Professional Documents
Culture Documents
Presented to
The College of Nursing
In Partial Fulfillment
Of the Requirements
For the Course
CHNN 213 Community Health Nursing
Submitted by:
Alagar, Aira Yvonne
Davilmar, Herold
Esteban, Marianne
Filomeno, John Ford
Maderaje, Katherine Joy
Moreno, Jesem Beth
Pajardo, Maekyla
Pelayo, Ma. Denielha Angel
Sarmiento, Jeistha Melo
TABLE OF CONTENTS
INTRODUCTION 4
SPOT MAP DESCRIPTION 5
SPOT MAP 7
COMMUNITY IN GENERAL 8
FAMILY NURSING ASSESSMENT 9
Assessment of the Family
- Family Structure
- Education
- Occupation
- Income
- Civil Status
Home Characteristics 9
Environmental and Health Sanitation 10
- Water Supply
- Garbage Disposal
- Toilet Facility
- Cooking Facility and Food Storage
- Domestic Animals
Lifestyle and Health Behavior 11
HEALTH PROBLEM 12
1. Family size beyond what family can adequately provide
2. Presence of vector breeding sites
3. Poor home and environmental condition and sanitation.
4. Presence of accident hazards
Appendix A: Pictures 27
Appendix B: Letter of invitation 44
Appendix C: Food stub and raffle stub 45
Appendix D: General assembly program 46
Appendix E: Certificates of Appreciation and Participation 47
Appendix F: Attendance sheet 48
REFERENCES 50
INTRODUCTION
In the traditional context of human society, a family is a group of people who are either
biologically related or bonded through marriage and other types of relationships. Ideally, a family
is composed of a father, mother and children. Currently, there are six types of family structures
and these are nuclear family, single parent family, extended family, childless family, step family,
grandparent family, and dyad type of family. A family is not just a simple set of individuals engag-
ing in their activities. It is a complex social formation organically connected with the society.
Community is a group of people living or working together in the same area with common
agenda, cause, interest, who collaborate by sharing ideas, information, and other resources. A
family’s involvement to the community is very important. They must work together to promote
health, well- being, and peace in the community. Good interactions in the community develop
healthy behaviors and healthy families while problems within the area greatly affect its residents.
On the other side, Community Health Nursing or Public Health Nursing is the synthesis of
nursing and public health practices applied to protect and improve the health of the population.
It combines all the basic elements of professional clinical nursing together with the public health
and community health practices. Another goal of community health nursing is to promote self-
care among individuals and families. Nurses today are playing important roles in coordinating
and providing care to the community. And so, as an individual who wants to prevent illness and
promote wellness, a group of community health nurses go to the community together with health
professionals to identify health and nursing problems that need immediate actions.
The chosen community was Barangay 186, Zone 19, Pasay City, which needed assistance
for health, sanitation, and environmental improvement. It is a congested area faced with rising
demands for health care, limited resources and inequalities of life and environment. Upon as-
sessment, there were families who are facing struggles in terms of health, sanitation, and home
conditions that need supervisions and help. That is why community health needs assessment has
a central part to play, enabling practitioners to identify those in greatest need and to ensure that
health care resources available are used to maximize health improvement. Our group selected to
study the families to describe ways how these local people identify the existing problems arising
in their family and confidently solve those problems in their own through the help and guidance
of community health nurses. Implementations of good health and promotion of clean and safe
environment conducive to health problems are the primary goal of this act. To attain that, the
level II nursing students with their clinical instructors must provide health actions and interven-
tions effectively. Planning is vital tool used to achieve goals which is to provide health care for the
The main purpose of this study is to determine the existing health and environmental
problems of the selected family of Barangay 186, zone 19, Pasay City, Philippines and to carry out
nursing interventions or solutions for the problems identified. Specifically, this study will strive
to meet the following specific objectives: assess the health condition of the family and its re-
lationship to the community, identify the actual and potential health problems of the selected
family according to priorities, determine the health practices of the family, and provide nursing
interventions and nursing care plan for the family including the health teachings and tips to in-
crease knowledge and awareness of the community. This study will use the survey, interview and
descriptive methods of elaborating the information gathered. For the family assessment, service
and progress record, the primary instrument in gathering data regarding this matter was the in-
terview sheet. Limitations of the study limited also the community-based resources about health
problems and conditions. This study only focuses on the Tugade Family and does not include other
families in the community. Student nurses will use purposive sampling procedure and it will de-
crease the generalizability of results. Therefore this study will not be generalizing the family health
Barangay 186 – Zone 19 is one of the barangays in Pasay. The barangay has a total land
area of 2.88 hectares. There are 1,340 households and has a total population of more than 5,093.
The male population has a total number of 2,531 while the female population is 2,562. The total
voting population is 2,645. The number of households with an average size of 5 members is 707.
Its North barangay boundary is barangay 156 Tripa De Gallina; south boundary is Saint Augustine
Street; east boundary is from Saint Claire; its west boundary is Aurora Boulevard. The barangay
office is located in 2313 Saint Joan Street Maricaban. The landmark that can help people to find
the barangay is the Dona Nena Health Center. Another landmark is the Pasay Central Post Office.
Majority of the houses inside this barangay are made of concrete materials and the rest
are wood type and some are mixed materials of concrete and wood. There are 300 houses in the
surveyed area. The climate in Maricaban ranges from hot to rainy season. The barangay has light
and electrical posts which can be found in all parts of the barangay. For security, the barangay has
closed-circuit television (CCTV) cameras. They have sports and recreational facilities like covered
court and physical fitness located at the 3rd floor of their gymnasium. There are also 2 available
basketball courts near the post office. One is covered and the other is not. However, the open
court functions now as a parking lot and place to dry rice grains. The most popular livelihood
this barangay has is selling coconuts. The barangay has establishments of 18 sari-sari stores, 3
carinderia, and 1 bakery. Their mode of transportation is mostly tricycles and motorcycles. Gold-
en-Pistons motor shop, Tramo Radiator shop, Basco Lolita Z Motorcycle Spare Parts, and JOEM
Marketing are shops that sell motorcycle and car parts or accessories. These shops can be found
along Aurora Boulevard. A truck site is also present near the Maricaban creek. The barangay also
has a fire hydrant where firefighters or the people in the community can get water supply when
fire happens. Water meters and water tanks are also present within the barangay. The barangay
COMMUNITY IN GENERAL
Located on 2313 Saint Joan St., Maricaban Pasay lies Barangay 186. On May 1, 1990, Ba-
rangay 186 Zone 19 was born with an population of 3272. On September 1 of 1995, the population
has grown 7.80%. When it reached May 1, 2000, the population has decreased by -1.07%. By Au-
gust 1, 2007, the growth rate has dropped -2.28%. By May 1, 2010, the population has significantly
grown 15.12% to a total of 5,786 residents and as of writing, the barangay has maintained an av-
erage of more than 5,000 in 2019. According to the 2015 Census, the age group with the highest
population in Barangay 186 is 20 to 24, with 567 individuals. This barangay represents 1.2 % of the
total population of Pasay. Some physical features are that it is quite clean, meaning they sweep
the main road but some dog feces are still seen on the road. The climate around the barangay is
rather rainy in the mornings and is tremendously hot in the afternoons. Because they are located
in Metro Manila they do not have much fresh air as the different parts of the country.
The barangay is led by Captain Losendo B. Garbo followed by Hon. Arnie Marlois T. Marzo
SK Chairman; Cesar M. Castro Lugeon, coordinator; Alvin J. Baldemor, secretary; and Amelinda
Y. Tabios treasurer. The whole barangay is composed of 2.88 hectares of land with 475 house-
holds which averages 5 members. The majority of the houses are mostly built with concrete but
some are mixed. Some of the major establishments are Golden-Pistons Motor Shop, Tramo Ra-
diator Shop, Basco Lolita Z Motorcycle Spare Parts, and JOEM Marketing. Other establishments
are mineral water shops, the post office, health center, and 2 multipurpose halls. There is a a big
multipurpose hall and a small one for smaller gatherings. There are many health centers around
the area, but the main health center is Dona Nena Health Center located across the Pasay Central
Post Office. Some of the services they offer are free syphilis tests, dental check-ups, TB tests, and
HIV counselling. On an average, 100-120 people come to visit the health center daily. Their way of
living is highly productive like washing their clothes, cooking, and selling different kinds of foods,
etc. The foods they sell are coconuts, fruits, baked goods, ice cream, and junk foods. Their source
of communication is mostly through mobile phones. Their ways of transportation are comprised
of motorcycles, tricycles, jeeps, and cars. Their feast day is called Mary Comforter and it is every
year on the 3rd Sunday of August. Otherwise, the residents around the barangay are happy and
hard workers.
Mr. JT and Ms. AP were living in a common law marriage situation for 16 years and they
decided to get married on January 2020. The head of the family is JT, 39 years old and was born on
June 13, 1980 at Ospital ng Maynila Medical Center. He was a high school graduate at Parañaque
Multinational and currently working as a house painter in Valenzuela City. He comes home every
Saturday evening. He is the only one working for the family and earns a salary of P3,000 per week.
AP, 32, is the mother, who was born on April 13, 1987. She was also a high school graduate at
MacArthur National High School in Leyte. She stays at home taking care of their children.
The family consists of seven children. CT, first child, was born on April 23, 2004. He is 15,
a Grade 8 student. The second child is JT, 14, was born on June 20, 2005. He is a Grade 8 student
also. The third child is CT, 13, was born on November 20, 2006. She is a Grade 7 student. All of
them attend the same school at Corazon Aquino National High School. CT, 12, was born on De-
cember 14, 2007, a Grade 5 student. CJT, 10, was born on December 25, 2008. She is a Grade 4
student. JT, 5, was born on May 1, 2014, a kindergarten student. All of them study at Maricaban
Elementary School. Jefferson Tugade, 3, was born on June 25, 2016. He is not yet attending school
The family has a good communication where they share their opinions or problems with each
other in terms of finances, marital issues and academic concerns. The parents were both making
the decisions for the family and they respect each other’s perspectives.
Home Characteristics
Home is a place where we can feel comfortable and safe. Keeping the surroundings con-
ducive to health maintenance and well-being of the family is vital. But there are also situations
that are inevitable and the truth is that there are still families that living and surviving under un-
stable conditions.
The family is living in a congested community, located at 272 St. Rita, Barangay 186, Zone
19 Maricaban, District 2, Pasay City. The house is a two-storey building composed of mixed con-
crete and wood. It is small and messy with scattered clothes everywhere. The house also lacks
proper ventilation. Unpleasant odor is also present due to poor environmental sanitation and the
space is inadequate for them to live in. Outside the house, an old motorcycle and clotheslines
are seen as well. At the entrance, there is a TV in front, one chair made of plastic, one wall fan on
the right side to facilitate ventilation, two fluorescent lights for the kitchen, living room, and the
bedroom. Stuff toys are well organized in a glass cabinet located atop the television and two Du-
raBoxes tower the scene where they put their clothes and other stuffs. Accidental hazards such as
unstable foundation of the flooring and stairs that will be a risk for falling are present.
The area is too small that the receiving area also serves as their bedroom too. The mother,
together with the children, sleeps on two connecting wooden beds with foam situated near the
entrance which also serves as their couch. On the head of the bed, there is a small table where
small materials are placed. Blanket and foams were scattered on the bed. Other beds are located
upstairs and only curtains served as the division of the kitchen and the bedroom/living room.
Environmental sanitation means the art and science of applying sanitary to improve the
environmental conditions and to control the spreading of diseases caused by bacteria and other
factors. It provides protection of the health and protects the welfare of the public. Pollution of the
environment such as water and earth pollution is observed. A lot of holes on the ground is evident
Attention was focused on the houses and its vicinity. Aside from being congested with
each other, the space inside the house is also not enough for nine members of the family and the
10
dog that they have. Gas stove is used to cook food and whenever there is leftover food they just
cover it on the table. Large plates are sometimes utilized to achieve so. Beside the kitchen is the
toilet which is pour flush. The drinking water is purified water. Every Thursday the garbage collec-
tor collects the garbage of the houses, but before that the family needs to segregate their waste.
They have open canals and pipes for drainage. Every week also the barangay has clean-up drive
The family’s lifestyle is quite normal based on the interview. They do not smoke cigarettes
and drink alcohol. They get at least 6 hours of sleep daily which is inadequate because they need
at least 8 hours especially since they have 7 small children. From what has been observed, the
mother is fairly timid and does not really have control over her children. The children were wild
and loud. As reported by the mother, they are practicing family planning and get their supplies
from Sheidy Perminder Lying-In. They are using a modern method of intrauterine contraceptive
device (IUD). According to the interview they are satisfied with the family planning that they use.
When it comes to talking to their children, they do talk to them regarding their sexuality. As of
now, the mother is a housewife and the husband is the only one who works, providing and sup-
port the family, while the children (except for the youngest) are all in school.
11
DATE
HEALTH PROBLEM NURSING PROBLEM SUPPORTING DATA CUES
IDENTIFIED RESOLVED
1. Family size beyond Inability to make decision Subjective: “Ang trabaho po ng asawa ko ay
what family can ade- with respect to taking ap- painter. Siya lang po ang nagtatrabaho sa
quately provide propriate health actions amin.” the mother verbalized.
due to lack of knowledge
as to alternative courses
of action open to them Objective 21 Nov Not re-
2019 solved
• Family has 7 kids
lOMoARcPSD|38318376
12
• Scanty food on the table
13
14
• Narrow door entrance can hardly fit
people
• Poor lighting
15
• Octopus wiring
TATION
1. Nature of the 2/3 x 1 2/3 An increase size
family health.
2. Modifiability 2/2 x 2 2 Number of the family
be modified
3. Preventive 1/3 x 1 1/3 Using permanent
the potential of
resources is limited
4. Salience ½x1 1/2 The family recognizes
Total 3 1/2
16
RIA TATION
1. Nature 2/3 x 1 2/3 It is a health threat because
too long.
Total 2 1/3
17
RIA TATION
1. Nature 2/3 x 1 2/3 Having poor home and
fied.
3. Pre- 2/3 x 1 2/3 The problem on home con-
commodate them.
Total 2 5/6
18
TATION
1. Nature of the 2/3 x 1 2/3 The existence of the
is a health threat to
them.
2. Modifiability 1/2 x 2 1 The problem is
awareness to the
modifiable.
3. Preventive 1/3 x 1 1/3 The problem can
available resources
stairs
4. Salience 0/2 x 1 0 Not perceived as
problem by the
family.
Total 2
19
EVALUATION
NURSING OBJECTIVES OF PLAN OF
HEALTH PROBLEM Outcome criteria or
PROBLEM NURSING PROBLEM INTERVENTION Methods or tool
indicators
1. Family size be- Inability to make After nursing inter- 1. Analyze with the After nursing inter- • Home visits
yond what family decision with vention, the family: family critical vention, the family:
• Lectures
can adequately respect to taking issues related with
a. Can explain a. Explained
provide appropriate health marital relation- • Interviews
what plan- what planning
actions due to lack ships and the
ning the the family is
of knowledge as to parents’ respon-
family is all about;
alternative courses sibilities for love
lOMoARcPSD|38318376
20
about;
of action open to and life as basis b. Enumerated
them b. Can enumer- for maintaining the vari-
ate the vari- family size. ous ways of
ous ways of maintaining
2. Discuss with
21
22
contribute to
elimination elimination
the threat of
dengue.
23
provide more
b. Verbalize effort and
air pollution space.
effort and commitment
commitment to maintaining
to maintain- a clean and
ing a clean healthy envi-
24
minimizing the
factors
25
2019
courses of actions.
26
idenced by: vironment conducive to health and consequences of risk factors for
21 Nov maintenance and personal devel- accident hazards
a. Narrow stairs
2019 opment due to limited financial
2. Explored ways on how to possibly less-
b. Fall hazards resources
en or avoid such accidents by minimiz-
APPENDIX A: PICTURES
27
28
Spot Map
29
30
31
32
33
34
35
36
37
38
39
40
41
Food Distribution
42
43
APPENDIX B: INVITATION
44
45
46
47
48
49
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Deshler, D. and Ewert, M. (1995). Participatory Action Research: Traditions and Major
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Garcia, B. (2000). An Assessment of the the Health Resource Development Program in
Seven Adopted Communities of Sacred Heart College. (Unpublished masteral the-
sis, Concordia College Graduate School, 2000)
Hitchcock, J.; Schubert, P. and Thomas, S. (1999). Community Health Nursing in Action.
New York: Delmar.
Maglaya, A. (2004). Nursing Practice in the Community (4th ed.). Marikina: Argonata Corp.
Pagaduan- Lopez, J.; Sia, Isidro and Galvez- Tan, J. (1989). Our Health, Our Lives: A Philip-
pine Health Manual for Community Workers. Manila: National Ecumernical Health
Concerns Committee.
Palagans, E. (2003). Health Care Practice in the Community. Manila: Manila: Educational
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Clark, M. J. (2015). Community health nursing. Prentice Hall.
Stanhope, M., & Lancaster, J. (2015). Public health nursing-e-book: Population-centered
health care in the community. Elsevier Health Sciences.
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