University of Cebu – Banilad

College of Nursing

A CASE STUDY ON

COMMUNITY HEALTH AND GERIATRIC NURSING

In Partial Fulfillment of the Requirements in the Subjects

NCM 113 – Community Health Nursing

NCM 114 – Geriatric Nursing

Submitted to:

_________________________________

Clinical Instructor

Submitted by:

GROUPINGS KAY BASE

SA RLE DUTY (10 MEMBERS)

____________________________________

____________________________________
 TABLE OF CONTENTS

I. INTRODUCTION

II. BASELINE INFORMATION

III. INITIAL DATA BASE

IV. SPOT MAP

V. FIRST LEVEL ASSESSMENT

VI. SECOND LEVEL ASSESSMENT

VII. PROBLEM PRIORITIZATION TABLE

VIII. FAMILY NURSING CARE PLAN

IX. GERIATRIC ASSESSMENT

X. RECOMMENDATION

XI. CURRICULUM VITAE

I. INTRODUCTION (COMPOSED OF 2-3 PARAGRAPHS)- Interview og NEW
FAMILY NA NAAY LOLA/LOLO og DILI ang gi interview nato pag last

II. BASELINE INFORMATION OF FAMILY

EDUCATIONA
NAME AGE SEX RELATIONSHIP RELIGION TRIBE L IMMUNIZATION
ATTAINMENT
Filipino/Bajao/English

Address: ____________________________________________________________

Head of the Family: ___________________________________________________

Source of Income: ____________________________________________________

Income: Father ______________

Mother _____________

Behavior: ___________________________________________________________

III. INITIAL DATA BASE (NARRATIVE FORM)

 A. Family Structure and Characteristics

B. Socio-economic and Cultural Characteristics

C. Home Environmental Factors

D. Health Status and Medical History

E. Values, Habits, Practices and Health Promotion

IV. SPOT MAP -PWEDE PRINTED, NOT NECESSARILY DRAWING

V. FIRST LEVEL ASSESSMENT (MORE ON IDENTIFICATION, FIRST MEET WITH THE

FAMILY, I-OBSERVE ANG FAMILY AND MO GIVE MOG HEALTH PROBLEM )
(PARAGRAPH FORM)

Cues/ AMB Health Problem Category Justification

SUBJECTIVE/OBJECTIVE GIVE CONCRETE
EVIDENCES WHY
NGANA ANG
SITUATION SA
FAMILY
VI. SECOND LEVEL ASSESSMENT [paragraph form]
- BASE SA FIRST LEVEL OF ASSESSMENT, MORE ON PRIORITIZATION SA CERTAIN
HEALTH PROBLEM (I EXPLAIN WHY NGANA KA CONCERNING ANG CERTAIN NA
PROBLEM)

VII. PROBLEM PRIORITIZATION TABLE

PROBLEM RATING

VIII. FAMILY NURSING CARE PLAN

FAMILY GOAL OBJECTIVES EVALUATION

HEALTH
NURSING OF OF INTERVENTION
PROBLEM
PROBLEM CARE CARE
NURSING METHOD RESOURCES
INTERVENTION OF NURSE- REQUIRED
FAMILY
CONTACT
 IX. GERIATRIC ASSESSMENT

(ANG FORM NA ATONG GI FILL-UPAN SAUNA, MAOY GAMITON, I INSERT LANG)

X. RECOMMENDATION (GIVE RECOMMENDATIONS)

 Family

 Nursing Students

 Healthcare Workers

 College of Nursing

 Barangay Health Center

 Government

FORMAT :
- ARIAL 12
- DEADLINE: FINALS
- SOFTBOUND (BATTLE GREEN ANG COLOR)

SUBJECT FOR QUESTIONING

- CATEGORY
- RATING
- FNCP IF USA RA KA PROBLEM ISUWAT
- ASA I SUBMIT