Lizlee solis durana bsn2confidence

My FamilyMy Community

Family Picture ♥

MY FAMILY ♥

For seventeen years, I have grown up into a dual-income type of a family with my mom working as an elementary teacher, and my dad as a business man. I have four siblings, and I am the eldest of them all. My younger sister is a freshman student in the college of nursing at the same school as mine; my two brothers are studying as well: the older one is a senior student at Capiz National High School and the other one is at his 5th grade in elementary; and my youngest sister is a five year old pre-schooler.

For me, it has been difficult to live in a house with seven members because I have to share a room with my sister, I even have to share parts of the food with my siblings, we keep on fighting over which TV program to watch, I need to fall in a long line before finally using the bathroom, and we always keep having a lot of quarrels and fights. But despite all these, I actually realized that I am still lucky to have them. I learned that the bright side out of having a big family is that my household chores seems to be lighter, I have someone to talk to if I have problems and I have someone to share my happiness with, and I’ll never get lonely inside the house.

One thing noticeable to my family is the very close relationship we have to each other. Even though our parents are always being, they never cease to show affection and love to us as best as they can, which made our family ties strong. We even get to joke around in some circumstances, that we even treat them as our friends that we could share our laughters and tears with.

Our parents never lack to give us our daily needs. To them, our safety and comfort is a priority. They gave us good education from a prestigious school; they sustain our daily needs, and gave us a warm and secure home to come back to at the end of the day.

Even though problems arose, we never gave up. But instead, we cope out of it with full determination, bravery and patience. I guess those are the important things I inherit from my family – the determination to strive for what I want, the patience to wait for the blessings to come back and bravery to face dilemmas, headstrong.

MY COMMUNITY

Brgy. Bolo, Roxas City. It is a big town classified as an urban area because of its vast number of population and its many sitios located through out the baranggay, and is a part of the Roxas City proper. Though is has many mountainous areas and woods, it actually has some commercial buildings located near the highway: like the National Food Authority compound, the Toyota Sales Building and the Pepsi Cola Sales Office. Some areas are also subject for development and utilization.

Cows and Carabaos are also abundant to our place, which can be found staying on vacant lots and by the riverside. It has many residents, which particularly live along the roadside. Rice is one of the main products of our baranggay together with “kamote”, “kamoteng Kahoy”, mangoes coconut products and other vegetables.

You can reach our baranggay by riding a jeepney routed to Lonoy or Bolo. It is a 30 minute drive going straight ahead. Along the way, you can pass by the Medalla Milagrosa Church of Lawa-an – it is a small, blue church located near the highway. A few meters away from Medalla Milagrosa church is the St. Ignatius Valley where you can find a huge convent hidden inside the woods. It sits on the hills of St. Ignatius Valley where its roof can be seen peeping out from the large trees of the woods. About 150 meters away is the big Iglesia ni Kristo just infront of the highway

Member of Household

Relationship Age Sex Civil Status

Place of Residence

Occupation Physical Assessment

Ht Wt Vital Signs

Alberto Durana Sr. Father 46 Male Married Bolo, Roxas City Businessman 5’6 54 T: 36.9 C;PR: 78; RR: 17; BP: 140/90

Alicia Durana Mother 42 Female Married Bolo, Roxas City Teacher 5’3 56 T: 37.1 C; PR: 82; RR: 20; BP: 130/90

Liz Sheena Durana Sister 16 Female Single Bolo, Roxas City None 5’4 45 T: 36.8 C; PR: 72; RR: 19; BP: 90/60

Alden Durana Brother 15 Male Single Bolo, Roxas City None 5’5 46 T: 37.2 C; PR: 84; RR: 18; BP: 110/70

Alberto Durana Jr. Brother 11 Male Single Bolo, Roxas City None 5’0 43 T: 36.7 C; PR: 69; RR: 16; BP: 100/60

Queenie Durana Sister 6 Female Single Bolo, Roxas City None 3’0 35 T: 36.8 C; PR: 98; RR: 21; BP: 100/60

My father, Alberto D. Durana Sr as the walls and the roof, which serves to protect the whole house, just like how our father protects us, and he makes sure that we are away from any harm and danger. He also protects us from factors that could affect our lives in the future like bad habits and vices by disciplining us well, just like how the roof protects the house from the storm. The walls also serve as the skeleton of the whole house; without the walls, the house will not stand on its own – just like how our family needed a father. Without a father, problems will occur especially in terms of money for he is the one responsible for giving us financial assistance for our everyday needs. Without the walls, our family will not stand in place.

Alicia S. Durana, My mother serves as the window of the house. She showed us how difficult and unfair life is. She gives us wisdom and knowledge to face every difficulties in life by sharing us the light that she has, just like how the window gives light to the inside of the house with its luminous presence whenever the house feels dark – like how she gave us advices when we are dealing with problems and sorrows. The window also provides warmth; like how our mother gives us his warm care that she never ceases to give us: like taking care for us when we are sick, cooking our breakfast everyday, and helping us out whenever we are too busy on our school works. Without the window, the whole house would be in total darkness.

The five of us, Me, Liz Sheena Durana, Alden Durana, Alberto Durana Jr., and Queenie Durana are the rooms inside the house which the window gives light and warmth to, and whom the roof and walls protect. I, as the elder sister, is the living room which is the first room whom the visitors enter inside the house. It is comparable to me because I am an open-minded and friendly person. I am open to be friends with everyone who are also interested to be friends with me, just like how the living room welcomes its guests.

Sheena, is the bedroom of the house because she is very up-tight and mysterious. She is not open to her problems and doubts and would often spend most of his time inside her room meditating on anything. She is also possessive and secretive, just like how the room contains many private things around the house. She also likes to sleep and relax around, just as how the bedroom serves as a resting place for us.

Alden, is the kitchen of the house because he often do the house works. The kitchen is the place for working, which resembles how hardworking this brother of mine is. He is often times messy and sweaty which is comparable to the presence of the kitchen. Alberto a.k.a. JR, resembles the dinning room because he is often times hungry and lazy. Simple things brings up his contentment that is also comparable to the simplicity of our dinning room. He is also shallow just as how shallow and small our dinning room is – which only consists of the family table, chairs and some frames s.

Queenie, the youngest is the balcony because she is always the main attraction of the house. She is very and innocent, that’s why many people like to greet and play with her just as how our guests like to stay at the balcony. Our balcony is our favorite place in the house because it is cool and relaxing at the same time: In comparison to Queenie, she is always keeps us in calm whenever we are angry. She always sees to it that we are not lonely or gloomy, which is why she is my favorite member of the family.

Florendo Durana Florentina Durana Alfonso Solis Remedios SolisGeneration 1

Generation 2

Alberto Durana Sr. Alicia Solis

Generation 3 Lizlee Durana Liz Sheena Durana Alden Durana Alberto Durana Jr. Queenie Durana

Alberto Durnaa Sr.Alicia DuranaLizlee Durana

Liz Sheena DuranaAlden Durana

Alberto Durana Jr.Queenie Durana

Florendo and Florentina (Alberto’s Parents) – live in

Maayon, Capiz together with Nena (Alberto’s Older sister)

Paul (Alberto’s Oldest Brother) – live in Maayon, Capiz

Francisco (Alberto’s Older Brother) – live in

Maayon, Capiz

Reynaldo (Alberto’s Older Broher) – live in

Maayon, Capiz

Belen (Alberto’s Older Sister) – lives in Pilar,

Capiz

Takya (Alberto’s Older Sister) – lives in

Lawa-an, Roxas City

Alfonso and Remedios (Alicia’s Parents) – live in Bolo, Roxas City together

with Karen (Alicia’s youngest sister)

Angie (Alicia’s Oldest sister) –

works in Singapore

Wilfredo (Alicia’s Older Brother) lives in

Bolo, Roxas City

Ronald (Alicia’s Younger brother) – lives in Bolo, Roxas

Milagros (Alicia’s Youger sister) – lives in Banica, Roxas City

Component Score Justification

Adaptation 2Whenever a certain member of the family is having a problem, every one of us is trying to help out to solve that certain problem. We gain assistance from friends and agencies like the PhilHealth or GSIS whenever we are in crisis.

Partnership 1Sharing of decisions is seldom practiced by our family. We often communicate through text messages or phone calls, and we talk over things every dinner time.

Growth 1 A few things changed in our family during the past few years; whether it is a physical, emotional, or intellectual change. But, each member whole-heartedly accepted the little changes in every aspect of our lives. Our parents helped us in developing our independent lives, but we still are dependent to them in some aspects especially if we are in trouble.

Affection 2Our family shows an affectionate relationship most of the time. We share our emotions to every member of the family whether it be love, sorrow, hatred or joy.

Resolve 1We often share our time to the family at the end of the day because every one of us are busy at work or at school. But, we made sure that we have enough time to each and every one of us to share our feelings, thoughts or troubles.

Family: Durana Family Date: Aug. 22, 2010

Address: Bolo, Roxas City

Family Coping Areas Point Scales Assessed Problems

Justification Statement

Physical Independence 1 2 3 4 5 no problemEvery member of the household are physically independent.

Therapeutic Competence 1 2 3 4 5 no problemThere are therapeutic competence in each member of the family

Knowledge of Health Condition

1 2 3 4 5 moderate competence

Some member are unaware of their health condition because they do not give full attention to their health

Application of Principles of General Hygiene

1 2 3 4 5 moderate competence

Some members do not practice proper personal hygiene especially the male members because they are too busy to their personal businesses.

Health Attitudes 1 2 3 4 5 moderate competence

Members would only seek health if they acquire symptoms that are relatively severe to them

Emotional Competence 1 2 3 4 5 no problem

Each member would share their emotion every time they need guidance and advices, and they are not afraid nor ashamed of sharing their to thoughts to every member of the family.

Family – Living 1 2 3 4 5 moderate competence

There are instances that a member of a family had a disagreement or misunderstanding with another member of the family

Physical Environment 1 2 3 4 5 moderate competence

Physical environment has inadequate sanitation due to lack of time for cleaning up.

Use of Community Resources

1 2 3 4 5 no problemFamily has full use of the community resources or organizations to help them in financial or health care assistance

Comments:

Nurse’s Signature:

1. Presence of Breeding Sites of Vectors of Diseases

Criteria for Setting Priorities

Nature of the Problem 2 / 3 x 1 0.60

Modifiability of the Problem 2 / 2 x 2 2

Preventive Potential 3 /3 x 1 1

Salience 2 / 2 x 1 1

Total = 4.60

2. Lack of application to general hygiene as health threat




Preventive Potential 3 /3 x 1 1


Total = 3.60

3. Hypertension as health deficit




Preventive Potential 2 / 3 x 1 0.60


Total = 2.93

Family Problem Family Nursing Problems

Goal of Care Objectives of Care

Intervention Measures

Method of Nurse-Family

Contact

Resources Evaluation

Presence of Breeding Sites of

Vectors of Diseases as health threat

Inability to provide a home environment conducive to health maintenance and personal development due to: 1. Ignorance of the importance of hygiene and sanitation2. Lack of knowledge of regarding preventive measures

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.

After nursing intervention the family will:

a. be aware and be more knowledgeable about the importance of proper sanitation especially at home;

b. be able to eliminate the presence of these breeding sites of vectors

c. recognize the causes of breeding sites such as to prevent the occurence of diseases.

1. Discuss the importance and purposes of proper sanitation

2. Cite the causes and effects of the prevalence of these unwanted pests around the home.

3. Suggest alternatives/methods that would eliminate the breeding sites of vectors

4. Explore with the family the ways of improving home sanitation considering its limited resources:

Home Visit Time and effort on the part of the nurse and family

Presence of Breeding Sites of Vectors of

Diseases

a. emphasize to the family the proper storage of food that may attract vectors

b. instruct all family members to prevent accumulation of stagnant water around their home since this is a good breeding place for insects.




Method of Nurse-Family Contact


Lack of application to general hygiene as health threat

1. Inability to provide a home environment which is conducive to health maintenance and personal development due to inadequate knowledge of importance of hygiene and sanitation.

2. Lack of initiative.

3. Lack of skill in carrying out measures to improve home environment

4. negative attitude which is not conducive to health maintenance and personal development

After 1 day of health teaching, family will be able to apply general hygiene to self independently.

After 1 day of nursing interventions, family will be able to:

1. Acknowledge the importance of general hygiene and sanitation to health.

2. Perform proper personal hygiene such as proper hand washing and flushing.

1. Provide health teachings that would enlighten the family regarding the essence of general hygiene and sanitation.

2. Demonstrate proper methods of personal hygiene accurately.

3. Evaluate their understanding of the health teachings provided in order to determine effectiveness of nursing intervention.

Home-visit Time and effort of the nurse and the family

After 1 day of nursing intervention, family will be able to acquire knowledge and skills in performing proper general hygiene and sanitation.




Method of Nurse-Family Contact


Hypertension as health

deficit

Inability to make decisions with respect to taking appropriate health actions due to: 1. Failure to comprehend the nature/magnitude of the problem. 2. Lack of adequate knowledge as to alternative courses of action open to them.

After 2 days of nursing intervention the family will take the necessary measures to properly manage, control and lessen the factors of hypertension.

After 2 days of nursing intervention the family will:

a. have adequate knowledge about proper nutrition that will help reduce hypertension and prevent to occurence of relative complications in the future.

1. Discuss the nature, signs, symptoms and complications that might arise due to hypertension.

2. Promote a healthy lifestyle such as: a. encouraging proper food intake like reduced salt and fatty foods. b. Prevent obesity through good nutrition and exercise. c. Smoking cessation- tobacco or nicotine promotes

Home Visit - Time and effort on the part of the nurse and family

After 2 days of nursing intervention, family will be able to take necessary measures to properly manage, control and lessen the factors of hypertension.

b. be able to determine the risk factors that contribute to hypertension c. practice proper lifestyle with regards to nutrition and physical fitness.

atherosclerosis that may contribute to hypertension both passive and active smoker

3. Discuss with the family the risk factors of hypertension such as family history, age, salt and alcohol intake and obesity.4. Encourage check-ups and provide referral with a medical practitioner to lessen hypertension and modify risk-factors.

THE COMMUNITY

About 5 kms from the City is a town called Bolo. A community surrounded by mountainous areas and rise fields. It is a quiet and peaceful place, good for rest and relaxation since it is away from the city. The cold breeze of the wind coming from the east can be felt anywhere, and is very relaxing especially during siesta time. There are lots of trees and rivers around our area, which is a good place to sit and relax and some children would even pick on some fruits from the trees especially during summer where mango trees began to spring delicious mangoes. In other sitios, like Nasagud and Pinaypayan, where woods are usually found occupying the most number of areas.You can see vendors roaming around our community selling vegetables usually every afternoon.

People are amiable and have a good interaction with their neighbors and even with strangers. They communicate with people through personal interaction, letter, phone call, or even via text messages. People are often times seen roaming around the neighborhood every afternoon. The Brgy Hall, which is open every morning, is always open for everyone regarding their complaints and concerns to the baranggay with the Brgy Captain entertaining every member of the society with justice and respect.

Montano Ibanez Brgy. Captain

Jonalyn ReveraBrgy. Secretary

Siolly AndradeHealth and Sanitation

Dennis RendonInfrastructure

Rolando LabtoPeace and Order

Noela OducadoEducation

Rogelio ArceWays and Means

Rolando ClavatonAgriculture

Nore ColmoSports

Gemery ArtatesSK Chairman

Marina VillanuevaBHW President

Cezar AlcaydeBrgy. Treasurer

Pedro EsquilloChief Tanod

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