Pangasinan State University

Bayambang, Pangasinan
Bayambang Campus
Institute of Nursing

NCM 113- Community Health Nursing 2: Population Groups and Community as Clients

Student Name: NOVELYN V. PUA

Year & Section: III-2

Establishing a Working Relationship with the Client Family: Mercedes Soriano

Name of Family Head

CRITERIA CHECK IF DONE

(INDICATE DATE)

1. Initiate contact through home visit

2. Introduce yourself and your agency
3. Communicate interest in family welfare
4. Maintain a two-way communication with the family
5. Show willingness to help with expressed need/s.
Name of Family Head: MACARAEG-IMANA
Address: Malimpec Bayambang Pangasinan

List of Health Problems Nature of Problem

1. Fire Hazard Health Threats

2. Improper Waste Disposal Health Threats

3. Arthritis Health Deficits

Family No. 1
Problem: Fire Hazard

Criteria Standard Score Weight Actual Score Justification

1. Nature of the 2 1 2/3x1=2/3

problem Health Threat
2. Modifiability of the 2 2 2/2x2=1
problem Partially Modifiable
3. Preventive 3 1 2/3x1=2/3
potential Moderate

4. Salience of the Needs immediate attention 2 1 2/2x1=1

problem

TOTAL SCORE: 3 1/3

Family No. 1
Problem: Improper Waste Disposal

Criteria Standard Score Weight Actual Score Justification

1. Nature of the 2 1 2/3x1=2/3

problem Health Threat

2. Modifiability of the Easily Modifiable 1 2 1/2x2=1

problem
3. Preventive High 3 1 3/3x1=1
potential
4. Salience of the Needs immediate attention 2 1 2/2x1=1
problem

TOTAL SCORE: 3 2/3

Family No. 1
Problem: Arthritis

Criteria Standard Score Weight Actual Score Justification

1. Nature of the Health Deficit 3 1 3/3x1=1

problem

2. Modifiability of the 1 2 1/2x2=1

problem Partially Modifiable

3. Preventive 2 1 2/3x1=2/3
potential Moderate
 4. Salience of the Does not need immediate 1 1 1/2x1=1/2
problem attention

TOTAL SCORE: 3 1/6

Ranking Health Problems of Family Macaraeg-Imana

PRIORITY PROBLEM SCORE

1 Fire hazard 3 1/3

2 Improper Waste Disposal 3 2/3

3 Arthirtis 3 1/6

Name of Family Head: DE GUZMAN

Address: Malimpec Bayambang Pangasinan
 List of Health Problems Nature of Problem

1. Fall hazard Health Threats

2. Pregnancy Foreseeable crisis

3. Inadequate rest and sleep Health Threats

Family No. 2
Problem: Fall Hazard

Criteria Standard Score Weight Actual Score Justification

1. Nature of the Health Threat 2 1 2/3x1=2/3

problem
2. Modifiability of the Easily Modifiable 2 2 2/2x2=2
problem

3. Preventive High 3 1 3/3x1=1

potential

4. Salience of the Does not need immediate 1 1 1/3x1=1

problem attention

TOTAL SCORE: 4 1/3

Family No. 2
Problem: Pregnancy

Criteria Standard Score Weight Actual Score Justification

1. Nature of the Foreseeable Crisis 1 1 1/3x1=1/3

problem

2. Modifiability of the Not modifiable 0 2 0/2x2=0

problem

3. Preventive 3 1 3/3x1=1
potential High

4. Salience of the Needs immediate attention 2 1 2/2x1=1

problem

TOTAL SCORE: 2 1/3

Family No. 2
Problem: Inadequate Rest and Sleep
 Criteria Standard Score Weight Actual Score Justification

1. Nature of the Health Threats 2 1 2/3x1=2/3

problem
2. Modifiability of the Partially Modifiable 1 2 1/2x2=1
problem
3. Preventive Moderate 2 1 2/3x1=2/3
potential
4. Salience of the Needs immediate attention 2 1 2/2x1=1
problem

TOTAL SCORE: 3 1/3

Ranking Health Problems of Family De Guzman

PRIORITY PROBLEM SCORE

1 Fall hazard 4 1/3

2 Inadequate rest and sleep 3 1/3

3 Pregnancy 2 1/3

Name of Family Head: BARJA

Address: Malimpec Bayambang Pangasinan
 List of Health Problems Nature of Problem
1. Diarrhea Health Deficits

2. Inadequate rest and sleep Health Threats

3. Presence of resting sites of vectors of diseases Health Threats

Family No. 3
Problem: Diarrhea

Criteria Standard Score Weight Actual Score Justification

1. Nature of the Health Threats 2 1 2/3x1=2/3

problem
2. Modifiability of the Easily Modifiable 2 2 2/2x2=2
problem
3. Preventive High 3 1 3/3x1=1
potential
4. Salience of the Needs immediate attention 2 1 2/2x1=1
problem

TOTAL SCORE: 4 2/3

Family No. 3
Problem: Inadequate rest and sleep

Criteria Standard Score Weight Actual Score Justification

 1. Nature of the Health Threats 2 1 2/3x1=2/3
problem
2. Modifiability of the Partially Modifiable 1 2 1/2x2=1
problem
3. Preventive Moderate 3 1 3/3x1=1
potential
4. Salience of the Needs immediate attention 2 1 2/2x1=1
problem

TOTAL SCORE: 3 2/3

Family No. 3
Problem: Presence of breeding sites and vectors of diseases

Criteria Standard Score Weight Actual Score Justification

1. Nature of the Health Threats 2 1 2/3x1=2/3

problem
2. Modifiability of the Easily Modifiable 2 2 2/2x2=1
problem
3. Preventive Moderate 2 1 2/3x1=2/3
potential
4. Salience of the Needs immediate attention 2 1 2/2x1=1
problem

TOTAL SCORE: 3 1/3

 Ranking Health Problems of Family Barja
PRIORITY PROBLEM SCORE

1 Diarrhea 4 2/3

2 Presence of breeding sites and vectors of diseases 3 1/3

3 Inadequate rest and sleep 3 2/3

Name of Family Head: DE VERA- IMANA

Address: Malimpec Bayambang Pangasinan

List of Health Problems Nature of Problem

1. Death of a family member Foreseeable crisis

2. Improper waste Disposal Health Threats

3. Hypertension Health Deficits

4. Presence of resting sites of vectors of diseases Health Threats

Family No. 4
Problem: Death of a family member
 Criteria Standard Score Weight Actual Score Justification

1. Nature of the Foreseeable crisis 1 1 1/3x1=1/3

problem
2. Modifiability of the Not modifiable 0 2 0/2x2=0
problem
3. Preventive Low 1 1 1/3x1=1/3
potential
4. Salience of the Needs immediate attention 2 1 2/2x1=1
problem

TOTAL SCORE: 1 2/3

Family No. 4
Problem: Improper Waste Disposal

Criteria Standard Score Weight Actual Score Justification

1. Nature of the 2 1 2/3x1=2/3

problem Health Threat

2. Modifiability of the Easily Modifiable 1 2 1/2x2=1

problem
3. Preventive High 3 1 3/3x1=1
potential
4. Salience of the Needs immediate attention 2 1 2/2x1=1
problem

TOTAL SCORE: 3 2/3

Family No. 4
Problem: Hypertension

Criteria Standard Score Weight Actual Score Justification

1. Nature of the Health Deficits 3 1 3/3x1=1

problem
2. Modifiability of the Partially Modifiable 1 2 1/2x2=1
problem
3. Preventive High 3 1 3/3x1=1
potential
4. Salience of the Needs immediate attention 2 1 2/2x1=1
problem

TOTAL SCORE: 4

Family No. 4
Problem: Presence of breeding sites and vectors of diseases

Criteria Standard Score Weight Actual Score Justification

1. Nature of the Health Threats 2 1 2/3x1=2/3

problem
2. Modifiability of the Easily Modifiable 2 2 2/2x2=1
problem
3. Preventive Moderate 2 1 2/3x1=2/3
potential
4. Salience of the Needs immediate attention 2 1 2/2x1=1
problem

TOTAL SCORE: 3 1/3

Ranking Health Problems of Family DE VERA-IMANA

PRIORITY PROBLEM SCORE

1 Hypertension 4

2 Presence of breeding sites and vectors of diseases 3 1/3

3 Improper Waste Disposal 3 2/3

4 Death of a family member 1 2/3

Name of Family Head: SABANGAN
Address: Malimpec Bayambang Pangasinan

List of Health Problems Nature of Problem

1. Unsanitary food handling and preparation Health Threats

2. Improper waste Disposal Health Threats

3. Lack of food storage Health Deficits

4. Inadequate living space Health Threats

Family No. 5
Problem: Unsanitary food handling and preparation

Criteria Standard Score Weight Actual Score Justification

 1. Nature of the Health Threats 2 1 2/3x1=2/3
problem
2. Modifiability of the Easily Modifiable 2 2 2/2x2=2
problem
3. Preventive High 3 1 3/3x1=1
potential
4. Salience of the Needs immediate attention 2 1 2/2x1=1
problem

TOTAL SCORE: 4 2/3

Family No. 5
Problem: Improper Waste Disposal

Criteria Standard Score Weight Actual Score Justification

1. Nature of the 2 1 2/3x1=2/3

problem Health Threat

2. Modifiability of the Easily Modifiable 1 2 1/2x2=1

problem
3. Preventive High 3 1 3/3x1=1
potential
4. Salience of the Needs immediate attention 2 1 2/2x1=1
problem

TOTAL SCORE: 3 2/3

Family No. 5
Problem: Lack of food storage

Criteria Standard Score Weight Actual Score Justification

1. Nature of the Health Threats 2 1 2/3x1=2/3

problem
2. Modifiability of the Easily Modifiable 2 2 2/2x2=2
problem
3. Preventive High 3 1 3/3x1=1
potential
4. Salience of the Need immediate attention 2 1 2/2x1=1
problem

TOTAL SCORE: 4 2/3

Family No. 5
Problem: Lack of food storage

Criteria Standard Score Weight Actual Score Justification

1. Nature of the Health Threats 2 1 2/3x1=2/3

problem
2. Modifiability of the Not Modifiable 0 2 2/2x2=0
problem
3. Preventive Low 1 1 1/3x1=1/3
potential
4. Salience of the Does not need iimmediate 1 1 2/2x1=1
problem attention
 TOTAL SCORE: 1 1/2

Ranking Health Problems of Family Sabangan

PRIORITY PROBLEM SCORE

1 Unsanitary food handling and preparation 4 2/3

2 Lack of food storage 4 2/3

4 Improper Waste Disposal 3 2/3

4 Inadequate living sapce 1 1/2

Ranking Health Problems of Families in the Five Families:

PRIORITY 1 FAMILY NAME PROBLEMS SCORE

1 Macaraeg-Imana Fire Hazard 3 1/3

2 De Guzman Fall Hazard 4 2/3

 3 Barja
4 De Vera-Imana
5 Sabangan
Family Name: Sabangan
Health Problems
 Unsanitary food handling and preparation
 Lack of food storage
Diarrhea 4 2/3
Hypertension 4
Unsanitary food handling and preparation 4 2/3
Lack of food storage 4 2/3
Family Nursing Problem
First Level Assessment Second level Assessment
 Health Threat Inability to recognize the presence of the problem due
to lack or inadequate knowledge.
Inability to provide a home environment conducive to
health maintenance and personal development due to
inadequate knowledge of importance of hygiene and
sanitation.
Inability to provide a home environment conducive to
health maintenance and personal development due to:
a. inadequate knowledge of importance of hygiene and
sanitation.
 Health Threat
b. inadequate family resources specifically financial
constraints or limited financial resources.
Inability to provide a home environment conducive to
health maintenance and personal development due to
inadequate knowledge of importance of hygiene and
 sanitation
 Improper Waste Disposal  Health Threat

Inability to provide a home environment conducive to

health maintenance and personal development due to
inadequate family resources specifically financial
constraints or limited financial resources.

 Inadequate Living space  Health Threat

Name of Family: Sabangan

HEALTH PROBLEMS FAMILY NURSING GOALS OBJECTIVES INTERVENTIONS METHOD METHODS OF RESOURCES EVALUATION
PROBLEMS NURSING FAMILY REQUIRED
CONTACT
Unsanitary food • Inability to After nursing After 2 hours of 1. Assess and discuss the Home visit and Material After nursing
handling and recognize the intervention, the nursing family’s ability and Clinic visit Resources: visual intervention, the
preparation presence of the family/client will be intervention, the readiness to learn about aids, Family goal was partially
problem due to lack able to gain family will be able the proper and sanitary Assessment met, as the client
or inadequate knowledge, to: food handling and Guide Form verbalized an
knowledge. understanding and a. Be able to preparation. understanding on
• Inability to provide skill necessary to perceive unsanitary 2. Discuss with the family Human unsanitary and
a home maintain proper and food handling and how they can handle and Resources: time improper food
environment sanitary food preparation as a prepare their food and and effort of the handling and
conducive to health handling and threat to the health kitchen wares and student nurse preparation,
maintenance and preparation. of the family. utensils. and family/client preventive
personal b. Be able to plan a 3. Discuss with the family measures and
development due to proper way of the importance of: Financial problem process. .
inadequate handling and a. washing vegetables and Resources: As evidenced by
knowledge of preparing food. meat properly with clean transportation Mrs. Sabangan
importance of c. Be able to water before cooking expenses of the verbalization,
hygiene and verbalize them. student nurse to “Bibigyan ko na po
sanitation. understanding on b. storing foods and conduct home ng pansin ang
having a hygienic utensils in a nice visits. malinis na
and sanitary food container. paghahanda ng
preparation. c. handwashing before and pagkain at
after the food sisiguraduhin ko
handling and preparation. na rin pong
d. covering left-overs with lalagyan ko na ng
clean containers and takip ang mga tira
heating them before naming pagkain”.
eating again.
e. proper way of cooking
the food.
f. proper way of cleaning
the dishes.
4. Discuss with the family
the possible complications
and diseases that
 unsanitary food handling
and preparation may
bring.
5. Encourage the family to
at least buy kitchen wares
that can help in preparing
food properly.

HEALTH PROBLEMS FAMILY NURSING GOALS OBJECTIVES INTERVENTIONS METHOD METHODS OF RESOURCES EVALUATION
PROBLEMS NURSING FAMILY REQUIRED
CONTACT
Lack of food storage Inability to provide a After nursing After nursing 1. Assess and discuss the Home visit and Material After nursing
facilities home environment intervention, the interventions, the family’s ability and Clinic visit Resources: visual intervention, the
conducive to health family/client will be family will be able: readiness to learn about aids, Family goal was partially
maintenance and able to gain a. to conceive lack of the proper storage of food. Assessment met, as the client
personal knowledge and food storage 2. Discuss with the family Guide Form verbalized an
development due understanding facilities as a threat the proper way of storing understanding on
to: about the possible that may bring harm foods. Human the importance of
a. inadequate health threats that to their health. 3. Discuss with the family Resources: time having a nice and
knowledge of inadequate food b. to recognize the the importance of and effort of the proper food
importance of storage may bring different threats storing food in a nice student nurse storage facilities.
hygiene and and also the skills that inadequate storage facility. and family/client As evidenced by
sanitation. necessary to provide food storage may 4. Assist client in storing Mrs. Sabangan
b. inadequate family food storage bring. their foods in container, Financial verbalization,
resources facilities c. to plan a proper separating condiments and Resources: “Simula po ngayon
specifically financial way of storing food. raw vegetables and lastly transportation aayusin ko na po
constraints or d. to verbalize cleaning the area near their expenses of the ang mga lagayan
limited financial understanding on storage. student nurse to ng mga pagkain
resources. the importance of conduct home naming at
having correct and visits. sisikapin ko pong
adequate food makabili ng
storage facilities. cabinet para po sa
mga pagkain
naming”.
HEALTH PROBLEMS FAMILY NURSING GOALS OBJECTIVES INTERVENTIONS METHODS OF NURSING RESOURCES EVALUATION
PROBLEMS METHOD FAMILY CONTACT REQUIRED

HEALTH PROBLEMS FAMILY NURSING GOALS OBJECTIVES INTERVENTIONS METHODS OF NURSING RESOURCES EVALUATION
PROBLEMS METHOD FAMILY CONTACT REQUIRED