BUKIDNON STATE UNIVERSITY

College of Nursing
Malaybalay City, Bukidnon 8700
Tel (088) 813-5661; Telefax (088) 813-2717, www.buksu.edu.ph
 

COMMUNITY HEALTH NURSING

CASE PRESENTATION
 
AMA, JASON L.
CONEJO, CHERRY LOUIE L.
DUMAGPI, PRINCESS ERL MARTE B.
GAMAO, ALMIRA GAY J.
LIBRES, JAMAICA VICTORIA L.
OBEÑITA, JUDY ANN
OMAC, AXIEL ROSE C.
PADRE-E, VINCENT GABRIEL JAMES P.
RATUNIL, NICEL JEAN N.
SABACAJAN, VEA ANGELYN P.
TAN NERY, CHARMAIGNE DALE G.
 PURPOSE OF THE STUDY
 
GENERAL OBJECTIVES:
The students will be able to collect adequate information for them to give
accurate and appropriate nursing interventions in assessing with the family’s
problems that the students have identified during the process of getting to know
the family. Through this they will have a good outcome on.
 

SPECIFIC OBJECTIVES:
During the family assessment the students will be able to:
1. Establish rapport with each member of the family
2. Gather adequate information about the family
3. Identify problems based on the given information
4. Assess for probable health risk of the family
5. Give proper nursing interventions to the problems of the family
 FAMILY PROFILE

A. FAMILY STRUCTURE, CHARACTERISTIC, AND DYNAMIC

POSITION IN THE FAMILY: FATHER POSITION IN THE FAMILY: MOTHER

NAME: MR. P NAME: MRS. X
BIRTHDAY: AUGUST 12, 1980 BIRTHDAY: JANUARY 24, 1985
AGE: 39 AGE: 34
GENDER: MALE GENDER: FEMALE
OCCUPATION: GUARD OCCUPATION: HOUSEWIFE
EDUCATIONAL ATTAINMENT: HIGH SCHOOL LEVEL
EDUCATIONAL ATTAINMENT:
COLLEGE LEVEL
POSITION IN THE FAMILY: 3RD CHILD POSITION IN THE FAMILY: 1ST CHILD
FIRST HUSBAND NEW PARTNER
NAME: DODONG NAME: INDAY
BIRTHDAY: JANUARY 3, 2015 BIRTHDAY: MAY 12, 2019
AGE: 4 YEAR OLD AGE: 5MONTHS
GENDER: MALE GENDER: FEMALE
OCCUPATION: NONE OCCUPATION: NONE
EDUCATIONAL ATTAINMENT: NONE EDUCATIONAL ATTAINMENT: NONE
 FAMILY HEALTH HISTORY

MR. P, HAS NO HEREDITARY SICKNESS, SUCH AS DIABETES MELLITUS. ACCORDING TO MRS X, HER
PARTNER HAS NO HISTORY HYPERTENSION EXCEPT FOR CHICKEN POX.
MRS. X, A 34 YEAR OLD WOMAN WHO WAS DIAGNOSED HAVING A HYPERTENSION 6 YEARS AGO DUE TO
HER PREGNANCY THAT LEADS HER TO MISCARRIAGE. AFTER THAT INCIDENT, SHE HAD A DIFFICULTLY
BEARING A CHILD, IT TOOK HER 5 YEARS BEFORE SHE GETS PREGNANT AGAIN. SHE HAS NO HISTORY OF
ACCIDENT/INJURY AND SERIOUS/CHRONIC ILLNESS. THERE IS A POSITIVE FAMILY HISTORY OF
HYPERTENSION. SHE STATED THAT SHE HAD COMPLETED HER VACCINATIONS WHICH ENTAILS BCG, OPV,
DPT, MEASLES AND TETANUS TOXOID VACCINES.
MRS. X, STATED THAT SHE HAD BEEN TAKING MEDICATION WHICH IS AMLODIPINE USED IN THE
TREATMENT OF HYPERTENSION LAST JULY 10, 2019, BUT STOPPED TAKING THEM BECAUSE SHE IS BUSY
CARING HER FATHER WHO IS IN THE HOSPITAL AND JUST TAKE IT IF SHE NOT FEELING WELL.
MRS. X, HAS 3 CHILDREN WITH HER FIRST HUSBAND AND 1 IN HER NEW PARTNER WHO LIVES HEALTHY.
ALL OF HER CHILDREN IS FULLY IMMUNIZED EXCEPT INDAY WHO IS 5 MONTHS OLD. HER CHILDREN HAVE
NO HISTORY OF ACCIDENT/INJURY AND SERIOUS/CHRONIC ILLNESS.
MRS. X’S PARENTS HAD DIFFERENT HISTORY. HER FATHER WAS HOSPITALIZED LAST MONTH DUE TO
PNEUMONIA AND DIABETES MELLITUS AND HER MOTHER IS ALSO A HYPERTENSIVE.
 IDEAL NURSING MANAGEMENTS
PRESENCE OF BREEDING OR RESTING SITES OF VECTORS OF DISEASES (E.G. MOSQUITOES, RATS,
ROACHES, ETC.)

SINCE THE FAMILY IS ALREADY AWARE THAT THIS CAN CAUSE A PROBLEM TOWARD THEIR HEALTH, OUR
RECOMMENDATION IS TO SUPPORT THE KNOWLEDGE OF THE FAMILY ABOUT THE IMPORTANCE OF MAINTAINING A
CLEAN HOME ENVIRONMENT TO AVOID THEM FROM ACQUIRING DISEASES CAUSED BY MOSQUITOES, RATS, ROACHES,
ETC., AND FOR THEM TO TAKE IMMEDIATE ACTION TO THE PRESENTING PROBLEM. EDUCATE THE FAMILY TO PREVENT
INFESTATION OF VECTORS BE ENCOURAGING THEM TO CLEAN THE SURROUNDINGS PROPERLY EVERYDAY THROUGH
DISCARDING DIRTY, STAGNANT WATER IN TIRES, GARBAGE CAN, AND PAILS TO GET RID OF THE BREEDING SITES OF
VECTORS. AND IF THERE ARE WATER CONTAINERS PRESENT, MAKE SURE THAT IT HAS A SECURED LID AND WATER MUST
BE CHANGED REGULARLY. TAKE OUT TRASH BAGS TO THE PROPER WASTE DISPOSAL EACH NIGHT BEFORE GOING TO
BED AND GARBAGE CANS MUST BE CLEANED AND EMPTIED. ALWAYS KEEP CLOTHING CABINETS AND STORAGE BOXES
CLEAN INCLUDING THE EMPTY STORAGE AREA. MAKE SURE THAT PROPER HYGIENE IN FOOD HANDLING IS STRICTLY
OBSERVED AS WASH THE USED KITCHEN WARES EVERY AFTER MEAL AND SECURE IT IN A CLOSED STORAGE. DO NOT
LEAVE THE SINK WITH DIRTY DISHES AND ALWAYS KEEP IT CLEAN. EDUCATE THEM ABOUT THE POSSIBLE INFECTIOUS
DISEASES THEY MIGHT ACQUIRE BY THESE VECTORS LIKE DENGUE, MALARIA, TYPHOID FEVER, ETC. LASTLY, WE MUST
LEAD THE FAMILY IN DOING THOSE THAT ARE MENTIONED ABOVE TO MAINTAIN A CLEAN HONE ENVIRONMENT SO THAT
THEY WILL BE GUIDED ON THE PROPER WAYS TO ELIMINATE THE BREEDING SITES OF VECTORS. IT IS ALSO A WAY OF
HELPING THE FAMILY THROUGH IMPARTING OUR KNOWLEDGE AND LENDING OUR HANDS WITHIN OUR LIMITS.
ACCIDENT HAZARD; A. STAIRS WITHOUT SIDE RAILS B. DAMAGED FLOOR

THE FAMILY IS WELL AWARE ABOUT THE HARMFUL POSSIBILITIES REGARDING THE
PRESENTING PROBLEM AND OUR RECOMMENDATION IS TO ENCOURAGE THEM TO TAKE
IMMEDIATE ACTION WITH THIS HAZARD TO HINDER FUTURE POSSIBLE ACCIDENTS, AND HELP
THEM UNDERSTAND MORE OF THE THREAT OF THIS PROBLEM TO THE HEALTH AND SAFETY OF
THEIR FAMILY AND CHILDREN. SUPERVISION OF THE CHILDREN IS IMPORTANT AND PARENTS
MUST BE MINDFUL AND AWARE ON THEM ALL THE TIME BECAUSE THEY MIGHT ACCIDENTALLY
FALL INTO THE STAIRS AND BE INJURED IF NOT SUPERVISED PROPERLY. ALSO, REMIND THE
FAMILY TO BE ALERT IN TIMES OF CALAMITIES AND BE UP-TO-DATE WITH THE LATEST WEATHER
CONDITIONS ESPECIALLY EARTHQUAKES. THE BEST WAY TO MINIMIZE THE HAZARD OF FALLING
DOWN STAIRS IS TO ENCOURAGE THE FAMILY TO BUILD A SIDE RAIL AND FIX THE DAMAGED
FLOOR AS SOON AS POSSIBLE OR IF IT’S ALREADY CONVENIENT FOR THEM, CHANGING THE
STAIRS INTO A NEW AND MUCH MORE DURABLE ONE WOULD BE BETTER. FIXING THE DAMAGED
FLOOR BY COVERING THE HOLES IS ALSO ENCOURAGED. THIS IS OUR WAY OF HELPING THE
FAMILY BY GIVING THOSE OPTIONS AND SOLUTIONS TO THE PRESENTING PROBLEM. AS STUDENT
NURSES, WE IMPARTED OUR LEARNINGS AND LENT OUR HELPING HANDS WITHIN OUR REACH.
IMPROPER WASTE DISPOSAL
SINCE THE FAMILY WAS ALREADY MADE AWARE OF THE PROBLEMS THAT CAN BE CAUSED BY MISHANDLING OF
WASTE AND IMPROPER WASTE DISPOSAL, OUR RECOMMENDATION IS TO REINFORCE THE KNOWLEDGE OF EACH FAMILY
MEMBER BY HIGHLIGHTING AND STRESSING THE IMPORTANCE OF CLEANLINESS IN THE ENVIRONMENT AND ALSO
MAINTAINING IT. RAISING AWARENESS ABOUT THIS PROBLEM IS A WAY OF ALARMING THEM TO BE MORE ACTIVE AND
CHANGE THEIR PERSPECTIVE TO BE MORE HEALTH CONSCIOUS NOT JUST IN THEIR OWN BODY BUT ALSO BE CONSCIOUS
WITH THE ENVIRONMENT SINCE IT IS ALSO A FACTOR CONTRIBUTING TO THEIR OVERALL HEALTH STATUS. TEACHING
EACH MEMBER OF THE FAMILY THE BASICS OF PROPER WASTE DISPOSAL SINCE THE COMMUNITY IS ALSO FOLLOWING
WASTE SEGREGATION AND EDUCATE THEM ABOUT HOW THIS HELPS IN MAINTAINING A GOOD SANITATION AND HOW
THIS CONTRIBUTES TO HEALTH. BEING SURE THAT WE ARE ALSO EQUIPPED WITH THE RIGHT KNOWLEDGE ABOUT THESE
TOPICS IS ALSO VITAL IN ORDER FOR US TO EXPLAIN AND ANSWER THE QUESTION THE CLIENT MAY ASK. RESOURCES
ARE IMPORTANT ESPECIALLY OFFICIAL SITES BY GOVERNMENT WITH PROGRAMS AND ALSO INFORMATION REGARDING
WASTE DISPOSAL AND CLEANLINESS IN THE ENVIRONMENT. THE FAMILY NEEDS REINFORCEMENT AND TRAINING ON
HOW TO DO HOUSEHOLD CHORES WHILE KEEPING IN MIND GOOD SANITATION AND THE PROPER DISPOSAL OF
EVERYDAY WASTE THAT IS ACCUMULATED. GIVE ADVICE AND SOLUTIONS REGARDING PROPER GARBAGE STORAGE AND
WHERE SHOULD THEY PLACE THEIR TRASHCANS IS ALSO IMPORTANT. WE SUGGESTED THEM TO DISPOSE THEIR
BIODEGRADABLE WASTE INTO A COMPOST PIT OR GARBAGE PIT AND PROPER GARBAGE BINS OR SACKS NEEDED FOR
NON-BIODEGRADABLE WASTE IS RECOMMENDED FOR EASY HAND OFF TO THE GARBAGE COLLECTOR SO THAT IT WILL
NOT BE ACCUMULATED IN THEIR AREA WHICH MIGHT CAUSE POLLUTION AND FLOOD DUE TO THESE WASTE BLOCKING
WATER DRAINAGES. LASTLY WE NEED TO HELP THE FAMILY PROGRESS BY MAKING SURE THAT THEY WILL APPLY THE
TEACHINGS WE HAVE GIVEN THEM BY MONITORING THROUGH VISITATION AND CONSULTING ABOUT THE PROGRESS IF
THEY HAVE BEEN DOING THE GOOD THINGS TO DO REGARDING PROPER WASTE DISPOSAL.
POOR ENVIRONMENT SANITATION
THE FAMILY WAS MADE AWARE ON HOW CLEANLINESS CAN CONTRIBUTE TO THEIR HEALTH AND HOW IT PLAYS A
ROLE IN DISEASE PREVENTION. DUE TO LACK OF AWARENESS IN SANITATION ESPECIALLY THE CLEANLINESS OF
THEIR LIVING AREA REINFORCEMENT IS NEEDED TO ESTABLISH AND PROMOTE CHANGE IN THE STATE OF THEIR
ENVIRONMENT. THE HEADS OF THE HOUSEHOLD WHERE TASKED TO DO CLEANING EVERY DAY IN ALL AREAS IN THE
HOUSE ESPECIALLY THEIR TOILET WHICH SOMETIMES IS CONTAMINATED WITH FLOOD WATER DUE TO HAVING NO
PROPER DRAINAGE SYSTEM IN THE COMMUNITY AREA AND HEAVY RAINFALLS. THE HOSTING OF PETS INSIDE THE
HOUSE IS DISCOURAGED AND THE CLEANLINESS OF THE FLOOR IS ALSO ENCOURAGED TO BE MAINTAINED EVERY
DAY TO PREVENT INFECTION ESPECIALLY THAT THEY HAVE CHILDREN PLAYING AND CRAWLING ON THE AREA.
TEACHING THEM THAT SOILED AND UNCLEAN SURFACES COULD BE AN AREA WHERE PATHOGENS AND OTHER
MICROORGANISMS BE PRESENT AND IT COULD LEAD TO CONTAMINATION OF FOOD, WATER AND ALSO THEIR OWN
BODIES. STRESSING THAT CLEANING THE ENVIRONMENT IS VERY VITAL IN DISEASE PREVENTION AND MAINTENANCE
OF GOOD HEALTH IS ALSO IMPLEMENTED. PROPER STORAGE FOR HOUSEHOLD ITEMS IS ALSO ADDRESSED TO
MAINTAIN ORDERLINESS AND CLEANLINESS INSIDE THE HOUSE. SEPARATION OF SOILED CLOTHING FROM CLEAN
CLOTHING WAS ADVISED. DAILY CLEANING MUST BE OBSERVED BY THE FAMILY AND TO IMPART KNOWLEDGE
NEEDED FOR IMMEDIATE INTERVENTIONS REQUIRED TO ELEVATE THE QUALITY OF SANITATION INSIDE AND OUTSIDE
THEIR HOUSE. DISEASES THAT COULD BE ACQUIRED DUE TO POOR ENVIRONMENT SANITATION WAS ALSO
MENTIONED TO THE FAMILY SO THAT THEY WERE MADE AWARE THAT DISEASES SUCH DIARRHEA MAY BE A RESULT
OF POOR SANITATION. PREVENTION OF THESE DISEASES THROUGH CLEANLINESS AND PROPER SANITATION WAS
TAUGHT IN ORDER TO MAINTAIN THEIR HEALTH AND PROTECT EACH MEMBERS OF THE FAMILY FROM GETTING SICK.
HYPERTENSION
OUR CLIENT IS ALREADY KNOW BASIC BACKGROUND ABOUT HYPERTENSION, OUR RECOMMENDATION
IS TO ENHANCE HER KNOWLEDGE ABOUT HYPERTENSION, WE EDUCATE HER ABOUT THE SIGN AND
SYMPTOM OF HYPERTENSION AND WHAT IS THE NORMAL RANGE TO BLOOD PRESSURE. AS A STUDENT
NURSE'S OUR ROLE IN HYPERTENSION CARE IS FIRST AND FOREMOST TO EDUCATE, GIVE ADVICE, AND
MEASURE THE BLOOD PRESSURE. THE EDUCATION DEALS WITH MODIFYING BEHAVIOR RELATED TO DIET
SUCH AS TO REDUCE HER SODIUM (SALT) INTAKE TO LOWER HER BLOOD PRESSURE, EAT MORE FRUITS AND
VEGETABLES, ADDING MORE FRUITS AND VEGETABLES TO HER DIET MAY REDUCE HIGH BLOOD PRESSURE
OR PROTECT AGAINST DEVELOPING HIGH BLOOD PRESSURE, EAT MORE FIBER, BECAUSE INCREASED
AMOUNT OF FIBER MAY DECREASE BLOOD PRESSURE. THE RECOMMENDED AMOUNT OF DIETARY FIBER IS
20 TO 35 GRAMS OF FIBER PER DAY. EXAMPLE OF FIBER FOODS ARE WHOLE-GRAIN PRODUCTS, FRUITS,
VEGETABLES, BEANS, PEAS AND OTHER LEGUMES, NUTS AND SEEDS, AND EAT MORE FISH BECAUSE
EATING MORE FISH MAY HELP TO LOWER BLOOD PRESSURE, ESPECIALLY WHEN COMBINED WITH WEIGHT
LOSS. WE ALSO RECOMMENDED A MINIMUM OF 30 MINUTES MODERATE EXERCISE LIKE WALKING PER DAY
AS A WAY OF REDUCE BLOOD PRESSURE. WE ALSO TEACH THE IMPORTANCE OF MAINTAINING NORMAL
WEIGHT, TO MANAGE STRESS AS MUCH AS POSSIBLE. PRACTICE HEALTHY COPING TECHNIQUES, SUCH AS
MUSCLE RELAXATION, DEEP BREATHING OR MEDITATION, GETTING PLENTY OF SLEEP, AVOIDING SMOKING,
AND ALCOHOL INTAKE TO HELP HER TO HAVE A NORMAL BLOOD PRESSURE.
WE ALSO GAVE IMPORTANCE IN IMPLEMENTING ABOUT THE MEDICATION THAT SHE
TAKING, WE RECOMMENDED HER TO TAKE IT IN THE RIGHT TIME AND SERIOUSLY,
BECAUSE SHE STATED DURING OUR ASSESSMENT THAT SHE STOP HER MEDICATION WHICH
IS AMLODIPINE BECAUSE SHE IS BUSY AND TAKE IT AGAIN BECAUSE SHE BEEN
EXPERIENCING THE SYMPTOMS OF HYPERTENSION. WE ALSO ADVISE HER TO HAVE A
CHECK-UP AT THE HEALTH CENTER OR IN HER DOCTOR TO UPDATE HER MEDICATION AND
TO GO THEIR HEALTH CENTER IF SHE EXPERIENCES THE SIGN AND SYMPTOMS OF
HYPERTENSION.
 EVALUATION AND IMPLICATION 
AS WELL ALL KNOW, NOT EVERY FAMILY IS FORTUNATE ENOUGH TO AFFORD AND
CATER TO THEIR EVERY NEED. AS SHOWN IN OUR EVIDENCE, OUR CHOSEN FAMILY IS
STRUGGLING ESPECIALLY ON THEIR VECTOR AND FALL HAZARDS AS WELL AS POOR
ENVIRONMENT SANITATION.
GIVEN THE SAID PROBLEMS, WE NEED TO MAKE USE OF WHAT IS AVAILABLE,
AFFORDABLE AND ATTAINABLE BY THE FAMILY. WE ALSO NEEDED TO EDUCATE THE FAMILY
WITHOUT FORCEFULLY IMPOSING OUR OWN BELIEFS AND VALUES. THE SAID AREAS WHICH
ARE IN MOST NEED OF ATTENTION HAVE TO BE ADDRESSED WITH WHATEVER SOURCE ARE
EXISTING. IT IS A GOOD THING THAT THE FAMILY ACKNOWLEDGE THE THREATS AND
DEFICITS THAT WERE POINTED. THIS IS VERY IMPORTANT SO THAT THEY CAN BE KEEN
ENOUGH ABOUT THEIR SURROUNDINGS SUCH AS TIDYING THE HOUSE, PLAYING CLOSE
ATTENTION TO THE LAVATORY’S CLEANLINESS, HANDLING FOOD PROPERLY AND
IMPROVING ENVIRONMENT SANITATION.
 WE HAVE ESTABLISHED TO THE REALIZATION THAT THE KIDS SHOULD BE TAUGHT TO BE MORE
RESPONSIBLE FOR THEIR UNTIDINESS LIKE TO BE ATTENTIVE TO THEIR SANITATION SUCH AS WASHING THEIR
HANDS BEFORE AND AFTER EATING AND TEACH KIDS NOT TO LICK OR BITE THEIR FINGERS WHEN THEIR
FINGERS ARE DIRTY AS WELL AS TO TEACH THE MOTHER ON HOW THE PROPER HAND WASHING TECHNIQUE
IS DONE. THE MOTHER CAN IMPLEMENT RULES IN A STRICT YET RESPECTABLE MANNER IN CLEANING UP
THEIR MESS SUCH AS HAVING THE KIDS PUT AWAY THEIR TOYS AND KEEPING THEIR DOG CLEAN AND AWAY
FROM THE FOOD GIVEN THAT HER CHILDREN ARE OBEDIENT AND RESPECTFUL. TAKING A BATH EVERY DAY
IS ALSO ENCOURAGED AS WELL AS KEEPING FINGER AND TOE NAILS REGULARLY TRIMMED. OTHER WAYS TO
IMPROVE PROPER HYGIENE ARE BRUSHING OF THEIR TEETH AND WASHING SOILED CLOTHES BEFORE
WEARING THEM. THE STATED METHODS ARE ATTAINABLE BY THE FAMILY ESPECIALLY SINCE IT DOES NOT
REQUIRE A LOT OF MONEY AND THE FAMILY HAS INCLUDED IT IN THE MONTHLY BUDGET OF THE FAMILY,
AFTER THEY HAVE LEARNED THEIR PARTICULAR SIGNIFICANCE IN KEEPING EACH AND EVERY MEMBERS OF
THE FAMILY CLEAN AND HEALTHY.
ALTHOUGH THEY ONLY FEW WINDOW, IT WAS UNSCREENED. THIS PROVIDES ENTRY OF MOSQUITOES AND
OTHER VECTORS WHICH MAY BRING DISEASES AND INFECTIONS. OTHER THAN THAT, BREEDING AREAS FOR A
VARIETY OF VECTORS ARE PRESENT. AS TO ERADICATE THIS PROBLEM, PROPER WASTE DISPOSAL AND
EXTERMINATION OF THESE BREEDING SITES WERE DONE AND SAID METHODS WERE STILL CONVENIENT AND
ACHIEVABLE BY THE FAMILY. ALTHOUGH THE FAMILY HAS ONLY USED WHAT ARE AVAILABLE TO COVER
THEIR WINDOW AND SMALL HOLES SUCH AS PATCHING UP THESE HOLES WITH A PIECE OF WOOD, ETC.
 NOW THE BIGGEST ANOMALY WHICH HAS CONCERNED US THE MOST IS THE FOUNDATION AND THE PLACEMENT
OF THE HOUSE. THEIR HOUSE IS SUSCEPTIBLE TO CALAMITIES AND IT LOOKED LIKE AS IF IT WILL TOPPLE AT ANY
MOMENT. IT WAS BUILT ON A NOT SO STURDY FOUNDATION AND, SINCE THE PHILIPPINES IS PRONE TO TYPHOONS, THE
WALLS AND SURFACES OF THE FOUNDATION OF THE HOUSE ARE VERY FRAGILE AND PRONE TO BREAKS. THEY ARE
ALSO PRONE TO FLOODS, IF EVER THERE WILL BE STRONG STORMS, BECAUSE THEIR HOUSE IS BUILT ON THE SLOPED
AREA OF LAND. SINCE THEY ARE NOT VERY FINANCIALLY CAPABLE OF REBUILDING A NEW HOUSE, THE MEMBERS OF
THE FAMILY HAS DECIDED TO SAVE UP MONEY TO RENOVATE EXISTING HOUSE. AFTER DISCUSSING THE IMPORTANCE
OF NOT ONLY THEIR HEALTH BUT ALSO THE FAMILY’S SAFETY, THE FAMILY HAS LEARNED AND ARE CONVINCED TO
NOT TAKE ANY CHANCES AND THE MOTHER DECIDED FOR THE SAKE OF HER HEALTH, ESPECIALLY SINCE SHE STILL
HAVE A LITTLE BABY TO TAKE CARE WITH. WHAT THE STUDENT NURSES HAVE DONE WAS TO EDUCATE THEM THE
IMPORTANCE OF BEING ALERT AND BE MINDFUL OF HER HYPERTENSION AND HAVE REGULAR CHECK-UPS TO HER
PHYSICIAN REGARDING TO THE MEDICATIONS SHE IS TAKING. WE, THE STUDENT NURSES OF BUKSU, HAVE JUST
PROVIDED INFORMATION, RISKS OF CERTAIN PROBLEMS AND HAZARDS AND HOW TO SOLVE THEM WHILE THE FAMILY
IS STILL SAVING UP FOR THE REBUILT AND FOR MEDICATIONS. UPON THE LATEST CHN DUTY, WE HAVE FOUND OUT
AND WERE GLAD TO SEE AND HEAR THAT THE FAMILY IS MUCH AWARE OF THE CONSEQUENCES AND THREATS OF THE
PROBLEMS FOUNDS IN THEIR HOME. PROPER FOOD STORAGE, TRASH BINS, AND OTHER HOME NEEDS WERE ALSO
FOUND AND GIVEN TO HELP ERADICATE THE THREATS THE FAMILY IS FACING. IT MAY BE A SLOW PROGRESS BUT A
PROGRESS, NO MATTER HOW GREAT OR SMALL, IS PROGRESS STILL. THE FAMILY CLAIMED TO HAVE LEARNED SO
MUCH AND HAVE A POSITIVE OUTLOOK ON THE FUTURE.
WITH PROPER NURSING INTERVENTIONS, NURSING MANAGEMENT, ALTHOUGH LIMITED RESOURCES, A HUGE
CHANGE CAN BE MADE FOR THE FUTURE OF A FAMILY.
 REFERRAL
MRS. X COMPLAINED THAT SHE EXPERIENCED DIZZINESS, HEADACHE AND BACK PAIN. SHE
STATED DURING OUR ASSESSMENT THAT SHE SKIP AND STOP TAKING HER MEDICATION. WE REFERRED
HER TO THE FOLLOWING HEALTH FACILITIES: 
FIRST, WE REFER OUR CLIENT TO THE BARANGAY HEALTH CENTER BECAUSE THEY HAVE A CLOSE
UNDERSTANDING OF THE COMMUNITY THEY SERVE AND ARE TRAINED TO PROVIDE CULTURALLY
APPROPRIATE HEALTH EDUCATION AND INFORMATION, OFFER SOCIAL SUPPORT AND INFORMAL
COUNSELING, AND CONNECT PEOPLE WITH NEEDED SERVICES. IN SOME CASES, THEY ALSO DELIVER
HEALTH SERVICES SUCH AS BLOOD PRESSURE SCREENING
SECOND, WE REFER HER TO THE PRIMARY CARE DOCTOR TO HAVE A CHECKUP. THE DOCTOR WILL
LIKELY TAKE TWO TO THREE BLOOD PRESSURE READINGS EACH AT THREE OR MORE SEPARATE
APPOINTMENTS BEFORE DIAGNOSING YOU WITH HIGH BLOOD PRESSURE. THE DOCTOR WILL
PRESCRIBE A MEDICATION THAT IS APPROPRIATE FOR HER CONDITION.
THIS REFERRAL WILL HELP OUR CLIENT’S BLOOD PRESSURE DOWN TO A MANAGEABLE LEVEL
THROUGH MEDICATION AND RECOMMENDATIONS FOR LIFESTYLE MODIFICATIONS IN NUTRITION AND
EXERCISE. THEY WORK TOGETHER TO MANAGE YOUR BLOOD PRESSURE TO PREVENT DAMAGE TO
VITAL ORGAN AND TO PREVENT FURTHER COMPLICATION.