CHAPTER 1

INTRODUCTION

A Family is a group of two or more persons related by birth, marriage, or adoption who live
together, all such related persons are considered as members of one family.

The Family is the smallest unit of the society and the natural fundamental core of the
community and consequently, it is considered as the primordial recipient of the nursing effort, which is
contributory to the development and progress of the community through active involvement and self-
responsibilities of each constituent. It is composed of persons male and female being molded to be as
one, working hand in hand to maintain a good atmosphere among the family members.

The impression or status of each family will always affect the status of the community,
community health nursing is a response to the health of the people. It does not focus on a particular
class or family. It is comprehensive and general in approach. The family is considered as the basic unit of
care in the community health nursing. It is in the family where a member develops his health values,
beliefs, and practices.

The family is a major influence in the health behaviors of an individual. It is important that
families in community are aware of the things and practices pertaining to their health.

It is apt to say that community health nursing has a big role in the nursing education. It is in the
community where the student nurse learns nursing apart from the hospital setting as she was expose to
different level of orientation.

It is in the community where the saying “Nursing is an Art” can be applied as a student nurse
tries to give quality service using the available resources in the health center.

Conducting a family case study is a means by which student nurse reaches and feels the
community through its basic structure- The Family. It is a tool in determining the health status of a
family through assessment and critical inspection. Through this health problems are identified thus
giving the student nurse a hint on where to act and how to interfere.

It is also a means towards improving the health of the community people, making them more
productive to come up which a family case study gives a sense of fulfillment to a student nurse as she
was given the opportunity to share their skills, knowledge, and time to alleviate and uplift the living
condition of a family.
 Chapter II

OBJECTIVES OF THE STUDY

This chapter presents the general and specific objectives of this family case study. Setting
objectives provides direction for planning a family nursing intervention. Its facilities motivation for the
client and the nurse by providing a sense of achievement. (Kozier, Erb et.al., 2004)

General Objectives:

At the end of the student nurse-family relationship, the adopted family will be able to improve
their health status through appreciate intervention in each time frame.

Specific Objectives:

After 1 month of home visit and student nurse-family interaction, the family should be able to:

• Plan possible solutions or nursing actions to the prioritized health problems.

• Carry out the planned intervention together with the student nurse.

• Perform the health teaching taught by the student nurse.

• Evaluate the effectiveness of the intervention using the set objectives as a basis, and

• Evaluate changes in condition after giving interventions.

 Chapter III

INITIAL DATABASE

A. Family Structure, Characteristics, and Dynamics

Name Age Sex Civil Position in Occupation Educational

the family attainment
Mr. L 33 Male Single Father Construction High school
(Third year)
Mrs. T 42 Female Single Mother Housewife College
graduate
Child LT 1 month Male Single Child N/A N/A

The family LT is considered as a Cohabitation type of family. A Cohabitation type is an arrangement

where people who are not married, usually couples, live together. They are often involved in a romantic
or sexually intimate relationship on a long-term or permanent basis. This type of family structure is
found in almost all societies, although the length of time in which the family remains in this form varies
even within the same society.

The LT family resident of purok 5, barangay Sinili, Santiago City. They have started living together
since July of 2021. They were a family whose resident in barangay Sinili.

Mr. L and Ms. T go hand and hand in terms of decision-making. They consult each other in terms of
planning budgeting for their family. They discuss matters about their child and with regards to the
emotional problems or aspect within the family. When problem arises, they make sure that both will
handle and solve the problem. But then, in terms of matter concerning health Ms. T is more dominant.
She has greater awareness concerning health matters compared to Mr. L since of course believing it is
her duty as the mother. This health matters include immunization, feeding the right food and caring for
the sick member.

B. Socio-Economic and Cultural Characteristics

The LT family's source of income is coming from Mr. L's construction work. Mr. L's salary is 400 per
day, since Mrs. Dy does not work, she is in charge of the house and by taking care of their baby. Ms. T
budgets the money in terms of food, clothes and other miscellaneous. Most of it goes to the family's
budget for food.

With Mr. L's monthly income, the head of the family strives hard to accommodate everything they
need from food, clothing’s, health care and other expenses in their everyday routine. Ms. T informed the
student nurse that they have any financial assets at hand in case of emergency.
 Mr. L works as a construction worker; he works Monday to Saturday. Ms. T doesn't work and stays
in their house. She is the typical housewife where in you can see her wash clothes, prepare foods, sweep
the yard, and make the house clean. Ms. T mentioned that they do not go to church anymore. significant
others are called such due to their own role in one's life. They are the ones very close to a person or
group of persons. For family LT, the significant others in their lives are their relatives and some
neighbors. Ms. T also confirmed how helpful and welcoming her neighbors are with them.

C. Home and Environment

The house is made of plywood, hollow blocks, and a little bit bamboo. It is 56 square
meters as Ms. T indicated. The house has 5 windows and can give a proper air as needed by the
family.

The house has 3 rooms living room, bedroom, and ventilation stockroom. In bedroom it
is where we can see Mr. and Ms. LT together with their baby. They use bed and foam for
comfort of sleeping.

The LT family has a lot of appliances such as radio, television, speaker, and mini
refrigerator. They used sack for their garbage disposal and sometimes they burn in their
compose pit.

Ms. T use burner and charcoal in cooking. When her husband is not in the house, she is
the one preparing for the food but when Ms. T gave birth her cousin is the one who is
responsible for cooking. Dirty kitchen is at the back portion of the house. They cook inside the
house. The food usually serve’s warm. They use glass plates and stainless spoons when eating.
When it comes to storing their food, they put on the table and cover it. In terms of cooking
facilities, the family is equipment with rice cooker, frying pan, kettle, and knives.

They wash their clothes using water coming from the deep well. They are buying water
from refilling station and use it for drinking.

They have comfort room inside their house.

The drainage system of the family is an open type where in the drainage flows
continuous. It is dirty and has a stinky smell. There is no obstruction present at the drainage
system since it is open and flows everywhere.

The family owns a transportation which is a single motorcycle.

The family has herbal plants such as oregano and lagundi in front in their house.

D. Health Assessment of each Family Member

 D1. PAST AND PRESENT ILLNESS
1. Health Assessment on each member
A. Mr. L- The student nurses have never met Mr. L since he was in construction site during
the interview, however Ms. T told us that her husband got vaccinated of sputnik.
According to Ms. T that Mr. L experienced chicken pox and tinea
versicolor(kamanaw)when he was 15yrs old. Ms. T said that her husband is about 60 kg
weight and has a 5 feet 5 inches tall. He is also 33 years old. His BMI reveals normal
weight with a value of 22.4. Ms. T told the student nurses that her husband has no
genetic or hereditary illness known. He’s not also a smoker and drinker.

B. Ms. T- She has no chronic infectious disease as of the present time. But her past illness
was she experienced having a chicken pox when she was 7 years old. She is 5 feet and 4
inches tall and weighs a 48 kg. Her BMI reveals normal weight with a value of 20.2. She
has no complaints as of the present time and has not taken medications. At times of
illness, she’s taking a paracetamol for fever and mefenamic acid for pain, in wounds
they used to crush plants coming from their backyard. Ms. T told the student nurses that
they are still using a family planning.

C. Child LT- He has no chronic or infectious diseases as of present time. He has not yet
completed immunization, but he already got different immunization vaccine such as
Diphtheria, tetanus and whooping cough (pertussis)(DTaP). The baby is 1 foot and 9
inches tall and weighs a 4kg.

FAMILY ASSESSMENT BASED ON FUNCTIONAL HEALTH PATTERN

1. Health Perception-health management patterns

Before
 With no known vices like smoking and
drinking except for Mr.L who drinks
occasionally.
 Was able to recognize the importance
healthy well-being.
 Uses herbal plants like oregano and
lagundi from their yard when they have
fever and cough.
2. Nutritional-metabolic pattern
During
 Now Mr.L still drinks occasionally
 Was able to recognize the importance
healthy well-being.
 Uses herbal plants like oregano and
lagundi from their yard when they have
fever and cough.

Before
 They take vitamins such as ascorbic acid.
 Daily food intake is mainly rice, fish, meat,
and vegetables.
 Should focus of breastfeeding.
During
 They take vitamins such as ascorbic acid.
 Daily food intake is mainly rice, fish, meat,
and vegetables.
 Should focus of breastfeeding.
 3. Elimination Pattern

Before During
 According to Ms. T, all the family members
have no difficulty in voiding.
 The family members defecate every day
and some, every other day with no
difficulty in defecating noted.
4. Activity-exercise pattern
Before Before
 The family doesn’t perform an actual The family doesn’t perform an actual exercise but
exercise but as for them they said that the as for them they said that the chore inside their
chore inside their house is considered an house is considered an exercise such as fetching
exercise such as fetching water, sweeping water, sweeping the floor and surroundings and
the floor and surroundings and washing washing clothes.
clothes.
5. Sleep-rest pattern
Before During
 LT family usually has 7-8 hours of  LT family
uninterrupted sleep according to Ms. T.
 They usually sleep at around 9 in the
evening and wake up around 4-5 in the
morning.
 They also take a nap at free time.
6. Cognitive-perceptual pattern
Before During
 Was oriented to time, place and able to  Was oriented to time, place and able to
identify people and significant others by identify people and significant others by
their names. their names.
 Memory intact.  Memory intact.
 No sensory defects.  No sensory defects.

7. Self-perception/Self-concept
Before During
 Showed apprehension and worry towards  Showed apprehension and worry towards
a specific consequence. a specific consequence.
 Perceived situations (health deficits) to be  Perceived situations (health deficits) to be
very stressful but remain passive about very stressful but remain passive about
things and condition. things and condition.

8. Roles and Relationship

Before During
 Family members have an open  Family members have an open
communication and able to discuss their communication and able to discuss their
problems according to Ms. T. problems according to Ms. T.

9. Sexual Reproductive
Before During
 Both parents are still in the reproductive  Both parents are still in the reproductive
age. age.
 The parents still live-in together.  The parents still live-in together.
10. Coping Stress
Before During
 Gains strength provided by family  Gains strength provided by family
members like moral support, love and members like moral support, love and
understanding. understanding.
11. Values/Beliefs Pattern
Before During
 The family is catholic. Expressed great  The family is catholic. Expressed great
belief and faith in God is certain that the belief and faith in God is certain that the
divine providence would protect them divine providence would protect them
from any unidentified and possibilities of from any unidentified and possibilities of
harm. harm.
 Does not go to church every weekend  Does not go to church every weekend
since they are situated far away from the since they are situated far away from the
place of worship they attend. place of worship they attend.

E. Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention.

The Mother and Father has no adequate rest and sleep, it depends on the baby if it’ll cry or need to
breast feed at night, but they usually get up around 4-5 am because the father need to get up early for
work. At all times the father is doing the household chores before and after work.

In terms of Health problem, the mother and father they often use alternative medicines or self-
medication such as herbals like lagundi for treating their illness and sometimes they consult in
community health service for check-ups. For their baby they use to go to hospital for follow up check-
ups or health care.

When they have free time, they usually go to their parents’ house to visit, because the grandparents
of the baby wanted to see him or sometimes the grandparents come to visit.
 Chapter IV

FAMILY BACKGROUND

This chapter illustrates the family background of the study which includes, Family Tree,
Database of the Respondent, Activities of Daily Living, General Household Data which could be
an indicative for the present health status of the family as it continues to influence the each of the
family.

A. Family History

The Family LT is composed of 3 members only, Mr. L is the father and Ms. T is the mother they have
only 1 child and named LT. Mr. L the head of the family is 33 years of age, Ms. T his wife is 42 years of
age, and their only child LT is a 1-month-old baby.
Mr. L was born and grew up in Quirino Province, his father and mother were both a farmer. He has 4
siblings, and he is the 1st born. He was able to go to school up to 3rd year high school only, and after that
he did not continue his study to help his parents to look for money to support the needs of their family.
Ms. T was born in Diffun, Quirino and transfer and grew up in Barangay Sinili, Santiago City since she
was in grade 1. Her mother and father were also both a farmer. She has 5 siblings, and she is also the 1st
born, Ms. T is a college graduate with a 2-year course which is the Computer Secretarial. After schooling
she finds work and able to help her parents specially in financial needs.
Mr. L and Ms. T met in the house of their friend through their friends of friends. They become a couple
after 6 months, after few months they decided to live in and build a family, since that they are now living
in Sinili, Santiago city.
Database of the Respondent

The respondent upon the interview is the mother in the family.

NAME : Ms.T
Age : 42 years old
Gender : Female
Address : Purok 4, Sinili, Santiago City
Birth Place :
Religion : Roman Catholic
Occupation : Housewife
Civil Status : Single
Nationality : Filipino
No. Of Children : 1
Educational Attainment : College Graduate
Estimated Monthly Income: None
Name of Husband : Mr. L

B. Family Tree

MR. L Ms. T

Baby
LT
C. General Household Data
1. Total No. of Children
2. List of Household Members

Members Status Occupation Sex Educational Religion Position in

Attainment the Family

Mr. L S Construction Male High School Roman Father

Worker Catholic
Ms. T S Housewife Female College Roman Mother
Catholic
Child LT S NONE Male NONE N/A Child

CHAPTER V
FAMILY COPING INDEX

CRITERIA IDEAL ACTUAL JUSTIFICATION

PHYSICAL Concerned with The family are all 4 They are no abnormalities in the
INDEPENDENCE the mother and able to move physical independence of the
father ability to without assistance family members. But the mother
move about to get and difficulty. is had surgical incision due to
out of bed ,work in They are childbirth so that she cannot
the house ,get independent in move fast after surgery.
water, wash moving about and But in few days she can move her
clothes using their body
musculoskeletal
system.
THERAPEAUTIC Includes the Parents make sure 3 The parent is aware of their
COMPETENCE extent to which son is healthy and therapeutic competence.
 there has the safe Parent child relationship is to
knowledge and improve.
skill required to The family buys medicine without
deliver a prescription such as paracetamol
treatment to the and mefenamic acid.
standard needed
for it to achieve its
expected effects
KNOWLEDGE Health is refers of The family can 4 They have concern with the
OF HEALTH state complete determine if there health condition particularly
CONDITION emotional and is presence of illness.
physical well being disease and its
To know that effect on their
education health as a family
attainment is an Has some general
inadequate health knowledge of
skill. disease or
Concerned with conditions.
the health
condition that is
the occasion for
care such as
knowledge of the
disease or inability
to understand
communicability.
APPLICATION OF This is concerned The parents sleeps 4 They are very aware about
PRINCIPLES OF with the family well and eats hygiene and cleanliness.
GENERAL HYGIENE action in relation nutritious food The family has an adequate rest
to maintaining everyday and sleep. They able make meals
family nutrition especially the three times a day and sometimes
securing adequate mother because they had snacks
rest and relaxation she is
for family breastfeeding his
members carrying baby.
out accepted They always
preventive sterilize the things
measures such as that will need of
immunizations, the baby.
and medical. Safe They have box to
home making put the things that
habits in relation will need of the
to storing and baby because they
preparing foods. are very concern.
HEALTH Concerned the The parents are 3 Parents is very protective to their
ATTITUDES patient in nutrition concerned about son from any harm .
into daily the health of the They also make sure the baby is
 family. They securely safe and healthy.
maintain healthy
lifestyle. Good
nutrition
especially to the
baby
EMOTIONAL The parents use The family are 3 The parents is responsible for
COMPETENCE assertive style of competent being a good parents to their son
communication. enough.
They are matured they show to how
in thinking to be a good
They are positive parent to their
always in their life. only son
FAMILY The family is living There has quality 2 It is important to note that any
LIVING in their own time, they are very family structure, children can
house, and they thankful to God have different relationship with
are support love, for giving their their family members. It has her
and caring for son. own part or role in the family
each other strong They maintain a which is well respected.
family. They good
manage how to communication as
budget for every partners
day.
PHYSICAL Concerned with The family space is 1 The house is free from pest
ENVIRONMENT the home the enough for the insecticides falling. they don’t
community and family. have any trash cans for their
work environment But there is a garbage that’s why they just
as its affect family presence of burned it. They have deep well
health. mosquito. because but the water is not clean they
The condition of Their house is near also have stagnant water at side
the house is in the pond. of their house.
simple but such us
pressure of
accident hazards
like in there floor,
the kitchen, there
roof
USE OF It has to do with The family visit 3 The school and barangay health
COMMUNITY the Degrees of the their health centers near there house and are
FACILITIES community use centers for follow accessible. The family knows
and awareness of up checkup of when, to whom and where to call
the community each member or approach for help for
facilities for community facilities especially in
education and terms of health
welfare.

Chapter VI
 Typology of nursing problems

Cues or Data Family Nursing Problems

Objective data: I. Breast feeding as a presence of
The mother milk is not enough for the baby. wellness condition.

Subjective data: 1. Inability to provide adequate nursing

The mother verbalized “kokonti lang yung gatas care to the sick, disabled, dependent
na lumalabas sa akin”. or vulnerable/ at risk member of the
family due to:

a. Lack of/inadequate knowledge about

the disease/ health condition (nature,
severity, complication, prognosis and
management)
b. Lack of/inadequate knowledge about
child development and care

Objective data: II. Poor home/ environmental

At any time, the galvanize can harm the members condition specially Accident hazard
of the family. such as galvanize as a health threat.

Subjective data: 1. Inability to provide a home

“mag iingat kayo dyan, baka masugat kayo. May environment conducive to health
naka usli kasi minsan”. the mother verbalized maintenance and personal
when the student nurses washing the dishes development due to:

a. Lack of the necessary facilities,

equipment and supplies of care.
b. Financial constraints/limited
financial resources

2. Inability to provide a home

environment conducive to health
maintenance and personal
development due to:

a. Inadequate family resources

specifically:
- Financial constraints/limited
financial resources

3. Failure to see benefits of investments

in home environment improvement.
Objective data: III. Poor home/ environmental
Presence of mosquito/ dengue/ malaria condition specially waters storage
that can cause of mosquito breeding
Subjective data: as health threat.
A lot of mosquito as evidenced by the student
nurses 1. Inability to make decisions with
respect to taking appropriate health
action due to:

a. Failure to comprehend the

nature/ magnitude of problem/
condition

2. Inability to provide a home

environment conducive to health
maintenance and personal
development due to:

a. Lack of/inadequate knowledge of

preventive measures
b. Lack of skill in carrying out
measures to improve home
environment
Objective data: IV. Poor home/environmental
The drainage might give them disease by its bad sanitation specifically drainage
smell clogging as a health threat.

Subjective data: 1. Inability to provide a home

The drainage clogged and stink as observed by environment conducive to health
the student nurses. maintenance and personal
development due to:

a. Lack of/ inadequate knowledge

importance of hygiene and
sanitation

Objective data: V. Poor home condition specifically

No stock/ reserve foods lacks of food storage facilities as
health threat.

Subjective data: 1. Inability to make decisions with

As evidenced by the nurses student, there is no respect to taking appropriate health
food storage action due to:

a. Low salience of the

 problem/condition

2. Inability to provide a home

environment conducive to health
maintenance and personal
development due to:

a. Inadequate family resources

specifically:
- Financial constraints/limited
financial resources

Objective data: VI. Parenthood as a stress

The Mother and Father enters the stage of points/foreseeable crisis situation.
Parenthood.
1. Inability to provide adequate nursing
care to the sick, disabled, dependent
Subjective data: or vulnerable/ at risk member of the
“unang baby namin ito” as verbalized by the family due to:
mother.
a. Lack of/inadequate knowledge
about child development and
care
b. Inadequate family resources of
care specifically:
- Absence of responsible
member

Chapter VII PRIORITIZING PROBLEMS

This chapter shows the setting of priorities of family health problems that has been identified. It includes
a computation on how priorities were shown with their corresponding justification.

I. Breast feeding as a presence of wellness condition.

CRITERIA COMPUTATION SCORE JUSTIFICATION

1. Nature of the 3/3x1 1 The Problem is Health
problem Deficit
2. Modifiability of 2/2x2 2 The Problem can be
the problem modified. It can be
solve by Powder Milk
Formula
3. Preventive 2/3x1 0.67
 potential
4. Salience 1/2x1 0.5
Total score: 4.17

II. Accident Hazards Specifically Galvanized wall of kitchen, as a health threat.

CRITERIA COMPUTATION SCORE JUSTIFICATION
1. Nature of the 2/3x1 0.67
problem
2. Modifiability of 2/2x2 2
the problem
3. Preventive 1/3x1 0.34
potential
4. Salience 0/2x1 0
Total score: 3.01

III. Poor home/ environmental condition specially waters storage that can cause of mosquito
breeding as health threat.

CRITERIA COMPUTATION SCORE JUSTIFICATION

1. Nature of the 3/3x1 1
problem
2. Modifiability of 1/2x2 1
the problem
3. Preventive 1/3x1 0.34
potential
4. Salience 1/2x1 0.5
Total score: 2.84

IV. Poor environmental sanitation specifically drainage clogging as a health threat.

CRITERIA COMPUTATION SCORE JUSTIFICATION
1. Nature of the 2/3x1 0.67
problem
2. Modifiability of 2/2x2 2
the problem
3. Preventive 2/3x1 0.67
potential
4. Salience 1/2x1 0.5
Total score: 3.84
 V. Poor home condition specifically lacks of food storage facilities as health threat.

CRITERIA COMPUTATION SCORE JUSTIFICATION

5. Nature of the 2/3x1 0.67
problem
6. Modifiability of 2/2x2 2
the problem
7. Preventive 2/3x1 0.67
potential
8. Salience 1/2x1 0.5
Total score: 3.84

VI. Parenthood as a stress points/foreseeable crisis situation.

CRITERIA COMPUTATION SCORE JUSTIFICATION

9. Nature of the 2/3x1 0.67
problem
10. Modifiability of 1/2x2 2
the problem
11. Preventive 1/3x1 0.34
potential
12. Salience 1/2x1 0.5
Total score: 3.51

CHAPTER VIII

Nursing Care Plan

This chapter show the identified and prioritized problems in a ranking order. This chapter also presents
the family care plan formulated by the student nurse together with the family.
 PROBLEM LIST

PROBLEM LIST SCORE

Breast feeding as a presence of wellness 4.17
condition.
Poor environmental sanitation specifically 3.84
drainage clogging as a health threat.

Poor home condition specifically lacks of food 3.84

storage facilities as health threat.

Parenthood as a stress points/foreseeable crisis 3.51

situation.

Accident Hazards specifically galvanized wall of 3.01

kitchen, as a health threat.

Poor home/ environmental condition specially 2.84

waters storage that can cause of mosquito
breeding as health threat.

FNCP
SUMMARY, EVALUATION, AND RECOMMENDATION
Community service is one of the best ways to benefit the public especially the chosen adoptive family in
a community. It does not only have positive effect on society, but it will bring benefits to the life and
personal development.

Community service is important because it helps connect to the community, giving back and assisting
other is the basis of the community service or volunteering. Thus, it teaches us how significant it is to
help the ones in need, one who are less fortunate than us. The importance of community service is the
fact that it connects us to the community by improving it and making it a better place for all of us to live
in. It raises social awareness and broadens our horizons by helping us understand the needs of the
society and the population we are trying to help through the project or service we are doing. Because
hearing and reading about issues is not quite the same as getting personally involved. It brings us closer
to the families and individuals in need and gives us experiences and understanding of the conditions
they are in.

Presented in this case study is the different characteristics and health condition of the adopted family
LT. This study presents the family structure, socio-economic, and cultural factors, home and
environmental factors, and health assessment of each members. It also contains data about identified
problems or the living condition of the family.

SUMMARY AND EVALUATION

The family is considered a cohabitation type of family. A cohabitation family is usually living together
outside marriage or having sexual relationship without being married. It is composed of a father, mother
and a children. The LT family resides in Purok 4 Barangay Sinili Santiago City. They started living to the
said place since 2019.

This house is made up of concrete cement but is not well furnished and the kitchen has a galvanized
wall. The house is enough to accommodate only for the family. The house has two small rooms, kitchen
and a bathroom inside, a small living room, a total of 5 windows that can sustain the adequate
ventilation needed by the family.

The family main source of income is coming from Mr. L’s job. He works as a laborer in a construction
firm and earns about 8000pesos a month. While Ms. T is in charge of the house, and takes care of their
only child. With Mr. L’s monthly income, the family strives to accommodate everything they need for
them to live and survive. With the amount earned each month by Mr. L, according to them, it is just
enough for their need but is still considered being to a poor family.

Ms. T also informed student nurses that they do not have any financial assets at hand in case of
emergency . She said that they typically borrow money from their relatives.

They are affiliates to Catholic church and according to Ms. T, they seldom go to church for the reason
that they just pray inside their house believing that going to church and not is just the same thing.

The family main source of water is the deep well installed outside their house about 5 meters away but
is not suitable for drinking because the water quality is not safe as it pumps an amount of sediments
and sometimes sands.
The family get their clean water at their neighbors water well pump for their cooking purposes and
usage and putting it to a container. They said they don’t sterilized their drinking water because they buy
it from the nearest water refilling station.

The drainage system of the family is an open type where in the water flows and is continuous. The
family LT is identified to have a little of environmental problems in which it is evident that they consider
to have a practice of poor environmental sanitation. With this kind of situation and condition of the
family, there are problems that are identified such as health threats like fire hazards, poor home and
environmental sanitation, and improper drainage system as well.

A nursing care plan is formulated to address the different problems identified.

Nevertheless, the family still has the chance to improve their condition especially environmental health
condition. They still have the ability to meet the desired characteristics in their structure and maximize
their health potential of optimum wellness. The family is cooperative and participates to the different
issues and interventions they are confronted. Hence, they are willing to submit themselves for the
impartation of important information and basic knowledge regarding family health.

The objectives of identifying problems in the family were fully met and partially achieved due to security
reasons on the part of the student nurses. Together with the family, the student nurse has helped the
family through motivation and support to change their lifestyle and improve their health status as well.

Some of the environmental sanitation problems are identified although the allotted time for our group
as students nurses was not enough to attend to all those problems, the family is now equipped with fair
knowledge which they could use anytime as the need arises.

The student nurses also provided the things that are very important for the family need at home as a
solution for the problems that are seen and lacking inside the house.

RECOMMENDATIONS

The student nurses have identified and prioritized problems with the family. Student nurse also created
a care plan on how to deliver the best nursing care for the family to address their needs.

The following below are propositions and commendations recognized by both the student nurse and the
adopted family.

1) The family should maintain a healthy and clean environment. They must regularly clean their
surroundings to avoid the presence of vectors of diseases.
2) The family should also maintain proper hygiene such as taking a bath regularly, trimming their
nails, frequent changing of clean clothes and refrain from walking barefooted, brushing teeth
and proper and regular handwashing.
3) They must also organize their cooking practices in terms of food preparation and handling as
well as keeping their kitchen utensils in a covered storage to avoid getting it contaminated by
insects or pests. They should also cover their food storage all the time.
4) If in case of getting sick, the family is also advised and reminded to not wait for the ailment to
become severe or worst before seeking medical help.
 5) The family must also be educated and follow the proper preparation of herbal medicines as it
was presented during the interview of Ms. T.
6) The family should persevere to perform proper way of segregation and disposal of their garbage
as it was presented during community service.
7) The family should be aware that organizations in the community are open and present for their
problems to be address properly. They are encouraged to verbalize their concerns with regard
to the community so that resolutions can be made.
8) The family is also advised to attend community meetings and seminars so that they are fully
informed of their surroundings and events that are important to the community for their own
good, to become a good example of citizen.

The family should also join and participate in any community activities in order to enhance their
capabilities as a citizen.