FAMILY HEALTH NURSING ASSESSMENT OF FAMILY A IN BARANGAY STO.

NIÑO II AREA-1, DASMARIÑAS CITY, CAVITE

A Family Health Nursing Assessment

Presented to the Faculty of School of Nursing

St. Jude College Dasmariñas Inc., Cavite 

Presented by:

Gagarin, Allyson Gail

Gonzaga, Marianne

Matutino, Julius Adrian

Nomura, Aozora

Ortinez, Kimberly

Remulla, Rupert Adrian C.

Level 2- BS Nursing, Section 1 (GROUP 2A)

Presented to:

Ms. Novelyn Calarde, RN

Faculty 

Batch 2025
 TABLE OF CONTENTS

I. INTRODUCTION
A. INTRODUCTION TO FAMILY------------------------------------------------------1-2
B. FAMILY DEMOGRAPHY-------------------------------------------------------------2
C. GENOGRAM----------------------------------------------------------------------------3
D. PHYSICAL ENVIRONMENT--------------------------------------------------------3-4
E. PHYSIOLOGICAL / SPIRITUAL ENVIRONMENT------------------------------4
F. PURPOSE OF THE STUDY----------------------------------------------------------4
G. SPECIFIC OBJECTIVES OF THE STUDY---------------------------------------5
H. LOCATION MAP-------------------------------------------------------------------------5
I. SPOT MAP--------------------------------------------------------------------------------6

II. PRESENTATION OF DATA AND ANALYSIS

A. DEMOGRAPHIC PROFILE-------------------------------------------------------11-12
B. ECONOMIC ASPECTS------------------------------------------------------------12
C. ENVIRONMENTAL ASPECTS--------------------------------------------------12-13
D. HEALTH ASPECTS-----------------------------------------------------------------13
E. SOCIAL ASPECTS----------------------------------------------------------------13-14

III. FAMILY CARE PLAN

A. HEALTH PERCEPTION AND HEALTH MANAGEMENT PATTERN--17-18

B. NUTRITION AND METABOLISM PATTERN---------------------------------18-19

C. ELIMINATION PATTERN---------------------------------------------------------19

D. ACTIVITY AND EXERCISE PATTERN----------------------------------------19

E. COGNITION AND PERCEPTION PATTERN--------------------------------20

F. SLEEP AND REST PATTERN---------------------------------------------------20

G. SELF-PERCEPTION AND SELF-CONCEPT PATTERN-----------------20-21

 H. ROLES AND RELATIONSHIPS PATTERN----------------------------------20-21

I. SEXUALITY AND REPRODUCTION PATTERN----------------------------22

J. COPING AND STRESS TOLERANCE PATTERN--------------------------22-23

K. VALUES AND BELIEFS PATTERN---------------------------------------------23

IV. PROBLEM PRIORITIZATION

A. UNHEALTHY LIFESTYLE AND PERSONAL HABITS /PRACTICES:
SMOKING CIGARETTE--------------------------------------------------------------27
B. NOISE POLLUTION------------------------------------------------------------------28
C. CAREGIVING BURDEN-------------------------------------------------------------29
D. POOR PERSONAL HYGIENE AND SANITATION----------------------------30
E. INEFFECTIVE HEALTH MAINTENANCE---------------------------------------31
F. INADEQUATE LIVING SPACE-----------------------------------------------------32

V. FAMILY NURSING CARE PLAN

A. UNHEALTHY LIFESTYLE AND PERSONAL HABITS /PRACTICES:
SMOKING CIGARETTE-------------------------------------------------------------33
B. NOISE POLLUTION-------------------------------------------------------------------34
C. CAREGIVING BURDEN---------------------------------------------------------35-36
D. POOR PERSONAL HYGIENE AND SANITATION-------------------------37-38
E. INEFFECTIVE HEALTH MAINTENANCE------------------------------------39-40
F. INADEQUATE LIVING SPACE----------------------------------------------------41-43

VI. RECOMMENDATIONS AND CONCLUSIONS

A. RECOMMENDATIONS--------------------------------------------------------------45
B. CONCLUSIONS---------------------------------------------------------------------45-46
C. REFERENCES----------------------------------------------------------------------46-47
VII. DOCUMENTATIONS

0. PICTURES----------------------------------------------------------------------------48-52

A. DATA GATHERING TOOL

0. CONSENT FORM--------------------------------------------------------------53

a. COMMUNITY HEALTH ASSESSMENT FORM--------------------54-

60
 I. INTRODUCTION

A.   INTRODUCTION TO THE FAMILY

Families serve as society's fundamental building elements. The people who

become the populace of a community are raised in family units. In other words, families
are in charge of helping children grow into adults who will eventually make up society.
Our surroundings not only shape and impact each of us individually but also our society.
Regardless of the type of family—joint or nuclear—it will continue to be crucial in
guiding and socializing children, influencing adolescent development, acting as a safety
net for family members, influencing both positive and negative health-related behaviors,
and offering opportunities and role models for healthy living.

The emergence and incidence of sickness may be tracked with the help of family
and close ties. The connections within families and with other intimate partners are
obviously important to community and public health nurses who are working to prevent,
track, and document disease processes.

This study focuses on the chosen family living in their own house located in Brgy.
Sto. Niño II Dasmariñas Cavite. On September 20, 2022, this family was chosen by the
student nurses because they met the criteria for identifying a family with a health
problem. This offers the student nurse the chance to lessen and, if feasible, prevent
such issues with the help of community health nursing techniques and the support of
the family so that they can comprehend what the current and future health issues are,
the student nurse may provide health education and interventions. Eventually, the family
will be able to solve and manage their own wellness so that it does not interfere with
their daily activities.
B.   FAMILY DEMOGRAPHY 

The family that the student nurses interviewed is family A composed of only two
members: Father E, 52 years old, and Mother Y, 47 years old. They both participated in
the interview and assisted one another with questions they were unable to answer. 
Father E is unemployed and partially bedridden due to his kidney failure, the presence
of gout in several places of his body including the fingers, elbow, and feet, and
hypertension. Father E doesn't drink alcohol anymore but smokes 5 sticks of cigarettes
per day. Father E persists in asking mother Y to buy cigarettes for him despite repeated
reminders from her of the harm smoking has on him. Mother Y is unemployed, too,
healthy, but weak due to her old age. Father E depends on Mother Y for his meals,
urinating, defecating, meals, etc. They usually get a total sleep of 10 hours a day. Their
bedtime is at 8 in the evening and sometimes father E wakes up around 3 am
unintentionally and continues to sleep afterward. They both eat well, but father E likes
eating a variety of foods every day and sometimes skips meals and just drinks coffee or
milk. He has a habit of declining to eat previously served meals. They have two
children: 42 years-old Chona and 41 years-old Cathy. Chona currently resides in
Dasmarinas with his husband where her husband works as a farmer, giving fruits and
vegetables to Father E from time to time. Cathy was previously in Dubai for the past 17
years and recently returned home to the Philippines this May 2022. Now, Cathy resides
in Bulacan. Together, both Father E and Mother Y currently reside at Barangay Sto.
Niño II Area-1, Dasmariñas City, Cavite for the past 18 years.
C. GENOGRAM

Based on the genogram, it can be observed that a lot of kidney-related disease

runs in the family. Due to it, some have died while some live with it, just like father E.
Among 10 siblings, Father E is the fourth. Everyone is still alive excluding RA who died
due to kidney disease and liver cirrhosis. This history of the disease does not start here
but also started in their families where one died due to kidney failure. His wife, Mother
Y, has no known history of kidney disease. To conclude, the genogram shows that
Father E, his relatives, and most probably, his two daughters are prone to developing
kidney diseases due to its genes being rampant on their bloodline.
D. PHYSICAL ENVIRONMENT

Family A is located at Barangay Sto. Niño II Area-1, Dasmariñas City, Cavite for the
past 18 years until the present. Their house, which they own, is located on the roadside,
situated a street away from the barangay health center and around 5 houses away from
the main street for transportation. It is a rural type barangay in Sto.Nino 2 Area 1,
Dasmariñas Cavite. In the front of their house is an open drainage that is sometimes the
breeding site of mosquitoes; fortunately, Father E has counter measures against this
such as the use of net, mosquito repellant, etc. Their gate is made up of metal but not
very spacious. Upon entering the house, a sack of soft drinks bottles can be observed
that are being kept and stocked. After entering the house, even more, Father E can be
seen lying on his wooden bed with matting beside their window. On the ceiling you can
see cobwebs and dust. They have 1 bedroom however mother Y prefers to sleep on the
sofa near father E’s bed. Beside the bed of father E, you can see a red chamber pot or
"arinola" under the bed of father E with a measurement base of 20 cm and 12 cm in
height that can store 5 Liters of urine of the patient, and you can also see the television
and picture frames of their loved ones. As you go through the inner part of their house
you can see their sink and dining room that are messy and when we go outside or back
of their house, we can see their kitchen and cooking materials that are displayed without
any cover. Their toilet flushes via pouring water and it can be observed that it has
decent-looking aluminum swing doors; however, you can see that the bathroom has not
been cleaned in a while because of the dirt marks on the wall and flooring. According to
mother Y, their garbage gets collected once a week every Friday. Lastly, their house is
not too clean because of the limited capacity of the mother.

E. PHYSIOLOGICAL AND SPIRITUAL

 Both couples are Roman Catholic. Both of them pray regularly and frequently,
hoping to God that their situation will be better every day. Due to the father’s condition,
they cannot attend church weekly. The father believes that the Lord has a reason for
what he is feeling right now and that they will be blessed after a while as long as they
believe and understand that everything has a reason.

F. PURPOSE OF THE STUDY

The purpose of this study is to help the family minimize or remove the numerous
presences of health deficits, health threats and foreseeable crisis in their home, if there
are. By performing proper interventions, health education, and health teaching, the
student nurses hope to help the family in their daily living and by pinpointing their
strengths and weaknesses, the family will acknowledge the existence of problems in
their house and perform measures accordingly to minimize or remove these problems
with the help of themselves, the community student nurses, and the community officials.

G. SPECIFIC OBJECTIVES OF THE STUDY

The objectives of the community health nurse in this study are:

1. To establish a proper therapeutic relationship (trust and rapport) to the family.

2. To gather required and important data for the formulation of the Family Nursing
Care Plan (FNCP).

3. To assist the family into realizing that problems exist in their household and help
them minimize or remove these problems.
 4. To provide health education and health teaching regarding problems found in
their home.

5. To analyze and evaluate the success of nursing interventions

implemented regarding the family’s problems.

H. LOCATION MAP

Source: https://www.citypopulation.de/en/philippines/dasmarinas
I. SPOT MAP
 II. PRESENTATION OF DATA AND ANALYSIS

 A. DEMOGRAPHIC PROFILE

A. IDENTIFICATION

1. NAME OF RESPONDENT EDUARDO ABAÑO

2. DATE OF INTERVIEW 9/19/2022

3. TIME OF INTERVIEW 10:35 AM

4. TIME FINISHED 11:15 AM

5. NAME OF INTERVIEWER ALLYSON GAGARIN

DEMOGRAPHIC DATA

1 2 3 4 5 6 7 8 9

N Who are theGENDER AG RELIGIO BIRTH RELATI CIVIL IS BIRTH FOR

members of E N DAY O STAT REGISTE CHILD
U
the NSHIP US RED RE
household? A.
M WITH N 0-1
MALE
THE YEAR
B A.
B. S OLD:
FATHE LOCAL
E FEMA IS/
R REGISTRAR
LE ARE
R ?
B. THE
MOTHE
VACCI
R A.YES NE

C. B. NO RECEI
CHILDR VE

EN D
RIGH
D.
T
OTHERS
FOR
 .. THE
. AGE
OF
THE
CHILD
?

A.YES

B. NO

1 EDUARDO Male 6 Roman May 9, Father Legally Yes -

4 Catholic 1958 married
2 YOLANDA Female 6 Roman July 27, Mother Legally Yes -
2 Catholic 1960 married
(3) Age (4) Religion (7) Civil Status

0. 0-5 years old F. 30-35 years old K. 60-65 years old 0. Catholic 0. Single

A. 6-11 years old G. 36-41 years old L. 66 years old and A. Protestan A. Legally
above t Married

B. 12-17 years old H. 42-47 years old B. Iglesia Ni B. Widowed

Kristo
C. 18-23 years old I. 48-53 years old C. Separated
C. Aglipay
D. 24-29 years old J. 54-59 years old D. Live in
D. Islam

E. Born-
Again

F. Mormons

G. Jehovah'
s Witness

H. 7th Day
 Adventis

I. Others
____

C. INCOME D. OFW E. EDUKASYON

10 11 12 13 14 15 16 17 18

N Occupa Inco Work Do you How Studyin Current What is If given the
chance to study
U tion me status have an many g? education the
again do we
M per OFW in years in level? highest expect your
B mont A. your abroad? A. Yes degree participation?
E h Perman family? B. No A. of
A. Yes
R ent  A. Yes, Preparato educati
B. we have ry on B. No

Tempor  B. None B. achieve

ary Elementa d?
C. What ry A.
Shifting  country C. High Element
does school ary
he/she D. level
works? College B.
Element
ary
graduat
e
C. High
school
level
D. High
school
graduat
e
E.
College
level
F.
 College
graduat
e
G.
Vocatio
nal
H. Out
of
school
I.
Unable
to study

1 Retire - A 17 No High
d school
graduat
e
2 Retire - High
d school
graduat
e
3

F. HOUSEHOLD MEMBERS WITH DISABILITIES

19 20 21

Does anyone in your

family have a
N disability?
U
M A.  Yes, we have
B
E B. No, we don't
R have 
 What kind of disability? What is the cause of
disability?

1 Yes CHRONIC KIDNEY, GOUT Katandaan

(20) Kind of disability

0. TOTAL BLINDNESS

A. PARTIAL BLINDNESS

B. MUTE

C. TOTALLY DEAF
E. PARTIALLY DEAF (21) Cause of disability

0. EPILEPTIC

0. IN BORN
0. ONE HAND

A. DISEASE-
0. NO HANDS
CAUSING
0. ONE LEG
B. ACCIDENT
0. NO LEGS
C. OLD AGE
0. CEREBRAL PALSY ORAL DEFECT

0. ORAL DEFECT

0. MENTALLY ILL/RETARDED

0. AUTISTIC

0. HUNCHBACK
P.MULTIPLE IMPAIRMENT

Q. Others ______

Household A consists of two family members: father E and his wife mother Y.
Their age ranges are from 60-65 years old. According to the Philippine news agency
(2022), the Philippines have a 112,847,250 population and 8.5% of it are Filipinos aged
60 above population or 9.2 million. Father E and mother Y both belong to 8.5% of the
senior citizen population. Their religion has been Roman Catholic since birth. According
to them, they are legally married and blessed with two female children. Moreover, all
members of the household are locally registered.

Father E and Mother E are both high school graduates. Eventually, after Father E
finished high school, he and his wife married and he worked as a mason and
sometimes worked with the soldiers in different countries in the Middle East. While
father E is working abroad, mother Y stays as a housewife to take care of their children.

His salary became their source of income to meet their everyday needs. After he
retired, Cathy, their eldest, also worked as OFW in Dubai. Both of their children have
their own families and moved houses. When Cathy left to work abroad, they became
responsible for their grandchildren.

In 2013, Father E was diagnosed with chronic kidney failure and gout. According
to father E, from 2002 to 2003, he started to feel some signs and symptoms of his
illness but he ignored it because he was about to return to Iraq to work. After he was
diagnosed with his illness, he eventually retired and became financially dependent on
their children. He tried to undergo dialysis however he immediately refused to receive
dialysis and only took oral medication. He stopped dialysis because, according to him,
“all of my friends who underwent that died immediately”.
According to them, the estimated combined financial support they receive from
their children ranged from 10,000 to 15,000 pesos monthly. It was used for their daily
needs like food, water, bills, etc., and for his medication. However, when Cathy returned
and stayed for good in the Philippines after 17 years of staying in Dubai, they slowly
became financially unstable. Recently, they only received 5,000 to 10,000 pesos
monthly from Cathy who lives in Bulacan and received vegetables and fruits from
Chona who lives in DBB-C, Dasmarinas, Cavite. Their grandchildren whom they were
responsible for taking care of were taken away from them and stayed with their own
mother to lessen their burden and only focus on his illness.

Mother Y has been vaccinated with Covid-19 vaccines but she refuses to have
booster shots. However, Father E refuses to have Covid-19 vaccines due to his illness.

B. ECONOMIC ASPECTS

             Father E and Mother Y have high school degrees, and both of their daughters
have college degrees. Father E was forced to stop his job due to his illness, and Mother
E is a housewife, so she does not contribute to the family's income and relies on their
children for financial assistance. The family receives 5,000–10,000 every month from
their children. They said that despite having a limited budget, it was inadequate and that
father E does not receive therapy, such as dialysis. Their finances have recently grown
quite tight as a result of rising product costs across the nation. They only receive
vegetables and fruits from their second child. Both of their Philhealth accounts are
dormant, and neither of them receives a pension from SSS due to their debts. They only
get discounts from their medications and groceries because they are covered by R.A.
no. 9994 or "Expanded Senior Citizens Act of 2010." They may therefore be viewed as
a lower class family due to their situation.

C. ENVIRONMENTAL ASPECTS

Environmental factors are always present in everyone's life. It may help to

promote and maintain the wellness of everyone and it may help to maintain the failure to
recognize specific problems in different environments. It can also contribute to
enhancing the possible environmental problems that may affect their health that needs
to intervene to improve the outcome and prevent health threats.

The health problems found in Family A are the following: Inadequate living space with a
25sqm owned house, Unhealthy lifestyle and personal habits/practices: Smoking,
Ineffective health maintenance, Caregiver strain, Poor hygiene and sanitation, and
Noise Pollution. They are needed to rending interventions to prevent the rise of possible
health threats if the given health problems are not controlled.

D. HEALTH ASPECTS

According to Father E, he is afraid of what may happen to him because some

people who continuously get dialysis, like some of his friends did, still die. However,
Father E was not regularly visiting his doctor, his last check-up and physical
examination were in 2018 due to financial constraints and unwillingness of Father E.
Moreover, father E usually skips meals and usually drinks black coffee or milk; on the
other hand, Mother Y eats 3 times a day. According to them, their foods are always
chosen by Father E because he likes seed vegetables like beans. Also, Father E started
to smoke when he worked abroad and up until now, he remains smoking, according to
him, he consumes 5 sticks a day. According to them, they did not forget to pray
because that is the best medicine that they can receive. Mother Y has received COVID-
19 vaccines and refuses to have booster shots because for her that is enough for her
and Father E was unvaccinated due to his present illness.

E. SOCIAL ASPECTS

According to the Family, they have a nice neighborhood, although occasionally

their sleep or naps are disturbed by their neighbor's karaoke. According to Father E, he
wanted to go outside to at least communicate with their neighbor but he was struggling
to sit or walk. According to him, once he tries to sit, his back and hip bones feel like they
will break apart and he will feel dizzy. To prevent this feeling, he just remains laying on
his bed and waits for someone to visit them. Only Mother E can go outside and
communicate with their neighbors but usually, she will just stay at home to accompany
her husband. Additionally, Father E was trained or used to strenuous activities, and
sometimes he missed doing them. Sometimes, their children are visiting them with their
grandchildren. During the interview with the student nurses, the family happily
welcomed 6 students inside their house, and answered all the questions the student
nurses prepared. Also, they are very close with their neighbors and socialize with them
when they want to.
III. FAMILY CARE PLAN

GORDON’S 11 RESPONSE
FUNCTIONAL HEALTH

PATTERNS

HEALTH PERCEPTION Father E doesn't want to undergo dialysis because he

AND HEALTH believes that it will not prolong his life. His last physical
MANAGEMENT examination was taken 2 years ago and he doesn't have
PATTERN. any post-operative history. Father E is not vaccinated
against COVax but is immunized against pneumonia
while his wife is completely vaccinated. Mother Y thinks
that health is very important and does her best in taking
care of the health of herself and her husband as the
 primary caregiver.

NUTRITION AND Mother Y can eat anything but Father E wants to eat
METABOLISM beans and likes to eat internal organs of animals such as
PATTERN the liver, intestine, etc. Due to Father E’s choices of food,
mother Y chooses to cook it and both of them will have it.
However, foods like these are not allowed for both of
them to eat because they contain a lot of sodium that
might worsen their condition, especially Father E’s health
condition. Nonetheless, father E and his family don't have
any food allergy. 

ELIMINATION PATTERN The family mentioned that Father E's urine is yellowish to
dark yellow about 5 bottles of 500ml in a day. According
to mother Y, Father E urinates from time to time and it
causes the “arinola” to his bedside. Recently, Father E
experienced difficulty in elimination and it takes 11 days
for him to have fecal withdrawal. Additionally, Mother Y
has mentioned that she does not feel any problems with
urination and defecation.

ACTIVITY AND According to the family, Father E can no longer do

exercise since he is bedridden because of the
EXERCISE PATTERN
inflammation of his joints while Mother Y is the one that is
in charge of doing household chores and considers it as
exercise. The family doesn't have any breathing
problems.
COGNITION AND

PERCEPTION PATTERN Upon interviewing, no difficulty in speech and memory

was observed. The family was able to answer questions
that were being asked of them.

SLEEP AND REST They often sleep between 8 and 9 in the evening and
have a total of 10 hours of sleep. Mother Y chooses to
PATTERN
spend the night on the sofa next to Father E's bed since
the family only has one room and she wants to be close
to and watch over Father E. According to Father E, he
usually sleeps but unintentionally wakes up and falls
asleep again out of concern. Also, the family gets up at
around 6 in the morning.

SELF-PERCEPTION Mother Y still has good personal hygiene. However,

Father E is bedridden; due to that, Mother Y bed baths
AND SELF-CONCEPT
the upper extremities of her husband and does a tepid
PATTERN sponge bath on his lower extremities.

ROLES AND Since there are only two people living together, Father E
is the one who makes decisions on his health and within
RELATIONSHIPS
the household while mother Y is in charge of taking care
PATTERN of him and doing all the house chores.

SEXUALITY AND Both Mother Y and Father E does not engage into sexual
activities due to their physical limitations and their age.
 REPRODUCTION

PATTERN

COPING AND STRESS According to Mother Y, anytime there is a family issue,

she will occasionally go outdoors and attempt to calm
TOLERANCE PATTERN
herself so she can think clearly and act sensibly.

VALUES AND BELIEF The family is very religious and prays frequently. They
thank the Lord for every blessing they have and wish that
PATTERN
their living conditions will be better.

1. HEALTH PERCEPTION AND HEALTH MANAGEMENT PATTERN.

Father E doesn't want to undergo dialysis because he believes that it will not prolong
his life. His last physical examination was taken 2 years ago and he doesn't have any
post-operative history. Father E is not vaccinated against COVax but is immunized
against pneumonia while his wife is completely vaccinated.

The most crucial thing we can do to protect ourselves and our children against
illness is to be vaccinated. Every year, they avert up to 3 million fatalities worldwide.
Your immune system learns from vaccinations how to produce antibodies that shield
you from disease. Your immune system will acquire this information much more safely
through immunization than by contracting the illnesses and undergoing treatment. Once
your immune system is trained to combat a disease, it can frequently keep you healthy
for years (NHS UK, 2019).
 2. NUTRITION AND METABOLISM PATTERN

Father E wants to eat beans and likes to eat internal organs of animals such as the
liver, intestine, etc. Due to Father E’s choices of food, mother Y chooses to cook it and
both of them will have it. However, foods like these are not allowed for both of them to
eat because they contain a lot of sodium that might worsen their condition, especially
Father E’s health condition. Nonetheless, father E and his family don't have any food
allergies

Some health issues from CKD may be avoided or delayed by eating the proper foods
and avoiding those high in sodium, potassium, and phosphorus. The effectiveness of
your kidney disease therapies may also be influenced by what you eat and drink. People
with advanced CKD should know how calories, lipids, protein, and liquids impact the
body. ( Gluba-Brzózka A, Franczyk B, Rysz J., 2017, )

3. ELIMINATION PATTERN

The family mentioned that Father E's urine is yellowish to dark yellow about 5 bottles
of 500ml in a day. According to mother Y, Father E urinates from time to time and it
causes the “arinola” to his bedside. Recently, Father E experienced difficulty in
elimination and it takes 11 days for him to have fecal withdrawal. Additionally, Mother Y
has mentioned that she does not feel any problems with urination and defecation.

Having days with low or high urine output is common. The typical number of
bathroom visits from morning to night is around seven, however, this number can vary
greatly depending on how much you drink each day and what you consume. In terms of
frequency of urination, what is typical for one person may not be for another. Your
bladder, which retains urine, has a capacity that can range from 350 ml to 600 ml (1.5
cups to 2.5 cups) ( Petar Bajic,  2021)

4. ACTIVITY AND EXERCISE PATTERN

According to the family, Father E can no longer do exercise since he is bedridden

because of the inflammation of his joints while Mother Y is the one that is in charge of
doing household chores and considers it as exercise. The family doesn't have any
breathing problems.

Use it or lose it is a common belief, particularly for those with kidney illness.
Losing muscular mass and power by spending too much time in bed or sitting still will
make it more difficult to perform daily tasks. If you continue to do nothing except sit
around, you risk losing the ability to move independently and developing a disability.
Getting moving will help you stay active and maintain or perhaps build strength. Regular
exercisers who are on dialysis say they sleep better, have more energy and muscle
power, and are better able to get things done in their daily life (Michael P, 2021).

5. COGNITION AND PERCEPTION PATTERN 

Upon interviewing, no difficulty in speech and memory was observed. The family
was able to answer questions that were being asked of them. Some questions that
require recalling events take a few seconds before getting a response but it is normal
because the students usually ask about their past life

Age-related changes in the brain, injuries like strokes or traumatic brain injuries,
mood disorders like depression, substance use disorders like addiction, and diseases
like Alzheimer's disease can all have an impact on brain health. While there are some
things that cannot be changed that affect brain health, there are many lifestyle
adjustments that could have an impact (National Institute on Aging, 2020).

6. SLEEP AND REST PATTERN 

They often sleep between 8 and 9 in the evening and have a total of 10 hours of
sleep. Mother Y chooses to spend the night on the sofa next to Father E's bed since the
family only has one room and she wants to be close to and watch over Father E.
According to  father E, She usually sleeps but unintentionally wakes up and falls asleep
again out of concern. Also, the family gets up at around 6 in the morning.

Your physical and emotional health is directly impacted by how well you sleep.
Various sleep-related mechanisms support optimal brain function and sustain overall
wellness. Sleep is essential for healthy development and growth in kids and teenagers.
Lack of sleep not only makes you feel weary but also raises your risk for a variety of
illnesses and health issues. Obesity, heart disease, high blood pressure, diabetes, and
stroke are a few of these. Your physical safety is also in danger if you don't get enough
sleep. ( Heather W, 2022 ).

7. SELF-PERCEPTION AND SELF-CONCEPT PATTERN

Mother Y still has good personal hygiene. However, Father E is bedridden due to
that, Mother Y bed baths the upper extremities of her husband and does a tepid sponge
bath on his lower extremities.

The results showed that while sit-to-stand was the only physically functioning
component that was objectively evaluated and associated with planned physical activity,
physical self-perceptions (activity, coordination, endurance, and flexibility) were
connected with self-reported planned and incidental physical activity.

Similar to this, more falls, general self-esteem, self-perceptions of general and

domain-specific physical attributes (strength and flexibility), and knee strength were
linked to fear of falling. Additionally, there were correlations between some of the
objectively evaluated physical functioning measures and physical self-perceptions
(Myrla S, 2017).

8. ROLES AND RELATIONSHIP PATTERN 

Since there are only two people living together, Father E is the one who makes
decisions on his health and within the household. Mother Y stated that her role in their
house is taking care of Father E and all of the house chores are done by her. While
Father E makes the decisions when it comes to his health and within the household
wherein their two children are living separately from them. She added also that if she
gets hospitalized at an unexpected time, her daughter who lives in Area C, which is
Daughter A, will take charge to look after Father E. Mother Y is very thankful to their
children because of their cooperation when they need financial support since they do
not have any source of income. On the other hand, Father E always refused to undergo
dialysis because some of his friends who had the same health condition as him died
because of dialysis. 

The most recent, thorough research shows that marriage has a positive impact on
some health-related outcomes.

According to this research, being married enhances some aspects of mental health,
lowers the need for some expensive medical services (like nursing home care), and
increases the likelihood of having health insurance. Additionally, a growing body of
research indicates that having married parents when you were young is linked to greater
adult health.

Marriage has conflicting consequences on health behaviors, sometimes leading to

healthier ones (reduced heavy drinking) and sometimes to less healthy ones (weight
gain).

Rigorous research on the consequences of marriage has largely remained ignored

for other important health outcomes, particularly measurements of particular physical
health issues. ( Robert W, 2007 )

9. SEXUALITY AND REPRODUCTION PATTERN

The family is no longer sexually active due to the condition of Father E and because
of old age. Additionally, because of their advanced age and lack of family development
planning, they are unable to have any more children.

After age 50, there are a variety of changes that occur in sexuality. The reduction in
sexual frequency is the most obvious alteration (Lindau et al., 2007; Mercer et al.,
2013). Lower sexual frequency is mostly caused by deteriorating physical health and
sexual function, as well as by ageism or other unfavorable ideas (i.e., later-life sex as a
redundant or pointless activity); apart from difficulties brought on by a lack of a ( sexual )
partner (DeLamater, 2012; Erens et al., 2019; Gore-Gorszewska, 2020; Waite & Das,
2010).

0. COPING AND STRESS TOLERANCE PATTERN

 According to Father E, whenever he feels stressed, he turns on the television to
relax, or sometimes he chooses to sleep. At times he is crying because a lot of doubts
in his life about his condition are running inside his head. From the point of view of
Mother Y, who's taking care of Father E, when she is stressed, she is taking a nap to
relax and at times she is listening to the radio. Occasionally, she is leaving Father E
when they are fighting just to relieve her anger and to calm herself down.

In order to cope, you typically have to accept or tolerate unpleasant situations or

truths while attempting to maintain a healthy sense of self and emotional balance.
Coping happens when there are believed to be stressful life adjustments. Losing a loved
one or a job are two examples of unpleasant life changes that are frequently linked to
psychological stress. But every shift necessitates some form of adaptation. Even good
things like getting married or having kids can cause stress. Too many changes in a short
period of time can give us the impression that we are powerless over what happens.
Low self-esteem is a result of this perspective, which may also play a role in the
emergence of anxiety or depression (Cleveland Clinic,  2020).

0. VALUES AND BELIEF PATTERN

According to Father E and Mother Y, they have been Roman Catholic since back
then. They always pray to God because they believe that God can provide and help
them to overcome their struggles in life.

   Everyone has values, but each person has a unique set of values that are influenced
by their culture, personal upbringing, life experiences, and a variety of other factors.
Personal values are defined as "broad desirable goals that motivate people's actions
and serve as guiding principles in their lives" (Sagiv et al., 2017).
    Core beliefs are described as basic, unchanging, unquestionable, and universal ideas
that people have about themselves, other people, the world, and/or the future. We utilize
our beliefs to inform how we perceive the world (Beck JS, 2011)

IV. PROBLEM PRIORITIZATION

SCALE FOR RANKING

0. LIST OF HEALTH PROBLEMS RANKED ACCORDING TO PRIORITIES

UNHEALTHY LIFESTYLE AND PERSONAL 4.67

HABITS/PRACTICES: SMOKING CIGARETTE

NOISE POLLUTION 4.34

CAREGIVING BURDEN 4

POOR PERSONAL HYGIENE AND SANITATION 3.67

INEFFECTIVE HEALTH MAINTENANCE 3.5

INADEQUATE LIVING SPACE 3.5

B. CRITERIA

CRITERIA SCORE WEIGHT

1. Nature of the Problem

Health Deficit

Health Threat 321 1

Foreseeable Crisis

2. Modifiability

Easily 210 2

Moderate

Not Modifiable

3. Preventive/Potential

High 321 1

Moderate

Low

4. Salience of the Problem

 Problem needing urgent 2 1

attention
1
Problem not needing urgent
attention
0
Not perceive as a problem

C. SCORING

1. Decide a score for each criterion

2. Divide the score by the highest possible score then multiply by the weight

Score

___________________           X weight

Highest score

3. Sum up the scores for all the criteria. The highest score is 5, equivalent to the total
weight.

4. The higher the score (near 5 and above) of a given problem, the more likely it is
taken as a PRIORITY.

5. With the available scores, the nurse then RANKS the health problem accordingly.
0. UNHEALTHY LIFESTYLE AND PERSONAL HABITS/PRACTICES: SMOKING

CIGARETTE

CRITERIA SCORE ACTUAL JUSTIFICATION

SCORE

1. NATURE OF 2 / 3 X 1 = 0.67 This is considered a health threat that

THE PROBLEM 0.67 could complicate the health of the client

2. 1/2X2= 2 The issue can be partially changed. The

MODIFIABILITY 2 two are aware of the dangers of

OF THE smoking, but they don't appear to take

them seriously, and they are having
PROBLEM
trouble controlling their vices considering
how easy it is to get cigarettes.
 3. PREVENTIVE 2/3X1= 1 The problem has a moderate preventive.

POTENTIAL 1 Giving out knowledge about what

smoking does to the body will help the
client develop a positive mindset, which
can help prevent it.

4. SALIENCE OF 1/2X1= 1 The family considers this as a problem

THE PROBLEM 1 not needing urgent attention because of

the perceived severity of the client.

Total score: 4.67

B. NOISE POLLUTION

CRITERIA SCORE ACTUAL JUSTIFICATION

SCORE

1. NATURE OF 2/3 x 1 0.67 The problem is a health threat because it is

THE a stress-provoking factor. If someone is

PROBLEM stressed, it causes a disturbance to

someone’s way of thinking, making her not
act normally and aside from this, makes
her susceptible to diseases.

2. MODIFIABILITY 2/2 x 2 2 The problem is easily modifiable because a

OF THE = 2 few methods can be done such as by
PROBLEM situating further from the window or by
installing signages that promotes
quietness.
 3. PREVENTIVE 2/3 x 1 1 The problem is moderately preventive

POTENTIAL = because many factors cause it that the

0.67 family cannot handle. For example, certain

noises can be reported to the barangay for
actions but children crying cannot be
reported.

4. SALIENCE OF 2/2 x 1 1 The problem needs urgent attention

THE PROBLEM =1 because of how fragile the members of the

house are. If they are exposed to this
threat, certain things could happen to them.

Total score: 4.67

C. CAREGIVING BURDEN

CRITERIA SCORE ACTUAL JUSTIFICATION

SCORE

1. NATURE OF 1/3 x 1 0.33 The problem is still a foreseeable crisis

THE = because the mother has yet to experience

PROBLEM 0.33 any signs and symptoms of care-giving

burden that results to burnout. It could
become a health threat in the future if the
problem is left unsolved.
 2. MODIFIABILITY 2/2 x 2 2 The problem is easily modifiable because it
OF THE = 2 has yet to occur and can be prevented
PROBLEM when proper steps are taken against it.

3. PREVENTIVE 2/3 x 1 1 The problem is moderately preventable

POTENTIAL = because everyone can get this condition

0.67 where they get tired or burned out from

taking care of someone for a while.

4. SALIENCE OF 2/2 x 1 1 The problem needs urgent attention

THE PROBLEM =1 because if no actions are taken

immediately, this foreseeable crisis may
occur at the present, making her have
care-giver strain and burned out from
taking care of her husband.

Total score: 4.33

D. POOR PERSONAL HYGIENE AND SANITATION

CRITERIA SCORE ACTUAL JUSTIFICATION

SCORE

1. NATURE OF 2/3 x 1 0.67 The problem is considered as a health

THE PROBLEM = 0.67 threat because of poor hygiene and
sanitation. It can be the source of
contamination in water, foods and things
inside of their house. Poor hygiene and
sanitation do not only affect the external
things but also it can affect internals like
 health.

2. 1/2x2 1 The problem was only moderately

MODIFIABILITY modifiable. It is because Family E’s age

OF THE ranges are from 60 to 65. Both of them are

not physically strong, all of their actions
PROBLEM
have limitations. Father E is bedridden; he
cannot walk because of his illness. He was
always given a bed bath by her wife
because he was too heavy to be carried by
her to the comfort room. Due to that,
personal hygiene is limited. Mother Y was
the only capable in doing all unfinished
household chores

3. PREVENTIVE 3/3x1 1 It was highly preventive because

POTENTIAL interventions of student nurses can be found

inside their house and it can easily find
alternative ways.

4. SALIENCE OF 2/2x1 1 The problem needs urgent attention

THE PROBLEM because if poor hygiene and sanitation is

not prevented, many bacteria can build a
culture on specific things or places like in
the bottled water. It has close contact to the
human and it may contribute or cause
underlying problems if not prevented.

Total score: 3.67

E. INEFFECTIVE HEALTH MAINTENANCE

CRITERIA SCORE ACTUA JUSTIFICATION

L

SCORE

1. Nature of the 3/3x1 1 It is considered a health deficit

Problem =1 because the ability in medication
management is limited and there is a
presence of problem.
 2.Modifiability 1/2x2 1 It is moderate
= modifiable since the family is taking
medicines for their health maintenance.

3.Preventive/Potential 3/ 3 x 1 1 It is considered as high preventive

= since we had health teaching to the
family A about the importance of
maintaining their health condition to
prevent such illnesses.

4. Salience of the 1 / 2 x 1 0.5 The family recognized this as a

Problem = problem not needing urgent

attention because they are still taking

their medications.

Total score: 3.5

F. INADEQUATE LIVING SPACE

CRITERIA SCORE ACTUA JUSTIFICATION

L

SCORE
1. Nature of 2/3 X 1= 0.6 Inadequate living space is considered a health
the 0.6 threat since it offers a number of dangers and has

Problem the potential to lead to serious illness conditions

and other disorders as a result of poor house
management.

2.Modifiability 1/2 x 2 = 1 It is moderately modifiable due to the family's low

1 money, but health education for other resources
to address the family issue is highly beneficial.

3.Preventive 3/3 x 1 = 1 It is seen as being highly preventative since the

1 family wants change, there are several
opportunities for them to make money in their
barangay, and they are worried about the effects
that their environment has on their health.

4. Salience of 1 / 2 x 1 0.5 Considered not requiring immediate attention

the = 0.5 since they are willing to improve their condition,

Problem there are no health issues involved, and it can be

resolved quickly.

Total Score: 3.01

FAMILY NURSING CARE PLAN

0. UNHEALTHY LIFESTYLE AND PERSONAL HABITS/PRACTICES: SMOKING CIGARETTE

HEALTH FAMILY GOAL OF OBJECTIVES NURSING METHOD RESOURCES EVALUATION

PROBLEM NURSING CARE OF CARE INTERVENTION OF REQUIRED
PROBLEM CONTACT

Unhealthy Inability to After nursing After nursing 1. Discussed the -Health Human After nursing
lifestyle and make intervention, intervention, the negative effects of teaching Resources: intervention,
personal the family will: excessive smoking through Time and
decisions with the goal was met
habits family will -Recognize to the body such home visit
respect to effort of both because the client
specifically as: cancer, heart
taking recognize that the effects of student nurse, was able to
smoking as disease, stroke, -Observation
appropriate frequent frequent client, and the reduce his
health threat lung diseases etc. around the
health actions smoking smoking and family. smoking from 5 to
2. Make client house of
due to low of cigarette as its threat to 3 sticks per day,
aware of the family.
salience of the a problem and health. - Materials:  and the aim was
problem possible outcome Community achieved
decide on Gradually -Interviewing
of his continuous Assessment
appropriate minimize since the family
smoking and its Questionnaires
health actions smoking from 5 was able to
effects to the whole
to correct sticks per day to
family comprehend
them 2-3 sticks per
the risks
day.
associated with
smoking.

B. NOISE POLLUTION
 HEALTH FAMILY GOAL OF SPECIFIC NURSING METHODS RESOURCES EVALUATION
PROBLEM NURSING CARE OBJECTIVE INTERVENTION OF REQUIRED
CARE CONTACT
PROBLEM
Noise Inability to After After nursing ● Educated the ● Health Human After nursing
pollution have and rendering intervention, family about the teaching resources: intervention, the goal
maintain a nursing the neighbors importance of ● Time and was partially met. The
good sleeping intervention, will be aware ● Home family was taught
having adequate effort of
pattern the family will about the sleep. visitation student about the importance
related to able to have effects of their ● Relocated the nurse and of having adequate
noise made by adequate loud noises for the family sleep, relocated the
bed away from
the neighbors sleep families that members. bed away from the
the window to
using karaoke because of are taking naps window, and was told
make the sounds Materials used:
in the the in the to report to the
less audible
afternoon due minimization afternoon. ● Adequate barangay when they
to the ● Educated the knowledge have complaints.
of
placement of family about the of the However, the Family
usage of presence of lecturer
the bed near was able to take nap
karaoke by barangay officials about the
the roadside. on the afternoon but
the neighbors that can be specific still experienced
in the called to submit health disturbed sleep from
afternoon. problems.
complaints. time to time due to the
noise not being
eliminated entirely.

C. CARE-GIVING BURDEN
HEALTH FAMILY GOAL OF THE OBJECTIVE OF INTERVENTION METHOD RESOURCES EVALUATION
PROBLEM NURSING NURSE THE NURSE PLAN OF USE REQUIRED

PROBLEM

Burnout as Caregiving After rendering After nursing 1. Explained the ● Through Human 1. GOAL MET
a burden as the interventions, intervention, the importance of health resources
The family
foreseeable stress the family will: family will: proper coping teaching :
understood
crisis provoking mechanism ● Through ● Time and
what coping
factor related 2. Taught ways on home effort of
mechanism is,
to care of a ● Understand ● Know what how proper visitation the
verbalized
dependent the coping coping communit
some
family importance mechanism is mechanism y health
examples, and
member of proper and perform it can be done nurse and
stated how
secondary to coping when needed (by going out of the
important it is.
role overload mechanism ● Acknowledge for a walk, members
● Know the the need of eating of the
first signs proper coping something, or household
watching your ● Adequate 2. GOAL MET
and mechanism
symptoms of ● Perform steps favorite series) knowledge The family
burnout and necessary to 3. Encouraged of the understood
avoid it avoid being being open to health other methods
overwhelmed communicatio educator of coping
(such as n to avoid about the mechanism
planning anger and
importanc
ahead, being frustration
e of proper
vocal about from building
coping 3. GOAL MET
their feelings, up
mechanis
etc.) 4. Encouraged The family
planning the m and the
agreed that
week ahead to signs and
their
avoid being symptoms
communication
overwhelmed of burnout
sometimes can
with how much be unclear and
things are vowed to be
needed to be open to each
 done other to avoid
5. Encouraged the miscommunicati
family to ask on
for another
family member
to come and 4. GOAL MET
live with them
for assistance The family
and support appreciated the
when needed idea and will try
to perform it
soon

5. GOAL
UNMET

The family
stated that their
family members
are too busy
and sadly
cannot stay with
them and assist
them.
 D. POOR PERSONAL HYGIENE AND SANITATION
HEALTH FAMILY GOAL OF THE OBJECTIVE INTERVENTION METHOD RESOURCES EVALUATION
PROBLEM NURSING NURSE OF THE PLAN OF USE REQUIRED
NURSE
PROBLEM
Poor Inability of After rendering After nursing 1. Educated the 1. 1. Adequate After nursing
personal the family to nursing interventions, family regarding Through knowledge of interventions, the
hygiene recognize interventions, the family will the possible home student nurses goal was partially
and the the family will able to: transmission of about proper met, the family was
visitation 
sanitation presence of able to: 1. infection and bed bathing, able to understand
health bacterial disease 2. proper the importance and
1. Recognize Understand
threats due the things that due to Through handwashing the procedure of
the possible
to: are needed to uncontrolled poor health and proper proper hygiene and
health threats
1. Age clean and hygiene and teaching disposing of sanitation but the
of poor
sanitize sanitation. 3. body fluids and family members are
2. Limited hygiene and
regularly  2. Educated the Observation waste products  too busy to apply all
physical sanitation
2. Determine the family about the 2. interventions plan to
mobility related to their
importance of proper bed Participation of their everyday life.
3. Presence age and
proper hygiene bathing procedure the family 
of present present illness 
sanitation to to maintain the
illness; 2. Able to 3. Time and
themselves and personal hygiene
4. Lack of identify their of bedridden effort of student
to the
knowledge range of family. nurse and the
environment
about proper motion to 3. Educated the family members
and;
 garbage 3. Determine the prevent injury family how to sort
disposal and possible and; waste products
human complications 3. Improve and what are
waste about knowledge common colors
products contaminating about the used in trash bin
bodies of water proper and containers
by directly personal 4. Advised the
disposing hygiene and family members to
human body proper not extend much
waste products segregation of force to their
on toilet drain garbage and physical body to
and sink proper prevent injury.
disposing of  5. Educated the
human body family about the
waste products proper
handwashing 
6. Educated the
family about the
before and after
care of persons
elimination and
how properly
disposed it to
prevent
complications and
contaminations

E. INADEQUATE LIVING SPACE

 HEALTH FAMILY GOAL OF OBJECTIVE OF INTERVENTION METHOD RESOURCES EVALUATION
PROBLEM NURSING THE NURSE THE NURSE PLAN OF USE REQUIRED

PROBLEM
Inadequate Inability to After 2 days The family 1. encouraged 1. home Human resources: After nursing
living provide home of nursing should expand maintenance of visits intervention,
1. time and
environment intervention, their cleanliness by regular The GOAL
Space  2. Health effort
which is the family will understanding of cleaning of the was met,
teaching 2. financial effort
conducive for figure out basic house care surroundings the family
how to and liveliness as (food, relocated
health 2. educated the family
reduce the well as be able to allowance, the crowded
maintenance regarding the diseases
identify risk transportation area, and I
and personal difficulty, as that can be acquired
factors that lead ) can see that
development indicated by from inadequate living
due to furniture to overcrowding spaces they now
inadequate rearranging in the 3. suggested ways on have a
family to maximize environment how to maximize the cleaning
resources such as available space by regimen for
their living
unwanted items, rearranging their house.
specifically space
Demonstrate 4. explained to the The goal
financial
strategies to family the benefits of had been
constraints
support excellent having adequate living achieved.
environmental space
conditions such 5. suggested possible
as optimal alternatives for their
appliance financial insufficiency
placement, etc.

F. INEFFECTIVE HEALTH MAINTENANCE

HEALTH FAMILY GOAL OF SPECIFIC NURSING METHODS OF RESOURCES EVALUATION
PROBLEM NURSING CARE OBJECTIVE CARE INTERVENTION CONTACT REQUIRED
PROBLEM
Ineffective inability to After the After nursing ● Assess for •Home Human After nursing
Health take nursing intervention, the family patterns, visits and resources: interventions,
responsibility intervention: family will be able to: economic Health •Time and the goal was
Maintenance 
for meeting issues, teaching. effort partially met,
basic health The client or spiritual, and the client or
practices in family will cultural • Financial family was able
any or all meet goals ● Take an patterns that Effort (Food to understand
functional for health immediate action influence the importance
pattern areas to provide health compliance Allowance and of an effective
care
related to lack maintenance care attention with a given Transportation) health
of motivation and follow and support medical maintenance
to undergo mutually client’s health regimen. and they are
medical agreed on maintenance able to verbalize
treatment as health care needs. and
● Educate the
evidenced by maintenance demonstrate
client about the
expressed plans. ● Patient will plan and or
symptoms of
disinterest in verbalize factors strategies that
life-threatening
improving contributing to will enable them
illness, such as
health. current health to properly
myocardial
status/preventing follow their daily
infarction (MI),
improved health care plan and
and the need for
status access their
timeliness in
● Patient will support system
seeking care.
identify resources when needed.
necessary to
support health
maintenance • Provide a health
promotion focus for
the client with
disabilities, with the
goals of reducing
secondary
conditions
● (e.g., obesity,
hypertension,
pressure
sores),
maintaining
functional
independence,
providing
opportunities
for leisure and
VI. RECOMMENDATIONS AND CONCLUSIONS

RECOMMENDATIONS

Based on the results gathered from the family’s statements, the student nurses
have successfully identified and prioritized family A’s problems in their household.
Thanks to this, the student nurses have created a nursing care plan regarding those
problems and assessed whether the interventions implemented were successful,
partially successful, or not successful at all. Based on their feedback to the family
nursing care plan, the following below are recommendations recognized by both the
student nurse and the family:

● Discourage Father E from using cigarettes and eating food that is high in sodium
because it will just help in worsening his condition.

● Acknowledge the foreseeable crisis of burnout possibly occurring to the

caregiver, Mother Y, and know its signs, symptoms, and things to do to avoid it
from happening

● Maintain cleanliness in the house, especially in the kitchen because it is where

food gets served. Father E is immunocompromised and making him sick due to
foodborne illnesses will be very dangerous

● Educate Father E about the importance of seeking medical help for his conditions

● Maintain adequate living space to prevent the occurrence of accidents in the

household, especially because both are already senior citizens

● Relocate the sleeping and resting area of Father E to lessen his sleep
disturbances in the morning and afternoon

CONCLUSIONS

After rendering several nursing interventions to minimize or erase the family’s

problems in their house, the student nurses have failed to completely remove the
problem but have succeeded in some ways. These problems cannot be fixed mainly
due to the unwillingness to change the family or due to financial constraints, resulting in
them taking no action against it.
To conclude, not all interventions worked for Family A but some did work. Due to
this, we can say that the study’s goal was partially met.

REFERENCES:

1. Mercer, C. H., Tanton, C., Prah, P., Erens, B., Sonnenberg, P., Clifton, S.,
Macdowall, W., Lewis, R., Field, N., Datta, J., Copas, A. J., Phelbs, A., Wellings,
K., & Johnson, A. M. (2013). Changes in sexual attitudes and lifestyles in Britain
through the life course and over time: Findings from the National Surveys of
2. Sexual Attitudes and Lifestyles (Natsal). The Lancet, 382(9907) ,
3. 1781–1794. https://doi.org/10.1016/S0140-6736(13)62035-8
4. Lindau, S. T., Schumm, L. P., Laumann, E. O., Levinson, W., O’Muircheartaigh,
C. A., &
5. Waite, L. J. (2007). A study of sexuality and health among older adults in the
United States. New England Journal of Medicine, 357, 762–774.
https://doi.org/10.1056/NEJMoa067423
6. DeLamater, J. (2012). Sexual expression in later life: A review and synthesis.
Journal of
7. Sex Research, 49, 125–141. https://doi.org/10.1080/00224499.2011.603168
8. Erens, B., Mitchell, K. R., Gibson, L., Datta, J., Lewis, R., Field, N., & Wellings, K.
9. (2019). Health status, sexual activity and satisfaction among older people in
10. Britain: A mixed methods study. PLoS ONE, 14(3) ,
11. e0213835. https://doi.org/10.1371/journal.pone.0213835
12. Gore-Gorszewska, G. (2020). “What do you mean by sex?” A qualitative analysis
of traditional versus evolved meanings of sexual activity among older women and
men. Journal of Sex Research. https://doi.org/10.1080/00224499.2020.1798333
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Demography, 47(S1), S87–S109. https://doi.org/10.1353/dem.2010.0009
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https://nursekey.com/roles-and-relationships/?fbclid=IwAR3JYqVZeKxwrHUJU7x
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VII. DOCUMENTATIONS
Family A’s home
Packs of cigarettes by the side of Father E which he sometimes uses in order to think
clearly or to bond with people whom he talks with.
This is the actual setup of Family A’s kitchen where they store and cook their food every
day. It is quite exposed to any vectors and pests where bacteria can spread from one
surface to another without you knowing it. If the bacteria get into food, they can cause
foodborne illnesses.
Father E’s bed setup. To his left is the window to the road where he can see and hear
neighbors nearby, making him prone to sleep disturbances. Aside from that problem, his
water containers can be seen near his bedside which is not clear. The reason could be
due to improper handling of his water because according to the mother, it is just pure
water with no mixture of medications.
A student getting Father E’s blood pressure. His blood pressure is high at 150/100
which, according to him, has always been like that, and refuses to get it checked.