After the nursing intervention. Financial resource: Expenses in researching and printing the pamphlets and for the transportation of the student nurse. the not safe to their family will: health • Be • Instruct the family to knowledgeable not to throw left over that eating raw foods on their meat and fish drainage area to is not healthy lessen flies and other • Be vectors of diseases to knowledgeable accumulate on that of the possible area.6b.Cigarette smoking which is conducive to health maintenance and personal development due to: • Failure to see benefits of garbage disposal • Inadequate knowledge of the importance proper waste disposal After the nursing intervention.Time and effort of the student nurse and family members. tell them that the nonbiodegradable materials such as plastic bottles. Mr. papers. old bottles and tin cans should be set aside f or it can be recycled or sold.
After the nursing intervention. Inability to make decisions with respect to taking appropriate health action due to low salience of the problem. 1. Inability to recognize the presence of the problem due to lack of adequate knowledge about the harmful effects of smoking.eating raw months. Bonifacio will: • Start to stop smoking until he will get rid of it totally and perform alternative ways to help him in stopping and doing again his practice • Know the harmful effects of smoking to him as well as to • Instruct the family to avoid or if possible to his family stop eating raw meat member and fish. meat and fish to their health taking in raw meat and fish and be able to cook them properly where the tube w/c is connected to the lavatory will be placed so that the flow of water. • Educate the family that by eating raw meat and fish they could possibly acquire different diseases such parasitism and . other materials and fluids will be blind or sanitary. 2. Mr.
Selfmedication Human Resources: Time and effort of the student nurse and family members. • Educate the patient and other family members about smoking by providing a pamphlet about Home visit. • Teach the patient of the alternative ways to help him stop smoking such as: o Slowly reduce of cigarettes per day until he has stopped • 6c. • . • Tell the patient that his practice is not only dangerous to his health but also to his family members and other people who will inhale the smoke. Financial resource: transportation of the student nurse. smoking w/emphasizes the harmful effects of smoking to health.diaarrheal diseases • Teach them to prepare their foods properly by washing them well and cooking them well to kill the possible microorganisms within that food material.
o Take naps.Bonifacio will stop self medicating himself and will take necessary measures as to take prescribed medications within 2 months.Bonifacio will: • Be aware that self medication is not safe to completely. apples. Mr. chewing gum. 1. o Tell friends and family that you have stopped smoking. Mr. singkamas. o Drink plenty of water and eat fruits and vegetables. This will make you feel embarrassed when they catch you smoking. Take plenty of vitamins and minerals. warm baths or showers during intensive cravings to smoke. and candies are good munching foods to replace the feel of a cigarette in the mouth.After the nursing intervention. Carrots. . o Change activities or habits that are associated with . Inability to recognize the After the nursing intervention.
o Go away or avoid places and people that will cause temptation to smoke again. For instance.presence of the problem due to lack of adequate knowledge about the possible harm or bad effects of self medication. go to a place where smoking is prohibited. there is another way called the Nicotine Replacement Therapy (NRT) wherein a smoker who stops smoking is given small amounts of nicotine over a period of six weeks or more to reduce withdrawal . o Tell the patient that if the above ways are not yet effective. Inability to make decisions w/ respect to taking appropriate health action to take due to: • Low salience of the problem • Lack of resource s in terms of financial matters his health. find other ways to finish a meal without smoking. 2. Go out for a walk. • Seek for medical consultation for proper prescription of medication • Stop self medicating himself and taking OTC drugs • Take medications for his disease as prescribed smoking.
nasal spray or cigarette-like inhaler but emphasize that before using this method the patient should consult a physician about NRT. • Instruct the patient to stop self medication and to seek for medical consultation for proper prescription of medication. The nicotine is given either as chewing gum.. • Educate the patient that self medication is not safe to health especially in existence of 2 or more disease conditions and emphasize to the patient that it is still be the safest to take prescribed medications. patch. . signs.
• Encourage them to utilize existing resources so he could afford to have medical consultation and to finance medications that will be prescribed. .
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