FAMILY

CRITERIA:
1. Extended Family (with elderly and/or children below 5 years old)
2. Single parent

Family Name: E.R Address: Cavite City

I. DEMOGRAPHIC DATA
Household No. 4 Barangay House No; Brgy.58

II. FAMILY DATA

Length of Residency: 43 years

Place of Origin: Cavite City

Family Size: 7

Religion: Catholic

FAMILY MEMBER’S CHART

Famil Ag S Civil Positi Relation Educati Occup

y e ex statu on in ship to onal ation
memb s the the Attain
ers family family ment
head
Father 76 M Marri Father Father Undergr None
ed aduate
High
school
Mother 75 F Marri Mother Mother Element None
ed ary
Brother 50 M Singl Brother Brother Element Part
e ary time
Job
Brother 48 M Singl Brother Brother Element Constracti
e ary on

Brother 46 M Singl Brother Brother Element Ele

e ary ctric
al
Ass
ista
nt
Sister 44 F Singl Sister Sister High Therapi
e School st
Graduat Assista
e nt
Sister 41 F Singl Sister Sister High None
e School
Paren Graduat
t e
Sister 43 F Singl Sister Sister High None
e School
Parent Undergr
aduate
III. FAMILY
CHARACTERISTICS
Type of family structure
A. Extended
B. Patriarchal

GENERAL FAMILY STRUCTURE

Crit Struc Additional Information

eria ture
Observable conflicts Exten Finances & Job,Conflict over Care of Elderly
between family ded Parents
members
Characteristics of Patrial 3rd sibling brother has the authority to
communication make decision regarding on the family.
Interaction patterns Exten Positive family communication rules indeed.
among members ded
FAMILY DIETARY HABITS
What did you eat yesterday? (24-hour
dietary recall) Breakfast: None

Lunch: Boiled Sweet Potato

Dinner: Banana & Coffee

MONTHLY FAMILY INCOME SOURCE:

Husband: None

Wife: Side line only

Others:

MONTHLY FAMILY
INCOME:
Total (check bracket)
Above 15,000 – 20,000
Php

FAMILY HEALTH STATUS / HEALTH HISTORY

Father: Hypertension

Mother: Parkinson's Disease

Children: None

Grandfather: Hypertension

FAMILY FELT NEEDS (Identify and rank according to priority)

1. Health
2. Feeding
3. Wealth
IV. HOME AND ENVIRONMENT
A. Is your lot owned?
Yes.

B. Is your house owned?

Yes,

C. Type of housing materials

Concrete

D. Is the living house adequate? No

E. What are the appliances owned by the family?

− Flat-screen TV
− Electric fans /
− Refrigerator
F. Type of garbage disposal collected
G. Type of waste disposal: Flush
H. Type of drainage system
open

I. Source of water supply

owned

J. Drinking water storage

covered

K. Containers used
jars, clay pots

L. Common household pests found at home

− cockroaches
− rats
− fleas and ticks
− ants
− houseflies

M. Are there breeding sites of insects, rodents, etc, present? Yes

N. Pets/animals kept in the yard/home Dog

O. Are there accident hazards present? None

V. HEALTH AND HEALTH PRACTICES

A. Common illness encountered for the last six months and the treatment applied.

Illness encountered: Treatment applied:

B. Whom do you consult for health-related problems?
Health center
Barangay health worker

C. For problems other than health, whom do you consult?

family members
relatives
Barangay officials

D. Immunization status of the family members

− All children had their complete immunizations from the health center of their respective
barangay.

E. Have you had adequate

1. Rest and sleep?

Yes
2. Exercise?
No
3. Relaxation activities?
Yes
4. Stress management activities?
Yes

1. Kind of neighborhood Rural Area,Safe and Security

2. Social and health Health

facilities available Center,
Hospital
,DSWD
3. Communication and Verbalized and Cellphone Communication
transportation facilities Jeepney,tricycle,bus

VI. AWARENESS OF COMMUNITY ORGANIZATION

Name all the organizations you know.

None

A. Are you a member of any of these organizations?

No

B. Are you aware of its activities and projects?

Yes

How are you involved in its activities?

Planning
C. Name 5 formal and non-formal leaders of the community whom you think can
lead the people.

1. Mayor
2. Kapitan
3. Barangay Health Worker
4. Kagawad
5. DSWD

IDENTIFYING FAMILY HEALTH PROBLEMS

Student name: Girlie Osorio

Family No. 7
Name of family head: Father
Address: Kawit Cavite

List of Health Problems Nature of the

Problem
High Blood Pressure Health Deficit
Mobility issue to difficulties of walking and Health Deficit
balancing due to balance impairment
Lack of physical activities
Health Threat
Inadequate Family Income Health Threat
Presence of Pests Health Threat

COMPUTING AND JUSTIFYING SCORES OF HEALTH PROBLEMS

Family
Problem: Inadequate Family Income
Criteria Standard Sco Wei Act Justification
re ght ual
Sc
ore
1. Nature 3 1 1 0.33
It's a health threat due to
of the inadequate gross income to
Problem support their essential needs.
2. 2 2 2 2 Certainly modifiable the
Modifiabilit problem, once everyone
y of the each of them has a, got job
Problem
3. 3 2 1 0.66 They are able to prevent
Preventi the situation as long as they
ve support and help each
potential other to improve their
income for their needs.
4. 2 1 1 0.5 Make a rapid measure for
Salience the situation to avoid
of the poverty and present illness.
problem
Total score: 3.49

Total score: 3.49

Family
Problem: No physical activities

Criteria Standard Sco Wei Act Justification

re ght ual
Sc
ore
1. Nature 3 1 1 1
It's a health threat cause it
of the may lead to disease risk
Problem factors.
2. 2 1 2 1 This is a modifiable problem
Modifiabilit because it may do once or
y of the twice a week.
Problem
3. 3 0 1 0 Can be prevented by giving
Preventi time or interest to improve
ve overall health, fitness, and
potential quality of life.
4. 2 1 1 1 Make rapid measures for
Salience the situation it may help to
of the manage weight, reduce the
problem risk of disease, and
strengthen muscles and
bones.
Total score: 3

Total score: 3

Family
Problem: Presence of Pests

Criteria Standard Sco Wei Act Justification

re ght ual
Sc
ore
1. Nature 3 1 1 0.33
They may bite, destroy food
of the crops, damage property, and
Problem make our lives difficult.
2. 3 1 2 0.33 It can cause health
Modifiabilit problems, allergic reactions,
y of the and respiratory disease.
Problem
3. 3 0 1 1 Emphasize the proper storage
Preventi that may attract vectors.
ve Instruct the family to prevent
potential any accumulation of stagnant
water.

4. The 2 1 1 0.5 Can carry harmful bacteria

salience that can contaminate foods.
of the This can cause illness or
problem spoil food.
Total score: 2.16

Total score: 2.16

RANKING HEALTH PROBLEMS OF FAMILY
Priority Problem
Score
1 Inadequate Family Income 3.4
9
2 No physical activities 3

3 Presence of Pests 2.1

6
4 High Blood Pressure 1.9
9
5 Mobility of difficulties of walking and 1.8
balancing due to balance impairment 3

TOP 3 PRIORITY HEALTH PROBLEMS OF FAMILY

Priority Problem
Score
1 Inadequate Family Income 3.4
9
2 No physical activities 3

3 Presence of Pests 2.1

6

DETERMINING FAMILY NURSING PROBLEMS

Family
Health Nursing
Proble Problems
First level Second level
ms Assessment Assessment
Inadequate Family Income > Family size beyond what > Inability to make decisions
family resources can with respect to taking
adequately provide. appropriate health action
due to low educational
attainment.

No physical activities > Unhealthy Lifestyle and > Inability to recognize the
Personal Habits/Practices. importance and benefits of
having physical activity.

Presence of Pests > Poor Home/Environmental

Condition/Sanitation
> Inability to provide a
home environment
conducive to health
maintenance and personal
development due to:

1. Ignorance of the
importance of hygiene and
sanitation

2. Lack of knowledge
regarding preventive
measures
 FAMILY HEALTH CARE PLAN
Name of Family:
Family NCP # 1

INTERVENTION
PLAN
He Famil G Object Metho Evalu
alth y Inter Res
o ives vent ds of our ation
pro Nurs a Nursi
ble ing ion ces
l Out ng Re
ms Prob s Famil
lems com qui
es y red
Conta
ct
After
Inad > Inability > After > After > > > one
to higher
equa sources one-day one day Sugge Home Visual day
of income
te due to nursing of st visit aids of
low
Famil education of nursing possibl > neede nursi
y al health interven e Intervi d to ng
attainmen
Inco t. teachin tion,the alterna ew discus interv
me g and family tives Metho s the entio
appropri would for d topic nono
ate be able their about non
persuas to be financi the the
ion aware al possib family
the of the insuffic le was
family possible iency.e alterna able
will alternati .g build tives to
have to ves a small for exhibi
utilize where sari- their ted
and they sari lack of more
underst can store. financ intere
and the earn for > es. st in
need for other Impart > Time the
an sources the and possi
alternati of knowle effort ble
ve income. dge as of the altern
source. to how nurse atives
they and as a
can the sourc
utilize family. e of
the their
commu inco
nity's me
resour and
ces for expre
health ssed
care. their
e.g use desir
of e to
herbal partic
medici ipatin
ne. g in
> the
Comm said
unicate proje
with cts.
barang
ay
official
s as to
they
would
addres
s the
proble
m.e.g
annou
nceme
nt for
openin
g job
project
s.
Family NCP # 2

INTERVENTION
PLAN
He Famil G Object Metho Evalu
alth y Inter Res
o ives vent ds of our ation
pro Nurs a Nursi
ble ing ion ces
l Out ng Re
ms Prob s Famil
lems com qui
es y red
Conta
ct
After
No > Inability > After > After > > > the
to
physi recognize one day the Broade Home Visual nursi
the
cal importanc of nursing n the visit Aids ng
e and
activi benefits nursing interven knowle >Tran interv
ties of having interven tion the dge of sportat entio
a physical >
activity. tion, the family the Health ion of n
family will family Teachi the given
member underst specifi ng nurse. the
s will be and the cally in family
able to effects teachin was
do their of lack g able
daily of about to
exercise exercis daily gain
s or e and exercis knowl
physical the es edge
activity importa benefit and
after a nce of s of the under
week or physical body to stand
twice a activity an the
week.e. in our individ impor
g health. ual. tance
jogging e.g > and
or jogging Discus effect
walking or s the s of
for 20- walking effects no
30 for 20- or physi
mins. 30 results cal
mins. of no activit
physic y.
al
activity
.
FAMILY NCP # 3
INTERVENTION
PLAN
He Famil G Object Metho Evalu
alth y Inter Res
o ives vent ds of our ation
pro Prob a Nursi
ble lems ion ces
l Out ng Re
ms s Famil
com qui
es y red
Conta
ct
> Inability > After > After >Discu >Hom >Reso >
to provide
Pres a home the the ss the e visits urces Partia
environm
ence ent nursing nursing import Requir lly
conduciv
of e to interven interven ance of ed met,
Pest health tion the tion the having Materi after
maintena
s nce and family family good al the
personal
developm will be will be environ Resou interv
ent due
to: able to able to: mental rces: entio
eradicat a. Be conditi 1. n the
1. e the aware ons. Visual family
Ignorance
of the presenc and be > Look Aids. was
importanc
e of e of more for the 2. able
hygiene
and these knowled causes materi to be
sanitation unwant geable and als awar
2. Lack of ed sites about effects and e and
knowledg of the of low- knowl
e of
regarding vectors importa these cost edge
preventiv
e causing nce of unwant suppli able
measures disease proper ed es of the
s and sanitati sites neede impor
therefor on, around d for tance
e will especial home. demon of
maintai ly at > stratio prope
na home. Sugge n. r
home st 3.Time sanit
environ b. be metho and ation
ment able to ds that effort at
conduci eliminat would on the home
ve to e the elimina part of due
health. presenc te the the to the
e of breedi nurse Prese
1. these ng and nce
Discuss breedin sites. family. of
the g sites > Pests
importa of Explor .
nce and vectors e with
purpose .e.g the
s of cockroa family
proper ches, the
sanitatio flies ways
n. to
c. improv
2. Cite recogni e
the ze the home
causes causes sanitati
and of on: a.
effects breedin empha
of the g sites size
prevale such as the
nce of to proper
these prevent storag
unwant the e that
ed occurre may
pests nce of attract
around disease vectors
the s. e.g b.
home. stagnan instruct
e.g t water the
cockroa family
ch flies to
preven
3. t any
Suggest accum
alternati ulation
ves/met of
hods stagna
that nt
would water.
eliminat
e the
breedin
g sites
of
vectors.
e.g
using
pesticid
e spray

4.
Explore
with the
family
the
ways of
improvi
ng
home
sanitatio
n
conside
ring its
limited
resourc
es:

a.
emphas
ize to
the
family
the
proper
storage
of food
that
may
attract
vectors

b.
instruct
all
family
membe
rs to
prevent
accumu
lation of
stagnan
t water
around
their
home
since
this is a
good
breedin
g place
for
insects.
Name of Student: Girlie Osorio
NCM 21104L
Year and Section: BSN 2A
Group No and Clinical Instructor: Group 3 / Miss Anne Ruiz
JOURNAL ENTRY
FAMILY: Erma Ramasasan
CRITERIA:

● Extended Family

● Patriarchal

ESTABLISHING A WORKING RELATIONSHIP WITH THE ADOPTED FAMILY

CRITERIA CHECK IF DONE (DATE)

1. Initiate contact through home visit on October 14, 2022,

2. Introduce yourself and the agency on October 14, 2022,

3. Communicate interest in the family welfare October 14, 2022,

4. Maintain two-way communication October 29, 2022,

5. Show willingness to help with expressed needs October 31, 2022

HEALTH PROBLEMS IDENTIFIED

1. Having a Big family member and low income

2. No proper physical activities
3. Visible home pests (Termites)

First Home Visit: (Date) October 14, 2022,

Narrative entry of the details of the home visit:

In our first met, I introduced myself as a Nursing Student, and asked for her consent to have
an interview with her and to her family members. Then she gave me permission to conduct an
interview with her.
I asked for her Identification information, how many family members they have, what is their
source, who among them has a history of illness, how many times they eat in one day, and
what are their physical activities daily. Included here about their house and environment
sanitation as well as the hygiene route.
Through this Family Assessment form above I identified and indicated their family health
problem.
After our first interview with Miss E.R., I gave her some objectives and nursing Interventions
that she can apply to their family. After the interview with Ms. E.R., she allowed me to revisit
her on the next home visit.
Second Home Visit: (Date) October 29, 2022,

Narrative entry of the details of home visit

During my next home visit to the father, the head of the family, I asked him about the family health
problems objectives and intervention that I was given to him if there was any improvement. Based on his
story, they did general cleaning and disinfected the entire house and yard. They replaced the frenulum and
threw away those unnecessary things inside and outside the house. His other daughter and son also got
work including Miss Ramasasan for an additional source of income for their expenses at home. He thanked
me because the objectives and nursing intervention I taught them helped. Also the proper physical activities.

Third Home Visit: (Date) October 31, 2022,

Narrative entry of the details of the home visit

The goal is partially met. The family now has proper sanitation, a good source of income to
support their essential needs, and proper exercise twice a week.