FAMILY NURSING CARE PLAN

INITIAL DATA BASE

General Info.
The family adopted is Nuclear. The client’s name is Grace B. Antonio, she is 45 years of age and
born on 20th of December 1974 at Alicia, Isabela. She is married to William M. Antonio, 39
years of age and a construction worker, the couple is both high school graduates, they have 1 son
named Edgar B. Antonio 8 years of age and a Grade 3 student and 1 daughter Precious Antonio
18 years of age a Grade 8 student. They are all residing at Purok 7, Centro Uno Angadanan,
Isabela. They prefer to use Tagalog and Ilocano as their dialect. Regarding to their religion, they
are all Roman Catholic. They completed their vaccine

Economic Status
Mrs. Antonio is a Helper, her monthly income is at least 500-1,000 pesos a month from his part-
time work and her husband have monthly income at least 750-1,000 Pesos a month from his part
time work as a construction worker. Their salary is enough to sustain their daily needs. Her
mother in law also giving their son a monthly allowance 500 a month, They don’t have lot or
farm area. Outside their house, they have 1 dog and 1 cat.

“tumatanggap ako ng labada at si mister ko naman ay pumapasok siya paminsan minsan bilang
construction worker atsaka minsan pag may tumatawag sakanya na mag trabaho sila
pumupunta siya” as vebalized by the client.

Vegetables and meat 500

Egg (1 tray) 200
Noodles 10x10 200
Food seasoning. 150
Coffee. 150
Rice 1000
Electricity 250
Water Bill 230
Total= 2,680

Home and Environment

The family owned the house where they lived, her grand mother in law give Them space to live.
concrete type of house with 1 room excluding the bathrooms and the entrance. They use
electricity as their source for lighting, gas stove for cooking and for the source of their drinking
water, they drink water that stores in jag which is the Tap water. Their toilet is a water sealed
type of toilet and they disposes the garbage and collected by the public waste collectors and
sometimes open burning at the back of their house. The said family is not involved in any types
of activities or organization in their barangay.

Nutritional Status
The client eats 3 times a day, usually eats vegetable, chicken, egg and noodles. The client
consumes at least 2 liters of water and Coffee. The client buys their foods in the in the store and
market place and puts his leftover foods in a storage container and reinvent it on the next meal.

Health Status
The client verbalizes that she doesn’t have problem regarding with her health. Her husband
smokes cigarettes consuming at least 6-8 sticks a day. The client and whole family didn’t have
any serious injuries nor chronic diseases. Within 6 months, no one in the family got sick and
doesn’t have any hereditary diseases. The family seeks attention to the health center or public
doctors and only goes to the clinic/hospital if needed.

Sociopolitics
The client doesn’t have any problem with their community

Socioeconomics
In line with the cleanliness of their community the client is satisfied, also distances of the house
in their community is moderate, The programs implemented in their barangay doesn’t affect their
health. The family doesn’t have vehicle, they use rented tricycle whenever they go somewhere,
buys their foods at the market, hospital and etc. They are also satisfied by the signal on their
location and can easily contact barangay officials whenever emergency arise.
LIST OF HEALTH PROBLEMS RANKED ACCORDING TO PRIORITIES

HEALTH PROBLEMS SCORE JUSTIFICATION

2.84
1. INADEQUATE LIVING
SPACE (Health Threat)
2.84
2. INSUFFICIENT INCOME
(Health Threat)
2.17
3. IMPROPER GARBAGE
DISPOSAL (Health Threat)
2.5
4. FREQUENT SMOKING OF
CIGARETTE (Health Threat)
The family's living space is not
enough for the family members due
financial constraint that affects their
home management
The family is earning atleast 1,000-
2,500 a month for food and needs at
the kitchen only that is not enough to
for their Other necessities and health
care needs
The family is doing open burning on
their trashes specifically on plastics
and leaves.
"Nag susunog din ako gaya ng dahon
at plastic" As client verbalized.
The Head of the family frequently
uses cigarette which he consumes at
least 6-8 sticks in a day
 CUES AND DATA
- “May kwarto kami isa yun nadin ang
nagiging sala naming kasi kulang ang space,
binigyan lang kasi kami ng grandmother in
law ko ng space para may tirahan kami ” as
verbalized by the client
- “Hindi kami makabili ng gamit, pang kain
lang naming iyon tulad ng asukal, kape, gatas,
sabon, shampoo, bigas at ulam at iba pang
kailangan pang kusina pinagkakasya ko
nalang hindi na nasusuportahan ang ibang
gastusin” as verbalized by the client
- “Minsan sa garbage collector pero
nagsusunog din ako gaya ng dahon plastic
pero yung mga bote kinokolekta ng mga
garbage collector” he stated
FAMILY NURSING PROBLEM
Poor home/ Environmental
condition/sanitation: Inadequate living space
(Health Threat)
Inability to provide a home environment
conductive to health maintenance and
personal development due to: Inadequate
family resources due to limited financial
resources
Insufficient Income (Health Threat)
insufficient income to provide some
Necessities of the family related to inadequate
financial income and lack of job
Improper garbage disposal (Heath Threat)
Inability to decide about taking appropriate
actions due to failure to comprehend the
nature and scope of the problem.
- “Naninigarilyo yung asawa ko 6 to 8 stick Frequent smoking of cigarette (Health Threat)
nauubos ” as verbalized by the client
Inability to recognize the presence of the
problem due to lack of knowledge on what
effects could bring to his health

Inability to take appropriate action due to low

salience of the problem

INADEQUATE LIVING SPACE (Health Threat)

 CRITERIA COMPUTATION ACTUAL JUSTIFICATION
SCORE
NATURE OF 2/3x1 2 This is considered as a health threat
THE because inadequate living space and
PROBLEM ventilation predispose the family to health
problems and may affect the activities of
its members.
MODIFIABLE 1/2 x 2 1 The family’s
OF THE resources are inadequate to provide a
PROBLEM proper living space to its members due to
prioritized needs. But the resources of the
nurse such as health teachings and advises
can promote change in the problem.

PREVENTIVE 2/3 x 1 2 The lack of resources makes it difficult to

POTENTIAL achieve total problem modifiability and
thus, may not totally decrease the
possibility of problems that may occur in
the future
SALIENCE OF 1/2 x 1 1 The family experiences some difficulty
THE regarding this problem but explains that
PROBLEM this is not their priority.

INSUFFICIENT INCOME (Health Threat)

 TOTAL: 2.84

CRITERIA COMPUTATION ACTUAL JUSTIFICATION

SCORE
NATURE OF 2/3 x 1 0.67 Health Threat
THE It is considered as health threat because it
PROBLEM can contribute problem to the family in
their necessities due to insufficiency
allowance.
MODIFIABLE 1/2 x 1 0.5 The problem is partially modifiable since
OF THE the family lacks of income especially in
PROBLEM their some necessities.
PREVENTIVE 2/3 x 1 0.67 This is moderate preventable because the
POTENTIAL family capable of proper maintenance of
health.

SALIENCE OF 2/2 x 1 1 The family view this as a problem because

THE PROBLEM their necessities is important.

IMPROPER GARBAGE DISPOSAL (Health Threat)

 TOTAL: 2.17

CRITERIA COMPUTATION ACTUAL JUSTIFICATION

SCORE
NATURE OF 2/3 x 1 0.67 Health Threat
THE Inability to solve the appropriate health
PROBLEM action which could affect the current
living of the resident
MODIFIABLE 1/2 x 1 0.5 The problem is partially modifiable
OF THE because they do not know what will be the
PROBLEM harmful effect to the environment
PREVENTIVE 3/3 x 1 1 This is highly preventable if the family has
POTENTIAL learned the importance of having proper
disposal and since the implementation of
proper waste disposal will reduce the risk
of overall health
SALIENCE OF 0/2 x 1 0 With regards to family’s perception, the
THE PROBLEM family does not perceive the waste
disposal as a health problem and the
content with their method since it saves
time and energy

FREQUENT SMOKING OF CIGARETTE (Health Threat)

 TOTAL: 2.5
CRITERIA COMPUTATION ACTUAL JUSTIFICATION
SCORE
NATURE OF 2/3 x 1 0.67 Health Threat
THE The Head of the family frequently uses
PROBLEM cigarette which he consumes at least 6-8
sticks in a day

MODIFIABLE 1/2 x 2 1 The problem is partially modifiable, in a

OF THE way of educating the patient on possible
PROBLEM complications that may exist and effects
on his health status
PREVENTIVE 1/3 x 1 0.33 This is low preventable since the client is
POTENTIAL already used to it

SALIENCE OF 1/2 x 1 0.5 The client recognizes the problem and is

THE willing try other ways to lessen the habit
PROBLEM however it will take a long period of time
to practice reducing it, for it is already part
of his routine
 FAMILY NURSING CARE PLAN
HEALTH FAMILY GOAL OBJECTIV NURSING METHOD RESOURCES
PROBLEM NURSING E INTERVENTI OF NURSE REQUIRED
PROBLEM ON FAMILY
CONTACT
INTERVENTION PLAN
INADEQUA Inability to After the After nursing 1. Suggest ways Home visit Material
TE LIVING provide a nursing intervention on how to
SPACE home intervention the family maximize the Resources:
environment the family should be available living -Visual Aids and
which is will develop able: space by re- low-cost
conducive for ways on how arrangement. materials needed
health minimize the a.) Identify for the actual
maintenance problem as risk factors 2.) Advise the demonstration
and personal evidenced by that family to
development rearrangeme contribute to separate things Human
due to nt of the they don’t use Resources:
inadequate furniture to congestion in anymore. Time and effort
family maximize the area such on the part of the
resources their living as unused 3.) Inform the nurse and family
specifically space. things. family regarding
financial the easy
constraints b.) transmission of
and limited Demonstrate disease due to
financial techniques to inadequate
resources. promote good space.
environment
condition 4.) Explain to the
such as family possible
proper effects of having
arrangement inadequate living
of appliances, space.
etc.
5.) Explain to the
c.) Verbalize family
understanding advantages of
about the having adequate
importance of living space.
having
adequate 6.) Aid the
living space. family in
maximizing the
living space.
 FAMILY NURSING CARE PLAN
HEALTH FAMILY GOAL OBJECTIV NURSING NURSE - RESOURCES
PROBLEM NURSING E INTERVENTI FAMILY REQUIRED
PROBLE ON CONTA
M CT
INTERVENTION PLAN
HEALTH insufficient the family After Advice to have Home visit Poverty entails
THREAT income to will able to nursing resources like more than lack
provide develop intervention selling food. of income and
Insufficient some alternative the family productive
income Necessities resources to will be able Encourage to resources to
of the provide to: plant vegetable ensure
family necessities at the sustainable
related to Explain the backyard. livelihoods.
inadequate importance
financial of their Advice to find Time and
income and necessities. job. effort of the
lack of job. student nurse
Explain the Encourage to
importance join livelihood Cooperation of
of having project like the family
readily craft. member
resource
when the
time they
really need
it.
 FAMILY NURSING CARE PLAN
HEALTH FAMILY GOAL OBJECTIVE NURSING METHOD RESOURCES
NURSIN INTERVENTI OF NURSE REQUIRED
PROBLE G ON FAMILY
M PROBLE CONTACT
M INTERVENTION PLAN
HEALTH Inability The family The family Discuss with home visit
THREAT to decide will be able can perceive the family the Cooperation of
about to the possible possible risk Health the family
Improper taking determine impact of factor of education member
garbage appropriat the outdoor outdoor regarding to
disposal e actions appropriate burning “open burning that proper garbage Knowledge,
due to actions to burning” to result the disposal skills and
failure to prevent the the occurrence of proper attitude
comprehe occurrence environment the problem In discussing
nd the of the and health: the such as the nature of
nature and problem family will respiratory the problem
scope of verbalize problem like
the The family understanding asthma, lung
problem. will be of the actual diseases.
aware of condition that
the R.A exist within Assess the
9003 the family family’s
prohibited perception
acts regarding to
specially proper garbage
the open disposal
burning acknowledge
waste the family
manageme concern in
nt. order to
promote
cooperation

FAMILY NURSING CARE PLAN

HEALTH FAMILY GOAL OBJECTIVE NURSING METHOD RESOURCES
NURSIN INTERVENTI OF NURSE REQUIRED
PROBLE G ON FAMILY
M PROBLE CONTACT
M INTERVENTION PLAN
HEALTH Inability to After After nursing 1. Discuss the Home visit Material
THREAT recognize nursing intervention negative effect of Resources:
the intervention the husband excessive Visual aids on
presence s, will be able to: smoking to the the concept of
Frequent of the body. taking in
smoking problem a. the a. Recognize excessive
of due to husband the effect of 2. Encourage the alcohol
cigarette inadequate will frequent husband to
as a health knowledge recognize smoking and minimize and Human
threat and frequent its threat to refrain from too Resources: Time
attitude in smoking of health much cigarette and effort of
life which cigarette as smoking. both the student
hinders a problem b. Improves nurse and the
recognitio and decide his attitude 3. Make the family.
n and on towards husband aware of
acceptance appropriate maintaining a the possiblr
of a health more healthy outcome of his
problem. actions to life style continuous
correct smoking and his
Inability to them. c. Gradually effect to the
make minimize whole family.
decisions smoking
with consumption. 4. Encourage
respect to other ways of
taking stress relief and
appropriat recreational.
e health
actions
due to low
salience of
the
problem.
DOCUMENTATION
 SURVEY QUESTIONNAIRE

GENERAL INFORMATION

Name: Grace B. Antonio Age: 45 Sex: Female

Date of Birth: December 20, 1974 Place of Birth: Alicia, Isabela

Marital Status: Single Married Annulled Divorced

Nationality: Filipino Occupation: Helper

Religion: Roman Catholic

Address: Purok 7, Centro Uno Angadanan, Isabela

Educational attainment: High school Graduate

Primary and Secondary Language: Tagalog and ilocano

Email: Contact Number:

HEAD OF THE FAMILY

Name: William M. Antonio Age: 39 Sex: Male

Date of Birth: Febuary 7, 1981 Place of Birth: Angadanan, Isabela

Nationality: Filipino Occupation: Construction worker

Religion: Roman Catholic

Member of the Sex Ag Weight, Relation Religion Immunization Educational

Household e Height, to the Taken Attainment
in your house BMI household
head

William M. M 39 60kg, 5’6ft. Head Roman Complete High school

Antonio Catholic graduate
21.3
Normal
 48kg, 5’2ft
Grace M. F 45 Wife Roman Complete High school
Antonio 20.0 Catholic graduate
Normal

46kg, 5'2
Precious F 18 Daughter Roman Complete Grade 8
Antonio 18.6 Catholic
Normal

26kg, 4’1ft
Edgar B. M 8 Son Roman Complete Grade 3
Antonio 15.9 Catholic
Normal

Total: 4

ECONOMIC STATUS
Occupation: Helper
What is your current employment status? [Check ALL that apply.]
 Working full time for pay
Working part time for pay
o Retired
 o Homemaker
o Disabled (not working because of permanent or temporary disability)
o Receiving support from OFW, Farmer, Chairman
o Other (please specify): ____________

[If working part time]

Which best describes the reason you are working part time? (Select ONE answer)
o Related to Burn Injury?
o Related to other illness?
o Related to other reason?
o Don’t know
o No Answer

Monthly Income:
 1,000 – 5,000
o 6,000 – 10,000
o 11,000 – 15, 000
o More than 15,000

Monthly Allowance:
o 1,000 - 5,000
o 6,000 – 10,000
o 11,000 – 15, 000
o More than 15,000
 Others (please specify):500 (son)

Do you have Lot or Farm area?

__ Yes  No

[if YES]
Total Lot or Farm area:
__Private __ Rented
o 1 Hectare
o 2 Hectares
o 2-3 Hectares
o More than 3 Hectares
o Others (please specify): ____________
Common crops that you’re planting:
o Rice
o Corn
o Vegetables
o Fruits
o Others (please specify): ____________

Do you have pets/animals?

 Yes _ No

[if YES]
What type of pet/animals? [number of pets/animals]
 Dog [1]
 Cat [1]
o Cow
o Bird
o Others (please specify):

Where do your pet/animals live?

o Inside the house
 Outside the house
o Barn
o Kennel
o Others (please specify): ____________
 HOME AND ENVIRONMENT

Home ownership
 Owned __ Rented __Shared

House Structure
 Concrete __ Wood __Others (please specify):

How many rooms do you have in your house excluding bathrooms and the entrance?
 1
 2
o 3
o More than 3

What source do you use for lighting?

 Electricity
o Lamp
o Solar
o Others (please specify): ____________

What source do you use for drinking water?

 Tap water
o Deep well
o Private
o Communal
o Others (please specify):

Storage of your drinking water?

 Covered __ Uncovered

What source do you use for cooking?

o Electricity
o Fire wood
 Gas Stove
o Others (please specify): ____________

What type do you use for toileting?

 Water sealed
o Open pit
o Flash
o Close pit
o Others (please specify): ____________
Toilet ownership
 Private __ Public

In what way did you do to dispose your waste?

 Open burning
o Burial pit
o Compost pit
Others (please specify):

Are you involved in any community activities?

Yes
 No

[if YES]
How often did you actively participate in the community or organization?
__ Often  Seldom

What program are you involved in and explain?

o Clean and Green Program __________________________________________________

__________________________________________________________________________

o Health worker (DHW) _____________________________________________________

__________________________________________________________________________

o Senior Citizen
__________________________________________________________________________

o Seminars ______________________________________________________________
_________________________________________________________________________

o Others (please specify): ___________________________________________________

__________________________________________________________________________
 NUTRITION

How often did you eat in a day?

o Once a day with snack
o Less than 3 times a day with snack
 3 times a day without snack
o Less than 3 times a day without snack
o Others (please specify): ____________

What do you usually eat during a typical day?

 Vegetables
Meat
o Fish
o Others (please specify):Chicken,Egg,Noodles ____________

What types of Fluid do you drink and how much? [Check ALL that apply]
 Water [2 Liters]
o Soda __
o Juice __
 Coffee
o Alcohol
o Others (please specify): ____________

Where do you buy or get your food?

o Garden
 Marketplace
 Store
o Others (please specify): ____________

Where do you put your leftover food?

o Refrigerator
 Storage container
o Others (please specify): ____________

What do you do with your leftover food?

 Reinvent
o Throw away
o Keep it in the fridge and serve it later or tomorrow
o Others (please specify) ____________
 HEALTH STATUS

Do you have problem or concern regarding with your health?

[if YES, please describe]
__ Yes  No
______________________________________________________________________________
_____________________________________________________

How would you evaluate your overall health? Would you say you are:
 In good physical health (No illness or disabilities).
o Mildly physically impaired. (Minor illness or disabilities).
o Moderately physically impaired. (Requires substantial treatment)
o Severely physically impaired. (Requires extensive treatment)
o Totally physically impaired. (Confined to bed)

How often do you get a health checkup?

o Once in 3 months
o Once in 6 months
o Once a year
 Only when needed
o Never get it done
o Others (please specify): ____________

Do you have allergy to any medicines/foods? [if YES please specify]

__ Yes  No
____________

Do you ever have an adverse reaction to any vaccine? [if YES please specify]
__ Yes  No
_________

Are you habituated to recreational drugs and alcohol?

o Yes, to both
o Only to recreational drugs
 I am not habituated to either
o Only to alcohol

Comment:
Do you smoke? If YES how many tobacco/s do you consume per day?
 Yes (Husband) __ No

Comment: “Yung asawa ko naninigarilyo nakaka ubos siya 6-8 sticks sa isang araw”

Do you currently suffer from any chronic diseases? [if YES please specify]
__ Yes  No

Have you ever been in a seriously injured?

[if YES, what year]
__ Yes  No

[Type of injury and explain how did you get that injury]
o Animal bites.
_______________________________________________________________
o Burns _______________________________________________________________
o Electrical injuries_________________________________________________________
o Fractures (broken bones)
_______________________________________________________________
o Sprains and strains
_______________________________________________________________
Others (please specify): ____________

Within 6 months, is there anyone of your family member who get sick?
__ Yes  No

[if YES]
Name: _______________________________ Age: ___ Sex: ___

Type of disease: _________________ When did it begin? _______________

Treatment: _____________________

Sign and Symptoms: [check ALL that apply]

□ Headache □ Low temperature

□ Runny nose □ Difficulty breathing
□ Skin rashes □ Loss of appetite
□ Muscle pain □ Pain or burning sensation
□ Cough □ Abdominal cramps
□ Rapid heartbeat □ Watery stool
 □ Vomiting/Nausea □ Bleeding
□ Chest pain □ Others (please specify): _______________________
□ High temperature ___________________________________________
□ Fever ____________________________________________
□ Dizziness ____________________________________________

Common family illness or disease?

o Pneumonia
o Hypertension
o Asthma
o Diabetes
o Arthritis
o Others (please specify): ____________

What do you do when you/other member of the family are sick?

 Consulting to the nearest clinic/hospital
o Use of herbal medicine
o Taking medicine (non- prescribed drugs)
o Rituals or beliefs and practices
o Others (please specify): ____________

Do you use any herbal medicine?

o __ Yes  No

[if YES]

What Common herbal medicine do you use?

o Lagundi
o Origano
o Bayabas
Others (please specify):

When you are having problem with your health, which of these you approach first?
 Health professional
o Traditional healer “albularyo”
o Others (please specify): ____________

Where do you usually bring your family member for medical attention regarding illness?
o Private doctor
o Nurse
 Public doctor
o Others (please specify): ____________
Health program or service that is/are present in your community?
o Community action for pregnant woman
o Promoting child and family nutrition
 Immunization
 Health promotion
o Others (please specify): ____________

Methods you used in family planning? [check ALL that apply]

o Pills
o Calendar method
o Condoms
o Others (please specify): ____________

Common family health behavior?

o Breastfeeding
Use of herbal medicine
o Use of iodized salt
o Others (please specify): ____________
 SOCIOPOLITICS

Is there a problem that you are facing in your community?

__ Yes  No

[if YES]

What is/are the problem that you encounter in your community? And how did you cope
with that problem?
______________________________________________________________________________
______________________________________________________________________________
What are the current concerns or problems in your community?
______________________________________________________________________________
______________________________________________________________________________
What do you think are the positive characteristics and abilities in dealing problems within
the community?
______________________________________________________________________________
______________________________________________________________________________
What do you think is the greatest need in your area or within your community?
______________________________________________________________________________
______________________________________________________________________________

SOCIOECONOMIC
 How satisfied you are with standards of cleanliness in your community?
o Very dissatisfied
o Dissatisfied
o Neither
 Satisfied
o Very satisfied

Is there be any special physical hazard or health risk associated with the program in your
community? [if YES please describe]
__ Yes  No

Distance of each house in your community?

o Very near
 Moderate
o Very far

How far is the distance of your house to the nearest health care facility?
2 km

Do you have vehicle? [if YES please specify]

__Yes No
[if NO]
What kind of transportation do you use when you go out (e.g. hospital, school, works, etc.)?
 Tricycle
Bicycle
o Rented car
o Others (please specify):

If there’s a problem within your community, what tools do you use to communicate?
 Mobile phone
o Landline telephone
Others (please specify):

How would you describe your overall satisfaction with your current network service in
your community?
o Very dissatisfied
o Dissatisfied
o Neither
 Satisfied
o Very satisfied