Universidad de Sta. Isabel de Naga Inc.

College of Health Sciences

Nursing Program

RLE GROUP NO. 21

Leader: BONETE, Renzmher V.

Members:
ALBIO, Catherine Em F.
BASCUÑA, Princess Ronnie N.
PEMPEÑA, Ma. Andrea M.
RESPALL, Nathan R.
REYNOLDS, Sharilynn M.
SARMIENTO, Lorenz Angelo C.
SARMIENTO, Maria Erica L.
SENA, Jeru Raymund Louis
SERRANO, Glydel Mariz

BSN 2F

Noted By:
Atty. Ma. Christina P. Mariano., RN, MAN
Clinical Instructor, Community Health Nursing
 Universidad de Sta. Isabel de Naga Inc.
College of Health Sciences
Nursing Program

1st Family: Wong Family

Name of the Head of the Family: Mrs. Nelda C. Wong

Spouse Name: Mr. Felix Vasquez Wong (deceased)
Members of the Family:
Felix Wong (son)
Marijo Wong (granddaughter)
Nicole Wong (granddaughter)
 Universidad de Sta. Isabel de Naga Inc.
College of Health Sciences
Nursing Program

INITIAL DATA BASE of Family Wong

Family structure, characteristics and The family consists of four members: the
dynamics grandmother, two granddaughters, and a son.
Mrs. Nelda C. Wong, 75, is the family's head,
and her two granddaughters are Nicole Wong,
14 years old, Marijo Wong, 20 years old, and
her son Felix Wong, 47 years old.

The family resides in Naga City's Barangay

Calauag, on Blacer Street.

The family is matriarchal, and the grandmother

makes family and health decisions. The
residence is under an extended family

Socio-economic and cultural characteristics Mrs. Wong is a high school graduate, while her
son, Felix Wong, is a college graduate. Mrs.
Wong looks after both of her granddaughters.

Mr. Felix Wong works at the Bicol Medical

Centre's Blood Bank. His current income is
unknown, but he supports the family along
with his two older siblings, all of whom live in
Manila.
The family is Roman Catholic, but they are not
involved in religious activities or are devoted to
their religious beliefs.

Home and environment The family lives in a one-story house with two
spacious bedrooms made of concrete materials.
They have a garden full of poultry, most of
which are caged and tied. They only have one
dining area, which is close to their living room.

The family cleans and maintains the house on a

daily basis. Everything is well-organized and
simple to find. There are no dangerous objects
lying around, plants are well cared for, and they
have two dogs, small and large, who are potty
trained and well cared for. They have their own
water supply and are separated from the other
houses by a fence.

Outside the gate of the family's home, there is

an open drainage system that exhibits evident
water stagnation, with garbage, mosquitoes,
and moss accumulating in the stagnant water.
Due to poor management, the water has started
to turn black, and during heavy rains, it floods,
entering their house.

The neighborhood is very peaceful and quiet.

They have their own motorcycle, but they also
ride tricycles on occasion. They have a
barangay health center where they go for
check-ups once a week.
 Universidad de Sta. Isabel de Naga Inc.
College of Health Sciences
Nursing Program

Health status of each family member
The grandmother expresses that she visits the
barangay health center on a weekly basis for
check-ups and medication refills and that she
has had no previous illnesses. Every Sunday at
6 a.m., she attends Zumba classes for the
elderly. She stated that her health status has
changed since she was fully vaccinated and had
boosters, as she occasionally gets headaches or
a runny nose, which are all checked by the
physician, and she is drinking medicines such
as Vitamin B complex, Amlodipine, and
Losartan, which are all prescribed by the
physician.

The other members of the family said they had

no previous illnesses but went for check-ups
just to be sure.

Mr. Felix is the only family member who drinks

alcohol, but only on special occasions; the other
members, according to them, never drank or
smoked.

Values, habits and practices on health Except for the younger members, who are busy
promotion and disease prevention studying for school, playing games, or scrolling
through social media, the elder members of the
family have adequate rest, sleep, and activities

Health and Nursing Problems

 Universidad de Sta. Isabel de Naga Inc.
College of Health Sciences
Nursing Program

1st Problem

Health Problem Cues Nursing Problem

Potential Spread of Subjective: Inability to provide a home

Waterborne diseases as environment conducive to
manifested by an improper “Pag mauranon kayang maray health maintenance and
drainage system ay naglalagpas ang tubig sa personal development due to:
kanal tas nagbabaha sya sa
may inutan mi.” inadequate knowledge about
poor drainage system

Objective:

Stagnation of water in an open

drainage system

2nd Problem

Health Problem Cues Nursing Problem

Presence of animals that could Objective: Inadequate knowledge about

cause diseases disease caused by presence of
There are far too many animal waste
chickens in the yard, some of
which are free-roaming, as
well as pigeons that arrived
from various locations and are
living in the yard’s built-in
pigeon house.
 Universidad de Sta. Isabel de Naga Inc.
College of Health Sciences
Nursing Program

Prioritization of Problem

1st Problem: Potential Spread of Waterborne diseases as manifested by an improper

drainage system
CRITERIA COMPUTA ACTUAL JUSTIFICATION
TION SCORE

NATURE OF THE 2/3x1 0.66 Inadequate drainage systems put at risk families'
PROBLEM overall well-being by exposing them to various health
risks and hazards such as dengue.

MODIFIABILITY 1/2x2 1 The family resources are limited which makes it

OF THE PROBLEM difficult but teaching of the student nurses about other
interventions can promote change in the problem.

PREVENTIVE 3/3x1 1 Inadequate knowledge create barriers to effectively

POTENTIAL addressing the problem of improper drainage systems,
potentially limiting the ability to implement
comprehensive preventive measures. As a result, there
is still the possibility of recurring issues and future
problems caused by inadequate drainage
infrastructure.

SALIENCE OF THE 2/2x1 1 The family recognizes the problem as serious and it
PROBLEM needs immediate attention.

TOTAL 3.66

2nd Problem: Presence of animals that could cause diseases

CRITERIA COMPUT ACTUAL JUSTIFICATION
ATION SCORE

NATURE OF THE 2/3x1 0.66 The issue poses a significant health risk because it
PROBLEM fosters an environment conducive to the presence of
disease-carrying animals. This, in turn, has a direct
impact on every family member's health, increasing
the risk of infectious diseases and related health
complications.

MODIFIABILITY 1/2x2 1 Interventions and resources are available to solve the

OF THE problem. We can create an environment conducive to
PROBLEM growth and provide transformative experiences by
maximizing the potential of the available resources.

PREVENTIVE 2/3x1 0.66 The potential for prevention is moderate; resources

POTENTIAL can be used to handle the issues and support
experiences as well as awareness of what to do to
prevent any health risks in the family.

SALIENCE OF 1/2x1 0.5 The family occasionally faces difficulties as a result of

THE PROBLEM this issue, but they verbalized that this is not their
main priority.

TOTAL 2.82
 Universidad de Sta. Isabel de Naga Inc.
College of Health Sciences
Nursing Program

Family Nursing Care Plan

Family Family Problems Goal of Care Objectives of Intervention Plan Evaluation

Assessment Care Plan
Health Nursing Intervention Method Of Resources
Problem Problem Measures Family - Nurse Required
Contact

Subjective: Potential Inability to After 30 After nursing ● Assess family’s Home Visit Human Goal was
Spread of provide a home minutes of interventions, understanding on Health Teaching Resource: completely met:
Mrs. Wong Waterborne environment nursing the family will the given nursing Time and
verbalized diseases as conducive to interventions, be able to: problem effort of ● The family
“Pag mauranon manifested health the family will ● Assess the client’s the demonstrat
kayang maray by an maintenance and be able to: a. The family will willingness to student es their
ay naglalagpas improper personal demonstrate participate in nurses and comprehens
ang tubig sa drainage development a. Recognize their solving the family ion and
kanal tas system due to the understanding problem members. articulates
by identifying their
nagbabaha sya inadequate preventive ● Discuss with the
at least 2 understandi
sa may inutan knowledge about measures of preventive client their Financial
mi.” poor drainage proper present condition Resource: ng of the
measures with
system drainage and allow them to Transport teachings.
the knowledge
Objective: systems to on the verbalize their ation of
avoid any importance of a perception of the the ● The family
Poor drainage risk of health safe and problem. student has
system resulting threats in the efficient ● Discuss with the nurses. acquired
to stagnation of family. drainage client the knowledge
water b. Discuss system. disadvantages of Material and
b. The family was diligently
appropriate having a poor Resource:
able to explore adheres to
measures to and implement drainage system Visual
eliminate, if such as foul aids such the
strategies for
not reduce odors, the as: information
appropriate
problems to measures to presence of Brochure imparted to
them
 Universidad de Sta. Isabel de Naga Inc.
College of Health Sciences
Nursing Program

improve eliminate or to vectors like

environment improve their mosquitos and
al sanitation environmental increased risk of
sanitation vector-related
illness
● Discuss the
alternative
courses of action
to correct or
manage the poor
drainage system
● Encourage the
client to maintain
a suitable
environment for
their home
 Universidad de Sta. Isabel de Naga Inc.
College of Health Sciences
Nursing Program

2nd Family: Segarra Family

Name of the Head of the Family: Mr. Generoso C. Segarra

Spouse Name: Mrs. Rosalinda R. Segarra
Members of the Family:
Reniel Quibete (son in law)
Theodore Gene Quibete (grandson)
 Universidad de Sta. Isabel de Naga Inc.
College of Health Sciences
Nursing Program
Initial Data Base for Family Segarra
Family structure, characteristics, and
dynamics.
Socio-economic and cultural characteristics
Home and environment
The family is composed of 4 members, the
grandfather, the grandmother, the son-in-law,
and the grandson. The head of the family is a
retired private school teacher, Mr. Generoso C.
Segarra, 78 years old. The mother is Mrs.
Rosalinda R. Segarra who is also a retired
private school teacher, 78 years old. The
son-in-law is Mr. Reniel Quibete, a business
owner and a former nurse from Singapore.
They live together with the son of Mr. Quibete,
Theodore Gene Quibete, 7 years old. The family
lives in Calauag Street, Zone 2, Calauag, Naga
City. Mrs. Ma. Leah Regina Quibete works and
lives away from their home, she is currently
working as an RN in Singapore.
Mr. Segarra and Mrs. Segarra own a huge
portion of land in Zone 2, Calauag which
allowed their children to build their own
houses around their ancestral home.
The family is patriarchal. The father, Mr.
Segarra decides for the family despite being
aged, he is still active and could fully participate
in family matters.
Mr. and Mrs. Segarra are both retired private
school teachers. They both get their pension on
a monthly basis and with an amount of Php
30,000 when summed. They only have to
support themselves since Mr. Quibete and his
son have their own source of income which
doesn’t cover the expenses of Mr. and Mrs.
Segarra. Mr. Quibete has his own business to
provide for his son Theodore and Mrs. Quibete,
who works as an RN in Singapore sends
monthly allotments for her son.
The family is devoted Roman Catholic. They
also have a deep inclination toward traditions
in Naga but adapted well to new technologies
and trends.
The family lives in a big ancestral home
consisting of a single-storey house with 9
rooms, excluding the kitchen, storage room,
and the dining hall. The house is made up of
mixed materials since they have a concrete
floor and body and some wooden accents
inside their house. They sleep in their own
rooms.
The house is well maintained by the helpers
and maids. They do sanitary practices in
keeping their food. They have a good water
system which allows them to lessen their water
problems. They also practice a proper way of
disposing of their garbage by putting it in a
 Universidad de Sta. Isabel de Naga Inc.
College of Health Sciences
Nursing Program
Health Status of Each Family Member
Values, Habits and Practices on Health
Promotion and Disease Prevention
covered bin and waiting for the garbage truck
collector. They also have a close drainage. Their
property has a wide variety of plants such as
food-bearing plants, decorative plants, and
herbal plants which they use regularly and are
maintained by Mrs. Segarra.
The health status of every family member is at
an optimum level. All the children work in the
medical field which allows the family to have a
maintained healthy habit. They eat a
well-balanced diet. Mr. and Mrs. Segarra have a
daughter-in-law that practices medicine and
checks them regularly. They have never been
admitted to the hospital due to sickness except
for Mrs. Segarra’s case of recurring eardrum
rupture.
Mrs. Segarra self medicates using herbal plants.
They always eat healthy foods with a balanced
diet. The family also sleeps properly with
adequate time and rest. The elderly also work
out their bodies during the daytime
incorporating chores as a way to exercise. They
also prioritize their well-being above all and
avoid any harmful habits. The elderly also read
newspapers, magazines, and books on a daily
basis for them to have a cognitive exercise “to
avoid suffering from Alzheimer’s disease” –
Mrs. Segarra stated.
They keep a lot of plants that are not well
maintained since it is only Mrs. Segarra who
gardens.
 Universidad de Sta. Isabel de Naga Inc.
College of Health Sciences
Nursing Program

Health and Nursing Problems

1st Problem

Health Problem Cues Nursing Problem

Presence of breeding sites and Subjective: Inability to provide a home
resting sites of vectors of “Problema mi igdi neh, ang environment conducive to
diseases. (mosquitoes) mga lamok. Puerte kadakol ta health maintenance.
grabeng masetas” a. Increase the
understanding of the
Objective: importance of
-Presence of vector breeding eradicating the
sites: presence of breeding
a. Plants sites of vectors.
b. Hard to reach rain
gutters b. Failure to comprehend
c. Plant pots that the magnitude of the
accumulate water. condition.

2nd Problem

Health Problem Cues Nursing Problem

Risk related to self-medication Subjective: a. Knowledge Deficit
“Ngunyan neh, nag boil ako nin related to improper
herbal plants sinasarabay ko use of herbal
sinda tapos tig papakuluan ko medicines.
ta nadangog ko lang kaya sa b. Inability to seek
cellphone na magayon ito sa appropriate medical
hawak” advice regarding
herbal plants.
Objective: c. Lack of knowledge
- Boiling the herbal about the indications
plants with cover and contraindications
- Making concoctions of the herbal plants.
using inappropriate
amounts that can be
harmful.
 Universidad de Sta. Isabel de Naga Inc.
College of Health Sciences
Nursing Program

Prioritization of Problem
1st Problem: Risk related to self-medication

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

NATURE OF THE 2/3*1 0.66 This is considered as a health

PROBLEM threat because improper use
of herbal medicine as a form
of self-medication, without
proper knowledge and
prescription from a
healthcare professional is
possibly harmful to the health
of the client/consumer.

MODIFIABILITY OF 2/2*2 2 The problem is easily

THE PROBLEM modifiable. The family’s
behavior is adaptive and is
able to respond and willing to
learn from the health advice.
The use of health teaching
from the health care provider
will be useful.

PREVENTIVE 3/3*1 1 The problem has a high

POTENTIAL preventive potential. There
are adequate resources that
can help to prevent any
further problems and to
resolve the issue.

SALIENCE OF THE 2/2*1 1 The problem needs

PROBLEM immediate attention. The
problem should be addressed
and given immediate
attention. The family has
shown interest in solving the
issue.

TOTAL 4.66
 Universidad de Sta. Isabel de Naga Inc.
College of Health Sciences
Nursing Program

2nd Problem: Presence of breeding sites and resting sites of vectors of diseases(mosquitoes)

CRITERIA COMPUTATION ACTUAL JUSTIFICATION

SCORE

NATURE OF THE 2/3*1 0.66 This is considered as a health threat

PROBLEM because there is a presence of
breeding and resting sites for
vectors.

MODIFIABILITY OF 2/2*2 2 Easily modifiable.The family’s

THE PROBLEM behavior is adaptive and is able to
respond and willing to learn from
the health advice. The use of health
teaching from the health care
provider will be useful.

PREVENTIVE 2/3*1 0.66 Moderate Preventive Potential.

POTENTIAL There are adequate resources that
can help to prevent any further
problems and to resolve the issue
but it could be prolonged due to
unavailability of the helper.

SALIENCE OF THE 2/2*1 1 Problem need immediate attention.

PROBLEM The problem should be addressed
and be given immediate attention.
The family has shown interest in
solving the issue.

TOTAL 4.32
 Universidad de Sta. Isabel de Naga Inc.
College of Health Sciences
Nursing Program

Family Nursing Care Plan

Family Family Problems Goal of Care Objective of Intervention Plan Evaluation

Assessment Care Plan
Family Health Intervention Method Of Resources
Problem Problem Measures Family - Required
Nurse
Contact

Subjective: Health Threat:

Knowledge After 30 After the Psychosocial/Non- Home Visit Material The goal was
Deficit related minutes of nursing pharmacologic Health Resources: completely
“Ngunyan neh, Risk related to to improper use comprehensive intervention, interventions: Teaching ● Learning met
nag boil ako nin self-medication of herbal nursing the family will: ● Assess the material
herbal plants medicines intervention, understanding ○ Pamphlet Decision:
sinasarabay ko the client will a. Explain the of each family ■ Enumera Terminate the
sinda tapos tig be able to: importance member on the tion of plan
papakuluan ko of having formulated Herbal
ta nadangog ko 1. Demonstrat health problem. Plants Criteria:
lang kaya sa e at least 3 action in ● Assess the approved
cellphone na importance practicing ability to by DOH 1. Knowledge:
magayon ito sa of knowing appropriate maintain itself ■ Proper a. Understand
hawak” the preparation as a system and way to the
appropriate of herbal functioning prepare importance
Objective: use of plants unit. herbal of the
herbal b. Identify at ● Assess ability to plants. healthy
- Boiling the plants. least 5 maintain, ■ Risk preparation
herbal 2. Describe the examples of prevent, control, factors of of herbal
plants with proper herbal and resolve consumi plants and
cover. preparation plants that problems. ng herbal identifying
- Making of herbal can be used ● Assess the plants in the herbal
decoctions plants. family an plants that
using perception of improper can be used
 Universidad de Sta. Isabel de Naga Inc.
College of Health Sciences
Nursing Program

appropriat the problem. manner.

e amounts ● Communicate ■ Importa Standards:
of leaves with the family nce of - Demonstrati
and herbal ● Educate about asking on of the
plants. the importance professi proper
of seeking onal preparation
professional help in of herbal
help in using using - Discuss the
herbal plants. herbal importance
● Provide medicin of proper
educational e. usage of
pamphlets that herbal
contain a list of ● Low-cost plants.
herbal supplies
medicines, their needed for
uses, demonstrat
indications, ion
contraindicatio ○ Ceramic
ns, and the pot
appropriate
manner of Human
preparation. Resources:
● Address family’s Time and effort
questions and of the nurse and
concerns. the client.