REMEDIOS TRINIDAD ROMUALDEZ MEDICAL FOUNDATION

COLLEGE OF NURSING

Related Learning Experience (RLE) Activity in

NCM 104: Community Health Nursing 1 (Individual and Family)

1st Semester (A.Y. 2020-2021)

Worksheet #15
Week 14: January 27, 2021

RLE FOCUS: Principles of Bag Technique; Family Nursing Process

1. Return demonstration on Wound care and weight taking utilizing the Principles of
bag technique

2. Family Health Assessment and Data Analysis based on initial data base: (Please
see format)
a. Initial Data Base
b. First and Second level assessment (Typology of Nursing Problems in Family Nursing
Practice)
c. Prioritization of family health problems

Post-activity Evaluation
Weekly reflection journal of activity

Schedule of activities:
8-8:15AM – Attendance check
9:15 AM – 1PM- Synchronous virtual return demonstration
1.2 PM – Virtual consultation, Submission and sharing of output, Post-activity conference

Submission:

-Individual documentation of return demonstration due 5 PM on January 27

LAST NAME, INITIAL OF FIRST NAME – WoundCare

-Individual output of First and Second level assessment & Prioritization of family health
problems due on 5 PM on January 27

LAST NAME, INITIAL OF FIRST NAME- FamilyAssessment

-Individual output Week15ReflectionJournal104 is due on January 21 at 9AM

LAST NAME, INITIAL OF FIRST NAME- Week15ReflectionJournal104

Creation of Reflection Journal of the week’s activity. In 300 words, please create
the following components of your reflection:
-Three things you have learned from the activities
-Two things you have found challenging in the activities
-One thing you have hoped to have answered during the activities
 Worksheet #15
Week 14: January 27, 2021

RLE FOCUS: Family Nursing Process

B.
I. First-level Assessment
Based on initial data base, categorize the family nursing problems:

Category Condition Cues/Data

Readiness for Enhanced Capability for:
a. Healthy lifestyle - Mr. Arcega does not usually have adequate
sleep due to work’s demand.
- Mrs. Arcega is not physically active and only
have household chores to be considered as a
Wellness Condition from of exercise.

b. Breastfeeding - Exclusive breastfeed for 1-6 months and

mixed food and breastfeed for 6-13 months.
The baby hates bottle feeding. This becomes
a problem when Mrs. Arcega has to go for
work or when in work.
Accident hazards:
a. Fire hazard - There are no presents of fire hazards in the
house, but when there is electricity
interruption or brownout, they use candles
and katol.
- No fire extinguisher at their house.

Poor Home Environment:

a. Improper Garbage - Family uses cellophanes as their garbage
Health Threat containers which are sometimes opened.
Unhealthful lifestyle and personal
habits/ practices:
a. Physical Inactivity - Walking and doing household chores are the
only form of exercise Mrs. Arcega do.

b. Inadequate sleep - As stated by Mrs. Arcega “an akon asawa

kay tuyo san iya trabaho pirme piraw”.

Hypertension - Mr. Arcega has hypertension and although

Mrs. Arcega doesn’t have hypertension, but
Health Deficit her family has a history of it so there’s also a
high risk of her acquiring it plus the fact that
she has an inactive lifestyle.
Foreseeable Crisis Stress from work - Mr. Arcega has a stressful schedule for work
Situation/Stress that requires him to stay up all night.
Points

Cues/Data
 No fire extinguisher at their
house.
 When there is electricity
interruption, they use candles and
katol. Candles to serve as their
source of light and katol to
provide protection from
mosquitoes.
 Walking and doing chores are the a. Lack of/ inadequate
only form of exercise they do.
 Mr. Arcega has hypertension and
although Mrs. Arcega doesn’t
have hypertension, but her family
has a history of it so there’s also a
high risk of her acquiring it plus
the fact that she has an inactive
lifestyle.
 Mr. Arcega has a stressful
schedule for work that requires
him to stay up all night.
II. Second-level Assessment
Health Problem
Accident Hazards:
a. Fire Accident
Unhealthful Lifestyle and
Personal Habits:
exercise/ physical
activity
b. Inadequate sleep
Hypertension
Stress from work
Family Nursing Problems
- Inability to recognize the
presence of the condition or
problem due to denial about its
existence or severity as a result
of fear of consequences of
diagnosis of problem,
specifically because of
economic/cost implications.
- Inability to provide a home
environment conducive to
health maintenance and
personal development due to
inadequate family resources,
specifically financial
constraints/ limited financial
resources.
- Inability to make decisions with
respect to taking appropriate
health action due to low salience
of the problem/condition.
- Inability to make decisions with
respect to taking appropriate
health action due to low salience
of the problem/condition.
- Inability to make decisions with
respect to taking appropriate
health actions due to:
a. Failure to comprehend the
nature/magnitude of the problem.
b. Lack of adequate knowledge as to
alternative courses of action open
to them.
- Inability to recognize presence of
possible complication due to lack
of knowledge.
 C. Prioritization of family health problems

Health Problem: Accident Hazards: Fire Accident as a Health Threat

Criteria Computation Actual Score Justification
1. Nature of the Problem 2/3 x 1 0.67 The problem is a health
threat that demands
immediate attention to
eliminate untoward
consequences.
2. Modifiability of the Problem 2/2x2 2 The problem is easily
modifiable since current
knowledge and resources
are present.
3. Preventive Potential 3/3x1 1 The possible problems
associated with the
condition has high
preventive potential.
4. Salience of the Problem 1/2x1 0.5 The family views it as a
condition
not needing immediate
attention.
TOTAL 4.17

Health Problem: Lack of Physical Activity as a Health Threat

Criteria Computation Actual Score Justification
1. Nature of the Problem 2/3 x 1 0.67 The problem is a health
threat that demands
immediate attention to
eliminate untoward
consequences.
2. Modifiability of the 2/2x2 2 The problem is easily
Problem modifiable since current
knowledge and resources
are present.
3. Preventive Potential 3/ 3 x 1 1 The possible problems
associated with the
condition has high
preventive potential.
4. Salience of the Problem 2/ 2 x 1 1 The family views it as a
condition needing
immediate attention.
TOTAL 4.67

Health Problem: Inadequate Sleep as a Health Threat

Criteria Computation Actual Score Justification
1. Nature of the Problem 2/3 x 1 0.67 The problem is a health
threat that demands
immediate attention to
eliminate untoward
consequences.
2. Modifiability of the 2/2x2 2 The problem is easily
Problem modifiable since current
knowledge and resources
are present.
3. Preventive Potential 3/ 3 x 1 1 The possible problems
associated with the
condition has high
preventive potential.
4. Salience of the Problem 2/ 2 x 1 1 The family views it as a
condition needing
immediate attention.
TOTAL 4.67
 Health Problem: Hypertension as a Health Deficit
Criteria
1. Nature of the Problem
2. Modifiability of the
Problem
3. Preventive Potential
4. Salience of the Problem
Computation Actual Score Justification
3/3 x 1 3 The condition is a
foreseeable crisis situation
that demands
immediate attention to
eliminate untoward
consequences.
2/2x2 2 The problem is easily
modifiable since current
knowledge and resources
are present.
2/ 3 x 1 0.67 The possible problems
associated with the
condition has moderate
preventive potential.
2/ 2 x 1 1 The family views it as a
condition needing
immediate attention.
TOTAL 6.67

Health Problem: Stress from work as a Foreseeable Crisis Situation

Criteria
1. Nature of the Problem
2. Modifiability of the
Problem
3. Preventive Potential
4. Salience of the Problem
Computation Actual Score Justification
1/3 x 1 0.33 The problem is a health
threat that demands
immediate attention to
eliminate untoward
consequences.
1/ 2 x 2 0.5 The problem is partially
modifiable since they
can’t really avoid being
stressed from work given
the nature of their work.
2/ 3 x 1 0.67 The possible problems
associated with the
condition has moderate
preventive potential.
1/ 2 x 1 0.67 The family views it as a
condition not needing
immediate attention.
TOTAL 2.17

Ranking: Health Problem

Health Problem Score Rank

Accident Hazards: Fire Accident as a
4.17 4
Health Threat
Lack of Physical Activity as a Health
4.67 2.5
Threat
Inadequate Sleep as a Health Threat 4.67 2.5

Hypertension as a Health Deficit 6.67 1

Stress from work as a Foreseeable
2.17 5
Crisis Situation