COLLEGE OF NURSING

Santiago City, Philippines, 3311

The Family Nursing Care Development

Of

Chongawen Family

In Partial Fulfillment in
the requirement of

NC 113
Community Health Nursing RLE

Karl B. Chongawen
BSN 2A
st
1 semester, 2020-2021

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 TABLE OF CONTENTS

Title page…………………………………………………………………………..……1
Table of Contents………………………………………………………………………2
I. Overview……………………………………………………………………….....…..3
II. Objectives……………………………………………………...……….……..…...…3
General Objectives………………………………………..…….………..….....3
Specific Objectives………………………………………..…….……..…….....3
III. Introduction……………………………………………………..……..……….…....4
IV. Family Profile.……………………………………………….……….….….….…....5
A. Family Structure, Characteristics and Dynamics…………...…..…..……5
B. Socio Economic and Cultural Characteristics………..……………….…6

C. Home and Environment………………………………..…………….…….7

D. Health Status………………………………………………….……………11
E. Values, Habits, Practices on Health Promotion, Maintenance, and
Disease Prevention………………………………………………...……..…………..15
V. Typology of Nursing Problems in Family Nursing Practices…….……….……18

VI. Gordon's Functional Health Patterns and Assessment……………….….……22

VII. Scale Ranking Health Conditions and Problems According to

Priorities………………………………………………………………………………...23

VIII. Family Nursing Care Plan……………………………………………………….30

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I. Overview

As health advocates in the society, we are obliged to maintain or restore the

optimum health of the people within the community and that aim we the BSN
student of Northeastern College actively participating, we adhere to the problems
of the Chongawen Family, which is the basic unit of the society and the most
important component of our country.
II. Objectives
 After nursing intervention, the family will focus to a serious problem needing
immediate action and attention.
 After nursing intervention, the possibility of illness or disease will be
minimized or prevented.
 After nursing intervention, the family will be able to utilize community
resources for health care,
Cognitive
 The student will be able to identify problems/warning signs of possible
illness or disease that may occur from a family member at least 2 or 3.
 The Student will explain the important of awareness in every illness/disease
to ensure that adequate healthy living that are provided to those who needs
without an error.
Affective
 The student will be able to show concern by volunteering teaching regarding
about preventing to any presence of illness or disease without any
casualties.
 The student will document any specific or possible presence of illness or
disease within an hour.
Psychomotor
 The family will consult the health center on every health center regularly for
checkups twice a week.
 The student will encourage the family for check-ups and provide referral
with a medical practitioner to lessen illness/disease.

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III. THE CHONGAWEN FAMILY

There are seven total members inside the household namely Daniel
Chongawen (64 yrs. Old, M) the head of the family, Purificacion Chongawen (62
yrs. Old, F) his wife, their children; Allan Chongawen (40 yrs. Old, M) the first one,
Sherile Chongawen (36 yrs. Old, F) the second, Morwenna Chongawen (34 yrs.
Old, M) the third, Daniel Chongawen Jr. (22 yrs. Old, M) the fourth and lastly Karl
Chongawen (20 yrs. Old, M). Karl Chongawen and Daniel Chongawen are left
behind inside the household while Allan Chongawen currently in Manila and
Sherile and Morwenna are in abroad. They are pure Igorot, part of the indigenous
culture group, only the parents speak in their native language while their children
can only speak tagalog The Chongawen family are located at #54 Yakal Alley st.
Metroville Rosario purok 6 Santiago City, Isabela. Their location is easily
accessible, it’s not necessary to ride a motor or tricycle in order to locate the place;
instead, we took a walk in order for us to reach the mentioned place.

Daniel Chongawen is a retired Seaman at Pacc Shipping PHlL., INC. and

he’s receiving money (total of 9 thousand pesos) through pension every month,
while Purificacion Chongawen a housewife who focuses the initial responsibilities
for their children. Karl Chongawen is a college student at Northeastern College
and Daniel Chongawen is a fresh graduate at Isabela College of Arts and
Technology, Allan Chongawen currently in Manila, Sherile Chongawen and
Morwenna Chongawen are working overseas to give full support for the family.

The family were living in Santiago City, Isabela for 19 years, the five
children have no extraordinary health problem but both Daniel and Purificacion
Chongawen often visits Flores Memorial Medical Center for medical checkups.
“minsan inaatake kami ng highblood (hypertension) at arthritis namin” as
verbalized by the both of them. They are Senior Citizen that avail of PhilHealth
benefits addition to the 20% discount and the No Balance Billing Policy applies in
public hospitals, meaning senior citizen patients no longer pay for
their hospital bill.

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IV. FAMILY PROFILE
Family Structure, Characteristics and Dynamics
The Chongawen Family is part of nuclear family that lives with their
children at the same roof.

Name Position Gender Age Civil Education Occupation Monthly

in the status income
family
Daniel Husband M 64 Married College Seaman Retired
Chongawen Graduate (retired)
Purificacion Wife F 62 Married College Housewife N/A
Chongawen Graduate
Allan Son M 40 Married College Seaman -
Chongawen Graduate
Sherile Daughter F 36 Single College Nurse -
Chongawen Graduate SAR
Morwenna Daughter F 34 Married College Nurse -
Chongawen Graduate SAR
Daniel Son M 22 Single College Recent N/A
Chongawen Graduate Graduate
Jr.
Karl Son M 20 Single High N/A N/A
Chongawen School
Graduate

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A.1 Dominant family members in terms of decision making

Daniel Chongawen holds the authority and he’s the head of the family. He
always calm himself when deciding things for him to think straight and make a
better decision for his family. Purificacion Chongawen said that she holds the
money for her family and daily expenses and she also the one who provides every
needs for the family.

A.2 How long does the family live in the community?

The Chongawen Family has been living in Metroville Rosario, Santiago City
Isabela for about 19 years until now. They were forced to move in Santiago City
because of their children’s education.

B. Socio Economic and Cultural Characteristics.

For the family income and expenses, both Daniel Chongawen and
Purificacion Chongawen are both staying inside the house, while Sherile
Chongawen and Morwenna are in Saudi working as an overseas and Allan
Chongawen currently in Manila earning enough money for daily expenses to
support the family, Karl Chongawen and Daniel Chongawen that are left behind
inside the house are selling dota 2 and CSGO items (It is an online gaming that
can sell or trade items and it can be converted into money) that can cost enough
money for merely on food, electricity bill and water bill.

In terms of their educational attainment, the whole family are college

graduates except Karl Chongawen that is still a college student, a High School
graduate. They are pure blooded Igorot, indigenous people culture. A Roman
Catholic Religion / Christianity

The family’s relationship to their neighbors are quite good. They were very
friendly and nice when it comes to their visitors, they show respect and politeness
to their neighbors.

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C. Home and Environment

C.1 Dwelling/ Housing

The family had 3 houses in total but currently living here in Santiago City.
The house their living in is good for 4 people, the size of their house are in total of
131 SQ.M. They have 3 bedrooms 1 living room 1 dining room and 1 toilet, for
them it is enough to live and had enough adequate space to live in. They also have
6 furniture inside the house and 3 furniture outside.

They have 3 chickens, 3 dogs, 1 cat and 2 birds inside their house,
sometimes they have roach inside but the cat seems like to eat them.

They have their own small garbage bin inside their own rooms even the
comfort room and the garbage outside which is waste separated according to their
sequence that is why there is some of vectors presence around the area.

They are using insecticide twice a week to ensure that none of any vectors
present inside their house.

They have 1 refrigerator to store some of their ingredients and meats and
for the cooking facility, they only have 1 cooking stove.

The transportation they’re using are tricycle, bike and motor which they can
use whenever they have to go to places.

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C.2 Sleeping Space

They have three rooms good for 1-2 people to sleep inside.

C.3 Furniture

They have wooden chairs, table, radio, cabinet and also television, electric
fans, and speaker

C.

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4 Ownership

The family have their own house and its own property title, means they have
the rights to own the property and to sell it in the future.

C.5 Food Storage

They have one cooking stove and enough kitchen equipment and tools for
every cooking session.

C.6 Water Supply

The family are paying water bills for the continuous flow of water.

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C.7 Toilet Facilities

They have their own comfort room for them to take a bath, to excrete or
defecate.

C.8 Garbage Disposal

They have proper waste disposal for each garbage bin and have cover to
prevent presence of any vectors or smelly odor.

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D. Health Status
Puricacion Chongawen said that they have a history of high blood
(hypertension) which is she hardly sleep at night because she feels uncomfortable
and sometimes her BP goes up and that makes it more difficult for her, while Daniel
Chongawen has no any history of illness or disease but has arthritis.
Purifacion challenge herself to lose extra pound like doing yoga or exercise,
eat more healthy foods and follow according to the doctors prescribe

D.1 Body Mass Index.

A measurement that shows the amount of fat in your body and that is based
on your weight and height.

FOURMULA: BMI=weight in kilograms (2.2lb=1kj)

Height in meters (39.37 inches=1meter)
BMI CATEGORY
<18.5 Underweight
18.5-24.9 Normal weight
25.0-29.9 Overweight
>30 obese

PURIFICACION CHONGAWEN
W= 65 kg
H= 4’9

4’9
4 x 0.3048 =1.2192
A= 1.2192
9 x 0.0254=0.2286
B= 0.2286
A+B= 1.2192 + 0.2286= 1.45

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BMI = 65kg
(1.45m)^2
= 30.9 (obese)

DANIEL CHONGAWEN
W=58 kg
H= 5’5

5’5
5 x 0.3048= 1.524
A= 1.524
5 x 0.0254= 0.127
B= 0.127
A+B= 1.524 + 0.127= 1.65
BMI= 58kg
(1.65m)^2
= 21.3 (Normal weight)

ALLAN CHONGAWEN
W= 54kg
H= 5’7
5 x 0.3048= 1.524
A= 1.542
7 x 0.0254= 0.1778
B= 0.1778
A+B= 1.524 + 0.1778= 1.70
BMI= 54kg
(1.70m)^2
= 18.7 (Normal weight)

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 SHERILE CHONGAWEN
W=61kg
H= 5’3
5 x 0.3048= 1.524
A= 1.524
3 x 0.0254= 0.0762
B= 0.0762
A+B= 1.524 + 0.0762= 1.60
BMI= 61kg
(1.60m)^2
=23.8 (Normal weight)

MORWENNA CHONGAWEN
W= 60kg
H= 5’1
5 x 0.3048= 1.524
A=1.524
1 x 0.0254= 0.0254
B= 0.0254
A+B= 1.524 + 0.0254= 1.55
BMI= 60kg
(1.55m) ^2
= 24.9 (Normal weight)

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 DANIEL CHONGAWEN JR.
W= 67kg
H= 5’8
5 x 0.3048= 1.524
A= 1.524
8 x 0.0254= 0.2032
B= 0.2032
A+B= 1.524 + 0.2032= 1.78
BMI= 56kg
(1.78m)^2
= 21.1 (Normal weight)

KARL CHONGAWEN
W= 68kg
H= 5’6
5 x 0.3048= 1.524
A= 1.524
6 x 0.0254= 0.1524
B= 0.1524
A+B= 1.524 + 0.1524= 1.68
BMI= 68kg
(1.68m)^2
= 24.0 (Normal weight)

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

Do you have any allergies? Like in drug allergy, foods, dust, etc.
- Daniel “wala naman”
- Purificacion: “ay meron sa pabango at sa alikabok”
- Daniel Jr.: “wala rin po”
- Karl: “wala”
Do you have any previous health concerns or any medications that you are
currently taking?
- Daniel: “nagte-take ako ng gamot para sa arthritis”
- Purificacion: “dahil sinusumpong ako ng highblood ko tuwing gabi
sumasakit leeg ko at saka ulo ko kaya misan naiistress ako, kaya nagte-
take ako ng medicine ko which is yung combizar 100mg once a day na
nirecommend sakin ni doc.”
- Daniel Jr: “wala po”
- Karl: “wala”
How often are you experiencing this stiff neck (sumasakit leeg), headache
(sumasakit ulo) and stress every single night?
- Daniel: “wala naman”
- Purificacion: “minsan tatlong beses sa isang linggo.”
- Daniel Jr: “wala po”
- Karl: “wala”
How many hours do you usually sleep?
- Daniel: “8 hours namankada araw”
- Purificacion: “minsan 12 o’clock midnight na ako nakakatulog at
nagigising ako ng mga around 6am ng umaga”
- Daniel Jr: “8 hours din po”
- Karl: “minsan 5 to 6 hours pero madalas mga 8 ganun”

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Have you been drinking alcohol or smoking something like that?
- Daniel: “dati pero matagal na yon mga 15 years ago na. wala naman
akong nararamdamang ibang sakit maliban sa arthritis ko”
- Purificacion:”hindi, hindi naman ako fan ng masasamang bisyo at alam
kong hindi makakabuti sakin ang alak at yosi.”
- Daniel Jr: “hindi po”
- Karl: “itinigil ko na po, kaso nung itinigil ko medyo hirap nakong huminga
minsan at ang bilis ko nang mapagod”
Are you taking any daily exercise? Like frequency intensity and duration
exercise?
- Daniel: “nagja-jogging ako sa labas kahit 30 mins. kada umaga.”
- Purificacion: “minsan nagzuzumba ako ng hapon mga 30 mins lang, at
saka exercise na rin naman yung paglilinis ng bahay.”
- Daniel Jr: “sa hapon naman ako nagja-jogging”
- Karl: “hindi po”
Are you eating Healthy foods? Or non-healthy foods?
- Daniel:”kumakain ako ng gulay kada kainan na”
- Purificacion: “syempre healthy foods kailangan lalo na’t may highblood
ako, pero ngayon madalas nakong kumakain ng karne”
- Daniel Jr: “madalas akong kumakain ng karne ayoko ng gulay.”
- Karl: “binabalanse ko ang pagkain ng gulay at karne kada kainan”
Does your husband know that you’re struggling with high blood
(hypertension) right now?
- Daniel: “oo naman syempre alam ko”
- Purificacion: “syempre ah malamang, siya nga bumibili ng
maintenance ko kapag naubos na”
- Daniel Jr: “opo”
- Karl: “ya he knows”

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What are some of your end goals? What would you like to take accomplish
to the help of both this visit and to the help of your doctor?
- Daniel: “gusto ko na ngang mawala arthritis ko para kasabay ko ulit
magjogging ang anak ko”
- Puficacion: “well I do hope na mawala na itong nararamdaman ko siya
pang ang bigat sa pakiramdam kaya hirap ako matulog tuwing gabi”
What are your health status now?
- Daniel: “normal naman”
- Purificacion: “obese/overweight ako yun ang result ko nung last na
nagpatimbang ako”
- Daniel: “normal din po”
- Karl: “normal po”

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IV. TYPOLOGY OF NURSING PROBLEMS IN FAMILY NURSING PRACTICES

A. First Level Assessment

A.1. Lack of sleep at night

A.2. Present illness

A.3. Not eating proper healthy food

A.4. history of drinking and smoking

A.5. Obesity

B. Presence of Health Deficit

B.1. Arthritis

B.2. Hypertension

B.3. Stress

B.4. Presence of difficulty breathing

Second Level of Assessment

C.1. Lack of sleep at night

 Inability to get to sleep or sleep well at night, due or caused by stress.

 Being Incompetence of managing the sleep schedule every night.

C.2. Present illness

 Lack of knowledge and disregarding the main cause of the illness.

 Inability to understand the significance of having a good healthy
lifestyle.

C.3. Not eating proper healthy food

 Inability to eat less more frequently and lacked nutritive value.

 Lack of care and/or motivation to change eating habits.

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C.4. History of drinking and smoking

 Lack of giving attention that can accord side effects of drinking and
smoking.
 Inability to seek a proper way of passing time.

C.5. Obesity

 Inability to maintain a healthy weight by not having a daily exercise.

 Lack of comprehension about the basic logic of eating a healthy
foods

CUES/DATA FAMILY NURSING PROBLEM

SUBJECTIVE: Inability to get to sleep or sleep
“minsan 12 o’clock midnight na ako well at night, due or caused by stress.
nakakatulog at nagigising ako ng mga
around 6am ng umaga” verbalized by
Purificacion Being Incompetence of
managing the sleep schedule every
OBJECTIVE: night.

The family have no sleeping schedule

on every night and not giving pay
attention to the significance of having
a good nap.

They experiencing uncom -

fortable due to stress.

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SUBJECTIVE:
“dahil sinusumpong ako ng highblood
ko tuwing gabi sumasakit leeg ko at
saka ulo ko kaya misan naiistress
ako”, verbalized by Purificacion
Lack of knowledge and disregarding
the main cause of the illness.
Inability to understand the significance
of having a good healthy lifestyle.

OBJECTIVE:

The sign of hypertension is

present to the client

Feeling of uncomfortable
every night due to hypertension

SUBJECTIVE: Inability to eat less more frequently and

“syempre healthy foods kailangan lalo
na’t may highblood ako, pero ngayon
madalas nakong kumakain ng karne”
Verbalized by Purificacion
lacked nutritive value.
Lack of care and/or motivation to
change eating habits.

OBJECTIVE:

The client is not having a proper

eating healthy habits.

The client needs to comprehend the

importants of eating a healthy foods.

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SUBJECTIVE:
“itinigil ko na po, kaso nung itinigil ko
medyo hirap nakong huminga minsan
at ang bilis ko nang mapagod”
Verbalized by Karl
Lack of giving attention that can accord
side effects of drinking and smoking.
Inability to seek a proper way of
passing time.

OBJECTIVE:

The side effects of drinking and

smoking are present.

Difficulty of breathing is present.

SUBJECTIVE: Inability to maintain a healthy weight by
“obese/overweight ako yun ang result not having a daily exercise.
ko nung last na nagpatimbang ako”
Verbalized by Purificacion Lack of comprehension about the basic
logic of eating a healthy foods.
OBJECTIVE:

The client needs to seek a proper way

to reduce fats.

The client needs to encourage her/his

self to have a daily exercise twice a
day.

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 V. GORDON’S FUNCTIONAL HEALTH PATTERNS AND ASSESSMENT

Health perception/Health Management Pattern

The Chongawen family’s health condition are on stable for now, it is said
that sometimes one of the family member stated that Purificacion feeling unease
due to lack of sleep or having a trouble time for sleeping causing increase blood
pressure. Also one of the member Karl experiencing difficulty of breathing since
he has taken drinking and smoking in the past. It is also said that they are often
eat meats than vegetable. The rest of the members have no any health problem.

Looking at the BMI, Purificacion is the only one who has a result of obese
and the rest are on normal weight, it figures that she needs to reduce some weight
so that she can’t feel unease every single night, and to lessen the sudden increase
of high blood pressure. Also needs to eat healthy foods. She also needs to take
atleast 8 hours of sleep. For mr. Karl, he might need to go at a clinic for check-ups,
it’s possible that he suffers ineffective air way, a blockage of air way when he
breathes. He also needs to practice breathing pattern for improving respire.

Daniel Chongawen sometimes experiencing arthritis because of old age but

it still can ladies, he’s son Daniel Jr. have no any health problem and so Allan,
Sherile and Morwenna as well.

The family puts their effort to improve healthy lifestyle by taking immediate action
and putting some time for doing daily exercise activities. By going to a clining and
see a doctor for check-ups, to take some prescribed medicine that the doctor
recommends.

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VII. SCALE RANKING HEALTH CONDITIONS AND PROBLEMS ACCORDING
TO PRIORITIES

Basis:

CRITERIA WEIGHT
1.Nature of the condition or
problem presented;
SCALE: 3
Wellness 3
Health deficit 2
Health threat 1 1
Foreseeable crisis
2.Modifiability of the condition
or problem;
SCALE:
Easily modifiable
Partially modifiable 2 2
Not modifiable 1
0
3.Preventive potential;
SCALE:
High 3
Moderate 2 1
Low 1
4.Salience
SCALE:
A condition or a problem
2 1
needing immediate
attention
A condition or problem not 1

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 needing immediate attention
Not perceived as a problem
0
or condition
needing change

Lack of sleep at night

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

1.Nature of the It is health deficit
condition or 3/3 x 1 1 due to lack of being
problem incompetence of
presented; managing the sleep
schedule every
night.
2.Modifiability of The problem is
the condition or 2/2 x 2 2 easily modifiable
problem; with correct health
education.
3.Preventive Lack of sleep can
Potential 2/3 x 1 0.67 be prevented by
maintaining regular
schedule time for
sleeping.
4.Salience The client perceive
1/2 x 1 0.5 it as a condition
that does not need
immediate
attention.
Total 4.2

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Present illness

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

1.Nature of the It is health deficit
condition or 3/3 x 1 1 due to Lack of
problem knowledge and
presented; disregarding the
main cause of the
illness.
2.Modifiability of The problem is
the condition or 1/2 x 2 1 partially modifiable
problem; with correct health
education.
3.Preventive Illness can be
Potential 2/3 x 1 0.67 prevented and
treatable.
4.Salience The client perceive
2/2 x 1 1 it as a condition
needs immediate
attention.

Total 3.7

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Not eating proper healthy food

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

1.Nature of the It is health deficit
condition or 3/3 x 1 1 due to lack of care
problem and/or motivation
presented; to change eating
habits.
2.Modifiability of The problem is
the condition or 2/2 x 2 2 easily modifiable
problem; with correct health
education
3.Preventive Can be prevented
Potential 1/3 x 1 0.3 by improving
balance diet.
4.Salience The client perceive
1/2 x 1 0.5 it as a condition
that does not need
immediate
attention.
Total 3.8

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History of drinking and smoking

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

1.Nature of the It is health threat
condition or 2/3 x 1 1 due to Lack of
problem giving attention
presented; that can accord
side effects of
drinking and
smoking.
2.Modifiability of The problem is
the condition or 1/2 x 2 1 partially modifiable
problem; with correct health
education.
3.Preventive It can be reduce
Potential 2/3 x 1 0.67 and minimize by
taking medicine.
4.Salience The client perceive
2/2 x 1 1 it as a condition
needs immediate
attention.

Total 3.3

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Obesity

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

1.Nature of the It is health deficit
condition or 3/3 x 1 1 due to lack of
problem comprehension
presented; about the basic
logic of eating a
healthy foods.
2.Modifiability of The problem is
the condition or 2/2 x 2 2 easily modifiable
problem; with correct health
education.
3.Preventive It can be prevent by
Potential 3/3 x 1 1 taking a proper
healthy foods and
proper exercise.
4.Salience The client perceive
2/2 x 1 1 it as a condition
needs immediate
attention.

Total 5

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Ranking

RANK TOTAL SCORE FAMILY HEALTH

PROBLEM

1 5 Obesity

2 4.2 Lack of sleep at night

Not eating proper

3 3.8
healthy food

4 3.7 Present illness

History of drinking and

5 3.3
smoking

29
 VIII. Family Nursing Care Plan

Family Nursing Care Plan

Problem #1: Obesity

1st LEVEL ASSESSMENT: Health Deficit.

2nd LEVEL ASSESSMENT: Lack of comprehension about the basic logic of eating a healthy foods.

Cues Analysis Objectives Intervention Rationale Method Resources Evaluation

of requirements
contact
Subjective: Inability to After 3 hours of Discuss need Denying self by Home visit Time and effort After 3 hours of
maintain a nursing to give self- excluding of both the nursing
“obese/overweig healthy weight intervention, the permission to desired/favorite Interview student and intervention,
ht ako yun ang by not having a family will be able to include foods results in a Method the family. the family was
result ko nung daily exercise. indicate desired/craved sense of able to indicate
last na comprehension with food items in deprivation and Health comprehension
nagpatimbang Lack of the health teaching dietary plan. feelings of Teachings. Of the health
ako” comprehension regarding to the guilt/failure when teachings
about the basic possible cause of individual regarding the
obesity. “succumbs to

30
Verbalized by logic of eating a temptation.” possible cause
Mrs. Purificacion healthy foods. After 48 hours of These feelings of obesity
Chongawen nursing can sabotage
. intervention, patient weight loss. After 48 hours
will be able to: of nursing
intervention,
- Verbalize patient was
measures Determine Exercise furthers able to state
necessary to current activity weight loss by measures
Objectives: achieve levels and plan reducing needed to
BMI: weight progressive appetite; reduce weight.
 30.9 reduction; exercise increasing Demonstrate
(obese) - demonstrate program. energy; toning appropriate
appropriate muscles; and selection of
 Stiff neck selection of enhancing meals that
meals or cardiac fitness, would lead to
 Highblood menu sense of well- weight and
planning being, and begin an
Weight : toward the accomplishment appropriate
 65 kgs goal of program of

31
Height: weight exercise as
 4’9 reduction; Discuss current To increase their tolerated and
- and begin an eating habits knowledge indicated.
appropriate and strategies regarding the
program of to reduce fat causes of
exercise. and calorie obesity.
intake.

32
 Problem #2: Lack of sleep at night

1st LEVEL ASSESSMENT: Health Deficit.

2nd LEVEL ASSESSMENT: Being Incompetence of managing the sleep schedule every night.

Cues Analysis Objectives Intervention Rationale Method Resources Evaluation

of requirements
contact
Subjective: Inability to get to After 2 hours of Determine the The amount of Home Time and effort After 2 hours of
“minsan 12 sleep or sleep nursing client’s sleep sleep an visit of both the nursing
o’clock midnight well at night, intervention, the and activity individual needs student and intervention,
na ako due or caused family will be able to pattern. varies with Interview the family. the family was
nakakatulog at by stress. indicate lifestyle, health, Method able to indicate
nagigising ako comprehension with and age. Rituals Health comprehension
ng mga around Being the health teaching and routines Teachings. Of the health
6am ng umaga”, Incompetence regarding to the teachings
Verbalized by of managing the possible cause of Encourage Mrs. Rituals and regarding the
Mrs. Purificacion sleep schedule deficient sleep. Purificacion to routines induce possible cause
Chongawe every night. establish a comfort, of lack of sleep.
bedtime routine relaxation, and
to facilitate sleep.

33
 transition from
wakefulness to
sleep.
Objectives:
The family have Encourage her
no sleeping to eliminate Stress interferes
schedule on stressful with a person’s
every night and situations before ability to relax,
not giving pay bedtime rest, and sleep.
attention to the
significance of Discuss with
having a good Mrs. Purificacion Knowledge of
nap. and her family factors that affect
comfort sleep enables the
They measures, sleep client to
experiencing promoting implement
uncomfortable techniques, and changes in
due to stress. lifestyle changes lifestyle and pre-
that can bedtime
activities.

34
 contribute to
optimal sleep.

Problem #3: Not eating proper healthy food

1st LEVEL ASSESSMENT: Health Deficit.

2nd LEVEL ASSESSMENT: Lack of care and/or motivation to change eating habits.

Cues Analysis Objectives Intervention Rationale Method Resources Evaluation

of requirements
contact
Subjective: Inability to eat Short-term: Determine the Psychological Home visit Time and effort At the end of
“syempre less more After 30 minutes of client’s attitude factors toward of both the the nursing
healthy foods frequently and nursing interventions towards eating. seating may Interview student and interventions,
kailangan lalo lacked the client will be able affect one Method the family. the client is able
na’t may nutritive value. to: person’s appetite to understand
highblood ako,  Verbalize and also to know Health the importance
pero ngayon Lack of care understanding the client’s eating Teachings. of proper diet.
madalas nakong and/or on the habits. She is also able

35
kumakain ng motivation to importance of to select the
karne” change eating proper diet. Educate the Education meals she
Verbalized by habits.  Enumerate client regarding provides ample wants to eat,
Mrs. Purificacion foods to be the importance information that which are good
Chongawen included in her of eating the client may not sources of the
diet. healthy foods in be aware of, nutrients
terms of hence leading to needed by her.
benefits to her the kind of eating The client is
body. habits and diet also able to
Objectives: Long-term: she is following. maintain the
The client is not After 1 day of nursing expected
having a proper interventions, the For the client to weight gain.
eating healthy client will be able to: Educate the be aware of the
habits.  Demonstrate client regarding needed nutrients
changes in her the vitamins by her body to
The client needs diet as and minerals nourish herself
to comprehend manifested by that are Also, giving
the importants of proper food important such sources of these
eating a healthy selection. as vitamin C, nutrients helps
foods. folic acid, iron, the client to

36
 calcium, and easier familiarize
protein; and the herself as to what
sources of foods she may
these nutrients. include in her
diet.

Problem #4: Present illness

1st LEVEL ASSESSMENT: Health Deficit.

2nd LEVEL ASSESSMENT: Lack of knowledge and disregarding the main cause of the illness.

Cues Analysis Objectives Intervention Rationale Method Resources Evaluation

of requirements
contact
Subjective: Lack of After 2 hours of Listen to By doing so, it will Home visit Time and effort The client able
“dahil knowledge nursing intervention, client’s help establishing of both the to demonstrate
sinusumpong and The client will be able perception. rapport. Interview student and understanding
ako ng highblood disregarding to demonstrate Method the family. of the health
ko tuwing gabi the main understanding of the teachings

37
sumasakit leeg cause of the health teachings Show concern This will help in Health regards to the
ko at saka ulo ko illness. regards to the for the client. building good Teachings. possible main
kaya misan possible main effects patient-nurse effects of a
naiistress ako”, Inability to of a present illness relationship. present illness.
verbalized by understand
Mrs. Purificacion the Discussed the Knowing the
Chongawen. significance of possible causes of the
having a good sources of the problem will be
healthy presence of the able to prevent it.
lifestyle. illness.

Objectives:
The sign of Explain to the To increase
hypertension is Family all awareness
present to the possible effects regarding to the
client. that these presence of the
illness can illness to make
Feeling of cause. actions that
uncomfortable would avoid it.

38
every night due
to hypertension.

Problem #5: History of drinking and smoking

1st LEVEL ASSESSMENT: Health Deficit.

2nd LEVEL ASSESSMENT: Lack of giving attention that can accord side effects of drinking and smoking.

Cues Analysis Objectives Intervention Rationale Method Resources Evaluation

of requirements
contact
Subjective: Lack of giving After 8 hours of Listen to client's By doing so, it will Home visit Time and effort After 8 hours of
attention that nursing intervention, perception. help establishing of both the nursing
“itinigil ko na po, can accord the client will be able rapport. Interview student and intervention,
kaso nung itinigil side effects of to demonstrate Method the family. the client
ko medyo hirap drinking and improved air way. Show concern This will help in demonstrates
nakong huminga smoking. for the client. building good Health improved air
minsan at ang patient-nurse Teachings way.
bilis ko nang Inability to relationship.
mapagod” seek a proper

39
Verbalized by way of
Mr. Karl passing time. Assess airway Maintaining
Chongawen for patency. patent airway is
always the first
Objectives: priority.
The side effects
of drinking and To maximize
smoking are Encourage effort for
present. deep breathing expectoration.
and coughing
Difficulty of exercises.
breathing is
present.

Changes in the
Assess the respiratory rate
respiratory rate, and rhythm may
depth, and indicate an early
rhythm. sign of

40
impending
respiratory
distress.

41