FAMILY NAME: M Family_________________ ADDRESS: Brgy.

San Antonio, Putting Lupa, Agdao, Davao City_______________________________________

Date/ Cues Health Family Goal Of Care Objectives Of Nursing Nurse Resources Evaluation
Time Problem Nursing Care Intervention Family Required
Problem Contact
O Parenthood Inability to After the 5 After 5 minutes 1. Discuss with Home visit Material October 12,
the family the
C Subjective : recognize mins of of nursing Resources: 2019 @ 10AM:
different
T “Wala pa ko kabalo the nursing interventions, procedures of Provide GOAL MET
kung unsaon jud pag- infant care.
O presence intervention the couple will handouts/leaflets After 5 mins of
alaga sa bata.” As 2. Discuss the
B verbalized by EM, the of the the couple will be able to: importance of regarding the nursing
pregnant woman. infant care
E condition be able to a) Enumerate steps and intervention,
responsibilities
R due to understand and define the such as: importance of the couple was
Objective:
a)
inadequate health procedures of infant care able to:
 Both parents are breastfeeding;
1 knowledge teachings basic newborn b) cord care; a) Determine
still in their
and
2, in about care; Human the procedures
adolescent c)
parenting. maternal and immunizations. Resources: of basic NB
stages
3. encourage
2 child care b) State the Time and effort care;
 Both reside in the family to
0 responsibilities importance of overcome their on both the b) Recall the
male’s house fear by helping
1 maternal and nurse and the importance of
 Both relies to the them realize
9 child care the salience of family. maternal and
head of the family the problem.
responsibilities; child care
when it comes to 4. provide a
@ and leaflet that will Financial responsibilities;
finances and contain in-
Resources: and
decisions depth
9 c) Define their information Money for the c) Categorize
about the
A priorities. transportation their priorities.
steps and
M importance of: and token
a)
-
breastfeeding;
10 b)cord care;
and
A
c)
M immunizations.
FAMILY NAME: M Family_________________ ADDRESS: Brgy. San Antonio, Putting Lupa, Agdao, Davao City_______________________________________
Date/ Cues Health Problem Family Goal Of Objectives Of Care Nursing Nurse Resources Evaluation
Time Nursing Care Intervention Family Required
Problem Contact
O Unhealthful Inability to After the 5 After 5 minutes of Discuss the Home Material October 12,
lifestyle and mins of discussion, the client disadvantages
C Subjective : recognize visit Resources: 2019 @
personal nursing will be able to: of cigarette
T “O naga sigarilyo habits/practices: the intervention, smoking with Visual aids 10AM:
cigarette/tobacco the family a. Identify the the use of a presentation:
O ko, mga isa ka kaha presence GOAL MET
smoking will take the disadvantages visual aid that printed
B akong mahurot sa of the necessary of smoking is age- papers with After 5
intervention cigarettes. appropriate bad effects of
E isa ka adlaw.og condition minutes of
to improve Specifically and has smoking.
R karon naga vape, due to and what will the information discussion,
maintain that discusses
vape nalang.” as inadequate dangerous Human the client was
good the
effect of those
1 verbalized by client knowledge healthy advantages Resources: able to:
lifestyle in people and
2, A when asked about the accumulate Time and a) Recognize
preventing disadvantages
about his habitual dangerous smoking smoke from of dangerous effort on both the different
cigarettes. the cigarettes. effects of
2 use of cigarettes. effects of b. Summarize the the nurse disadvantages
And will be smoking.
0 smoking able to discussion and the of cigarette
understand, about the
1 Objective: and family. smoking;
perform and disadvantages
9  Client has dark second- verbalize of cigarette b) Summarize
health smoking in his
lips and tinted hand Financial the discussion
teachings own words
@ teeth smoke to given to our c. Apply health Resources: in his own
client.
 Client has the one’s teachings by Money for the words; and
gradually
9 sunken eyes around transportation c) Started to
decreasing the
A  Client has him. amount of and token minimize the
M sticks per day number of
prominent
starting today
- smell sticks used.
10  Smokes 1
A pack per day
M
FAMILY NAME: M Family_________________ ADDRESS: Brgy. San Antonio, Putting Lupa, Agdao, Davao City_______________________________________
Date/ Cues Health Family Goal Of Objectives Of Nursing Nurse Family Resources Evaluation
Time Problem Nursing Care Care Intervention Contact Required
Problem
O Sleep and In ability to After the 5 After 5 mins Discuss the Home visit Material October 12,
of nursing factor that
C Subjective : rest: un recognize the mins of Resources: 2019 @
intervention contribute to
T “tig dugay jud mi healthful presence of nursing the client will disturbed Visual aid 10AM:
tigtulog, nasa 11pm- be able to: sleeping
O lifestyle and condition or intervention, GOAL
1pm na mi ga tulog ni pattern
B kuya, kay mag personal problem due our client a) Know the Human PARTIALLY
cellphone pa. utro sad positive and Discuss about
E habit or to attitude in will make a Resources: MET
na among manghod, negative the
R sabay-sabay sad sa practice life which plan for effect of advantages of Time and After 5
amoa dugay matulog.” sleep and sleeping at the
specifically hinder their sleep effort on both minutes of
As verbalized by KM rest; right time
1 inadequate acceptance and rest the nurse nursing
b) Provide a Discuss about
2, Objective: knowledge of a problem and the intervention,
sample of
the
 Waking up late proper family. the client was
sleeping and disadvantages
2  Looks tired every resting
only able to:
of not sleeping
0 morning schedule; Financial a) Identify the
and at the right
1  Eye-bags are Resources: positive and
time
9 prominent even at Money for the negative
c) Apply the
a very young age transportation effects of
importance of
@ and token sleep and
enough sleep
rest; and
and rest by
9 b) Create a
starting to
A list of proper
sleep early
M sleeping
tonight.
- schedule for
10 tonight.
A
M
FAMILY NAME: M Family_________________ ADDRESS: Brgy. San Antonio, Putting Lupa, Agdao, Davao City_______________________________________
Date/ Cues Health Family Goal Of Objectives Of Nursing Nurse Family Resources Evaluation
Time Problem Nursing Care Care Intervention Contact Required
Problem
O Faulty Inability to After 5 After 5 mins A. Provide Home visit Material October 12,
eating make of nursing health
C Subjective : mins of Resources: 2019 @
habits as decisions interventions, teachings
T “Among pamahaw kay health with respect nursing the family about: Leaflets 10AM:
threat. to taking would be • Importance of
O biscuit ug kape ra unya intervention, GOAL MET
appropriate able to: good nutrition.
B wala nami ga paniudto health action the family • Benefits of Human After applying
due to: a. List the eating healthy.
E pero naga miryenda mi. will be able Resources: the said
importance of • Practices that
R Unya pagka panihapon • Failure to to good are considered Time and interventions,
nutrition; to be
kan-on najud na among comprehend understand effort on both the family
unhealthy
1 gina kaon” as the nature of and b. Identify eating habits. the nurse was able to:
negative
2, verbalized by pt. the problem comprehend and the a) Recite the
outcomes if B. Teach the
the faulty habits family: family. list of
are not • To eat right
2 Objective: importance importance of
corrected; food at the
0  2 family members of good and right time. Financial eating the
• Simple meal
1 are overweight nutrition. Resources: right food at
c. Derive planning.
9  Biscuits and coffee solutions on • To start each Money for the the right time
how to day with a
were served for transportation in the right
correct faulty nutritious
@ breakfast eating habits. breakfast. and token amount;
 Toddler is sluggish C.Discuss to
b) Enumerate
9 and has common the family: the risks and
• The
A cold dangers of
consequences
M of faulty eating poor nutrition;
habits.
- and
• The risk of
10 poor nutrition. c) Formulate
• Possible
A a solution on
diseases
M caused by how to
unhealthy
correct faulty
eating habits.
eating habits.
FAMILY NAME: M Family_________________ ADDRESS: Brgy. San Antonio, Putting Lupa, Agdao, Davao City_______________________________________
Date/ Cues Health Family Goal Of Care Objectives Nursing Nurse Family Resources Evaluation
Time Problem Nursing Of Care Intervention Contact Required
Problem
O Poor home/ Inability to After the 5 After 5 Discuss about Home visit Material October 12,
C Subjective : environmental provide a mins of minutes of the different Resources: 2019 @
T “kada buntag nalang ba condition/ home nursing nursing vectors of Visual aid 10AM
O walay tubig sa amoa. sanitation: environment intervention, intervention, diseases, GOAL MET
B Nagatambak nalang presence of conducive to the family will the family will especially the Human After 5
E mig tubig kada gabii breeding or health be able to be able to: mosquitoes. Resources: minutes of
R didto sa dako nga drum resting sites maintenance know the a) Define the Provide Time and nursing
sa among CR.” As of vectors of and personal potential vectors of examples of effort on both intervention,
1 verbalized by HC. diseases development health threats diseases; possible the nurse the family
2, due to failure of a presence b) Determine breeding sites and the was able to:
Objective: to see the of breeding possible through visual family. a)
2  Little to no water benefits sites of breeding aids. Enumerate
0 supply every (specifically vectors of sites of these Discuss the Financial different
1 morning long-term diseases like vectors of advantages Resources: vectors of
9  Large drum of ones) of mosquitoes, diseases; having a clean Money for the diseases;
stagnant water investment apply the c) Evaluate and safe transportation b) Identify
@ without cover in in home health areas in their environment. and token areas in their
the CR environment teachings home that is home that
9 improvement imparted to prone to are prone to
A them, and being a becoming a
M develop a breeding site breeding site
- sense of like the for vectors of
10 responsibility. stagnant diseases;
A water; and and
M d) Provide c) Create a
solutions. drum cover