CASE PRESENTATION:

FAMILY NURSING CARE PLAN

In partial fulfillment of the requirements

Community Health Nursing-Related Learning Experience

Submitted by:
Frias, Ian
Florindo, Louisiana
Francisco, Shannen Veigh
Gumila, Franz Louise
Geronimo, Jephte Vaughn
Gumapac. Maria Jessa
Gutierrez, Kathleen
Galila, Cyvren
Halud, Milcah
Hernandez, Patricia Denice
Hortizuela, Melmar
Isidro, Luis Gabriel

Submitted to:
Prof. Ann Tan, RN, MAN
TABLE OF CONTENTS:

 OVERVIEW OF THE FAMILY

 INITIAL DATA BASE
 SCALING/SCORING OF IDENTIFIED PROBLEMS
 FAMILY NURSING CARE PLAN
 DOCUMENTATION

I. OVERVIEW OF THE FAMILY

Family Serrano lives in Makinabang , Baliuag, Bulacan. The head of the family is Mr.Serrano a
truck driver and responsible for the health and welfare of the family, his wife Mrs.Serrano is a
house wife and sometimes do extra jobs to help for the financial support of the family. They are
blessed of five children with an initial of G. Serrano as the eldest, M.D Serrano, Y. Serrano, M.
Serrano, and the youngest among the siblings is K. Serrano who are our main subject, kendra is a
Female and currently 4 yrs old she became prone to sickness at the age of 3 and tends to always
have a repeating sickness such as fever, cough and cold. Both Mr & Mrs Serrano are not always
at home and unable to take care of their children, since most of the time Mrs. Serrano isn’t always
at home the eldest daughter is the one who looks out for her siblings. But she wasn’t able to look
out for her siblings at all times because she is responsible or in-charge also of doing household
chores and also she have modules to answer since she is still in the elementary level. While Mr.
Serrano , works as a truck driver and wasn’t able to go home because his route is around Region
3 and NCR, since the salary of the truck driver is in minimum wage, he wasn’t able to provide the
needs of the family also because their utmost priority is to pay their debts and other expenses.
Because of this situation the children faces problem concerning their health and since the parents
are always busy and have hectic schedule the children unable to visit the nearest health center.
II. INITIAL DATA BASE

NAME RELATIONSHIP AGE EDUCATIONAL

ATTAINTMENT
D. Serrano Father 38 yrs old High School
R.A Cervantes Mother 33 yrs old High School
G. Serrano 1st child 12 yrs old N/A
M.D. Serrano 2nd child 10 yrs old N/A
Y.Serrano 3rd child 9 yrs old N/A
M.Serrano 4th child 8 yrs old N/A
K.Serrano 5th child 4 yrs old N/A
III. SCALING/SCORING OF IDENTIFIED PROBLEM

    Problem #1: Recurrent cough, common cold, and fever as health deficit

CRITERIA COMPUTATIO ACTUAL JUSTIFICATION

N SCORING
NATURE OF THE 3/3 X 1 1 Flu-like symptoms may occur with other symptoms
PROBLEMS depending on the underlying disease, disorder or condition.
 HEALTH DEFICIT Usually indicate an infection or inflammation in the body,
which can cause other infection. ( Wiliiam C. Lloyd III, 2020)

MODIFIABILITY 2/2 X 2 2 This can be easily modifiable if proper health teaching is

 EASILY given to the client and encouraging them to have a regular
MODIFIABLE checkup in the nearest barangay health center.

PREVENTIVE POTENTIAL 3/3 X 1 1 This is highly preventable if they are knowledgeable enough
 HIGH in proper management of their environment and provide
healthier food to improve nutrition.

SALIENCE 3/3 X 1 1 “Di ko kasi sila masyadong nakakasama sa bahay dahil lagi
 A SERIOUS akong umaalis at yung papa nya naman nag tatrabaho palagi
PROBLEM, kaya ang nagaalaga sa kanila yung panganay ko na anak at
IMMEDIATE minsan sa isang buwan lagi siya nagkakaroon ng ubo’t sipon
ACTION NEEDED at nakaka ilang lagnat din siya sa isang buwan.” as verbalized
by the mother of the client, we can see that It is not
perceived as a problem to them due to lack of care and
attention to the client.
TOTAL SCORE: 5

Problem #2:   Cannot support enough funds for necessities

CRITERIA COMPUTATIO ACTUAL JUSTIFICATION

N SCORING

NATURE OF THE PROBLEMS 1/3x1 0.33 The problem is considered as foreseeable crisis
because the head of the family cannot provide the
 Foreseeable Crisis necessities for his family due to low wage salary.
 MODIFIABILITY 0/2 X 2 0 This is not modifiable because it depends on the type
of work the person has and changing a job this days is
 NOT not easy.
MODIFIABLE

PREVENTIVE POTENTIAL 3/3 X 1 1 The preventive potential is low due to their other debts
and low wage salary.
 LOW

SALIENCE 2/2 X 1 1 “kulang na kulang kami sa pera dahil minsan yung

perang sinisweldo ng asawa ko napupunta minsan sa
 A PROBLEM BUT NOT pagbabayad ng utang at ilan kaming pinapakain yan
NEDING IMMEDIATE anim kami hindi naming napagkakasya lahat yun
ATTENTION samin” as verbalized by the mother of the client we can
see that It is not perceived as a
problem because they understand that her husband
had not enough salary to provide them such things.

TOTAL SCORE: 2.33

    Problem #3:  Risk for electrolyte imbalance as health threat

CRITERIA COMPUTATIO ACTUAL JUSTIFICATION

N SCORING

NATURE OF THE PROBLEMS 2/3 X 1 0.66

This consider as a health threat and require early
 HEALTH THREAT intervention to prevent further complications such
as coma, seizures, and cardiac arrest.

MODIFIABILITY 2/2 X 2 2 This is easily modifiable if

proper health teaching is
 EASILY MODIFIABLE given to the client about the promotion of proper
hydration like ensuring to drink 8 glasses of water a
day and provide healthy and inexpensive fresh fruits
and juices.

PREVENTIVE POTENTIAL 3/3 X 1 1 This is highly preventable

If they can provide healthy home cook food that is
 HIGH full of nutrients and provide proper conducive
environment for their playing and exercises.

SALIENCE 2/2X 1 1 The family often eat instant noodle and that is the
food they afford to feed their family because they do
 A PROBLEM BUT NOT not have enough funds to sustain their needs and
NEDING IMMEDIATE wants.
ATTENTION

TOTAL SCORE: 4.66

IV. FAMILY NURSING CARE PLAN

             FAMILY NURSING CARE PLAN

Health Family Goals of Objectives Nursing Nurse- Resources Evaluation
Problem nursing care intervention Family
problem contact
Recurrent Inability to After 2 After the A. Establish 1. Initial 1. Materials After 2
cough   provide weeks of nursing rapport Interview a. Ballpen weeks of
common cold, adequate nursing intervention via Face to nursing
and  fever as nursing care interventio , the family B. Provide Face intervention
health deficit to the n and will be able Health (November b. Initial and health
problem due health to: teaching: 07, 2021) Database teaching,
Cues: to: teaching, assessment
“Di ko kasi sila the family -  Under- A. The
masyadong A. will be stand the 1. Discuss the 2. Second family was
nakakasama Inadequate able to importance risk factors of Interview c. Cellphone able to
sa bahay dahil understandi acquire of proper complications (November verbalize the
lagi akong ng of the necessary nutrition from acute to 14, 2021) 2. understandi
umaalis at extent of knowledge chronic illness. Manpower ng of the
yung papa nya nursing care and -The family A. BSN 2- importance
naman nag needed. improve will be able 2. Discuss the 3. Third YA-11 of giving
tatrabaho the health to make importance of Interview Group 2 proper
palagi kaya B. of each wise health having (November nutrition
ang nagaalaga Inadequate member decisions to knowledge on 21, 2021) B. Clinical
sa kanila yung financial of the improve the the nature of Instructor: B. The family
panganay ko support to family. health of the problem. Ma’am Ann was able to
na anak.” as provide the family.   2.1 Suggest Tan take care
verbalized by basic health simple home and
the mother of necessities -  To care remedies C. Family A prioritize the
the patient and prevent incase the health issue
developmen other occurrence of of a certain
t. sickness the problem: family
“Nagiging and serious  Rest member,
sakitin siya, C. Lack of complicatio  Drink and they
lagi siya availability ns of the Plenty were able to
nagkakaroon of member of of fluid make wise
ng ubo’t sipon information the family.  Try to decisions
at nakaka on the breath when it
ilang lagnat regulation of -Apply moist comes to
din siya sa health therapeutic air their health
isang buwan.” precautions (suob) options.
as verbalized or measures  Consu
by the mother to manage me C. The family
of the patient D. Inability sufficiently warm will be able
to make the health fluids to consult
Objective appropriate condition of (soup) for a
Data: health the family medical
36.6 C choices due member. check-up in
2.2 Explain the the nearest
to a lack of
understandi effects of health
- After 15
having  proper center.
ng of the minutes
nature of hygiene.
of health
the teaching D. Goal met
problem. the 3. Discuss with as stated
family will the family on above.
have proper
adequate selecting of
knowledge healthy foods
about that rich in
good nutrient that
proper can help
nutrition strengthen the
that immune
can prevent system of the
the children.
occurrence
of sickness 4. Encourage
and relative them to go and
complicatio visit the
ns nearest
barangay
health center
-After 15 that can
mins of provide for
health proper
teaching checkups, oral
the family supplements
will be able like vitamins,
to and proper
understand vaccines.
simple
remedies
that can be
managed at
home.

-After 15
mins the
family will
be able to
develop a
positive
attitude
towards
health
issues.
V. DOCUMENTATION

The interview was made through personal at the house of the family, before the start of the
interview we ensure that we observe safety protocols such as hand washing, proper distancing
and wearing of facemask. We make sure that we established rapport to the mother and the child
so that it will be comfortable to them to communicate with us throughout the interview and to get
the necessary information for our initial data base. Furthermore, we explained briefly the
procedure and ensured to the mother that all the information that she will be sharing to us will be
for educational purposes only and securing confidentially of information between us interviewers
and our clinical instructors for the safety of their family.