FAMILY

NURSING CARE
PLAN

I. INTRODUCTION
AS HEALTH ADVOCATES IN THE SOCIETY, WE ARE OBLIGED TO MAINTAIN OR
RESTORE THE OPTIMUM HEALTH OF THE PEOPLE WITHIN THE COMMUNITY AND THAT
AIM WE HAVE AS ACTIVELY PARTICIPATING STUDENT NURSES OF THIS GENERATION,
WE ADHERE TO THE PROBLEMS OF OUR FAMILY, WHICH IS THE BASIC UNIT OF THE
SOCIETY AND THE MOST IMPORTANT COMPONENT OF OUR COUNTRY.
 WE MET THE FAMILY FOR THE FIRST TIME LAST JANUARY 15, 2010 AT SAN
ROQUE SEASIDE, LAPASAN, CAGAYAN DE ORO CITY. THEIR GEOGRAPHICAL LOCATION
IS READILY ACCESSIBLE BECAUSE YOU DON’T TO RIDE A “TRISIKAD” IN ORDER FOR
YOU TO LOCATE THE PLACE; INSTEAD, WE TOOK A WALK IN ORDER FOR TO REACH
THE PLACE.
 THE HEAD OF THE FAMILY IS MR. EUSEBIO AGBONG, A 48 YEAR OLD
ORIGINAL RESIDENT OF BARANGAY LAPASAN. HE IS LIVING TOGETHER WITH HIS
WIFE, MRS. FLORDELIZA AGBONG, 39 YEAR OLD NATIVE FROM TALAKAG, BUKIDNON
AND HIS FIVE CHILDREN. THE HEAD OF THE FAMILY IS A SECURITY GUARD FROM THE
SAGITTARIUS AGENCY AND CURRENTLY WORKING AT GUSA, MINDANAO TRACKING
CORPORATION AND EARNS AT APPROXIMATELY PHP 7,000 PER MONTH REGARDLESS
WITH THE EXPENSES AT HOME AND DAILY NEEDS. THE HUSBAND SELDOM DRINKS
AND SMOKE BECAUSE OF HIS NIGHT DUTY SHIFT WHILE FLORDELIZA IS A PLAIN
HOUSEWIFE WHO’S FOCUS IS TO TAKE CARE OF THE CHILDREN ESPECIALLY THEIR
YOUNGEST SON WHO ALWAYS ACQUIRES SUCH ILLNESSES.
 AS THE REAL AIM OF THE NURSING PROFESSION WHICH IS TO GIVE CARE
TO THE PEOPLE, WE TOOK IT AS A STEPPING STONE IN HELPING THE FAMILY IN
MAKING THEM REALIZE THE ESSENCE OF A SIMPLE YET HEALTHY LIFE THROUGH
MANY WAYS OF LIVING. WE ARE ALSO RESPONSIBLE FOR GIVING OUR FAMILY THE
IMPORTANCE OF PRIORITIZING SUCH HEALTH PROBLEMS WHETHER A HEALTH DEFICIT
OR THREAT IN ORDER TO GIVE SPECIFIC ACTIONS FOR US, TOGETHER WITH THE
COOPERATION OF THE FAMILY, TO ACHIEVE, SOLVE, REDUCE AND/OR COMPLETELY
ELIMINATE THE DIFFERENT KINDS OF PROBLEMS THROUGH ESTABLISHING A GOOD
FOUNDATION OF PRIORITIZING ACTIONS AND CARE TO PROMOTE, PREVENT OR KEEP

II. ACKNOWLEDGEMENT
AS HEALTH PROVIDERS OF THIS SOCIETY, WE OUGHT TO GIVE OUR ALL IN ORDER TO
HELP THE PEOPLE IN THIS COMMUNITY ACHIEVE THEIR MAIN GOAL--- THE HEALTH YET JOYFUL
LIFE.
 A BIG AND UNENDING THANKS TO OUR CLINICAL INSTRUCTOR, MS. DOREEN GRACE
CONTRERAS, RN, WHO BROUGHT OUR IDEAS AND OUR CLINICAL EXPERIENCES INTO MORE
PRODUCTIVE YET HELPFUL TO ALL THE PEOPLE IN THE COMMUNITY BECAUSE THROUGH HR
FUN-FILLED WAY OF TEACHING, WE ARE ABLE TO INCULCATE IN OUR MINDS AND MOST
ESPECIALLY TO OUR HEARTS THE IMPORTANCE OF HELPING FAMILY IN A CERTAIN COMMUNITY
TO ACHIEVE THEIR OPTIMUM HEALTH WHICH IS PREDOMINANTLY THE AIM OF THIS PROJECT. SHE
ENHANCED OUR CAPABILITIES IN GIVING CARE TO THE PEOPLE WHO NEEDED THE MOST OUT OF
IT.
 IN ADDITION, WE CAN’T ALSO FORGET THE ENDLESS EFFORT OF THE HEALTH CARE
PROVIDER RESIDING AT SAN JUAN LAPASAN HEALTH CENTER AS WELL AS TO THE BARANGAY
HEALTH WORKERS AND MOST ESPECIALLY TO THE PUBLIC HEALTH NURSE OF THE BARANGAY,
MR. REX RANILE, RN, WHO TAUGHT US HOW TO GIVE IMPORTANCE TO THE FAMILIES ESPECIALLY
TO THOSE INDIGENT PEOPLE.
 THE SAID ACTION WILL NEVER BE ATTAINED WITHOUT THE COURAGE AND SELFLESS
EFFORT OF MY GROUP MATES: LYRA, RIEZEL, CRYSTAL, IRISH, HANNAH AND JAIRUS, WHO TOOK
THIS CHALLENGE SERIOUSLY AND DID IT WITHOUT ANY HESITATIONS TO HELP A FAMILY WHO
NEEDED MUCH CARE FROM US TROUGH THE SLEEPLESS NIGHTS THAT WE HAD, AND THE
MONEY, TIME, AND EFFORT THAT WE EXERTED, SHARED AND SACRIFICED, THE PROJECT BECAME
POSSIBLE THAT I CAN SAY, IT ALL WORTH IT.
 WE WOULD NEVER FORGET THE BIG HELP OF OUR ALMIGHTY GOD, THE CREATOR OF
ALL LIVING AND NON-LIVING THINGS AND WHO PROVIDED ALL THE RESOURCES THAT WE NEED
IN ORDER TO GIVE THE NECESSARY CARE TO OUR CHOSEN FAMILY. HE MIRACULOUSLY MADE
THINGS POSSIBLE THROUGH GIVING US KNOWLEDGE, THE ABILITIES AND THE RESOURCES THAT
WE NEED. HE HELPED US IN MANY WAYS AND WE UNDOUBTLY APPRECIATE IT AND WE GIVE HIM
ALL OUR PRAISES.
 IN ACCORDANCE TO THE VISION OF THE DEPARTMENT OF HEALTH IN THE
PHILIPPINES: “THE LEADER OF HEALTH IN ALL FILIPINOS IN THE PHILIPPINES”, WE, IN THE
LEAST THAT WE DID, CONTRIBUTED TO ITS VISION THROUGH GIVING OUR WILLINGNESS AND
DETERMINATION TO DEVOUT OURSELVES IN GIVING CARE TO OUR FILIPINO COUNTRYMEN AND
SOMEDAY, AS WE GO ON WITH OUR CHOSEN PROFESSION, WE WILL BE ABLE TO GIVE CARE
ALSO TO ALL THE PEOPLE IN THE WORLD NOT JUST FILIPINOS REGARDLESS WITH THEIR
BIOGRAPHICA
L DATA
A. FAMILY STRUCTURE AND


HARACTERISTICS


 HEAD OF THE FAMILY

 


 AGBONG EUSEBIO
48
 LAST NAME FIRST NAME
AGE


 ADDRESS:
 


 SEASIDE SAN ROQUE, LAPASAN,

CAGAYAN DE ORO CITY
 MEMBERS OF THE FAMILY
NAME AGE SEX CIVIL POSITION IN RELATIONSHIP PLACE OF
STATUS THE FAMILY TO THE FAMILY RESIDENCE

Flordeliza 39 F Married Wife Wife Seaside, San

Agbong Roque, Lapazan

Marlon 18 M Single Eldest Son Son Seaside, San

Agbong Roque, Lapazan

Candy Agbong17 F Single 2nd child Daughter Seaside, San

Roque, Lapazan

Cindy Agbong 16 F Single 3rd child Daughter Seaside, San

Roque, Lapazan

Mary Jane 8 F Single 4th child Daughter Seaside, San

Agbong Roque, Lapazan

Aldren 2 Single 5th child Son Seaside, San

Agbong Roque, Lapazan
 B. BIOLOGICAL AND SOCIO-
CULTURAL FACTORS
1. What is the family’s source of income?
 The family’s source of income is from the
husband only. The husband works as a security guard at
Gusa, Mindanao Tracking Corporation from the
Sagittarius Agency. He works about an average of 8
hours/day. His monthly income averages Php 7,000 per
month.
 

2. What is their ethnic background? Their religious

affiliation?
 When it comes to their ethnic background, the
husband is purely Kagay-anon while the wife is from
Talakag, Bukidnon. They are currently residing at San
Roque Seaside, Lapasan Cagayan de Oro City. The rest
of the members of the family speak Visayan. They are
“Philippinista” but their first born son separately goes to
church at United Christian Church of the Philippines
(UCCP).

 3. Who are the family’s significant others? What
roles do they play in the family’s life?
 The family’s significant others are their in-
laws, siblings of the husband and their children
who lived next to their home. The role of their
significant others is to help them in times of
need just like emotional and most especially
during financial problems.

 4. Does the family participate in the activities of
the community? If yes what are these
activities. If no, what are the reasons why they
do not participate?
 Yes, family participates in the activities of
the community like feeding programs; outreach
programs and community clean up of the
C. ENVIRONMENTAL
FACTORS
1. Housing
 a. Is the family’s living space adequate for their
number?
 The family’s living space is inadequate for their
number. It has one room in near their kitchen for the
couple and small portion upstairs for their five children.
All the children sleep together in one room including the
2 year old boy.


 b. Is their furniture adequate for them? Is it enough
for their needs?
 The family’s furniture is enough for their needs.
They have one table, small cabinet for their TV and DVD
and small sofa for their visitors but their kitchen utensils
do not sustain their needs.
 


 c. Are their insects and rodents in their house?


d. Are their accident hazards in and around the house? If
yes, please enumerate.
 The house is made of light materials. They
cooked their foods inside the house using liquefied
petroleum gas (LPG) but sometimes if they ran out of
LPG, they used to cook their food inside the house using
the “kahoy” located in the ground beside the wall. This
can cause fire and considered as hazardous to well
being of all the members of the family. The wirings are
too close to each other that might result to a short
circuit that will eventually lead to fir The house is always
affected by flood due to its location and structure since
their house is not elevated, thus, causes the water to go
inside and flood their things inside.

e. What are their cooking utensils? What is their storage?

 Their cooking utensils include only of one small

frying pan and pots. They use plastic ware for their food.
They don’t have enough storage for their utensils
because some utensils are just place in the anywhere. In
addition, they have poor food storage because they
don’t have the refrigerator, thus, their food must be all
consumed in order for the food not to become spoiled.

f. What is their water supply? Where is the source? Is
it potable?
 They do not have their own water supply. The
source of their drinking water is from the Cagayan
de Oro Water District (COWD), government own
free for the residents in their place. They wake up
early and gather some water and store it in the
plastic container, which is slightly dirty.
 

 g. What is their toilet facility? What is its

condition? Is it sanitary?
 The family does have a toilet of their own but
it somewhat unsanitary. It is open and located at
the corner of their kitchen beside the unprotected
stairs. It is water –sealed type of toilet with black
dirt surrounded on it. The only barrier to their toilet
from the other parts of the house is the bathroom
curtains only, thus, when someone defecates, all
the family members will know because they can
 h. What is the type of their garbage and refuse
disposal system? Is it sanitary?
 They use sack for their garbage, which is
collected by the garbage truck every Tuesday.
It has no cover and the flies are all around but
as we go on with our assessment we found out
that there are scattered trashes at the back of
their house situated beside the toilet.

 i. Describe their drainage system. Is it sanitary?
 The drainage system is closely sealed but
still it is smelly and unsanitary since they do
not have the willingness to clean their
drainage.

2. What type of neighborhood does the family belong to?
Describe.
 The type of their neighborhood is like squatter’s
area. They belong in a low-income level family. It is
noisy, crowded and cannot accessed by vehicles
especially fire trucks.
 

3. Are their social and health facilities in the

neighborhood? If yes, please enumerate and describe
each?
 In terms of their social facilities, they have
basketball court 30 meters away from their house. They
also have a Catholic Church in the area. As to health
facilities, there is a health center which is approximately
45 meters away from their house
 

4. What is the family’s mean of communication and

transportation?
 The family has a television and a radio as a
means of communication. His oldest son has a cell
phone for emergency cases. Their means of
D. HEALTH AND MEDICAL
HISTORY
1. Medical and health history of each family member.
 The children of the Agbong Family already
completed their immunization as evidenced by
immunization record situated at the San Roque Health
Center that was provided by the Barangay Health
Worker (BHW). Vaccines given were one dose of BCG, 3
doses of OPV, 3 doses of Hepa B, 1 dose of measles. The
youngest son of the family, Aldren experienced
hospitalization during the year 2008 because of
diarrhea. There is no further passed hospitalization
experienced by the children of the said family. Currently,
Aldren is suffering from diarrhea but they did not consult
yet any doctors because according to the mother it is
not yet severe and the child is still responding
effectively.
 

2. Value placed on disease prevention.

 a. Are the children immunized? What is their

immunization status?
 All of the five children were fully immunized
because they availed the immunization program
 IMMUNIZATIONS RECEIVED BY THE CHILDREN
OF THE SAID FAMILY:

Child’s DPT BCG OPV Hepatitis B Measles

Name

Marlon     
Agbong

Candy     
Agbong

Cindy     
Agbong

Mary Jane     
Agbong

Aldren
Agbong     
b. Does the family utilize other preventive
actions? If yes, what are they?
 The family does not have other
preventive actions.
 

3. What is the family’s source of medication?

 The family’s source of medication is

from their health center. These medications
include paracetamol (biogesic) and
amoxicillin. If and when that one of their
family members will get severe illness they
often borrow money with the siblings of the
husband.

4. What are their perception of the role of the health
professional and their services? What are their
expectations of the services of the community
health? Nurse?
 They have high respect for the health
professionals. They were contented with the free
services given by the health workers since they
were treated very well regardless of their economic
status.
 

5. Do they have previous experience with the health

professionals? If yes, were they satisfied with the

results?
 Yes, They have previous experience with the
health professionals. It was when they consulted at
the health center and their youngest son was
hospitalized in NMMC. So far all health
professionals they have encountered treated them
well. They were satisfied of the services.
E. TYPE OF FAMILY
STRUCTURE
 Patriarchal  Extended  Matriarchal
 Single Parent  Nuclear  Alternate Family

1. Dominant family members in terms of decision making,

especially in health care.

 The husband and wife often share the obligation
of making decisions relative to health care. The father
predominantly makes the decision regarding with the
activities of the family. But when it comes to caring the
sick family member it is the mother who take good care
of them.
 

2. Describe the general family relationship.

 As what we have observed, the family has a

good, harmonious relationship. The husband does not
have any vices but drinks occasionally like during fiestas
and birthdays. The husband is responsible enough to
provide the family’s needs while the wife is taking good
IV. ACTIVITIES FOR DAILY
LIVING
 
A. SLEEPING PATTERN


 1. Are there hours for retiring and getting up?

 All of the family members wake up at 5 am because
they have their own chores to do and they prepare
themselves for school.


 2. Do the family nap during the day?

 Only the mother and her youngest son can nap
during the day because the husband is working while the
rest are at school. They usually nap at around 2 pm of the
day after house hold chores and after watching noon time
show.
 


 3. Do the members of the family sleep together?

 The couple sleep together in their bed beside the
kitchen while the children sleeps together also in the other
B. EATING PATTERN


 1. How many meals do the family have

each day?
 The family can eat three meals a day.
Their meals usually consist of vegetables,
sardines and dried fish. They eat snacks
sometimes during afternoon. But sometimes
when they are out of budget, they take their
meals twice only.


 2. Does anyone of the family appear

over weight or under weight? Who they are?
Members Age Weight Height BMI Classific
ation

Eusebio (father) 48 61 kg 160 cm 23.82 Normal

Flordeliza (wife) 39 52kg 158 cm 20.82 Normal

Marlon 18 48kg 157cm 19.47 Normal

Candy 17 39kg 155cm 16.23 Underwe

ight

Cindy 12 26 kg 138cm 13.65 Underwe

ight

Mary Jane 8 24 kg 133cm 13.56 Underwe

ight

Aldren 2 10kg  82cm 14.87 underwei

ght
 C. LEISURE TIME ACTIVITIES
 1. How does each member spend his/ her leisure hours?
Is the leisure time appropriate for the sex and age group of
the individual?
 The father does not have leisure time because he is at
work and when if it’s his off day he spent it by resting in the
house. He leaves early for work and went home late. The
mother does not also have leisure time because she’s so busy
doing laundry and giving care to the children.
 

 2. Does any member have an all- consuming hobby? If

yes, What affects does this on the family.
 Any of the family does not have any all- consuming
hobbies because they prioritized their work rather than their
hobbies.

 3. Does the family have any joint activity for leisure?
What is it? How often do they do this limited activity?
 The family’s joint activity includes attending church
 WHAT ARE THE
PROBLEMS THAT
WERE IDENTIFIED?
 2. PRESENCE OF

 1. UNSANITARY BREEDING PLACES
TOILET OF INSECTS AND

RODENTS
 4. IMPROPER


3.
 GARBAGE
MALNUTRITION DISPOSAL
 
5.
 FAMILY HISTORY
OF SPECIFIC  6. INADEQUATE
CONDITION
(HYPERTENSION) LIVING SPACE
 
  8. FAMILY BEYOND
WHAT FAMILY
RESOURCES CAN
 7. ACCIDENTAL ADEQUATELY
HAZARDS PROVIDE
 
  10. INADEQUATE
9. LACK OF

PERSONAL
FOOD STORAGE BELONGINGS
FACILITIES UTENSILS
 
 VIII. RANKING OF THE 10
FAMILY HEALTH PROBLEMS
RANK SCORE FAMILY HEALTH PROBLEMS

1 4.17 UNSANITARY TOILET

4.17 PRESENCE OF BREEDING PLACES OF INSECTS AND RODENTS

2 4 MALNUTRITION

3 3.84 IMPROPER GARBAGE DISPOSAL

4 3.83 FAMILY HISTORY OF SPECIFIC CONDITION (HYPERTENSION)

5 3.17 INADEQUATE LIVING SPACE

6 2.84 ACCIDENTAL HAZARDS

2.84 FAMLY BEYONG WHAT FAMILY RESOURCES CAN ADEQUATELY

PROVIDE

7 2.67 LACK OF FOOD STORAGE FACILITIES

2.67 INADEQUATE PERSONAL BELONGINGS UTENSILS

NURSING CARE
PLAN
Health Family Nursing Goal of Care (General) Objective of care Intervention Method of Resources Evaluation
Problems Problem (specific) Measures Nurse-Family Required
Contact

Malnutrition - Inability to recognize - After the nursing -After a month of nursing Home Visit -Time
Underweight the problem of intervention, the family will intervention, the family -Emphasize the -Effort Goals partially
BMI of the malnutrition due to: be able to: will be able to: importance of -Money met:
following Ignorance of facts that • Perform the • Improve the weight proper nutrition -Camera
family some of the family importance of nutrition of the malnourished -Teach the family -Weighing Scale -They are able to
members: members are among the family child with the help of on proper food -Tape Measure perform the
= Candy (17 malnourished members through their the health teachings preparation (for BMI) importance of
years old) - Fear of Consequences
actions of abstaining being taught to eat - Enumerate the -Notebook nutrition through
16.23 of diagnosis of problem unhealthy food. various kinds of food. advantages and -Pen abstaining
=Cindy (12 related to economic. • Identify cheaper yet • Demonstrate the disadvantages of -BMI chart unnecessary food
years old) - - Inability to make nutritious and healthy proper way of preparingmalnutrition like “junk” foods.
13.65 decisions with respect to foods - Identify cheaper and able to
nutritious food.
=Mary Jane (8 taking appropriate health nutritious and identify cheaper
years old) -
13.56
actions due to: healthy foods nutritious and
Low salience of the healthy foods
=Aldren (2
years old) - family about the existing but fail to
14.87 problem of malnutrition demonstrate the
in the family. importance of
Inability to decide food preparation
which action action to due to the
take among the list location of their
alternatives I order to be kitchen and the
healthy. lack of necessary
Fear of consequences of utensils.
action related to
economic.
Health Family Nursing Goal of Care (General) Objective of care Intervention Method of Resources Evaluation
Problems Problem (specific) Measures Nurse-Family Required
Contact

Unsanitary - Inability to make - After the nursing -After an hour of -Provide proper Home Visit -Time
Toilet decisions with intervention, the family nursing intervention, Health teachings -Effort Goals partially
respect to taking will be able to: the family will be able in maintaining -Money met:
appropriate health • To demonstrate the to: good hygiene -Camera
action due to: effects of unsanitary • To perform within their -Weighing -They are able
Fear of toilet to the health of the proper waste scope of Scale to verbalize the
consequences of family. disposal (feces and environment. -Tape Measure importance of
action secondary • To perform the urine) -provide (for BMI) nutrition and
to economic proper use of toilet • To identify and effective -Notebook able to identify
-Inability to facility and keeping it differentiate the information -Pen cheaper
recognize the clean and therapeutic to advantages of proper about the various -BMI chart nutritious and
presence of a all the family members. waste disposal in diseases that the healthy foods
problem due to: preventing the spreadfamily can but fail to
Ignorance of facts of communicable acquire with demonstrate the
that unsanitary diseases. unsanitary toilet importance of
toilet might cause -d food preparation
the spread of any due to the
kinds of infection. location of there
kitchen.
Health Family Nursing Goal of Care (General) Objective of care Intervention Method of Resources Evaluation
Problems Problem (specific) Measures Nurse-Family Required
Contact

Presence of - Inability to recognize - After the nursing -After an hour of nursing -Perform to the Home Visit -Time
Breeding the problem of having intervention, the family will intervention, the family family the various -Effort Goals met:
Places of breeding places of be able to: will be able to: yet very effective -Money
Rodents and rodents and insects due • To • Earn a sufficient strategies in -Camera (for -Each of the
Insects to: demonstrate on how to knowledge on what eliminating these Documentation) family members
Ignorance of facts that rodents and insects -Good sound were able to
prevent the numbers of things to be done in
these rodents could rodents and insects in order for these rodents through promoting Conversation demonstrate
cause different kinds their house. to be eliminated. a clean correctly the
of disease. • To know what • identify the environment. ways in
Fear of consequences
diseases will be acquired advantages of having a -Provide proper preventing the
of diagnosis of in having these insects clean environment in health teaching increase of these
problem secondary to and rodents. relation to the about the rodents as well as
economic. elimination of these. advantages and able to know the
-Inability to make disadvantages of disadvantages of
decisions with respect having breeding having these
to taking appropriate places of insects rodents around.
health actions due to: and rodents.
Inability to decide

which action to take

among the list of
alternatives.
Fear of consequence

of action secondary to
economic.