Family Nursing Care Plan

St. Mary’s College

Tagum City

Bachelor of Science in Nursing

A Family Case Study of Tactay Family

In Partial Fulfillment of the Requirements in

Related Learning Experience

Presented to:

Mrs. Gemma l. Mulit , RN

Presented By:

Pero, Sharmaine S.

SN-SMC

BSN-2D RLE

August 2011

Introduction

The Family is the basic unit of the society. It is a group related by blood, marriage

or adoption that shared the same household, emotional bond and common goals. They

also perform certain interrelated social tasks. The family has different types, functions

and characteristics. There are also family developmental stages that each family will

experience. This study identifies the different structures of the family including their

individual health needs and problems. How they cope up with their activities of daily

living and their relationship towards the community. The family’s socio- economic data

and housing and environmental condition can be also seen in this study, that includes

the nursing interventions to the family’s health problems and needs.

Maylene TactayFemale20 y . o

Student , Mandaya

JosephineTactayFemale48 y . o

Housewife

Mandaya

Lindon Tactay18 y . o

MaleStudent , Mandaya

Melchor TactayMale

44 y . oFarmer , Mandaya

Hanybee TactayFemale16 y . o

Student, Mandaya

INITIAL DATA BASE

Tactay Family

Prk.8 Buclad Asuncion, Davao del Norte

A. Family Structure and Characteristics of Dynamics

Family

members

Age Sex Civil Status Position in

the family

Place of

Residence

1.Melchor 44 y.o M Married Father Residing

with family

2.Josephine 48 y.o F Married Mother Residing

with family

3.Maylene 20 y.o F Single Eldest Residing

with family

4.Lindon 18 y.o M Single 1st son Residing

with family

5.Hanybee 16 y.o F Single 2nd daughter Residing

with family

Type of Family Structure

The family is a nuclear family, because it is composed of husband, wife, and

children. The family was able to provide support to family members.

General Family Relationships

The family is living in the same house and is able to provide the family’s needs.

They are bonded and they show care and affection to each other. The family also

affects the members’ individual social values, dispositions and outlook in life.

B. Socio-economic and Social Characterisics

Family

member

Occupation Income Educational

Attainment

Tribe Religion

1.Melchor

Tactay

farmer Below

P2,000

Elementary

graduate

Mandaya Pentecost

C. Home and environment

1. Housing

a. Adequacy of Living Space

The house of the family is insufficient to shelter a family of five. Because

they have only 2 rooms the bedroom and the kitchen.

b. Adequacy of Furniture and Appliances

The family has a battery operated radio which they usually use during their

free time.

c. Presence of breeding site of insects and rodents

The family’s drainage was a possible breeding site for mosquitoes as well

as their deep well.

d. Food storage

The family usually store their food in plastic containers and bottles.

e. Kind of neighborhood

The family has a good neighborhood. They also had a nice relationship

towards them.

f. Water supply

The family got their water supply from the well that was owned by their

datu.

g. Drainage System

The family has an open drainage which is a possible breeding site for

mosquitoes.

h. Lighting facilities

The family does not have electricity and they usually used lamp in the

evening.

i. Toilet Facility

The family has a sanitary way of excreting their body wastes. They had

their own flushed toilet.

j. Garbage/Refuse disposal

The family is not practicing the proper way of disposing their garbage, they

do not practice segregation and they burn their garbages.

2. Communication and Transportation Facility Available

The family has a cell phone which they usually use for communicating to

their relatives in the city but does not have any transportation facility and they usually

commute whenever they want to go to the city.

D. Health Status of each family member

The father’s health is not good since he is a hypertensive person and do

not take any medications and treatments. He doesn’t follow the medications of the

doctor.

The mother and the children’s health was good.

E. Values, Habits and Practices and health Promotion, Maintenance and Disease

Prevention

a. Immunization status of family members

The family members had a complete immunization.

b. Healthy Lifestyle Practices

The family eats vegetables, fruits and fish. But they rarely eat meat

because according to them they cannot afford to buy it. The family also exercise rarely

but they’ve considered their work as a daily exercise.

First Level Assessment

A. HEALTH THREATS

1. Poor environmental sanitation

There are some places in their house and backyard that is a breeding site

of mosquitoes. Burning of plastics and dried leaves are scattered everywhere.

2. Presence of accident hazards

Their deep well is uncovered and their house is prone to fire accident

because they cook their food inside their wooden house with the use of

firewood/charcoal.

3. Hypertension

Father’s Blood Pressure: 150/90 mmHg

Second Level Assessment

A. Health Threat

a. Inability to provide a healthy environment with good sanitation for the

maintenance of health

- Dry leaves are scattered in their backyard and coconut husk are left

unattended.

- Burning of garbages.

b. Inability to recognize the accident hazards and possible breeding sites of

vectors.

- Lack of knowledge about the problem.

- Open drainage and uncovered deep well.

“ Abi nako ug ok lang nawalay taklob among balon”

c. Failure to recognize hypertension as a health problem.

- Lack of knowledge about the disease.

- No absolute maintenance medicines.

“ Abi nako ug normal lang ang malipong inig magtrabaho”

FAMILY NURSING CARE PLAN

HEALTH PROBLEMS

FAMILY NURSING PROBLE-

MS

GOAL OF CARE

OBJECTIVES OF CARE

INTERVENTION PLAN EVALUATION

NURSING INTERVENTI

ONS

Method of Nurse-Family

Content

Resources Required

07/14/11 @ 9:30 AM-Poor environmental sanitation

-Improper disposal of garbage, abnd

-poor drainage system

Inability to provide a home environment conducive to health maintenance due to lack of knowledge about the importance of a clean environment and proper garbage disposal.

After 2 hours of nursing intervention, the family will be able to recognize and prevent the health problem and provide a clean and safe environment for the whole family.

After nursing intervention, the family.

a.can segregate their garbages;

b.will observe a clean and healthful environment.

c.will establish a proper drainage system

1. Discussed to the family the possible diseases that can be acquired by the health problem.2. Emphasized the alternative courses of action.3. Showed the proper way of segregating and how to make a compost pit.

Home visit

Materials and resources:

Three sacks for the segregation. Pieces of wood for the covering.

Time and effort of the nurse and the family.

07/14/11 @ 11:30 AMGoal partially met as evidenced by:

a. the ablity to segregate their garbages.

b. the ability to accomplish a clean and healthy environment that is conducive to the family’s health.

c. inability to provide proper drainage sytem due to lack of resources.


HEALTH PROBLEMS


MS

GOAL OF

CARE

OBJECTIVES OF CARE

INTERVENTION PLAN

EVALUATIONNURSING

INTERVENTIONS

Method of

Nurse-Family

Content

Resources

Required

07/14/11@ 9:30 AMPresence of accident and fire hazards due to uncovered deep well and firewood inside their house.

Low salience of the problem resulting for the probability of vector breeding sites,accident hazards and house fire.

After nursing intervention, the family will be able to recognize and utilize available resources and alternative materials to


a.will know the proper place of cooking food; b.will be able to know the importance of covering their well.

c.will be able to utilize a

1. Discuss to the family the possible diseases that can be acquired by the health problem.2. Discuss the alternative courses of action.3. Provide the first step in making the well’s cover.

Home visit


Two tarpaulins and 4 pieces of wood.

Time and effort of the nurse and the

07/15/11 @ 10:00 AM goal met as evidenced by:

a.the family was able to know the safety measures on cooking.

b.the family was able to know the recognize how important the cover was.

make a proper well covering.

covering to their deep well.

family.

c.their deep well was covered.


HEALTH PROBLEMS


MS

GOAL OF

CARE

OBJECTIVES OF CARE

INTERVENTION PLAN

EVALUATIONNURSING

INTERVENTIONS

Method of

Nurse-Family

Content

Resources

Required

07/14/11 @ 9.30 AM Hypertension

BP:150/90 mmHg

Failure to recognize the presence of health problem due to inadequate knowledge about the said disease

After nursing intervention, the family will be able to recognize the signs and symptoms of hypertension and will be able to live a


a. will be able to know the signs and symptoms of hypertension;

b. will be able to know the treatment of the disease;

1. Discuss to the family they said disease. The causes and effects.

2. Discuss the alternative courses of action.

3. Discuss with the family the contraindicated foods to hypertension.

Home visit


Time and effort of the nurse and the family.

07/14/11 @ 10:30 AM as evidenced by:

a. the family was able to know the indications of a person who has a high blood pressure.

b. the family was able to know some herbal medicines that can lower the

healthy lifestyle.

blood pressure and they were able to know the importance of medical check up.

FAMILY COPING CHECKLIST

1 – Poor 3 – Average 5 – Very Satisfactory

2 – Fair 4 – Satisfactory

COPING AREAS 1 2 3 4 5 EXPLANATIONS

1. Physical Independence They take a bath everyday and they are well-

groomed. No disabilities present in the family.

2. Therapeutic Independence They knew the treatment of some illnesses like

cough and fever but they do not know the

principles behind it.

3. Knowledge of Health Condition They knew their current illness .Went to the

doctor for medical checkup but did not follow

the prescriptions.

4.Principles of personal Hygiene They took a bath everyday and somehow are

properly groomed.

5.Attitude toward Health Care They used herbal medicines to treat some

illnesses like fever, cough and abdominal

cramps.

6. Emotional Competence They are open to each other.

7. Family Living Patterns and

Lifestyle.

They shared time together. And decisions are

being discussed by the family members.

8. Attitude Toward Environment. House needs repair and environment should be

cleaned to avoid illnesses.

9. Availability of Community

Health Resources.

They knew that they have a basketball court

and a health center but they rarely use it.

10. Socio-economic Conditions Money income= below 200/week.

11.Geographical and

Environmental Conditions

River is near to their residence and floods are

normal for them.

12. Family Structure and Support

System.

Family system was implemented and support

system was good because the parents provide

adequate love and food to the family.

SCALE FOR RANKING HEALTH CONDITIONS AND PROBLEMS ACCORDING TO

PRIORITIES

1. Poor environmental sanitation, improper disposal of garbage and poor

drainage system

Criteria Computations Actual score Justification

1.Nature of the

Problem

2/3 x 1 0.66 It is a health threat

to the family that

can be a cause of

diseases.

2.Modifiability of the

Problem.

2/2 x 2 2 The resources and

interventions

needed to solve the

problem are

available to the

family

3.Preventive

Potential.

3/3 x 1 1 Susceptibility to

diseases can be

prevented if the

nursing intervention

will be given.

4. Salience of the

Problem

1/2 x 1 0.5 The family does not

recognize the

problem.

Total Score 4.16

2. Presence of accident hazards


1.Nature of the

Problem

2/3 x 1 0.66 It is a health threat.

2. Modifiability of

the Problem.

2/2 x 2 2 The resources

needed for the

intervention is

present to the family

3.Preventive

Potential.

3/3 x 1 1 The health problem

can be prevented or

reduced with the

health teachings

that will be provided

by the nurse.

4. Salience of the

Problem

0/2 x 1 0 The family do not

recognize the

problem.

Total Score 3.66

3.Hypertension


1.Nature of the

Problem

2/3 x 1 0.66 It is a health threat

to the family. And it

requires immediate

intervention.

2. Modifiability of

the Problem.

1/2 x 2 1 The family does not

have enough

resources to solve

the problem.

3. Preventive

Potential.

3/3 x 1 1 The health problem

can be prevented if

the family will follow

the health teachings

of the nurse as well

as the prescriptions

of the doctor.

4. Salience of the

Problem

0/2 x 1 0 The family do not

see the disease as

a health problem.

Total Score 2.66

PRIORITIZING HEALTH PROBLEMS

Rank Health Problem Score

1 Poor environmental

sanitation, improper

disposal of garbage and

poor drainage system

4.16

2 Presence of accident

hazards

3.66

3 Hypertension 2.66

Reference: Conopio, Flor B.”The Filipino Family Today”. Philippine Publishing House.

Health and Home May- June 1999

Summary:

The article talks all about families, Filipino families to be specific. The professor

in the article was a social scientist who really cares about the Filipino family today. He

cited three major family problems and the most serious one was the physical

separations that were inflicted to the families. These actions were mostly caused by

poverty. Many families were being destroyed because of this and he wished that the

government would take action regarding this problem. The second problem that he cited

was the destruction of the environment, according to him it erodes the bases of

existence of our the future generation. The last problem the he cited was about

malnutrition and undernourishment on account to poverty. He was very disappointed

knowing that the mothers do not breastfeed their children and chose diluted

condensada over breast milk. Although he was not a medical doctor he knows that if the

child does not have the proper nourishment for the first five years of his life, his brain

development will be impaired and that the brain of the children had been ravaged and

yet the government allocate so much for the foreign debt and it cannot allocate even

just a one-half to feed the children.

Reaction:

I deeply agree with the professor. Because of poverty majority of the Filipino

went abroad to find job to support their individual families. And this is one of the causes

of separation which greatly affect the children, and still our present government still do

not have a resolve for this, I believe this is because our country is also experiencing

poverty. Our natural resources are also being destroyed by the countrymen, and despite

the fact that the government is doing its best to preserve Philippine’s natural resources

there are still stubborn and immoral people who chose to destroy it.

Breastfeeding is really best for the babies and even for the children up to two

years of age. The professor stated that it should be five but I think two years is enough.

Children aging five are really quite difficult to handle and mother’s rarely breastfeed

them because the child is already going to school during this age. It is quite a nuisance

for both the parent and the child. Proper nutrition though completes the child’s

nourishment and growth. But I agree with him about some babies whose mataba, for

me a child who is mataba doesn’t really mean that the child is really healthy because

there are many babies that the physical aspect is good but was really ill inside. For me

physical appearance is not a basis for being healthy, except for those children whom

you can really see its malnutrition. And I also agree about the professors fear of

breeding a generation of immoral and imbeciles because in the present year, although

not all of us are immoral but majority of the people are being influenced by the bad

features of the technology thus making them immoral and imbeciles.

Documents

Family Nursing Care Plan