Tagum Doctors College, Inc.

Mahogany St., Rabe Subdivision, Tagum City

Bachelor of Science in Nursing

Partial Fulfillment of the Requirements in

Community Health Nursing Conducted in Purok Hijo

Submitted to:
Prof. Roselle Baniel, RN

Submitted by: BSN 1 – Group 1

Abbas, Norhaine M.
Abdulkarim, Yasmin B.
Abella, Hezekiah Goumer D.
Adanglao, Austine L.
Alba, Michelle B.
Alenar, Uneza Jane
Anino, Shaira Abigail V.
Aranduque, Sophia R.
Aringoy, Lady Shayra A.
Arpon, Jashil Marie F.
Babtoog, Kristine E.
Bahalla, Dannyca Kyle R.
Banaynal, Jonna Mel C.
Bardinas, Jomarie L.
Barrameda, Florie Mae

June 2022
 ACKNOWLEDGEMENT

This case study would not have been possible without the presence of
significant people who have helped, motivated and guided us throughout the journey.

First and foremost, praises and thanks to the one who guides us from above,
for his showers of blessings and the enlighten of mind that made us able to finish our
case study successfully.

We would like to extend our sincerest thanks to our parents who never leave
our sides and for their love, prayers, caring and sacrifices hoping to give us a great
future.

To the Dean of Nursing, Willyn B. Adrias RN, MN, we thank you for all the
encouragement and inspiration.

To the community that warmly welcome and provided us a place to conduct

our survey, especially to the ABC family who willingly participated as they gave us
the necessary data for our case study, the bond we created and life lessons that
were shared will be forever cherished.

To our dynamic and supportive Clinical Instructor, Roselle Baniel, RN and the
rest of the faculty members, we are extremely grateful for teaching and guiding us so
we could be prepared to any exposure in the community. Doing this case study gave
us the opportunity to learn more and practice our skills which served as our
preparation for the future challenges that will come in our way.

Finally, we would like to express our heartfelt gratitude to all our classmates in
BSN 1 for the care and friendship and to our groupmates who put extra effort, time
and commitment to comply our requirements.

All of these shall not be forgotten and will be kept forever in our hearts.
 TABLE OF CONTENTS

I. Cover Page

II. Acknowledgement

III. Table of Contents

IV. Introduction

V. Historical Background (Community)

● Location (Complete Address)

● Total Population
● Statistical Data
● Local Officials
● Spot Map

VI. Objectives: General/Specific

VII. Initial Data Base

VIII. Genogram

IX. Family Coping Index

X. Typology of Nursing Health Problems

XI. Prioritization of the Health Problems

XII. Family Nursing Care Plan

XIII. Conclusion

XIV. Recommendation

XV. Bibliography

XVI. Definitions of Terms

XVII. Appendices (Pictures)

XVIII. Documentation
 INTRODUCTION

Community Health Nursing is a combination of promoting health knowledge

amongst the local people and applying this knowledge to keep people in good
health. This involves both preventative health action and curative action. The
purpose of community diagnosis is to identify health problems emerging in the local
community and to take action. This would involve the control of communicative
diseases in the community. An awareness of the emergence of new transmittable
diseases could be met with the implementation of an inoculation program in the
community to prevent its spread. It is better to take positive action to prevent people
from becoming ill rather than treating them after they are ill.

The status of each family will always have an impact on the overall status of
the community. Community health nursing is a reaction to people's health needs. It
does not concentrate on a certain class or family. It is a broad and all-encompassing
strategy. Population health care is not provided on an episodic basis since it
necessitates on going observation and monitoring of the community. The promotion
and preservation of different clients (individuals, families, population groups, and
communities) is the primary goal of community health nursing. Every family is
unique. Nurses that are exposed to the community learn how to interact and adapt to
the different kinds of people living in a community. It is in the family that develops
health values, beliefs, and practices. The family has an impact on its members'
health and activity (Chen, Shiao, & Gau, 2007). With this, families in the community
must be aware of the things and practices regarding their health.

In 2016, worldwide death has reached up to 24% caused by poor

environmental factors. Air pollution, water contamination, poor sanitation, an
increase in heat waves and other extreme weather, hazardous chemical exposure,
and more are all contributing factors (WHO, 2022). In addition to having a direct
impact on health, the environment also has a significant impact on life expectancy,
quality of life, and health inequities. Recognizing how much disease and poor health
can be attributed to changeable environmental risks can help determine prevention
and care and should bolster efforts made globally to perform efficient preventive
measures using available knowledge, guidelines, intervention strategies, and
technologies.

A study was conducted in India on 1,070 households in four poor settlements

in Mumbai on the living environment and health conditions. The health status
showed that 11% of people get sick anytime. Patients with Tuberculosis and Asthma
total as many as 18 and 11 per thousand populations correspondingly. The annual
cases of water-related diseases such as diarrhea, typhoid, and malaria are projected
as 61, 468, 126 cases per thousand of the population respectively. The absence of
basic utilities and environmental contamination has severely affected most
households. The objectives and needs of the urban poor appear to be hierarchical. A
clean home environment is just as important as a healthy diet and exercise in
preventing illness and maintaining productivity and health. Where you live, work,
sleep, or drive is a major factor in your health (Crabbe et al., 2016).

In the Philippines, according to the Philippines Statistics Authority, the overall

population as of May 1, 2020, is 109.03 million and when it comes to family
members' health, 7.0% of all family members reported being ill/sick or wounded in
the month preceding the survey, that is, from June 1-30, 2020. The growing
population of the families will be a challenging part for the community public nurses
to render healthcare services, especially in remote areas, to determine the social
and environmental factors that would potentially result in poor health conditions of
family members in the community.

In Maco, particularly in Barangay Hijo, Purok 3 where the study was

conducted, we found out that they are responsible in terms of environmental
management. However, there are some areas of the community where the situation
is needed to be observed. And as far as a healthcare advocate is concerned, it has
to provide adequate care to support the population’s health and provide
comprehensive primary healthcare services.

This case study would determine the situation and mode of living of a
clientele, choosing this family is an opportunity to promote healthcare awareness
and proper sanitation. Due to developmental problems such as financial constraints,
lack of prevention, lack of health education, and others, the primary concern of our
community health nurses is to lessen the possible cause of health risk.
 HISTORICAL BACKGROUND

Hijo is a barangay in the municipality of Maco, in the province of Davao de

Oro. Its population as determined by the 2020 Census was 4,219. This represented
5.07% of the total population of Maco. The population of Hijo grew from 2,434 in
1990 to 4,219 in 2020, an increase of 1,785 people over the course of 30 years. The
latest census figures in 2020 denote a positive growth rate of 2.37%, or an increase
of 444 people, from the previous population of 3,775 in 2015. Hijo shares a common
border with the following barangays of Brgy. Dumlan, Maco, Davao de Oro, Brgy.
Apokon, Tagum, Davao del Norte, Brgy. Madaum, Tagum, Davao del Norte, Brgy.
Bucana, Maco, Davao de Oro, Brgy. Binuangan, Maco, Davao de Oro, Brgy.
Lumatab, Maco, Davao de Oro, Brgy. Concepcion, Maco, Davao de Oro. Barangay
Hijo is comprised of 6 puroks both residential and 1 Barangay Health Center ruled by
their barangay captain Hon. Ramiro Deporkan.

Prk. 3: Hijo is one of the barangays in the community in Maco, Davao de

Oro, which was chosen by the group and also recommended by the Barangay
Health Nurse, Jo Ann Sarona, RN. Based on the story relayed to us by their
Barangay assistant, Melanie Jalang, During the Spanish colony, the Spaniards
named it "hijo," which means "unico hijo." Hijo was a place usually recognized by the
people during the Spanish era as a place somewhat close to large sea creatures,
which we all know as sharks (hijo). The native people who lived here during the
Spanish colony are Moro. People's income comes from a variety of sources. The
majority of the population work at banana plantations in the nearby barangays, while
some former landowners are now also cultivating bananas. Despite not being
primarily an agricultural or industrial area, some portions of the barangay do grow
some items. Banana, coconut, and corn are some of these goods. On the other
hand, the barangay has small packing facilities for processing bananas and other
commodities.
 Purok 3. Hijo Organization

Purok Chairman:

Raul Alicida

Kagawad:

Bayani Jalang

Maria Elena Alicida

Paul Ian Alicida

William Laud

Edmie Allera

Ben Barato

Secretary:

Marjorie Jalang

Prk. Treasurer:

Noel Villaflor
SPOT MAP
VI. OBJECTIVES

General Objectives:

To conduct a thorough case study about the ABC Family who resides in Prk.
3 Hijo, Maco, Davao De Oro according to data that was gathered by conducting a
series of interviews within a total of 9 days community exposure for 3 days a week
for 3 weeks.

Specific Objectives:

● To present the ABC family’s Initial Data Base (IDB) which contains
information that will reveal the family’s structure, characteristics and
dynamics, socio-economic and cultural characteristics, home and
environment, health status of each family member, and values, habits,
practices on health promotion, maintenance and disease prevention.
● To present the family’s Genogram which contains the information that will
allow the tracing of any hereditary risk factors.
● To Prioritize the Problems, through scaling, identified within the family data in
accordance to how they are scaled by ways of identifying the nature,
modifiability, preventive potential and salience of each problem that was
identified.
● To score the Family Coping Index (FCI) in order to identify the effectiveness
of the nursing interventions implemented within the time spent with the ABC
family.
● To present the Family Nursing Care Plans (FNCP) we developed mostly on
one of the prevalent problems that is identified or determined in the Typology
of Nursing Problems.
● To come up with the Typology of Nursing Problems that will explain which
data from the IDB has the nature of being a hazard or a life threatening to the
health of the family.
● To have our Conclusions and Recommendations about the Case Study.
 ● To present our Appendices in order to easily refer to our references.

VII. INITIAL DATA BASE

Initial Data Base or IDB is a gathered information about the clientele’s

situation or the family life they have. It is a way of assessing their health needs thus
nursing practice must be applied.

A. FAMILY STRUCTURE, CHARACTERISTICS, AND DYNAMICS

Name Birthday Age Sex Position in Residence

the Family
Mr. F ABC August 21, 1964 58 Male Father Prk. 3 Hijo, Maco,
Davao De Oro
Mrs. J ABC November 27, 34 Female Mother Prk. 3 Hijo, Maco,
1988 Davao De Oro
First ABC January 13, 2000 22 Male Eldest child Prk. 3 Hijo, Maco,
Davao De Oro
Second ABC December 2, 2002 19 Female Youngest child Prk. 3 Hijo, Maco,
Davao De Oro

The ABC Family is a nuclear type of family consisting of four members,

including a father, Mr. F ABC (not his real name), who works as a farmer. Mrs. J
ABC (not her real name) is a full-time housewife and mother of two children namely,
First ABC (not his real name) and Second ABC (not her real name) who are both
college students. She typically sells snacks for the people and children in their purok
every 3 in the afternoon.
Mr. and Mrs. ABC do not have difficulty handling situations, including
decision-making, because they understand and consider each other’s opinions
before making a final decision on various matters, particularly health and wellness.
Mr. ABC is in charge of the family’s daily needs and is the one who mostly makes
the decisions for the family, while Mrs. ABC is responsible for taking care of their
children and household chores. For the family’s general relationship and dynamics,
the father has a short temper or he is easily irritated. The mother is a good listener
and an understanding person, while their son, First ABC, is a joker, and their
daughter, Second ABC, is joyful.

B. SOCIO-ECONOMIC and CULTURAL CHARACTERISTICS

Mr. ABC lacks of education appears to be a barrier to him in finding a good
career. He failed to complete elementary school and was pushed to work as a farmer
which he earns P200.00 per day in order to support his family. The father attempted
to obtain other work opportunities, but due to his low educational background,
companies found it difficult to accept him. Mrs. ABC, on the other hand, did not
complete high school because of lack of financial support from her family. This time,
with her own family, she chose to stay at home to care for her children and provide
moral support.

The monthly income of Mr. ABC is roughly PHP 4,000, which is enough to
cover for their electrical and water bill, food, the children's school allowance and
transportation. The family lives in a small Amakan house and Mr. ABC walks 20
minutes just to work. On the other hand, his children are using a public transit to go
to school every day. Due to financial constraints, the budget for health maintenance
is sometimes sacrificed and given insufficient attention. The wife is the one who
budgets and saves money for the family as she claims that they spend P200 per day
on their basic needs.

The ABC Family is originally from Kapalong, Davao Del Norte. They moved to
Hijo, Maco in search of a better life and because it is more advantageous for Mr.
ABC, who works there as a Farmer, but they soon discovered that the urban lifestyle
offers very few opportunities. The family is not a member of any community social
organizations and only joins church activities sometimes.

Name Position in Occupation Income Place of Work

the Family
Mr. F ABC Father Farmer P4,000/month Farm

Mrs. J ABC Mother Housewife P2,000/month House

First ABC Eldest child College none none

 student
Second ABC Youngest College none none
child student

Income and Expenses:

Expenditure Expenses
Foods (Groceries) P2,500
Electrical Bill P400
Water Bill P350
Transportation P150
School Tuition fee & Allowance P1,000
Total Amount = P4,400
Savings: P 1,600

Educational Attainment of each member:

Name of family Educational Ethnic Religion

members Attainment Background
Mr. ABC Elementary Bisaya Catholic
undergraduate
Mrs. ABC High school Bisaya Catholic
undergraduate
First ABC College student Bisaya Catholic
Second ABC College student Bisaya Catholic

C. HOME and ENVIRONMENT

1. Housing
Home:
Ownership of the house (owned, Owned
rented, free)
Construction Materials Used Wood/Lightweight
materials (Amakan)
 Lighting Facility Operated by the district:
NORDECO
Lighting Adequate Ambient lighting
Ventilation Natural
Water Supply Running water from the
river, shallow dug wells
Drinking Water Dumoy
Toilet Facility Level II Communal Faucet
Waste Disposal Collected by DPS truck
Drainage system Open drainage
Communication Mobile phones
Transportation Public transit (Trycicle) or
Walking

The ABC Family is living in their own small house. Construction materials
used are wood or lightweight materials, specifically Amakan. Lighting facility is
responsible for their ambient lighting is being operated by the district (NORDECO).
Home is in natural ventilation as the family just opens their window to get enough air.
Water supply is from running water from the river which meters away from their
house and shallow dug wells found at the back of their vicinity. They keep their water
in large covered drums. Their drinking water (dumoy) is purchased from a refilling
station. They used toilet without automatic flush, timba (generally a plastic pail with a
metal handle) and a tabò kept floating inside. When it comes to garbage collection,
a DPS truck comes once a week. Their primary mode of communication is mobile
phones. They relied on public transportation, such as tricycles, to get around or walk
on their way to work or home.
 ▪ Draw a floor plan with measurements

The ABC family lives in Maco, Davao De Oro. They have constructed their
own home out of wood and light materials. The house is approximately 20 square
feet meters. It is composed of one (1) bedroom, one (1) bathroom, a kitchen, and a
living room which are all sufficient for their needs. Every family member sleeps in the
same room, with the children sleeping on the floor with a 'banig' and the parents
sharing of bed. The living room and kitchen are in the same room. Mrs. ABC wants
to practice good hygiene as she knows that clean environment reduced the risk of
getting sick. Sometimes, the mother together with her son and daughter, clean the
bathroom which is located near the kitchen and bedroom. In addition, Mrs. ABC
cleans their laundry room every day and inspects it for clogs. Food is kept in closed-
door cabinets and a mini refrigerator that Mr. ABC’s brother gave them. They have
three trash bags: one for the kitchen, one for the laundry, and one for the bathroom.
Based on the gathered data, open drainage and poor environment make
breeding places for mosquitoes, flies, cockroaches, and rodents unavoidable. In the
ABC Family, the mentioned disease vectors above, rest in the laundry area outside
the house, specifically in the kitchen sink and garbage cans. Their neighborhood is
not congested; there is still room for trees and plants to grow and a place to play and
hang-out but the electrical connections in their purok are entangled and very
hazardous.
 D. HEALTH STATUS OF EACH FAMILY MEMBERS

Mrs. ABC was diagnosed with Type II Diabetes in 2019 after suffering from
weight loss, exhaustion, random headaches, blurry visions, and loss of
consciousness. She is still taking the prescription that her doctor prescribed for her
condition. Metformin (500 mg) is her current maintenance medication. Due to a lack
of funds, she has been unable to attend her monthly check-ups.
The family's other members are in good health. They even take vitamins to be
healthy on a daily basis and having a 4x dietary history as their pattern for food
intake. Mrs. ABC is particular about what they eat, preferring healthy foods such as
vegetables and fruits. Meat, fruits, seafood, and vegetables are among their favourite
foods. Thankfully, the family can still eat three times a day and exercise to be
healthy.

Name Age Height Weight BMI

Mr. ABC 58 165.1 60 kg 24.0

Mrs. ABC 34 164.2 48 kg 21.3

First ABC 22 173.4 57.8 kg 22.6

Second ABC 19 152.40 42 kg 19.8

E. VALUES, HABITS, PRACTICES ON HEALTH PROMOTION,

MAINTENANCE AND DISEASE PREVENTION

During COVID-19, to get adequate rest and energy for the next day, the family
goes to bed early. Mr. ABC gets up at 5 in the morning for work and walks with Mrs.
ABC to the store to buy pandesal for their children. The children normally wake up at
6 a.m. to prepare for school and to assist their mother with chores. The morning
workout is part of their routine. They do stretch early in the morning to get ready.
Their daughter, Second ABC, sweeps the living room floor and does other simple
tasks, while their son, First ABC, goes to the river to store water for bathing and
other things. Going to their mini farm and planting fruits and vegetables serves as
their family time or time of relaxation and entertainment to reduce stress and avoid
mental and physical health problems.

a. Immunization status of family members:

 - All of the family members, except Mr. and Mrs. ABC, were fully immunized.
Most of the time, they missed appointments scheduled for their immunization
because of being too occupied by work.

- They also just go to “manghihilot” whenever they get sick and have no
budget. Mrs. ABC said that it’s the easiest way to get treated. However, she added
that if they have extra money, they’re willing to have checkup.

b. Healthy, Lifestyle Practices

- As part of their lifestyle practices, they do morning walk and stretching to get
ready for work or school.

c. Nutritional

- Mrs. ABC is particular about what they eat, preferring healthy foods such as
vegetables and fruits. Meat, fruits, seafood, and vegetables are among their favourite
foods. Thankfully, the family can still eat three times a day and exercise to be
healthy.

d. Personal Habits and Practices

-The family doesn’t engage in activities such as smoking and drinking liquor to
protect themselves from higher health risks. Aside from that, at night, the family uses
mosquito repellent to protect themselves from being bitten by vector diseases and
other insects while they are sleeping.

e. Adequacy of Rest/ Sleep

- The family sleeps early at around 8-9 pm and wakes up at 5 or 6 am to have

sufficient rest and gain energy for the next day.

f. Relaxation and other stress management activities

- Going to their mini farm and planting fruits and vegetables serves as their
family time or time of relaxation and entertainment to reduce stress and avoid mental
and physical health problems.

Name BCG DPT MMR Hepa OPV

Mr. F ABC ✔ ✔ ✔ ✔

Mrs. J ABC ✔ ✔ ✔ ✔

First ABC ✔ ✔ ✔ ✔ ✔

Second ABC ✔ ✔ ✔ ✔ ✔

VIII. GENOGRAM
C.

C. Environmental Factors

1. Housing
a. Adequacy of Living Space

To provide a safe and comfortable shelter for all the family members, the
entire house is amply divided into different parts and rooms. Besides that, it has a
total measurement of approximately 20 square feet meters, in which it is comprised
of the following: (1) one bedroom, (2) one living room, (3) one dining room, (4) one
comfort room, (5) a kitchen, and (6) a porch. Moreover, in terms of the construction
materials that were utilized, the house is primarily made out of wood and lightweight
materials such as amakan. Most importantly, the house is owned by the family itself.
Additionally, it is located at Maco, Davao de Oro. Although with such conditions, the
number of rooms can be deemed insufficient considering that the children would be
growing up under the same roof for the following years, in which their privacy and
own space should not be overlooked. However, for the other factors and areas in the
house, it is enough to provide a good space for them. After putting these all into
consideration, it can then be concluded that the space and rooms are inadequate for
their growing family.

b. Adequacy of Furniture

Meanwhile, in this case, the family has a sufficient number of furniture that
best serve its purpose. More so, they have always been making sure that their house
would have all the necessary furniture and other things that would not only give them
a breath of convenience but also make their house to be fully livable. With that, they
are practicing refraining from buying any unnecessary things that take and demand a
lot of space inside their home. Although they are not entirely leaning on the
minimalistic approach in placing and buying furniture, most of their things should live
up to their purpose and be regularly used.

c. Presence of Insects and Rodents

For the insects and rodents, it is one of the pressing concerns of the family
mainly because of how their house is situated in a poor environment with open
drainage nearby. With that, it resulted in the unfortunate condition in which it has
become a breeding ground for mosquitoes, flies, cockroaches, and rodents.
Considering the said type of environment surrounding their family, it is worth noting
that Mrs. ABC has been practicing having good hygiene in order to create a cleaner
environment for everyone, especially since they can get sick and contract any
diseases from such a poor environment.

d. Presence of Accidental Hazard

Apart from the observed poor conditions around their house, the family is also
facing a problem when talking about any existing accidental hazards within their
proximity. In addition to that, one of the many factors that contribute to these hazards
is the fact that their neighborhood has entangled electrical connections that could,
unfortunately, lead them to unforeseen accidents. Although their area is not
congested and still has trees and plants, the said aspect is the primary concern that
they have as many accidents and cases have been reported due to the electrical
wirings.

e. Food Storage and Cooking Facilities

As mentioned earlier, the house includes one kitchen for the entire family,
which is adequate to accommodate them. On the other hand, in terms of food
storage, the family is keeping closed-door cabinets and a mini refrigerator to properly
store their food supply. Looking back, the said mini refrigerator was given by Mr.
ABC’s brother.

f. Water Supply

Going further, for the family’s water supply, they mainly rely on the running
water coming from the river and shallow water from the wells. Their water supply is
from such a source due to the close proximity of a river from their house, which is
only meters away. Moreover, they have a well that was dug at the back of their
vicinity. With that, the two mentioned sources have become their primary means of
getting water. Apart from that, they are also regularly storing water in large drums.
However, for their drinking water, the family purchases from a refilling station.

g. Toilet Facility

For the ABC family’s toilet facility, they only have one restroom for everyone
in the house, which is located near the kitchen and the bedroom. However, despite
the number of people using the same bathroom, the family (mainly the mother and
the children) take turns in cleaning the bathroom to ensure that it stays free from
pollutants and other unpleasant substances.

h. Garbage Disposal

As the family is particular about the cleanliness of their house in order to

make sure that they would have a safe and clean environment, they are also
applying the same principles in their garbage segregation and disposal. A fitting
example of this is how they have three different garbage bags that are situated and
assigned for different areas, which are as follows: (1) one for the kitchen area, (2)
one for the laundry area, and (3) one for the bathroom. Furthermore, for the family’s
garbage collection, a DPS truck would come to their area once a week.

i. Community Resources

Considering the location of their residence, it is situated farther away from

their locality's health center. From their place, the family would need to travel to
Bucana through public transportation such as riding a motorcycle. Moreover, their
residence has little to no access to stores that sell basic commodities, medicines,
and other crucial day-to-day needs. In order for them to buy medicines and other
things such as that at a pharmacy, they would need to travel to the central part and
the commercial area of their city.

j. Communication and Transportation Facilities Available

For this case, the primary means of communication of the family with the use
of new technological tools is through their respective mobile phones, in which it is not
only easy to communicate with each other but it is also a fast and convenient method
for them. Meanwhile, for their transportation, they are primarily relying on and using
public transport for their everyday lives, such as tricycles. However, if a place is
within walking distance, then they would choose to walk to get there.
D. Health Assessment of Each Family Member

Social and Health Facilities

The family lived in Barangay Hijo, which is located in Maco, Davao de Oro.
Their barangay is located in a remote area, so there are no nearby medical facilities
for them to turn to. Therefore, the closest medical facilities are located in another
barangay, which is in Barangay Bucana. However, they still need to travel in order to
reach those facilities. The community has a small gym for social gatherings, as well
as a chapel that the family occasionally attends.

1. Physical Assessment of the family members:

 Name Temperatur Puls Blood Respirator Heigh Weigh BMI
e e Pressur y Rate t t
Rate e

Mr. 36.4 °C 98 120/ 86   17 5’5 ft 60 kg 22.05

ABC bpm
mmHg breaths/ (normal)
min

Mrs. 34.5 °C 97 110/80 18 5’5 ft 48 kg 17.2

ABC bpm
mmHg  breaths/ (underweig
min ht due to
type II
diabetes)

First 36.7 °C 92 110/78 19 5’8 ft 57.8 19.3 kg

ABC kg
bpm mmHg breaths/ (normal)
min

Secon 35.9°C 89 110/75 16 4’11 ft 42 kg 18.7

d ABC breaths/mi
bpm mmHg (normal)
n

2. Immunization status of the family member.

Name BCG DPT MMR Hepa OPV

Mr. ABC ✔ ✔ ✔ ✔

Mrs. ABC ✔ ✔ ✔ ✔

First ABC ✔ ✔ ✔ ✔ ✔

Second ABC ✔ ✔ ✔ ✔ ✔

All of the family members, except Mr. and Mrs. ABC, were fully immunized.
3. Value placed on prevention of disease

So far, all of the family members have stable vital signs, except for Mrs. ABC,
who has a low temperature reading and a BMI of 17.2, which places her within the
underweight range due to her type II diabetes. She is currently taking the medication
that has been prescribed to her by her physician.

The family places great importance on maintaining a healthy lifestyle. Mrs.

ABC takes extra precautions when it comes to what they eat to ensure that they are
well-nourished. They make sure to get some form of physical activity every day, such
as going for a walk in the morning or stretching. They also take preventive measures
in order to protect themselves from various diseases like taking vitamins to maintain
a healthy body and eating in accordance with a 4x dietary pattern.

4. Source of medical care.

When the members of the family are sick, they turn to "pa hilot" instead of
seeking medical attention in healthcare facilities. It is due to a lack of financial
resources for health care and the distance from any nearby medical facilities.
However, Mrs. ABC stated that whenever they have sufficient money, they visit a
health center for a checkup if it is truly needed.

5. Perception of the role of health professional and their services.

The immunizations offered at the community health center were utilized by the
family. Also, Mrs. ABC gave birth to each of her children in the hospital. The family
considers medical professionals as the reliable authority they can turn to for
assistance with their illnesses and other issues.

 6. Past experience with the health professional.

Mrs. ABC sought medical attention and was given a diagnosis of Type II
Diabetes in 2019. After experiencing symptoms such as weight loss, exhaustion,
occasional headaches, blurry vision, and even loss of consciousness, she is
continuing to treat her condition using her maintenance medication metformin with
500 mg dosage that was prescribed to her by her physician. However, she has been
unable to go to her regular checkups every month because she does not have
enough money.

0. Health Teaching/Education given:

CLEANLINESS/SANITIZATION

• We point up the value of maintaining a clean environment to prevent

serving as a breeding ground for insects including cockroaches, flies, and
mosquitoes. We gave the family advice on how to properly sort their trash and
how to avoid burning it because it is bad for the environment and their health.
In order to stop the transmission of bacteria that might cause illnesses like
diarrhea and amoebiasis, we stressed to the family the necessity of washing
hands before and after meals. We also talked to the family about how
essential it is to set an example for children by being hygienic, since they will
imitate what they see adults doing.

 NUTRITION

●         We suggested that the family consume a variety of healthy, low-cost

foods with high nutrient contents. We also emphasized the value of exercise
and play in maintaining our physical wellness. We stress to the family the
need of having a balanced diet and staying away from processed goods and
unhealthy food.

SAFETY AND PREVENTION OF DISEASE

●        We underlined the value of check-up, and Mrs. ABC readily agreed after
learning that she hadn't been to the health center for a long time. We also
discussed the value of nursing. We also introduced the value of vaccinations
and talked about the open deep well in back of their vicinity to prevent
accidents, especially since they have children.
IX. FAMILY COPING INDEX
AREA SCALE JUSTIFICATION HEALTH
TEACHING
1. Physical 5 The family is able Encourage the
Independence to get out of their family to continue
bed, walk this kind of active
independently, and life, and also
take care of their discuss about how
daily grooming. In to properly take
terms of care of their body
 household chores, hygiene.
the family is
cooperative and
supportive with R: Maintaining

each other. good hygiene is

Therefore, every essential because
member of the it helps to stop you
family and the member

accomplishes their of the family from

daily tasks. catching or
spreading
infections and
germs. By
contacting others,
touching feces,
handling
contaminated
food, or coming
into contact with
unclean surfaces
or things, you
might spread the
germs that cause
many diseases.

2. Therapeutic 3 The family carries Encourage the

Competence some but not all of family to ask
the treatments. medical
Health assistance to their
maintenance is primary health
sometimes care facilities in
sacrificed and their barangay to
given insufficient avail free
attention. Mrs. maintenance
 ABC has been medicines and
unable to attend check-ups.
her monthly check-
ups, due to a lack
of funds. While the R: Primary health
other members in care integrates

the family are in care, prevention,

good health, they promotion, and

take vitamins and education to

exercise every day address the health

in order to be needs of all

healthy. patients at the

community level.
By reducing
overall health care
spreading while
enhancing access
and population
health, primary
care enhances the
performance
systems.

3. Knowledge of 1 S: “Sa manghihilot We encourage the

Health ra jud mi family to visit the
Condition makadagan ineg hospital and
naay mag sakit sa consult the doctor
amoa, kay pila ra whenever they are
ang malukop sa sick to ensure
among kwarta their health and
kada bulan. Nag also to monitor
skwela sad akong their existing
mga anak, pero og health conditions.
makakwarta gud
 dira nami makapa
check-up ma’am.”
R: Potential health
problems can be
found early on
O: They have
with the help of
concern with the
routine check-ups.
health condition
When we consult
particularly illness
to a doctor, they
but they use folk
can detect health
medicine and
conditions or
consult
diseases early.
“manghihilot”
You have the best
instead of the
chance of
doctor due to
receiving an
financial problems.
immediate and
avoiding
complications if
you are diagnosed
with a certain
diseases.

4. Application of 1 The financial We advised the

Health situation of the family to go to the
Principles on family is poor. Mrs. health center for a
Personal and ABC was free check-up to
General diagnosed with have their
Hygiene Type II diabetes in condition checked,
2019, and as a not only for Mrs.
result of financial ABC but for all
constraints, she family members,
has been unable and we also
to attend her encouraged the
monthly check- family's cleaning
ups. They visit a and hygiene
chiropractor rather practices. We
than a doctor promoted
because they awareness in the
cannot afford a disease-breeding
check-up. In area so that
hygiene, based on everyone would
the gathered data, be aware of the
there is open situation and avoid
drainage, as well becoming ill. We
as poor also discussed
environmental how health is
conditions, important to the
creating breeding family. We also
grounds for advised them to
mosquitoes, flies, stock up on food
cockroaches, and and to use a
rodents refrigerator to
unavoidable. Their prevent germs
food is kept in from infiltrating.
closed-door
cabinets and a
mini-refrigerator. R: Our regular
activities require
us to maintain our
personal hygiene.
It is crucial to
safeguarding our
health and
preventing the
spread of
communicable
diseases. Social
and aesthetic
values can be
 found in personal
cleanliness.

5. Health 5 The health of the We supported the

Attitudes family members is family’s practices
prioritized. They in continue to be
even take vitamins practical
on a regular basis especially in
to be healthy, and health. We also
they practice encourage the
hygiene and self- family to maintain
discipline to avoid the environment
becoming ill as a clean and consult
result of money or seek help from
problems. There is their barangay so
no money to buy that the problem in
medicine if they their environment
become ill. may be remedied
and diseases can
be prevented for
the safety of
everybody.

R: Like any
attitude, which
comprises a
summary
evaluation,
favorable or
unfavorable, of a
concept, object, or
situation, one’s
 health attitude is
the overall
evaluation of one’s
own health as
excellent, good,
fair, or poor. A
positive health
attitude typically
reflects an
objective health
status that
positive.

6. Emotional 5 When it comes to We encouraged

Competence challenges in their the family for them
life, they are united to develop a set of
and do understand situations in which
each other's they could open
concerns. They up to each other
both make about their
decisions, problems and
especially about promote
health and understanding in
wellness. Even order to tackle
though the father their problems as
makes the majority a family.
of the decisions,
they are all
involved in R: SAARNI

decision - making defined emotional

process since competence as

everyone knows the functional

and considers one capacity wherein a

another's human can reach
 perspectives. their goals after an
Despite financial emotion-eliciting
difficulties and encounter. She
challenges in daily defined emotion
life, the family as a building block
works together on of self-efficacy.
the chores at She described the
home by doing use of emotions
tasks to as a set of skills
accomplish the achieved which
needs of the lead to the
everyone. development of
emotional
competence.

7. Family Living 5 Despite financial We supported the

Pattern difficulties and family’s living
struggles in daily pattern and
living, the family encourage them to
works together create a set of
with the chores at circumstance
home by doing where they can
task to attain the open to each other
needs of about their
everyone. difficulties and
emphasize
Even if the father
understanding to
mostly makes the
resolve
decision, they are
themselves in
all still part in the
facing difficulties
decision making
together as a
since everyone
family.
understand and
consider each
other’s opinion.
 R: Frequently,
health-specific
family
communication
patterns that make
family members
feel valued and
respected and
allow individuals to
develop their own
understanding of
their health
attitudes and
behaviors.

8. Physical 3 The family indeed We supported the

Environment exercise family’s practices
continuous in continuous
cleaning and cleaning and
hygiene in their hygiene. We
house but there provided
are areas that awareness to the
make breeding area which served
place for flies, as breeding
mosquitos, rodents grounds of
and cockroaches disease for them
considering their to pay attention to
open drainage and this matter to
poor environment. avoid diseases.
These disease We also discussed
vectors are resting sanitation,
in their laundry garbage
area specifically in segregation and
the sink and importance of
 garbage cans. health to the
family.

R: People interact
with their physical
environment, the
air they breathe,
the water they
drink. Poor
physical
conditions can
make it more
difficult for us to
have long, healthy
lives, as well as
those of our
neighbors.

9. Use of 1 The family is We emphasized

Community currently living in the importance of
Facilities Hijo, Maco where the mother’s
there are few medical
community maintenance for
facilities in there her Diabetes and
but still, they do advised the family
not usually go or to seek attention
seek any attention to community
to their community facilities especially
facilities. The health care
family is not a facilities to be
member of any given attention
community social and can be
 gatherings. They provided with
usually take health resources
vitamins to be and benefits.
healthy and avoid
getting sick. Only
the mother has R: Studies

been in contact to repeatedly

a doctor or health demonstrate that
facility because of the treatment

her Diabetes. given by

community health
centers helps
patients achieve
better health
outcomes.
Additionally,
patients at these
facilities are more
likely to identify a
regular source of
treatment and
express
satisfaction with
their interactions
with the health
care
professionals.

TOTAL 29
SCORE:

Family Coping Index is measured with the following scores:

1-no competence 3-moderate competence 5-complete
competence
 X. TYPOLOGY OF NURSING HEALTH PROBLEM

CUES FIRST LEVEL SECOND LEVEL ASSESSMENT 

ASSESSMENT 

Inadequate living Poor Inability to provide a home environment which

spaces Home/Environmental is conducive for health maintenance and
 Condition/ Sanitation personal development due to inadequate
family resources, specifically limited financial
and physical resources.

Mr. ABC has a low Presence of foreseeable Inability to provide a home environment
income being a crisis  conducive to health maintenance and
farmer and has personal development due to inadequate
difficulty obtaining family resources, specifically limited financial
other work resources as Mr. and Mrs. ABC have a low
opportunities educational background.

Insufficient budget Presence of foreseeable Inability to provide adequate nursing care to

for health crisis the vulnerable member of the family due to
maintenance  inadequate family resources of care
specifically, financial constraint.

Untreated water Poor Inability to provide a home environment

supplies from the Home/Environmental conducive to health maintenance and
river and shallow Condition/ Sanitation personal development due to inadequate
dug wells family resources, specifically, limited financial
resources to have a water supply from the
water district.

Presence of Poor Inability to provide a home environment

breeding sites of Home/Environmental conducive to health maintenance and
vectors of diseases Condition/ Sanitation personal development due to lack of skill in
in the kitchen sink carrying out measures to improve the home
and garbage cans environment for the family.

Entangled electrical Accident hazard Inability to make decisions with respect to

connections in their specifically fire hazard taking appropriate health action due to failure
purok to understand the magnitude of the condition
and because of low salience of the condition.

Mrs. ABC who is Illness state Failure to utilize community resources for
diagnosed with health care due to inadequate family
Type II Diabetes resources, specifically financial resources
has been unable to intended for Mrs. ABC’s regular check-up.
attend monthly
check-ups

Mr. and Mrs. ABC Lack of Immunization Failure to utilize community resources for
were not fully health care due to lack of time to visit
immunized because of their hectic schedule and low
salience of the problem.

The family relies on Failure to utilize community resources for

Presence of foreseeable
“pa hilot” when they health care due to lack of family resources,
crisis
feel sick instead of specifically financial resources for the cost of
going to the health medicines prescribed.
center.

XI. PRIORITIZATION OF THE HEALTH PROBLEMS

Four Criterias of Health Problems

● Nature of the problem presented- categorized into health deficit and

foreseeable crisis. 
 ● Modifiability of the problem- refers to the probability of success in
minimizing, alleviating or totally prevented if intervention is done on the
problem on consideration. 
● Preventive potential- refers to the nature and magnitude of future problems
that can be minimized or totally prevented if intervention is done on the
problem on consideration. 
● Salience- refers to the family’s perception and evaluation of the problem in
terms of seriousness and urgency if attention is needed.

Criteria  Scale Weight

1. Nature of the problem presented 

3 1
• Wellness state 

3
• Health deficit 

2
• Health Threat 

1
• Foreseeable Crisis

0. Modifiability of the Problem 

2 2
• Easy modifiable 

1
• Partially modifiable 

0
• Not modifiable

0. Preventive Potential 

3 1
• High 

2
• Moderate 

1
• Low
 0. Salience 

2 1
• A condition or problem needing immediate attention 

• A condition or problem not needing immediate attention  1

• Not perceived as problem; condition needing a change

0

1.) Inadequate living spaces (20 sq. m) for a family composed of four adults.

Criteria Computatio Score Justification

n
Nature of the 2/3x1 0.67 It is a health threat since it may
problem lead to inability to provide a home
environment which is conducive for
Health threat health maintenance and personal
development.
Modifiability of the 1/2x2 1 The problem can be modified, but
Problem they do not have enough
financial/material resources to do
Partially modifiable any modifications.
Preventive Potential 2/3x1 0.67 They can maximize the spaces in
the house and refrain from having
Moderate any additional family members.
Salience of the 1/2x1 0.5 They recognize this as a problem
problem but due to economical constraints,
are unable to tackle said issues.
A condition or
problem not needing
immediate attention
Total 2.84

2.) Mr. ABC has a low income being a farmer and has difficulty obtaining other
work opportunities
 Criteria Computatio Score Justification
n

Nature of the 1/3x1 0.33 It is a foreseeable crisis situation

problem because Mr. ABC is unable to
secure work that will allow him to
Foreseeable crisis support his family.

Modifiability of the 1/2x2 1 The problem is partially modifiable

Problem because Mr. ABC is still capable of
finding a job that is suitable to his
Partially modifiable abilities.

Preventive Potential 1/3x1 0.33 The problem has low preventive

potential since Mr. ABC may still
Low have fewer job opportunities to earn
enough for his family.

Salience of the 2/2x1 1 The problem is a significant

problem concern to the family as it involves
the income that they rely on from
A condition or their father.
problem needing
immediate attention 

Total 2.66

3.) Insufficient budget for health maintenance 

Criteria Computatio Score Justification

n

Nature of the problem 1/3x1 0.33 The problem is a foreseeable crisis

since failure to maintain health may
Foreseeable crisis lead to adverse effects on the
health of the family.
 Modifiability of the 1/2x2 1 It is partially modifiable because
Problem the family can utilize health care
benefits provided by the barangay.
Partially modifiable

Preventive Potential 1/3x1 0.33 The problem has low preventive

potential because illnesses are not
Low properly addressed within the
family.

Salience of the 1/2x1 0.5 The family does recognize the

problem existing problem, however, the
need for immediate attention is not
A condition or perceived.
problem not needing
immediate attention

Total 2.16

4.) Water supply is from running water (untreated) from the river which is some
meters away from their house and shallow dug wells found at the back of their
vicinity.

Criteria Computatio Score Justification

n
Nature of the 2/3x1 0.67 It is a health threat due to its
problem untreated state, wherein possible
diseases may cause microorganism
Health threat that will infect any of the family
members.
Modifiability of the 1/2x2 1 The problem can be modified if the
Problem family is willing to install a water
system connected to a water
Partially treatment facility.
modifiable
Preventive 3/3x1 1 If treated water is used instead of
Potential untreated water, the chances of
getting infections or diseases from
High microorganisms will be significantly
lowered.
Salience of the 1/2x1 0.5 The family does not really see this as
problem a problem since it will add additional
costs for the water bill and since they
A condition or are too used to using water from the
problem not well and river.
needing
immediate
attention
Total 3.17

5.) Presence of breeding sites of vectors of diseases in the kitchen sink and
garbage cans.

Criteria Computatio Score Justification

n
Nature of the 2/3x1 0.67 It is a health threat due to the open
problem drainage that insects might live in,
and will cause the ABC family to
Health threat contract harmful diseases.
Modifiability of 2/2x2           It is easily modifiable because the
the Problem 2 ABC family shows concern on how
to decrease the problem that they
Easily experienced.
modifiable
Preventive 3/3x1 1 The problem is highly prevented
Potential since the family takes actions to
prevent open drainage into insects.
High
Salience of the 2/2x1 1 The ABC family needs immediate
 problem attention because their area is close
to diseases.
A condition or
problem
needing
immediate
attention
Total 4.67

6.) The electrical connections in their purok are entangled and very hazardous.
Criteria Computatio Score Justification
n
Nature of the 2/3x1 0.67 It is a health threat because it is
problem hazardous and brings danger in the
family that will lead to death.
Health threat
Modifiability of 1/2x2 1 It is not easily modifiable because it is
the Problem hazardous since the connection of the
voltaic is entangled, you can't easily
Partially touch it because it will cause fire and
modifiable danger in your family as well as your
neighborhood.

Preventive 3/3x1 1 It is highly prevented since the

Potential residents in their purok ask the help of
an electrician to fix the entangled
High electrical condition, the best prevention
of this is to stay away in a voltaic to
avoid danger.
Salience of the 2/2x1 1 It is in need of immediate attention due
problem to the condition of the residents in their
purok that might put them in danger.
A condition or
problem needing
immediate
attention

Total 3.67

7.) Mrs. ABC who is diagnosed with Type II Diabetes has been unable to attend
monthly check-ups

Criteria Computation Score Justification

Nature of the 3/3x1 1 It is under health deficit as it primarily
problem includes the proper diagnosis of Type II
Diabetes, including other conditions that
-Health Deficit keeps the mother from properly
performing daily activities.

Modifiability of 2/2x2 2 Since she was diagnosed by a

the Problem professional, then it gives the mother the
chance to easily modify the problem as
-Easy Modified she would be guided and treated
accordingly to her conditions.
Preventive 2/3x1 0.67 This is moderate as her Type II Diabetes
Potential and other health conditions can be
lessened and prevented if she would
-Moderate stick to her changes in her lifestyle.
However, she could still experience
other problems due to how she is facing
lack of funds, which makes her unable to
have regular check-ups.
Salience of the 1/2x1 0.5 As she has been diagnosed with Type II
problem Diabetes, it is then expected that she
would experience other problems in her
 A condition or  health. Hence, this problem needs
problem immediate attention for it to not cause
 needing anymore problems in the future.
immediate
attention

Total 4.17

8.) Mr. and Mrs. ABC were not fully immunized.

Criteria Computation Score Justification
Nature of the problem 2/3x1 0.67 It is a health threat due to the
possible ill effects that it will cause
Health threat if the disease is contracted.
Modifiability of the 2/2x2 2 The problem can easily be
Problem modified by going to health
facilities that offer free
Easily modifiable vaccination.
Preventive Potential 3/3x1 1 The problem can be prevented or
at the very least the disease won’t
High be as life threatening.
Salience of the 2/2x1 1 Both parents are aware of the
problem possible consequences if they are
to contract the hepa virus.
A condition or problem
needing immediate
attention
Total 4.67

9.) The family relies on “pa hilot” when they feel sick instead of going to the
health center.
 Criteria Computatio Score Justification
n
Nature of the 1/3x1 0.33 The problem is a foreseeable crisis
problem since continuation of this practice will
lead to no recovery or undiagnosed
Foreseeable crisis ailments.

Modifiability of the 1/2x2 1 It is partially modifiable since all they

Problem have to do is get a check up in the
health center, however, since the
Partially distance of the health center is quite
modifiable far they might only do so in serious
circumstances.

Preventive 3/3x1 1 If the family does get checked up in

Potential the health center instead of relying on
“pa hilot”, they will be properly looked
High at by a health worker thus preventing
any disease from getting serious.
Salience of the 1/2x1 0.5 The family is aware that relying on “pa
problem hilot” is not the best course of action,
however, since the distance of the
A condition or health center is quite far they would
problem not rather choose “pa hilot” instead.
needing
immediate
attention

Total 2.83

Problem Score: 
1. Presence of breeding sites of vectors of diseases in 4.67
the kitchen sink and garbage cans.

2. Mrs. ABC who is diagnosed with Type II Diabetes has 4.67

been unable to attend monthly check-ups

3. The electrical connections in their purok are entangled 4.17

and very hazardous.

4. Water supply is from running water (untreated) from 3.67

the river which is some meters away from their house and
shallow dug wells found at the back of their vicinity.
5. Inadequate living spaces (20 sq. m) for a family composed  . 3.17 
of four adults
6. Mr. and Mrs. ABC were not fully immunized 2.84
7. The family relies on “pa hilot” when they feel sick instead 2.66
of going to the health center
8. Insufficient budget for health maintenance 2.33
9. Mr. ABC has a low income being a farmer and has 2.16
difficulty obtaining other work opportunities

XII. FAMLY NURSING CARE PLAN

1.
CUE HEALTH FAMIL GOA OBJEC INTERVENTION PLAN
S PROBLEM Y L OF TIVES
NURSI CAR OF Nursing Meth Resour Evalu
NG E CARE Interve od ces ation
PROB ntion  of Require
LEMS Nurs d 
e-
Fami
ly
Cont
act 

June Poor Inability After After 1. Hom Material June

15, Home/Envir to a two two Establis e Resourc 30,
2022 onmental provide week weeks h visit  es:  2022
Condition/S a home span span of rapport Tools
Pres anitation environ of care, to the for Goal
ence ment healt the family. visualizi met.
of which h family ng the
bree is teach will be Rationa effects The
ding conduci ing, able to: le: To of insect family
sites ve for the gain the and is able
of health famil a. coopera pest to
vecto mainte y will explain tion of presenc elimin
rs of nance elimi the the e.  ate the
disea and nate importa family  breedi
ses person the nce of Cleanin ng
in al possi maintai 2. g sites
kitch develo ble ning a Examin supplies of
en pment bree clean e the for the vector
sink due to ding surroun state of house s in
and lack of site ding the and its kitche
garb skill in of and house surroun n sink
age carryin vecto identify and the dings.  and
can g out r necessa knowled garbag
measur disea ry ge of Insectici e can
es to ses. actions the des to and
improv to househo eliminat mainta
e the improve ld e these in its
home their member unwant cleanli
environ living. s. ed ness.
ment. organis
b. know Rationa ms.
what le: To
are the assess Human
causes the Resourc
and possible es:
possible source The
effects of the time
of the problem and
presenc as well effort of
e of as the nurses
insects level of and
or underst family
pests. anding member
of each s.
c. will member
be able . Financi
to al
perform  Resourc
3.
and es:
Discuss
maintai Money
the
na to cover
potential
clean the cost
sources
surroun of the
of
dings. nurse's
mosquit
transpor
os, flies,
tation to
and
the
cockroa
client's
ches. home.

Rationa
le: To
provide
them
ideal
measur
es for
eliminati
ng
breedin
g sites
of
vectors
in their
home
environ
ment.

4.
Explain
to the
family
all of the
potential
disadva
ntages
and
negative
consequ
ences
that
these
organis
ms
could
have on
their
health. 

Rationa
le: To
educate
the
family
about
vector-
borne
disease
s.

5.
Discuss
strategie
s with
the
family
on how
they can
improve
their
lives by
cleaning
and
organizi
 ng their
home
and
surroun
dings.

Rationa
le: To
promote
the
family’s
quality
of life.

2.

CUES HEAL FAMIL GOAL OBJEC INTERVENTION PLAN

TH Y OF TIVES
PROB NURSI CARE OF Nursin Meth Resource Evalua
LEM NG CARE g od of s tion
PROBL Interve Nurs Required 
EMS ntion  e-
Fami
ly
Cont
act 

June Illness Failure After a After 1. Hom Human June

15, State to two two Establis e Resources 30,
2022 utilize week weeks h visit  : 2022
commu span of care, rapport The time
Mrs. nity of the to the and effort Goal
ABC resourc health family family. of nurses met
who is es for teachin will be and family
diagn health g, the able to: Rationa members. Mrs.
osed care family le: To ABC
with due to should a. gain the Financial has
Type inadeq be recogniz coopera Resources been
II uate encour e the tion of : encour
Diabe family aged significa the Money to aged
tes resourc to nce of family  cover the to start
has es, attend having cost of the having
been specific monthl regular 2. nurse's her
unabl ally y check- Discuss transportat checku
e to financia check- ups. the ion to the p for
attend l ups. significa client's the
month resourc b. learn nce of home. next
ly es and and having month
check inadeq acquire a Material and to
-ups uate free healthy Resources learn
knowle health diabetic : to seek
dge of assistan diet with Diabetes free
commu ce from good Education health
nity Departm blood Brochure/ assista
resourc ent of glucose Leaflets nce
es for Health control. from
health program the
care. s. Rationa Depart
le: To ment
c. keep of
motivate the Health
to go for client's progra
regular blood ms.
check sugar at
ups. a
healthy
level.

3.
Educate
the
client
about
the
possible
complic
ation
and the
importa
nce of
regular
check
up.

Rationa
le: To
be
aware
of the
risk if
poorly
controll
ed and
assesse
d.

4.
Assist
the
patient
to be a
member
 of a
health
assistan
ce
progra
m for
diabetic
patients
.

Rationa
le: To
help
lessen
the
family
expens
es.

3.

CUES HEAL FAMIL GOAL OBJEC INTERVENTION PLAN

TH Y OF TIVES
PROB NURSI CARE OF Nursing Meth Resour Evalua
LEM NG CARE Interve od of ces tion
PROBL ntion  Nurs Require
EMS e- d 
Fami
ly
Cont
act 

June Accide Inability After a After two 1. Hom Human June

15, nt to make two weeks Establis e Resourc 30,
2022 hazard decisio week span of h visit  es: 2022
specifi ns with span care, the rapport The
Entang cally respect of family to the time and Goal
led fire to health will be family. effort of met
electric hazard taking teachi able to:  nurses
al appropr ng, the a. Rationa and The
connec iate family acknowl le: To family family
tions in health will edge the gain the member underst
their action realize presenc coopera s. ands
purok due to the e of the tion of the risk
failure situatio problem. the Financia of the
to n and family  l situatio
underst decide b. be Resourc n and
and the the aware of 2. es: decides
magnitu proper principle Explain Money to ask
de of and s of the to cover assista
the approp safety presenc the cost nce
conditio riate e of the of the with
n and action c. hazard nurse's their
becaus to identify it may transpor barang
e of low preven ways to bring to tation to ay.
salienc t the reduce the the
e of the occurr the fire family. client's
conditio ence hazard home.
n. of fire. and Rationa
demonst le: To Material
rate promote Resourc
understa awaren es:
nding by ess of Reading
putting the flyers
the hazardo about
given us accident
intervent conditio al
ions into n. hazards.
action.
 2.
d. Discuss
coordina the
te with significa
the nce of
baranga fire
y for safety.
assistan
ce Rationa
le: To
prevent
the
occurre
nce of
fire and
reduce
the
extent
of
damage
that it
can
cause.

3.
Provide
method
s for
reducin
g the
risk of a
fire and
assist
 them to
coordin
ate with
the
baranga
y.

Rationa
le:
To
protect
the
safety of
the
family
and limit
physical
damage
.

4.

CUE HEALTH FAMIL GOAL OBJEC INTERVENTION PLAN

S PROBLEM Y OF TIVES
NURSI CARE OF Nursing Met Resour Evalu
NG CARE Interven hod ces ation
PROB tion  of Requir
LEMS Nurs ed 
e-
Fam
ily
Cont
act 

June Poor Inabilit After a After 1. Hom Material June

15, Home/Envir y to two- two Establish e Resour 30,
2022 onmental provide week weeks ed visit ces: 2022
 Condition/S a home span of care, rapport Tools
Untre anitation environ of the to the for Goal
ated ment health family family. visualizi partiall
water conduc teachi will be ng y met
suppl ive to ng, able to: Rational effects
ies health the e: To of The
from mainte family a. gain the having family
the nance will be underst cooperat untreat is able
river and inform and ion of ed to
and person ed the the water under
shall al about risks of family. supply stand
ow develo the using and/or the
dug pment effects water 2. video risk
wells due to of from the Discuss present they
inadeq having river the risk ation to can
uate an and of using demons acquir
family untrea shallow untreate trate e from
resourc ted dug d water alternati the
es, water wells. as water ve untrea
specific supply supplies. actions. ted
ally, and b. supply
limited recon determi Rational Human and
financi sider ne to e: To Resour recon
al about prioritiz promote ces: sider
resourc taking e the awarene The the
es to appro problem ss about time proble
have a priate among possible and m.
water action others diseases effort of Howe
supply about or will and nurses ver,
from prioriti ignore it parasite and due to
the zing conside infection family lack of
water home ring s usually membe funds,
district. faciliti their coming rs. they
es for financial from are
a difficulti unsanita Financi unabl
proper es. ry water. al e to
water Resour put it
supply c. 3. ces: into
. perceiv Instruct Money action
e the to cover right
options family to the cost away
for take of the and
avoidin alternativ nurse's still
g e actions transpo need
disease to avoid rtation to
risks the risks to the save.
caused of client's
by disease home.
using through
untreate unsafe
d water. water.

Rational
e: To
prevent
acquiring
pathoge
nic
microorg
anisms
from
untreate
d water
supplies
that can
cause
 serious
condition
s.

5.

CUES HEALTH FAMIL GOA OBJEC INTERVENTION PLAN

PROBLEM Y L OF TIVES
NURSI CAR OF Nursin Meth Resour Evalu
NG E CARE g od ces ation
PROB Interve of Requir
LEMS ntion  Nurs ed 
e-
Fami
ly
Cont
act 

June Poor Inability After After 1. Hom Human June

15, Home/Envir to a two two Establis e Resour 30,
2022 onmental provide week weeks hed visit  ces: 2022
Condition/S a home span of care, rapport The
Inade anitation environ of the to the time Goal
quate ment healt family family. and met
living which h will be effort of
space is teach able to: Ration nurses The
s conduc ing, ale: To and family
ive for the a. gain the family alread
health famil demons cooper membe y
mainte y will trate ation of rs. rearra
nance devel techniqu the nged
and op es to family. Financi their
person ways promote al applia
al to a 2. Offer Resour nces
develo maxi healthy ideas ces: and
pment mize environ for Money furnitu
due to the ment, rearran to cover re, as
inadeq living such as ging the cost well
uate spac proper existing of the as
family e furniture furnitur nurse's segre
resourc insid or e to transpo gated
es, e the applianc make rtation the
specific hous e the to the items
ally e. placeme most of client's that
limited nt, if the home. are no
financi there is availabl longer
al and any. e living useful
physica space.  and
l b. consu
resourc separat Ration me
es e ale: To too
inoperat assist much
ive the space
material family inside
s from in their
operativ maximi house.
e ones. zing
their
living
spaces.

3.
Encour
age the
family
to
discard
items
 that
they no
longer
use. 

Ration
ale: To
reduce
the
unnece
ssary
objects
that
consum
e
space.

6.

CUES HEALT FAMIL GOAL OBJEC INTERVENTION PLAN

H Y OF TIVES
PROBL NURSI CARE OF Nursing Meth Resour Evaluat
EM NG CARE Interve od ces ion
PROB ntion  of Require
LEMS Nurs d 
e-
Fami
ly
Cont
act 

June Lack of Failure After a After 1. Hom Material June

15, Immuni to 2 two Establis e Resourc 30,
2022 zation utilize weeks weeks h visit es:  2022
commu span of span of rapport Tools
Mr. nity health care, to the for Goal
and resourc teachin Mr. and family. visualizi met.
Mrs. es for g, Mr. Mrs. ng the
ABC health and ABC will Rationa effects The
were care Mrs. be able le: To of family
not due to ABC to: gain the having was
fully lack of will coopera incompl schedul
immun time to complet a. tion of ete ed for
ized. visit e their acquire the immuniz immuni
becaus immuni knowled family  ation.  zation
e of zation. ge and
their about 2. Human went to
hectic the Suggest Resourc the
schedu importa some es: nearest
le and nce of health The health
low immuniz care time center
salienc ation. facilities and to
e of the that effort of complet
proble b. learn offer nurses e their
m. possible free and immuni
healthc immuniz family zation.
are ation. member
facilities s.
that Rationa
offer le: Financia
free To give l
immuniz the Resourc
ation. family es:
options Money
c. for to cover
comply where the cost
with the to get of the
immuniz immuniz nurse's
ation. ations transpor
that are tation to
easily the
accessi client's
ble to home.
them.

3.
Discuss
the
possible
disease
s that
may
exist if
the
immuniz
ation is
incompl
ete.

Rationa
le:
To
encoura
ge
family
member
s to be
immuniz
ed and
to
protect
them
 from
harmful
disease
s before
they
come
into
contact
with
them.

7.

CU HEALT FAMIL GOAL OBJECT INTERVENTION PLAN

ES H Y OF IVES OF
PROB NURSI CARE CARE Nursing Meth Resour Evalua
LEM NG Interven od of ces tion
PROBL tion  Nurs Require
EMS e- d 
Fami
ly
Cont
act 

Jun Failure After a After two 1. Hom Human June

Presen
e to utilize two- weeks of Establis e visit Resourc 30,
ce of
15, commu week care, the hed es: 2022
foresee
202 nity span of family rapport The time
able
2 resourc health will be to the and Goal
crisis
es for teaching able to:  family. effort of met
The health , the nurses
fami care family a. know Rationa and The
ly due to will the le: To family family
relie lack of learn importan gain the member finally
s on family not to ce and cooperat s. consid
“pa resourc rely advantag ion of ered
hilot es, solely es of the Accurate going
” specific on hilot looking family. knowled to
whe ally whenev for ge of health
n financial er they professio 2. nurses care
they resourc feel sick nal help. Encoura about facilitie
feel es for and ge the scientific s if
sick the cost have no b. know family to ally they
inst of funds about go to proven felt ill
ead medicin and gain health health natural and
of es knowled care care remedie knew
goin prescrib ge facilities facilities s. some
g to ed. about that instead herbal
the the provide of hilot. Financia plants
heal significa free, l as
th nce of appropri Rationa Resourc alterna
cent medical ate le: To es: tive
er. examina medical ensure Money remedi
  tion.  treatmen the to cover es, like
t in their family the cost tsaang
communi will of the gubat,
ty. achieve nurse's when
the transport they
c. learn maximu ation to felt
about m the stomac
herbal wellness client's h
medicine . home. aches.
plants
approve 3.
d by the Recom
Departm mend
ent of some
Health natural
that may remedie
help s that
lessen are
their scientific
expense ally
s.  proven.

d. Rationa
consult a le: To
physicia teach
n for an the
accurate family
diagnosi about
s when inexpen
they feel sive but
ill. effective
remedie
s.

4.
Suggest
some
health
care
facilities
or health
program
s that
offer
free
health
services
.

Rationa
 le: To
provide
the
family
with
options
for
where
they can
obtain
free
health
services
that are
easily
accessib
le.

8.

CUES HEAL FAMIL GOAL OBJEC INTERVENTION PLAN

TH Y OF TIVES
PROB NURSI CARE OF Nursing Meth Resour Evaluat
LEM NG CARE Interven od ces ion
PROB tion  of Requir
LEMS Nurs ed 
e-
Fami
ly
Cont
act 

June Prese Inability After a After 1. Hom Human June

15, nce of to two- two Establis e Resour 30,
2022 forese provide week weeks hed visit ces: 2022
eable adequa span of of care, rapport The
Insuffici crisis te health the to the time Goal
ent nursing teachin family family. and met
budget care to g, the will be effort of
for the family able to:  Rationa nurses The
health vulnera will be le: To and family
mainte ble able to a. gain the family exhibits
nance membe save at underst cooperat membe an
r of the least a and the ion of rs. underst
family small importa the anding
due to amount nce of family. Financi of the
inadeq for the having al importa
uate budget financial 2.  Resour nce of
family for assets Explain ces: having a
resourc health for the Money budget
es of mainte cases of importan to cover for
care nance emerge ce of the cost health
specific as a ncy. having a of the mainten
ally, prepar budget nurse's ance
financi ation in b. for transpo and
al case of practice health rtation starts to
constra an to save mainten to the save at
int. emerge at least ance. client's least 50
ncy. a small home. pesos
amount Rationa per day
for the le: To from the
budget encoura day
for ge the after the
health family to health
mainten be teaching
ance prepare .
daily. d for
unexpec
c. ted
express medical
the costs for
benefits any
of treatme
saving nt.
money.
3.
Suggest
possible
alternati
ves for
their
financial
insufficie
ncy.

Rationa
le: To
gain
supplem
entary
money
for the
budget
related
to
health.

4. Allow
the
family to
discuss
themsel
 ves on
how
much
they are
willing to
save for
health
mainten
ance
daily.

Rationa
le: To
enable
the
family to
plan for
their
budget
manage
ment.

9.

CUES HEALT FAMIL GOA OBJEC INTERVENTION PLAN

H Y L OF TIVES
PROB NURSI CAR OF Nursing Meth Resour Evalu
LEM NG E CARE Intervent od of ces ation
PROBL ion  Nurs Require
EMS e- d 
Fami
ly
Cont
act 
June Presen Inability After After 1. Hom Human June
15, ce of to a two two Establish e Resourc 30,
2022 Forese provide week weeks ed visit es: 2022
eable a home span of care, rapport to The
Mr. crisis environ of the the time Goal
ABC ment healt family family. and met
has a conduci h will be effort of
low ve to teach able to: Rational nurses The
income health ing, e: To and family
being a mainte the a. be gain the family decide
farmer nance family aware of cooperati member d that
and and will the on of the s. Mr.
has person be possible family. and
difficult al able alternati Financia Mrs.
y develop to ves 2. l ABC
obtainin ment plan where Suggest Resourc will
g other due to and they can some es: take
work inadeq come earn for potential Money vocati
opportu uate up their income to cover onal
nities family with extra generatin the cost course
resourc additi finances g of the s in
es, onal . activities nurse's TESD
specific sourc transpor A to
ally es of b.  Rational tation to learn
limited inco coordina e: To the new
financia me te with gain at client's skills
l for their least home. that
resourc the baranga some will
es as family y for extra help
Mr. and . assistan income them
Mrs. ce. and have
ABC savings. an
have a extra
low 3. Advise source
educati the family of
onal to buy incom
backgr low-cost e,
ound. but good- thanks
quality to the
items/mat assista
erials. nce of
their
Rational barang
e:  To ay.
lower the
expenses
of the
family.

4. Help
the family
to
coordinat
e with the
barangay
for
possible
vocationa
l training.

Rational
e: To
learn new
skills that
may help
to find
 better job
opportuni
ties.

XIII. CONCLUSION
The community immersion activity that we conducted in our community health
nursing at Prk. 3 Hijo, Maco, Davao De Oro has affected us in so many ways. With
the opportunity given to us, we were able to reach out to different kinds of families.
We learned that indeed, each family is unique when it comes to their situations,
needs and how they face their struggles in life. After weeks of getting along with the
families, we witnessed their bravery and resiliency in embracing their problems by
coping up with what they have. We feel fortunate at the same time realizing how we
should appreciate every little thing in this world. We were aware that what we shared
and offered in the community were all part of our responsibilities. However, having to
see the circumstances in the community, letting ourselves touch the lives of every
family, listening to their stories as we provide the health teachings and observe their
fulfillment made us go beyond happy. All of those difficult tasks, unforeseen events,
and even rejections taught us that these things were necessary parts of the duties
that a public servant must perform. The qualities we need to establish a strong
relationship with the families include patience, empathy, compassion, knowledge,
and skills. We gradually came to understand the true meaning of community health
nursing as a result of the experience.

The particular family that we selected truly made a remarkable impression as

we watched them live happily and optimistically in spite of numerous obstacles and
opponents brought on by their health and environmental conditions. Although we
were unable to advise them directly of our assessment, we still guided them by
providing health education. We believe that this would be a big help so that in the
future, when they think about the safety and well-being of the entire family, the
information we provided will serve as their guidance to be prepared. We have also
established that people change the way they live in accordance with how their
upbringing and particular health issues have influenced them. The family must be
equipped with knowledge for the upcoming difficult circumstances as well as the
forthcoming catastrophe in their lives. In order to manage their own self-care and be
holistically well-rounded individuals, the family must establish their own inner
strength. This will serve as their foundation to be able to take care of their own health
much better. Thus, the health and strength of a family determine the strength of the
entire community, and this is what community health nursing is meant to achieve.

XIV. RECOMMENDATION
The results obtained in this study would enable the family to become more
aware of their personal health state as well as their essential roles leading to an
effective family functioning.

Based on the findings and conclusions of this study, the following

recommendations are suggested:

1. Members of the family should provide full support to each person in the
household's basic needs and demands so that their eagerness to do their
responsibilities is consistent and long-lasting especially when it comes to health and
wellness at best.
2. To preserve the cleanliness and sanitization that would ultimately improve their
wellness and health, everyone in the community or in the purok should actively work
together. Recreational activities in the purok should be promoted, improved, and
adjusted so that camaraderie and harmonious relationships can develop and
flourish.

3. The officials should hold a symposium or conferences on family health practices

and the degree of awareness of health concerns and unintentional hazards that can
potentially endanger them. Providing them the right information will help them make
the best decisions and work toward changing those aspects to avoid future
restrictions. Additionally, to hold seminars on how to handle stress and deal with
health issues that may arise in various contexts.

4. With the assistance of a health professional, the family should understand and
need more information on the nature of different diseases. In order to reduce the risk
of health issues, the community should pay enough attention to the health education
and local health monitoring services offered by the barangay health center.

5. People close to the family, particularly relatives and friends, should provide
adequate emotional encouragement and support. Moreover, the community should
be informed about all of the available health services from the barangay health
center and the city health, which offer more free health services.

6. Everyone involved with the barangay health center and its administrators should
have a thorough assessment of their health initiatives, which should reach every
barangay and its residents to ensure that all of their services are delivered. On the
other hand, it is important to assess, pay attention to, and evaluate the monitoring of
its implementation.

7. Enlighten the people in the community regarding health teaching, promotion, and
prevention because even with this single activity or effort it can creatively benefit and
influenced other people's lives especially in modifying the lifestyle that they have and
applying it in their daily lives, health and wellness will be convenient.
XV. BIBLIOGRAPHY

Ayonayon, C. (2021). A FAMILY CASE STUDY. Community Family Case Study,

Study Guides, Projects, Research for Community Health.

Crabbe, R. C. (2016). The health problems associated with poor housing and home
conditions, inadequate water supplies, flooding, poor sanitation and water pollution.
Health Knowledge.

Philippine Statistics Authority. (2021, July 4). About Seven Percent of Filipino Family
Members Got Ill/Sick or Injured in June 2020 (Results from the 2020 Annual Poverty
Indicators Survey (APIS). Family and Health.
Philippine Statistics Authority. (2022, March 23). Household Population, Number of
Households, and Average Household Size of the Philippines (2020 Census of
Population and Housing). Population and Housing.

Sunil Kumar Karn, S. S. (2003). Living Environment and Health of Urban Poor: A
Study in Mumbai. JSTOR.

World Health Organization. (2016). Estimating Environmental Health Impacts.

PubMed Central. (2018). Why strengthening primary health care is essential to

achieving universal health coverage.

County Health Rankings and Roadmaps. (2022). Physical Environment.

XVI. DEFINITION OF TERMS

Community Health Nursing - also called public health nursing or community

nursing, combines primary healthcare and nursing practice in a community setting.

Disease Vectors- any living organism that transmits an infectious disease to

humans.

Family- a group of two or more persons related by birth, marriage, or adoption who
live together.

Family Nursing Care Plan- a guide or framework of nursing care designed to

provide ways in solving health-related problems of the family as a whole.
Foreseeable Crisis- these are anticipated periods of unusual demand on the family
in terms of time or resources.

Health Deficit- this refers to conditions of health breakdowns or advent of illness in

the family.

Health Hazard- are chemical, physical or biological factors in our environment that
can have negative impacts on our short- or long-term health.

Health Status - refers to your medical conditions (both physical and mental health),
claims experience, receipt of health care, medical history, genetic information,
evidence of insurability, and disability.

Health Threat- a condition where there is an impending health hazard.

Immunization- a process by which a person becomes protected against a disease

through vaccination.

Local Community- a local community is a group of interacting people sharing an

environment.

Nuclear Family- a family group that consists only of parents and children.

Nursing Intervention- actions a nurse takes to implement their patient care plan,
including any treatments, procedures, or teaching moments intended to improve the
patient’s comfort and health.

Risk Factors- something that increases the chance of developing a disease.

Type II Diabetes- is a disease that occurs when your blood glucose, also called
blood sugar, is too high.

Urban- relating to a city, town, or living in a city or town.

Wellness- is the act of practicing healthy habits on a daily basis to attain better
physical and mental health outcomes.
XVII. APPENDICES (PICTURES)
XVIII. DOCUMENTATION