FAMILY NURSING CARE PLAN FOR ORJE FAMILY

PRESENCE OF
POOR
POOR PERSONAL UNSANITARY HEALTH THREATS
ENVIRONMENTAL
HYGIENE TOILET DUE TO FIRE
SANITATION
HAZARD

2/3 X 1 = .67 2/3 X 1 = .67 3/3 X 1 = 1 1/3 X 1 = .33

Nature of problem
Health Threat Health Threat Health Deficit Foreseeable Crisis

Modifiability of the 2/2 X 2 = 2 2/2 X 2 = 2 1/2 X 2 = 1 1/2 X 2 = 1

problem Easily Modifiable Easily Modifiable Partially Modifiable Partially Modifiable

2/3 X 1 = .67 3/3 X 1 = 1 2/3 X 1 = .67 2/3 X 1 = .67

Preventive Potential
Moderate High Moderate Moderate

2/2 X 1 = 1 1/2 X 1 = .5 2/2 X 1 = 1 1/2 X 1 = .5

A serious problem, A problem but not A serious problem, A problem but not
Salience
immediate needing immediate immediate attention needing immediate
attention needed attention needed attention

Score 4.34 4.17 3.67 2.5

Problem #1: POOR ENVIRONMENTAL SANITATION: IMPROPER GARBAGE DIPOSAL
Cues Analysis
S: Ø A. Poor environment sanitation
due to:
O: 1. Presence of breeding or resting
‣ Presence of dirty sites of insects, rodents, or other
surroundings vectors
‣ Stagnant drainage
system 2. improper garbage disposal
‣ Presence of flies
‣ Animals not in proper 3. improper drainage system
place i.e. goats are not a. Inability to recognize the
tied up presence of a problem due to
‣ Trash is stored in a pit lack of knowledge
and then set on fire b. Inability to provide a home
environment which is conducive
to health maintenance due to:
a. Financial constraints
b. Lack of knowledge of
importance of sanitation and
preventive measures
Goal of Care Objectives
After nursing Short-term:
intervention, the family After 2 hours of nursing
will decide on intervention, the family will
appropriate action(s) to verbalize understanding of the
prevent the occurrence actual condition that exist
of insects, rodents, or within the family and knowhow
cockroaches of the proper disposal
techniques with the
consequences of disregarding it.
Long-term:
After 4 months of home visits,
the family will demonstrate the
use and maintenance of a clean
environment and proper garbage
disposal system in compliance
with the health teachings
provided.
 Problem #1: POOR ENVIRONMENTAL SANITATION: IMPROPER GARBAGE DIPOSAL

Interventions Rationale Method of Resources Evaluation

contact Required
>discuss importance of waste >Determined products which can be Home visits Family Short-term:
segregation recycled and utilize by the family resources: The family was
members like empty bottles and Observation able to verbalize
newspapers which can be sold or >initiative, understanding of
organic waste material as fertilizer time and full the actual
participation condition that exist
>explain the effects of untidy >facilitates the importance of proper of family within the family
environment to a healthy living garbage disposal system members in and knowhow of
applying the the proper disposal
>encourage the family to utilize >maximizing the community/family’s segregation techniques with the
resources like empty rice sacks resources while minimizing the cost of system consequences of
or cans as garbage containers, purchasing garbage containers >garbage disregarding it.
making sure that they are left cans and
covered. sacks Long-term:
The family was
>point out the result of piles of >to make the family members realized Student- able to demonstrate
garbage settled along the river the consequences of irresponsible nurse the use and
to the health of the people by throwing of garbage to the riverside resources: maintenance of a
using water on the river, adding which serves s breeding sites of clean environment
up to air, land and water rodents, thereby increasing the >knowledge, and proper garbage
pollution. possibility of water-borne infection or skills and disposal system in
other diseases. proper compliance with
attitude in the health
> Teach and encourage use of a > Upang maging kapakipakinabang discussing teachings provided.
compost pit ang mga nabubulok na basura at the nature of
magsisilbing pataba sa lupa the problem.
PROBLEM # 2: POOR PERSONAL HYGIENE

Cues Analysis Goal of Care Objectives

After nursing
S:  Poor hygienic care is intervention, the family Short Term:
contributed by the will decide on appropriate After 3 hours of nursing
O: family’s Inability to action(s) to maintain good interventions the family will
> Upon the assessment provide a home hygiene demonstrate understanding on
made, it was observed that environment conducive to the health teachings given
the family members have health maintenance and regarding the importance of
dirty and untrimmed personal development due maintaining proper personal
fingernails and toenails. to lack of adequate hygiene.
knowledge and skills in
>The child has a dirty carrying out action for Long Term:
clothes. proper hygiene regimen. After 3 weeks of Home visits the
family will be able to show
> The mother and father compliance on the health
are both seen walking teachings given.
barefooted outside the
house

>The father have a

yellowish teeth while the
mother have a yellowish
teeth with dental carries
 PROBLEM # 2: POOR PERSONAL HYGIENE
Interventions Rationale Method of Resources Evaluation
contact Required

 Stressed the importance of  In order to motivate them to  Home  Time and effort of Short Term:
maintaining proper personal improve their hygiene. Visits the student The family
hygiene. nurses to render was able to
 Interview proper hygienic demonstrate
 Encouraged the mother to bath care and practices understanding
 To provide comfort and soothing Method
his son everyday in the morning to the family. on the health
feeling which promotes proper
and before going to sleep  Cooperation of the teachings
blood circulation; cleansing the  Observation
family members given
body helps removes dirt from skin
especially the regarding the
thus protecting them from invading
mother. importance of
microorganism
 Use of water, maintaining
soap, cotton proper
 Advised the family to change  To keep free from microorganisms personal
causing body odor due to excessive buds, slippers,
their clothing regularly, every hygiene.
perspiration and unchanged powder, nail
after bath or when the need
clothes. It is also to prevent cutter, clean
excessive sweating in playing or Long Term:
complications like pneumonia. clothes, towel
doing household chores) The family
basin, and
toothbrush. was able to
 Instructed the family to trim  Having untrimmed finger and toe show
nails carries a higher risk of  PHN bag
their finger and toe nails compliance on
regularly. developing complications. Having the health
dirty nails may lead to parasitism. teachings
given.
 Instructed the family to brush  When food sticks longer on the
their teeth regularly, three times teeth, dental problems may occur
a day is recommended after such as the build up of tartar,
eating their meals. dental caries, and halitosis, etc.
 Emphasized the importance of  To prevent cross- contamination of
proper hand washing regularly microorganisms
especially:
 before eating
 after eating
 after handling unclean
objects
 after bowel and bladder
elimination
 Wearing foot wears reduces the risk
 Stressed the importance of
of being contaminated with certain
wearing footwear in and out of
microorganisms. It reduces the risk
the house.
of possible accident like stepping
on sharp objects.
 PROBLEM #3: UNSANITARY TOILET
ANALYSIS OF THE
CUES
PROBLEM
S: Presence of health threats
O: due to poor status of health
 The toilet facility is facility
poor with regards 1. Inability to recognize the
to hygienic status presence of the problem
 Presence of flies
2. Inability to provide home
 Is foul smelling
environment conducive for
 They defecate in
health maintenance due to
soils and let it
a. Inadequate family
stand
resources due to financial
constraints
b. Lack of adequate
knowledge in the importance
of having good status of
toilet facility and the disease
can be acquired through
improper cleaning of toilet
GOAL OF CARE
OBJECTIVES
After nursing SHORT TERM:
intervention, the After 2-3 hours of home visit the family
family will decide on will be able to verbalize understanding of
appropriate action(s) to the importance of having a toilet facility
maintain good and recognize the diseases that may be
cleanliness of the toilet brought by the presence of this problem
facility and health teachings given
LONG TERM:
After 3 weeks of home visit the family
will be able to construct a water sealed
toilet with firm and safe walls and will be
able to provide a roof of the toilet for
comfort and safety
After 4 months of home visit the family
will be able to demonstrate compliance
to health teachings given.
 PROBLEM #3: UNSANITARY TOILET
METHOD OF
RESOURCES
NURSING INTERVENTION RATIONALE FAMILY EVALUATION
REQUIRED
CONTACT
>explain to the family the effect >to develop awareness and >Home visits >Cooperation of SHORT TERM:
of this problem to their health. initiate action in controlling the family After 2 hours of nursing
this problem. >Observations members. interventions the family
verbalized

> discuss to family the >to provide proper knowledge >Health >Time and effort of understanding of the

importance of having their own among the members of the teachings the student nurse. importance of having a

toilet facility. family. toilet facility and

>Interview >Health teachings. recognized the diseases

>discuss to the family the >to prevent the occurrence of that may be brought by

possible diseases they can certain disease >A bawl and the presence of this
>Giving a
acquire like UTI, diarrhea, etc. cement problem and health
hand in the
teachings given.
construction
>encourage them to practice >to prevent cross- of the toilet > “sako”
proper hand washing contamination within the Nails, hammer
members of the family. Wood
>identify resources available to >to reduce/correct existing LONG TERM;
the family risk factors After 3 weeks of home
visit the family was able
to construct a water

> note socioeconomic > indicator for need for sealed toilet with firm

status/availability and use of information, assistance with and safe walls and was

resources making positive changes, able to provide a roof of

promoting safety and a sense the toilet for comfort and
of security safety

>We still practice After 4 months of home

> Help the client to construct
Independence and not total visits the family have
their toilet and their walls and
dependence demonstrate compliance
roof
to health teachings
given.
 Problem #4: PRESENCE OF HEALTH THREATS DUE TO FIRE HAZARD

ANALYSIS OF THE
CUES GOAL OF CARE OBJECTIVES
PROBLEM

S: Inability to make decisions After nursing Short Term:

with respect to taking intervention, the family After 2-3 hours of home visits the
O:
appropriate action due to: will decide on family will be able to recognize the
 The galvanized iron in appropriate action(s) to presence of the existing problem
>failure to comprehend the prevent the occurrence identify ways in eliminating fire
the kitchen area is of accidental fires hazards present inside the house.
nature, scope/magnitude of
burnt the problem
Long Term:
 The kitchen is near the >limited financial resources After five days of home visits, the
bamboo walls of the family will show adherence in the
kitchen teachings given as evidenced by
 The stove is within the reconstruction of their cooking area.
child’s reach
 Facility for heating is
placed in the kitchen
where fire is not
controlled because of
the use of woods.
 METHOD OF
RESOURCES EXPECTED
NURSING INTERVENTION RATIONALE FAMILY
REQUIRED OUTCOME
CONTACT
>Home visits >Cooperation of Short Term:
 Discussed to the family the  To increase awareness After 2-3 hours of
the family
presence of the fire hazards inside among the members of the home visits the
their home. family. >Observations members. family was able to
recognize the
presence of the
 Discussed and elaborate to the  Members realize the bad
>Health >Time and effort existing problem
family all the possible outcome of these accident
identify ways in
consequences that may come about hazards thus prevent teachings of the student eliminating fire
from having these fire hazards in possible occurrences.
nurse. hazards present
their home environment.
inside the house.
>Interview
 Taught the family to become  This prevents the Long Term:
resourceful and use only what >Health
unnecessary use of their After five days of
physical resources they have and limited finances and also >Giving a hand teachings.
try to recycle them such that they enhances their capability home visits, the
may be able to utilize them in in handling possible in the
family have shown
eliminating fire hazards like hazards and corrects them. reconstruction >Equipments
unused pieces of woods in correctly adherence in the
sealing the open and unsafe area. of their cooking used:
teachings given as
area Hammer, nails,
 Helped the family in reconstructing evidenced by
 This is to prevent fire and woods and
their cooking are to prevent smoke reconstruction of
inhalation. galvanized iron
their cooking
 Encourage the family to put out the  Little source of fire cam area.
fire after cooking with water still ignite to a bigger fire
 Encourage the family to move the  Light materials like woods
stove away from any flammable are flammable
objects such as bamboo

 Encourage the family to have a  Water is an element

bucket of water close to the stove against fire

 Instruct the family to rub the fire  Limiting the source of

wood on the ground oxygen for the fire means
Instruct the family to keep matches limiting the fire
away from children