FAMILY NURSING CARE

PLANS
Problem # 2: Presence of Fever
 1st level of assessment: Presence of health deficit due to fever
 2nd Level of Assessment: Inability to recognize the presence of a problem due to inadequate knowledge

Cues Analysis of Objectives Nursing Rationale Method of Resources Expected

the Problem Intervention Family Required Outcome
Contact
S> “nandin > inability to Short term: >Establish >To gain > Home visits >Time, Short term:
yapa gagaga provide After 1-2 days rapport with the familiarity and to effort and After 1-2 days of
at mapali ya nursing care of home visits, family establish a good skills of the home visits, the
salat” as to the sick the family will working student family shall have
verbalized by because of verbalize relationship with nurses verbalized
the mother lack of understanding the family understanding
financial on the >Family on the
O> anak legs resources importance of >Assess their >To obtain participation importance of
is seen and preventive finger and baseline data and preventive
irritated and knowledge measures as toenails and cooperation measures as
crying. regarding the evidenced by walking evidenced by
problem children having barefooted inside children having
> with skin trimmed nails, and sometimes trimmed nails,
flushing wearing outside the house wearing slippers
slippers and and washing of
> skin warm washing of >Discuss with the >This practice hands before
to touch hands before family the promotes hygiene and after eating.
and after importance of and decreases
eating. wearing foot the occurrence of Long term:
> body wears inside and diseases After 4-5days of
temperature Long term: outside the house home visit, Anak
of 38. 3’C After 4-5days of Legs’
home visit, >Discuss and >To prevent cross temperature
Anak Legs’ demonstrate the contamination shall have
temperature will proper way of decreased to
decrease to hand washing 37’C
37’C before and after
eating and
defecating
 >Proper hand
>Explain the washing can help
possible disease prevent
that can be transmission of
acquired from not microorganisms
wearing slippers
>To have a good
>Advise family to protection against
have a good parasitism
personal hygiene
>In order to have
>Advise the the therapeutic
family to visit the regimen that will
health center in address the
order to seek problem of the
proper medical family
attention to get
medications that
would disinfest
the children
 Problem # 2: Presence of Cough and colds
 1st level of assessment: Presence of health deficit due to cough and colds
 2nd Level of Assessment: Inability to recognize the presence of a problem due to inadequate knowledge

Cues Analysis of the Objectives Nursing Rationale Method of Family Resources Expected
Problem Intervention Contact Required Outcome
S> “adwa neng >Inability to provide Short term: >Establish rapport > To gain trust > Home visits >Knowledge, Short term:
aldo manguko I a home After one day of and > Health teachings skills and time of After one home
anak legs” as environment which home visit, the cooperation the student visit, the family
verbalize by the is conducive for family will nurses shall have
mother health maintenance determine the >Assess patient’s >For baseline >Compliance determine the
O> non and personal preventive condition (V/S and data and cooperation preventive
productive development due factors about the physical of the family or factors about the
cough (mild to to: condition like assessment) patient condition as
moderate in a. inadequate increase fluid evidence by
amount) family resources, intake, maintain > Assess the house > to determine complying to the
> with nasal specially financial a good hygiene condition the factors that health teachings
flaring constraints and triggers the given.
> with nasal b. inadequate living keep the disease. Long term:
discharge that is space children’s back After 4-5 days of
clear in color. c. poor personal dry >Instruct to >To liquefy home visits, the
>presence of hygiene Long term: increase fluid intake secretions family shall have
wheeze upon home visits, the maintained
auscultation on family will > Auscultate lung >To determine demonstrated
right lung field. demonstrate area the part of compliance to
compliance to affectation and health teachings
health severity of the as evidence by
teachings. problem relief from cough
and colds
>Instruct the > To boost the
motherto give Vit C immune
to her child. system.

>Encourage the >Herbal

use of herbal medicines are
medicines free and easy
(oregano) to prepare.
 Problem # 2: Presence of Dental Caries
 1st level of assessment: Presence of health deficit due to dental caries
2nd Level of Assessment: Inability to recognize the presence of a problem due to inadequate knowledge

Cues Analysis of Objectives Nursing Rationale Method of Resources Expected

the Problem Intervention Family Contact Required Outcome
S> O Inability to Short term: >Establish rapport >To gain trust and > Home visits Knowledge, Short term:
provide After 1-2 days of cooperation of the skills and After 1-2 days of
proper care to home visits, the family. time of the home visits, the
O> the members family will student family shall have
Presence of because: comply with the > Assess the teeth > To note any nurses. complied with the
tooth decay on causes of tooth of the family abnormalities. causes of tooth
the teeth of all a. lack of decay as decay discussed
the family financial discussed by the > Provide health > To educate the by the student
members that resources. student nurses. teachings about family about the nurses, as
were the diseases they condition. evidenced by the
assessed. Long term: can get from poor discussion with
After 4-5days of oral hygiene. the family.
> Children home visit, the
loves to eat family will > Teach the > To assure that all
candy. demonstrate children the proper the teeth are Long term:
proper way on way of brushing brushed properly. After 4-5days of
> Presence of how to brush their teeth. home visit, the
bad breath on their teeth and family shall have
all the family maintain a good demonstrated
members that oral hygiene. > Emphasize the > To prevent proper ways on
were importance of growth of how to brush their
assessed. brushing their microorganisms. teeth as
teeth after every evidenced by the
meal. absence of bad
breath in the
family members.
Problem # 4: Unhealthful lifestyle: Walking barefooted

 1st level of assessment: Presence of health threat due to unhealthy lifestyle: walking barefooted.
 2nd level of assessment: Inability to recognize the presence of a problem due to ignorance of facts.

Cues Analysis of the Objectives Nursing Intervention Rationale Method of Family Expected
Problem Contact Outcome
S> ø >Inability to Short term: >Establish rapport with >To gain familiarity > Home Visit Short term:
O> Anak Wings recognize the After one home the family and to establish a After one home
with dirty and presence of a visit, the mother good working visit, the mother
untrimmed finger problem due to lack will be able to relationship with the shall have
and toe nails to adequate identify factors that family identified factors
>Seen walking knowledge as to the contribute to that contribute to
barefooted inside potential to cause parasitism. >Assess their finger and >To obtain baseline parasitism as
and sometimes injury Long term: toenails and walking data evidenced by the
outside the house >Inability to After 4-5 days of barefooted inside and mother’s
>anak legs and recognize the home visits, the sometimes outside the verbalization of
anak wings was presence of the family will initiate house possible causes
seen eating problem due to necessary lifestyle of parasitism..
without even ignorance of the fact changes. >Discuss with the family >This practice Long term:
washing their and inadequate the importance of promotes hygiene After 4-5 days of
hands knowledge about wearing foot wears and decreases the home visits, the
>Presence of preventive inside and outside the occurrence of family shall have
garbage around measures house diseases initiated
the house necessary
>Presence of dirty >Discuss and >To prevent cross lifestyle changes
surroundings demonstrate the proper contamination as evidenced by
>Stagnant way of hand washing children having
drainage system before and after eating trimmed nails,
Presence of flies and defecating wearing slippers
and washing of
>Advise family to have >To have a good hands before
a good personal protection against and after eating.
hygiene parasitism
>Advise the family to >In order to have
visit the health center in the therapeutic
order to seek proper regimen that will
medical attention to get address the problem
medications that would of the family
disinfest the children
 Problem # 7: Presence of Rodents and Insects
 1st level Assessment: Poor Home/Environmental Condition/Sanitation: Presence of Rodents and vectors of diseases (eg. rats and
cockroaches)
 2nd level Assessment: Inability to make decusions with respect to taking appropriate health action
Cues Analysis of Objectives Nursing Intervention Rationale Method of Resources Expected
the Problem Family Required Outcome
Contact
S> O Inability to Short Term: > Emphasize the > These pests may > Home Human Short Term:
provide a After 1 home importance of insect cause contamination visits Resources: After 1 home
home visit, the and rodent control. of stored food and visit, the family
O> environment family will control is important. 1. Time and shall have
Presence which is comply with effort of complied with
of insects conducive to ways on how > Discuss alternative > To maximize both the ways on how
and health to control methods of insect available resources nurse and to control
rodents, maintenance insects and and rodent control in the family. insects and
cockroach and personal rodents. such as: eradication/alleviating rodents.
es and development the problem: 2.
mice seen due to: Long Term: Knowledge Long Term:
inside the Lack of or After 5 home > Regular house >To avoid formation of the After 5 home
house inadequate visits, the cleaning and proper of breeding place student visits, the
during the knowledge of family will garbage disposal nurse about family shall
first home the demonstrate the different have
visit. importance of behaviors that > Mosquito net may >To prevent the ways of demonstrated
home will help in continue to be used transmission of insect and methods that
environment controlling the in keeping insects microorganisms rodent help in
improvement. presence of away from the family through insect control. controlling the
insects and members especially vectors through a presence of
rodents. at night when asleep. mechanical barrier 3. insects and
that prevents contact Participation rodents such
of family members to and as keeping
insects. cooperation and
of the maintaining
> Encourage the > To avoid food family. the house
family to continue the contamination of clean.
practice of covering insects and rodents.
stored food.
 Problem # 7: Presence of Pediculosis
 1st level Assessment: Poor Home/Environmental Condition/Sanitation: Presence of Rodents and vectors of diseases (eg. rats and
cockroaches)
 2nd level Assessment: Inability to make decusions with respect to taking appropriate health action
Cues Analysis of the Objectives Nursing Intervention Rationale Method of Resources Expected
Problem Family Required Outcome
Contact
Problem # 7: Improper Garbage Disposal
 1st level of Assessment: Poor Environmental Sanitation: Improper Garbage Disposal
 2nd level of Assesment:Inability to recognize the presence of the problem

Family Nursing Method of

Cues Problem Analysis Objectives Interventions Rationale Nurse Family Resources Expected Outcome
Contact Required

S=Ø Inability toShort Term: -Establish rapport -To gain family’s Home visit -Time and effortShort Term:
recognize the After one trust and of the student After one Home visit and
O= presence of theHome visit and cooperation nurses & thehealth teaching the family
- Garbage is condition orhealth teaching family shall have demonstrate
scattered problem due tothe family will be - To obtain compliance with the health
inside and attitude andable to- Assess the baseline data -Participation andteachings given as
outside the philosophy in lifedemonstrate family’s cooperation ofevidenced by the
house towards acceptingcompliance withenvironmental the family cooperation of the family.
- Open and the magnitude ofthe healthsanitation
stagnant the problem. teachings given - Skills andLong Term:
drainage as evidenced by - To encourage knowledge of the After 4-5 days of home
system with Inability to providethe cooperation of- Explain to the the family to student nurses visit, the family shall have
garbage a homethe family. family the effects of place the practiced and maintained a
- presence environment improper garbage garbage in good environmental
of flies which isLong Term: disposal such proper place sanitation
around the conducive for After 4-5 daysoccurrence of
house health of home visit, thediseases
maintenance andfamily will practice
personal and maintain a - To foster
development duegood - Discuss to the awareness to the
to ignorance ofenvironmental family how garbage family thus
preventive sanitation could cause preventing
measures illnesses. This potential
could be a breeding diseases from
site of insects and occurring
rodents
- Teach the family - Let them be
on how they can aware that they
improve their can maintain
environment by their environment
having time free from
schedule in infections and
cleaning their diseases.
surroundings

- To prevent the
- Instruct the family breeding sites of
to never leave their insects and
garbage rodents that may
unattended cause diseases.

- To prevent the
- Encourage the accumulation of
family to use a flies
large can with
cover for their
garbage

- To let them
know that they
- Assist the family intoo can keep
cleaning their their environment
surroundings and in safe and clean
disposing their and free from
garbage properly. infections

- To become
orderly in
disposing
-Apply proper different waste
segregation of
trash of the family.

- To allow them
recognized the
- Assess the level present problem
of understanding of
the family regarding
to the problem. - To allow them to
reflect in their
- Discuss the current situation
problem to the
family

- To promote the
increase of
finance
- Present to them
the consequences
of the present
condition
- to help the
family sustain
- Show to them and prioritize
some alternatives their needs
ways on how to
increase income to
meet the needs of
all the members
> to help the
- Encourage the family sustain
children to practice and prioritize
saving money and their needs
buy those things
that are only
needed
Problem # 7: Presence of breeding sites or vector of diseases
 1st level of Assessment:
 2nd level of assessment:
Cues Analysis of the Objectives Nursing Intervention Rationale Method of Family Expected
Problem Contact Outcome
Problem # 7: Family Size beyond what Family resources can adequately provide
 1st level of Assessment: Family Size beyond what Family resources can adequately provide

 2nd level of Assessment: Inability to recognize the presence of the condition or problem

Problem
Method Resources
Cues Analysis Objectives Interventions Rationale Expected Outcome
Required

S=Ø Inability toShort Term: -Establish rapport -To gain family’s Home visit -Time and effortShort Term:
recognize the After 2-3 trust and of the student After 2-3 hours of
O= presence of thehours of Home cooperation nurses & theHome visit and health
-Family condition orvisit and health family teaching the family shall
expenses problem due toteaching the- Assess the - To obtain have identified the
exceed family attitude andfamily will be ablegeneral condition baseline data -Participation presence of the problem
resources. philosophy in lifeto identify theof the family and cooperationand ways on how to
Income is towards presence of the of the family alleviate the problem as
p10,000 per accepting theproblem and - To identify evidenced by the
month for the magnitude of theways on how to- Assess the living related factors - Skills anddiscussion of the family.
whole family problem. alleviate thecondition of the that affects the knowledge of the
-Presence of problem asfamily. health of the student nurses Long Term:
malnourishment evidenced by the family. After 4 days of home
on some family discussion of the visit, the family shall have
members family. - To obtain complied and
- Assess the level baseline data demonstrated the health
Long Term: of understanding of teachings of the student
After 4 days ofthe family nurses such as to find
home visit, theregarding to the ways on how to increase
family will be ableproblem. income to meet the needs
to comply and of all the members
demonstrate the- Discuss the - To allow them
health teaching ofproblem to the recognized the
the studentfamily present problem
nurses such as to
find ways on how
to increase - To allow them
income to meet to reflect in their
the needs of all- Present to them current situation
the members the consequences
of the present
condition
- To promote the
increase of
- Show to them finance
some alternatives
ways on how to
increase income to
meet the needs of
all the members

- Encourage the - to help the

children to practice family sustain
saving money and and prioritize
buy those things their needs
that are only
needed
Problem # 11: Poor Status of Toilet Facility as a Health Threat

 1st level of assessment: Presence of health threats due to Poor home sanitation
 2nd level of assessment: Inability to provide a home conducive to health maintenance and personal development due to inadequate family
resources

CUES ANALYSIS OBJECTIVE INTERVENTION RATIONALE METHOD OF RESOURCES EVALUATION

FAMILY CONTACT REQUIRED
S: O Inability to Short term: >Establish >To gain family’s Home Visits 1.Knowledge, skills Short term:
O: The toilet recognize the After 1 day of rapport trust and and time of the After 1 day of home
facility is poor presence of home visit the cooperation student nurses visit the family shall
with regards to the problem. family will 2.Compliance and have identified the
hygienic Inability to identifyimportance >Assess the >To obtain base cooperation of the importance of
status and provide home of cleaning the quality of the line data. family or patient cleaning the toilet
they have a environment toilet facility toilet facility. facility regularly and
communal conducive for regularly and gain gained necessary
comfort room. health necessary >Explain the >To increase the knowledge on the
>Presence of maintenance knowledge on the importance of awareness on proper sanitation of
dirty stains in and personal proper sanitation of having a clean the benefits of toilet facility as
the toilet. development toilet facility. toilet facility. having a good evidenced by the
>With foul due to: Long term: toilet facility. family shall comply
smell a. Inadequate After 5 days of to the health
family home visits the >Provide health >To be aware of teachings given..
resources family will be able teachings the danger that Long term:
specifically to demonstrate regarding the may occur if After 5 days of home
financial compliance to the disease that can necessary visits the family shall
constraints health teachings be acquired due actions would not have demonstrated
b. Lack of given . to poor toilet be initiated. compliance to health
adequate facility. teachings as
knowledge in evidenced by
the >Aid in the >To facilitate maintaining the
importance of cleaning of the proper ways of cleanliness of the
having good toilet. cleaning on how toilet facility
status of to clean toilet.
toilet facility
and the >Encourage >To provide
disease can family to maintain cleanliness and
be acquired the cleanliness of good condition of
through the toilet facility the toilet facility.
improper
cleaning of >Encourage them >To prevent
toilet. to practice proper cross
hand washing contamination
and cleaning the and maintain the
toilet after using. cleanliness of the
toilet

>Discuss with the >To increase

family about the awareness on
parasites and parasitism
their effects to the
body

>Encourage the >To prevent

family to use staining and
detergent in unpleasant odor
cleaning the toilet and to decrease
the occurrence of
parasitism
 Problem # 11: Malnutrition: Undernourishment
 1st level of Assessment: Presence of Health deficit: Malnutrition: undernourishment

 2nd level of Assessment: Inability to provide a home environment conducive to health maintenance and personal development

Cues Analysis of the Objectives Nursing Rationale Method of Resources Expected

Problem Intervention Family Contact Required Outcome
S> ø Inability of the Short term: >Discuss with >To make the > Home visits >Knowledge, Short term:
family to After 1 home the family the family aware of skills and time After 1 home
O> > Two out recognize the visit the family presence of the the presence of > Health of the student visit the family
of four seen problem due to will comply problem. such problem teachings nurses shall have
family members inadequate about the complied about
are classified knowledge. preparation and >Explain to the >To give >Compliance the preparation
as >Inability to serving family especially background idea and and serving
malnourished provide nursing nutritious foods to the mother on malnutrition cooperation of nutritious foods
specifically care due to as evidenced by the causes and so as to prevent the family or as evidenced by
Anak breast inadequate discussion with effects of the problem. patient discussion with
and , Anak family the family. malnutrition. the family.
Thigh resources
specifically Long term: >Assist the >To improve their Long term:
Anak Thigh = 9 financial After 5 days of mother in eating habits by After 5 days of
kg = constraints. home visit the planning eating variety of home visit, the
underweight family will nutritious meals nutritious foods family shall have
demonstrate that the whole demonstrated
willingness to family will like willingness to
serve and eat >To correct faulty serve and eat
cheaper but >Encourage found habits and cheaper but
nutritious foods mother to have to avoid loss of nutritious foods
to gain the firm discipline appetite during to gain the
appropriate towards her meal times. appropriate
weight such as children’s eating weight. such as
malunggay, or habits, such as malunggay, or
kangkong, in discouraging kangkong, in
place of broccoli; them from place of broccoli;
dilis and tilapia eating junk dilis and tilapia
instead of foods all the instead of
milkfish; chicken time milkfish; chicken
as an alternative >To eliminate as an alternative
for pork. >Instruct the microorganism for pork.
family to wash since these can
hands properly. cause food
poisoning and GI
diseases.
Problem # 11: UNSAFE DRINKING WATER
 1st level of assessment: Presence of health threat: unsafe Drinking water
 2nd level of assessment: Inability to recognize the presence of a problem
ANALYSIS
NURSING METHOD OF RESOURCES
OF THE OBJECTIVES RATIONALE EVALUATION
INTERVENTIONS CONTACT REQUIRED
PROBLEM
S: “sa gripo kami >Inability to Short Term: >Establish rapport >To gain the trust >Home visits > Time effort Short Term:
umiinom, recognize the After 1 day of and cooperation >Observations with After 1 day of
kinakabit lang presence of home visit the participation of home visit the
naming dyan sa a problem family will be able >Encourage the family >To kill the water the family and family shall be
gallon, hindi man due to to recognize the to boil their drinking borne molecules student nurse. able to recognize
naming ignorance of importance of water. and >Health the importance of
pinakukuluan” facts. water storage and microorganisms. Teachings. water storage and
the proper way of the proper way of
O: The family gets >Inability of acquiring safe >Encourage the family >To have an acquiring safe and
water from their the family to and steady water to store their water in a adequate supply of steady water
faucet (NAWASA) solve the supply at home. clean container with clean water. supply at home
>The family does existing Long Term: cover. AEB they
not cover the problem. After 4 days of cooperate with the
pitcher home visit, the >Explain to the family >To develop SN.
family will be able the effect of this awareness and Long Term:
to show problem in their health. initiate action in After 4 days of
compliance to the controlling this home visit, the
health teachings problem. family shall be
given. >Monitor the family’s able to show
compliance to health >To have a safe compliance to the
teaching. and potable water health teachings
to drink. given AEB they
apply their new
learnings in their
daily lives.
Problem # 13.5: Inadequate Living space

 1st level of assessment: poor home condition due to inadequate living space
 2nd level of assessment: inability to provide a home environment conducive to helath maintenance and personal development due to inadequate family resources specifically
financial constraints

METHOD OF
RESOURCES
CUES ANALYSIS OBJECTIVE INTERVENTION RATIONALE FAMILY EVALUATION
REQUIRED
CONTACT
S: O Inability to Short term: >Measure the house >For baseline Home Visits >Knowledge, skills Short term:
provide a data and time of the
O: Living home After one home student nurses After one home visit,
space is not environment visit, the family >Assess the living >To identify the family shall have
sufficient for which is will recognize the space and taking possible factors >Compliance and recognized the
family conducive for existing problem note of the that will help in cooperation of the existing problem as
members as health as evidenced by measurements solving the family or patient evidenced by holding
evidence by maintenance holding and problem and arranging
total floor area and personal arranging clothes, removing
of 15.89 sq m, development clothes, >Suggest ways on >To foster self unnecessary things
in which if due to removing how to maximize the reliance from the in the house.
divided into 6, inadequate unnecessary available living family and to
per individual family things in the space by develop initiative Long term:
has 2.65 sq m resources house. rearrangement
which is specifically >So as to After 4-5 days of
considered financial Long term: >Advise the family to minimize the home visits, the
inadequate constraints separate those limited space of family shall have
and limited After 4-5 days of things they don’t use their house developed ways on
Furniture financial home visits, the anymore how to minimize the
appliances and resources. family will >To motivate the problem as
clothes are not develop ways on >Inform the family family and evidenced by
properly how to minimize regarding the easy create rearrangement of
arranged the problem as transmission of awareness furniture to maximize
evidenced by disease due to their living space
rearrangement of
furniture to
maximize their inadequate space
living space
>To increase
awareness
>Explain to the regarding the
family the possible possible effects
effects of having of the said
inadequate living condition
space

>To gain further

>Explain to the knowledge
family the
advantages of
having adequate
living space >To improve the
resolution of the
>Aid the family in problem
maximizing the living
space available

>To increase
awareness
>Explain to the regarding the
family the problem and
importance of having motivate the
adequate living family further
space
Problem # 13.5: inadequate Lighting and Ventilation

 1st level of assessment: poor home condition due to poor lighting and ventilation
 2nd level of assessment: inability to provide a home environment conducive to health maintenance and personal development due to
inadequate family resources specifically financial constraints

ANALYSIS OF
NURSING METHOD OF RESOURCES
CUES THE OBJECTIVES RATIONALE EVALUATION
INTERVENTIONS CONTACT REQUIRED
PROBLEM
S: Ø Inability to Short Term: >Explain the >To provide Home visits >Time and effort of Short Term:
provide a home importance of having information the student nurses
O: environment After 1 home an adequate ventilation and to increase and the family After 1 home visit the
which is visit, the family awareness family shall have
>There is conducive to will be able to regarding the >Cooperation of the complied on the
only two health comply on the problem family teachings about the
windows maintenance teachings given effects of poor lighting
and personal about the effects > Provided some >To helped >Knowledge of the and ventilation
There is also development of poor health teachings to them to realize student nurses
inadequate due to: ventilation and eliminate the problem the importance Long Term:
day light due lighting of having a >Tape measure
to the lack of -Limited good After 5 home visits the
appropriate financial Long Term: ventilation family performed
windows and resources measures to have
the location After 5 home >To promote adequate ventilation
of the house Inability to visits the family >Instructed the family proper and compensate for
make decision will be able to remove the curtain ventilation and the inadequacy of
>Unable to with respect to perform entry of lighting in their house
read taking health measures to sunlight in the
handouts actions due to: have adequate house
inside the ventilation and
house during -Failure to lighting
daytime comprehend on >Provided information
the nature of on the importance >To provide
the problem having adequate information
 lighting and how it and to increase
and low affects health awareness
salience of the regarding the
problem problem.

-Lack of >Encourage the family >To facilitate

adequate to modify the structure passage of air.
knowledge in of the windows and
the importance remove unnecessary
of having materials that black
adequate passage of air.
lighting and
ventilation

>Explain to the family >To increase

the possible the awareness
consequences of of the family
lighting regarding the
possible
consequences
of poor lighting

>to promote
>Instructed the family lighting
to open the florescent
lamp always

>Instructed the family To prevent

to perform activities unnecessary
that require light during accidents
day time such as
cooking and cleaning
the house
Problem # 16.5: unsanitary food handling

 1st level of assessment: Unsanitary food handling and preparation

 2nd level of assessment: Inability to recognize the presence of the condition or problem due to inadequate knowledge

CUES ANALYSIS OF OBJECTIVES NURSING RATIONALE METHOD OF RESOURCES EVALUATION

THE PROBLEM INTERVENTIONS CONTACT REQUIRED
S: Ø >Inability to Short Term: >Establish rapport >To gain trust and Home visits >Time and effort Short Term:
maintain proper cooperation Observations of the student
O: >Presence food handling After 1 day of nurses and the After 1 day of
of dirty which is home visit, the >Assess for the food >To have a base family home visit, the
fingernails conducive for family will preparation of the line data family will
among the health demonstrate family >Cooperation of demonstrate
family maintenance understanding the family understanding of
members and personal of the >Demonstrate and the importance of
development importance of discuss the importance >To educate the >Knowledge of proper food
>The food due to: proper food of handling of food family on the the student handling.
utensils are handling. importance of nurses
not kept well >Lack of proper food Long Term:
knowledge of the Long Term: handling.
>During importance of After 4 days of
preparation of proper hand After 4 days of >To aid in home visits, the
foods, hand washing home visits, >Instruct the family to cleanliness and family will perform
washing is not the family will clean and keep their prevent occurrence the health
being done by >Lack or perform the cooking utensils on of health problems teachings given
the family inadequate health their proper places. related t0o un kept and will
knowledge on teachings cooking utensils. continuously
>Hand the importance given and will >Instruct the family to practice proper
washing of proper food continuously wash their hands before >To prevent food handling.
before eating handling. practice proper and after eating. microorganisms
is not being food handling.
done by the >Lack or >Assess the hygiene > To get a baseline
family inadequate practices of the family data for planning
knowledge as to and
potentially implementation
causing health
problems. > Discuss to the family
the importance of
-Attitude in Life proper hand washing > To know the
which hinders effects and
recognition of a advantages of
problem having and
practicing good
personal hygiene
>Clean and cut nails
regularly > To avoid dirt from
accumulating in
between the nails
Problem # 16.5: presence of pointed objects and improperly placed wirings
 1st level of assessment: Presence of health threat due to pointed objects and improper wirings
 2nd level of assessment: Inability to identify the presence of the condition or problem due to lack of inadequate knowledge
METHOD OF
RESOURCES
CUES ANALYSIS OBJECTIVE INTERVENTION RATIONALE FAMILY EVALUATION
REQUIRED
CONTACT
S : “Nilagyan Presence of Short term: >Discuss with >To gain Home Visits 1. The family’s Short term:
namen ng accident After 1 day of the family why family’s cooperation and The family shall
kahoy yung s hazards is home visit the presence of cooperation. physical attribution have performed
itaas namen related to the family will accident hazards some interventions
baka kasi inability to perform could be harmful 2. The student to reduce or
mahulog sa provide some to the health of nurse’s skills, minimize the
amin yung sa home interventions the family knowledge, and problem such as
taas”, as environment to reduce or attitude. taping hanging
verbalized by conducive to minimize the >Tell the family electrical wires and
the mother. health problem such about the >To make the etc.
maintenance as taping possible family aware of
O: Seen and hanging consequences of the Long term:
protruding personal electrical having consequences The family shall
nails, and development wires and disorganized of the problem. have maintained an
many woods due to etc. wires and environment which
as a support inadequate protruding nails. is free from injury
to the upper knowledge Long term: and accidents.
room and lack of After 5 days >Demonstrate to
family of home visits the family the >To establish
Disorganized resources the family will ways on how to self-reliance.
electrical maintain an prevent accident
wirings environment hazards within
which is free the family’s
Open wires from injury available
hanging on and resources
the ceiling accidents.
>Instruct the
Seen holes family to always
on the edge check for open >To prevent
of their roof wires, while the short circuit to
which could main power is cause fire.
make the switched off. Possible
water run They should not occurrence of
through the be run by water. electrocution.
wires during
rainy days >Instruct family
to change the
wires
immediately if >To provide
they found them knowledge and
not working. prevent
potential
accident.
PROBLEM # 16.5: Poor personal hygiene
 1st level assessment: presence of health threat due to unhealthful lifestyle: poor personal hygiene
 2nd level of assessment: Inability to recognize the presence of a problem due to inadequate knowledge

Cues Analysis of the Objectives Nursing Rationale Method of Family Resources Expected
Problem Intervention Contact Required Outcome
S> ø >Inability to Short term: -Assess the -To get a > Home visit >Community: Short term:
maintain good >After the first hygienic practices baseline data for The health >The family
O> All of the personal home visit, the of each family planning and center can be understood
members had hygiene which is family shall member. implementation utilized to have the
dirty, uncut conducive for have the family’s importance
fingernails and health understood the -Provide health -To know the regular dental of good
toenails maintenance importance of teaching about effects an check-up and personal
>The children and personal good personal the importance of advantages of treat the dental hygiene and
do not practice development hygiene and its good hygiene. having and caries of the how it affects
proper hand due to: implications on practicing good affected the health of
washing our health. personal hygiene members. a person.
before meals >Lack of
adequate Long term: - Encourage the -To prevent the >Knowledge,
>The children knowledge of After 4-5 days family to practice transmission of time and Long term:
do not practice the importance of home visits, hand washing diseases perseverance of The family
proper oral of hygiene and the family shall before and after the student applied the
care as sanitation have performed eating nurses health
evidenced by correctly the teachings
presence of >Lack of skills in health - Encourage them - To aid in >Family’s given to
tooth decay carrying out teachings given to take a bath washing out understanding, them as
measures to to them such as everyday and microorganisms cooperation, evidenced by
improve combing of hair, instructed the away form their participation, combing of
personal cutting and mother to assist bodies which may resources and hair, cutting
hygiene keeping the in bathing her cause several compliance. and keeping
fingernails and children diseases the
>Ignorance of toenails shorter fingernails
facts about the and clean and -Encourage - To avoid and toenails
possible effects wear neat regular trimming ingestion of shorter and
of poor personal clothes. of fingernails and unwanted clean and
hygiene that toenails microorganisms wears neat
may cause clothes.
probable - Encourage - To prevent
disease brushing of teeth dental caries of
condition of all members at the affected to
least 3 times a worsen and to
day. prevent the
occurrence of
dental caries to
the members who
are well.

-Bath the children -To promote

hygiene

-Demonstrate the -To supply them

proper bathing, with the proper
combing of hair, ways of
brushing of teeth maintaining a
and proper hand good hygiene.
washing
Problem # 16.5: Lack of food storage
 1st level of assessment: Presence of health threat due to lack of food storage facility
 2nd Level of Assessment: Inability to recognize the presence of a problem due to inadequate knowledge

Cues Analysis of Objectives Nursing Rationale Method of Resources Expected

the Problem Intervention Family Required Outcome
Contact
S> o > lack of Short term: >discuss with >to gain the > Home visits >Time, Short term:
food storage After 1 home family the family’s effort and After 1 home
O> foods facility visit the family importance of cooperation skills of the visit the family
were seen related to will comply to having proper student shall have
left inability to the health food storage nurses complied to the
uncovered recognize teachings health teachings
the presence given. >tell the family >to make the >Family given as
>the plates of problem about the family aware of participation evidenced by
that were due to Long term: possible the and performing some
already ignorance of After 5 days of complication it consequences of cooperation of the
washed were facts/ lack of home visits, the could bring to the the problem interventions
left on a dirty inadequate family will family’s health if taught such as
container of knowledge demonstrate the plates were covering the left
plates behavioral left unattended food with a clean
changes with and being plate.
regards to contaminated
proper storage with insects. Long term:
of foods. After 5 days of
>instruct the >to provide home visits, the
family the knowledge and family shall have
different ways in prevent demonstrated
how to keep the occurrence of behavioral
food without disease. changes with
spending: llike regards to
keeping the proper storage
plates in a of foods such as
covered and keeping the
clean conatainer. container of food
and plates
properly covered
and clean.
Problem # 19 : Absence of drainage system
 1st level of assessment: poor home/environmental condition/sanitation: absence of drainage system
 2nd level of assessment: inability to provide a home environment conducive to health maintenance and personal development

ANALYSIS NURSING METHOD RESOURCES

CUES OF THE OBJECTIVES INTERVENTIONS RATIONALE OF REQUIRED EVALUATION
PROBLEM CONTACT
S: Ø Inability to Short term: To gain > Home >Time, effort Short term:
provide a After 1 day of >Establish rapport family’s trust visits and skills of After 1 day of
O: home home visit, the and the student home visit, the
No environment family will cooperation nurses family shall have
drainage which is comply with complied with the
system in conducive the health > To let them >Family health teachings
their for health teachings >Discuss with the be aware of participation given by the
house maintenance given by the family the presence the presence and student nurses
and student nurses of the problem of the problem cooperation AEB maintaining
personal AEB the floor dry.
development maintaining >To prevent
due to the floor dry. >Discuss with the any possible Long term:
inadequate family the disease/illness
resources Long term: importance of that may After 4 days of
especially having drainage occur due to home visits, the
time and After 4 days system the present family shall have
man power of home visits, problem perform the health
to have a the family will teachings given
drainage perform the > To obtain and shall have
system. health >Assess the level baseline data continuously
teachings of understanding of maintain a clean
given and will the family environment
continuously regarding to the
maintain a problem.
clean
environment
 >To helped
them to
realize the
importance of
having a
> Provided some drainage
health teachings to system
eliminate the
problem. >To aid in
cleanliness
and prevent
risk of injury
>Instruct the family
to clean and keep
dry floor areas.