INTRODUCTION

Family is being defined as the basic unit of the society. It is

where everything starts. Life started with them and be with them
through all the way as you grow and of course has a big impact in all
aspects of your life like mental, physical, emotional and even health.
Health is a very crucial part in the family as it will define all the
actions or movements in the family. Being unhealthy will affect the
entire well-being of the family. Identifying and solving them can be
done by the nurses. Nurses’ duty doesn’t just stop inside the hospital
but rather extended in the community specially in the family.
Conducting assessments and data analysis will make a bridge to a new
knowledge and leading the family to a more serious complication. Data
gathering will give you a baseline for the diagnosis and interventions
that will done for the family. So, by this, conducting a home visit is
the key for making these things successful. By conducting a home
visit, we can easily assess different health risk and factors to the
family like environment, economic or even health history.
As a Level II student nurse, I was assigned to conduct a home
visitation on a family as a part of the clinical rotation in the
Community Health Nurse. So, I choose Family P as the subject of my
Individual case study. I interview them in different aspects in their
life that will make lighten different factors or risk to the health of
the family such us their economic status, cultural background,
environmental factors and many more. By this, we can identify any risk
in the family that may affect the health of the family.
So, by the end of the home visit, it was expected by the nurse to
have a diagnosis and intervention that is implemented in the family.
It was expected too that the family will cooperate with the nurse and
will actively participate in the home visitation and in the
intervention to be guide and implement by the nurse. It was also
expected that these practices will not just stop during the visitation
but will continuously do even after the visitation so that they will
be free or reduced the risk in the health status of the family.
 Family Developmental Task
STAGE INTENDED FAMILY ACTUAL OBSERVATIONS NURSING IMPLICATION
TASKS
Stage 7:  Strengthen  The siblings and  Provide the family
FAMILY OF marital parent have a health teaching
MIDDLE relationship misunderstanding about the proper
YEARS  Provide sometimes nutrition
health-  They have a  Suggest the family
promoting family gathering to do an activity
lifestyle every month in the family
 Sustain  The family eats where they can
satisfying healthy foods share everything
relationship  Even if they are on the other
with aging living family members to
parents and separately, the avoid
children children try to misunderstanding
contact their  Make the father
parents realized the
 The children are consequences on
prohibiting having a vice in
their father the body specially
from vices in his condition
 As they are now and his age.
living
separately,
sometimes when
they need help,
they can’t
attend
immediately

List of Family Nursing Health Problem

1. Presence of mosquitos, flies and black bug due to the location of
the house.
2. Improper waste segregation due to insufficient garbage bin.
3. Mr. P Cardiovascular disease and hypertension due to his vices and
habits.
4. Inadequate nutrition due to the food available which is mostly a
processed food.
5. Poor sanitation and improper waste disposal due to throwing
leftovers in the open compost pit in backyard.
 Problem Prioritizations
Problem 1 : Presence of mosquitos, flies and black bug due to the
location of the house.
Criteria Computation Justification
Nature of the problem 2/3 x 1 = 0.67 It is a health threat
as the insects can
cause different
diseases in the
future if it’s not
modified
Modifiability of the 2/2 x 2 = 2 It is modifiable as
Problem it can be easily
minimized by closing
the house and using
different
insecticides.
Preventive Potential 3/3 x 1 = 1 This can be prevented
by pesticides or
insecticides that
will help in
controlling.
Salience of the 1/2 x 1 = 0.5 As this is a health
Problem threat, it doesn’t
need an immediate
attention.
Total 4.17

Problem 2 : Improper waste segregation due to insufficient garbage

bin.
Criteria Computation Justification
Nature of the problem 2/3 x 1 = 0.67 The improper waste
segregation is a
health threat because
it is causing some
diseases like skin
infections.
Modifiability of the 2/2 x 2 = 2 It is partially
Problem modifiable because we
do really have a
trash bin in our
house.
Preventive Potential 2/3 x 1 = 0.67 Moderate because we
really prevented it.
Salience of the 1/2 x 1 = 0.5 A problem but not
Problem needing immediate
attention because it
 is only a health
threat not
immediately can
affect the family.
Total 3.84

Problem 3 : Mr. P Cardiovascular disease and hypertension due to his

vices and habits.
Criteria Computation Justification
Nature of the problem 3/3 x 1 = 1 Health deficit
because it can cause
serious problem in
his health if he not
immediately stop his
habits.
Modifiability of the 2/2 x 2 = 2 It is partially
Problem modifiable but still
he is hypertensive.
Preventive Potential 2/3 x 1 = 0.67 Prevented because
hypertensive will not
be eliminated
anymore.
Salience of the 2/2 x 1 = 1 A serious problem,
Problem immediate attention
needed because
cardiovascular and
hypertension will not
be eliminated to you
anymore.
Total 4.67

Problem 4 : Inadequate nutrition due to the food available which is

mostly a processed food.
Criteria Computation Justification
Nature of the problem 2/3 x 1 = 0.67 It is a health threat
because it can affect
their health which is
malnutrition include
inappropriate dietary
choices.
Modifiability of the 2/2 x 2 = 2 It is easily
Problem modifiable it can be
easily minimized by
choosing the right
nutritional foods.
Preventive Potential 3/3 x 1 = 1 It is preventive
potential by buying
nutritional foods and
 minimized eating
processed foods.
Salience of the 1/2 x 1 = 0.5 A problem but not
Problem needing immediate
attention but they
still eat nutritious
foods.
Total 4.17

Problem 5 : Poor sanitation and improper waste disposal due to

throwing leftovers in the open compost pit in backyard.
Criteria Computation Justification
Nature of the problem 2/3 x 1 = 0.67 It is a health threat
it can cause
different diseases in
the future if it’s
not modified.
Modifiability of the 2/2 x 2 = 2 It is easily
Problem modifiable by
throwing leftovers in
a proper place.
Preventive Potential 2/3 x 1 = 0.67 It is moderate
because it is
preventable by
provide a proper
disposal pit.
Salience of the 1/2 x 1 = 0.5 It is a problem but
Problem not needing attention
as they have compost
pit but not
functionable because
it is near to their
house..
Total 3.84

Problem Score Date Problem were

Modified
1. Presence of
mosquitos, flies and
black bug due to the 4.17 October 27, 2021
location of the
house.
2. Improper waste
segregation due to
3.84 October 27, 2021
insufficient garbage
bin.
3. Mr. P 4.67 October 27, 2021
 Cardiovascular
disease and
hypertension due to
his vices and habits.
4. Inadequate
nutrition due to the
food available which 4.17 October 27, 2021
is mostly a processed
food.
5. Poor sanitation
and improper waste
disposal due to
3.84 October 27, 2021
throwing leftovers in
the open compost pit
in backyard.