CHAPTER IV

RESULTS AND DISCUSSION

I. Family Profile

NAME AGE SEX CIVIL POSITION OCCUPATION EDUCATIONAL

IN THE ATTAINMENT
FAMILY
Mr. U 34 Male Married Father Construction Elem. Grad
worker (Grade six)

MRS. U 34 Female Married Mother Housewife Elem. Grad

(Grade six)

JU 14 Male Child Eldest Child Student High School level

(Grade Eight)

LU 10 Female Child Second Student Elem. Level

Child (Grade five)

GU 3 Female Child Third Child N/A N/A

SU 1 Male Child Fourth Child N/A N/A

I. Family Structure, Characteristics, and Dynamics

The U family is considered a nuclear type of family. Mrs. U and Mr. U have been married for

eight years, but they have been together for nearly 15 years. The couple live in Purok Kipot

Totong 3, Barangay Felisa, Bacolod City for almost 10 years. The family U has four children,

two girls, and two boys. The three children stay with the couple together. In contrast, Mrs. U's

relative adopted their fourth child due to poverty and the growing demand in their household.

Both couples have the authority when it comes to decision-making, but each has its weakness

and strengths when dealing with different facets of their family. Mrs. U is the one who is in

charge of managing the household responsibilities such as— doing the laundry, cleaning,

cooking in the household, preparing their children for school, balancing their finances, and

taking care of everyone inside their home. In contrast, Mr. U is the one who has the power to

discipline their children. He sets limits and rules that his children need to follow, and he also

solves their children's conflicts. Give them consequences whenever they don't want to listen or

over bound.
Both couples' educational attainment is in grade six. Their only income source comes from Mr.

U; he works as a construction worker. Mr. U is working six times a week with a minimum

wage of 500 pesos. His overall monthly income is 12,000 pesos. Since Mrs. U manages their

finances, she constantly struggles to budget their income for their household necessities.

Twenty percent of Mr. U's income goes to their food, 10 percent for children's allowance, 40

percent for their debts obligation, 10 percent for the transportation, and 20 percent for their

miscellaneous fees.

Both of their children are studying in public school. They spent no penny on their school fees,

just the children's allowance. When the classes are face to face, the family U struggles to send

them to school without being absent in a week because most of the time, Mrs. U runs out of

money to give them an allowance, even just for the children's transportation.

The family U is all affiliates of Roman Catholic due to their busy life. They rarely go to church.

They will only go to church if an important event requires their presence, such as burial,

christening, or the wedding of their friends or relatives. Since the couple lives miles away from

their parents and relatives, they treat their neighbors as their relatives. Their children study,

play, and go to school together with their closest neighbors. Whenever they have nothing to

eat, their neighbor always shares their home-cooked meals and offer them help without

compensation.

The deficient financial difficulties of the couple lead to constant banters. Every time they have

misunderstandings. Furthermore, the smoking habits of Mr. U also contribute to the problem

of the family. He smokes five sticks a day, which also adds to the family's financial burden.

Not only does his smoking habits increase their financial stress, but it might have posed a threat

to his spouse and children's health because secondhand smoke has an increased risk of cancer

and any other diseases. Hence, their constant fight might lead to chronic mental and emotional

distress for the children. It may contribute to a greater risk of misbehavior such as smoking

through lack of supervision and poor mental health.

A. Home and environment

Home

The family-owned the house, but RS Villa, a businessman, owned the lot. Mr. U built the

house, and some of the materials used came from his boss. The house was made of mixed

cement and plywood. The space is inadequate. There is only one room in the house, and one

bed, the couple and their third child occupy it. While the two-child LU and JU sleep on the

floor in their living room, using a foam covered with a blanket. There are two windows in the

entire house. The first window located in the front is made of wood, and the other window on

the right side of the house is made up of jealousy. The wirings of their home are not properly

aligned, and the appliances they have are one electric fan, radio, and a TV. The family source

of electricity is coming from Ceneco Negros Electric Cooperative City (CENECO). The family

doesn't have an electrical conductor. They share and pay 400 pesos monthly to their neighbor.

Three light bulbs light the house--one for the living, one for the kitchenette where they cook,

and one outside their home. The family has two chairs, so they usually sit on the floor. Upon

roaming around, some stuff (toys, shoes, and clothes) was scattered and not correctly placed

due to lack of space and cabinets.

Drinking water supply

The family water source comes from the Bacolod City Water District (BACIWA), which is

now known as the Bacolod Prime water. The family doesn't have their water conductor; they

only share with their neighbors and pay 250 pesos for their water consumption every month.

The family used to get their drinking water from the faucet and boil it to sterilize and store it

in a clean tight container. However, when the water from the tap constantly tastes metallic and

smells fishy, the family decides to consume purified water for drinking from a refilling station

which is then delivered to a store where the family usually buys. Mrs. U and JU usually wake

up at around 3 a.m. to store water in containers and pails without cover for bathing, washing,

and cleaning due to the persistent water interruption in the morning until evening.
Kitchen

The family's kitchen is separately located outside their house. They use softwoods for cooking

and sometimes charcoal if they have extra money. They own stainless pots and pans, which

they use for cooking. Below the cooking area is where the softwoods and other cooking utensils

are kept. They put their plates, utensils, and other kitchen stuff in the cabinet. They eat their

meals three times a day, and the typical foods that are served on their table are canned goods,

noodles, and eggs. If the family has leftover foods, they store them in their neighbor's

refrigerator. As observed, the overall sanitary condition of the kitchen is not clean. When it

comes to hazards, the place where they cook is surrounded by light materials, which may pose

fire accidents.

Waste disposal

The family has their own comfort room, and it is 10 seconds walking outside their house, but

it's too small and not functioning well. The Family U and their neighbors have an open drainage

system. Its smells and the awful swine odor coming from their neighbor's pigpen cause them

to suffer. All the garbage gets stagnant whenever it rains hard, and the water overflows. When

it comes to their garbage disposal, they usually put it in a sack and put it outside their house,

and then the city's garbage collector will collect it on Monday and Wednesday. Still, waste

management usually fails to gather their garbage, and it piles up, forcing Mrs. U to burn them.

Animal

For the presence of Domestic animals, the family owns two cats and one dog, which their kids

play with every day. Both of their pets sleep and stay in their front yard. It has no cage or ties

and often roams in different houses and places to eat. According to Mrs. U, they would go

home at nighttime or if they were hungry. According to Mrs. U, their animals are not

vaccinated. It was observed that the family's dog is not well-groomed and infested with fleas.

Community in general

The family lives in Barangay Felisa, Bacolod City. Upon observing the whole community. It

was observed that the families in the neighborhood are openly communicating. Most houses
are closed, and the alleys are too crowded. Plastics, leaves, and scrap are seen around as well

as the open burning of garbage. The community Social facilities are Barangay Gym,

Playground, Basketball court, Barangay Hall, Reading Center, and church. The distance of the

children's school from their home is 20 minutes walking, while the wet market, convenience

stores, and pharmacies are just 10 minutes. The community means of transportation are

Tricycle, jeepneys, and pedicabs. The nearest health care is the Barangay health center, which

is 1.6 km from the family's house. The Health center offers maternal and neonatal check-ups,

first aid, immunizations, and feeding programs for malnourished children. Dental and medical

missions are also held regularly. The Bacolod City mass rabies vaccination is done every year

by Bacolod City Veterinarian Office, and Barangay Felisa is a few of the major locations for

the activities. The means of transportation going to the Barangay health center is Tricycle. The

Bacolod Dumping Site (Sanitary landfill), where all the city's residual waste, hospital,

construction debris, asbestos materials, broken glass, bottles, chemicals, hazardous waste,

lubricant, and oil waste are brought, is allocated in the community.

Health Status of each Family member

The father has no hereditary genetic illness known as of the moment. He does not have

diabetes. He got his blood pressure checked by the Barangay Health worker before receiving

the COVID-19 vaccine last January. Upon assessing his blood pressure, he has 110/80 which

is not an indication of high blood pressure. He smoked five sticks every day, and he

occasionally drinks with his friends. The Mother has no hereditary genetic illness known. She

does not have diabetes or high blood pressure. Last month she checked her blood pressure at

the Barangay Health Center. Upon assessing her blood pressure, it is 120/80. She is allergic to

certain types of food, such as bagoong, shrimps, and crabs. Her four children are all in normal

delivery. She used to use contraceptives such as pills, but presently, she has a device inserted

into her uterus called Intrauterine Device (IUD) to prevent conception. Currently, she has a

Urinary tract infection (UTI). Child JU has no known complications at present. He is energetic,

clean, and well-groomed. Child LU is clean and well-groomed. Her physical feature is skinny

and malnourished. She belongs to the feeding program of their school and has a urinary tract
infection. GU at present has no known complications. She loves walking in their backyard

barefooted and is fond of playing in the mud. The reason why both of her clothes, fingers and

foot nails are dirty. Her mannerism is to pop her thumb on her mouth. Occasionally, GU

experiences cold and cough. Her hair is always unkempt, sticky, and infested with lice. The

student nurse couldn’t meet their fourth child since their relatives adopted him when he was

three days old. According to Mrs. U, the child is in good hands. He has no known complications

at present; they visit the child whenever they have extra money. As much as they want to see

him, they can’t go due to the far distance.

Nutritional Assessment and Dietary History (24-hour recall)

According to the mother, they often eat fish, egg, or noodles for their meals since they are

affordable and the children's favorite. They eat three times a day. Their usual breakfast is at 9

am except for his husband, who has worked. They eat lunch at around 12 pm and eat dinner at

7 pm. Prior to the day of the visit of the student nurses, on the last diet recall, the family eats

their leftover foods from last night for breakfast— chicken, and tinola. During lunchtime, the

family eats dried fish and paksiw. Moreover, Mrs. U stated that it is her usual practice to cook

broth food every night.

Eating habits and practices/ immunization

The family always eat their meals together, sitting on their living room floor since they don't

have adequate chairs and tables. Whenever Mr. U works within the city, he always brings pack

lunch. However, if he works outside the town, he stays at his workplace and brings groceries

to lessen the family expenses. Then he goes home every Saturday. Also, when the children

have a face-to-face class, they bring packed lunches to save money and time. According to

Mrs. U, her two children, LU and GU, are very picky when it comes to foods; they love to eat

sweets and don't eat vegetables, especially green ones that Mrs. U is presently concerned about.

She desired to buy them vitamins to stimulate their appetite; however, food supplements for

the children no longer have room for their budget.

Moreover, all of the three children have completed their immunizations. Whenever there is a

dental check-up and deworming at the children's school, Mrs. U permits her children to avail

them. Recently, the couple has vaccinated with the COVID-19 vaccine.

Healthy lifestyle and practices

The mother's daily activity would rotate on doing the household chores and taking care of the

children. While the father's usual activity would rotate on his work as he is a carpenter. While

the children's activity would rotate on doing their school works at home since their class is

modular and playing around their neighborhood. Moreover, when anyone inside the household

is not feeling well, Mrs. U uses herbal medicine from her garden or neighborhood. When the

child is sick, has a cough, or headache, she always uses Kasla leaves, Gmelina leaves, or

Lampunaya leaves and then wraps the herbal plants on a specific area of the body or gets its

juice. Sometimes, Mrs. U soaked the oregano leaves or the blue turnate in a hot water for five

minutes, and afterward, she prepared it to drink. She also uses Lana from her brother, a

manghihilot who lives in Calatrava. According to Mrs. U, she obtained her knowledge about

the use of herbs from her parents, and some of them are taught by her friends. Moreover, the

family often seek an Albularyo or visit a manghihilot when someone inside the household is

sick for almost a week.

Rest, sleep, and exercise

The family sleeping pattern is not the same. Mrs. U's sleeping pattern had caused a slight

disturbance since she slept at around 8 pm and woke up at about 3 am to store water from the

faucet since there is a water outage in the community every morning--the water will go back

later in the evening. Sometimes, JU would help him, but most of the time, she was all alone.

According to Mrs. U, after she stored water, she didn't go back to sleep again, and she

proceeded on doing her household chores the entire day, which served as her exercise every

day. Mr. U sleeps from around 9 pm to 5 am. His form of exercise is his work that involves
lifting heavy equipment and mixing the rocks, cement, and a lot more. JU sleeps from 11 pm

to 8 am since he tends to stay up late watching TV. He always goes to his neighbor's house and

does Zumba dance every day. Which also helps him to stay fit. He is also fond of playing

traditional Filipino outdoor games such as kick it, heaven and earth, jumping over a cow,

jumping over the thorns, and hide and sick. LU sleeps from 11 pm to 8 am. She is not physically

active since she loves to play indoors, such as Bahay-bahayan (playhouse). GU sleep from 8

pm to 7 am, and she is also taking a nap during noontime. She is physically active since her

form of exercise is running and playing with other children around their neighborhood.

Family Nursing Problem

This part discusses the problem identified during the assessment and interview with the family.

It includes the subjective/objective data that has been collected. The issues were categorized

as the presence of a wellness state, health deficit, health threats, and foreseeable crises.

CUES OR DATA FAMILY NURSING PROBLEM

Objective data: I. FINANCIAL CONSTRAINTS

The family expenses are more than A. Inability to provide the basic needs of the

what the family could earn. The family family and take appropriate action to manage

monthly income is 12,000 pesos. them, due to:

40% of the income goes to debts a. Increasing demands, and not

obligations and the remaining are designated understanding their cash flow

for food, school allowance, transportation, b. Inadequate family resource

and other miscellaneous fees. c. low salience of the problem

Subjective data: d. lacks communication for the couple

Mrs. U verbalized,’’ Ang income ka e. constant debts

bana ko insakto lang gid ipamayad sang mga

kautangan namun. Ayawan ko pirme budget

sa nabilin pra sa pagkaon namun. Kag pirme

na lang kami ga away sa kwarta.

 CUES OR DATA FAMILY NURSING PROBLEM

Objective data: II. The family source of Medications

All children have completed their comes from herbal plants. Some plants

immunization. The family source of used and their preparation, uses, and

medication comes from herbal plants in the administration are not approved by the

backyard. Department of Health and have not

Subjective data: undergone studies that may pose a health

Mother stated, ‘’tanan gid sila gin threat.

tingwaan ko pa bakuna para layo sa mga

masakit, sa panahon daan subong kamahal A. Has not recognized the problem as a

mag masakit mayo lang kay mga masakit health threat due to:

namun madala lang sa herbal.’’ a. Lack of in-depth understanding

about the problem

b. Financial constraints

c. tradition and beliefs

d. Inadequate health literacy

CUES OR DATA Family Nursing Problems

Objective data: III. Inadequate water and intermittent

The family U, source of water came water supply prevents good sanitation

from the Bacolod City Water District. They pose as a health threat

have two faucets at their house, one at the A. has recognized the problem but no action

kitchen sink and the other one is in the has yet been taken due to:

comfort room. The water that flows in the a. poor water community resources

faucet is rusty brown and contains sediments. b. limited supply, obliges the family to

store more water. If not handled

Subjective data:
 Mother stated, ‘’ naga share lang properly, this will provide more

kami saamun nga tupad balay tubig. Dayun opportunities for mosquitoes to breed.

naga bayad lang kami 250 tagabulan. Kay C. financially unstable

wala man kami ikasarang mag pa himu sa D. not priority yet

amun gid nga kontador. Ang gina problema

lang namun kay pirme lang wala tubig nga

nga gwa sa gripo’’.

CUES OR DATA Family Nursing Problems

Objective data: IV. Accident hazards specifically fire

The wirings of the house are not properly hazards, as a health threat

aligned. The cooking area is made up of light A. inability to build a house that is safe

materials and softwoods that are used for from fires has adequate space, and could

cooking are out of order. provide comfortability for the family:

Subjective data:

Mother stated, ‘’Ang amun balay ang akon lang a. Financial constraints; limited cash

bana ang nag ubra kag ang iban nga mga flows

materyales nga gin gamit, gin hatag lang man sa b. The growing demands of the family

iya nga boss’’. that needs to comply first.

c. The non-stop debts that the interest

rate keeps on growing.

d. unaware of the fire hazards

B. Inability to make plans that the

family could fully commit with, or

consistency to every action taken due

to:
 a) lack of discipline to stay
committed to the decisions made

b) failure to recognize the nature of

the problem, scope, and the
negative impacts it might bring

c) has other priorities that need to

comply

CUES OR DATA FAMILY NURSING PROBLEM

Subjective data: V. First hand and secondhand smoking

Mrs. U stated, ‘’ Mga 5 sticks gid ang posed as a health threat

maubos ya sa isa ka adlaw kis’a gani ga sobra pa. A. Inability to make decisions with

Objective date: respect to taking appropriate health action

On the 7th day visit of student nurses due to:

littered cigarettes butts in the living room is a. lack of discipline and ignorance

noted. about the problem

b. not a priority yet

c. the problem has never been

addressed.
 CUES OR DATA FAMILY NURSING PROBLEM

Objective data: VI. Unsanitary playing, walking, and food

The children are playing around handling of children as a presence of health

barefooted and the youngest child is playing in threat

the mud. Dirty hands and lice are noted on LU and a. inability to make decisions with respect to

GU. taking appropriate health action due to:

Subjective data: a. lack of discipline about the problem

Mother stated, ‘’amu na ampay nila day b. aware of the health threat it may

aga pa mahampang sa gwa nga naga tiniil tapus impose but there is no action.

ma diretso na lang tulog nga wala panibin-nibin.

CUES OR DATA FAMILY NURSING PROBLEM

Objective Data: VII. Poor sanitary management, clogged

The family U has an open drainage drainage, and improper waste disposal

system and stagnant garbage is noticeable in A. Inability to make decisions with respect to

their drainage. The garbage truck collectors taking appropriate health action due to:

collect their garbages but always fail to do so. a. lack of discipline and ignorance

Subjective Data: about the problem

Mother stated, ‘’Amu na nga ga linapta b. failure in health maintenance.

ang mga basura diri kay kis’a gaka lipatan sang

garbage collector mag kwa, te gina ukay na lang

sang ido’’.
 PRIORITIZING PROBLEM

SCALE FOR RANKING HEALTH CONDITION AND PROBLEM ACCORDING YO

PRIORITIES OF THE FAMILY

I. FINANCIAL CONSTRAINTS

CRITERIA COMPUTATION ACTUAL JUSTIFICATION

SCORE

NATURE OF 1/3 (1) 0.3 The nature of the problem was a

THE PROBLEM foreseeable crisis for the reason that it

could bring potential

misunderstanding and conflict among

the family member.

MODIFIABLITY 1/2 (2) 1 The problem is partially modifiable for

OF THE the reason that there is still source of

PROBLEM income that generates in the family

even if it cannot fully cover the family

needs.

PREVENTIVE 2/3 (1) 0.67 The problem is moderately

POTENTIAL preventable if the family will manage

their income and debts wisely. Also,

if they will find another ways to

generate income inside the household.

SALIENCE OF 3/2 (1) 1.5 The family views the problem as a

THE PROBLEM prominent life issue that needs

attention, for it affect the holistic well-

being of the family.

TOTAL 3.47
II. The family source of Medications comes from herbal plants. Some plants used and
their preparation, uses, and administration are not approved by the Department of
Health and have not undergone studies that may pose a health threat.

CRITERIA COMPUTATION ACTUAL JUSTIFICATION

SCORE

NATURE OF 2/3 (1) 0.67 The nature of the problem posed a

THE PROBLEM health threat to the family for the

reason that it could bring potential

health complication and problems to

the family.

MODIFIABLITY 1/2 (2) 1 The problem is partially modifiable

OF THE since the family has inadequate

PROBLEM knowledge about the safety use of

herbal medicine and they are

financially unstable which force them

to use herbal medicine.

PREVENTIVE 2/3 (1) 0.67 The problem is moderately

POTENTIAL preventable since there are many

available resources that the family

could visits that offer free checkups

with free medicine, like Barangay

health center and City health.

SALIENCE OF 0/2 (1) 0 The family does not perceive the

THE PROBLEM problem as a health threat since they

have used those herbal plants for

years.

TOTAL 2.34
III. Inadequate water and intermittent water supply prevents good sanitation pose as a
health threat

CRITERIA COMPUTATION ACTUAL JUSTIFICATION

SCORE

NATURE OF 2/3 (1) 0.67 The nature of the problem posed a

THE PROBLEM health threat to the family for the

reason that it could bring potential

health complication and problems to

the family.

MODIFIABLITY 1/2 (2) 1 The problem is partially modifiable

OF THE since only the City water district can

PROBLEM solve the problem. The only thing

the family could do is to report the

issue and their concerns to the water

officials for them to take action.

PREVENTIVE 2/3 (1) 0.67 The problem is moderately

POTENTIAL preventable if the family and their

neighbors report their issues and

concerns to their city water officials.

Also, appropriate health teachings

may reduce their risk of acquiring

illnesses.

SALIENCE OF 1/2 (1) 0.5 The family perceives the problem,

THE PROBLEM but it is not yet their priority.

TOTAL 2.84
IV. Accident hazards specifically fire hazards, as a health threat

CRITERIA COMPUTATION ACTUAL JUSTIFICATION

SCORE

NATURE OF 2/3 (1) 0.67 The problem poses a health threat

THE PROBLEM to the family for it could lead to

accidents and health problems.

MODIFIABLITY 1/2 (2) 1 The problem about the accident

OF THE hazards, specifically fire hazards,

PROBLEM as a health threat is partly

preventable because the problem

requires financial resources.

PREVENTIVE 2/3 (1) 0.67 The problem is moderately

POTENTIAL preventable if the family is

responsible and vigilant of fire

hazards in their surroundings.

SALIENCE OF 1/2 (1) 0.5 The family thinks that the

THE PROBLEM problem does not require

immediate action compared to

the other issues they are currently

facing, since it would require a lot

of time, effort, and money.

TOTAL 2.84
V. First hand and secondhand smoking posed as a health threat

CRITERIA COMPUTATION ACTUAL JUSTIFICATION

SCORE

NATURE OF 2/3 (1) 0.67 The nature of the problem

THE PROBLEM posed a health threat to the

family for it could lead to

health problems.

MODIFIABLITY 1/2 (2) 1 The problem is partially

OF THE modifiable for smoking is

PROBLEM hard to quit once you are used

to it. It requires full

willingness, patience, and

cooperation.

PREVENTIVE 1/3 (1) 0.33 The preventive potential of

POTENTIAL the problem is low, for even

there are many available self-

help materials and local

referral resources that Mr. U

could avail of to help himself

quit. Still, smoking is hard to

quit once you are used to it.

SALIENCE OF 1/2 (1) 0.5 The family perceived the

THE PROBLEM problem as a health threat but

refused to address it.

TOTAL 2.5
VI. Unsanitary playing, walking, and food handling of children as a presence of health

threat

CRITERIA COMPUTATION ACTUAL JUSTIFICATION

SCORE

NATURE OF 2/3 (1) 0.67 The nature of the problem posed

THE PROBLEM a health threat to the family for it

could lead to health problems.

MODIFIABLITY 2/2 (2) 2 The problem is easily modifiable

OF THE if the family has knowledge about

PROBLEM the health risk it may bring. Also,

if they put into practice the the

things they learned in their daily

living, like regularly washing

hands or after or before they

involve 57 themselves in any

activities.

PREVENTIVE 3/3 (1) 1 The problem is preventable if the

POTENTIAL family knows the importance of

handwashing and proper hygiene

and applies it in their daily living

activities.

SALIENCE OF 1/2 (1) 0.5 The family foresees the problem

THE PROBLEM as shallow and does not need

immediate action compared to

their other life problems.

TOTAL 4.17
VII. Poor sanitary management, clogged drainage, and improper waste disposal

CRITERIA COMPUTATION ACTUAL JUSTIFICATION

SCORE

NATURE OF 2/3 (1) 0.67 The nature of the problem

THE PROBLEM posed a health threat to the

family for it could lead to health

problems.

MODIFIABLITY 2/2 (2) 2 Poor sanitary management,

OF THE clogged drainage, and improper

PROBLEM waste disposal are easily

modifiable. If the family is

taught about the importance of

proper sanitary management

and if they apply it to their

activities daily.

PREVENTIVE 3/3 (1) 1 The problem is moderately

POTENTIAL preventable if the family has the

knowledge about the

importance of proper sanitary

management and apply it to

their everyday life.

SALIENCE OF 1/2 (1) 0.5 The family perceived the

THE PROBLEM problem as something that does

not require immediate action.

TOTAL 4.17
Table 2: Ranking of the Problem

PROBLEM SCORE RANK

Unsanitary playing, walking, and 4.17 1

food handling of children as a

presence of health threat

Poor sanitary management, clogged 4.17 1

drainage, and improper waste

disposal

Financial constraint’s 3.47 2

Accident hazards specifically fire 2.84 3

hazards, as a health threat

Inadequate water and intermittent 2.84 4

water supply prevents good

sanitation pose as a health threat

First hand and secondhand smoking 2.5 5

posed as a health threat.

The family source of Medications 2.34 6

comes from herbal plants. Some

plants used and their preparation,

uses, and administration are not

approved by the Department of

Health and have not undergone

studies that may pose a health threat

Data Analysis

Family Profile
Health Problem Family Goal of care Objective of Intervention Methods of Resources Evaluation
Nursing care family required
Problem nurse
contact
VI. Unsanitary playing, Inability to Within 1 At the end of the 1. Determine the family’s Transpor- Criteria:
walking, and food make decisions week of Nursing knowledge on the importance Home tation
handling of children as with respect to Nursing Intervention the of personal sanitations in visit expenses Goal was met
a presence of health taking intervention, family members playing, walking and eating. Client obtained
threat appropriate the family will be able to: knowledge about
health action will be able to 2. Dscuss with parents and the importance of
due to: learn and -Perform the children the importance of health hygiene.
Objective data: The carryout the proper health proper handwashing as the
children are playing a. lack of importance of hygiene first line of defense against the Standard:
around barefooted and discipline personal spread of many illnesses. After one week of
the youngest child is about the cleanliness -Demonstrate nursing
playing in the mud. Dirty problem and basic the proper hand 3. Demonstrate the proper intervention, the
hands and lice are noted sanitation washing hand washing technique family members
on LU and GU. b. aware of the practices. techniques applied their
health threat it 4. Discuss with the family the acquired knowledge
Subjective data: may impose but -Obtained diseases that may acquire in to their daily
Mother stated, ‘’amu na there is no knowledge poor personal hygiene. activities.
ampay nila day aga pa action. about the
mahampang sa gwa nga diseases that 5. Demonstrate effective ways
naga tiniil tapus ma may acquire in to get rid of lice
diretso na lang tulog nga poor personal
wala panibin-nibin. hygiene. 6. Explore the family reaction
about the health teaching
imparted.
Health Problem Family Goal of care Objective of care Intervention Methods of family Resources Evaluation
Nursing nurse contact required
Problem
Poor sanitary Inability to Within 1 week At the end of the 1. Assess the Transpor- Criteria:
management, clogged make of Nursing Nursing family’s waste Home tation
drainage, and improper decisions with intervention, Intervention, the collection and visit expenses Goal was met
waste disposal respect to the family will family members management Client obtained
taking be able to will be able to: knowledge
Objective Data: appropriate make 2. Assess the clogged about the
The family U has health action decisions with open drainage system importance of
an open drainage system due to: regards to -verbalized the and it cause. safe and clean
and stagnant garbage is appropriate importance of waste
noticeable in their a. lack of health actions. taking action to 3. Discuss with the management
drainage. The garbage discipline and the problem to family the
truck collectors collect ignorance maintain a safe importance of waste Standard:
their garbages but always about the and clean separation at source After one week
fail to do so. problem environment. of nursing
4. Inform the family intervention, the
Subjective Data: about the diseases family members
Mother stated, ‘’Amu na b. failure in that may acquire in take action to
nga ga linapta ang mga health unsanitary solve the
basura diri kay kis’a gaka maintenance environment. problem
lipatan sang garbage regarding waste
collector mag kwa, te disposal.
gina ukay na lang sang
ido’’.
Health Problem Family Goal of care Objective of care Intervention Methods of Resources Evaluation
Nursing family nurse required
Problem contact
Financial constraints Inability to Within one At the end of the 1. Determine the Transpor- Criteria:
provide the week of Nursing family skills to Home tation Goal was met
Objective data: basic needs of Nursing Intervention, the generate other visit expenses The family obtained
the family and intervention, family members income. knowledge about
The family expenses are take the family will be able to: the importance of
more than what the family appropriate will be able to 2. Evaluate the financial
could earn. The family action to find other -learn the family’s management and
monthly income is 12,000 manage them, resources to importance of communication transparent
pesos. due to: manage their transparent and and relationship. communication
40% of the income finances. healthy inside the
goes to debts obligations a. Increasing communication 3. Determine how household.
and the remaining are demands, and inside the much family
designated for food, school not household demands are not Standard:
allowance, transportation, understanding met. After one week of
and other miscellaneous their cash flow -Find ways to nursing
fees. generate another 4. Discuss with the intervention, the
b. Inadequate income though family the family members
Subjective data: family resource using their skills. importance of used their skills to
Mrs. U verbalized,’’ Ang positive family find ways to
income ka bana ko insakto c. low salience communication. generate income.
lang gid ipamayad sang of the problem
mga kautangan namun. 5. Evaluate the
Ayawan ko pirme budget d. lacks family’s reaction
sa nabilin pra sa pagkaon communication to the
namun. Kag pirme na lang for the couple health teaching
kami ga away sa kwarta. given.
e. constant
debts
Health Problem Family Nursing Problem Goal of care Objective of Intervention Methods of Resources Evaluation
care family nurse required
contact
Accident hazards Inability to build a house that is safe from Within one At the end of 1. Determine the Transpor- Criteria:
specifically fire fires has adequate space, and could week of the Nursing family’s Home tation Goal was met
hazards, as a provide comfortability for the family due Nursing Intervention, knowledge about visit expenses
health threat. to: intervention, the family accident hazards The family
the family members will specifically fire member
a. Financial constraints; limited cash will be able be able to: hazards inside understands
Objective data flows to their house. the nature of
The wirings of the understand -Understand the problem.
house are not b. The growing demands of the family the nature of the nature of 2. Educate the
properly aligned. that needs to comply first. the problem problem family about
The cooking area is and take identifying Standard:
made up of light c. The non-stop debts that the interest rate appropriate -Establish accidents hazards After one
materials and keeps on growing. actions. awareness at their home and week of
softwoods that are about being provide teaching nursing
used for cooking d. unaware of the fire hazards vigilant of to prevent the intervention,
are out of order. the accident occurrence of the family
Inability to make plans that the family hazards that accidents. members
Subjective data: could fully commit with, or consistency may occur have
Mother stated, to every action taken due to: inside their 3. Explore the Establish
‘’Ang amun balay household. family’s awareness
ang akon lang bana a. lack of discipline to stay committed to knowledge about about being
ang nag ubra kag the decisions made the health vigilant of
ang iban nga mga teaching the accident
materyales nga gin b. failure to recognize the nature of the presented. hazards
gamit, gin hatag problem, scope, and the negative impacts inside their
lang man sa iya it might bring. 4. Encourage the household.
nga boss’’. family to re-
c. has other priorities that need to aligned their
comply wirings
Health Problem Family Nursing Goal of Objective of Intervention Methods of Resources Evaluation
Problem care care family nurse required
contact
Inadequate water and The family has Within one At the end of 1. Observed the Transpor- Criteria:
intermittent water supply recognized the week of the Nursing family surrounding to Home tation Goal was met
prevents good sanitation problem but no Nursing Intervention, see if there were visit expenses
pose as a health threat action has yet been intervention, the family insect breeding sites. The family verbalizes
taken due to: the family members the importance of
Objective data: The will be able will be able 2. Discuss with the safe, clean, and
family U, source of water a. poor water to prioritize to: family the importance adequate water
came from the Bacolod community the problem of storing water in resources.
City Water District. They resources and take -Verbalize clean storage.
have two faucets at their appropriate the Standard:
house, one at the kitchen b. limited supply, nursing importance 3. Encourage the After one week of
sink and the other one is in obliges the family to action. of adequate family to use water nursing intervention,
the comfort room. The store more water. If and clean wisely the family members
water that flows in the not handled water have taken
faucet is rusty brown and properly, this will resources. 4. Encourage the appropriate actions to
contains sediments. provide more family to raise the address the problem
opportunities for -Take action problem with their in the City water
Subjective data: mosquitoes to to report City water officials District.
Mother stated, ‘’ naga share breed. their
lang kami saamun nga concerns in
tupad balay tubig. Dayun C. financially the City
naga bayad lang kami 250 unstable Water
tagabulan. Kay wala man officials
kami ikasarang mag pa D. not priority yet
himu sa amun gid nga
kontador. Ang gina
problema lang namun kay
pirme lang wala tubig nga
nga gwa sa gripo’’.
Health Problem Family Nursing Goal of care Objective of care Intervention Methods of Resources Evaluation
Problem family nurse required
contact
First hand and Inability to make Within one week At the end of the 1. Determine Mr. U Transpor-tation Criteria:
secondhand decisions with
of Nursing Nursing readiness to quit. Home expenses Goal was met
smoking posed as respect to taking intervention, the Intervention, the visit
a health threat. appropriate healthfamily will be able family members 2. Educate the The family has
family about the
action due to: to learn about the will be able to verbalized the
health threats of
Subjective data: Health threats understand the smoking and things
health threats
Mrs. U stated, ‘’ a. lack of imposed by first- impact of to look forward for imposed by first-
Mga 5 sticks gid discipline and hand and second- smoking on the Mr. U when he quit hand and second-
ang maubos ya sa ignorance about hand smoking and family's health smoking. hand smoking.
isa ka adlaw kis’a the problem take appropriate and finances.
gani ga sobra pa. health action. 3. To prepare Mr. U Standard:
b. not a priority about possible After one week of
Objective date: yet roadblock of nursing
quitting. intervention,
On the 7th day c. the problem has Mr. U willfully
4. Explain to Mr. U,
visit of student never been consider stopping
how much money
nurses littered addressed. they can save if he
smoking by
cigarettes butts in quit smoke following cold
the living room is turkey or gradual
noted. methods.
Health Problem Family Goal of care Objective of Intervention Methods of Resources Evaluation
Nursing care family nurse required
Problem contact
The family source of The family has Within one At the end of the 1. Determine the Transpor- Criteria:
Medications comes from not recognized week of Nursing family’s knowledge Home tation Goal was met
herbal plants. Some plants the problem as Nursing Intervention, the about the use of herbal visit expenses
used and their preparation, a health threat intervention, family members medications The family has
uses, and administration are due to: the family will will be able to verbalized the
not approved by the be able to acknowledge 2. Encourage the importance of safe
Department of Health and a. Lack of in- obtain and apply the family to avail the herbal medicine
have not undergone studies depth knowledge health teaching Government program use.
that may pose a health understanding about the safe given about the about Free Health Care
threat. about the use of herbal safe use of checkups. Standard:
problem plants herbal After one week of
Objective data: medication. medication 3. Provide a list of nursing
All children have b. Financial pamphlets that consist intervention, the
completed their immunization. constraints list of safe herbal family shares their
The family source of medicine that DOH feelings and
medication comes from herbal c. tradition and approves perceptions about
plants in the backyard. beliefs the knowledge
4. Discuss the health acquired and
Subjective data: d. Inadequate risk of using applies it to their
Mother stated, ‘’tanan health literacy unapproved medicines everyday lives.
gid sila gin tingwaan ko pa without prescriptions
bakuna para layo sa mga from the doctor.
masakit, sa panahon daan
subong kamahal mag masakit 5. Assess the reaction
mayo lang kay mga masakit of the family to the
namun madala lang sa health teachings of
herbal.’’ proper usage of
medicines.