UNION PERUVIAN UNIVERSITY

FACULTY OF HEALTH SCIENCES

PROFESSIONAL NURSING SCHOOL

“REPORT ON THE APPLICATION OF THE NURSING CARE PROCESS

CARRIED OUT TO A HIGH-RISK FAMILY IN THE DISTRICT OF PUNO,
SALCEDO, 2019”

SUBJECT:

FAMILY AND COMMUNITY NURSING

TEACHER:

Mg. CELIA CERVANTES ZAVALA

STUDENTS:

ARACA CAUNA LUZ EBELY

ABADO DIAZ JHON DENNIS

CYCLE: VIII

Puno, November 2019

 Family and community nursing

table of Contents
INTRODUCTION....................................................................................................................3
CHAPTER I.............................................................................................................................4
ASSESSMENT.........................................................................................................................4
1.1. GENOGRAM...........................................................................................................4
2. Critical analysis: We can see that Mrs. Maria Jesus Yañez Quispe has two partners,
with the first couple she had a daughter, Estefani Huamani Yañez , but they had problems
because of which they separated. Likewise, the daughter has a distant relationship with the
father since he does not recognize her. like his daughter and her father was going to visit
her a long time ago, but not now. The relationship with her mother is conflictive, the
mother says that the daughter does not love her and that she hates her and they always stop
arguing, in turn the relationship with the stepfather is conflictive, he lacks respect and does
not want to see her. With the second couple they had two children, a boy and a girl. They
recently separated because they have a minor daughter and his partner does not want to
take responsibility, he says that he will not be able to help him because he is also sick. He
has a close relationship with his children, but the mother does. He has a close relationship
with his last two children......................................................................................................4
1.2. ECOMAP.....................................................................................................................5
2.1. FAMILY APGAR...................................................................................................6
CHAPTER II..........................................................................................................................12
NURSING DIAGNOSES.......................................................................................................12
1. ANALYSIS OF SIGNIFICANT DATA.........................................................................12
3. STATEMENTS OF NURSING DIAGNOSES TO.................................................17
CHAPTER III.........................................................................................................................18
PLANNING, EXECUTION AND EVALUATION STAGE..................................................18
1. PRIORITIZATION OF NURSING DIAGNOSES................................................18
2. PREPARATION OF THE CARE PLAN................................................................19
ANNEXES.............................................................................................................................38
1.1 Family File..............................................................................................................39
1.2 Significant Plans.....................................................................................................40
LEARNING TO LISTEN...............................................................................................56
1.3 Home Visit Report (Health Promotion)..............................................................63
NURSING NOTES.............................................................................................................64
Bibliography...........................................................................................................................65
 Family and community nursing

INTRODUCTION

The Nursing Care Process is the application of the Scientific Method, which

consists of a planning system where there is nursing care, which is carried out in a

prioritized manner with the objective of achieving the prompt recovery of the patient

and family.

The nursing care process in the community is a set of actions that the nursing

professional carries out, relying on models and theories, carried out in a specific

order, in order to ensure that the person who needs care can feel better in his or her

condition. around.

Community nursing is the part of nursing that develops and applies comprehensively,

within the framework of public health, care for the family and community, always

assessing the family's physical, mental and spiritual aspects.

The nursing care process is a systematic and organized method to provide specialized

care in this case to a family at risk.

It was carried out by functional patterns that are related to the eight universal

requirements that Dorothea Orem describes in her theoretical framework,

subsequently nursing diagnoses and care plans were developed, using NANDA

taxonomies. Secondly, the stage of diagnostic nursing diagnoses is carried out, which

is a judgment on individual and family responses to real and/or potential health

problems and developing their care plan. Thirdly, planning was carried out, for this in

this stage the prioritization of nursing diagnoses was considered, developing the

objectives and interventions that will be carried out for the patient and achieving the

restoration of their health. Finally, the care plan was executed in shifts, with the

fundamental goal being the benefit of the user in their bio-psycho-socio-spiritual

areas.
 Family and community nursing

CHAPTER I

ASSESSMENT

1.1. GENOGRAM

Juan Huamani
Ramos Maria
52 years Marco Suca }tito
40 years
Yanez
48 years

11 years 5 years 4 years

2. Critical analysis: We can see that Mrs. Maria Jesus Yañez Quispe has two

partners, with the first couple she had a daughter, Estefani Huamani Yañez ,

but they had problems because of which they separated. Likewise, the

daughter has a distant relationship with the father since he does not recognize

her. like his daughter and her father was going to visit her a long time ago, but

not now. The relationship with her mother is conflictive, the mother says that

the daughter does not love her and that she hates her and they always stop

arguing, in turn the relationship with the stepfather is conflictive, he lacks

respect and does not want to see her. With the second couple they had two

children, a boy and a girl. They recently separated because they have a minor

daughter and his partner does not want to take responsibility, he says that he

will not be able to help him because he is also sick. He has a close relationship
 Family and community nursing

with his children, but the mother does. He has a close relationship with his last

two children.

1.2. ECOMAP

Community institutions
(municipality, clubs, etc.)

Friends and
School
Neighbors

Family

Relatives
Job

Church EESS (MINSA, ETC.)

Critical Analysis: When observing ECOMAPA we see that community

institutions and schools have a close conflictive relationship, but in the case of
family members we see a conflictive relationship due to problems with their
relatives, the mother of the family reports that one of her sisters took away her
house. in Puno reason why they don't get along. He has a close relationship with
the MINSA and his work, unlike with the church he has a distant relationship,
and his relationship is also conflictive with his neighbors and some friends.

Family life cycle

 Family and community nursing

The family under study is in an extension cycle; because he has three

children, 1 school-aged and 2 preschoolers.

2.1. FAMILY APGAR

QUESTIONS NEVER. SOMETIM ALWAYS.

(0 Points) ES. (4 Points)

(2 points)

Are you satisfied with the help you

receive from your family when you have a x

problem?

Do you discuss with your partner the x

problems you have at home?

Are important decisions made together? x

Are you satisfied with the time you have x

spent together?

Do you feel that your family loves you? x

TOTAL 4

RESULT: Severe Family Dysfunction

TOTAL SCORE: 4

The interpretation of the score obtained is as follows:

 Normal family function: 17-20 points.

 Mild dysfunction: 16-13 points.

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 Moderate dysfunction: 12-10 points.

 Severe dysfunction: 9 points or less.

2.2. GENERAL DATA OF THE

FAMILY RECORD

 Date of opening of the Family File: October 9, 2019

 Regional Health Directorate : Fist

 Health NETWORK : Puno

 health MICRONET : Simon Bolivar

 Health facility :P. S. SALCEDO

 Surnames of the Head of Family : Yañez Quispe

Address information

 Province : Puno

 District :Puno

 Ethnicity : Mestizo (80)

 Urbanization/community : Salcedo

 Sector: Salcedo Rinconada

 Street/Jr./Av./Psj. : Jr. The willows mz T

 Lot number: 19

 Identification of the home: Corrugated board door

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 Reference: 1 block from P. S. Salcedo

 Telephone: Does not have

 Time it takes to reach the EE.SS.: 3 Min

 Mode of transportation : Walking

 Predominant language: Aymara, Spanish

 Residence time at home: 3 Years

 Where they lived before: Key

Home visit days and times:

HOME VISIT

DATE VISIT RESULTS NEXT VISIT

RESPONSIBLE

DA MO YE EXECU ABSE REJE ABAND DA M YEA

Y NT AR TED NT CTIO ONME Y ON R

H N NT TH

09 10 19 Light – John x 17 10 19

17 10 19 Light – John x 24 10 19

24 10 19 Light – John x 31 10 19

31 10 19 Light – John x 06 11 19

06 11 19 Light – John x 14 11 19

14 11 19 Light – John x 21 11 19

21 11 19 Light – John x
 Family and community nursing

2.3. SIGNIFICANT DATA:

A home visit was made to the Yañez Quispe family, with address Jr. Los sauces

mz T lt 19 that belongs to the District of Puno, Province of Puno located in the

Department of Puno. With the purpose of investigating the conditions of extreme

poverty and the health of the family, captured in a CRED control by the head of

Nursing and students. The mother says, “We don't have much money to buy food,

that's why my children are like this in terms of their height and weight. We work

together with my children on weekends at night selling candy in the streets, me

and my eldest daughter. We distribute candy while my two youngest children fall

asleep at home, but that money is not enough for us, my second partner separated

from us because we had problems regarding my youngest daughter and she does

not want to know anything, we are in legal proceedings and her entire family He

hates me because I'm older than my partner, they tell him to separate from me and

stay away from my children. From worrying so much about these situations my

head and heart began to hurt, I couldn't stand to see my children and even more so

I had problems with my eldest daughter, she wanted to leave the house at several

times, she says that she does not want to be with us and that other people who

have money adopt her and she says that she can't stand it anymore, she gets

rebellious, she doesn't want to be at home anymore and many other things and

that's why I get upset and I even started to mistreat my children. Currently, I am

receiving psychiatric and psychological treatments, which calm me down a bit. I

do not receive any type of help from my family, my only sister helps me take care

of my younger children, the father of my eldest daughter is wanted by the police,

my children do not have their complete vaccinations, we have many debts and

problems with my children's parents. I am worried about my daughter because she

 Family and community nursing

is living badly” The mother and her minor children were observed in AMEG,

AMEH, AMEN, MEH, the mother presents psychological problems, being

medicated, in turn accompanied by low situational self-esteem, difficulty making

all her decisions. Due to all the problems that occur in his environment, concern

for his economic situation and the state of health of his entire family, given the

situation he was in, the situation in which the family lives to work caught our

attention. The family form was applied, asking a series of questions where Mr.

Maria Jesus Yañez Quispe, 48 being the head of the family for years, who is very

cooperative when it comes to questions. Currently the lady has 3 children, who

has a close conflictive relationship, her first daughter Estefani Huamani Yañez, 10

years old, who takes care of her siblings and in turn works with her mother all

night selling candy in the streets, having the mother a close conflictive

relationship, in turn a low height for her age, as well as low self-esteem, with the

father a distant conflictive relationship. The second son Franco David Suca, 5

years old, has a distant relationship with his father, a close relationship with his

mother, diagnosed with mild anemia of 9.7, leading to a low height and weight for

his age. The third child, Maria Elena Suca Yañez, 3 years old, has a distant

relationship with the father, and a close relationship with the mother, who does

not have all her vaccines or controls, having a moderate anemia of 9.8 Hgmm.

With about 2 years of difference and they have the same size and weight, the BMI

of the first two children cannot be obtained either.

Nutritional status of the children:

 Child 1: Estefani Huamani Yañez

Weight: 28.70 (Weight appropriate for age) Size: 124 (Low size)

 Son 2: Franco David Suca Yañez

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Weight: 17 (Appropriate weight for your age) Size: 98 (Low size)

 Child 3: Maria Elena Suca Yañez

Weight: 13 (Appropriate weight for age) Size: 93.5 (Size at risk)

Problems found:

 Children's low size.

 Family problems.
 Mother with psychological problems.
 Conflict with the couple.
 Low labor productivity.
 Unfavorable economic situation.
 Tumor in the foot of my youngest daughter.
 Mild and moderate anemia.
 Malnutrition
 Social risk
 single parent family
 Anxiety
 Behavioral problems

 Family socioeconomic data:

MEMBER OCCUPATIO JOB MONTHL BILLS

N Y
INCOME
Maria Jesus Housewife Walking S/ 320.00 -Feeding
-Education
-Basic services
-Children's illness -
General household
purchases.
 Family and community nursing

-Purchase of candies to
sell.

CHAPTER II

NURSING DIAGNOSES
1. ANALYSIS OF SIGNIFICANT DATA

1) Diagnostic Label: Ineffective health maintenance

Definition: Inability to identify and manage health problems and/or seek help to
maintain health.

Code: 00099

Domain 1: Health Promotion

Class 2: Health Management

Page: 147

Defining Characteristics: Insufficient knowledge about health practices.

Related Factors : Ineffective communication skills, insufficient resources

(knowledge, financial).

Nursing Diagnosis : Ineffective health maintenance related to ineffective

communication skills, insufficient resources (knowledge, financial).

Diagnostic Analysis:

According to(Macedo, 2014) Health maintenance must be oriented towards

activities for health and well-being, based on basic health practices, adequate
communication, also defined as inability to identify and manage health problems
and/or seek help for Keep health . Therefore, the conclusion is reached that the patient
 Family and community nursing

presents ineffective maintenance because he does not have adequate communication

skills and lack of knowledge about basic practices.

2) Diagnostic Label: Risk of contamination

Definition: Vulnerable to exposure to environmental contaminants, which can

compromise health.

Code: 00180

Domain 11: Safety/security

Class 4: Environmental Hazards

Page: 420

Related Factors : Inadequate personal hygiene practices, domestic hygiene practices,

insufficient municipal services (garbage removal, wastewater treatment).

Nursing Diagnosis : Risk of contamination related to inadequate personal hygiene

practices, domestic hygiene practices, insufficient municipal services (garbage

removal, wastewater treatment).

Diagnostic Analysis:

According to(Delgado Kevin, 2008) The term risk refers to the proximity, the

imminent contiguity of possible damage, pollution is the presence or accumulation of

substances in the environment that negatively affect the environment and living

conditions, as well as the health or hygiene of people. living beings that result from

poor classification of solid waste and misuse of resources . Therefore, the conclusion

is reached that the family presents a risk of contamination due to inadequate personal
 Family and community nursing

hygiene, inadequate domestic hygiene practices, insufficient municipal services

(garbage removal, wastewater treatment).

3) Diagnostic Label: Willingness to improve knowledge

Definition: Pattern of cognitive information related to a specific topic or its

acquisition, which can be reinforced

Code: 00161

Domain 5: Perception/cognition

Class 4: Cognition

Page: 257

Defining Characteristics: Expresses desire to improve learning.

Related Factors : Expresses desire to improve lifestyle.

Nursing Diagnosis : Willingness to improve knowledge related to express desires to

improve lifestyle manifested by express desires to improve learning.

Diagnostic Analysis:

According to(Lopez, 2009) . Previous knowledge allows us to initially contact the

new content; it is the foundation for the construction of new meanings. We use in our

daily lives; disciplinary knowledge about different areas of natural and sociocultural

reality, which make up the different sciences and knowledge. Learn to know the

practices and professionals of the cognitive society; but it is also an essential

condition to develop more fully as a person. It was concluded that the family has a

diagnosis of willingness to improve knowledge.

 Family and community nursing

4) Diagnostic Label: Willingness to improve communication

Definition: Pattern of exchanging information and ideas with others, which can be

reinforced

Code: 00157

Domain 5: Perception/cognitive

Class 5: Communication

Page: 261

Defining Characteristics:

Expresses desire to improve communication

Related Factors :

Insufficient stimuli

Nursing Diagnosis : Disposition to improve communication related to insufficient

stimuli manifested by expressing a desire to improve communication.

Diagnostic Analysis:

According to(Trelles, 2001) , “Communication is the means that allows us to guide

individual behaviors and establish functional interpersonal relationships that help
work together to achieve a goal.” Communication is the central linking force that
allows the coordination of people and therefore organized behavior. Hence,
communicating means transmitting ideas and thoughts. The starting point of
communication is nothing more than what people want to know, need to know and
should know since this is when communication makes sense. Therefore, the family is
willing to improve communication.

5) Diagnostic Label: Disposition to improve religiosity

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Definition: Pattern of trust in the beliefs and/or participation in the rituals of a

particular faith tradition, which can be reinforced.

Code: 00171

Domain 10: Vital Principles

Class 3: Congruence between values/beliefs/actions

Page: 365

Defining Characteristics:

Desire to improve participation in religious experiences.

Related Factors :

Insufficient social integration

Nursing Diagnosis Willingness to improve religiosity related to insufficient social

integration manifested by desire to improve participation in religious experiences.

Diagnostic Analysis:

According to(James, 1994) . James says that religion is something like the “invisible
religion”, also susceptible to scientific analysis, through religious psychology, which
is opposed to theology and must be part of a new comprehensive discipline. The will
to believe transfers truth value to functionality, utility, use and action in a pragmatic
organic connection of thought and behavior. Therefore, the family presents a
disposition to improve religiosity.

6) Diagnostic Label: Deposition to improve nutrition

Definition: Pattern of nutrient consumption, which can be reinforced.

Code: 00163
 Family and community nursing

Domain 2: Nutrition

Class 1: Ingestion

Page: 162

Defining Characteristics:

Expresses desire to improve nutrition

Related Factors :

Lack of knowledge about healthy eating

Nursing Diagnosis : Deposition to improve nutrition related to lack of knowledge

about healthy eating manifested by an expressed desire to improve nutrition.

Diagnostic Analysis:

According to(Escudero, 2015) . “Nutrition is the result or result of a set of

harmonious and mutually supportive functions, which aims to maintain the normal
composition and integrity of matter and preserve life.” Nutrition is a science that
studies food, nutrients, interaction in relation to health and disease; the processes of
digestion, absorption, use and excretion of food substances and also the emotional
aspects related to nutrition. The conclusion is reached that the family is willing to
improve nutrition.

3. STATEMENTS OF NURSING DIAGNOSES TO

1) Ineffective health maintenance related to ineffective communication skills,

insufficient resources (knowledge, financial).

2) Willingness to improve knowledge related to express desires to improve

lifestyle manifested by express desires to improve learning.

 Family and community nursing

3) Risk of contamination related to inadequate personal hygiene practices,

domestic hygiene practices, insufficient municipal services (garbage removal,

wastewater treatment).

4) Willingness to improve communication related to insufficient stimuli

manifested by expressing a desire to improve communication.

5) Willingness to improve religiosity related to insufficient social integration

manifested by desire to improve participation in religious experiences.

6) Willingness to improve nutrition related to lack of knowledge about healthy

eating manifested by an expressed desire to improve nutrition

CHAPTER III

PLANNING, EXECUTION AND EVALUATION STAGE

1. PRIORITIZATION OF NURSING DIAGNOSES

1) Ineffective health maintenance related to ineffective communication skills,

insufficient resources (knowledge, financial).

2) Willingness to improve knowledge related to express desires to improve

lifestyle manifested by express desires to improve learning.

 Family and community nursing

3) Willingness to improve communication related to insufficient stimuli

manifested by a desire to improve communication.

4) Willingness to improve nutrition related to lack of knowledge about healthy

eating manifested by an expressed desire to improve nutrition

5) Willingness to improve religiosity related to insufficient social integration

manifested by desire to improve participation in religious experiences.

6) Risk of contamination related to inadequate personal hygiene practices,

domestic hygiene practices, insufficient municipal services (garbage removal,

wastewater treatment).

2. PREPARATION OF THE CARE PLAN

 Family and community nursing

NANDA NOC RESULTS NIC INTERVENTIONS SCIENTIFIC BASIS

DIAGNOSIS Knowledge: Health Promotion (1823) Health education (5510)

Ineffective health INDICATORS 1 2 3 4 5 Independent interventions

maintenance related 182308 Behaviors x Activities: 1.-Measuring the knowledge and

to ineffective that shape health 1.- Determine the current health behaviors of the current healthy

communication knowledge and lifestyle behaviors of lifestyle allows us to identify the needs

skills, insufficient 183212 Relevant x individuals and families. and knowledge of the family.

resources healthcare resources 2.-Use repetitive demonstrations with 2.- Demonstrations allow better

(knowledge, the participation of those to whom the learning, the participation of family

financial). 182318 Healthy x training and handling of materials are members allows them to become

nutritional practices directed when teaching psychomotor familiar and commit to what they have

techniques. learned.

3.-Involve individuals, families and 3.-Lifestyle or way of life is a set of

groups in planning and behaviors or attitudes that each person

Family and community nursing

implementation aimed at modifying develops, which is why it is important

lifestyle or health behaviors. to improve our behaviors or habits.

4.- Teach strategies that can be used to 4.- The search for new strategies helps

deal with unhealthy or risky behaviors, the family to make the change in

instead of giving advice to avoid or lifestyle more accessible and through

change the behavior. images or posters a better change can

5.- Plan long-term follow-up to be achieved.

reinforce the adaptation of healthy 5.- Lifestyle changes can be observed

lifestyles and behaviors. in the long term, as some inappropriate

Collaborative interventions: behaviors will be modified.

1.- Educational session on 1.- The educational session is very

“Handwashing” is provided important since it provides knowledge

2.- Educational session on “Oral and appropriate techniques for hand

hygiene” is provided washing and oral hygiene and allows

raising awareness among the

 Family and community nursing

individual, family and community.

Evaluation: Objective achieved family improves behaviors that shape health and healthy nutritional practices.

NANDA NOC RESULTS NIC INTERVENTIONS: SCIENTIFIC BASIS

DIAGNOSIS Knowledge: sanitary conduct (1805) Health education (5510)

Willingness to Indicators: 1 2 3 4 5 Independent interventions

improve
knowledge
180502: Benefits of activity x Activities:
related to
express desires and exercise. 1. Identify internal and
1. Take into account the
to improve
extreme factors that can
lifestyle internal and external
180513: How to avoid improve or decrease
manifested by factors of the place where
express desires exposure to environmental motivation for health
you are living and thus be
to improve
risks. x behaviors.
learning. able to reduce which risk
2. Determine the personal
 Family and community nursing

180519: Health protection context and sociocultural factor as long as they

services x history of personal and provide information.

family health behavior. 2. Verify the personal

context of the individual

and the family for good

3. Determine current health health of the

knowledge and lifestyle environment.

behaviors of individuals. 3. Provide health knowledge

4. Involve individuals, through sections for a

families and groups in good family lifestyle.

the planning and 4. Plan one and several

implementation of plans activities at home and the

aimed at modifying environment where you

lifestyle or health are living for a healthy

behaviors. life and lifestyle of the

Family and community nursing

5. Highlight the importance individual and the family.

of healthy ways of

eating, sleeping,

exercising, etc., to

families and groups who 5. Provide information on

will model these values healthy topics such as

and behaviors for others, eating, sleeping and

especially children. household activities,

always with the help of

the entire family to have a

healthy home; This way

6. Use social and family the children will be able

support systems to to see what has been done

obtain the effectiveness so that they keep in mind

of lifestyle or health that having a clean home

Family and community nursing

behavior modification. is good and disease-free.

7. Arrange lessons to 6. Use various tools to carry

provide maximum out home care, modifying

information. things, and thus obtain a

healthy lifestyle.

7. Make sections on

important topics, giving

information about health.

Collaboration activity:

1. Educational sections are 1. It is important to carry

carried out on “Solid out sections with the

Waste”, “Home family for good

Hygiene”, “EDAS and knowledge about health.

IRAS”.
 Family and community nursing

Evaluation: Objective achieved related to express desire to improve lifestyle manifested by express desire to improve

learning.

NANDA NOC RESULTS NIC INTERVENTIONS: SCIENTIFIC BASIS

DIAGNOSIS Communication(0902) Active listening(4920)

Willingness to Indicators: 1 2 3 4 5 Independent interventions

improve

communication Activities:

related to 090210: Exact interpretation of x 1. Establish the purpose of

1. Having good communication
insufficient received messages. the interaction.
and understanding the person
stimuli
who is expressing their emotions
manifested by a 090207: Address the message x
is the value that serves as
desire to improve appropriately.
guidance and guidance to know
communication.
how they should behave.
 Family and community nursing

090208: Exchange messages 2. Ask appropriate questions to

with others. x 2. Ask questions or use make them feel safe or secure in

phrases that encourage order to express their feelings

expressing thoughts, and awaken the interest of others

feelings and concerns. about something.

3. Check non-verbal

3. Use non-verbal communication to see how they

communication to are expressed and not performed

facilitate communication through communication.

(e.g. Know that physical

position expresses non-

verbal messages).
4. Always listen when the person

expresses their feelings when in

4. Listen for unexpressed
conversation.
messages and feelings, as
Family and community nursing

well as the content of the

conversation.

5. Be attentive to the words 5. Be attentive and observant with

that are avoided, as well people who express their

as the non-verbal feelings as well as non-verbal

messages that accompany messages.

the words expressed.

6. Be attentive to the tone, 6. Check the tone, time and volume

time, volume, intonation of the voice when the person

and inflection of the expresses themselves, to see if it

voice. is wrong or right.

7. Use silence/listening to
7. Be silent to listen to their
encourage expressing
emotions and thus encourage
feelings, thoughts and
 Family and community nursing

concerns. their feelings and the concerns

they have.

Collaboration activity:

1. Educational 1. The educational session is very

“communication” sections important, which is why we

are provided. provide knowledge of

“Communication”, to see good

communication between the

family.

Evaluation: Objective achieved, family presents good communication.

NANDA NOC RESULTS NIC INTERVENTIONS SCIENTIFIC BASIS

DIAGNOSIS Safe Home Environment (1910) Environmental management:

 Family and community nursing

community (6484)

Risk of INDICATORS 1 2 3 4 5 Independent interventions

contamination 191030: House x Activities: 1.- The identification of risk factors

related to inadequate cleaning 1.- Start the elimination of health risk allows for better classification and

personal hygiene factors from the environment. elimination of waste that affects the

practices, domestic 191032: Space to 2.- Participate in multidisciplinary health of the family and community.

hygiene practices, move safely around x teams to identify security threats. 2.- Participation in the identification of

insufficient the home hazardous waste allows the family and

municipal services 3.- Monitor the status of known health community to have better security.

(garbage removal, 191011: Storage of risks. 3.- It is important to observe the risk

wastewater hazardous materials. factors for health, because by which

treatment). x many accidents are prevented.

191012: Safe 4.- Observe the home environment if it 4.-Basic services (water, drainage,

disposal of hazardous is in good condition. electricity) are essential for a safe

materials. environment.
 Family and community nursing

x 5.- Clean the house and everything 5.-Allows a better quality of life and

around it. reduces health risks.

Collaborative interventions:

1.-Carry out educational programs 1.- The educational session is very

aimed at risk groups. important since it provides knowledge

2.- Educational session on “Solid and appropriate techniques for “Solid

Waste” is provided Waste” and allows us to raise

awareness among the individual,

family and community.

Evaluation: Objective achieved, family presents adequate personal hygiene practices, adequate domestic hygiene

practices, and a healthy environmental environment.

NANDA NOC RESULTS NIC INTERVENTIONS SCIENTIFIC BASIS

DIAGNOSIS Hope(1201) Facilitate spiritual growth(5426)

 Family and community nursing

Willingness to INDICATORS 1 2 3 4 5 Independent interventions

improve religiosity
120101: Expression Activities:
r/a insufficient social
of a positive future x 1. Help identify barriers and 1. Provide a basis for planning
integration
manifested by a orientation. attitudes that hinder spiritual care and evaluating appropriate
desire to improve
120105: Expression growth and self-discovery. resources for good
participation in
of meaning of life. x identification of difficult
religious
experiences. 120107: Expression 2. Provide a quiet and calm attitudes.

of belief in oneself. environment, when possible. 2. Encourages recognition and

identification of feelings so

x 3. Encourage the person's they can be addressed.

exploration of their spiritual 3. Increases commitment to the

commitment according to their goal, optimizing results and

beliefs and values. fostering hope.

4. Show assistance and comfort 4. It can help you heal past and

by spending time with family present pain by watching your

Family and community nursing

and significant others. emotions express.

5. Offer a prayer to the individual 5. To have a more effective

or family. communication with God and

thus help spiritually and

emotionally.

6. Refer to spiritually based 6. Being able to talk about their

support groups as appropriate. problems and doubts with

Collaboration activity: others can help the patient

1. Prayer is done with the family resolve their feelings.

1. A prayer is made for the family

for their spiritual life, work,

health and their children's

studies.
 Family and community nursing

Evaluation: Objective achieved because the family will have religion.

NANDA NOC RESULTS NIC INTERVENTIONS SCIENTIFIC BASIS

DIAGNOSIS Nutritional status(1004) Nutrition management(1100)

Willingness to INDICATORS 1 2 3 4 5 Independent interventions

improve nutrition
100402: Food x Activities:
related to lack of
ingestion. 1. Adjust diet and lifestyle. 1. A balanced or balanced diet is
knowledge about
healthy eating 100408: Ingestion of one that, through the foods that
manifested by an
liquids. x are part of each meal, provides
expressed desire to
100405: nutrients in the proportions that
improve nutrition
Weight/height ratio. x the healthy body needs for its

proper functioning.

2. In order to identify the lifestyle

2. Determine the family's meal of the family, others who live

Family and community nursing

preference. in the home.

3. For good digestion, a better

3. Create a pleasant and relaxing
metabolism and peace of mind
atmosphere at meal time.
with the family.

4. To raise awareness about the

4. Encourage attendance of
importance of nutrition and
appropriate community
everything that the foods we
nutrition programs.
consume benefit us.

5. Encourage the intake of fruits, 5. To have a good weight, size,

vegetables, and vitamin C. build and healthy lifestyle.

 Family and community nursing

Collaboration activity:

1. Educational sections on 1. It is important to provide

“healthy eating” are provided. educational sections to

emphasize good nutrition in

the family.

Evaluation: Objective achieved because the family improves nutrition and has a good diet.
 Family and community nursing

ANNEXE

S
 Family and community nursing

I.1 Family File

 Family and community nursing

I.2 Significant Plans

LEARNING SESSION

1. INFORMATIVE DATA

 EP: Nursing

 Year/ Cycle: 4th/ VII cycle

 Subject: Family and Community Nursing

 Topic: Handwashing

 Location: Puno - Salcedo

 Time: 40 minutes

 Teachers:

Araca Cauna Luz Ebely

Abado Diaz Jhon Dennis

2. JUSTIFICATION:

Raise awareness of the importance of handwashing, the proper handwashing

technique.

3. EXPECTED LEARNING:

 Cognitive Objective:
 Family and community nursing

At the end of the learning session, the family will be able to correctly

define what handwashing is.

At the end of the learning session the family will be able to mention

the importance of hand washing

 Psychomotor Objective:

At the end of the learning session the family will be able to

redemonstrate handwashing.

 Affective Objective:

At the end of the learning session the family will become aware of the

importance of hand washing.

At the end of the learning session the family will be able to commit to

sharing what they have learned and putting it into practice.

4. DIDACTIC SEQUENCE

LEARNIN METHODOLOGICAL IFE TIME

G STRATEGY

SITUATIO

START 1. Spiritual Reflection 1. Verse:

2. Motivation Psalms 51:7

3. Recovery of prior Purify me with hyssop, and I will be clean;

knowledge wash me and I'll be whiter than snow. 10´

4. Cognitive conflict
2. fix your eyes

3. What do you know about hand

 Family and community nursing

washing?

4. Why is hand washing important?

PROCESS 1. Inquiry, 1. Concept (Handwashing)

(INQUIRY Organization 2. Importance

ACTIVITIE 2. Preparation of the 3. Proper hand washing technique 20´

S) Intervention 4. Duration time.

3. Systematization

EXIT 1. Transfer 1. Family commitment

2. Metacognition 2 questions:

3. Assessment What is hand washing?

Why is hand washing important? 10´

What are the steps of hand washing?

5. DEVELOPMENT OF EACH STAGE:

START

1. Verse:

Psalms 51:7 Purify me with hyssop, and I will be clean; wash me and I'll

be whiter than snow.

2. Motivation: Song

FIX YOUR EYES ON CHRIST

Fix your eyes on Christ

So full of grace and love

 Family and community nursing

And the earthly worthless will be

In the light of the glorious Lord.

I fix my eyes on Christ

So full of grace and love

And the earthly worthless will be

In the light of the glorious Lord.

3. Recovery of prior knowledge:

The following question will be asked of the family:

What do you know about hand washing?

4. Cognitive conflict:

The family will be asked openly to make their options known.

Why is hand washing important?

PROCESS (INQUIRY ACTIVITIES)

HANDWASHING

1. Concept:

According to(Tejada, 2016) It is the active chemical and mechanical cleaning

of the hands with soap and water to eliminate some microorganisms and dirt

through friction. Which aims to prevent the spread of diseases, promote

hygiene habits

2. Importance:

Prevents acute diarrheal diseases (ADD) and cholera, which are transmitted

mainly by hand contact with contaminated surfaces, which can remain in such a
 Family and community nursing

condition for prolonged periods of hours, and even days if adequate hygiene is not

maintained. ; which then manipulate food, or land on the person's face (and

therefore, on the lips).

The most effective way to prevent these diseases lies in correct hand washing;

which, in a practical and economical way, prevents the transmission of EDA and

cholera, especially in boys and girls under 5 years of age.

The results indicate that despite contamination in water and the environment, the

appropriate practice of handwashing with soap reduces morbidity from diarrhea

by 52%, which is responsible for the majority of child deaths.

Other important measures are the treatment and consumption of safe water, and the

cooking of food. It is extremely important to highlight these actions, seeking to

raise awareness among the general population. Likewise, when faced with

symptoms, it is extremely important not to self-medicate; and go to the nearest

health facility for timely care.

Handwashing is everyone's commitment. Its practice involves the active

participation of the population, especially authorities and key actors, who play an

important role both in guaranteeing the correct supply of water and sanitation, and

in spreading the message of the health benefits of this practice.

Families and schools are also key actors in promoting handwashing, because they

are the environments where awareness is best about the importance of hygiene,

according to the World Bank.

For the above reasons, the Ministry of Health presents the Diarrheal Diseases,

Water and Cholera prevention campaign "Always wash your hands with soap

and water!" with the aim of informing the population about the importance of

hand washing to prevent diseases.

 Family and community nursing

3. Hand washing techniques

EXIT

Questions

What is hand washing?

Why is hand washing important?

What are the steps of hand washing?

 Family and community nursing

LEARNING SESSION

1. INFORMATIVE DATA

 EP: Nursing

 Year/ Cycle: 4th/ VII cycle

 Subject: Family and Community Nursing

 Topic: Healthy Eating

 Location: Puno - Salcedo

 Time: 40 minutes

 Teachers:

Araca Cauna Luz Ebely

Abado Diaz Jhon Dennis

2. JUSTIFICATION:

Make known the importance of healthy eating.

3. EXPECTED LEARNINGS:

 Cognitive Objective:

At the end of the learning session the family will describe healthy

foods.

 Psychomotor Objective:

At the end of the learning session the family will be able to become

aware of healthy eating.

 Affective Objective:

At the end of the learning session the family will commit to eating

healthy foods.
 Family and community nursing

4. DIDACTIC SEQUENCE

LEARNING METHODOLOGICAL IFE TIME

SITUATION STRATEGY

START 1. Spiritual Reflection 1. Verse: The feeding of Daniel

2. Motivation 2. Letter game

3. Recovery of prior 3. What would happen if there were no

knowledge fruits and vegetables? 10´

4. Cognitive conflict 4. What are healthy foods?

PROCESS 1. Inquiry, 1. Concept

(INQUIRY Organization 2. Importance

ACTIVITIES) 2. Preparation of the 3. Classification 20´

Intervention 4. Identify healthy and unhealthy foods

3. Systematization

EXIT 1. Transfer 1. Family commitment

2. Metacognition 2. Questions:

3. Assessment What are healthy foods? 10´

How important is healthy eating?

PROCESS (INQUIRY ACTIVITIES)

1. Concept:

The health and proper functioning of our body depends on the nutrition and

diet we have throughout life.

 Family and community nursing

Food and Nutrition, even though they seem to mean the same thing, are

different concepts.

Food allows us to take from the environment that surrounds us, the foods in

the diet (from the mouth out) and Nutrition is the set of processes that allow

our body to use the nutrients contained in the food to perform its functions

(from the mouth inwards).

Food is all natural or industrialized products that we consume to cover a

physiological need (hunger).

Nutrients are substances found within foods that the body needs to perform

different functions and maintain health. There are five types of nutrients

called: Proteins or Proteins, Fats or Lipids, Carbohydrates or Carbohydrates,

Vitamins and Minerals.

2. Importance:

It is very important to eat healthy to keep our organism, body and mind stable

and so that over the years it does not deteriorate as much as happens with

people who do not eat a balanced diet when they are young.

It allows us to fully develop, maintain health and vitality, and maintain

optimal intellectual performance.

3. Classification:

Foods are classified into three large basic groups, according to the function

performed by the nutrients they contain:

Cluster Foods that make it up

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Plastic or repair foods Milk, meats (beef, poultry, game), eggs,

They contain more protein fish, sausages, cheese, yogurt.

Regulating foods Fruits (melon, pineapple, orange, apple)

They contain a greater amount of and vegetables (lettuce, carrot, cabbage,

vitamins and minerals. tomato).

Energetic food Cereals (corn, rice, wheat, sorghum),

They contain more carbohydrates and grains (peas, beans, lentils), tubers (also

fats. called vegetables such as ocumo, potato,

cassava), banana, oils, margarine, butter,

mayonnaise.

4. Identify which foods are healthy and unhealthy:

LEARNING SESSION

I. Informative data

1. AND. Q: Nursing

2. Year/Cycle: 4th year/ VII cycle

 Family and community nursing

3. Subject: Family and Community Nursing

4. Topic: House hygiene and dangerous things

5. Location: Puno - Salcedo

6. Time: 40 minutes

7. Teachers:

Araca Cauna Luz Ebely

Abado Diaz Jhon Dennis

II. JUSTIFICATION:

Make known the importance of home hygiene and the dangers.

III. EXPECTED LEARNING:

 Cognitive Objectives:

At the end of the learning session, the family will plan activities for a

clean and safe house.

 Psychomotor Objectives:

At the end of the learning session the family will be able to locate the

correct and incorrect image related to the hygiene of the house and the

dangers.

 Affective Objectives:

At the end of the learning session, the family will become aware of a

clean and hazard-free house.

IV. DIDACTIC SEQUENCE

Learning Situations Methodological strategies IFE Time

Start 1. Spiritual Reflection 1.-Verse:

2. Motivation “…Martha, busy with 10 minutes.

3. Recovery of prior many chores,

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knowledge approached Jesus and

4. Cognitive Conflict said: “Lord, aren't you

worried that my sister

lets me serve alone? Tell

him to help me.” Luke:

10; 40.

2.- the apple falls

3.- Questions:

What is house hygiene?

Why is hygiene at home

important and safe?

4.- What consequences

does having a dirty

house have?

Process (inquiry 1. Investigation, 1. Concept: House 20 min.

activities) organization, hygiene and

preparation of dangers.

information. 2. Importance

2. Systematization 3. Consequence

4. Home dangers

Exit 1. Transfer 1. Family commitment 10 minutes

2. Meta cognition to a clean house

3. Assessment 2 questions:

What is a clean house?

How important is a
 Family and community nursing

clean house?

V. DEVELOPMENT OF EACH STAGE

START

1. Verse:

“…Martha, busy with many chores, approached Jesus and said: “Lord, aren't

you worried that my sister lets me serve alone? Tell him to help me..."

Luke: 10; 40.

2. Motivation: the apple falls.

3. Recovery of prior knowledge:

The following question will be asked of the family

What is house hygiene?

Why is hygiene at home important and safe?

4. Cognitive conflict:

The family will be asked openly to make their opinions known.

What are the consequences of having a dirty house?

PROCESSES (INQUIRY ACTIVITIES)

HOUSEHYGIENE

1. CONCEPT:

According to the WHO, a healthy home is a residence space that promotes

health and is characterized by: safe tendency, safe location, adequate structure

and sufficient spaces, good quality basic services, furniture, household utensils

and comes from safe consumption, adequate environment , healthy behavioral

habits.
 Family and community nursing

Hygiene is a fundamental habit to reduce the chances of our body coming into

contact with germs that are dangerous to our health.

Personal hygiene is a basic pillar to maintain our health, which is reinforced if

we also take proper care of the cleanliness of the environments in which we

move and, especially that of our own home. It can well be said that hygiene

begins at home.

2. IMPORTANCE:

Any object can become an ideal environment for the development of bacteria

that are dangerous to our health.

Floors, carpets, furniture, the telephone and even the television remote control

can be a refuge for viruses or bacteria.

3. CONSEQUENCE:

Children who live in dirty homes cannot understand or practice good hygiene.

Showering, brushing your teeth, combing your hair, and doing laundry are

examples of good hygiene when done on a consistent basis. However, when

children come from dirty home environments, they do not always have access

to clean clothing or parental direction to bathe or shower and brush their teeth

every day.

4. HAZARDS AT HOME:

- Accidents that can occur: small children get close to the stove when it is on

and they can get burned.

- As well as that children do not approach the kitchen when it is on or that

they are supervised by an adult.

- Also remove sharp things away from children.

- Not having gasoline or oil at home.

 Family and community nursing

EXIT

- At the end, some questions will be asked of the family.

What is a clean house?

How important is a clean house?

EDUCATIONAL SESSION

I. INFORMATIVE DATA

1. EP: Nursing

2. Year/cycle: 4th year, VII cycle

3. Subject: Family and Community Nursing

4. Topic: Communication

5. Location: Puno - Salcedo

6. Time: 40 minutes

7. Teachers:

Araca Cauna Luz Ebely

Abado Diaz Jhon Dennis

II. JUSTIFICATION:

Develop adequate communication, allowing you to improve your

interpersonal relationships within the family.

III. EXPECTED LEARNING:

COGNITIVE OBJECTIVES:

At the end of the learning session the family will define what

communication is

PSYCHOMOTOR OBJECTIVES

At the end of the learning session the family will use good communication
 Family and community nursing

AFFECTIVE OBJECTIVES:

At the end of the learning session the family will commit to having good

communication

At the end of the learning session the family will aim to practice good

communication

IV. DIDACTIC SEQUENCE

Learning Methodological strategies IFE Time

situations

1. Spiritual reflection 1. Canticle 5´

Prayer

Verse:
2. Motivation
2. Blue code
3. Recovery of prior knowledge
Start 3. What is communication?
4. Cognitive conflict
Do they know how to

communicate properly?

4. How do you communicate?

How do you communicate?

1. inquiry, organization, Communication: Definition, 20´

Process
2. Preparation of information. importance, types of
(Inquiry
communication, advantages of
activities)
3. Systematization adequate communication.

Exit 1. Transfer 1. Is communication 5´

important?
 Family and community nursing

2. Metacognition 2. Do you think it is good to

3. Assessment have good communication

with your environment?

DEVELOPMENT OF EACH STAGE

Definition:

Communication is the foundation of all social life

Communication is not simply about saying or hearing something. The word

communication, in its deepest sense means “communion”, sharing ideas and feelings

in a climate of reciprocity.

In this way we can conclude that communication is very important since through it

affection, ideas, attitudes and emotions are communicated.

Good communication is the result of skills learned during infancy and childhood, due

to the positive influence of parents and educators.

LEARNING TO LISTEN

LISTENING is a basic skill. To use it properly we have to ensure that when the

sender sends a message; the receiver listens with physical and mental effort;

concentrating on the sender, understanding the message, summarizing the important

points and confirming whether the message was understood Basic rules for active

listening:

For the receiver:

· Be aware

· Look into the eyes of the interlocutor

 Family and community nursing

· Listen to what the other person says

· Take the time to listen

· Create and establish a pleasant climate

· Concentrate and avoid distraction

For the issuer:

· Make sure that the message has been understood, asking the recipient if they

understood or understood what was said

· Maintain an appropriate distance, that is, not too far away, nor too close to the

person with whom we communicate.

LEARNING SESSION

VI. Informative data

8. EAP :Nursing

9. Year/Cycle: 4th year/ VII cycle

10. Subject: Family and Community Nursing

11. Topic: Solid Waste.

12. Location: Puno - Salcedo

13. Time: 40 minutes

14. Teachers:

Araca Cauna Luz Ebely

Abado Diaz Jhon Dennis

VII. JUSTIFICATION:

By classifying organic and inorganic waste we help in the recycling process.

Sorting garbage means putting waste of a single material in one container and
 Family and community nursing

waste of another material in another container and so on so that organic is not

mixed with inorganic. In addition, bad odors produced by organic waste such

as fruit or vegetable peels or food remains are avoided and thus prevent the

production of insects, bacteria and other bugs that harm health.

VIII. EXPECTED LEARNING:

 Cognitive Objectives:

At the end of the learning session, the family will learn about the

importance of classifying solid waste.

 Psychomotor Objectives:

At the end of the learning session the family will be able to identify the

colors and their meaning of solid waste.

 Affective Objectives:

At the end of the learning session, the family will become aware of the

classification of solid waste.

IX. DIDACTIC SEQUENCE

Learning Situations Methodological strategies IFE Time

Start 5. Spiritual Reflection 1.-Verse: Lamentations

6. Motivation 3:45 10 minutes.

7. Recovery of prior 2.-Prayer: John

knowledge 3.- Questions: Light

8. Cognitive Conflict What is garbage?

Why is garbage

classification important?

4.- What consequences

does garbage bring?

 Family and community nursing

Process (inquiry 3. Investigation, 5. Concept: 20 min.

activities) organization, Garbage,

preparation of 6. Solid waste

information. classification

4. Systematization 7. Importance

8. Consequence

Exit 4. Transfer 1. Family commitment 10 minutes

5. Meta cognition to solid waste

6. Assessment classification.

2 questions:

What is solid waste?

Why is it important to

classify solid waste?

X. DEVELOPMENT OF EACH STAGE

START

5. Verse:

Lamentations 3:45

You have made us rubbish and scum in the midst of the people.

6. Recovery of prior knowledge:

The following question will be asked of the family

What is garbage?

Why is garbage classification important?

7. Cognitive conflict:

The family will be asked openly to make their opinions known.

 Family and community nursing

What consequences does garbage bring?

PROCESSES (INQUIRY ACTIVITIES)

SOLID WASTE

5. CONCEPT:

According to(Ramos Montemayor & Rodriguez Mendoza , 2011) defines solid

waste as any solid or semi-solid waste that we get rid of but that has potential

use as a reusable or recyclable material.

Garbage: Two or more wastes that mixed together cause bad odor, disease or

contamination.

6. CLASSIFICATION:

They are classified due to their composition.

Organic trash . It is all waste of biological origin, it was once alive or was part

of a living being, for example: leaves, branches, peels and seeds of fruits,

bones and leftovers of animals, etc.

Inorganic trash. It is all waste of non-biological origin, that is, of industrial

origin or some other non-natural process, for example: plastic, synthetic

fabrics, etc.

Hazardous waste. It is any waste, whether of biological origin or not, that

constitutes a potential danger, for example: infectious medical material,

radioactive material, acids and corrosive chemicals, etc.

Solid Waste Classification

WASTE REDUCTION MEASURES CAN BE GROUPED INTO:

1.- PREVENTION: Buy products with the same packaging and minimal
 Family and community nursing

packaging, do not consume unnecessarily, reduce the amount of potential

waste, buy products with ecological labels, eco-design, etc.

2.- REDUCE.- Try to get rid of as little waste as possible.

3.- REUSE.- Try to extend the life of the products and if the product does not

serve its purpose, try to give it other uses.

4.- RECYCLE.- When you have no more options to get rid of a product, do so

responsibly and take it to its corresponding selective collection container, to

the green point, to the clean point, etc. or, to the waste management system

that is specific to your municipality or region.

WHAT ACTIONS CAN YOU DO?

Produce minimal waste. The best garbage is the one that is not produced.

Classify the garbage we produce.

Accumulate it in garbage cans. If there is a toilet, deliver it already classified

so that it only accumulates in one place.

Bury accumulated garbage. So that it does not spread everywhere, the animals

eat it and die, make a big hole and bury it.

Inform and educate us. Let's educate the people of our city about the

consequences for the earth and our lives if we continue to generate so much

trash.

Promote environmental protection meetings.

7. CONSEQUENCE:

Garbage is material considered waste and that needs to be eliminated.

Garbage is a very polluting product, it is a problem of human activities which

is considered to have a value equal to 0 for waste. It can be classified

 Family and community nursing

according to its color since it is very important to take care of the environment

by classifying garbage properly:

ORGANIC WASTE: Any waste of biological origin that was once alive or

part of a living being, for example: leaves, branches, peels and waste from

food factories in the home, etc.

INORGANIC WASTE: Any waste of non-biological origin from industrial

origin or from some other non-natural process, for example: plastic, synthetic

fabrics, etc.

HAZARDOUS WASTE: Any waste, whether of biological origin or not, that

constitutes a potential danger and for which it must be treated in a special way,

for example: infectious medical material, radioactive waste, acids and

corrosive chemicals, batteries, etc.

Respiratory infections

intestinal infections

Pneumonia and bronchopneumonia

Flu

Poisoning

Acute otitis media

EXIT

- At the end, some questions will be asked of the family.

 Family and community nursing

- What is solid waste?

- Why is it important to classify solid waste?

I.3 Home Visit Report (Health Promotion)

REPORT N° 001 -2019/FSC/EPE/UPEU/FJ

TO: Mg Marlene Montes Salcedo

Professor of the professional nursing school

BY: ARACA CAUNA LUZ EBELY

ABADO DIAZ JHON DENNIS

Students of the professional nursing school

SUBJECT: Report of actions carried out

DATE: Salcedo 11/21/19

I am hereby writing to you with the purpose of informing you of the following
actions carried out:

FIRST: We move from the city of Juliaca to the district of Puno.

SECOND: Coordination is carried out with the lawyer Celia Cervantes in charge of
the establishment.

THIRD: The visit is made to the family and they are informed that we will be
working.

FOURTH: After we introduce ourselves to the family, we make our presentation and
make known the objectives and purpose of health promotion and prevention.

FIFTH: Different topics are provided, such as:

 “Handwashing and HAI”

 “Solid Waste and oral hygiene”
 “House cleaning, utensils and Communication”
 Family and community nursing

Where we make known the importance, objectives and the correct technique, the
steps and the time.

SIXTH: And finally, we thanked the family and saw the interest in the topic carried
out, they gave us a corresponding farewell, leaving us happy with the work and
leaving another visit date.

SEVENTH: We move to the city of Juliaca.

Sincerely

Luz Ebely Araca Cauna Jhon Dennis Abado Diaz

NURSING NOTES

S: Family says “We want to learn more about health, hygiene, have an improved
kitchen and organic garden.”

O: Upon observation, family presents AREG, presents lack of personal hygiene,

health practices, hand hygiene, lack of cleanliness, classification of solid waste, order
of the yard, kitchen, toilets and bedrooms due to the presence of garbage in the home ,
inadequate place and space for the biogarden, dirty chickens and dogs in
inappropriate places.

A: Ineffective health maintenance related to ineffective communication skills and

insufficient resources (knowledge, financial).

Risk of contamination related to inadequate personal hygiene practices, domestic

hygiene practices, insufficient municipal services (garbage removal, wastewater
treatment).

P: Family will present effective health maintenance during the healthy families
health intervention.

Family will reduce the risk of contamination during the healthy families intervention.

I: An environment of trust between students and families is provided.

Educational sessions on “handwashing and breastfeeding” are provided

Demonstration of hand washing is carried out

 Family and community nursing

The knowledge learned is evaluated through demonstration.

Information is provided about the importance of vaccines.

The family is encouraged to continue practicing what they have learned

The family is thanked for opening the door of their home and thus being able to
provide them with necessary health knowledge.

E: Objective achieved, family presents effective maintenance during the intervention

of healthy families.

Family objective achieved reduces risk of contamination during the intervention of

healthy families.

Bibliography

Delgado Kevin, R. (2008). Ciencia y salud. Madrid: Cosnier.

Escudero. (2015). Alimentación y Nutrición . Medellin.

James, W. (1994). Las variedades de la experiencia religiosa. Londres EEUU:

Edicción Península.

Lopez, J. (2009). Proceso de atención de enfermería . Mexico.

Macedo, V. (2014). Diagnosticos enfermeros, Gestión ineficaz de la Salud.

Barcelona: Elsiever.

OMS. (2016). Lantancia materna.

Tejada, G. (2016). CLASES FUNDAMENTOS DE ENFERMERIA. Mexico:

HostGator.

Trelles, I. (2001). Introducción a las Teorias de la comunicación. México.