COMMUNITY HEALTH NURSING RLE

PART A. INITIAL DATABASE

I. CHARACTERS:
A. What is the type of family structure?
________ Nuclear ________ Single-Parent
___✓__ Extended ________ Others (specify)
B. What is the type of family based on authority?
__✓__ Patriarchal
______Matriarchal
C. Who makes decisions regarding health care? Both Mother and Father
D. What is the present family relationship?
_______________with conflicts between members
________✓_____without conflicts between family members
E. Activities of daily living:
1. Sleeping pattern:
Retiring/getting up hours 11 pm- 9 am
Nap during the day __none
Do members sleep together __no
2. Eating pattern
How many meals each day? 3X A DAY
Who appears overweight? ___1
Who appears underweight? __NONE
3. Leisure time activities
How does each member spend leisure hours? BROWSING CELLPHONE AND
WATCHING TV
Is it appropriate for the sex and age group? YES
What is the effect on the family? It helps them to get closer to each other
Any joint activity for leisure? none

II. FAMILY INFORMATION

Head of the family: AFB
Address: Barangay Buhangin, Baler, Aurora
Members of the household: none

NAME RELATIONSHIP AGE EDUCATIONAL ATTAINMENT

AB Father (head) 54 High School – 2nd year

SB Mother 48 High School – 3rd year

ABJR Eldest 23 4th year college

AB Second 20 2nd year college

AB youngest 13 Junior High School

/avg 1
 III. SOCIO-ECONOMIC AND CULTURAL FACTORS
A. Income

NAME OCCUPATION PLACE INCOME /

MONTH
AB Businessman Baler, Aurora 35,000 PHP
SB Businesswoman Baler, Aurora 20, 000 PHP

1. Does the working family member meet the basic necessities?

✓ Yes No
1. Who makes decisions regarding money matters? Both Mother and Father
2. Religious affiliation: Muslim
3. What roles does the family play in the community? None__

IV. ENVIRONMENTAL FACTORS

A. Housing
1. Ownership
✓ Owned Rented Rent-Free Others (specify)
2. Construction materials used
Light Mixed ______✓_____Strong
3. Living space
✓ Adequate Inadequate
4. Sleeping arrangement: Separated Rooms
5. Adequacy in furniture
✓ Adequate Inadequate
6. Water source
✓ Private Public
7. Food Storage
✓ Refrigerator Jars/container Others (specify)
8. Cooking facility
✓ Electric stove Firewood Others (specify)
✓ Gas Stove Kerosene
9. Drainage facility
Open drainage ✓ Blind drainage None
10. Toilet facilities/type

Flushed Overhung latrine

✓ Water-sealed latrine Bored-hole latrine
Pail system Others (specify)
11. Sanitary condition
✓ Fair Good Poor
Provide a brief description: The location is tidy and clean since they regularly clean it to prevent
illnesses and infections.
/avg 2
 12. Neighborhood
✓ Congested Slum Other
13. Availability of Health Care Facility
Describe briefly: Barangay Buhangin Health Center
14. Garbage disposal
✓ Dumped at a street corner ✓ Picked up by garbage collector
Buried Burned then buried Others(specify)

V. HEALTH MEDICAL HISTORY

NAME PAST ILLNESS DIAGNOSED / ILLNESS STATE HEALTH ACTION
UNDIAGNOSED TAKEN
AB Liver Damage Undiagnosed (ongoing) Lessen alcohol intake

AB Appendicitis Diagnosed Treated Took rest in the

hospital

VI. VALUE PLACED ON PREVENTION OF DISEASE

Vaccinations

NAME AGE COMPLETE INCOMPLETE

AB 54 , HepaA, Hepa-B, anti- Covid Vaccine

tetanus

SB 48 Anti-polio, anti-flu, Covid Vaccine

HepaA, Hepa-B,
antitetano,
ABJR 23 Anti-polio, anti-flu,
HepaA, Hepa-B, Covid
Vaccine
AB 20 Anti-polio, anti-flu,
HepaA, Hepa-B, Covid
Vaccine
AB 13 Anti-polio, anti-flu, Covid Vaccine
HepaA, Hepa-B,

/avg 3
Other preventive practices employed by the family: Proper hand washing, proper waste disposal, general cleaning
Sources of Health Care:
✓ Health Center __________ Government Hospital
✓ Private Hospital __________ Others (specify)
PART B.

DETERMINE AT LEAST 3 FAMILY HEALTH PROBLEMS. IF NONE, DETERMINE THE FAMILY’S PROMOTIVE OR PREVENTIVE
PRACTICES.
FAMILY HEALTH PROBLEMS. / TYPOLOGY OF HEALTH PROBLEM
(WELLNESS STATE , HEALTH DEFICIT,HEALTH THREAT,
(IF NONE, FAMILY’S PROMOTIVE OR FORESEEABLE CRISIS)
PREVENTIVE PRACTICES.)

Health Threat
1. AB has alcohol abuse

Health Threat
2. Unhealthy Eating habits

Foreseeable Crisis
3 Death of a Family Member

PART C.

DO THE SCALING OF THE 3 IDENTIFIED HEALTH PROBLEMS OR PROMOTIVE PRACTICES OF THE FAMILY.
3. HEALTH PROBLEM 1: __Alcohol abuse

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

NATURE OF THE PROBLEM

2x3/1 It is a health threat to a
Health Threat 0.66 family member

MODIFIABILITY OF THE
PROBLEM
Easily
2/2x2 2 It is easily modifiable because
Modifiable
there is health care staff in
the family that can guide the
family member.

/avg 4
 PREVENTIVE POTENTIAL
It is highly preventable
High 1 because the disease is
3/3x1 acquired through eating
habits.

SALIENCE The family recognizes it as a

problem needing immediate
A serious problem,
2/2 x 1 1 attention evidenced by:
Immediate action
“nung bumibigat na timbang
needed
ko doon na nagsimula tumaas
dugo ko kada mapaparami
kain ko, eh kinakabahan din
ako kasi may lahi kaming
hypertensive”

TOTAL
4.66

HEALTH PROBLEM 2: ____ Unhealthy Eating Habits ________________________

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

NATURE OF THE PROBLEM 0.67

2/3x1 It is a health threat to the
Health Threat family.

MODIFIABILITY OF THE
PROBLEM
It is easily modifiable because
Easily 2/2x2 2 unhealthy sleeping habits are
Modifiable manageable with proper
health teaching.

/avg 5
 PREVENTIVE POTENTIAL
3/3x1 This is highly preventable if
High 1 the family member is
cooperative.

It is a serious problem
2/2x1 1 needing immediatete action
SALIENCE
evidenced by: “Hindi na ako
A serious problem makakain nang maayos,
immediate action kung hindi nalilipasan ilang
needed oras ako’ng hindi nagugutom
kahit walang kinakain na
kahit ano.”

TOTAL
3.67

HEALTH PROBLEM 3: ___Death of a member

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

NATURE OF THE PROBLEM 1/3x1 It is a foreseeable crisis

0.3
Foreseeable Crisis
MODIFIABILITY OF THE
PROBLEM 2/2x2 It is easily modifiable because
2 the family has its own coping
Easily
mechanism.
Modifiable

/avg 6
 2/3x1 The problem can be
PREVENTIVE POTENTIAL 0.67 moderately preventable
Moderate because death is
unpredictable.

SALIENCE 1/2x1 0.5 The family recognizes it as a

problem needing immediate
A problem but not
attention evidenced by
needing immediate
“ayaw na rin naming siya
action
mahirapan, kaya tanggap na
namin.”

TOTAL
3.46

Surveyed by _JUNELLA T. JULIO_____________

Date _09-18-22_________________

DOCUMENTATION:

/avg 7
 Health Family Goal of Care Objectives Intervention Plan Evaluation
Problem Nursing
Identified Problem
Nursing Method of Resources
Assessment
Intervention Nurse-Family Required/
Contact Used

Hypertension - Inability to Within 3 weeks Within 3 weeks of After 3 weeks of 1. First Home Materials used: After 4 weeks of
due to obesity provide adequate of nursing nursing nursing Visit nursing
as Health Threat nursing care to the intervention, the intervention, the interventions, the September - OB Bag interventions,
risk member of the client will able to: family will be able nurse will be able 23,2022 - BP apparatus the client was
Subjective Data: family. to: to: - Notebook able to;
2. Second - Ballpen
“Umaabot po - Excessive food - Manage a. Monitor the - Establish good Home Visit - Umbrella - Lesen the
ang bp ko ng intake specifically unhealthy eating blood pressure relationships September - Patient’s chart unhealthy
180/100 lalo na foods that are high habits that could and weight of among the 24, 2022 - Wristwatch eating habits.
kapag in fats. lead to the risk family members of the - Weighing scale
napapadami hypertension & member. family. 3. Third - made a healthy
ang kain na - Lack of physical obesity Home Visit Manpower: meal plan and
bawal” activity. b. Follow the - Help the client September - Benito Family followed it.
- Make a healthy necessary actions understand the 26, 2022 - Barangay -
Objective Data: - Failure to meal plan. risks of Authority - know the risks
comprehend the c. Have adequate hypertension. - Co-student if not treated
Vital Signs: nature of the - Exercise as a knowledge about nurse appropriately.
problem. daily routine the risk - Explain the - student nurses’
Temp: 36.6°C effects of healthy skills - add exercise to
BP: 150/80 - Understand the d. Manage the eating habits for - health teaching his daily routine
information from health problem the improvement and apply
Signs and health teaching. using non- of blood pressure. Money: discipline in
Symptoms: pharmacological - N/A food intake.
ways such as
1. Early discipline in food The goal is met.
morning intake.
headaches

2. Vision
changes

3. Irregular
heart rhythms
 COMMUNITY HEALTH NURSING RLE

PART A. INITIAL DATABASE

I. CHARACTERS:
A. What is the type of family structure?
__✓___ Nuclear Single-Parent
✓ Extended Others (specify)
B. What is the type of family based on authority?
___✓___Patriarchal
____✓___ Matriarchal
C. Who makes decisions regarding health care? FATHER
D. What is the present family relationship?
with conflicts between members
✓ without conflicts between family members
E. Activities of daily living:
1. Sleeping pattern:
Retiring/getting up hours 10PM-10AM
Nap during the day 4-5 HRS
Do members sleep together SEPARATED
ROOM
2. Eating pattern
How many meals each day? 3 X A DAY
Who appears overweight? NONE
Who appears underweight? NONE
3. Leisure time activities
How does each member spend leisure hours? WATCHING TV
Is it appropriate for the sex and age group? yes
What is the effect on the family? It helps them to enjoy their time together
Any joint activity for leisure? none
II. FAMILY INFORMATION
Head of the family: __GS
Address: ____Guiginto, Bulacan__
Members of the household: none

NAME RELATIONSHIP AGE EDUCATIONAL ATTAINMENT

GS Father (head) 50 College Graduate

GS Mother 45 Undergraduate

GS (jr) Eldest 26 College Graduate

GS Second 23 4th Year college

KS Youngest 19 1st year college

/avg 1
 III. SOCIO-ECONOMIC AND CULTURAL FACTORS
A. Income

NAME OCCUPATION PLACE INCOME /

MONTH
GS Businessman Guiginto, Bulacan 50, 000 PHP
GS Businesswoman Guiginto, Bulacan 30, 000 PHP
1. Does the working family member meet the basic necessities?
✓ Yes No
2. Who makes decisions regarding money matters? Father
3. Religious affiliation: Catholic
4. What roles does the family play in the community? Community resident

IV. ENVIRONMENTAL FACTORS

A. Housing
1. Ownership
Owned ✓ Rented Rent-Free Others (specify)
2. Construction materials used
Light Mixed ✓ Strong
3. Living space
✓ Adequate Inadequate
4. Sleeping arrangement: Separated Rooms
5. Adequacy in furniture
✓ Adequate Inadequate
6. Water source
✓ Private Public
7. Food storage
✓ Refrigerator Jars/container Others (specify)
8. Cooking facility
Electric stove Firewood Others (specify)
✓ Gas Stove Kerosene
9. Drainage facility
Open drainage Blind drainage None
10. Toilet facilities/type

Flushed Overhung latrine

✓ Water-sealed latrine Bored-hole latrine
Pail system Others (specify)
11. Sanitary condition
✓ Fair Good Poor
Provide brief description: Both the inside and outside of the house are clean.
✓ Congested Slum Other
12. Availability of Health Care Facility

/avg 2
 Describe briefly: Barangay Sta. Rita Health Center
13. Garbage disposal
Dumped at street corner ✓ Picked up by garbage collector
Buried Burned then buried Others(specify)

V. HEALTH MEDICAL HISTORY

NAME PAST ILLNESS DIAGNOSED / ILLNESS STATE HEALTH ACTION
UNDIAGNOSED TAKEN
GS Hypertension Diagnosed Ongoing Taking medicine
GS Diabetes Diagnosed Ongoing/ controlled Healthy meal plan

VI. VALUE PLACED ON PREVENTION OF DISEASE

Vaccinations

NAME AGE COMPLETE INCOMPLETE

GS 50 HepaA, Hepa-B,
antitetano Covid Vaccine

GS 45 HepaA, Hepa-B,
antitetano,Covid Vaccine

GS 26 HepaA, Hepa-B,
antitetano,Covid Vaccine

GS 23 HepaA, Hepa-B, anti-

tetano
KS 19 HepaA, Hepa-B, anti-
tetano

Other preventive practices employed by the family: General cleaning, proper hand washing proper waste disposal
Sources of Health Care:
✓ Health Center Government Hospital
Private Hospital Others (specify)

/avg 3
 PART B.

DETERMINE AT LEAST 3 FAMILY HEALTH PROBLEMS. IF NONE, DETERMINE THE FAMILY’S PROMOTIVE OR PREVENTIVE
PRACTICES.
FAMILY HEALTH PROBLEMS. / TYPOLOGY OF HEALTH PROBLEM
(WELLNESS STATE , HEALTH DEFICIT,HEALTH THREAT,
(IF NONE, FAMILY’S PROMOTIVE OR FORESEEABLE CRISIS)
PREVENTIVE PRACTICES.)

Health Deficit
1. Diabetes

Health Threat
2. Unhealthy Sleeping Habits

Foreseeable Crisis
3 . Hospitalization of a family member

PART C.

DO THE SCALING OF THE 3 IDENTIFIED HEALTH PROBLEMS OR PROMOTIVE PRACTICES OF THE FAMILY.

HEALTH PROBLEM 1: ___Diabetes

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

3/3x1 1 It is a health deficit because it

NATURE OF THE PROBLEM
is an illness state.
Health Deficit
MODIFIABILITY OF THE 1/2x2 1 It is partially modifiable
PROBLEM because the family member
lacks of health teaching about
Partially
his illness.
Modifiable

/avg 4
 PREVENTIVE POTENTIAL 2/3x1 0.67 It is moderately preventable
because sometimes you can
Moderate
acquire it through genetics or
your lifestyle.

SALIENCE 2/2 x 1 1
The family recognizes it as a
A serious problem,
serious problem needing
Immediate action
immediate attention.
needed

TOTAL
3.67

HEALTH PROBLEM 2: Unhealthy Sleeping habits

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

NATURE OF THE PROBLEM 2/3x1 0.67 An unhealthy Sleeping Habit

is a health threat to a family
Health Threat
member.

MODIFIABILITY OF THE 1/2x2 1 It is partially modifiable since

PROBLEM sleeping habits are
manageable if the member is
Partially
lacking information regarding
Modifiable
the prob.

PREVENTIVE POTENTIAL 3/3x1 1 Unhealthy sleeping habits can

be classified as highly
High
preventable.

/avg 5
 SALIENCE 1/2x1 0.5
It is not perceived as a
A problem, but not
problem as evidenced by:
needing immediate
“May mga pagkakataon lang
attention
talagang ang hirap matulog”

TOTAL
3.17

HEALTH PROBLEM 3: Hospitalization of a family member

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

NATURE OF THE PROBLEM 1/ 3 x 1 0.3 High blood is a health threat

because it can be cured or
Foreseeable Crisis
serious illness if the patient
didn’t take immediate care.
MODIFIABILITY OF THE 1/2x2 1 High blood is easily
PROBLEM modifiable, Because the
family is well informed about
Partially
the issue, they are able to
Modifiable
take appropriate measures to
manage it, and they are
aware of what to do in the
event that the condition
worsens.
3/3x1 1 As I mentioned, high blood
PREVENTIVE POTENTIAL

High pressure can be dangerous

and can also cause
hypertension or other
ailments, therefore the nurse
must advise the family to
follow a diet plan to preserve
everyone's health.

/avg 6
 SALIENCE 2/2x1 1 It is a serious problem that
needs immediate action as
A serious problem,
evidenced by: “Na-ospital po
immediate
ako gawa ng dengue, pero
attention needed
naagapan naman po agad.
Nakakamatay po kasi kung
hindi raw naagapan”

TOTAL
3.3

Surveyed by _JUNELLA T. JULIO

Date _09-14-22 __

DOCUMENTATION:

/avg 7
 Health Family Goal of Care Objectives Intervention Plan Evaluation
Problem Nursing
Identified Problem Nursing Method of Resources
Assessment Intervention Nurse- Required/
Family Used
Contact

Type 2 Diabetes Within 3 weeks Within 3 weeks After 3 weeks of 1. First Materials After 3 weeks
as Health Deficit - Inability to of nursing of nursing nursing Home used: of nursing
recognize the intervention, intervention, interventions, Visit interventions,
Subjective Data: presence of the the client will the family will the nurse will September - OB Bag the client was
condition due to: be able to: be able to: be able to: 23,2022 - BP apparatus able to;
“Mahilig ako sa - Notebook
matatamis - Denial of its a. Comprehend - Establish good Second - Ballpen - Accept and
tapos almost existence; fear of - Know how to and accept the relationships Home Visit - Umbrella understand
overweight the monitor his severity of and therapeutic September - Patient’s the severity of
ako” consequences. sugar intake diabetes. communication 24, 2022 chart diabetes if it
➢ He . among the - Wristwatch comes worse.
Objective Data: might - Exercise members of the Clinic Visit - CGM
undergo regularly b. Follow the family. September (Continuous - Monitor the
Vital Signs: dialysis necessary 26, 2022 Glucose sugar intake.
if not - Understand actions - Assess the Meter)
BP: 140/80 treated. more about family’s - Create an
RR: 18 bpm diabetes d. Discuss the knowledge Manpower: appropriate
PR: 85 bpm - Excessive intake risks of diabetes about Diabetes. - Santiago meal plan.
of food that are - To lessen the with family Family
Signs and high in sugar, risk factors members. - Help the family - Student - Know the
Symptoms: and fats. in managing the nurses risks if not
illness. - Barangay - treated
1. Increased - Lack of physical Authority appropriately.
thirst activity. - Manage the - Co-student
health problem nurse The goal is
2. Increased - Deficient prior to - student partially met.
hunger knowledge about severity. nurses’ skills
the disease. - health
3. Slow-healing teaching
sores - Time & effort

Money:
- N/A
 COMMUNITY HEALTH NURSING RLE

PART A. INITIAL DATA BASE

I. CHARACTERS:
A. What is the type of family structure?
✓ Nuclear Single - Parent
Extended Others (specify)
B. What is the type of family based on authority?
___✓____Patriarchal
Matriarchal
C. Who makes decisions regarding health care? Father
D. What is the present family relationship?
with conflicts between members
✓ without conflicts between family members
E. Activities of daily living:
1. Sleeping pattern:
Retiring/getting up hours 9pm-7am
Nap during the day 3-4 hours
Do members sleep together Yes
2. Eating pattern
How many meals each day? 3X a Day
Who appears overweight? None
Who appears underweight? None
3. Leisure time activities
How does each member spend leisure hours? Watching TV Together
Is it appropriate for the sex and age group? Yes
What is the effect on the family? It helps them to enjoy their leisure time together
Any joint activity for leisure? none

II. FAMILY INFORMATION

Head of the family: RRT
Address: Dela Torre St. Barangay Poblacion, Baler,
Aurora
Members of the household: boarders

NAME RELATIONSHIP AGE EDUCATIONAL ATTAINMENT

RRT Father 62 HS – 3rd year
YST Mother 57 HS – 4th year
RPST Eldest 27 College grad
RMST Second 22 4th year college
IEST Youngest 19 2nd year college

/avg 1
 III. SOCIO-ECONOMIC AND CULTURAL FACTORS
A. Income

NAME OCCUPATION PLACE INCOME /

MONTH
RRT Fisherman Baler 2,000-3,000 PHP

YST Businesswoman Baler 5,000 PHP

RPST Policeman Pampanga 50, 000 PHP

1. Does the working family member meet the basic necessities?

✓ Yes No
2. Who makes decisions regarding money matters? Father
3. Religious affiliation: Catholic
4. What roles does the family play in the community? Community Residence
IV. ENVIRONMENTAL FACTORS
A. Housing
1. Ownership
Owned ✓ Rented Rent-Free Others (specify)
2. Construction materials used
Light Mixed ✓ Strong
3. Living space
Adequate ✓ Inadequate
4. Sleeping arrangement: Sleeping together in one place
5. Adequacy in furniture
Adequate ✓ Inadequate
6. Water source
✓ Private Public
7. Food storage
✓ Refrigerator Jars/container Others (specify)
8. Cooking facility
Electric stove Firewood Others (specify)
✓ Gas Stove Kerosene
9. Drainage facility
Open drainage ✓ Blind drainage None
10. Toilet facilities/type

Flushed Overhung latrine

✓ Water-sealed latrine Bored-hole latrine
Pail system Others (specify)
11. Sanitary condition
✓ Fair Good Poor

/avg 2
 Provide brief description: Even the house is small the cleanliness of the place is maintained.

12. Neighborhood
✓ Congested Slum Other
13. Availability of Health Care Facility
Describe briefly: Brgy Dela Torre Health Center
14. Garbage disposal
Dumped at street corner ✓ Picked up by garbage collector
Buried Burned then buried Others(specify)

V. HEALTH MEDICAL HISTORY

NAME PAST ILLNESS DIAGNOSED / ILLNESS STATE HEALTH ACTION
UNDIAGNOSED TAKEN
RRT Tuberculosis Diagnosed controlled Maintenance
YST Diabetes Diagnosed controlled Monitored
IEST Dengue Diagnosed treated hospitalized

VI. VALUE PLACED ON PREVENTION OF DISEASE

Vaccinations

NAME AGE COMPLETE INCOMPLETE

RRT 62 Hepa-B Covid Vaccine

RPST 27 Hepa-B Covid Vaccine

IEST 19 HepaA, Hepa-B, Covid

Vaccine

Other preventive practices employed by the family: General cleaning. Proper waste disposal, hand washing, sanitation
Sources of Health Care:
✓ Health Center Government Hospital
Private Hospital Others (specify)
PART B.

/avg 3
 DETERMINE AT LEAST 3 FAMILY HEALTH PROBLEMS. IF NONE, DETERMINE THE FAMILY’S PROMOTIVE OR PREVENTIVE
PRACTICES.
FAMILY HEALTH PROBLEMS. / TYPOLOGY OF HEALTH PROBLEM
(WELLNESS STATE , HEALTH DEFICIT,HEALTH THREAT,
(IF NONE, FAMILY’S PROMOTIVE OR FORESEEABLE CRISIS)
PREVENTIVE PRACTICES.)

Health Deficit
1. Hypertension

Health Threat
2. Incomplete Vaccination

Foreseeable Crisis
3. Loss of Job

PART C.

DO THE SCALING OF THE 3 IDENTIFIED HEALTH PROBLEMS OR PROMOTIVE PRACTICES OF THE FAMILY.

HEALTH PROBLEM 1: ___ Diabetes

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

NATURE OF THE PROBLEM

3/3x1
▪ Health Deficit 1 It is a health deficit for a
family member.

MODIFIABILITY OF THE
PROBLEM The problem is partially
1/2 x 2 1 modifiable because the
▪ Partially modifiable disease is acquired from
genes but at the same time, it
is manageable if the family is
willing to coordinate with the
healthcare staff.

/avg 4
 PREVENTIVE POTENTIAL The potential of the illness to
be prevented is low because
▪ Low 1/3 x1 0.33 the family member acquired
it through genes.

SALIENCE
2/2x1 1 It is a serious problem that
▪ A serious problem, needs immediate action as
immediate action evidenced by: “Maayos pa
needed naman ako sa ngayon pero
alam ko kailangan ko na rin
mag-maintenance soon”

TOTAL
3.33

HEALTH PROBLEM 2: __Incomplete vaccination_____________

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

2/3x1 0.67
NATURE OF THE PROBLEM It is a health threat that could
▪ Health Threat lead to disease.

2/2x2 2 It is easily modifiable due to

MODIFIABILITY OF THE the availability of vaccines
PROBLEM together with the
▪ Easily modifiable participation of the family.

3/3x1 1
PREVENTIVE POTENTIAL With proper conduct of family
▪ High health teaching, it is
manageable.

/avg 5
 2/2x1 1 It is a problem but not need
SALIENCE of immediate action as
▪ A problem but not evidenced by: ”Okay naman
need immediate kami, Madali nga lang tablan
action. ng sakit”

TOTAL
4. 66

HEALTH PROBLEM 3: Loss of Job

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

1/3x1 0.3 It is a foreseeable crisis.

NATURE OF THE PROBLEM
▪ Foreseeable Crisis

MODIFIABILITY OF THE 2/2x2 2 It is easily modifiable

PROBLEM because the family member
▪ Easily Modifiable was able to find a new work
that is good for him/her.

PREVENTIVE POTENTIAL 3/3x1 1 It is preventable because the

▪ High family member has
alternative work to go to.

SALIENCE 1/2x1 0.5 The family recognizes it as a

▪ A problem but not problem needing immediate
need of immediate attention.
action

/avg 6
 TOTAL
3.8

Surveyed by _JUNELLA T. JULIO________________________

Date __09/18/2022__________________________

DOCUMENTATION:

/avg 7
 Health Family Goal of Care Objectives Intervention Plan Evaluation
Problem Nursing
Identified Problem Nursing Method of Resources
Assessment Intervention Nurse- Required/
Family Used
Contact

Incomplete Within 3 weeks Within 3 weeks After 3 weeks of 1. First Materials After 3 weeks
Vaccination as a - Failure to of nursing of nursing nursing Home used: of nursing
Health Threat to comprehend the intervention, intervention, interventions, Visit interventions,
the family magnitude of the the client will the family will the nurse will September - OB Bag the client was
problem. be able to: be able to: be able to: 23,2022 - BP apparatus able to:
Subjective Data: - Notebook
- Inability to a. Understand - Establish Second - Ballpen - Teach family
“Akala ko po make decisions - Know how the importance rapport. Home Visit - Umbrella members of
hindi naman with respect to important it is of vaccines in September - Patient’s the
mahalaga ‘yang taking to have your our bodies. - Assess the 24, 2022 chart importance of
bakuna bakuna appropriate vaccinations family’s - Wristwatch complete dose
na ‘yan” health action done. b. Gain trust in incomplete Clinic Visit of vaccination.
free health care doses of September
Objective Data: - Lack of - Manage services in the vaccinations. 26, 2022 Manpower: - Get the
adequate family his/her family barangay - Santiago complete dose
Vital Signs: resources, regarding a health centers. - Understand Family of vaccines.
specifically: healthy the importance - Student
BP: 120/70 lifestyle. c. Discuss the of vaccinations. nurses - know the
RR: 16 bpm ➢ Time risks of - Barangay - risks of
PR: 80 bpm ➢ manpow - To amount of incomplete - Explain the Authority incomplete
er people who vaccinations. benefits of - Co-student vaccination.
are not having nurse
interested in complete - student The goal is
vaccines. vaccinations. nurses’ skills met.
- health
teaching
- Time & effort

Money:
- N/A

/avg 8