Documente Academic
Documente Profesional
Documente Cultură
CASE STUDY ON
COMMUNITY HEALTH NURSING
FERNANDEZ FAMILY
Submitted to:
Ms. Liza G. Floresca, RN. MAN., PhD.
Submitted by:
Abella, Bianca Kateri Trish M.
Agawin, Joshua Marvin A.
Angeles, Patricia Angela G.
Baas, Shandy Louisse D.
Basilio, Aya Marie S.
Bituanan, Rachelle Salma L.
Casuga, Benz Mika S.
Submitted on:
September 27, 2015
Table of Contents
INTRODUCTION ................................................................................................................. 3
GENERAL OBJECTIVES.................................................................................................... 4
SPECIFIC OBJECTIVES..................................................................................................... 4
DEFINITION OF TERMS ..................................................................................................... 5
SIGNIFICANCE OF THE STUDY ........................................................................................ 6
INITIAL DATABASE FOR FAMILY NURSING PRACTICE ................................................ 7
FIRST-LEVEL ASSESSMENT .......................................................................................... 15
SECOND-LEVEL ASSESSMENT ..................................................................................... 20
FAMILY COPING INDEX (FCI) ......................................................................................... 23
METRO MANILA DEVELOPMENTAL SCREENING TEST ( MMDST ) ........................... 25
FLOOR PLAN ................................................................................................................... 28
PHOTO DOCUMENTATION ............................................................................................. 29
FAMILY NURSING CARE PLAN ...................................................................................... 33
RECOMMENDATION ........................................................................................................ 40
SUMMARY OF HEALTH TEACHINGS GIVEN ................................................................. 41
ACKNOWLEDGEMENT .................................................................................................... 42
REFERENCES: ................................................................................................................. 43
Introduction
-Standard format
-include the statistics - present population of the Philippines.
- acknowledge the resources
- written consent for privacy (appendix)
-
Philippines is among the leading third world country faced with poverty, scarcity, and an
increasing population.
Today, many of us aren't aware of the reality where facing, from any state we lived, in city, in
rural, in the remote areas , or even how we were educated or deprived. We are bound with
differences which has something to do with the traditions, cultures, and distance of what we call
civilization , but the good thing here , is that we empower when it comes to health. In a community,
one of the focus of public health nursing is the family. The family is the basic unit of the society,
and through this practice, it can be directed towards all groups of community members as it is
considered as the window to identifying the problems present.
Community health nursing takes place in a wide range of environment wherein the practice is
applied in order to promote health, prevent illness, maintain health, recovery, regulation,
management and assessment of care of the individuals, families, population and all in all: the
community itself. In the community, the care of the public health nurse focuses on widening
individual potential for self-care even in a possible situation where there is injury or illness. The
client understands the responsibility needed for health care and its services.
Weeks of service was given to families of Upper Arroyo, where the student nurses meet all
kinds of families. The practice of community health nursing was applied and promoted to handle
the needs of the society. The society was very responsive and by this, change has been expected
and hoped for. But since every community has its problems, we have identified some concerns
wherein they have poor financial and environmental conditions in which it greatly regards to health.
Not only does a nurse needs to have knowledge and skill in this kind of field in nursing, but
also the willingness to work and provide the care in which it would go beyond what is required or
needed. Settings are changed to the community and especially to the homes of the citizens, which
would explain why nurses should always be adjusting their care. The intention of the care is not to
fix the problem, but to enhance the quality of life and support of the clients to make their life as
comfortable as possible.
Our group chose the Baran family because we had identified the problems that would affect
their health and give solutions for them to handle. By providing health teachings and nursing
interventions, the family will be able to understand and learn about the present and potential health
problems. With this type of strategy, the family will be able to take appropriate actions and assume
responsibility to solve their problems on their own.
General Objectives
Within a month of community exposure at Barangay 74-A Upper Arroyo Matina
Crossing , the group aims to raise the level of health of the families, provide holistic
nursing care to and to be able to apply the knowledge, skills, attitudes, and values we
have gained in the university to the actual community situation.
The purpose of this case presentation is to make a complete study which would
eventually help is understand and gain knowledge about our selected family and their
problems. Also to help them understand their health status and teach the ways to improve
it.
- Specific ( 8 days of community exposure)
- Barangay Up or X
Specific Objectives
Definition of terms
define: (operational)
- FCI
-typology of the nursing problems- health deficit
- Alphabetically arrange
- Calculate Prioritisation of the problem
Age
Sex
Civil
Status
Relation to Head
of Family
Place of
Residence
30
Married
Son in law
House of family
36
Married
Daughter (1st)
House of family
Child
Grandchildren
Grandparents
Child
Grandchildren
Grandparents
6
mos.
Child
Grandchildren
House of family
Name
Mr. R (Rommel Fernandez) and Mrs. C (Cherry B. Fernandez) are both living with
their youngest son, Baby R (Rescel Fernandez). However, two of their sons, C.J. (Clark
James Fernandez) and C. R. (Christian Rob Fernandez) are currently residing in the
house of their fathers parents and grandparents in the lower portion of their community.
2. Type of Family Structure
Age
Sex
Civil
Status
Relation to
Head of Family
Place of Residence
60+
Married
Head
House of family
Virgilia Baran
60+
Married
Wife
House of family
Rommel Fernandez
30
Married
Son in law
House of family
Cherry B. Fernandez
36
Married
Daughter (1st)
House of family
Child
Grandchildren
Grandparents
Child
Grandchildren
Grandparents
6 mos.
Child
Grandchildren
House of family
Jonrey Baran
Married
Son(2nd)
House of family
Charibel Baran
Married
Daughter (3rd)
House of family
Rey Baran
Single
Son(4th)
House of family
Ryan Baran
Single
Son(6th)
House of family
23
Single
Daughter (7th)
House of family
Name
Rescel Fernandez
Reymart Amad
24
Single
Son in law
House of family
Child
Grandchildren
House of family
Ramgel Amad
Child
Grandchildren
House of family
2 mos.
Child
Grandchildren
House of family
The overall family relationship is well. Although, two of their sons, Clark James and
Christian Rob are currently not living with them, the whole family gathers every Sunday
afternoon for Lunch as well as each family of their progeny brings food to be shared to the
dining area. Although the family only gets together every Sunday due to errands and jobs,
it got closer and felt that they missed each other.
The familys daily income would fall to 150-200php. The computed monthly income
would be on an average of 4500php. However, their food stall business is slowly getting
lower profits due to the presence of a competition is rising between the neighboring food
stall who is more renowned in the area.
a) Occupation, Place of work and income of each working member
Occupation
Place of work
Income/1month
None
Food/Viand Business
Home based
4500
Name
Rommel Fernandez
Cherry B. Fernandez
4500
Total:
Monthly Budgeting
1%
13%
9%
Cigarette
Water
13%
64%
Food
0%
Electricity
Clothing
2. Educational Attainment
Name
Educational Attainment
Rommel Fernandez
Cherry B. Fernandez
Elementary Graduate
Grade 3
Russel Fernandez
Sleeping arrangement
Mr. R is sleeping at the living room sofa to take care of Baby R. in the night. While
si C is sleeping in their only bedroom floor.
i.
The house is located just above the banks of the Davao River, which is known to be
overflowing for as tall as 24 feet above sea level. The elevated location of the house is
also prone to landslides that would also be due to the naturally soft earthy soil that is
generally beneath Davao City.
iii.
Leftover food is usually placed inside a kitchen Utensil drawer. The drawer is
located above a cemented kitchen counter with a height of 4 feet. The kitchen counter is
connected the cooking area which is comprised of dry firewood and tripods to support the
cooking ware.
iv.
Water Supply
- nawasa Jumper
The familys water supply comes from their neighbor and they pay a monthly fee of
600php to pay for the slow running nawasa which they are only sub-connected to.
11
v.
Toilet facility
The compound has a common toilet and a bathing area. The bathing area is located
just beside their kitchen and their bedroom. A toilet area is located separately at the rear
portion of the lot. The toilets division is just a makeshift room made of laminated tarpaulin
and strip of bamboo poles. Their septic tank is annually vacuumed by Mr. R.
vi.
Garbage Disposal
Garbage is segregated as dry wastes and wet food wastes. The dry wastes are
located inside a sack while wet food wastes can be found inside a big bucket. Both wastes
are collected by the neighborhoods garbage collector who is known to be also capturing
and eating stray dogs. The family pays extra money amounting to 10php for the garbage
collectors tip
vii.
Drainage System
Their washing area has no proper drainage system thus, the used water from bathing
and washing kitchen utensils is only flushed flowing through the riverbanks and eventually
ending up in the river.
2. Kind of Neighborhood
The neighborhood is a congested squatting slum area located just right beside Davao
River. It is part of the Housing Compound squatter called Arroyo Compound which is
named after the real owner of the 25-hectare land.
transportation
expenses
The area is congested with rentable public tricycles and single motorcycles. The
motorcycles can enter a cemented foot bridge and can pass through the house of the
family. The transportation fee ranges from 7-20php depending on the distance from the
place of origin. Both parents owns a mobile phone that enables them to contact each other
while one is away,
12
Third-degree burns are full-thickness burns, involving the entire thickness of the
skin. The burned area appears gray-white, cherry red, or blackened, and initially there is
little or no edema. Since the nerve endings have been destroyed, the burned area is not
painful. Although skin might eventually regenerate by proliferating epithelial cells at the
edges of the burn or stem cells in hair follicles, it is usually impossible to wait that long
because of fluid loss and infection. Skin grafting is advised. In general, burns are
considered critical if any of the following conditions exists:
Over 25% of the body has second-degree burns
Over 10% of the body has third-degree burns
there are third-degree burns of the face, hands, or feet
Mrs. C stated:
Naglagnat siya ato unya sige na pud siya ubo. Wala kaayo namo giisip kay abi namo
mulipas lang iyahang sakit unya niabot naman na nag 2 weeks unya grabe na jud iyahang
ubo kanang kusog unya lala na kaayo. Mao tong gisugod na namo siya dayun sa ospital.
Unya didto na namo nahibawan na naa diay siyay pneumonia. Buntis ko ato unya
gkasukan pa jud ko sa nurse kay ngano daw ko naga tambay sa ward na communicable
diseases. Dapat daw lahi ang mubantay sa akong anak unya wala man koy mabuhat. Ako
lang man jud ang makabantay
Newborns with pneumonia commonly present with poor feeding and irritability, as well as
tachypnea, retractions, grunting, and hypoxemia. Cough is the most common symptom of
pneumonia in infants, along with tachypnea, retractions and hypoxemia.
13
Diagnosis
Observing the childs respiratory effort during a physical exam is an important first
step in diagnosing pneumonia. The World Health Organisation respiratory rate thresholds
for identifying children with pneumonia are as follows:
-
Eight years ago, when CJ was still 6 months old, he got burned because of
accidentally touching the lighted lamp. It was diagnosed as a third degree burn by
the doctor. Due to his critical state, CJ needed a surgery. According to Mrs. C, the
nurse told her right away that they cannot ensure the life of CJ, but in a rude way.
Because of this, Mrs. C doubted if she would still want CJ to undergo the surgery
since she thought that CJs life is not surely safe on either decisions anyway.
Because of her experience, she lost trust to health care workers. After eight years,
CR was admitted to the hospital and he was diagnosed with Pneumonia. At that
time, Mrs. C was conceiving Baby R, so she wasnt allowed to stay at the Pediatric
Communicable Diseases Ward because it was dangerous for her. She got mad and
told the nurse that she was the only present guardian of CR. She insisted that if this
was the case, she would want to be discharged instead and just let CR continue his
medications at home, since it was also near Christmas at that time but the nurse
didnt allow them because there were no doctors present. But according to Mrs. C,
she noticed doctors were still there. She then forced the nurse to let them sign the
waiver, but the nurse still didnt agree. Thats when she thought that the nurse was
just lazy enough to do what they want. Because of that, she lost more trust to health
care workers.
14
First-Level Assessment
I.
II.
15
getting their marriage done. But the great impact that it has done to her life is her ongoing efforts
learning the true process of having a conversation with God through prayer in the most sincere
manner.
C. Family Size Beyond What Family Resources Can Adequately Provide
As a family that is composed of two school age boys and a six-month old infant, the parents,
Mr. and Mrs. Fernandez are desperate to look for money no matter how tiring it is for their own
physical body. Unfortunately, it came to a point wherein the sari-sari store business of the family
was not earning much and was forced to scale down. This led to the inability of the family to
provide their children the fees for their schooling and even a proper meal. Thus, both parents have
decided to let their two school-aged children, CJ and CR, to live with their Mother in law where
their daily living and schooling can be financed by her husbands mother who is having a good
paying job.
D. Accident HazardsFall Hazards
The six-month old baby in the family sleeps and spends most of his resting time on a makeshift
hammock composed of a big blanket tied with a manila hemp on both ends that is connected to
wood planks just below their roof of their living room. The baby is secured inside the hammock by
securing a knot on both sides of the opening in order for the baby to stay under a curvature inside
the blanket. Risk for fall in this case is evident due to the tendency of the knot on both openings to
go lose do to the kicking motion of the baby while moving inside the hammock.
E. Faulty Nutritional Habits Or Feeding Techniques Practices
Mrs. C is fond of eating oily foods such as fried shanghai rolls. She takes advantage of the act of
breastfeeding by eating much of what is needed for her body to consume. This led to her bulky
built with presence of excess adipose tissues evident on her abdomen.
F. Stress-Provoking Factors- Care-giving Burden
Mrs. C's tone while she is being interviewed about her child rearing techniques was in a sort of
in pity wherein she is implying that it is stressful to take care of a child along with managing her
home-based food store. She exclaimed that she needs to wake up as early as three in the morning
to buy ingredients for her viands to be sold and start to cook at six in the morning. In the middle of
her cooking errands, she stops in order to breast feed her baby. The act of breastfeeding is also
the time that she can rest for a while. Sometimes, her baby would cry would need to be comforted
but she is still busy cooking food and is scared that her food might get burned while she will go to
tend her baby.
16
Poor Lighting
From entering their small living up to their dysfunctional kitchen, which was converted to a
storage room, light barely passes through their wooden windows with small opening,
causing poor lighting on their household.
17
I.
1. Cigarette Smoking
Both the parents of the family, Mr. and Mrs. Fernandez are avid regular smokers. They can
consume approximately two packs of cigarettes that has a total of 40 sticks of cigarette. Worst of
all, Mrs. Fernandez has been smoking cigarettes on every pregnancy she has underwent. She
would only stop as she delivers her baby due to the cigarette ban that hospital is imposing. She
would returning to smoking as soon as they would return home.
2. Lack of Inadequate Exercise/Physical Activity
Mrs. Fernandez has shared that she is has never done any physical exercise in her life and is only
fond of watching television while on her extra time. This means having a sedentary lifestyle with
only the preparation and cooking of food to be sold is the only way to make her physically active.
Her husband Mr. Fernandez, also stopped doing vigorous activities because he is the one who is
taking care of their baby while Mrs. Fernandez is busy with the food business.
J. Inherent Personal Characteristics
An inherent trait that is manifested mostly on all the family members is openness. During the
interview, Mr. and Mrs. Fernandez shows willingness to share their experiences and situations in
their life. They share through the most joyous way possible and on the process on avoiding
passiveness to be displayed them as clients.
K. Heath History Which May Participate Occurrence Of A Health Deficit
All three sons of Mrs. Fernandez was delivered through a Caesarian section delivery and two of
them were pre-term. She also had her Bilateral Tubal Ligation after delivering her youngest child.
18
N. Family Disunity
Due to the incapability of the father to consistently assume his fatherly roles in the family, Mr.
and Mrs. Fernandez would often argue on this matter and would lead to blaming of experiencing
their current situation as low-income earners. The self-oriented behaviours of the family members
would know be arising during these arguments and may possibly say insensitive comments to
other members of the family.
19
Second-Level Assessment
I.
A. Inadequate Knowledge
Mr. and Mrs. Fernandez is having a hard time of knowing what causes the intermittent fever
that their son is experiencing as of his sixth month of age. The baby displays a temperature in
range of a low grade fever that recurrent and does not last longer than a day. The parents are
not sure whether to administer anti-pyretic to their baby or just provide a tepid sponge bath to
the baby.
II.
Inability to make decisions with respect to taking appropiate health action due to:
20
then and pregnant mothers werent allowed to stay inside the ward. A nurse scolded her and she
explained that no one would be watching Christian Ralph and she also wanted for her son to be
discharged as fast as possible because Christmas is will on the next day. The nurse argued with
her there was no doctors on duty on that time. However, Mrs. Fernandez noticed men wearing
white gowns still present near the nursing station and told the nurse that she was lying at her
because she does not want to do extra paperwork for her child to be discharged. This led to the
loss of trust on the nurses on duty in Southern Philippines Medical Centre.
III.
Inability to provide adequate nursing care to the sick, disable, dependent
member of the family due to:
21
V.
22
Area
Physical independence: This
category is concerned with the
ability to move about to get out
of bed, to take care of daily
grooming, walking and other
things which involves the daily
activities.
Scale
Jusitification
Mr. and Mrs. Fernandez does not have any problem
with waking up early in the morning for their daily
routine starts as early as 3:00 AM in the morning to
market ingredients for their food business. The
family is also mindful of their routine on bathing
themselves, as well as their baby, twice a day and
once every morning for the baby. Although some
members in the family would experience
inappropriate role assumptions due to laziness,
The father of the family, Mr. R, barely lacks the
knowledge for interventions of a baby experiencing
intermittent low grade fever. He administers the
medications that are still unnecessary for the extent of
the babys condition. He has inadequate information on
the basic interventions for infant low-grade intermittent
fever such as Tepid Sponge bath and continued
Breastfeeding. Exercise is also not a practice within the
family.
Both parents are unaware of the signs and symptoms of
pneumonia when their second son was diagnosed with
the said inflammatory condition. It took them two weeks
before bringing their son to the hospital and in order to
determine
Although two of their children are complete with their
immunizations, family is frustrated with the shortage of
vaccines in the Matina health center knowing their
youngest son with an incomplete second shot of
Pentavalent immunization/vaccine. Family has good
practice when it comes to cooking food especially
vegetable viands that completes the basic food nutrition
pyramid rather than just protein and carbohydrates.
23
The mother did not visit her Obstetrician for her followup check-up scheduled one week after her last delivery
even though it is mandatory for her to do so as for also
undergone on Bilateral Tubal Ligation after her Cesareansection delivery.
24
Childs Profile
Name: Renz John Amad
Sex: Male
Date of Test: September 7, 2015
Date of Birth: November 17, 2015
Age: 2 Years 9 Months and 21 Days
Mothers Name: Christine Joy Baran
Fathers Name: Reymart Amad
25
MMDST
ACTIVITIES PERFORMED
RATING
JUSTIFICATION
Reported passed
Buttons up
(Personal-Social)
Failed
Puts on clothing
(Personal-Social)
Passed
Passed
Passed
Passed
Imitates bridge
(Fine-Motor Adaptive)
Passed
Tower of cubes
(Fine-Motor Adaptive)
Passed
Passed
No opportunity
Comprehends three
prepositions
(Language)
Passed
Use plurals
(Language)
Reported Passed
Passed
Passed
26
ACTIVITIES PERFORMED
RATING
JUSTIFICATION
Passed
Passed
Jumps in place
(Gross-Motor)
Passed
Pedals tricycle
(Gross-Motor)
Reported passed
Broad jump
(Gross-Motor)
Passed
27
Floor Plan
28
Photo Documentation
Pathways going to the Familys Household:
29
Mr. Rommel, carrying Baby R, and Mrs. C eating Chocolate Porridge with Mrs. Cs
relatives
30
Bathing area
31
Washing Area
Toilet
Toilet Seat
Photo of C. R.
Baby Rescel
Mrs. C, C.J., and Mr. R watching Baby R while swingingin his Hammock
32
Presence of
breeding
sites of
vectors of
diseases
Family
Nursing
Problem
Inability to
provide a
home
environment
conducive to
health
maintenance
and
personal
development
due
to:
1. Ignorance
of
the
importance
of hygiene
and
sanitation.
2. Lack of
knowledge
of
regarding
preventive
measures
Goal Of
Care
GOAL:
By
September
21 2015 , the
Family will be
able to
provide a
good
environment
specifically to
lessen
breeding
sites of
vectors.
After nursing
intervention
the
family will be
able to
eradicate
the presence
of
these
unwanted
sites of
vectors
causing
diseases
and therefore
will maintain
a
home
environment
conducive to
health.
Objective
of Care
After
nursing
intervention
the
family will:
a. acquire
adequate
information
about the
disease,
including
signs and
symptoms
of the
disease,
immediate
health care
assistance
and preven
tive
measures;
b. be aware
on how to
reduce the
chances of
spreading
communica
ble
diseases to
other
family
members;
c. utilise
community
resources
openly
available in
resolving
the
condition
Experience
d.
Nursing
Methods of Resources
Intervention
NurseRequired
Family
consent
1. Discuss with
the
family the
causes, effects
and
complications
of cough and
cold.
2. Provide
adequate
knowledge on
the various
ways of
maintaining
cleanliness in
their
surroundings.
3.Explain the
importance
of proper food
preparation,
good
nutrition, rest
and sleep
in
strengthening
ones
resistance
against illness,
so as to
prevent
occurrence of
cough and
colds
4.Cite ways in
eliminating the
disease
and limiting the
occurence of
transmission by
Home Visits
Material
resources:
Flash
cards,flip
chart and
materials
for eliminatin
g
breeding
sites
of vectors
such as
insecticides,
fly traps etc.
Human
resources:
Time and
effort of the
family and
the
student
nurses
Financial
resources:
Expenses
for
teaching aids
and
transportatio
n
of student
nurses
33
suggesting
courses of action
such as
medications (e.g.
measures like the
application of
alternative
medicines like
lagundi if
resources in the
community is
inadequate) and
preventive
measures such
as covering the
mouth
when sneezing or
coughing and
proper
disposal of nasal
or oral
discharges.
5.Promote proper
personal and
environmental
hygiene
among all
members of
the family.
6.Provide
information on
health centers in
the vicinity for
immediate
care assistance.
34
HEALTH
PROBLEM
FAMILY
NURSING
PROBLEMS
GOAL OF
CARE
The family
has a
problem of
ineffective
role
performance
due to the
fact that the
father
doesnt have
a job and
doesnt want
to work
anymore
because he
thinks that it
is tiring and
thus, only
wants to
stay home.
1. Change in
lifestyle and
physical
ability to
resume role.
2.Dependenc
e on
significant
other
OBJECTIVE
OF CARE
NURSING
INTERVENTIO
NS
After 8hr
nursing
intervention
with the
family, they
would be
able to:
After 8hr
nursing
intervention
with the
family, they
would be
able to:
Home
1.Identify type
of role
dysfunction.
R: To be able
to know how to
address the
problem.
1.Verbalize
understandin
g of role
expectations
and
obligations.
1.Verbalize
understandin
g of the role.
METHO
D OF
FAMILY
CONTA
CT
Home
visits
RESOURCE
REQUIRED
Materials:
Human
Resources:
Time and
effort of the
nurse and
family.
2. Make
information
3. Poor
available for
financial
2.Identify the client to learn
problems
role
about role
expectations expectations or
4. Lack of
2. Identify
and
demands that
knowledge to and develop obligations.
may occur.
the possibility realistic plans
R: Provides
for not
for adapting
2.Develop
opportunity to
meeting the
to new role or realistic plans be proactive in
familys
role changes. for adapting
dealing with
needs:
to new role
changes.
physically
and/or role
3. Determine
and
changes.
financially.
clients
perceptions or
concerns about
current
situation.
R: May believe
current role is
more
appropriate for
the opposite
sex.
35
Health
Problem
Family
Nursing
Problems
Goal Of
Care
Objective
Of Care
Nursing
Method Of
Interventions Family
Contact
Resource
Required
Parents are
smoking
around the
children,
which could
risk them to
second
hand
smoking.
Inability to
recognize
the risk of
second
hand
smoking
due to lack
of
information.
After the
nursing
intervention
s the family
would be
able to:
After the
nursing
intervention
s, the
patient and
the other
family
members
will:
Material
Resources:
They are
also
incompletel
y aware of
the effect of
smoking to
their health.
Inability to
recognize
the risk of
smoking to
ones
health due
to lack of
information.
-Know the
harm that
smoking
gives to
ones
health.
-Know the
risk and
harm of
second
hand
smoking to
other family
members.
-Educate the
patient and
- Be
other family
knowledgea members on
ble about
the harm of
the harm of second hand
smoking, so smoking to
they could
children and
know the
others.
risk of
smoking to
others.
Time and
effort of the
student
nurses and
the family
members.
Financial
Resources:
Money
spent on
transportati
on to go to
the house
of the
family.
36
Health
Problem
Family Nursing
Problem
Goal of
Care
The family
does not
have trust
on the
capability
of health
workers to
help them
improve
their
health
1. Inability to
make
decisions with
respect to
taking
appropriate
health action
due to:
a. Lack of
trust/confiden
ce to health
personnel.
b. Fear of
consequence
s of action,
specifically
emotional
consequence
s
c. Negative
attitude
towards the
health
condition or
problem
After
nursing
interventio
ns, the
family will
be able to
report a
reduction
or
elimination
of
compromis
ed human
dignity.
Objective of
Care
Intervention Plan
After nursing
Nursing
Method
intervention,
Interventions
of
the family will
Family
be able to:
1. Project a
Contact
a. Express
nonsatisfaction
judgmental
with level
and trusting Home
of respect.
attitude
Visits
b. Express
toward
confidence
patient
in their
through
ability to
active
make
listening.
decisions,
R: To have
despite
patients
pressure
trust and
openly talk
about the
problem.
2. Ask
questions,
explore
background
on how the
problem
arose.
R: To the
plan for the
appropriate
health
teachings
Resource
Required
Human
Resources:
Time effort of
family and
nurses
37
3. Assess
patients
satisfaction
with the
health care
environmen
t.
R: To
determine
the extent
of positive
perception
of the
nursing
staffs
concern for
the patient.
4. Provide
education
on the legal
and ethical
rights of the
patients to
human
dignity and
have
current
information
available at
community.
R: Access to
information
provides
patients
and their
familys
with
appropriate
resources
to seek
help.
Home
Visits
Human
Resource
s:
Time
effort of
family
and
nurses
38
HEALTH
PROBLEM
FAMILY
NURSING
PROBLEMS
The family is at
risk for
contamination
due to
personal/hygie
ne practices
such as using
shared and
unsterilized
kitchen
utensils such
as plates,
spoon and
forks to an
individual
present with
communicable
disease that
may cause
adverse health
effects.
Inability to
make
decisions
with respect
to taking
appropriate
health action
due to
attitude or
philosophy in
life which
hinders
recognition/a
cceptance of
a problem.
GOAL OF CARE
Within 8hr
nursing
intervention with
the family, they
would be able to:
Gain awareness
that may possess
substantial or
potential threats to
environment
within their
significant others
OBJECTIVE
OF CARE
NURSING
INTERVENTIO
NS
METHOD
OF
FAMILY
CONTAC
T
RESOURC
E
REQUIRED
After 8hr
nursing
intervention
with the
family, they
would be
able to:
Home
1.Discuss
general
safety
concerns
with the
client/SO
others
R: to ensure
that people
are educate
about
potential
risks and
ways to
manage
risks.
Home
visits
Materials:
-Kitchen
utensils
such as
plates,
spoon
and fork
-Basin
-Clean
hot water
for
sterilizatio
n
1.Verbalize
understandin
g of
individual
factors that
contribute to
possibility of
injury and
take steps to
correct
situation/s.
2.Demonstra
te behaviors
or lifestyles
changes to
reduce risk
factors and
protect self
from injury.
2. Stress
importance
of
supervising
individuals
with
cognitive
limitations.
R: to protect
those who
are unable
to protect
themselves
Human
resources
:
Time and
effort of
family
and
nurses.
3. Proved
information
and refer to
appropriate
resources
about
potential
toxic
hazards and
protective
measures.
R: to
promote
preparednes
s and selfpaced
learning.
39
Recommendation
To the Family,
We recommend the family to provide adequate maintenance of their environment
and also, to improve their lifestyle because their children may be at risk of being influenced
with what they see as they start to grow up. The family should also know the indications
and health teachings that were provided for them, that they would provide everyones need
that would help them in every aspect of their lives. They should also maintain the
harmonious relationship they have in their respective homes, their vices should be lessen,
and they should participate in every health care programs for the well-being of every one
in their family.
40
41
Acknowledgement
First of all, we would like to thank our supportive Clinical Instructors, Mrs. Anabel
Bauzon, Ms. Magnolia May Jadulang, Mrs. Liza Floresca, and Mr. Roy Linao. We thank
them for their never-ending support and guidance throughout the exposure. We would also
like to extend our deepest gratitude to all the encouragements, and for being patient
despite their hectic schedules.
Second, we would also like to thank our parents for all their hardwork to enroll us in
this prestigious school. Also, for the continuous support, not only financially, but as well as
emotionally.
Next, we would also like to extend our thanks to our colleagues, classmates, and
friends, who keeps on inspiring us to be motivated in doing our tasks.
We would also like to thank the health care workers of Matina Crossing Health
Center for helping us search the real sense of true service.
To the people of Upper Arroyo, and to the families whom we are assigned to, we
thank them for their warm welcome, hospitality, assistance, and for making the health
programs successful.
For the Fernandez and Baran family, we would like to thank them for their time and
effort they spent with the group. Without them, we would not have made this project come
into reality.
Lastly, we would like to thank God for all this opportunity and for His guidance in
every duty. We thank Him for the knowledge and wisdom He has given us. We thank Him
for the gift of care He has bestowed upon us.
42
References:
Bennett, N. J. MBBCh, PhD, Steele,R MD (2015, September 26) Retrieved from:
http://www.emedscape.medscape.com/
Maglaya, A. S. (Year of publication). Title of work: NURSING PRACTICE IN THE
COMMUNTY FOURTH EDITION. Marikina City: Argonauta Corporation.
MMDST MANUAL
43