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VI.

FAMILY NURSING PLANS
PROBLEM # 1: PRESENCE OF BREEDING PLACES FOR MOSQUITOES, FLIES AND RODENTS 1ST LEVEL ASSESSMENT: Health threat 2ND LEVEL ASSESSMENT: Inability to make decisions with respect to taking appropriate health action d/t insufficient knowledge Cues Analysis Objective Interventions Rationale Method of contact • Home visits • Interview Method • Observation • • Resources required Health teachings Time and effort of the student in discussing health teachings and assisting the mother in cleaning the house. Cooper ation of the family. use of broom and dustpan Evaluation

S>ӯ O>Presence of open area inside their house > Presence of cockroaches was seen on the kitchen area. > Presence of mosquitoes on the bedroom > Leftover foods were stored in an open can which is just near the vicinity of their house.

The problem of is due to its: > Inability to provide a home environment which is conducive to health maintenance and personal development > Inability To recognize the possible diseases that could be acquired through the presence of rodents, insects or mosquitoes

Short Term: After 2 hours of nursing interventions, the family will be able to demonstrate understanding of the health teachings with regards to the possible causes and effects of the presence of these vectors. Long Term: After 3 weeks of home visits, the family will be able to show behavior and compliance on

•Assessed condition of the house and level of knowledge •Discussed the possible sources of the presence of rodents, insects and mosquitoes.

• To have baseline data to plan the appropriate interventions to be done. • Knowing the causes of the problem serves as one way to manage it.

Short Term: The family was able to demonstrate understanding of the health teachings with regards to the possible causes and effects of the presence of these vectors.

> stagnant and uncovered

•Explained to • To increase the family all their the possible awareness harmful regarding the effects that presence of these vectors the breeding can cause to sites so as to the health of persuade the entire them in doing family. actions that would avoid

Long Term: The family was able to show behavior and compliance on measures on how to maintain a clean environment in order to eradicate

drainage system

> Inability to produce sufficient financial means to replace the damaged area of the house. > Lack of willingness to do an action due to the fact that they don’t own the house. Thus leaving the problem to the owners. > Owner’s lack of awareness that the problem may cause harm to his/her boarders.

measures on how to maintain a clean environment in order to eradicate breeding sites of mosquitoes, flies and rodents.

them from acquiring diseases. •Assisted the family in cleaning the house, removing the spoiled foods and providing a cover on each trash can so as to avoid breeding places for these vectors. •Encouraged maintaining cleanliness by regular cleaning of the surrounding area of their house. • To provide initial action necessary for the prevention of diseases that might arise by increasing the family’s awareness through nurses’ initiative.

breeding sites of mosquitoes, flies and rodents.

• To prevent vectors to breed

PROBLEM # 2: POOR PERSONAL AND DENTAL HYGIENE AND DENTAL 1ST LEVEL ASSESSMENT: Health threat 2ND LEVEL ASSESSMENT: Inability to promote proper hygiene care to risk members of the family d/t lack of knowledge

Cues S> ∅ O> Upon the assessment made, it was observed that the family members have dirty and untrimmed fingernails and toenails. >The children have dirty clothes. > Children have yellowish teeth, with dental caries > Children is always seen walking without any footwear inside and outside the house.

Analysis Poor hygienic care is contributed by the family’s Inability to provide a home environment conducive to health maintenance and personal development due to lack of adequate knowledge and skills in carrying out action for proper hygiene regimen.

Objectives

Interventions

Rationale • To gain familiarity and to establish a good working relationship with the family.

Method of contact • Home Visits • Interview Method • Obser vation •

Resources Required Time and effort of the student nurses to render proper hygienic care and practices to the family. Cooper ation of the family members especially the mother. Use of water, soap, cotton buds, slippers, powder, nail cutter, clean clothes, towel basin, and toothbrush. PHN bag

Evaluation Short Term: The family was able to demonstrate understanding on the health teachings given regarding the importance of maintaining proper personal hygiene.

Short Term: • Established After 3 hours good working of nursing and interventions therapeutic the family will communicatio demonstrate n among the understanding members of on the health the family. teachings given • Stressed the regarding the importance of importance of maintaining maintaining proper proper personal personal hygiene. hygiene. • Encouraged Long Term: the children After 3 weeks to take a bath of Home visits everyday in the family will the morning be able to and before show going to compliance on sleep the health teachings given.

• In order to motivate them to improve their hygiene.

• To provide comfort and soothing feeling which promotes proper blood circulation; cleansing the body helps removes dirt from skin thus protecting them from invading microorganism • To keep free from microorganisms

Long Term: The family was able to show compliance on the health teachings given.

• Advised the family to

three times a day is recommende d after eating their meals. • When food sticks longer on the teeth. • Emphasized . causing body odor due to excessive perspiration and unchanged clothes. dental caries.change their clothing regularly. and halitosis. Having dirty nails may lead to parasitism. • To prevent cross- • Instructed the family to brush their teeth regularly. dental problems may occur such as the build up of tartar. It is also to prevent complications like pneumonia. • Having untrimmed finger and toe nails carries a higher risk of developing complications. every after bath or when the need excessive sweating in playing or doing household chores) • Instructed the family to trim their finger and toe nails regularly. etc.

before eating . It reduces the risk of possible accident like stepping on sharp objects.after eating .after bowel and bladder elimination • Stressed the importance of wearing footwear in and out of the house. contamination of microorganisms • Wearing foot wears reduces the risk of being contaminated with certain microorganisms .the importance of proper hand washing regularly especially: . .after handling unclean objects .

PROBLEM # 3: POOR ENVIRONMENTAL SANITATION: IMPROPER GARBAGE DIPOSAL 1st LEVEL ASSESSMENT: Health Threat 2ND LEVEL ASSESSMENT: Inability to provide a home environment conducive to health maintenance Cues S: Ø O:>candy wrappers. skills and proper attitude in discussing the nature of the Resources Required Family resources: Evaluation Short-term: The family was able to verbalize understanding of the actual condition that exist within the family and know how of the proper disposal techniques with the consequences of disregarding it. the family will verbalize understanding of the actual condition that exist within the family and know how of the proper disposal techniques with the consequences of disregarding it. the family will demonstrate the use and maintenance of Interventions >establish rapport Rationale >to gain the trust and cooperation of the family >Determined products which can be recycled and utilize by the family members like empty bottles and newspapers which can be sold or organic waste material as fertilizer >facilitates the importance of proper garbage disposal system >maximizing the community/family’ s resources while minimizing the cost of Method of contact Home visits Observation >initiative. inside and outside the house Analysis Inability to provide a home environment conducive to health maintenanc e due to: >failure to comprehend the nature of the problem >lack of knowledge on the consequenc es of poor environment al sanitation in one’s health Objectives Short-term: After 2 hours of nursing intervention. soiled plastic bags are present and scattered inside the house >absence of garbage containers. Long-term: After 3 weeks of home visits. time and full participation of family members in applying the segregation system >garbage cans and sacks Studentnurse resources: >knowledge . Long-term: The family was able to demonstrate the use and maintenance of a clean environment >discuss importance of waste segregation >explain the effects of untidy environment to a healthy living >encourage the family to utilize resources like empty rice sacks or cans as .

and proper garbage disposal system in compliance with the health teachings provided. >point out the result of piles of garbage settled along the river to the health of the people by using water on the river. thereby increasing the possibility of water-borne infection or other diseases. >to make the family members realized the consequences of irresponsible throwing of garbage to the riverside which serves s breeding sites of rodents.a clean environment and proper garbage disposal system in compliance with the health teachings provided. making sure that they are left covered. purchasing garbage containers problem. land and water pollution. adding up to air. garbage containers. .

• Instructed and Long-term: The family was to show compliance on the management . •Health teachings rendered. •Participation and cooperation of the family members with the student nurse. Analysis Inability to make decisions with respect to taking appropriate health action due to: a. the family will be able to demonstrate understanding on the health teachings given regarding on the nature. Long-term: After 5 days of home visit. the family will be able to show compliance on Interventions Rationale Method of contact Home visits. Failure to comprehend the nature or scope of problem. • To gain familiarity and to establish a Interview good working method relationship with the family. Lack of ability to provide a home environment which is Objective Short-term: After 3 hours of nursing interventions in one home visit. • Auscultated the lungs for the presence of adventitious breath sounds such as rales and wheezes. • This procedure may indicate presence of mucus plug or airway obstruction.PROBLEM # 4a: PRESENCE OF COUGH AND COLDS 1ST LEVEL ASSESSMENT: Health Deficit 2ND LEVEL ASSESSMENT: Inability to make decisions with respect to taking appropriate health action due to lack of adequate knowledge. •Time and effort of the student nurses and the family members. Cues S> “Sinisipon at inuubo sila” verbalized by Cuttma O> >Cuttwana has productive cough and colds > Cuttu has colds and productive cough with rales on both lower lobe of the lungs upon auscultation > Cuttri. causative factors and proper management and prevention of cough and colds. Observation • To determine whether the current status of the condition is already progressing or not. causative factors and proper management and prevention of cough and colds. Cuttfour and Cuttfive have colds. • Monitored and recorded vital signs. • To have a baseline data. Resources Required •Knowledge and skills of the student nurses. • Established therapeutic relationship with the family. •Therapeutic Communicatio n Skills. •PHN bag Evaluation Short-term: The family was able to demonstrate understanding on the health teachings given regarding on the nature. • These • Made a thorough assessment of a family member with cough and colds. Lack of adequate knowledge as to alternative courses of action open to them b.

also to provide adequate rest • To boost the immune system. which is rich in citrus fruits and orange juice. • To promote healthy living. • Instructed the family to provide an increase fluid intake given. keep up the body resistance against harmful pathogens and for faster recuperation. • Increased fluid intake liquefies and loosens secretions thus making it easier to expectorate so as to clear secretions from the bronchial tubes. teached the family proper coughing and deep breathing techniques.conducive to health and maintenance to personal development due to a. • To prevent complications. Inadequate knowledge of preventive measures. the management given. practice ways in preventing cough and colds and maintaining clear airway such as instructing the mother to provide children increase fluid intake. adequate rest and instructing the mother to keep her children back dry. practice ways in preventing cough and colds and maintaining clear airway such as instructing the mother to provide children increase fluid intake. adequate rest and instructing the mother to keep her children back dry. take of Vitamin C. techniques help mobilize the secretions thus keeping the airway clear. take of Vitamin C. • Instructed the family to provide an increase intake of Vitamin C. • Instructed the family to keep the back dry. • Provided health teachings which .

is to emphasize the importance of having proper personal hygiene • Instructed and demonstrated to the family the proper way of hand washing. The purpose of immediately sneezing out retained secretions would decrease the risk of potential areas for microorganisms to be contained • Herbal medicines. • Covering your mouth when coughing and sneezing is one way to reduce the risk of spreading contamination. • To prevent cross contamination. • Instructed the sick member of the family to cover the mouth when coughing and immediately sneeze out retained secretions in the nose. such as Lagundi and Yerba Buena are advocated • Advised the family to use herbal medicines that could alleviate the .

These herbal plants have its active components which could alleviate the cough and colds. • In order to have the therapeutic treatment that shall address the problem of the family. Interview method.illness. Established rapport with the family. • Advised the mother to avail services/ medicine in the health center. 2. by the Department of Health. Rationale 1. 1. Home visits. To gain familiarity and to establish a good working Method of contact Resources Required Evaluation 1. PROBLEM # 4b: HYPERTHERMIA 1st LEVEL ASSESSMENT: Health Deficit 2ND LEVEL ASSESSMENT: Inability to provide adequate nursing care to the sick Cues S> Ø O>The second child has a Analysis Inability to provide adequate nursing care to Objective Short-term: After 4 hours of nursing interventions in Interventions 1. Time and effort of the student nurses and the family Short-term: The family was able to verbalize .

the family will be able to verbalize understanding on the health teachings given regarding the management of fever and ARI and effectively demonstrate such actions afterwards. effectively demonstrate 3. 3. Instructed and demonstrated to the family the proper way of doing tepidsponge bath. relationship with the family. 4.temperature of 38C. Monitored and recorded vital signs. Long-term: After 2 days of home visit. It may increase the hypermetabolic state of the body that would in turn increase the body’s core temperature. To have a baseline data. 2. 6. if it is already progressing or not. cough and colds. 4. To determine the current status of the condition. given regarding the prevention of ARI and the absence of fever on the members of the family. 2. PHN bag. warm to touch >The third child also has a temperature of 38.3C. one home visit. 6. flushed skin warm to touch the sick due to: >ignorance of facts about the nature and extent of nursing care needed >Lack of knowledge and skills in carrying out the necessary care. 3. Long-term: The family was 4. the management 5. Tepid-sponge bath is one intervention that promotes heat loss through the process of convection. Observation understanding on the health 2. 5. the family will be able to show compliance on the management given regarding the prevention of ARI and the absence of fever on the members of the family. 5. To promote members. Therapeutic able to show Communicatio compliance on n Skills. 3. flushed skin. Pencil and such actions paper (for afterwards. Instructed the family to take ample rest periods and sleep. Instruct the . Activities may worsen condition. Participation teachings and given cooperation of regarding the the family management members with of fever and the student ARI and nurse. illustration purposes). Made a thorough assessment of the family members with fever.

8. Instruct the family to have an increase intake of Vitamin C. 9. Steam inhalation aids in loosening retained secretions in the tracheobronchia l tree. 10.Instruct the family to keep the back dry. Instruct and demonstrate to the family the proper way of doing chest tappings. .family to increase fluid intake. To prevent complications. which is rich in citrus fruits and orange juice. To promote healthy living. 9. Chest tappings and back rubs help in mobilizing secretions. 10. 7. 7. To increase resistance. Provide health teachings on the importance of 8. back rubs and steam inhalation. adequate hydration and loosen out secretions.

Herbal medicines. such as Lagundi is advocated by the Department of Health in alleviating such. Instruct the family about the herbal medicines that could alleviate the illness. 11. Instruct and demonstrate to the family the proper way of hand washing.having proper personal hygiene. 12. . 12. Covering the mouth when coughing reduces the risk of spreading contamination. Preparation would include: 13. 11. Instruct the sick members of the family to cover the mouth when coughing and immediately sneeze out retained secretions in the nose. 13. Immediately sneezing out retained secretions would decrease the risk of potential areas for microorganisms to be contained. To prevent cross contamination.

Drink the glassful of decoction. PROBLEM # 4c: MALNUTRITION 1ST LEVEL ASSESSMENT: Health Deficit 2ND LEVEL ASSESSMENT: Inability to recognize the presence of problem due to lack of knowledge Cues S>∅ O> Children’s FNRI are said to be Below Normal > Children were thin > Lack of Analysis Inability to recognize the presence of malnutrition in a dependent member due to lack of knowledge. Chop the leaves and strain. until one glass of gluid is left (decoction). • Observation Resources Required • Time and effort of the student nurses and the family members. the family will be able to understand the health teachings given regarding the management of malnutrition such as Interventions • Provided information about nutrition through health teachings • Discussed with the family the factors that contributed Rationale • Help the family realize the importance of proper nutrition • For family to be aware of the factors that affects and Method of contact • Home visits.for lagundi: boil raw fruits or leaves in 2 glasses of water for 15 minutes. • Interview method. > Inability to decide about taking appropriate action due to Objective Short Term: After 3-4 hours of nursing interventions. • Participa tion and cooperation of the family members with the student Evaluation Short Term: The family has understood the health teachings given regarding the management of malnutrition such as emphasizing the importance of eating nutritious .

• To provide well balance diet and to increase body resistance • to encourage the family to implement proper food selection • to prevent lessening appetite . Long Term: After five days of home visits the family will exhibit proper ways in prioritizing what food selection is appropriate to meet the necessary needs in order to achieve a desirable body weight. And to promote good nutritional habits.g. inadequate resources for care (e. nurse. to inadequate nutrition. lack of knowledge on the nature and extent of nursing care needed. c. b. • Stressed the importance of good nutrition and how to achieve it. Inability to provide Adequate nursing care to the members suffering from malnutrition due to: a.financial resources to provide nutrirional foods for the whole family > Irregular eating pattern (skipping meals) failure to comprehend the nature. Long Term: The family exhibited proper ways in prioritizing what food selection is appropriate to meet the necessary needs in order to achieve a desirable body weight. • • To give information about malnutrition. • Taught the mother to prepare nutritious food for family that are within their capability to produce. magnitude and scope of the problem. lack of knowledge about the health condition. And to promote good nutritional habits. • Discussed to the family the importance of proper food selection to the family • Advised them to avoid eating junk foods • Instructed the may affect their health. PHN bag food like vegetables and avoids junk foods. responsible family members and financial emphasizing the importance of eating nutritious food like vegetables and avoid junk foods.

participation and cooperation of the family members with the student nurses Evaluation Short-term: The family was able to the verbalize understanding on the health teachings given regarding the management of diarrhea and effectively demonstrate each actions such as how to >to determine Home visits the status of the condition if it is already progressing or not. >to get baseline data > to reduce intestinal workload >to prevent >vital signs taken and recorded >instructed the family to avoid solid food intake >instructed to limit .time and effort of the student nurses and the family members.mother during meals • To lessen financial expenses. the family will be albe to verbalize understanding on the health teachings given regarding the Interventions >made a thorough assessment of the family members with diarrhea Rationale Method of contact Resources Required 1. 2. thus providing more for the family . PROBLEM # 5: DIARRHEA 1st LEVEL ASSESSMENT: Health Deficit 2ND LEVEL ASSESSMENT: Inability to recognize the presence of the problem Cues S: “nagtatae si cutfive at ang nanay ko” as verbalized by the cutma O: Cutfive: o Defecated three times o Watery stool o Yellowish in color Analysis Inability to recognize the presence of the problem due to: >inadequate knowledge about the consequenc es of the problem >inadequate financial Objective Short-term: After 4 hours of nursing interventions in one home visit.

Cutla: o Defecated two times o Watery stool o Greenish in color o Moderate in quantity o Weak ness o pale resources to treat the problem management of diarrhea and effectively demonstrate each actions such as how to make oral rehydration solution. >to prevent dehydration Long term: After 2 days of home visits. and avoid milk & fruits >instructed to increase fluid intake promotion of diarrhea 3.therapeutic communicatio n skills. 1l of H2O >instructed the mother to handle foods properly >stressed proper handwashing > to overcome dehydration Long-term: The family was able to show compliance on the management given regarding the prevention and absence of diarrhea >to prevent diarrhea >to prevent crosscontamination . the family will be able to show compliance on the management given regarding the prevention and absence of diarrhea >taught them how to make oral rehydration solution: 1 tbsp salt. make oral rehydration solution. caffeine and high fiber foods. 8 tbsp sugar.

. 3. Interview method. Long-term: The family was able to demonstrate and show compliance on the interventions to control the potential for parasitism. 2. 2. Observation Resources Required 1. Therapeutic Communicati on Skills. 3. This practice promotes hygiene and decreases the occurrence of diseases. 4. PHN bag. Established rapport with the family. Discussed with the family the importance of wearing foot wears in and out of the house. Advised the family to visit the health center in order to seek proper medical attention to get medications that would disinfestate the children. 4. Time and effort of the student nurses and the family members. the family will be able to verbalize understanding on the heath teachings in preventing the potential for parasitism. before and after eating and after defecating. Pencil and paper (for illustration purposes). Discussed and demonstrated the proper way of hand washing. 3. To prevent cross contamination . Long-term: After 3 days of home visit. 4. having dirty and untrimmed finger and toenails and placing the toys towards the mouth are health threats that carries a very high risk of the developmen t of parasitism. To gain familiarity and to establish a good working relationship with the family. Participation and cooperation of the family members with the student nurse. In order to have the therapeutic regimen that 5. 2. Method of contact 1. Home visits. 3. 2.PROBLEM NO 6a: POTENTIAL FOR PARASITISM 1ST LEVEL ASSESSMENT: Health threat 2ND LEVEL ASSESSMENT: Inability to take appropriate health action d/t lack of adequate knowledge Cues S> Ø O> with dirty and untrimmed finger and toe nails > abnormally large abdominal girth > children is always seen walking barefooted in and out of the house > children were seen eating without even washing their hands Analysis Walking barefooted. Rationale 1. Evaluation Short-term: The family was able to verbalize understanding on the heath teachings in preventing the potential for parasitism. This is due to the low salience of the family towards the occurrence of such. Objective Short-term: After 3 hours of nursing interventions in one family visit. the family will be able to demonstrate and show compliance on the interventions to control the potential for Interventions 1.

shall address the problem of the family. lack of financial resources led to the problem’s occurrence. parasitism. .More so.

• Participation and cooperation of the family members with the nurse. nails. • Members realize the bad outcome of these accident hazards thus prevent possible occurrences. excess plywood. • Discussed and elaborate to the family all the possible consequence s that may come about from having these accident hazards in their home environment. • Discussed to the family the presence of the accident hazards inside their home.PROBLEM # 6b: PRESENCE OF ACCIDENTAL HAZARDS 1ST LEVEL ASSESSMENT: Health Threat 2ND LEVEL ASSESSMENT: Inability to take appropriate health action due to failure to comprehend the scope of problem Cues S> ∅ O> The ceiling of the house is quite worn off > Presence of sharp rusty edges at the entrance of the house > Presence of woods for cooking are located in their kitchen area. • Taught the family to become resourceful • This prevents the unnecessary use of their Long Term: The family showed adherence in the teachings given as evidenced by getting rid of all the possible accident hazards and shall develop solution to solve . the family will show adherence in the teachings given as evidenced by getting rid of all the possible accident Interventions Rationale • To increase awareness among the members of the family. Method of contact • Home visits • Interview Method • Observa tion Resources Required • Time and effort of the nurse and the family members. • Equipments to be used are electric tape. > Facility for heating is placed in the kitchen where fire is not Analysis Inability to make decisions with respect to taking appropriate action due to: >failure to comprehend the nature. hammer Expected Outcome Short Term: The family was able to recognize the presence of the existing problems and identify ways in eliminating accidental hazards present inside the home. scope/magnitud e of the problem >limited financial resources Objective Short Term: After 2-3 hours of home visits the family will be able to recognize the presence of the existing problems and identify ways in eliminating accidental hazards present inside the house. Long Term: After five days of home visits.

and use only what physical resources they have and try to recycle them such that they may be able to utilize them in eliminating accident hazards like unused pieces of woods in correctly sealing the open and unsafe area. the existing identified problem corresponding to their available resources. . • Helped the family to bend the sharp edges of the • To reduce the risk for cuts and lacerations. limited finances and also enhances their capability in handling possible hazards and corrects them.controlled because of the use of woods. • Helped the family in placing properly the sharp and dangerous objects/materi als at a level where children cannot reach. • To reduce the risk for cuts and lacerations. > Presence of pointed nails on the wall hazards and will develop solution to solve the existing identified problem corresponding to their available resources.

. • This is to prevent fire and to prevent smoke inhalation.toilet door. • Instructed the family to move their cooking facility outside the house.

• Explained the possible consequences and complication that they may acquire from contaminated food due to improper storage. Long-term: After five days of home visits. • Encourag ed covering food properly • To increase their awareness that this could bring about complication s to their health • To prevent easy spoilage and Long-term: The family was able to show compliance with the health teachings given on proper food . the family will be able to show compliance with the health teachings Interventions Rationale • To gain the trust and cooperation of the family Method of contact • Home visits • Interview Method • Obser vation Resources Required • Time and effort with the cooperation and participation of the family and student nurse. awareness to the family about the problem and intervene about it. • Plates and plastic food covers Evaluation Short-term: The family was able to demonstrate understandin g on the importance of proper storage of food such as instructing the family members to cover their food. the family will be able to demonstrate understanding on the importance of proper storage of food such as instructing the family members to cover their food. • Established therapeutic communication with the family • Discussed to • To develop >inadequate financial >leftover resources to foods left on the table avail food storage facilities without cover the family the possibilities of contaminating the food if not properly stored.PROBLEM #6c: LACK OF FOOD STORAGE FACILITIES 1st LEVEL ASSESSMENT: Health Threat 2ND LEVEL ASSESSMENT: Inability to recognize the presence of problem due to inadequate knowledge Cues S> ∅ O:> the family has no refrigerator >they have no cabinet for food storage Analysis Inability to recognize the presence of the problem due to: >inadequate knowledge about the consequences of the problem Objective Short-term: After 2 hours of nursing intervention.

storage. contaminatio n of foods. .given on proper food storage. with plates or any available and appropriate cover.

Another reason is that improper budgeting could lead to improper allocation of the financial resources. Objective Short Term: After 2 hours of Home visit the family will demonstrate understanding and realization on the effect of having inadequate financial resources to meet the needs of each in the family members. Interventions • Discussed the effects of improper budgeting of financial resources. >his income is not enough to support the whole members of the family (around 100 pesos per day) >he has low educational attainment.PROBLEM # 7: FAMILY SIZE BEYOND WHAT FAMILY RESOURCES CAN ADEQUATELY PROVIDE 1ST LEVEL ASSESSMENT: Health threat 2ND LEVEL ASSESSMENT: Inability to recognize the magnitude of the problem d/t inadequate knowledge Cues S> O> cutdad only had a temporary or seasonal job as a farmer. . Long Term: After 3 weeks of Home visits the family members will employ the means of improving their resources they have identified. Analysis The problem arises due to the country’s low economic progress which has a greater impact on some families who strives hard to a better living. Evaluation Short Term: The family was able to demonstrate understanding and realization on the effect of having inadequate financial resources to meet the needs of each in the family members. Rationale • To increase their awareness on the possible effects of having inadequate resources Method of contact • Home visits • Interview Method • Observ ation Resources Required • Time and cooperation of the family members. Long Term: The family members were able to employ the means of improving their resources they have identified. • Necessary teachings given to the family. • Advised family members to practice • In order to proper ensure proper utilization of allocation of finances by their scarce avoiding resources in purchasing meeting the of needs of the unnecessar family y things. members. thus it is difficult for him to find a more stable job. • Assisted the family members especially the mother in prioritizing the needs • In order to avoid mismanageme nt of their already .

of the family members inadequate resources. .

the family will be able to show improvement in the maintenance of adequate ventilation inside their house such as Interventions • Discussed to the family the importance of good ventilation • Removed the things the blocks the passage of air coming from the window. > Flow of air is inadequate because of only one window. Objectives Short Term: After 2-3 hours of nursing intervention. Evaluation Short Term: The family was able to identify possible result or consequences of the existing problem. the family will be able to identify possible result or consequences of the existing problem. Analysis Inability to provide a home environment conducive to health maintenance and personal development due to: >inadequate family resources especially financial constraints/ limited resources. •Reinforcement • Home Visits of knowledge increases • Interview awareness of Method the existing problem • Observation •To provide adequate amount of air that will flow inside the house. Long Term: After five days of home visits. • Instructed the family to open the windows as frequently as possible Rationale Method of Contact Resources required • Knowledge of the student nurses • Cooperation of the family members. •To prevent any suffocation or exhaustion due to inadequate supply of oxygen •To allow adequate • Instructed the family Long Term: The family was able to show improvement in the maintenance of adequate ventilation inside their house such as instructing them not to .PROBLEM # 8a : POOR HOUSING CONDITION: INADEQUATE VENTILATION 1ST LEVEL ASSESSMENT: Health Threat 2ND LEVL ASSESSMENT: Inability to provide a home environment conducive to health maintenance due to inadequate resources Cues S> ∅ O>Presence of one window for the whole house.

instructing them not to block the window and always tie the curtains. •Minimizes diaphoresis or over sweating thus providing comfort and feeling of freshness . block the window and always tie the curtains. •To improve the ventilation inside the house. sees to it that the window curtains are tied • Encouraged the family whenever possible to have an additional window • Advised family members to wear loose clothing as this provides comfort ventilation inside the house.

Interventions • Opened the door. • Cooperation of the family members. • To let them understand the relation . Long Term: After five days of nursing interventions the family members will be able to maintain good lighting condition. • To facilitate the passage of light. This reason can be traced from such as lack of financial resources and Objective Short Term: After two hours of nursing interventions the family will be able to demonstrate comprehension on the importance of adequate lighting. There is insufficient light inside the house because there is only 1 window open. Analysis Inability to provide adequate lighting in the house.PROBLEM # 8b : POOR HOUSING CONDITION: INADEQUATE LIGHTING CONDITION 1ST LEVEL ASSESSMENT: Health Threat 2ND LEVEL ASSESSMENT: Inability to provide lighting due to lack of financial resources and magnitude of problem. • Interview Method • Obse rvation • To increase their awareness on the consequenc es of poor lighting Long Term: The family members was able to maintain good lighting condition. • Method of contact Hom e Visits Resources Required • Knowledge and time of the student nurses. Evaluation Short Term: The family was able to demonstrate comprehension on the importance of adequate lighting. • Encouraged the family to remove all things which block the window and throw the things which are not needed. Moreover. • Explained the significance Rationale • To facilitate the passage of light. > A car battery is used as their source of electricity. they have 1 incandescent light which is supplied from a car battery for the entire house which cannot supply enough light during nighttime. • Explained to the family the effect of poor lighting especially to their vision. Cues S>∅ O>Presence of one incandescent bulb in the entire house. > The house has only one window which the light can pass through.

“ubo at sipon lang ang hindi naaalis sa bahay na ito” as verbalized the mother O .Aqua OF THE PROBLEM Inability of the family to provide nursing care to its members due to insufficient knowledge about nature OBJECTIVES SHORT TERM: -After 2 hours of home visits. EXPECTED OUTCOMES SHORT TERM: After 2 hours of home visits the family shall have verbalized understanding on the health teachings and shall have demonstrated . This problem may also be due to the lack of knowledge about the advantage of sufficient lighting. Material Resources: List of cheap OF FAMILY CONTACT >Home visits RESOURCES REQUIRED >The student nurses time knowledge and skills. Close-Up will verbalize understanding on the health teaching about measures on >explain to the family the effect of this problem to their health >to develop awareness and initiates action in >Interview >Observation NURSING INTERVENTION >assess the family’s knowledge regarding their present condition METHOD RATIONALE >to acquire necessary information and know where to start >Giving health teachings >Family's cooperation. FAMILY NURSING CARE PLANS of good lighting in relation to health and safety of health to their lighting system Problem No.they can’t afford to buy a fluorescent light. 1: Health Deficit – Presence of Coughs and Colds ANALYSIS CUES S .

and management of the health condition or attitude towards the health of its member. while Unique and Kutitap have been experiencing their colds for 3 days which is also clear in consistency. Unique and Kutitap have coughs and colds during the home visits. LONG TERM: After 2-5 days of home visit the family will show compliance to the health teaching given >instruct the family regarding proper hand washing >encourage to increase fluid intake >discuss with the family members the nature and signs and symptoms of the problem controlling this problem. Aqua Fresh is always experiencing colds which is clear in consistency. LONG TERM: >to loosen excessive secretions >hand washing is an effective way in preventing transmission of microorganism After 2-5 days of home visits the family was able to show compliance to the health teachings given .Fresh. >to actively understand the transmission of infection and on how to prevent its occurrence accessible fruits rich in Vitamin >Community resources: Health Center effective expectoration or clearing of secretions. how to alleviate as well to prevent this problem and will be able to demonstrate effective expectoration or clearing secretions.

>instruct the family to provide the fruit juices available in the community, like calamansi juice >instruct the parents to visit the health center if symptoms of cold persist

>foods rich in vitamin C prevent further infection

>this is to detect serious conditions which need immediate medical attention

>provide adequate rest and sleep to the children

>to conserve energy that is needed to increase body’s resistance

>advise the family to maintain

>to maintain and promote

personal hygiene

good health and prevent bacteria that causes diseases

> instruct the family to keep away from allergens like dust >instruct the family to cover the mouth and nose when coughing with clean cloth

>to avoid aggravation of the disease

>to prevent contamination among the family members since there is inadequacy in the living space

>advice the mother to keep the children in

>to provide optimal lung expansion for

Semi-fowlers position and demonstrate effective deep breathing exercise when coughing >encourage the mother to change clothes when wet and keep back dry

easy expectoration and keep and maintain an open airway to breath normally > to prevent any complication and to promote comfort

>if signs and symptoms persist, encourage the mother to seek physician’s help

>to lessen the chances of worsening or aggravating the situation

Problem No. 2.33: Health Threat – Presence of Insects CUES ANALYSIS OF THE OBJECTIVES NURSING INTERVENTIONS RATIONALE METHOD OF FAMILY RESOURC ES EXPECTED OUTCOME

S - “Malamok nga dito eh, ipis meron din. Kompleto pati alupihan” As verbalized by mother. O - Presence of mosquitoes and roaches. >Presence of junks below the house structure.

PROBLEM >Inability to make decisions with respect to taking appropriate health action due to inadequate knowledge/ insight as to alternative courses of action opens to them. > Inability to

SHORT TERM: After 2 hours of family-nurse interaction, the family will verbalize and be able to identify the diseases that these vectors might cause if not given attention.

>Assess the salience of the family toward the problem in poor environmental sanitation >Listen the family mention the measures they are doing in controlling rodents and mosquitoes >Provide health teachings on the

>To have a baseline data of the health teachings to be provided

CONTACT >Home visits >Observation

REQUIRED >Health teachings >Time and

SHORT TERM: After 2 hours of familynurse interaction, the family should have identified the diseases that they possibly acquire if they don’t get rid of these vectors. LONG TERM: After 3 days of home visit, the family was able to do some measures to

Interview

knowledge and skills of the student

>To know which measures will be supported and encouraged >To inspire the family to clean environment often >To provide them knowledge about the possible

nurses >Cooperati on of the family

LONG TERM: After 3 days of home visit, the family will be able to do some measures to get rid the

importance of clean environment >Discuss with the family the diseases that these vectors might cause

> Opened plastic garbage container.

provide a home environment , which is conducive

to health maintenanc e and personal developmen t due to inadequate family resources specifically financial constraints and limited physical resources.

breeding place of insects.

disease these pests may bring >Encourage the family to clean every corner of their house including the outside of their house >Instruct them to remove any stagnant water >To get rid of the breeding site of mosquitoes >Instructed the family to remove the junks surrounding their house >Instruct the family >To keep the surroundings free from propagation site of insects. >To remove a >To get rid of the breeding places where roaches and mosquitoes love to stay

get rid the breeding place of insects.

to remove the hanging clothes inside the house surrounding where mosquitoes love to stay >Encourage the family to sleep with a mosquito net >To protect them from contact or bite of insects >Encourage the family to make use of cheap pesticides like chalk pesticides >Encourage the family to clean the house and the surroundings frequently >To kill and control the pests >To prevent the breeding of insects Problem No. 2.33: Family Size Beyond What Family Resources Can Adequately Provide CUES ANALYSIS OF THE PROBLEM OBJECTIVES NURSING INTERVENTION RATIONALE METHOD OF FAMILY CONTACT RESOURCES REQUIRED EXPECTED OUTCOMES .

the breadwinner is the father who earns an average of P400 a day for a total P12000 a month. >assess the mother’s knowledge regarding budgeting >interview mother about the current family budget >to know other underlying cause of the said problem >Home visit >Health teachings with demonstration >Utilized family’s available resources and sample budget meals. the family will practice proper budget allowance to meet the needs of each member. SHORT TERM: After 3 hours of nursing intervention. LONG TERM: After four home visits. the family shall have practiced proper budget allowance to meet the needs of each member. >show sample budgets appropriate for the monthly income of the family >give examples of >encourage mother to continue utilizing family planning >to let the family receive good benefits from the least of the income >to prevent increasing the severity of the problem >to show the mother other alternatives .“wala man kaming naiipon” verbalized the mother O .768. specifically limited physical resources SHORT TERM: After 3 hours of nursing intervention. Inability to provide a home environment conducive to health maintenance and personal development due to inadequate family resources. the family shall recognize the existence of the problem and its effects. a family must have a budget of P2.60 per member in a month. >to have a basis of the other nursing interventions >Interview >Resources from >Observation the: -nurse -family -community >explain the importance of proper budgeting LONG TERM: After four home visits. according to National Economic Development Authority.S . the family shall have recognized the existence of the problem and its effects.the family is composed of eight members.

cheap meals with high nutritional content >to give the mother an idea about nutritious but cheap >advise the family to use their money wisely and buy things that are needed >provide the family with information regarding different methods in earning extra money such as recycled papers and bottles >help the family plant backyard vegetables such as malunggay. etc. >to minimize the expenses spent on >encouraged the family to prioritized their needs foods at the same time. eggplants. these are also >to inform the family of the different options in order to have extra income >to have money in case of emergency meals .

from wants >instruct the family to have a list when buying foods nutritious >this will facilitate them to spend their money wisely >to avoid buying unnecessary stuffs Problem No. 2.33: Poor Housing Condition – Inadequate Living Space ANALYSIS CUES S–O O – the house measurement is as follows: -length: 93 inches -width: 115 inches there are no available > Inability to OF THE PROBLEM > Inability to make decision related to taking appropriate action to lessen the effects of the problem. OBJECTIVES SHORT TERM: After one home visit the family shall recognize the problem and the risk of having inadequate living space to their health. >explain to the family the risks of acquiring diseases due to inadequate living space >to let the family understand and identify possible illnesses/ >Observsation > Health Teachings > Interview NURSING INTERVENTION >assess the family’s awareness regarding the situation METHODS OF RATIONALE >to know what are the appropriate interventions to be made > Home Management >Cooperation of the family FAMILY CONTACT > Home visits with Health Teachings RESOURCES REQUIRED >Availability of both student nurse and the family members EXPECTED OUTCOME SHORT TERM: After one home visits the family shall have recognize the problem and the risk of having inadequate living space to .

furniture since provide home there is no place to accommodate them environment conducive to health enhancement related to inadequate living space LONG TERM: After four home visits the family shall be able to practice house management that would help them increase the living space capacity > suggest furniture arrangement that may increase the living space capacity and remove unnecessary objects. > to increase the living space in the house their health. LONG TERM: After four home visits the family was able to practice house management that would help them increase the living space capacity >to promote manpower and improve ventilation as well . >advise the father to do some fixing in removing stuffs that covers the door diseases that can be acquire by an overcrowded house.

>provide the family with the alternative solutions they can use in response to the problem >encourage the mother to maintain the cleanliness and always open the window and door during day time >advise the family to do all important activities at daytime >help the family >to promote decisionmaking and self reliance >to allow air to pass through. thus improving ventilation >to prevent the risk for injury >to show .

in arranging the items inside the house sincerity in improving the health of the family >encourage frequent cleaning of the house and proper arrangement of the equipment inside >discuss the possible untoward consequences that may result from having inadequate living space such as crosscontamination of > to minimize cross contamination and spread of microorganisms >to realize the end result of having inadequate living space to prevent spread of disease and accidents to the family .

3: Home Condition – Inadequate Water Supply and Facility ANALYSIS CUES S – “Yung lumalabas na tubig sa gripo pag minsan nangangalawang. The pipes are old and OF THE PROBLEM Inability of the family to solve the existing problem.” O – There is no faucet inside the bathroom. the family shall have verbalized understanding the . NURSING INTERVENTIONS > Assess the family’s understanding regarding the situation METHOD OF RATIONALE >To gather the necessary information & to know where to start intervening ->Health Teachings FAMILY CONTACT >Home visits RESOURCES OF REQUIRED >Time effort with >Observations participation of the family and student nurse. This is because the family’s income is not OBJECTIVES SHORT TERM: After 2 – 3 hours of home visit the family will recognize the importance of water storage and the > Encourage the family to boil their drinking water > To kill the water borne molecules and >Health Teachings. EXPECTED OUTCOME SHORT TERM: After 2 hours of nursing interventions.a disease from one family member to another >explain to the mother the significance of an adequate living space >to provide awareness of having adequate living space Problem No.

adequate to install their own water supply. The only source of water present is found behind the house which is shared by 3 families. they have to walk to fetch or go outside their house to get water. >Explain to the family the effect of this problem in their health microorganisms >To develop awareness and initiate action in controlling this problem >Explain to the >To let the family know the risk they are into if the problem is not given proper attention >To decrease the risk of contracting diseases caused by dirty and unsafe drinking water importance of water storage and practice proper way of acquiring safe and steady water supply at home. the family will show compliance to the health teachings given. LONG TERM: After 2-5 days of home visit.rusty. family the possible water borne diseases that they can acquire from the problem >Suggest technique that may help prevent the occurrence of borne illness like boiling of water before drinking and use of filters LONG TERM: After 2 -5 days of home visits. . the family shall have complied with the health teachings given. proper way of acquiring safe and steady water supply at home.

>Encourage the family to store their water in a clean container with cover >Encourage the family to secure more containers and fill it with water >Suggest to make their pitcher pump >To have an adequate supply of clean water >To lessen the time of going to their house to fetch water >To have free and available water supply Problem No.”Yung mga natitirang ulam ANALYSIS OF THE PROBLEM Inability to make decisions with respect to taking appropriate health action due to failure to comprehend OBJECTIVES SHORT TERM: After 2 hours of nursing interventions the NURSING INTERVENTION >Discuss the significance of having a food storage facility METHOD OF RATIONALE >To be aware of its effect on the daily living of the family >Health teachings with demonstration FAMILY CONTACT >Home visit RESOURCES REQUIRED >Participation and cooperation of the family EXPECTED OUTCOMES SHORT TERM: After 2 hours of home visit the family shall have .33: Condition – Lack of Food Storage Facilities CUES S . 4.

linalagay naming sa party box” as verbalized by the mother O . LONG TERM: After 2-5 days of home visits the family shall have demonstrated compliance to the health teachings given by correct arrangement of food on the storage facility and the proper way of preparing and handling food. LONG TERM: After 2-6 home visits the family will be able to demonstrate compliance to the health teachings given by correct arrangement of food on the storage facility and the proper way of preparing and handling food. >Discuss correct placement of food within the storage facility >Encourage frequent cleaning of the storage facility >To prevent crosscontamination of food >To prevent cockroach egg or other vectors to nest within the storage facility >Assist in cleaning the storage facility >To show sincerity of the nurses in alleviating this problem >Site examples of good storage facility >Suggest alternatives that the family can utilize >Offer affordable alternatives >To let the family decide which alternative to use >To let the family >Observation >Interview >Knowledge and skills of the student nurses >Health teachings verbalized understanding of the appropriate storage facilities and its significance and the proper way of preparing and handling food. family will verbalize understanding of the appropriate storage facilities and its significance and the proper way of preparing and handling food. . the nature/magnitude of the problem/condition and low salience of the problem/condition.Presence of detergent powder and bans on the food storage facility. Inability to provide a home environment conducive to health maintenance and personal development due to inadequate family resources limited financial resources. Some leftovers are not properly covered.

the family shall have verbalized the importance of proper >To have a baseline data .>Identify options for financial assistance take the initial step in avoiding all the risk >To create or >Assist family to develop a plan for maintaining a clean. a person can’t read properly >windows are obstructed which means there is blocking in the Knowledge deficit r/t lack of knowledge on the importance of proper lighting to prevent poor living standards SHORT TERM: After 2-3 days of home visits. growth-promoting environment Problem No.>upon entering. 4. healthful environment maintain a safe. the family will be able to verbalize importance of proper lighting. >Discuss how inadequate lighting may affect their health especially their eyesight as well >For the family to gain knowledge so as to prevent eye OBJECTIVES METHOD NURSING INTERVENTIONS >Assess the living condition of the family RATIONALE OF FAMILY CONTACT Home visits RESOURCES OF REQUIRED Participation and cooperation of the family EXPECTED OUTCOME SHORT TERM: After 2-3 days of home visits.33: Poor Home Condition – Poor Lighting ANALYSIS CUES OF THE PROBLEM S–O O .

the family shall have shown compliance with regards to having >suggest to make two more windows one on the 1st floor and 2nd floor >suggest to buy a light bulb > to facilitate the coming of light from the sun > to properly see all the materials inside the house adequate lighting in the house. LONG TERM: After 5 days of home visits. LONG TERM After 5 days of home visits.passage of light even at daytime >uses incandescent bulb less than 50 watts or 20-40 watts fluorescent bulb and eye straining. >suggest to make a small transparent roof >instruct the family to use the space in front to >to facilitate the entry of light >to have an adequate space to . lighting. the family will be able to show compliance with regards to having adequate lighting in the house. straining that leads to poor living standards. as to their living standards.

> to have a adequate light of the house >To help them realize the need for lighting source especially at night. >Advise the family to do all important activities at day >To prevent the risk for injury or accidents .make hanging wire lighten up the whole house >suggest to the father to make a closet to make room for their clothes which are hanged on the walls >Stress the importance of lighting in performing some activities.

> Provide the during night. >To improve adequacy of lighting. >Encourage the mother to maintain the cleanliness and always open the window and the door at daytime. >To promote . >To allow entrance of enough light to the house. >To allow air to pass through thus it helps in ventilation. >Encourage the family to add a window or a light bulb if their resources would allow. >Encourage family to remove things that block the entrance of light.time.

decisionmaking and self-reliance. minsan kailangan naming maghintay” OF THE PROBLEM This condition affects the family because they are susceptible to infectious diseases OBJECTIVES SHORT TERM: After 2-3 hours of home visit the family will be able to verbalize understanding of the importance of > discuss to family the importance of >to provide proper knowledge among the >Interview >Health NURSING INTERVENTION >explain to the family the effect of this problem to their health. >To promote man-power and improve ventilation Problem No. EXPECTED OUTCOME SHORT TERM: After 2 hours of nursing interventions the family shall verbalized understanding of the importance of . >Health teachings >Time and effort of the student nurse. METHOD OF RATIONALE >to develop awareness and initiate action in controlling this problem. 4.33: Poor House Condition – Lack of Toilet Facility ANALYSIS CUES S .family with the alternative solutions they can use in response to the problem >Advise the father to do some fixing and removing stuffs that cover the door. >Observations FAMILY CONTACT >Home visits RESOURCES REQUIRED >Cooperation of the family members.“ilang pamilya kaming gumagamit diyan.

them to practice proper hand washing >involve in appropriate community education programs >to increase awareness of spread/prevention of communicable diseases. >discuss to the family the possible diseases they can acquire like UTI. having a toilet facility and recognize the diseases that may be brought by the presence of this problem and health teachings given having their own toilet facility. >to prevent crosscontamination within the members of the family.verbalized the mother O – the family is sharing their toilet with other families nearby because of lack toilet facilities. LONG TERM. . >to prevent the occurrence of certain disease teachings. >encourage members of the family. having a toilet facility and recognized the diseases that may be brought by the presence of this problem and health teachings given. LONG TERM: After 2-5 days of home visit the family will be able to demonstrate compliance to health teachings given. After 2-5 days of home visits the family shall have demonstrate compliance to health teachings given. etc. diarrhea.

elderly persons.>identify resources available to the family >note age and sex (children. assistance with making positive changes. young adult. and men are at greater risk) >evaluate family’s response to violence in the surroundings >note socioeconomic status/availability and use of resources >to reduce/correct existing risk factors > to evaluate degrees/source of risks inherent in the family situation >may determine ability to access health for identified problem >indicator for need for information. .

the >to prevent crosscontamination >helps client to identify what is really based . 5: Lifestyle and Personal Habits/Practices: Walking Barefooted or Inadequate Footwear ANALYSIS CUES S . the NURSING INTERVENTIONS >assess family’s understanding with regards to METHOD RATIONALE >to know where to start and to know >interview OF FAMILY CONTACT >home visits RESOURCES OF REQUIRED knowledge. time and effort of the student EXPECTED OUTCOME SHORT TERM: After 2 hours of home visits.“marami naman kaming mga OF THE PROBLEM inability to recognize the OBJECTIVES SHORT TERM: After 2 hours of home visits.promoting safety and a sense of security >ascertain knowledge of needs/crosscontamination prevention and motivation to prevent diarrheal diseases >encourage the users to clean and disinfect the toilet after using Problem No.

>assess the availability of resources (slippers) >to know other underlying reasons as to why they are not wearing feet protections LONG TERM: After 2 days of home visit. family shall have verbalized understanding regarding the importance of wearing slippers. the family shall have demonstrated compliance on the health >assess availability of monetary resources >instruct the mother to teach the children wear slippers for them to get used to it >to know if the family could buy new ones >to have them practice this safety precaution as early as possible teachings provided by the student nurses. Aqua Fresh) presence of condition due to: a) failure to comprehend the magnitude of the problem b) low salience of the problem family will be able to verbalize understanding regarding the importance of wearing slippers. . LONG TERM: After 2 days of home visit.tsinelas. importance of wearing feet protections the appropriate health teachings to be provided >observation nurses with the cooperation of the family members.the children seen walking barefooted (Unique.” verbalized the mother O . di lang sila nasanay sa pagsusuot kaya inaalis nila. the family will be able to demonstrate compliance on the health teachings provided by the student nurses.

>instruct the mother to attach rubber bands for the children not be able to remove the slippers >encourage the mother to check on the children if they are wearing slippers while playing outdoors >instruct the mother to teach the children to wash their feet after playing outside >instruct the mother to trim >to have them get used to wearing slippers >to know if they are much more safer >to lessen the possibility of acquiring diseases >to lessen the chances of .

and clean nails often >instruct the mother to teach the children to wash their feet before going to bed >instruct the mother to clean the environment acquiring diseases >a good hygiene is tantamount to a good health >to lessen the possibility of acquiring disease conditions >instruct the mother to frequently bring her children to the health center for check ups >regular check ups lessens the odds of acquiring disease and can help in early diagnosis of an .

etc.the family’s house is composed of three ANALYSIS OF THE PROBLEM Inability to recognize the presence of the problem due to low salience of the problem. Fire. the family will NURSING INTERVENTION >Provide health teachings about the accident hazards METHOD OF RATIONALE >To let the family avoid injuries that can be caused by the problem >Health teachings with demonstration FAMILY CONTACT >Home visit RESOURCES REQUIRED >Utilized the available resources of the family.occurrence of a disease >educate the mother of the possible diseases that could be required like Leptospirosis. >to understand the importance of wearing feet protection Problem No. Pointed Objects CUES S-O O . 6: Presence of Health Threats – Accident Hazards. the family shall have recognized the . athlete’s foot. OBJECTIVES SHORT TERM: After an hour of nursing interventions. Tetanus. Falls. EXPECTED OUTCOMES SHORT TERM: After an hour of nursing intervention.

the stairs are made up of wood and it is very narrow Inability to provide a home environment conducive to health maintenance and personal development due to inadequate family resources. the family shall have avoided the possible consequences of the problem. LONG TERM: After four home visits.floors and there’s the presence of children . >To help the family >Demonstrate first aid in cases of fire or burn accidents learn the first aid techniques in cases of emergency. >To let the family >Explain the importance of knowing the accident hazards present in the take the initial step in avoiding all the risk . >coordinate with the Barangay and Local Government Unit for records of plans to improve and eliminate presence of accident hazards >Suggest alternatives that the family can utilize >To let the family decide which alternative to use >to promote a better and much more satisfying. specifically limited physical resources recognize the problem and its possible effects to them. LONG TERM: After four home visits. the family will avoid the possible consequences of the problem. risk-free environment >Interview >Observation >Resources of the: -nurse -community problem and its possible effects on them.

assistance with making positive changes. fatigue.surroundings >indicator of need >ascertain knowledge of injury prevention and motivation to prevent further injury for information. and sense of security >to emphasize to the mother the >determine children’s chronological and developmental age >discuss importance of self-monitoring of conditions or emotions that can contribute to occurrence of injury. promoting safety. irritability >recognizing these factors and dealing with them appropriately can reduce family’s risks need of further guidance . example: ignoring basic needs.

disinfectants (soap) out of reach of the children >to prevent unwanted accidents >to prevent fire accidents problems .>note socio-economic status/availability and use of resources >may determine ability to access health for identified >assist in providing first aid in anticipation of injury >to avoid panicking in cases of actual accidents >demonstrate proper way of discharging flammable materials to prevent accidents >keep matchboxes.

33: Poor Home Condition – Poor Ventilation ANALYSIS CUES S–O O – there is one window for the whole house which is 34 inches in height and 23 inches in width OF THE PROBLEM Inability to recognize the problem due lack of knowledge as evidenced by small window. . the family shall have recognized the problem and other complications of having inadequate ventilation. 7. >have the family say their perception about the problem >to determine family’s awareness of the problem and present effects that the problem posts against them LONG TERM: After four home visits the family shall have NURSING INTERVENTION >assess the family’s knowledge regarding the importance of a well ventilated home METHODS OF RATIONALE >to know other underlying cause of such condition >Observation >Interview FAMILY CONTACT >Home Visits RESOURCES REQUIRED >Availability of both student nurse and the family members.Problem No. dark field area and insufficient fresh air circulating inside the house. the family shall recognize the problem and other complications of having inadequate ventilation. > Health teachings EXPECTED OUTCOME SHORT TERM: After an hour of home visit. LONG TERM: After four home visits the family shall take action to promote >check other ways of >to know what are the OBJECTIVES SHORT TERM: After an hour of home visit.

>explain to the family the effects of inadequate ventilation >suggest addition of windows to provide adequate air >to make the family aware of the presence of the problem and its effect >to increase the source of ventilation . improving the ventilation in the house >discuss home environment interventions that should be made >to determine ability to care for self and to identify potential health and safety hazards taken action to promote ventilation to increase fresh air inside their house.ventilation to increase fresh air inside their house.

growthpromoting environment >determines what changes . healthful environment >assess environment.>encourage the mother to keep a conducive environment. >to lessen the risk of affecting the respiratory system >to adjust the possible interventions and know the limitations >to create or maintain a safe. as much as possible. one which is free from dust >determine financial resources to meet needs of individual situation >assist family to develop a plan for maintaining a clean.

participation. OF FAMILY CONTACT Home visits.noting unsafe factors and ability of the family to care for themselves >encourage family to remove things that block the entrance of air need to be made >to allow air to pass through thus it helps ventilation Problem No. OF THE PROBLEM Inability to provide a home environment conducive to health maintenance and personal development OBJECTIVES Short Term: After 1 home visit. the family will be able to verbalize understanding of the importance of proper drainage NURSING INTERVENTIONS >Inform of the possible diseases they could get from an improper drainage system. 7. METHOD RATIONALE >To provide knowledge and make the promote awareness of the diseases that could arise from the problem. patience on the part of the student nurse. the family shall have verbalized understanding of the importance of . EXPECTED OUTCOME Short Term: After 1 home visit. interview RESOURCES REQUIRED Sufficient knowledge about the problem. being open and stagnant. cooperation.33: Poor Housing Condition – Improper Drainage System ANALYSIS CUES S-O O>Observation of the drainage system type. observation.

and enthusiasm from the family proper drainage system. the family will be able to demonstrate behaviors in applying the learning derived from the health teachings and maintaining an improved drainage system. . knowledge regarding environment al sanitation Inability to recognize the presence of a problem r/t ignorance of facts. >Give health teachings about the Long Term: After 5 home visits. the family shall have demonstrated behaviors in applying the learning derived from the health teachings and maintaining an improved drainage system. Long Term: After 5 home visits. > provide information on how to maintain a clean drainage system > to promote environment conducive for health promotion > instruct the family to always keep their drainage >to prevent breeding places of > discuss the consequences of the problem > to promote awareness of the problem effects of the problem and provide suggestions on how to minimize the problem. >To empower the family to apply the concepts learned and find ways on how to correct and solve the problem. system.r/t lack of >Obstructed passageway of water.

system close insects and rodents and to prevent accident hazards > help the family to understand that the problem is a threat to their health >explain to the family the effect of this problem in their health >to promote awareness > to develop awareness and initiate action in controlling this problem >Discuss with the family the importance of good environmental sanitation and personal hygiene. >Motivating the family do something about the problem. .

>Plan with the family on how to solve the problem by demonstrating with them the proper maintaining a clean environment. >One of the principles in .> Inform the family of the problem that may arise from poor environmental sanitation like the occurrence of diseases. >use of proper referral system by >This will further give them an ides on what is the proper way of maintaining a clean environment. >This will make the family aware of the importance of personal hygiene and good sanitation to avoid diseases.

7. >In this manner. >assign a task for each member of the family to what job the will perform every now and then community health nursing is the utilization of community health resources.reporting to the barangay halls or sanitary officials the proper maintenance of the surrounding by eliminating resource of foul scent from the current.33: Unsanitary Food Handling and Preparation . Problem No. there will be a equal distribution of work.

NURSING INTERVENTIONS >Assess family’s understanding with regards to importance of having clean equipments in preparing food METHOD RATIONALE >To know where to start and to know the appropriate health teachings to be provided OF FAMILY CONTACT >Home visits RESOURCES REQUIRED Knowledge. specifically limited monetary resources LONG TERM: After 2 days of Home Visits. presence of uncovered utensils >inability to provide home environment conducive to health maintenance and personal development >Inadequate family resources. time and effort of the student nurses with the cooperation of the family members EXPECTED OUTCOME SHORT TERM: After 3-4 hrs of Nursing Interventions the family shall have verbalized the understanding about different ways of proper food preparation and sanitation.ANALYSIS CUES S–O OPresence of dirty kitchen (use for food preparation). cooking outside of the house. LONG TERM: >Assess availability of cleaning resources >To understand other underlying causes for the occurrence of the problem >Explain the importance of proper hand washing >To have sufficient knowledge regarding the said problem After 2 days of home visits. the family will able to identify and prepare OF THE PROBLEM >Inadequate knowledge in carrying out the necessary procedure OBJECTIVES SHORT TERM: After 3-4 hrs of nursing interventions the family will verbalized the understanding about different ways of proper food preparation and sanitation. the family shall have .

meals properly. >Discuss with the family presence of the problem and its effect to their health >Knowledge of the effect of the problem will motivate them to improve food preparation and handling techniques >Assist in cleaning the food preparation site as well as the other utensils and equipments used in cooking >Instruct the mother to clean the environment >To lessen the possibility of acquiring disease conditions >To show sincerity of the nurses to alleviate this problem identified and prepare meals properly. .

>Instruct the mother to provide nutritious food >This will help strengthen the children’s body to resist diseases >Instruct the mother to frequently bring her children to the health center for check ups >Regular check ups lessens the odds of acquiring disease and can help in early diagnosis of an occurrence of a disease >Have the family say their perception about the problem >To determine family’s awareness of the problem .

and present effects that the problem posts against them Problem No. EXPECTED OUTCOME SHORT TERM: After an hour of nursing intervention the family shall have an awareness regarding their BMI. 8: Malnutrition ANALYSIS CUES S–O O– Aqua Fresh wt.: 30 kgs BMI: 17. .:14 kgs BMI: 11 emaciated LONG TERM: After four home visits the family will able to OF THE PROBLEM Inability to recognize the presence of condition due to lack of knowledge about nutrition OBJECTIVES SHORT TERM: After an hour of nursing intervention the family shall recognize the problem of malnutrition and its effect on the individual. > Health Teachings LONG TERM: After four home visits the family will > Cooperation of the family NURSING INTERVENTION > Assess the family’s awareness of the stated problem METHODS RATIONALE > To gather baseline data > Interview OF FAMILY CONTACT > Home Visits RESOURCES REQUIRED > Availability of both the student nurse and the family members. decrease resistance to diseases and > To increase knowledge. motivate family to address the situation as soon as possible. > Identify causes and effects of malnutrition like having low body weight.21 underweight Happee wt.

easy fatigability. > To gain weight > Encourage the children to eat vegetables and high Protein foods > To let the family > Explain the importance of achieving optimum nutrition of an individual and the risk of having malnutrition due to inadequate recognize the problem and the ways it can be alleviated/eliminated and right nutrition needed by the body. . > To provide adequate nutrition to the family have the knowledge to identify nutritious food and plan meals which are affordable to the budget.identify nutritious food and plan meals which are affordable to the budget > Encourage the mother to cook meals with enough nutrition.

Discuss the diseases they are at risk to acquiring due to improper storage and handling of food. Long Term: After 2 days of nursing intervention. Long Term: The family shall have fixed/replaced the defective dish cabinet. Objective Short Term: After an hour of nursing intervention. To make proper referrals should the diseases to be discussed arise. the family shall have verbalized understanding and willingness to fix faulty storage facility.nutrition Improper Food Storage Facility Cues Analysis of the Problem S> O>The family’s dwelling manifested the following: >presence of open dish cabinet >presence of uncovered spoon and fork canister The family may manifest the following: >stomach upsets >loose watery stool The family has containers / dish that are half open. To provide practical preventive measures on possible GITrelated diseases 2. Instruct family to provide store utensils in covered containers 3. and cooking and eating utensils and expound on the casualties and complications brought about if such diseases (to be discussed) should arise 3. Provide information regarding the free access to health care should diseases should be acquired 4. the family shall have fixed/replaced the defective dish cabinet. To further encourage them to perform sanitation on their utensils Method of Family Contact >Home Visits >Health Teachings Resources Required >The Student Nurses’ knowledge >Rural Health Unit Expected outcome Short Term: The family shall have verbalized understanding and willingness to fix faulty storage facility. 2. in consideration to . Nursing Interventions 1. Explain the importance of sanitation of cooking and eating utensils Rationale 1.

To prevent contamination by rodents 5. To prevent contamination 6. To provide interventions that will satisfy rationale #4. Instruct patients to perform proper handwashing before and after eating regardless whether or 8. 4. To minimize the microorganisms present in the . Instruct to avoid leaving unwashed dishes 7.5. 8. Encourage to repair cabinet. Encourage to keep washing material (soap and sponge) in clean. making them safer for use 9. To prevent contamination of rodents and to prevent growth and proliferation of molds and other microorganisms which could be potential pathogens 7. the family’s financial capabilities. Instruct family to use warm water in washing the utensils 9. in consideration to the family’s financial capacity 6. covered containers. To better sanitize the utensils.

Rationale 1. To prevent eye defects Method of Family Contact >Home Visits >Health Teachings Resources Required >The Student Nurses’ Knowledge >The family’s monetary capacity >The community’s Electrical Company Expected outcome Short Term: The family shall have agreed to and have opened the other closed windows. Encourage to keep windows open. the family shall have agreed to and have opened the other closed windows. Long Term: The family shall have continued to keep windows open. Long Term: After the five home visits. Objective Short Term: After an hour of nursing intervention. the family shall have continued to keep windows open. six windows are present but only three are opened. Mother perceives electrical works and house repair as a masculine role >On ventilation. 4. which could be ingested along with the food Inadequate Lighting /Poor Ventilatilation Cues Analysis of the Problem S>“Yung asawa ko kasi hindi nakakauwi arawaraw kaya hindi niya malagyan na ilaw. Explain the danger of wandering around in the dark. to do their reading in the well-lighted area of the house. Instructed to assume The family may manifest: 4.” O>The family’s dwelling place manifested the following: >absence of lighting facility in the kitchen and in the bedroom >Lack of opened windows >presence of structures (houses on both sides of the family’s residence) that could block the entry of sunlight through the window >Inibality to install lighting facility due to lack of knowledge in electrical installation: a. Nursing Interventions 1. To have light without consuming electricity and to permit air circulation inside the house 3. 2. hands. Instruct family. especially the children. To avoid eye defects as well as to prevent body pains and strains that could be related to posture and position . Mother assume a feminine role of mere housekeeping b. especially during the day 3.not they will eat using spoons and forks. To encourage then to address the inadequacy of illumination in their home 2.

To prevent risk for electrocution 5. Instruct to keep the light switch off of the electrical line without a light/fluorescent bulb installed 7. Provide light/fluorescent bulb ready for installation .>blurred vision >bumps and bruises proper reading posture 5. Encourage to install/have installed adequate lighting 7. To be readily able to install light source 6. and to conserve energy 8. Instruct to turn off the lights. including electronic appliances when not in use 8. To acquire lighting without having to wait for the father to come home and put the installation himself 6. leading to possible onset of fire. To prevent electrical overload.

Poor Personal Hygiene (Oral) Cues Analysis of the Problem S>”Ayaw nyang mag-toothbrush. to obtain data to be used in providing specific health teachings that would address an specific problem 4. the family will be able to demonstrate lifestyle changes affecting their oral hygiene. the family will be able to verbalize understanding on and willingness to apply the health teachings given regarding oral hygiene. Assess the Hygienic practices of the family 3.To determine if the family is affected or prioritize the problem.As part of Physical Assessment. the family will be able to demonstrate lifestyle changes affecting their oral hygiene 4. Examine the dentition of each member Rationale 1. Explain the importance of tooth brushing 5. Nursing Interventions 1. Long Term: After 2 home visits. Long Term: After 2 home visits.To give them an extra push to adhere to dental . Assess family’s perception of the problem 2. Explain the implications 5.To address their knowledge deficit in the importance of dental care Method of Family Contact Home visit and Health teachings Resources Required >Student Nurses’ knowledge regarding oral hygiene >Rural Health Unit Dental Clinic Expected outcome Short Term: The family will be able to verbalize understanding on and willingness to apply the health teachings given regarding oral hygiene. To obtain general information to be used as basis in providing health teachings 3.” O> The family manifested the following: >Presence of dental carries among the children >Presence of plaque on each of them >Inability to recognize the presence of the problem due to ignorance >Inability to provide a home environment conducive to health maintenance >Personal development due to knowledge deficit in regard to the importance of hygiene Objective Short Term: After 2 hours of Nursing Interventions. 2.

To provide materials for dental care that would best cater to their needs 8. To make proper referrals to other health professional that could .of neglecting dental care 6. Encourage to take foods rich in calcium and vitamin D 10. Encourage to avoid eating sweets in excess 9. Encourage to visit the dental clinic in the Rural health Unit 11. Teach them proper way of brushing the teeth care 6.To promote stronger teeth 10. To avoid aggravation of dental carries and plaque build up 11.To empower them with the practical knowledge of taking care of their own teeth 7. Provide material for dental care (toothbrushes . Instruct to brush teeth three times a day 8.To promote regularity grin their practice of oral hygiene 9. kiddy toothbrush for the children and kiddy toothpaste for the young ones) 7.

Provide information regarding the facilities which offer free treatment. To kill microorganisms present in their drinking water.” verbalized by Jenny upon query regarding boiling their drinking water. the family shall have sustained the practice of boiling their drinking water. Long Term: After 5 home visits. To make proper referral. Long Term: The family shall have sustained the practice of boiling their drinking water 3. watery stool >slow capillary refill >dry mucus membranes Objective Short Term: After one hour of health teaching. Explain the importance of drinking clean water and discuss the possible diseases and complications brought about by drinking unsafe water 2. should water-borne disease occur 3.. the family shall have performed health teaching to be given regarding boiling of drinking water. Instruct to boil drinking water for at least three minutes 2. in consideration to their financial capabilities. should water-borne diseases occur Rationale 1.render free services that would better cater to current problem 12. Encourage to make visits regular 12. which may cause diseases 4. O> The family may manifest the following: >Stomach upset >loose. For maintenance Unsafe Drinking Water Cues Analysis of the Problem S> “Hindi. To encourage them to take measures regarding assuring the safety of their drinking water Method of Family Contact >Home Visits >Observations >Interview Resources Required >The student nurses’ knowledge >Cooperation of the family throughout the home visits >Rural Health Unit Expected outcome Short Term: The family shall have performed health teaching to be given regarding boiling of drinking water. Instruct to store drinking . Nursing Interventions 1.

To prevent contamination PROBLEM # : Walking barefooted CUES S> θ O> children are seen not wearing slippers and walks barefooted inside the house FAMILY NURSING PROBLEM 1. INTERVENTIONS >Explain to the family the importance and rationale of wearing footwear.water to clean. covered containers. RATIONALE >To make the family knowledgeable and for the family to do immediate action. METHODS OF NURSING > Home visits RESOURCE S > Time and effort of the student nurses and the family > Participation and cooperation of the family EXPECTED OUTCOME Short Term: . >Encourage the children to wear slippers when leaving out of the house. >Discuss to the family the probable results of not wearing slippers. Inability of the family to provide health care to its members due to lack of knowledge regarding the importance and probable results of not wearing slippers or footwear. . OBJECTIVES Short Term: After 1 hours of Nursing Intervention. Long Term: After 2 days of home visits the children will show compliance to the health teachings provided. Long Term: the children shall have shown compliance to the health teachings provided. >To develop the awareness of the family and motivate them to comply with the teachings. 4. the children will verbalize understanding regarding the health teachings given and its rationale. >To prevent the acquisition of microorganisms. the children shall have verbalized understanding regarding the health teachings given and its rationale.

PROBLEM # Asthma CUES FAMILY NURSING PROBLEM OBJECTIVES INTERVENTION S RATIONALE METHODS OF NURSING RESOURCES EXPECTED OUTCOME .

perseverance and effort of the student nurses and family involve Short Term: the client shall have verbalized knowledge and understanding about the health hazards that is bought about by taking care of cats and dogs and the presence of other agents that could trigger asthma attack. Long Term: After 2 home visits. the client will be able to verbalize knowledge and understanding about the health hazards that is bought about by taking care of cats and dogs and the presence of other agents that could trigger asthma attack. > Instruct the mother to go to the health center > To have a baseline data > To prevent the occurrence of the condition > To prevent the occurrence of asthma since dust can trigger asthma attacks > To give the proper medication to the condition > Home visits > Time. Lack of knowledge of the nature extent of nursing care need c. Lack of knowledge and skills in caring out necessary treatment Short Term: After 1 hour of Nursing Intervention.di ko din naman sila mapaalis ” O> cats and dogs are seen inside the house. > Assess the child’s condition > Discuss the possible causes of illness > Encourage the mother to always clean the surroundings so that it will not trigger the occurrence of asthma. Inability to provide adequate nursing care due to: a. . “mahilig akong mag-alaga ng pusa at aso. 1. the client will demonstrate lifestyle changes to prevent asthma attack. Long Term: the client shall have demonstrated lifestyle changes to prevent asthma attack.S> “last week ako huling sinumpong”. Lack of knowledge about the disease b.

>To promote good environmental METHODS OF NURSING > Home visits RESOURCES > Time. Long Term: At the end of the 5th home visit.PROBLEM # : Presence of insects and rats and improper prevention CUES S> o O> presence of drainage system in which water is stagnant and contaminated and it is conducive for the growth and reproduction of disease causing organisms. perseverance and effort of the student nurses and family involve EXPECTED OUTCOME Short Term: The family shall have demonstrated understanding regarding the importance of having good environmental sanitation. >To encourage the family to initiate proper garbage disposal. the family members will carry out interventions to improve environmental condition. Inability to provide healthy environment due to negligence to proper environment al sanitation. OBJECTIVES Short Term: After 1 hour of Nursing Intervention. > Instruct the family to make improvised method of disposing garbage like empty big can with cover or a sac. the family will demonstrate understanding regarding the importance of having good environmental sanitation. RATIONALE >To know the complication and provide base line information and acknowledge the presence of the problem >Bury or burying is the safest method on eradicating the vectors and rodents from accumulating. Long Term: After 2 home visits. FAMILY NURSING PROBLEM 1. . the family members shall have carried out interventions to improve environmental condition. INTERVENTION S >Explain importance of good environmental sanitation >Encourage to clean the area where most flies may breed. > Instruct the family to set a time for cleaning.

sanitation and prevent injury .

(php 7. >lack of knowledge regarding the importance of having financial assets for emergency use. RATIONALE > to increase family awareness > to have extra income To save money for future use. INTERVENTION S > discuss the importance of financial assests for emergency use. >help the family to think ways to earn a living.60 per individual per month. . perseverance and effort of the student nurses and family involve EXPECTED OUTCOME Short Term: the family shall have acknowledged the importance of having financial assests.PROBLEM # lack of family sources CUES S> Ф O> presence of financial instability and family’s average income is less than php 2768. Long Term: At the end of the 5th home visit. METHODS OF NURSING > Home visits RESOURCES > Time.600/7 members = php 10271029) FAMILY NURSING PROBLEM >inaccessibilit y to appropriate sources for care specifically financial inaccesibilty. Long Term: After 3 home visits.200-7. the family shall have saved an amount of money for emergency use. OBJECTIVES Short Term: After 1 hour of Nursing Intervention. the family will be able to save an amount of money for emergency use. the family will be able to acknowledge the importance of having financial assests. >instruct family to save small amount when there is extra income.

> to divert self from drinking. b. . Inability to provide adequate nursing care due to: a. Long Term: . Long Term: >After 1-2 days of Home visits. lack of knowledge about the effects of alcohol drinking in the body. RATIONALE > to increase awareness METHODS OF NURSING > Home visits RESOURCES > Time. INTERVENTION S > discuss to the client to possible effects of alcohol drinking > instruct the client to teach him with other divertional activities like eating candies instead of drinking. Lack of knowledge about the situation. the client will verbalize understanding regarding the effects of alcohol drinking in the body. OBJECTIVES Short Term: >After 1 hour of Nursing Intervention.PROBLEM # alcohol drinking CUES S> the mother verbalize “pagkatapos nya sa work di maiiwasang magkayayaang uminom” O> Ф FAMILY NURSING PROBLEM 1. the client will demonstrate skills on how to control drinking habits.> the client shall have demonstrated skills on how to control drinking habits. perseverance and effort of the student nurses and family involve EXPECTED OUTCOME Short Term: > The client shall have verbalized understanding regarding the effects of alcohol drinking in the body.