Nursing Intervention

Health Family Nursing

Goal of Care Evaluation
Intervention Method of
Problem/Cues Problem Resources
Measures Contact
Risk for Fall Inability to At the end of - Note client’s age, The students’ Time, effort of Goal met. The

S: provide a home the gender, developmental effort to visit the student to family is free from
environment intervention, stage, decision making the home and give health injury and
“ Kung hindi ko
conducive to the client will: ability, level of give some lecture, eliminate hazards
ni pagsirad-an
health -Be free of cognition/competence. health safety making a cane, that may cause
ang gate, kung
maintenance injury. - Assess mood, coping measure eliminate further injuries.
diin-diin lang
related to old age -Eliminate abilities, personality lectures. possible cause
siguro ni sya ka
as manifested by hazards that styles
lab-ot, amo gani of injury.
physical may cause - Observe for signs of
ning
disability further injury and age (current,
ginakahadlokan
(eyesight, hearing injuries. recent, and past such as
namon kay kung
and tremors, - Be free from old or new bruises,
matumba bala
“lagaw”) injury history of fracture,
sa dalan kag
frequent absences from
wala may
school or work)
makakita, kag
- Identify intervention
kung basi
and safety devices
mabanggaan
- Discuss importance
bala sang motor
of self-monitoring of
nga kaalagi”, as
condition or emotions

54
verbalized by -Identify safety issues
the client about such locking exterior
her sister doors .
Romina.
- deafening of
both ears
- complete
blindness in the
right eye and
partially in the
left

55
 Nursing Intervention
Health Family Nursing
Goal of Care Intervention Method of Evaluation
Problems/Cues Problem Resources
Measures Contact
Role Strain Inability to After nursing -Encouraged The students’ Time, effort of Goal partially met.

S: perform family interventions, involvement of effort to visit the students to Because she’s the

“Kung dire sa balay caregiver role the caregiver other family the home and discuss only one whose

ako lang gid isa ang due to multiple will be able members to relieve educate the strategies and doing house

kapanglimpyo, competing roles. to manage pressure to the clients. techniques chores, there are

galaba, kag galuto, caregiver primary care regarding some things that

kag gaalaga sa akon roles provider. prioritization of were left undone.

bugto nga indi nagid -Told the caregiver

chores.
kasarang kung siya to set aside time for

lang isa, tapos ang self.

akon man nga bata -Aided the

didto ga ubra sa caregiver in

murcia, sya lang gid identifying those

ang gadawat kwarta that bring them

adlaw-adlaw eh”, peace

Daniela stated. and relaxation.

- Assisted the
caregiver in doing
chores.

56
 Nursing Interventions
Family Nursing Evaluation
Health Problem/Cues Goal of Care Intervention Method of
Problem Resources
measures Contact
Poor Inability to After the duty, - Emphazie the The student’s Time, effort Goal partially

Environmental provide a home the family will importance of a effort to visit of the met. The family
environment be able to clean and healthy the home and students’ to was able to
Condition/Sanitati
conducive to effectively environment educate the give some maintain a clean
on
health promote and through discussion clients. ideas that home
S:
maintenance due maintain a of facts. will help environment.
“Wala ko ka pang
to: proper home - Encourage the the family - Dishes are
limpyo kay may gi
a) Lack of sanitaion. family to follow a kept properly
provide a
ubra ko nga iban kag
manpower regular schedule of - No breeding
home
nang laba pagid ko
b) Financial cleaning their home sites
pagkahuman”, as conducive
constraints environment. - Appliances are
verbalized by the to health
- Discuss to the clean, beds are
client. maintenanc
famaily the possible neat, and things
- beds are occupied by e and
communicable are kept orderly.
a boxes of clothes proper
diseases associated
- dusty appliances home
with poor sanitaion.
- cobwebs noted sanitation.
- Removed all the
- mosquitoes, rats, and
possible breeding
cockroaches were
sites inside and
noted

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- ages: 38 years old outside of the
(son), 69 years old house.
(mother), 84 years old - Conducted a
(aunt) general cleaning
- poor drainage due to with the assistance
building up of mud of the family.
- containers like
tupperwares and etc.
are placed above the
table inside of their
houe without anything
to cover them.

53
 Nursing Intervention
Health Family Nursing Goal of
Intervention Method of Evaluation
Problems/Cues Problem Care Resources
Measures Contact
Faulty/Unhealthy Inability to take At the end -Noted the BMI of The student’s Effort of the Goal not met.

Eating Habits appropriate health of nursing each family member. effort to visit student to Client still
actions related to interventio -Discuss to the the home and cooked for don’t liked to
S:
negative attitudes ns, the family the educate the the family, eat vegetables
“Kaning si Romina
which is not family will importance of eating clients. and the and fruits and
pagid ning amon
conducive to be able to nutritious food. student retained her
ginaproblemahan kay
health show signs -Discuss to the nurses’ negative
indi gid ya magkaon
maintenace. of improve family the effects of money to attitude
sang gulay, gusto nya
eating the nutrients that buy towards them.
na mga atay, baka,
habits. they can get from the ingredients
manok, karne gid ya,
food that they eat. for the
bahala indi sya kakaon
-Cooked a planned
sa isa ka kan-anan
balanced-diet meal meal.
basta hindi gd sya
for the family during
mag-kaon gulay, kis a
lunch for 2 days.
hindi nya gi na
maubos o hindi nya
gid tandugon iya
pagkaon”, Daniela

50
said. “Kalaw-ay sang
lasa sang gulay, labi
nagid kung kalain ila
pagluto indi gid takon
mag kaon ya”, Romina
said.
O:
- coffee and bread only
serve as their breakfast
- food left uneaten
-small quantity of food
eaten
- Preference of meat
(pork, chicken, beef,
liver)

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 Nursing Intervention
Health Family Nursing
Goals of care Interventions Methods of Evaluation
Problem/Cues Problem Resources
measures Contact
Fire Inability to After two -Assessed the client The Time, effort Goal met. The

Hazard: provide a home weeks of ability to construct the student’s and money of family was
environment community new kitche roof. effort to visit the student able to
O:
conducive to exposure the -Help the family the home and the construct their
- cooking area
health family will be financially to build the and educate client’s new roof in
is made of light
maintenance due able to: roof in the cooking the client . family. their cooking
materials
to physical and - Recognize the area area.
- charcoal pot
financial importance of -Educate the family
was 5 cm from
constraints. having safe about the importanceof
the wall
cooking area. safety and the danger
- uses coal or
- Client will of fire.
wood to make
find ways to -Rearrange the cookig
fire
construct a new area, removing
- congestion of
roof in the combustible materials
housing
cooking area. near the cooking area
to prevent catching of
fire.

59
 Nursing Intervention
Health Family Nursing
Goals of care Interventions Methods of
Problem/cues Problem Resources Evaluation
measures Contact
Flu Inability to After nursing -Encourage client The Time, Effort of Goal Met.

Supporting provide adequate interventions, adequate rest, student’s the students Client shows

Cues: nursing care to client will be balance with effort to visit giving relieved

“Gina trangkaso the sick or at risk able to: light activity. the home medications symptoms of

ko halin pa tong members of the - Understand the -Promote and educate and health flu and vital

isa ka simana, family due to: need of care to adequate the client. teachings. signs results are

isa napud ka a) Lack of be given to the nutritional within normal

simana akon ubo knowledge of family when in intake. range.

pero kagabii kay nature and extent need -Encourage client

perti gid ya akon of nursing care - Increase to increase fluid

ubo, tapos ga needed. knowledge intake.

malangaang ko b) Lack of regarding to - Biogesic given

sugod kagabii”, necessary first-aid -Provided with a

he added, supplies for care calm and

madala pa man c) Negative comfortable

na sa tubig kag belief that hinders environment for

pahuway, saka immediate health sleep

48
na ipahospital action
kung hindi ko na
kaya, wala man
abi kami dre
bulong sa balay
para sa ubo kag
lagnat, as
verbalized by
Carlos.
O:
- temperature of
38.1 degree
celcius, febrile
-productive
cough with
whitish color
sputum
- no available
medicine needed
for care

49
 Nursing Intervention
Health Family Nursing
Objectives of care Interventions Methods Evaluation
Problem/cues Problem Resources
measures of Contact
Diabetes Inability to take After two weeks of - Emphasize the The Time, Effort Not Met. The

S: health action community important of diet student’s of the client was not

“Nabal-an ko due to: exposure the client - Determine the effort to students able to show

lang nga may a) Financial will be able to: patient’s visit the giving improvement

diabetes ko tong constraints - Refer to health self-efficacy to home and health about his

pag-adto sang b) Lack of care provider learn and apply educate the education health

riverside kay nag equipments - Patient explains new knowledge. client. condition

medical mission needed for disease state, - Refer to Health during the

sila dire”, as health action recognizes need for Centre and health extent of duty.

verbalized by medications, and care providers

Daniela. understands - Advice the client

O: treatment. to have Regular

- blood sugar - Patient check-up and

level - 239 demonstrates how check blood

mmol/L to incorporate new glucose levels

- no available health regimen into

blood sugar lifestyle.

57
testing in RHU - Patient exhibits
and GK Smile ability to deal with
Village Health health situation and
Center remain in control of
life.
- Patient shows
motivation to learn.

58
 Chapter 4
Nursing Care Plans

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