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Our Lady of Fatima University College of Nursing

Family Health Nursing


Family Nursing Care Plan

Submitted By:
BSN 2Y1-21D
Stephen Liza Macaraeg
Danilo Malana
Job Lorejas
Nicole Valerie Pagilagan
Janine Mateo
Leslie Anne Legaspi
Rea Cladel Manosca
Joane Lintao
Manilyn Narag
Kyla Magbago

Submitted To:
Mr. Jerico G. Alicante USRN,CRN,RN

I. Family Structure and Dynamics


No. Name Relation Gender Birthday Age Civil Religion Highest Employment Languag Ethnic
to the Status Educationa e/ Dialect Backgrou
Mont Year Type Place
head of l nd
h
the Attainment
family
1 Herminio Head Male 05-25 1 36 Married Roman Elementar Welde Great Bisaya, Ilonggo
Fancubila 973 Catholic y Graduate r Asia Tagalog,
Comp Ilonggo
.
2 Adima Wife Female 05-30 1 34 Married Roman Elementar Full time mom Bisaya, Visayan
Fancibula 973 Catholic y Graduate Tagalog
3 Hedlyn Daughter Female 03-24 2 8 Single Roman Elementar Student Tagalog Tagalog
Fancubila 001 Catholic y
4 Hanilyn Daughter Female 11-8 2 6 Single Roman Elementar Student Tagalog Tagalog
Fancubila 003 Catholic y
5 Herlyn Daughter Female 12-26 2 2yrs. 5 Single Roman _________ ____________ Tagalog Tagalog
Fancubila 006 mos. Catholic
6 Hazelyn Daughter Female 06-21 2 1yr. 10 Single Roman _________ ____________ Tagalog Tagalog
Fancubila 008 mos. Catholic

Genogram
(Fancubila Family)

They are currently residing at #29 P. Gregorio St. Lingunan Valenzuela since 2006, their Family posses the
characteristics of a nuclear type. Mr. Fancubila, being the father, makes decisions for the family most of the time, while
Mrs. Fancubila, the mother, is the one responsible for house keeping, health status monitoring and nursing care for the sick
family member.

II. Socio-Economic & Cultural Characteristic


Mr. Fancubila works as a welder in Great Asia Company factory at Velenzuela, while Mrs. Fancubila is a full time mom.
She is taking care of everything that needs supervision at home, while her husband provides for the financial and
patriarchal needs of the family. They have a monthly income of P8,000 which is obviously not enough for their two grade-
schoolers and two toddlers, even though Mr. Fancubila had been loading his back of overtimes at the factory. Both of them
are an elementary graduate only, which is why it is a bit difficult for them to find a descent job with a higher pay.

The couple had been married for 8 years, and still are going strong, sharing life’s consequences each day and living
through sickness and in health. They go to church during Sunday’s, a weekly family routine, but refused to attend to
church activities primarily because of Mr. Fancubila’s exhausting work loads during the rest of the week, and special
parenting needs of their children.

They usually work together and make decisions on the budget to make ends meet. Mr. Fancubila is the bread and
butter of the family, while Mrs. Fancubila does household chores and everything that needs supervision at home; Hedlyn,
being the eldest, helps her mom do the chores and looks over her younger sisters whenever mom is busy. They usually
spend leisure watching T.V., listening to the radio, and sometimes talking to each other to open up problems and find
solutions to those problems. Although young and not mature enough Mr. and Mrs. Fancubila had already opened up their
children’s awareness of their family status, which is why they never had problems in explaining to the girls why sometimes
the budget is too tight.

III. Home and Environment


The studio type apartment they are residing at is made up of concrete, almost a good place for a home in spite of the
fact that the apartment is located at the vicinity of the welding factory. The place has its good light source and it is also
well ventilated, but, there is a canal located behind their kitchen—a source of foul smell due to the irrigation that comes
from a piggery. The electricity and water supply will never be their problem, because they are provided with adequate
NAWASA water supply, and subsidized, equally distributed electricity throughout the place, reason why it is already
included on the rent and why it will be more unlikely for them to experience electricity shortage. They live in a studio type
apartment, with a multi-purpose room (living room, dining room, and sleeping place; same room with different functions at
during different times of the day.) and a functional kitchen. Although their apartment has presence of vectors, still they
maintain the cleanliness and orderliness by habitual cleaning and disinfection. Their functional kitchen also maintains its
orderliness although they do not have enough storage for plates, casserole and other kitchen utensils. However, they use a
public toilet and a public laundry place not far away from their apartment.
They store water in jars, bottles and pails with cover so that it would be available whenever water is needed. The
problem with their place is that it is too small for 6 people and the foul smell of the surrounding during afternoons because
that is the usual time the pens are cleaned.

The family doesn’t raise any domestic animals, but there are cats around the place. The area doesn’t have any trees
but the apartment ventilation is good. They dispose their garbage through dumping at the canal behind their kitchen. They
have a mini-library at the second floor of the apartment building with books available for the use of the children living
there.

There are health programs for the families of factory workers, which somehow contribute to the enhancement of health
of the worker’s children. The Barangay center is also located just in front of the factory, that is why their children have
regular check-ups and their immunization is somehow updated.

The family doesn’t have their own transport facilities, that is why they usually use a public vehicle like jeepneys,
tricycles, and the multi-cab
provided by the factory. They use a public telephone and cell phone as means of communication.

IV. Health Assessment for Each Member

Name Age Height Weight BMI Status Vital Signs Significant


(kg/m2) BP Temp. Pulse RR Findings
Herminio 36 155cm. 60kg 24.97 Normal 120/90 36 73beats/mi 15
n.
Adima 34 147cm. 62kg. 28.69 Overweig 110/80 37.7 68 14
ht beats/min
Hedlyn 8 110cm 20kg. 17.14 Underwei ----------- 37 93beats/mi 18
ght n.
Hanilyn 6 95cm. 18kg. 19.4 Normal ----------- 36.5 119beats/ 18
min.
Herlyn 2 80cm. 10kg. 15.62 Underwei ----------- 37.9 128beats/ 23 Malnourish
ght min ed
Hazelyn 1 69cm. 7.5kg. 15.75 Underwei ----------- 37 97beats/mi 26 Malnourish
ght n ed
Previous illnesses of the family include cough, fever, flu and states that are no serious or major. Mr. Fancubila is a smoker, he
consume 2 to 4 sticks daily, smokes usually after meals and he is a social drinker. The family eats three times a day, primarily fish
and rice. They often eat vegetables and meat that is why their children are unusually thin.

V. Values and Practices on Health Promotion/ Maintenance and Disease


Prevention
No family member obtained a complete immunization. Although, the health center is near their place, mom is not seeing the
mere fact that disease control and protection is of great importance. The family usually seeks for health care whenever they think
it is needed, they do not usually go to health centers for regular check-ups due to money matters; they would prefer consulting
an “albularyo” or “manghihilot”. Their hygiene is somehow maintained.

Like any other Filipino family, their routines are greatly influenced by most of our superstitious beliefs. They don’t sweep floors
or cut nails during the night. Mom doesn’t take baths during her menstrual period.

Mr. Herminio sleeps 5-8 hours a day, as well as Mrs. Adima while the rest of the children sleeps 8-10 hours.

Floor Plan

Sofa
Family size beyond what family resources can adequately provide
Criteria Computatio Actual Justification
n score
Nature of the 2/3x1 2/3 A perceived health threat
problem
Modifiability 2/2x2 2 Current knowledge, interventions and
of the resources are available to solve the
problem problem

Preventive 3/3x1 1 The possibility of increasing family size


potential will be reduced; the available family
resources can be utilized to encourage
growth promoting experiences for
members.
Salience of 2/2x1 1 The family perceives it as a problem
the problem needing attention to ensure that this
4th pregnancy would be the last so that
all their needs would be somehow met.
Total Score 4 2/3
VI. Family Nursing Care Plans
Family Health Care Plan
Health Threat: Family size beyond what family resources can adequately provide
CUES HEALTH PROBLEM DATA ANALYSIS GOALS & INTERVENTION EVALUATION
OBJECTIVES
Goal: Developmental
“Nahihirapan na Family size beyond 1. The family was
kami pagkasyahin what family not able to After the nursing
ang kinikita ko resources can recognize the intervention and
buwan-buwan, adequately provide presence of this health teaching,
dalawa pa lamang …perceived as a specific health the family will be
ang aking pinag- health threat threat due to their able to understand
aaral kong anak unawareness of the the importance of …Effectiveness
ngunit kami ay gipit possible outcomes effective family
na gipit na sa mga of having many planning and Discuss the Was the family able
gastusin pangaraw- children. practice proper use outcomes of having to enumerate and
araw” of contraceptives too many children understand basic
2. The family was and the concepts of family
not able to make Objective: consequences they planning and birth
effective decisions could possibly face control?
Objective: on effective family After 1 hr. of health with regards to
planning & teaching, the family providing the needs Yes__ No__
The apartment they accurate will be able to: of their children
are living at is contraceptive 1. Be
really small for 6 usage. knowledgeable of
people, they have
the outcomes of Was the family able
appliances but are 3. The family was
not very functional not able to utilize having too many to identify and cite
family members. Explain the basic examples of the
and most of their community
clothes are worn resources for health concepts of family basic health care
out. care due to their planning and birth needs and the
own neglecting of control so that they health care services
their needs. available in the
may have a view on
community to meet
how to use those needs?
4. The family was contraceptives
not able to provide Yes__ No__
accurately and how
adequate living
space and basic 1. 2. to effectively plan a
health and wellness Giv family.
needs of each
member primarily e
because of poverty, the
and failure to seek imp
for government
ort
assistance
(programs that are anc Was the family able
usually created by e of to understand the
government eff importance of
officials to help seeking
ecti
meet the needs of government
ve Discuss the basic assistance for
poor Filipino fa health care needs
families). health and wellness
mil of each member, promotion?
y especially their Yes__ no__
pla children and the
nni availability of the
ng health services in
and the community.
acc
ura Was the family able
te to enumerate /cite
con examples of
Provide them a
tra government health-
print out about the
cep government wellness programs
tive programs available for children?
usa for children, and Yes__ no__
ge spouses regarding
health and wellness
promotion.
2. 3.
Be
abl
e
to
eff
ecti
vel
y
utili
ze
co
m
mu
nity
res
our
ces
.

3. 4.
Be
abl
e
to
pro
vid
e,
at
lea
st,
the
bas
ic
hea
lth
and
wel
lne
ss
nee
ds
of
eac
h
me
mb
er
wit
h
the
kno
wle
dge
abo
ut
gov
ern
me
nt
pro
gra
ms
tha
t
are
me
ant
for
enh
anc
ing
the
hea
lth
and
wel
lne
ss
lev
el
of
Fili
pin
o
fa
mili
es
so
tha
t
the
y
cou
ld
eff
ecti
vel
y
see
k
for
ass
ista
nce
reg
ard
les
s of
the
ir
sta
ndi
ng
in
the
soc
iety
.

Our Lady of Fatima University College of Nursing


BSN 2Y1-21D
Family Health Teaching Plan
Family size beyond what family resources can adequately provide
Topic: Effective Family Planning
Time allotment: 1 hour
LEARNING OBJECTIVE LEARNING CONTENT STRATEGY RESOURCES EVALUATION
After the Health Family Planning… Home Visit Visual Aids, PowerPoint
Teaching Program, the Effective spacing and PowerPoint presentation presentation of the 1. Was the family able
family will be able to : use of birth control and further discussion topic and examples of to understand what is
1. Understand what is methods to choose the
of topics that need contraceptives available Family Planning and
Family Planning and number and timing of
Birth Control. children born into a specified explanations in the market Birth Control
family. for clear and effective Yes__ No__
understanding. Manpower: 2. Was the family able
Birth Control or Danilo Malana to Identify at least types
Contraception… Nicole Valerie Pagilagan of contraceptives,
Deliberate prevention Stephen Liza Macaraeg enumerate their side
of pregnancy using any effects, effectiveness,
of several methods.
and availability?
Birth control prevents a
female sex cell (egg) Yes__ No__
from being fertilized by 3. Was the family able
a male sex cell (sperm) to enumerate the
and implanting in the importance of effective
uterus. In the United family planning and
States, about 64 birth control methods?
percent of women aged
Yes__ No__
15 to 44 years practice
4. Was the family able
some form of birth
control. to enumerate the
contributing factors on
2. Identify the types of • Barrier Method
contraceptives, their • Intrauterine
side effects,
Device
effectiveness, and
availability. • Hormonal
Contraceptives
• Surgical
sterilization
• Emergency
Contraception
• Fertility
awareness
method
• Withdrawal
• Continuous
Abstinence
3. Give the importance • Effective child up-
of effective family bringing
planning and birth
• Enhanced child-
control methods.
parent bonding
4. Enumerate factors • Cultural and
contributing to the social values
ineffectiveness of
• Availability of the
Family planning and
Birth control. resources
• Knowledge on
appropriate
usage of
contraceptives
Our Lady of Fatima University College of Nursing
BSN 2Y1-21D
Family Health Care Plan
Health Deficit: Malnutrition
CUES HEALTH PROBLEM DATA ANALYSIS GOALS & INTERVENTION EVALUATION
OBJECTIVES

“Madalas silang Malnutrition as a 1. The family failed


nagkakasakit, lalo health deficit to perceive this Goal:
na sila Herlyn at condition as a
After the nursing
Hazelyn. Madalas major health
intervention and
ko din napapansin problem that needs
health teaching,
na matamlay sila immediate
the family will be
ngunit ang intervention and
able to understand
pagkaka-alam ko ay management
the seriousness and
dahil lang yun sa 2. The family was …Effectiveness
urgency of needed
pagkapagod nila sa not able to
care for the
paglalaro sa labas. effectively decide 1. Discuss the Was the family able
member suffering
Hindi rin sila about taking implications of to enumerate the
from malnutrition.
masyado appropriate actions signs and signs, symptoms,
nakakakain ng due to failure to symptoms of and possible
masusustansyang comprehend the Objective: malnutrition and its consequences they
pagkain dahil isda harm of this health possible might face if the
After 1 hr. of health
lang madalas ang problem consequences problem is not
teaching, the family
inuu-ulam naming, 3. The family failed perceived?
will be able to:
ngunit sa tingin ko to provide Yes__ No__
1. Identify ways on
ay maayos naman adequate nursing
how to acquire their
ang lagay nila kahit measures to a children’s
ganun pa man.” member suffering nutritional needs in 2. Discuss with the Was the family able
from malnutrition spite of the limited family the reasons to cite possible
due to: budget and possible causes causes of
Objective: i) Lack of of malnutrition malnutrition?
knowledg Yes__ No__
Herlyn, Hazelyn
e about
and Hedlyn are 2. Avail itself food 3. Discuss with the
unusually thin, they the supplements family the
are pale and are condition provided by
nutritional needs of Was the family able
not that play- government health
active. ii) Lack of children, to enumerate the
agencies for
knowledg specifically, vitamin basic nutritional
malnourished
e about supplementations needs of children?
children.
the and immunizations Yes__ No__
conseque 3. Feed Herlyn,
nces and Hazelyn and Hedlyn
harm the cheap nutritious
food that will keep
condition 4. Inform the family
them healthy and
could increase their about the feeding
possibly growth and programs present
bring development in the community.

iii) Lack of
resources 4. Increase their
for care children’s weight at
least one pound a
month.
Our Lady of Fatima University College of Nursing
BSN 2Y1-21D
Family Health Teaching Plan
Malnutrition
Topic: Malnutrition: a serious physical harm
Time allotment: 1 hour
LEARNING OBJECTIVE LEARNING CONTENT STRATEGY RESOURCES EVALUATION
After the Health Malnutrition… Home visit Visual Aid 1. Was the family able
Teaching Program, the dietary condition PowerPoint presentation (Manila Paper, Markers) to give the importance
family will be able to : caused by a and brief discussion of of having an Optimum
1. Give the importance deficiency or excess certain topics that the Manpower: level of Functioning?
of having an Optimum of one or more
level of Functioning family would find hard Janine Mateo Yes__ No__
essential nutrients in to comprehend Job Lorejas 2. Was the Family able
(Health-Wellness)
the diet. Malnutrition Leslie Anne Legaspi to identify ways on how
is characterized by a to acquire and maintain
wide array of health child nourishment?
problems, including Yes__ No__
extreme weight loss, 3. Was the family able
stunted growth, to enumerate Factors
weakened resistance that are possible causes
to infection, and
of malnutrition?
impairment of
Yes__ No__
intellect. Severe cases
of malnutrition can
4. Was the family able
lead to death.
to enumerate the
Factors that promote an
Two types of
optimum level of
Malnutrition:
Functioning?
• Under nutrition
Yes__ No__
• Over nutrition
5. Was the family able
to cite the effects of
2. Identify ways on how • Balanced diet malnutrition on children
to acquire and maintain • Exercise and their families?
child nourishment
• Vitamin Yes__ No__
Supplementation
• Immunization
• Regular Check-
ups

3. Enumerate Factors • Poverty


that are possible causes
• Famine
of malnutrition
• Disease
outbreaks
4. Enumerate the • DOH programs
Factors that promotes • UNICEF programs
an optimum level of
Functioning (Health- • WHO programs
Wellness)
5. Cite the effects of • Physiologic
malnutrition on children Effects
and their families
• Psychological
Effects

Our Lady of Fatima University College of Nursing


BSN 2Y1-21D