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POOR ENVIRONMENTAL SANITATION: IMPROPER GARBAGE DISPOSAL 1ST LEVEL ASSESSMENT: Health Threat 2nd LEVEL ASSESSMENT: Inability

to provide a home environment conducive to health maintenance. CUES ANALYSIS GOAL OF CARE NURSING RATIONALE INTERVENTION Subjective: Objective: >Candy wrappers, soiled plastic bag are present and scattered inside the house. >Absence of garbage containers, inside and outside the house. Inability to provide a home environment conducive to health maintenance due to: >failure to comprehend the nature of the problem >lack of knowledge on the consequences of poor environmental sanitation in ones health Within 1 hour of nursing intervention, the family will: A. verbalize understanding of the actual condition that exist within the family; B. know how of the proper disposal techniques with the consequences of disregarding it. 1. Established rapport. >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/familys resources while minimizing the cost of purchasing garbage containers >to make the family members realized the consequences of irresponsible throwing of garbage to the riverside which serves s breeding sites of rodents, thereby increasing the possibility of waterborne infection or other diseases.

Method of Contact Home Visit Interview

Resources Required Family resources: >initiative, time and full participation of family members in learning the segregation system >garbage cans and sacks

Evaluation After an hour of nursing intervention, 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.

2. Discussed importance of waste segregation

3. Explained the effects of untidy environment to a healthy living. 4. Encouraged the family to utilize resources like empty rice sacks or cans as garbage containers, making sure that they are left covered. 5. Pointed out the result of piles of garbage settled along the river to the health of the people by using water on the river, adding up to air, land and water pollution

Student-nurse resources: >knowledge, skills and proper attitude in discussing the nature of the problem. >Money for transportation and some goods.

POOR PERSONAL AND DENTAL HYGIENE 1ST LEVEL ASSESSMENT: Health Threat 2nd LEVEL ASSESSMENT: Inability to promote proper hygiene care to members of the family due to lack of knowledge. CUES ANALYSIS GOAL OF CARE NURSING RATIONALE INTERVENTION Subjective: Objectives: > Dirty and untrimmed fingernails and toenails. >The children have dirty clothes. > Children have yellowish teeth, with dental caries. Poor hygienic care is contributed by the familys 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. Within 1 hour of home visit, the family will verbalize understanding on the health teachings given regarding the importance of maintaining proper personal hygiene 1. Established good working and therapeutic communication among the members of the family. 2. Stressed the importance of maintaining proper personal hygiene. 3. Encouraged the children to take a bath everyday in the morning and before going to sleep To gain familiarity and to establish a good working relationship with the family. 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 Having untrimmed finger and toenails carries a higher risk of developing complications. Having dirty nails may lead to parasitism. When food sticks longer on the teeth, dental problems may occur such as the build up of tartar, dental caries, halitosis, etc. To prevent crosscontamination of microorganisms.

Method of Contact Home visits Interview

Resources Required Time and effort of the student nurse and the family members. Participation and cooperation of the family members with the student nurse. Money for the transportation and some goods.

Evaluation After an hour of nursing intervention, the family was able to verbalize understanding about personal hygiene maintenance.

4. Instructed the family to trim their finger and toe nails regularly.

5. Instructed the family to brush their teeth regularly, three times a day is recommended after eating their meals. 6. Emphasized the importance of proper hand washing regularly especially:- before eating- after eatingafter handling unclean objects- after bowel and bladder elimination.

FAMILY SIDE BEYOND WHAT FAMILY RESOURCES CAN ADEQUATELY PROVIDE 1ST LEVEL ASSESSMENT: Health Threat 2nd LEVEL ASSESSMENT: Inability to recognize the magnitude of the problem due to lack of knowledge. CUES ANALYSIS GOAL OF CARE NURSING RATIONALE INTERVENTION Subjective: Objectives: >the father is a tricycle driver. > # of family members:_______ >Income: 100-150 pesos per day >Insufficient income to support for the whole family. The problem arises due to the countrys low economic progress which has a greater impact on some families who strives hard to a better living. Another reason is that improper budgeting could lead to improper allocation of the financial resources. Within 1 hour of home visit, the family will demonstrate understanding and realization on the effect of having inadequate living space to meet the needs of each in the family members. 1. Discussed the effects of improper budgeting of financial resources. To increase their awareness on the possible effects of having inadequate resources In order to ensure proper allocation of their scarce resources in meeting the needs of the family members. Prioritizing in very important to avoid mismanagement of their already inadequate resources Looking for a much paying job or adding hours of work can help support the family. Family planning helps control the population size especially if the parents cannot adequately provide the basic needs of their children.

Method of Contact Home visits Interview

Resources Required Time and effort of the student nurse and the family members. Participation and cooperation of the family members with the student nurse. Money for the transportation and some goods.

Evaluation After an hour of nursing intervention, 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.

2. Advised family members to practice proper utilization of finances by avoiding purchasing of unnecessary things. 3. Assisted the family members especially the mother in prioritizing the needs of the family members. 4. Encouraged the father to look for a better job which can support the needs of their growing family. 5. Discussed available methods of family planning.

MALNUTRITION: Inadequate food intake both quality and quantity. 1ST LEVEL ASSESSMENT: Health Deficit 2nd LEVEL ASSESSMENT: Inability to recognize the problem due to lack of knowledge. CUES ANALYSIS GOAL OF CARE NURSING INTERVENTION Subjective: Objectives: >Children were thin >Lack of financial resources to provide nutritional food for the whole family. >Irregular eating pattern. Inability to recognize the presence of malnutrition in a dependent member due to lack of knowledge. > Inability to decide about taking appropriate action due to failure to comprehend the nature, magnitude and scope of the problem. >Inability to provide adequate nursing care to the members suffering from malnutrition due to: a. lack of knowledge about the health condition. b. lack of knowledge on the nature and extent of nursing care needed. c. inadequate resources for care (e.g. responsible family members and financial. Within 1 hour of nursing interventions, the family will be able to understand the health teachings given regarding the management of malnutrition such as emphasizing the importance of eating nutritious food like vegetables and avoid junk foods. 1. Provided information about nutrition through health teachings. 2. Discussed with the family the factors that contributed to inadequate nutrition. 3. Stressed the importance of good nutrition and how to achieve it. 4. Taught the mother to prepare nutritious food for family that are within their capability to produce. 5. Discussed to the family the importance of proper foods election to the family 6. Advised them to avoid eating junk foods 7. Instructed the mother to budget and lessen unnecessary expenses.

RATIONALE Method of Contact Help the family realize the importance of proper nutrition For family to be aware of the factors that affects and may affect their health. To give information about malnutrition. Home visits Interview Resources Required Time and effort of the student nurse and the family members. Participation and cooperation of the family members with the student nurse. Money for the transportation and some goods. Evaluation After 1 hour of the nursing intervention, the family has understood the health teachings given regarding the management of malnutrition such as emphasizing the importance of eating nutritious foods like vegetables and avoids junk foods.

To provide well-balance diet and to increase bodys resistance, but within the budget of the family. To encourage the family to implement proper food selection Eating junk foods especially before meal lessens appetite Lessening expenses will provide more for the family