FAMILY HEALTH NURSING ASSESSMENT OF “FAMILY S.

” IN BARANGAY
STO. CRISTO DASMARIÑAS CITY, CAVITE

A Family Nursing Assessment

Presented to the Faculty of the School of Nursing

St. Jude College Dasmariñas Inc., Cavite

Presented by:

Eslabon, Sharmaine Angeluv

Estrellado, Kathrina

Legaspi, Shancai

Ladaga, Joshua

Limboc, Jenny

Fronda, Bryan

Level 2– BS Nursing (2-T RLE)

Presented to:

Mrs. Allaine Ruth Gellez Castillo-Rodil, RN

Mrs. Brigene Tabago, RN

Ms. Amy Calleja Villarosa, RN

Ms. Kristelle Lynne Manlapas RN

Batch 2025
 Table of Contents
I. INTRODUCTION .......................................................................................................................................3
A. INTRODUCTION TO THE FAMILY .......................................................................................................... 3
B. FAMILY DEMOGRAPHY ........................................................................................................................... 3
C. PHYSICAL ENVIRONMENT ..................................................................................................................... 4
D. PHYSIOLOGICAL AND SPIRITUAL ........................................................................................................ 4
E. PURPOSE OF THE STUDY ...................................................................................................................... 5
F. SPECIFIC OBJECTIVES OF THE STUDY .............................................................................................. 5
G. LOCATION MAP ......................................................................................................................................... 6
H. SPOT MAP ................................................................................................................................................... 7
I. GENOGRAM ................................................................................................................................................. 8
II. PRESENTATION OF DATA AND ANALYSIS ......................................................................................9
A. DEMOGRAPHIC PROFILE ....................................................................................................................... 9
B. ECONOMIC ASPECTS ............................................................................................................................ 10
C. ENVIRONMENTAL ASPECTS ............................................................................................................... 11
D. HEALTH ASPECTS .................................................................................................................................. 11
E. SOCIAL ASPECT ...................................................................................................................................... 12
III. FAMILY CARE PLAN .......................................................................................................................... 13
A. COGNITION PERCEPTION PATTERN ................................................................................................. 18
B. SELF-PERCEPTION / SELF CONCEPT PATTERN ............................................................................ 18
C. NUTRITIONAL METABOLIC PATTERN ............................................................................................... 19
D. ELIMINATION PATTERN ........................................................................................................................ 19
E. ACTIVITY-EXERCISE PATTERN........................................................................................................... 20
F. SLEEP AND REST PATTERN ................................................................................................................ 20
G. SEXUAL REPRODUCTION PATTERN ................................................................................................. 20
H. FAMILY ROLES AND RELATIONSHIP PATTERN .............................................................................. 21
I. VALUES AND BELIEF PATTERN ............................................................................................................ 21
J. COPING STRESS TOLERANCE PATTERN ......................................................................................... 22
K. HEALTH PERCEPTION / HEALTH MANAGEMENT ........................................................................... 22
IV. PROBLEM PRIORITIZATION ............................................................................................................. 24

A. PRESENCE OF BREEDING OR RESTING SITES OF VECTORS OF DISEASES ................... 26

B. UNHEALTHFUL EATING PRACTICES SECONDARY TO INADEQUATE FOOD INTAKE
BOTH IN QUALITY AND QUANTITY .......................................................................................................... 27
C. POOR HOUSE SANITATION ............................................................................................................ 28
D. INADEQUATE LIVING SPACE .......................................................................................................... 29
E. POOR HOUSE LIGHTING AND VENTILATION.............................................................................. 30
V. FAMILY NURSING CARE PLAN ......................................................................................................... 32

A. PRESENCE OF BREEDING OR RESTING SITES OF VECTORS OF DISEASES...................... 32

B. UNHEALTHFUL EATING PRACTICES SECONDARY TO INADEQUATE FOOD INTAKE
BOTH IN QUALITY AND QUANTITY .......................................................................................................... 33
C. POOR HOUSE SANITATION ............................................................................................................ 34
D. INADEQUATE LIVING SPACE .......................................................................................................... 35
E. POOR HOUSE LIGHTING AND VENTILATION.............................................................................. 36

1
VI. RECOMMENDATION AND CONCLUSION ....................................................................................... 37
CONCLUSION ............................................................................................................................................... 37
RECOMMENDATIONS................................................................................................................................. 37
VII. DOCUMENTATIONS .......................................................................................................................... 38
A. PICTURES ............................................................................................................................................. 38
B. DATA GATHERING TOOLS ................................................................................................................ 41
VIII. REFERENCES: .................................................................................................................................. 45

2
 I. INTRODUCTION

A. INTRODUCTION TO THE FAMILY

A family is a crucial component of a community. Family is where an individual

builds their identity. It is where their values, beliefs, and understanding is shaped. No
matter the differences in family classes within a community, they stand on their
purpose as citizens and community members. A family is a group of individuals that
live together in a home, bound by love, faith, blood, and marriage. Different statuses
and classes of families vary, and so does their perception of health. Their
understanding of one's wellness is affected by their environment and beliefs. It is
significant for healthcare workers conducting health teaching to correct
misconceptions about practices that are not necessary or advantageous to their
family's wellness.

Family S, is a resident of Barangay Sto.Cristo, Dasmarinas, Cavite, for more

than 20 years. Their house is located near the barangay hall, near the barangay-
covered court. There are six (6) members in the family that live in the house. But
usually, there are only 3 of them in the household most of the time. Their Grandmother
and two of her grandchildren, the other two including the children's father, often come
home.

B. FAMILY DEMOGRAPHY

Family S has six (6) members of the family in total that reside in their house.
But most of the time, only three (3) members of the family are consistently present in
their home. Their Grandmother and two of her grandchildren are the only ones in their
house. Grandchildren 1 and Grandchildren 2 are the ones who assist and give the
necessary care for her. Grandmother S, 73 years old, has difficulty hearing, blurred
vision, and difficulty walking due to her underlying disease of diabetes or is incapable
of taking care of herself since she spends most of her time sitting in her wheelchair
and staring outside of their house. According to one of her grandchildren, she was
confined before; due to hypokalemia. She currently takes Vitamin B+, but not very
often since they rely on the supply from the barangay health center. Grandchild 1 is
one of the grandchildren that go home occasionally and works as a factory worker.
Grandchild 2 does not consistently stay at home; he works as a welder to sustain his
financial needs but does not regularly contribute to his family. Grandchild 3, 23 years
old, is one of the grandchildren who stays at home to assist their Grandmother; he is
a high school undergraduate due to inadequate funds to help his education. Instead,
he works as a factory worker to sustain their financial needs. Grandchild 4, 20 years
old, the youngest of all the grandchildren and the only girl. She is currently a college

3
student at Technological University of the Philippines as a first-year student taking up
her bachelor's degree in education. She is also the most responsible out of all the
members of the family. During her free time, she takes care of her Grandmother;
Father S also comes home occasionally to their house since he is a stay-in
construction worker.

C. PHYSICAL ENVIRONMENT

Family S. lived in Barangay Sto. Cristo Dasmariñas City. They are located near
the barangay hall of Sto. Cristo and beside the covered court of the barangay hall of
Sto. Cristo. The house of Family S. is small and made of solid materials such as stone
and wood with light materials such as galvanized iron sheets. Their door is made of
galvanized iron sheets and wood as a foundation. Their neighbors' houses are most
likely made of light materials. They do their laundry at the back of their house beside
a canal.

When you enter their house, you will see at the left corner behind the door is
their stove and a stock of noodles that came from the barangay and at the left side is
their bedroom, using a fabric acting as a door with a double deck bed that is made of
wood, and you can see their laundries anywhere. When you enter further, you will see
the back of their house, and there you will see their toilet and laundry area beside the
canal and their junk materials on the right side. When you enter their restroom, you
can notice that there is a crack to the small portion of the toilet is broken. It is
unhygienic, and there's a lot of moss on the wall. There is no living room and ceiling,
and they lack other house materials and appliances because their dishes are in a wash
basin. They didn't have a source of electricity, but they had a source of water. They
use the water produced by a water tap for drinking and other needs.

D. PHYSIOLOGICAL AND SPIRITUAL

Every single member of Family S is part of the Roman Catholic community. Before
the pandemic struck, they used to go at least two times a week to church to offer a
prayer or attend mass. Still, since the pandemic modified the way of our community's
life dramatically, they are not able to go to church at the peak of the pandemic, but
currently, they go once a week.

Despite this situation, Grandchildren 4 stated that their faith hasn't faded. If
anything, it has become more robust, and every night, they would offer a prayer to ask
for provision and wisdom.

4
 E. PURPOSE OF THE STUDY

The purpose of this study is to strengthen the family's discipline and initiative to
create a healthy home environment for the betterment of their long-term health.
Additionally, increase the family's knowledge about the importance of their
environment and how it dramatically impacts not only their health but also their quality
of life to achieve the ability to maintain and improve their current health situation, which
all would be completed by conducting a series of nursing intervention

F. SPECIFIC OBJECTIVES OF THE STUDY

After implementing the different nursing interventions, the community health nurse
should be able to:

1. Establish rapport with the family.

2. Gather the data necessary to create the Family Nursing Care Plan (FNCP).
3. Educate the family about the nature of their problems and their possible
solutions.

4. Discuss how the family could perform the solutions based on the resources that
they have and can manage to get.

5. Evaluate the success of the health teaching that deals with the family's problem.

5
G. LOCATION MAP

Santo Cristo, formerly Barangay 3, is a barangay in the city of Dasmariñas, in the

province of Cavite. Its population as determined by the 2020 Census was 4,551. This
represented 0.65% of the total population of Dasmariñas. Santo Cristo is situated at
approximately 14.3405, 120.9555, on the island of Luzon. Elevation at these
coordinates is estimated at 82.3 meters or 270.0 feet above mean sea level.

6
H. SPOT MAP

The family residence near the Barangay Santo Cristo Hall and the Covered
Court they are surrounded by a canal and located on the corner of the street their
address is Block 54 Lot 11 A Barangay Sto Cristo Dasmariñas City Cavite.

7
I. GENOGRAM

JM. B. JN. B.

The Family S consist of the grandmother with the initials E. S., She is already
widowed by V.S. her husband they have one child R.B., and got married to C.B. they
have 4 children 1 female and 4 male their initials are J.B., JM.B., R.B., JN.B. The
family also have one cat.

8
II. PRESENTATION OF DATA AND ANALYSIS

A. DEMOGRAPHIC PROFILE
A. IDENTIFICATION
1. Name of Respondent E. S.
2. Age 73 y/o
3. Religion Catholic
4. Birthday December 1, 1948
5. Civil Status Widowed
6. Date of Interview November 7, 2022
7. Time of Interview 12:27 pm
8. Time finished 12:52 pm
9. Name of Interviewer Shancai M. Legaspi

B. DEMOGRAPHIC DATA
1 2 3 4 5 6 7 8 9
N For children 0-1
Is birth
U years old:
Relationship registered
Gender A. Father Is/are the vaccine
M with the local
Who are the B. Mother Civil received right for
B A. Male Age Religio Birthday registrar?
members of the B. Female
C. Children Status the age of the
n D. Others
E household? A. Yes child?
B. No
R A. Yes
B. No

1 C. B. A J A September D. Son in B A -
22, 1961 law
2 JM. B. A E A May 10, D. A A -
1996 Grandchil
dren
3 R. B. May 18, -
A E A 1998 D. A A
Grandchil
dren
4 JN. B. A D A November D. A A -
17, 1999 Grandchil
dren
5 J. B. B D A July 31, D. A A -
2002 Grandchil
dren

(4) Religion
(3) Age A. Catholic
(7) Civil
B. Protestant
Status
C. Iglesia ni Kristo
A. 0-5 years old F. 30-35 years old K. 60-65 years
D. Aglipay
old A. Single
E. Islam
B. 6-11 years old G. 36-41 years old L. 66 years old B. Legally Married
F. Born-Again
and C. Widowed
G. Mormons
C. 12-17 years old H. 42-47 years old and above D. Separated
H. Jehovah's witness
D. 18-23 years old I. 48-53 years old E. Live in
I. 7th day Adventist
E. 24-29 years old J. 54-59 years old
J. Others

C. INCOME D. OFW E. EDUCATION

10 11 12 13 14 1 16 17 18
5

9
 N What is the highest
degree of education
U Do you have Current achieved? If given the
M an OFW in education A. Elementary level
chance to study
B your family? level? B.
Work Status Elementary again do we
A. Yes, we Studying?
E Income
How many A. graduate expect your
Occupation per have C. High school level participation?
R Month
A. Permanent B. None years in A. Yes Preparatory
D. High
B. Temporary B.
abroad? B. No school
C. Shifting
What country Elementary
graduate
A. Yes
C. High
does he/she school E. College level B. No
works? D. College F. College graduate
G. Vocational
H. Out of school
I. Unable to study

Construction 10,000 A - - - B - D B
1 worker
Factory 15,000 A - - - B - D A
2 Worker
Welder 5,000 A - - - B - D A
3
- - - - - - B - D A
4
- - - - - - A D E -
5

Family S is composed of six (6) members. This includes Grandmother S and her
grandchildren. Statistically, they are made up of 67% (4) male and 33% (2) Female.
Male members of the household are Son-in-law C, Grandchildren 1, Grandchild 2, and
Grandchild 3, and the female members are Grandmother S and Grandchild 4. They
are all Catholics, with all their age ranging from 20-73 years old, and her son-in-law
and grandchildren are all single

Grandmother S is a high school graduate and is currently unemployed as she is

not viable for it due to old age and comorbidity. The ones earning in the family are
child-one, grandchild-one, and grandchild-two, while grandchild-three is unemployed
and grandchild-four is studying.

Their accumulated income piles up for about one thousand (1000) PHP per day
from specific blue-collar jobs – Son-in-law C is a construction worker, Grandchild 1 is
a factory worker, and Grandchild 2 is a welder.

Grandmother and the household members have all of their birth registered at the
local registrar, and only the Grandmother has a comorbidity and has all of the
necessary vaccines.

B. ECONOMIC ASPECTS
Family S' accumulative income ranges from about 1000 PHP. Regardless of this
seemingly average income, Grandchild 4 asserted that this amount isn't sufficient as
half of it goes to their debt payment. In addition, grandchild 4 emphasized the ever-

10
increasing inflation adding up to that problem as it makes their budget tighter and
tighter as time passes.

C. ENVIRONMENTAL ASPECTS
Environment, in the simplest term, is everything that surrounds where living things
operate. No matter what angle we see, they will directly or indirectly affect every living
thing's health. As per human well-being, one of the things that play a vital role in
maintaining our health is our environment – as this serves as the source of our primal
needs, whether food, air or et cetera.

It can either bring a positive or negative effect. Living in a clean and sustainable
environment would surely be beneficial to us. Still, realistically speaking, in one way
or another, we would indeed find a health-threatening problem existing in every
community that we can look upon.

Family S house is a makeshift dwelling (barong-barong) that they bought and

owned. Throughout the assessment of family S's environment, the student nurses
found some evident issues that could compromise their health; this involves poor
sanitation of their house, clutters, and dust all around, accompanied by poor
maintenance of house facilities. Their main entrance is gated and made out of a rusted
corrugated metal aluminum sheet, which is hazardous for tetanus infection, taking note
that their Grandmother spends most of her time sighting the outside from that gate.
Their living room is filled with clutter, unorganized house furniture, and household
goods. Their laundry area is inadequately maintained to be neat and clean, and there
is the presence of water algae. Their water drainage is also a problem since it has no
specific place to be drained, which could be a place for vector breeding. Laundry
materials are cluttered in different places without proper organization. The floor is filled
with dead leaves and water algae, which is slippery and could lead to an accident
hazard. Their bathroom is inadequate in space, and there is the presence of water
algae, which is an indication of poor maintenance and sanitation. Their toilet bowl has
many broken areas and is also improperly sanitized due to brown discoloration. Right
beside their house is a spacious room with a huge tree situated in the corner. The
entry space is filled with garbage and clutter, which is poorly maintained. There are
also rusted fences rolled in the corner left and not correctly disposed of in the trash.
The fallen leaves are not swept away and thrown. Their clusters of metal aluminum
were left rusted in the corner, cluttered packaging of adult diapers, packed juices, new
Tupperware, and insecticide aerosols. Since only three family members are
consistently present in the house, their Grandmother cannot perform basic tasks, two
of her grandchildren are not working, and the other is studying. None of them can
adequately maintain the cleanliness and sanitation of the house.

C. HEALTH ASPECTS

11
 According to Grandmother S, she is grateful as all of the household members are
healthy. She stated that even though she has comorbidity (Diabetes, mental loss, and
uses a wheelchair) and stressors are almost everywhere, she is still thankful as
sickness seldomly attacks her family. They are all relatively healthy and have complete
vaccinations from the health center.

E. SOCIAL ASPECT

According to Grandchild 4, they all have good relationships with their neighbors,
but unfortunately, due to her Grandmother's condition and age, Grandmother spends
most of her time inside their home. Family S is very accommodating and hospitable,
which was thoroughly displayed throughout the procedures the student nurses have
conducted – they welcome the student nurses despite their busy schedule and
mother's condition.

12
III. FAMILY CARE PLAN
GORDON'S 11 FUNCTIONAL HEALTH
PATTERNS

FAMILY HEALTH PERCEPTION According to Grandmother S, health refers to

AND HEALTH MANAGEMENT the overall status of our mind and physical body.
PATTERN This was stated in a non-verbatim manner, and
she defined being healthy as being free from any
deviations from the usual health condition and
being able to eat at least two times a day, which
includes a nutritious diet.

They mostly incorporate vegetables, fish,

and meat whenever they have the budget to do
so, but most of the time, they rely on the ration
of the barangay officials of Sto. Cristo, which
includes noodles and canned goods.

Regardless of being financially-constraint,

Grandmother S is still grateful as her household
members can stay healthy. She says that having
signs and symptoms of disease seldom comes,
and whenever it does, they try to self-medicate
it as much as possible. This is due to having no
budget to do so, and they will only get consulted
once their health conditions deteriorate
dramatically.

Family S considers consuming health meals

FAMILY NUTRITION AND
METABOLISM PATTERN to sustain their body needs and to provide
nutrition to their Grandmother at home. They all
enjoy sharing meals such as green leafy
vegetables such as kangkong and other
vegetables. They also frequently prepare fish as
part of their everyday diet. There are no known
food restrictions regarding their religious beliefs
since all members are catholic devotees. There
is none of the family present with food allergies.
Although their Grandchild dislikes eggplant and
their Grandmother dislikes any food with
coconut milk, they avoid serving such meals.

13
 Because of the financial incapability of the
family to frequently serve such meals, not all the
time they have the opportunity to eat such
meals. It is manifested in the skin and nails of
their Grandmother of how inadequate the supply
of nutrients they have in their body. They also
depend on the barangay's food ration or food
packs given by the barangay to quench their
hunger. Most of the time, the food rations only
have spicy noodles and sardines, which have
low nutritional value and are insufficient to
sustain their body's needs.

FAMILY ELIMINATION Family S has mentioned no difficulty in

PATTERN releasing bodily wastes. None of them are said
to have pain in urination or urine hesitancy. They
all urinated at average frequency each day:
approximately 4-5 times a day and indicated to
have a standard, light yellow color. Family S has
no mentioned difficulty in defecation, no known
problems in constipation and diarrhea, and none
of the family members take laxatives or any
medication to assist their release of bodily
wastes.

Family S has some exercise equipment in

FAMILY ACTIVITY AND
EXERCISE PATTERN their home and works out in their leisure time.
They also participate in other activities in their
Barangay. Grandchildren 3 and 4 sometimes do
a few workout routines at home to maintain their
shape. Unfortunately, their Grandmother has no
daily leisure or exercises due to her condition
and difficulty standing up and walking. The other
two grandchildren have their leisure activities
are done during their job, which is considered a
form of body exercise.

14
 Son-in-law C is a high school graduate
FAMILY COGNITIVE AND
PERCEPTION PATTERN who could not pursue college but has a decent
job. Grandchildren 1,2 and 3 are also high
school graduates, they also did not pursue
college any longer due to financial incapability,
and all decided to find their job to at least earn
money. On the other hand, Grandchildren 4 is a
college student at a college university near their
barangay. She is a first-year college student
pursuing her bachelor's degree in education. No
one in the family has developmental problems or
learning difficulties, and none of the family
members have difficulty making sentences.
Unfortunately for Grandmother S, she has
difficulty retaining simple information. She has
short-term memory loss, evident during the
interview, wherein she was asked if she had
already eaten her breakfast. She answered,
"Hindi pa ako nakain," but she was holding a
bowl of half-empty noodles as her Grandchild
served her breakfast.

FAMILY SLEEP AND REST According to the interview, it was mentioned

PATTERN that there was an existing problem with
Grandmother S's sleeping pattern. Her
granddaughter claims that her Grandmother has
difficulty falling asleep during the evening, and
she experiences insomnia attacks. She only
sleeps during the afternoon naps. Other than
that, all the grandchildren have no difficulty
sleeping and complete sleep, approximately 5-7
hours during the evening, and sometimes varies
from the time of their job and school. None of
them take any medication or sleeping pills to
help them sleep.

FAMILY SELF-PERCEPTION All of the members of Family S are

AND SELF-CONCEPT PATTERN satisfied with the way they perceive
themselves. They all love the way they look
and their uniqueness as a person. They all

15
 perform self-care and regular self-grooming
to maintain themselves. But according to
the interview, Grandmother S does not
usually bathe frequently. She only has the
opportunity to wash if one of her
grandchildren is assisted since she is
incapable of moving on her own.
Unfortunately, most of them are busy
attending to their Grandmother's hygiene
needs.

FAMILY ROLES AND The family had quite a problem

RELATIONSHIP PATTERNS communicating with one another as if they
seemed to just talk to each other when
someone needed something. They don't have
good communication with their own needs.
They have clear family roles, to whom to take
care of their Grandmother and who to take
turns feeding her, preparing her meal, or even
cleaning her up. Her granddaughter always
takes the initiative in helping out their
Grandmother. It is manifested within their
environment that they don't usually
communicate who will declutter all the mess
around the house, clean the bathroom, or
even sweep off all the excess fallen leaves.
They also have no family bond with each
other since their mother does not live in their
house in Sto. Critso but rather in Tondo,
Manila. And not all of the family members go
home and become complete. Only three of
them are constantly left in the place, and they
have no good communication.

FAMILY SEXUALITY AND Throughout the interview, the youngest

REPRODUCTION PATTERN family member was the only one available to
entertain the questions. She couldn't answer his
brothers' behalf since they had no good
communication. According to her, her
Grandmother is not at all sexually active due to

16
 her age and comorbidity. She is not sexually
active, she had her menarche during the
seventh grade, and she is experiencing a
problem regarding her menstruation. She is
sometimes irregular, but there will come a time
that her monthly period is on time.

FAMILY COPING AND The family's coping mechanism is to talk

STRESS TOLERANCE calmly to each other whenever stressors arise.
PATTERN Through this method, they let respectfully lose
their feelings without causing any restraints on
others. According to Family S, they perform
calm conversations to resolve the problems that
cause stress because it helps them feel like they
are not the only ones experiencing hardships,
causing them to feel a sense of calmness. Other
than that. They also seek advice that is
advantageous to their conflicts about the stress
they are experiencing due to particular
dilemmas in life.

FAMILY VALUES AND BELIEF All of the members of Family S are catholic
PATTERN devotees. They all consistently visit the church
every Sunday for masses. Still, unfortunately,
due to the rise of the pandemic and the new
protocols, they have to follow the mandatory
rules, and their practices have been postponed.
But since the strict protocol due to the pandemic
has been lifted, all of the family members except
Grandmother S are now attending church once
a week. Even though she is at home,
Grandmother S still offers a prayer each night to
express her faith together with the family S.
Their family believes that the word of God
teaches us and others about immoral, unethical,
and meaningless behavior.

17
 A. COGNITION PERCEPTION PATTERN

Son-in-law C is a high school graduate who could not pursue college but has a
decent job. Grandchildren 1,2 and 3 are also high school graduates, they also did not
pursue college any longer due to financial incapability, and all decided to find their job
to at least earn money. On the other hand, Grandchildren 4 is a college student at a
college university near their barangay. She is a first-year college student pursuing her
bachelor's degree in education. No one in the family has developmental problems or
learning difficulties, and none of the family members have difficulty making sentences.
Unfortunately for Grandmother S, she has difficulty retaining simple information. She
has short-term memory loss, evident during the interview, wherein she was asked if
she had already eaten her breakfast. She answered, "Hindi pa ako nakain," but she
was holding a bowl of half-empty noodles as her Grandchild served her breakfast.

Education is something that's not only needed on a personal level but also on a
global level, as it's something that keeps our world safe and makes it a more peaceful
place. Education tends to teach people the difference between right and wrong and
can help people stay out of risky situations.

- University of the People

B. SELF-PERCEPTION / SELF CONCEPT PATTERN

All of the members of Family S are satisfied with the way they perceive
themselves. They all love the way they look and their uniqueness as a person. They
all perform self-care and regular self-grooming to maintain themselves. But according
to the interview, Grandmother S does not usually bathe frequently, and she only has
the opportunity to wash if one of her grandchildren is assisted since she is incapabale
of moving on her own. Unfortunately, most of them are busy attending to their
Grandmother’s hygiene needs

Self-image or self-perception is essential because how we think about ourselves

affects how we feel and interact with others and the world around us. A positive self-
image can boost physical, mental, social, emotional, and spiritual well-being. On the
other hand, a negative self-image can decrease our satisfaction and ability to function
in these areas. Self-esteem is your subjective sense of overall personal worth or value.
Increasing it by self-care is crucial as it impacts your decision-making process,
relationships, emotional health, and overall well-being. It also influences motivation,
as people with a healthy, optimistic view of themselves understand their potential and
may feel inspired to take on new challenges.

18
 - Kendra, C. (2022). Fostering a Positive Self-Image. Very Well Mind.

C. NUTRITIONAL METABOLIC PATTERN

Family S considers consuming healthy meals to sustain their body needs and to
provide nutrition to their Grandmother at home. They all enjoy sharing meals such as
green leafy vegetables such as kangkong and other vegetables. They also frequently
prepare fish as part of their everyday diet. There are no known food resitrictions
concerning their religious beliefs since all members are catholic devitees. There is
none of the family present with food allergies. Although their Grandchild dislikes
eggplant and their Grandmother dislikes any food with coconut milk, so, therefore, they
avoid serving such meals.

But due to financial incapability of the family to frequently serve such meals, not all
the time do they have the opportunity to eat such meals. It is manifested in the skin
and nails of their Grandmother of how inadequate the supply of nutrients they have in
their body. They also depend on the barangay’s food rotation or food packs given by
the barangay to quench their hunger. Most of the time, the food rations only have spicy
noodles and sardines, which have low nutritional value and are insufficient to sustain
their body’s needs

A healthy diet promotes healthy pregnancy outcomes, supports average growth,

development, and aging, helps maintain healthy body weight, and reduces the risk of
chronic disease leading to overall health and well-being.

- Department of Health

D. ELIMINATION PATTERN

Family S has no mentioned difficulty in releasing bodily wastes. None of them

are said to have pain in urination or urine hesitancy. They all urinated at average
frequency each day: approximately 4-5 times a day and indicated to have a standard,
light yellow color. Family S has no mentioned difficulty in defecation, no known
problems in constipation and diarrhea, and none of the family members take laxatives
or any medication to assist their release of bodily wastes.

One should evacuate the bowels every morning and feel that the colon is clean
and light. Feeling energetic and relaxed are signs of proper evacuation. Twice a day
is typical, but at least once a day is essential. Don't ignore your urges, and don't wait.

19
- Rendlesham, Ayuverda, 2020

E. ACTIVITY-EXERCISE PATTERN

Family S has some exercise equipment in their home and works out in their leisure
time. They also participate in other activities in their Barangay. Grandchildren 3 and 4
sometimes do a few workout routines at home to maintain their shape. Unfortunately,
their Grandmother has no daily leisure or exercises due to her condition and difficulty
standing up and walking. The other two grandchildren have their leisure activities are
done during their job, which is considered a form of body exercise.

Regular physical activity is proven to help prevent and manage non-

communicable diseases such as heart disease, stroke, diabetes, and several cancers.
It also helps prevent hypertension, maintains healthy body weight, and improves
mental health, quality of life, and well-being.

- World Health Organization, October 5, 2022, Physical Activity

F. SLEEP AND REST PATTERN

According to the interview, it was mentioned that there was an existing problem with
Grandmother S's sleeping pattern. Her granddaughter claims that her Grandmother
has difficulty falling asleep during the evening, and she experiences insomnia attacks.
She only sleeps during the afternoon naps. Other than that, all the grandchildren have
no difficulty sleeping and complete sleep approximately 5-7 hours during the evening,
sometimes varying from the time of their job and school. None of them take any
medication or sleeping pills to help them sleep.

Getting good quality sleep can help you feel like your best self. Healthy sleep
patterns improve learning, memory, creativity, and mood1. Healthy sleep also
strengthens the immune system and makes it easier to maintain a healthy diet.

-Alexa Fry, January 8, 2021, OneCare Media Company

G. SEXUAL REPRODUCTION PATTERN

Throughout the interview, the youngest family member was the only one
available to entertain the questions. She couldn't answer his brothers' behalf since

20
they had no good communication. According to her, her Grandmother is not at all
sexually active due to her age and comorbidity. She is not sexually active, she had her
menarche during the seventh grade, and she is experiencing a problem regarding her
menstruation. She is sometimes irregular, but there will come a time that her monthly
period is on time.

H. FAMILY ROLES AND RELATIONSHIP PATTERN

The family had quite a problem communicating with one another as if they
seemed to just talk to each other when someone needed something from someone.
They don't have good communication with their own needs. They have clear family
roles, to whom to take care of their Grandmother and who to take turns feeding her,
preparing her meal, or even cleaning her up. Her granddaughter always takes the
initiative in helping out their Grandmother. It is manifested within their environment
that they don't usually communicate who will declutter all the mess around the house,
clean the bathroom, or even sweep off all the excess fallen leaves. They also have no
family bond with each other since their mother does not live in their house in Sto. Critso
but rather in Tondo, Manila. And not all of the family members go home and become
complete. Only three of them are constantly left in the place, and they have no good
communication.

"The article shows that contemporary filial relations are less concerned with authority,
and more directed to financial and emotional support for parents, and from parents to
children both adult and dependent."

Antonucci T.C. (1990) ‘Social Supports and Social Relationships’, pp. 205–26 in
Binstock R.H., George L.K. (eds) Handbook of Aging and the Social Sciences. San
Diego, CA: Academic.

I. VALUES AND BELIEF PATTERN

All of the members of Family S are catholic devotees. They all consistently visit
the church every Sunday for masses. Still, unfortunately, due to the rise of the
pandemic and the new protocols, they have to follow the mandatory rules, and their
practices have been postponed. But since the strict protocol due to the pandemic has
been lifted, all of the family members except Grandmother S are now attending church
once a week. Even though she is at home, Grandmother S still offers a prayer each
night to express her faith together with the family S. Their family believes that the word
of God teaches us and others about immoral, unethical, and meaningless behavior.

21
 Our values are important because they help us to grow and develop. They help us
to create the future we want to experience. The decisions we make reflect our values
and beliefs, and they are always directed toward a specific purpose. That purpose is
the satisfaction of our individual or collective needs.

- Davis, J. (2019, May 29).

J. COPING STRESS TOLERANCE PATTERN

The family's coping mechanism is to talk calmly to each other whenever

stressors arise; through this method, they let respectfully lose their feelings without
causing any restraints to others. According to Family S, they perform calm
conversations to resolve the problems that cause stress because it helps them feel
like they are not the only ones experiencing hardships, causing them to feel a sense
of calmness. Other than that, they also seek advice that is advantageous to their
conflicts concerning the stress they are experiencing due to particular dilemmas in life.

Concerning cases of people raising their voices at the peak of their emotions,
the family found this action unnecessary as, according to them, this set of actions
could only strain them more by adding more problems. Father B also said he goes
outside to get some fresh air to ease his stress.

Stress is simply a fact of natural forces from the outside world affecting the
individual.

- Panzarino, P. (2008, February 15).

K. HEALTH PERCEPTION / HEALTH MANAGEMENT

According to Grandmother S, health refers to the overall status of our mind and
physical body. This was stated in a non-verbatim manner, and she defined being
healthy as being free from any deviations from the usual health condition and being
able to eat at least two times a day, which includes a nutritious diet.

They mostly incorporate vegetables, fish, and meat whenever they have the
budget, but most of the time, they rely on the ration of the barangay officials of Sto.
Cristo, which includes noodles and canned goods.

Regardless of being financially-constraint, Grandmother S is still grateful as her

household members can stay healthy. She says that having signs and symptoms of

22
disease seldom comes while, and whenever it does, they try to self-medicate it as
much as possible. This is due to having no budget to do so, and they will only get
consulted once their health conditions deteriorate dramatically.

While minor forms of self-medication, such as taking over-the-counter pain

medicine for a headache, are typical occurrences, self-medicating can become
dangerous if it progresses to more complex substances or regular medication use
without a doctor's opinion. More severe dangers of self-medication can include
someone who may begin to misuse prescription drugs or seek illegal substances as a
coping mechanism. These countermeasures given supposedly to treat people can
even lead to the further regression of their health.

- Gateway Foundation

23
IV. PROBLEM PRIORITIZATION
SCALE OF RANKING

A. CRITERIA

CRITERIA SCORE WEIGHT

1. Nature of the Problem

Health Deficit 3
Health Threat 2 1
Foreseeable Crisis
1

2. Modifiability
Easily 2
Moderate 1 2
Not Modifiable
0

3. Preventive /Potential
High 3
Moderate 2 1
Low
1

4. Salience of the Problem

Problem needing urgent attention
2
Problem not needing urgent 1
attention
1
Not perceived as a problem 0

24
B. SCORING

1. Decide a Score for each criteria.

2. Divide the score by the highest possible score, then multiply by the weight.
𝑺𝒄𝒐𝒓𝒆
× 𝑾𝒆𝒊𝒈𝒉𝒕
𝑯𝒊𝒈𝒉𝒆𝒔𝒕 𝒔𝒄𝒐𝒓𝒆

3. Sum up the scores for all the criteria. The highest score is 5, equivalent to
the total weight.

4. The higher the score (near five and above) of a given problem, the more
likely it is taken as a PRIORITY.

5. With the available scores, the nurse then RANKS the health problems
accordingly.

LIST OF HEALTH PROBLEMS RANKED ACCORDING TO PRIORITIES

HEALTH PROBLEM SCORE

Presence of breeding or resting sites

4.66
of vectors of diseases

Unhealthful eating practices

4.66
secondary to inadequate food intake
both in quality and quantity

Poor house sanitation 4.66

Inadequate living space 4.16

Poor house lighting and ventilation 2.99

25
A. PRESENCE OF BREEDING OR RESTING SITES OF VECTORS OF
DISEASES

CRITERIA SCORE JUSTIFICATION

1. Nature of the Problem This is considered a

health threat because
although the family is not
Health Threat
2 complaining about their
2/3 x 1 garbage. There is a
= 0.66 presence of breeding or
resting sites of vector
diseases in their area
because of open canals
and wet areas around the
area. Which is a risk for
them in acquiring
diseases.

2. Modifiability This is easily modifiable

because the family can
2
be educated on
High 2/2 x 2
different ways to
=2
prevent acquiring
diseases and to
eliminate those
breeding/resting sites
of vectors of diseases.

3. Prevention / Potential 3 It is highly preventable

3/3 x 1 because they can do

=1 different preventive
High
measures in acquiring
those diseases and

26
 eliminating the breeding
sites.

4. Salience of the Problem The problem needs

2
urgent attention because
Problem needing urgent 2/2 x 1 they can acquire multiple
attention =1
disease and may trigger
the current family
situation.

TOTAL: 4.66

B. UNHEALTHFUL EATING PRACTICES SECONDARY TO INADEQUATE

FOOD INTAKE BOTH IN QUALITY AND QUANTITY

CRITERIA SCORE JUSTIFICATION

1. Nature of the Problem This is considered a

health threat because
2 upon the statement of the
Health Threat
2/3 x 1 = family, they eat foods that
0.66 are available to them to
consume regardless if it
is nutritious or not.

2. Modifiability This is easily modifiable

because the family can be
2
Easily educated about the
2/2 x 2 =
possible diseases that can
2
be triggered because of
this practice

27
 3. Prevention / Potential It is high preventive
3 because the family can be

3/3 x 1 = educated about the proper

High
1 choice of foods according
to their current health

4. Salience of the Problem The problem needs urgent

2 attention as the family is
Problem needing urgent 2/2 x 1 = putting themselves at risk
attention 1 because it can trigger their
current health condition.

TOTAL: 4.66

C. POOR HOUSE SANITATION

CRITERIA SCORE JUSTIFICATION

1. Nature of the This is considered a health

Problem threat Because if we don't
2
maintain our houses and
Health Threat 2/3 x 1 =
environment clean, severe
0.66
diseases could spread.

2. Modifiability 2 This problem is easily

modifiable Because people
2/2 x 2 = can be taught how to clean
2 properly, they can prevent
Easily
infections from entering their
home, and their home will be
clean and comfortable.

3. Prevention / This is highly preventive By

Potential 3 educating the family to clean
appropriately or sanitize their
3/3 x 1 = entire house because if they
1 don't clean their house, they

28
 High might get diseases that will
affect their health

4. Salience of the The problem needs urgent

Problem 2 attention. Considering what
grandma's granddaughter
A problem needing 2/2 x 1 = mentioned, they also need to
1 clean their home because his
urgent attention
Grandmother is elderly, and
they risk contracting various
diseases if they don't.

TOTAL: 4.66

D. INADEQUATE LIVING SPACE

CRITERIA SCORE JUSTIFICATION

1. Nature of the Problem This is considered a

2 health threat. Inadequate
2/3 x 1 = living space may affect
Health Threat
0.66 the health of the family
members

2. Modifiability This problem is

moderately modifiable
1
Easily because it can be
1/2 x 2 =
discussed with the family
1
about the value of having
enough space.

29
 3. Prevention / Potential It is considered moderately
preventive since they can
learn how to organize or fix
2
High their belongings and create
2/3 x 1 = a spacious living space
0.66 that allows them to walk
around comfortably.

4. Salience of the Problem The family perceived this

1 problem as not needing an
urgent solution. Because
Problem needing urgent 1/2 x 1 = based on what they said,
attention 0.5 they don't need a big
house merely to sleep
peacefully. They are
satisfied as long as they
have a comfortable place
to sleep.

TOTAL: 4.16

E. POOR HOUSE LIGHTING AND VENTILATION

CRITERIA SCORE JUSTIFICATION

1. Nature of the This is considered a health

Problem threat because their
2 Grandmother stated that it is
hot inside their house
2/3 x 1 = because half of their walls are
Health Threat 0.66 made of galvanized iron
sheets. She is always in front
of their door to have some
fresh air. They also don't have
a source of electricity, which
can affect them by having a
headache, stress, and
accidents.

30
2. Modifiability This is considered moderately
modifiable because their
family is willing to learn and
Moderate 1 eager to know what they must
do for them to have good
1/2 x 2 = lighting and ventilation
1

3. Prevention / This is considered low

Potential 1 prevention because the family
states that they have a
1/3 x 1 = financial problem and do not
Low 0.33 prioritize having a source of
electricity and renovating
their house.

4. Salience of the This problem needs urgent

Problem 2 attention because poor
ventilation can cause indoor
Problem needing urgent 2/2 x 1 = pollutants, and poor lighting
1 can cause illnesses such as
attention
stress, eye strain, fatigue, and
headaches.

TOTAL: 2.99

31
 V. FAMILY NURSING CARE PLAN

A. PRESENCE OF BREEDING OR RESTING SITES OF VECTORS OF

DISEASES

HEALTH FAMILY GOAL OF OBJECTIVE INTERVENTION METHOD OF RESOURCES EVALUATION

PROBLEM NURSING CARE OF CARE PLAN NURSE REQUIRED
PROBLEM

Presence of Inability to - To raise After the - Discuss - Health - Time After the
Breeding or provide a the nursing the teaching and nursing
Resting Site home family's intervention importance effort of
intervention,
of Vectors of environmen awarenes , the family of having a - Home both the goal was
Diseases t conducive s should be good Assess student
partially
to the regarding able: environment ment and the
met. The
family's their al condition familyfamily does
health due current - Verbalize understand
to a lack of environme their - Look for - Visual the health
knowledge ntal understandi the causes aids teaching
regarding condition ng of the and effects and
preventive and the importance of these - Adequate successfully
measures presence of a good unwanted knowledge recognizes
and skills in of a environmen sites around about the the
carrying out breeding tal the house importance presence of
measures site of condition of vector sites
to improve vectors. - Educate sanitation in their area.
the home - Eradicate the family and They also
environmen - To any about the possible verbalize
t promote a presence of possible diseases how they
Evidenced home breeding diseases that the will prevent
by: environme sites of that they family can acquiring
- An nt that is vectors can acquire acquire. those
uncovered conducive from these diseases.
canal to health - sites - However,
surrounding Successfull Cooperatio because of
the entire - To y prevent - Suggest n of the the financial
house educate those methods on family constraints
- An open the family diseases how the and lack of
canal in the on what from the family will housing,
house’s are the site of the eradicate eradicating
backyard possible vector these sites any
- health presence of
Uncovered problems - Educate vector
water that can the family breeding
storage cause by about sites is not
- the preventive met.
Unsanitized presence measures
areas of for acquiring
- Cluttered breeding those
things sites of diseases
around the vectors from the

32
 house area.
- trash is - To
not discuss
adequately the
separated preventive
measure
and the
family's
benefits in
eradicatin
g these
unwanted
breeding
sites.

B. UNHEALTHFUL EATING PRACTICES SECONDARY TO INADEQUATE

FOOD INTAKE BOTH IN QUALITY AND QUANTITY

HEALTH FAMILY GOAL OF OBJECTIVE INTERVENTION METHOD OF RESOURCES EVALUATION

PROBLEM NURSING CARE OF CARE PLAN NURSE REQUIRED
PROBLEM

Unhealthful The inability After the After the - Discuss - Health - Time After the
eating of the nursing nursing the nutrition teaching and nursing
practices family to interventio intervention and provide effort of
intervention,
secondary to recognize n, the , the family some food - Home both the goal was
inadequate faulty/unhe family will should be choices for Assess studentmet. The
food intake althful be able able: the family. ment and thefamily
both in quality nutritional family understands
and quantity practices - To - To be - Provide and
due to lack understan able to plan information - Visual verbalizes
of d the and about the aids the
knowledge importanc prepare following: importance
and e of good balanced a. What is - Adequate of good
financial nutrition meals for Nutrition knowledge nutrition for
constraints the family b. The of the good the family.
Evidenced within their Importance nutrition However,
by: allowance of Nutrition because of
- Family c. Vitamins - financial
stated d. Food Cooperatio constraints
about their pyramid n of the maintaining
food e. The family good food
depending Pinggang was affected
on the Pinoy
barangay
given them.
- The family
stated they
are not
aware of

33
 their diet
are
nutritional

C. POOR HOUSE SANITATION

HEALTH FAMILY GOAL OF OBJECTIVE INTERVENTION METHOD OF RESOURCES EVALUATION

PROBLEM NURSING CARE OF CARE PLAN NURSE REQUIRED
PROBLEM

Poor house Inability to After the After the - Educate - Health - Time After the
sanitation provide a nursing nursing the family teaching and nursing
home interventio intervention regarding effort of
intervention,
environmen n, the , the family the - Home both the goal was
t conducive family will should be diseases Assess student
partially
to health be able to able: that can ment and the
met. The
maintenanc promote - To know be familyfamily
e and and the risk of acquired. verbalizes
developme maintain unsanitary - How - Visual their
nt due to a an - To these aids understandi
lack of environme verbalize diseases ng of
knowledge nt understan can - Adequate sanitation
regarding conducive ding of the spread knowledge and the risk
preventive to their sanitation due to about the factors they
measures. health - To identify insanitati importance can acquire
Evidenced effectively. risk on. of and
by: factors - Suggest sanitation recognizes
- Presence that may ways of and its
of moss in affect the home possible importance.
the area, health of sanitation diseases However,
mainly in the family. - Advise that the Grandmoth
the comfort - To them to family can er S spends
room. demonstr dispose acquire time in their
- Presence ate of their because of house alone
of dry technique unnecess it because her
leaves s to ary stuff companions
around the promote a properly - are always
house’s good Cooperatio not around
backyard environme n of the because of
- Cluttered nt. family. work and
things studies.
around the Health
house teaching
- trash is was not
not always
adequately applied in
separated the house,
- there is a leading to
presence of the family's

34
 a fusty unmaintaine
smell d
around the environment
house .

D. INADEQUATE LIVING SPACE

HEALTH FAMILY GOAL OF OBJECTIVE INTERVENTION METHOD OF RESOURCES EVALUATION

PROBLEM NURSING CARE OF CARE PLAN NURSE REQUIRED
PROBLEM

Inadequate The inability After the After the - Educate - Health - Time After the
living space of the nursing nursing the family teaching and nursing
family to interventio intervention regarding effort of intervention,
recognize n, the , the family risks and - Home both the goal was
faulty/unhe family will should be diseases Assess student partially
althful be able able: that can be ment and the met. The
nutritional acquired family family does
practices - Develop - To know state their
due to lack ways to the risk and - Inform the - Visual plans to
of minimize hazards of family how aids develop
knowledge the having a diseases adequate
and problem small living can be - Adequate living space.
financial by space spread due knowledge However,
constraints rearrange to small of the the
Evidenced ment of - To living space problem grandchildre
by: furniture understand n have no
- the house and the - Discuss - time to do it
doesn’t disposing importance with the Cooperatio because of
have of of having family the n of the their work
enough unnecess adequate possible family and studies.
space for ary things living space effects of
them since at their having
it only house. - Identify inadequate
consists of the effects living space
two rooms. of limited
One living space
bedroom on the
and one health of
living the family
room/kitche
n/dining
room. The
backyard
was almost
more
prominent
than the
house itself.

35
 E. POOR HOUSE LIGHTING AND VENTILATION

HEALTH FAMILY GOAL OF OBJECTIVE INTERVENTION METHOD OF RESOURCES EVALUATION

PROBLEM NURSING CARE OF CARE PLAN NURSE REQUIRED
PROBLEM

Poor house Inability to After the After the - Educate - Health - Time After the
lighting and provide a nursing nursing the family teaching and nursing
ventilation home interventio intervention about the effort of
intervention,
environmen n, the , the family importance - Home both the goal was
t conducive family will should be of good Assess student partially
to the be able: able: lighting and ment and the met. The
maintenanc ventilation to family family stated
e of family's - To know their health their
health due some - Visual understandi
to lack of skills in - Discuss aids ng of the
skills in providing the importance
carrying out adequate managemen - Adequate of lighting
measures lighting t of lighting knowledge and
to improve and and about the ventilation in
the home ventilation ventilation in importance their home
environmen to the their house of lightning and health.
t: house. and The family
- the house - to - Suggest ventilation applied their
is made up understan ways on and the learning in
of a d the how the possible ventilation,
corrugated importanc family will diseases while in
roof which e of improve the the family lighting, they
gives proper house's can could not
improper lighting lighting and acquire. comply
ventilation and ventilation because of
around the ventilation - their limited
house. Cooperatio financial
- the family n of the support.
doesn’t family Although
have any opening
electricity. windows
and letting
the light and
fresh air in
their house
was done by
the family.

36
VI. RECOMMENDATION AND CONCLUSION

CONCLUSION
At the end of the study and after multiple nursing intervention, the student nurses
was able to successfully educate the patient on the necessary interventions in maintaining
clean and safe environment After several health teaching, the family will be able to
differentiate different nutritious food necessary for body growth and strength against
diseases.After thorough explanation the patient is able to understand the importance of
clean and tidy bathroom, in accordance to safe elimination of body waste. Throughout the
nursing health teaching the clients understand the valuable means in having a stronger
bond and connection to family members and its significance in a person's well being. The
goal of this study towards the importance of the environment to their health was partially
met.

RECOMMENDATIONS
After identifying the problems and needs of the family, the student nurse has
created family nursing care plans to help bring the family the solutions to their health
problems. The following are the recommendations by the student nurse to the family:
- The family must consult a physician with regard to the Grandmother's
health and well-being. To correct for misalignments with regards to her
health.
- The family is recommended to thoroughly pick necessary food which is
rich in vitamins and minerals, nutritious meals to sustain their physical
needs
- The family must maintain their environmental factor to maintain a
conducive home for their health
- Grandmother S must accompanied because of her current health
condition. and to give necessary action on her needs

37
VII. DOCUMENTATIONS

A. PICTURES
The Family S Residence in Barangay
Sto. Cristo.

This is their comfort room with a

broken toilet bowl, walter algae both
within the walls of the bathroom and the
floor.

The dining area where most of their

dining materials are all located but
improperly stored and sanitized.

38
 The back of their house. where all
the clutter is placed. fallen leaves from
the tree and coiled rusty fences are filed
up. There are also different garbage
that are not properly segregated nor
disposed of.

Their laundry area is filled with

water algae with improper water
drainage. Waters are filled up in one
corner and can be susceptible to
vector breeding areas.

During the culminating activity

Grandmother S was able to attend the
entire event as a representative of their
family, despite her age and
comorbidity.

39
 During the culminating activity she
underwent one of the event's booths.
She got her vital signs:

BP: 120/70
Temp: 37C
Pulse: 96 beats per min
O2 saturation: 95%

She was very attentive throughout the

entire event. She listened very carefully
with every lesson being discussed. And
throughout the event she got a smile on
her face.

Their photo was taken after the event

together with the student nurse who
assisted her.

40
 The interview and data accumulation
with the family's youngest member
and the one responsible for caring for
her Grandmother. The entire interview
was done in front of their house.

B. DATA GATHERING TOOLS

The signed consent form under the

name of the Grandmother Estelita Son
and the date conducted the interview,
November 7, 2022. Interview
conducted by Student Nurse Shancai
Legaspi.

41
Patient informations

Patient informations

42
Patient informations

Patient informations

43
Patient information

Patient information

44
VIII. REFERENCES:

AN INTRODUCTION TO ORGANIZATIONAL BEHAVIOR VOLUME 1

https://2012books.lardbucket.org/books/an-introduction-to-organizational-
behavior-v1.0/s11-01-what-is-stress.html

Cleveland Clinic (2020), FOSTER A POSTIVE SELF IMAGE

https://my.clevelandclinic.org/health/articles/12942-fostering-a-positive-self-
image

DANGERS OF SELF MEDICATION

https://www.gatewayfoundation.org/addiction-blog/dangers-of-self-medication/

Davis, J. (2022) WHY VALUES ARE IMPORTANT

https://www.valuescentre.com/values-are-important/

Department of Health Western Australia, WHY NUTRITION IS IMPORTANT

https://ww2.health.wa.gov.au/Articles/U_Z/Why-is-nutrition-important

Fry, A., Rehman. A (2022), WHAT US HEALTH SLEEP?

https://www.sleepfoundation.org/sleep-hygiene/what-is-healthy-sleep

QI, X. (2016), FAMILY BOND AND FAMILY OBLICATION: CONTINUITY AND

TRANSFORMATION
https://www.researchgate.net/publication/295101841_Family_bond_and_family
_obligation_Continuity_and_transformation

Sue, L. (2016), THE IMPORTANCE OF REGULAR ELIMINATION

https://ayurveda-rendlesham.co.uk/2020/03/19/the-importance-of-regular-
elimination/

University of the People (2022), TOP 10 REASONS WHY EDUCATION IS

IMPORTANT https://www.uopeople.edu/blog/10-reasons-why-is-education-
important/

World Health Organization (2022), PHYSICAL ACTIVITY

https://www.who.int/news-room/fact-sheets/detail/physical-activity

45