67164746 family-care-study-c5

I. INTRODUCTION

The family is the basic unit of a society. As a universal social institution, it may be defined according to Burgess, as a group of persons united by ties of marriage, blood or adoption; constituting a single household unit, interacting and communicating with each other in their respective social rules of husband and wife, mother and father, son and daughter, and creating and maintaining a common culture. Based on his definition, the nature of family will be affected by several modifications foremost of which is the socio-cultural factor. The family will inevitably be affected by the changes that occur within the society of which it is a part. Society is never static. It is constantly changing. Changes that may occur will be reflected in family life. Considering the impact of the family in molding the personality of its members, one cannot overemphasize the importance of knowing the interrelationship of family and socio-cultural forces.

A family may also be two or more people who live in the same household (usually), share a common emotional bond, and perform certain interrelated tasks. Spradley (1990, p. 100). The second definition is more favorable for healthcare providers because it gives emphasis on the fact that there are different types of families. Many types of families exist, and a family will change over time as it is affected by birth, work, death, divorce and growth of each family member.

A family represents a certain group in a community, and as a group, each member must have a certain role to play or complete a certain task. Majority of the roles people view as appropriate are the roles they see their parents fulfill.

Each generation takes on the values and traditions of the past generation, handing down tradition and culture from one generation to the next.

Some of the main tasks that essentially should be carried down or passed on from one family to the next are basically norms in society pertaining to family, which are: A family must provide food, shelter, clothing and health care for its members; prepare children to live in the community and interact with people outside the family; determine which family needs will be met and their order of priority; open an effective means of communication between family members, establish family values and enforce common regulations for all members; apply division of labor; place members of the family into different sectors of society such as school, religious affiliations, or political groups; and maintain motivation and morale. The stability of the family is a delicate thing made up of the interplay and exchange between members. Crisis occur when change in role is necessary and the emotional balance within the family is disturbed. Illness of an individual member often creates a difficult change in role and a crisis occurs. As with the individual, the stage of development of which illness is interjected affects the nature and severity of the crisis of the family.

The family as a group has the dual task of attaining its goals and meeting the needs of its individual members. Within the constraints of its social roles, each family develops its own set of values, its own patterns of behavior, or no communication between husband and wife and between parents and children are among the tasks.

By fulfilling these tasks through the developmental stages, each family member must work with every other member and play his designated role.

Through positive means, in effect the family structure will be healthy resulting in each members successful growth and development.

As a requirement of NCM501104, we the students were required to conduct a family care study in Zone 2, Brgy. Canitoan, Cagayan de Oro City. In relation to this, we have chosen the Yamit Family for our family care study for they poses the criteria for the need of family care. Thus, education on health and health teachings regarding possible diseases at risk was emphasized.

A. OBJECTIVEAt the end of two (2) weeks of Community Health Exposure at Zone 2, Barangay Canitoan, we would be able to:

Gather informations needed in formulating the family care plan

Obtain the vital signs and conduct physical assessment for each member of the family for our reference and for future purposes.

Analyze the data gathered during the assessment to understand further their health condition Determine the health condition and problems of the family Help the family in finding ways and solutions in treating their current health problem Identify environment problems if there is any.

B. Scope and Limitation of the Study

This Family Health Care Study provides information and additional

Knowledge to the family concerned. By this, we are focusing only on the Yamit Family, on its health problems, on Most importantly the prevention of illnesses, and health and also they will be thoroughly assessed and monitored on its health condition.

II. SPOT MAP

DISTRICT 2, ISLA, CANITOAN, CAGAYAN DE ORO CIT

III. FAMILY PROFILE

HEAD OF THE FAMILYName:

Trinido Yamit

Age:

38 yrs. old

B-day:

May 28, 1973Sex:

male

Nationality: Filipino

Address:District 2, Isla Canitoan, Cagayan De Oro CityReligion:Roman Catholic

Occupation:Hollow Block MakerIncome:P5000 / monthEducational Attainment: Elementary LevelPositioning in the family:Father

Drinking:Beer and Tanduay OccasionallyAllergies:No Allergies

Hereditary of family conditions:No hereditary of family conditions

Food included in diet:Fish, Pork, Beef, Vegetables and fruits.

Baseline Data: Blood pressure:

Pulse rate:

no oppurtunityRespiratory rate:Temperature:

Height:

Weight:

Name:

Myerna YamitAge:

32 yrs. old

B-day:

February 1, 1979

Sex:

female

Nationality:Filipino

Address: District 2, Isla Canitoan, Cagayan De Oro CityReligion:Roman Catholic

Occupation:Housewife/ ManicuristaIncome:P 2000Educational Attainment:High School levelPositioning in the family:Mother

Drinking:water, milk, and softdrinks

Allergies:None

Hereditary of family conditions:No hereditary of family conditions

Food included in diet:fish, pork, beef, vegetables and fruits.

Baseline Data:

Blood pressure:120/80 mmHg

Pulse rate:

65 bpm

Respiratory rate:22 cpm

Temperature:

36.2 C

Height:

5'2

Weight:

110 lbs.

Name:

Benjie YamitAge:

16 yrs. old

B-day:

September 17, 1995Sex:

MaleNationality:Filipino


Occupation:NONE / Student

Income:NONE

Educational Attainment:High SchoolPositioning in the family:Eldest SonDrinking:water, milk and soft drinks

Allergies:NONE

Hereditary of family conditions: No hereditary family conditions

Food included in diet:Fish, pork, beef, vegetables and fruits

Baseline Data:

Blood pressure:

Pulse rate:

no opportunity Respiratory rate:

Temperature:

Height:

Weight:

Name:

Sheila Mae YamitAge:

11 yrs old

B-day:

April 25, 2000Sex:

Female



Occupation:NONE

Income:NONE

Educational Attainment:Grade 6 Positioning in the family:Middle child

Drinking:water, milk and soft dinks

Allergies:NONE

Hereditary of family conditions:No hereditary family conditions

Food included in diet:Fish, beef, pork, vegetables and fruits

Baseline Data:

Blood pressure:

Pulse rate:

Respiratory rate: no opportunity Temperature:

Height:

Weight:

Name:

Esteven YamitAge:

3 years oldB-day:

November 6, 2011

Sex:

Male


Address:Zone-1 Macahambos Burgos, Brgy. Consolacion

Religion:Roman Catholic

Occupation:NONE

Income:NONE

Educational Attainment:Not yet

Positioning in the family:Youngest child

Drinking:breastfeeding

Allergies:None

Hereditary of family conditions:No hereditary family condition

Food included in diet:Breastfeeding

Baseline Data:

Blood pressure:refuse

Pulse rate:

134 bpm

Respiratory rate:50 cpm

Temperature:

37 C

Height:

61 cm

Weight:

13 kgsIV. HEALTH HISTORY

During our interview to them, they said that they dont have any underlying problems. In the case of the Yamit Family, they are not predisposed to any illness in both sides

Mr. Trinido Yamit is 35 years of age, and is presently residing now in District 2, Isla ,Canitoan, CDO. He had 3 children with the age of 16, 11, and 3 years of age. He works as a Hollow Block Maker. No known food and drug allergy. No hospital record for him so far.

Mrs. Myerna Yamit is 32 years of age, she married Mr. Trinido. She is a plain housewife and she also works as a part time manicurista and she also stays most of the time at home. She said that she is not predisposed to any illnesses. She has not been hospitalized due to any illnesses/ diseases but she is had undergone check up at X for prenatal.Mr. Benjie Yamit is 16 years of age, he was the eldest child of Mr. and Mrs. Yamit, he was delivered normally. And also no hospital record for him so far.

Ms. Sheila Mae Yamit 11 years of age, she was is also delivered normally, and same as his brother, no hospital record for her so far.

Mr. Esteven Yamit 3 years of age, he was is also delivered normally, and no hospital record for him so far. He completed all the

IMMUNIZATION:

NAMEBENJIESHEILA MAEESTEVEN

BCGFINISHEDFINISHEDFINISHED

HEP-B1FINISHEDFINISHEDFINISHED



DPT1FINISHEDFINISHEDFINISHED



OPV1FINISHEDFINISHEDFINISHED



MEASLESFINISHEDFINISHEDFINISHED

For the immunization of the children, They have already completed their immunization..

The family is aware on the immunization schedule which actively being followed up and met the appropriate age of their child for compliance and prevention of unprecedented illnesses such as polio, measles, diphtheria, hepatitis and others. It is also emphasized that the mother will give immediate attention to her children health.

FAMILY PLANNING

On the extent of family planning and contraceptive, pills is utilized within the family. The family verbalized their awareness regarding family planning.SMOKING

In the family , they dont know how to smoke and uses it. ALLERGY

They dont have any allergies experienced.

HEREDOFAMILIAL CONDITIONS

They dont have any heredo familial conditions in every sides of their family. They just experience common illnesses as of now, like cough, colds and fever.

V. PRESENT HEALTH STATUSNURSING SYSTEM REVIEW CHART

Name: Myerna Yamit

Date: September 12, 2011Vital signs:

Pulse: 65 bpm BP: 120/80 mmHg Temp: 36.2 C Height: 52 ft Weight:. 110 lbs.

INSTRUCTIONS: Place an (x) in the area of abnormality. Write comment on the space. Indicated the location of the problem in the figure using (x).

EENT:

[ ] impaired vision [ ] blind

[ ] pain reddened [ ] drainage

[ ] gums[ ] hard of hearing [ ]deaf

[ ] assess eyes, ears, nose

[ ] throat for abnormality [x] no problem

RESPIRATION

[ ] asymmetric [ ] tachypnea [ ] barrel chest dry and warm

[ ] apnea[ ] rales[ ] cough

[ ] bradypnea[ ] shallow[ ] rhonchi

[ ] sputum[ ] diminished[ ] dysypnea

[ ] orthopnea[ ] labored[ ] wheezing

[ ] pain

[ ] cyanotic

[ ] assess resp. rate, rhythm, depth, pattern

[x] breath sound, comfort or no problem

GASTROINTESTINAL TRACT

[ ] obese[ ] distention[ ] mass

[ ] dysphagia[ ] rigidly[ ] pain

[ ] assess abdomen, bowel habits, swallowing

[x] bowel sounds, comfort o no problem

GENITO-URINARY AND GYNE

[ ] pain

[ ] urine color[ ] vaginal bleeding dry hair not yet

[ ] hermaturia[ ] discharge[ ]noctoria taken a bath

[ ] assess urine freq., color, odor, comfort

[ ] gyn-bleeding [ ] discharge[x] no problem

NEURO dry and warm

[ ]paralysis[ ] stuporous[ ] unsteady [ ] seizures

[ ] lethartic[ ] comatose[ ] vertigo [ ] tremors

[ ] confused[ ] vision[ ] grip

[ ] assess motor function, sensation, LOC, strength,

[ ] grip, galt, coordination, speech, [x] no problem

MUSCULOSKELETAL

[ ] appliance[ ] stiffness[ ]itching[ ] petechiae

[ ] hot

[ ] drainage[ ]prosthesis[ ] swelling

[ ] lesion[ ] poor turgor [ ] cool[ ]deformity

[ ] atrophy[ ]pain

[ ] ecchymosis [ ] diaphoretic o moist

[ ] assess mobility, motion, galt, alignment, joint function

[x] skin color, texture, turgor, integrity o no problem

NURSING ASSESSMENT 2

SUBJECTIVE OBJECTIVE

COMMUNICATION:

[ ] Hearing loss comments: ok raman ako

[ ] Visual changes ng pandungog

[x] Denied

Verbalized by the pt.

[ ] glasses [ ] language

[ ] contract lenses [ ] hearing aide

R L

Pupil size: 3-4 mm [ ] speech difficulties

Reaction pupils equally rounded reaction to lights accommodation.

OXYGENATION

[ ] dyspnea comments: ok raman

[ ] smokling history akong gininhawaan

none verbalized by the patient.

[ ] cough

[ ] sputum

[x] denied Resp. [x] regular [ ] irregular

Describe: respiratory rate is with in normal range and limit.

R: right symmetric to the left

L: left symmetric to the right

CIRCULATION:

[ ] chest pain comments: wala man

[ ] leg pain gasakita akong paa

[ ] numbness of verbalized by

Extremeties the patient.

[x] denied

Heart rhythm [x] regular [ ] iiregular

Ankle edema :

Carotid radial dorsal pedis femoral

R: + + + +

L: + + + +

Comments: all pulse are palpable.

NUTRIRION:

Diet

[ ] N [ ] V comments: maayo man

Characteristic pod ko magkaona, basta

[ ] recent appetite in lang naa mi makaon

Weight, appetite verbalized by the patient.

[ ] swallowing

Difficulty

[x] denied[ ] dentures [x] none

Full partial with patient

Upper [x] [ ] [ ]

Lower [ ] [x] [ ]

ELIMINATION:

Usual bowel pattern [ ] urine frequency

Every morning

[ ] constipation [ ] urgency

Remedies [ ] dysuria

NONE [ ] hematuria

Date of last BM [ ] incontinence

none [ ] polyuria

[ ] diarrhea [ ] foly in place

Character [x] denied

SUBJECTIVE Comments Bowel sounds

Bowel sounds normoactive

Presence With Abdominal Distention

in normal limit Present [ ] yes [x] no

Urine ( color, consistency

Odor) yellow.

Moderate and aromatic

* if foley bag catheter is

In place

OBJECTIVE

MGT. OF HEALTH & ILLNESS:

[ ] Alcohol [x] denied

( amount, frequency)

dili man ko gainumverbalized by the patient

[ ] SBE last Pap Smear:did not have pap smear

LMP: forgottenBriefly describe the patients ability to follow treatments ( diet, meds, etc.) for chronic health problems.( if present)

Do not have any chronic health problems.

SKIN INTEGRITY:

[x] dry comments: dry lang ako

[ ] itching paminaw sa ko panit kay

[ ] other ilabe na wala pa ko naligo

[ ] denied verbalized by the patient.

[x] dry [ ] cold [ ] pale

[ ] flushed [x] warm

[ ] moist [ ] cyanotic

rashes, ulcers, decubitis( describe size, locartion, drainage) No rashes, ucers, decubitis present.

ACTIVITY/ SAFETY:

[ ] convulsion comments: makalihok

[ ] dizziness lihok man ko sa mga

[ ] limited motion buluhaton sa balay dili

Of joins man ko mag lisud.

[ ] ambulate verbalized by the patient.

[ ] bathe self

[ ] other

[x] denied[ ] LOC and orientation: patient is conscious and oriented to live, space, person, and participates when asked.

[ ] gait [x] walker [ ] care [ ] other

[ ] steady [ ] unsteady

Sensory and motor losses in face or extremities

No sensory and motor losses in face or extremeties

[ ] ROM limitations: she has no problem regarding ROM

COMFORT/ SLEEP/ AWAKE:

[ ] pain comments: makatulog

( location) frequency man ko ug tarung

Remedies verbalized by the pt.

[ ] nocturia

[ ] sleep difficulties

[x] denied

[ ] facial grimaces

[ ] guarding

[ ] other signs of pain:

No other signs of pain observed.

[ ] side rail release form signed (60 + years)

Not applicable.

COPING:

Occupation:housewife

Members of households:5

Most supportive person: Trinido Yamit Observed non- verbal behavior:

Smiling to us as we go on to our interview.

Person ( phone number): Dont have any mobile or phone no.

NURSING SYSTEM REVIEW CHART

Name:

Date: September 12, 2011Vital signs:

Pulse: 134 bpm BP: refused Temp:36C Height:61 cm Weight: 13 kgINSTRUCTIONS: Place an (x) in the area of abnormality. Write comment on the space. Indicated the location of the problem in the figure using (x).

EENT:

[ ] impaired vision [ ] blind

[ ] pain reddened [ ] drainage

[ ] gums [ ] hard of hearing [ ]deaf

[ ] throat for abnormality [X] no problem

RESPIRATION

c dry skin[ ] asymmetric [ ] tachypnea [ ] barrel chest

[ ] apnea[ ] rales[x] cough

[ ] bradypnea[ ] shallow[ ] rhonch warm

[ ] sputum[ ] diminished[ ] dyspnea

[ ] orthopnea[ ] labored[ ] wheezing

[ ] pain

[ ] cyanotic

[ ] assess resp. rate, rhythm, depth, pattern

[ ] breath sound, comfort or no problem

GASTROINTESTINAL TRACT

[ ] obese[ ] distention[ ] mass

[ ] dysphagia[ ] rigidly[ ] pain

[ ] assess abdomen, bowel habits, swallowing

[X] bowel sounds, comfort o no problem

GENITO-URINARY AND GYNE

[ ] pain

[ ] urine color[ ] vaginal bleeding

[ ] hematuria[ ] discharge[ ]nocturia

[ ] assess urine freq., color, odor, comfort

[ ] gyn-bleeding [ ] discharge[X] no problem

NEURO

[ ]paralysis[ ] stuporous[ ] unsteady [ ] seizures

[ ] lethartic[ ] comatose[ ] vertigo [ ] tremors

[ ] confused[ ] vision[ ] grip

[ ] assess motor function, sensation, LOC, strength,

[ ] grip, galt, coordination, speech, [X] no problem

MUSCULOSKELETAL

[ ] appliance[ ] stiffness[ ]itching[ ] petechiae

[ ] hot

[ ] drainage[ ]prosthesis[ ] swelling

[ ] lesion[ ] poor turgor [ ] cool[ ]deformity

[ ] atrophy[ ]pain

[ ] ecchymosis [ ] diaphoretic o moist

[ ] assess mobility, motion, gait, alignment, joint function

[x] skin color, texture, turgor, integrity o no problem

VI. NURSING CARE PLAN Name of Patient: Myerna YamitCUESNURSING DXOBJECTIVESINTERVENTIONSRATIONALEEVALUATION

S>

dry lang ako

paminaw sa ko panit kay wala pa pud ko naligoas verbalized by the pt.O> the pt. manifested

the ff.

Dry skin

Observed

scratching

Risk for Impaired skin

integrity r/t dry skin

After 1 hour of nursing intervention, The client and the

SO shall have

verbalized

understanding of

individual factors

that contribute to

possibility of skin

integrity impairment

and takes steps to

correct the situation.>Establish rapport

>Monitor VS.

>Note age and sex

>Assess mood, abilities, and personal styles.

>Provide health

teachings regarding the

importance of

maintaining an intact and moist skin.

>Teach the pt. to give

the client a balance, and

nutritious food especially

foods rich in Iron and

vitamin C>To gain the client

>To obtain data for

comparison.

>to evaluate

degree/source of risk

inherent in the

individual situation.

>to evaluate pt.s

attitude which may

contribute to skin

breakdown.

>To increase the ptknowledge thus,

prevention of skin

breakdown is realized

and taken into

consideration by the

pt.> To improve clientsThe client shall have

verbalized

understanding of

individual factors

that contribute to

possibility of skin


and takes steps to

correct the

situation.

SUBJECTIVE

Self-care deficits related to decrease self-motivation.

At the end of 30 minutes, patient will be able to motivate self and improve personal hygiene.

>Assist patient in bathing, combing and doing mouth care.>Encourage patient to do self-care activities in daily living.

>Support client in making health-related decisions and pursuit of self-care practices that promote health>

>For proper grooming. To enhance patients hygiene.

>To improved patients hygiene.

>to foster self-esteem and support positive self-concept.

After 30 minutes, patient was able to improved hygiene as evidenced by patient was able to take a bath and performed self -care activities.

Name of Patient: Esteven YamitRisk for infection related to weak immune system secondary to malnutritionAt the end of 2 visits, patient will be able to free from infection>Encourage to have proper hygiene.

>Encourage patients mother to cut the nails of the patient.

>Clean the sleepers and other things used by the children.

>Vitamins supplement

>Encourage patients mother to be aware of the DOH Program which is deworming

>To improve patients grooming/hygiene.

>Microorganism could lodge into the nails, which can cause infection.

>To prevent accumulation of microorganism.

>To boost immune system.

>To remove parasites in the body.After 2 visits, patient was able to be free from any infections.

Name of Patient: Esteven YamitS>

wla pa na siya maligo mao cguro gapangatol

as verbalized by the mother of the pt.

O> the pt. manifested

the ff.

Dry skin

Observed

scratching

Risk for Impaired skin

integrity r/t dry skinAfter 1 hr of nursing intervention, The client and the

SO shall have

verbalized

understanding of

individual factors

that contribute to

possibility of skin


and takes steps to

correct the situation.>Establish rapport

>Monitor VS.

>Note age and sex

>Assess mood, abilities, and personal styles.

>Provide health

teachings regarding the

importance of

maintaining an intact and moist skin.

>Teach the pt. to give

the client a balance, and

nutritious food especially

foods rich in Iron and

vitamin C>To gain the client

>To obtain data for

comparison.

>to evaluate

degree/source of risk

inherent in the

individual situation.

>to evaluate pt.s

attitude which may

contribute to skin

breakdown.

>To increase the pt

knowledge thus,

prevention of skin

breakdown is realized

and taken into

consideration by the

pt.

> To improve clientsThe client shall have

verbalized

understanding of

individual factors

that contribute to

possibility of skin


and takes steps to

correct the

situation.

Child

Children of Mr. & Mrs Yamit was not present during the interview except to their youngest child Esteven

VII: LABORATORY RESULTS

VIII. HOME AND ENVIRONMENT

HOME

A. General sanitary condition:

B. Ownership: ( ) owned ( ) rented ( ) rent free

C. construction materials used: ( ) light ( ) mixed ( ) strong

D. numbers of rooms used for sleeping: 2

E. lighting facilities: ( ) electricity ( ) kerosene ( ) others

F. general sanitary condition: unsanitary

WATER SUPPLY

A. Drinking water

Source : ( ) private ( ) public

Distance from the house:

Storage:( ) none, direct from the faucet

( ) container with cover

( ) container without cover

( ) othersKITCHEN:

A. cooking facility: ( ) electric stove ( ) gas stove ( ) firewood/charcoal

DRAINAGE:

drainage facility: ( ) none () open drainage ( ) blind/ close drainage

WASTE DISPOSAL:

A. Garbage disposal

1. Container : ( ) covered ( ) open ( ) none

2. Method of disposal: ( ) opening dumping ( ) open burning

( ) compost pit

B. Toilet

1. type

( ) pit privy

( ) pail system

( ) flush type ( ) antipolo system

( ) water- sealed( ) none

DOMESTIC ANIMALS:

KIND NUMBER PLACE KEPT

COW2Tied at the coconut trees

VIII. Family Coping Index

This indicator is designed to rate the abilities of each members of the household, including the mother, father and the children in their performance inside and outside the house. This is not intended to rate the problems existing within the family, rather, rate the family for their coping capacities and for their actual competencies. Family is not seen as a factor that affects health but a patient that manifesting ability in coping problem.

LEGEND:

[ 5 ] Complete Competence

[ 3 ] Moderate Competence

[ 1 ] No competence

AREARATEJUSTIFICATION

PHYSICAL INDEPENDENCE

ability to move out, get up from bed and perform daily activities.5 All of the members of the family can perform their activities of daily living like fixing their bed as soon as waking up early in the morning. The father provides the basic needs to sustain the needs of the family while the Mother takes care some household chores.

THERAPEUTIC INDEPENDENCE

includes procedure or treatment prescribed knowledge to condition. 3 The family is capable of treating minor kinds of illnesses and health threatening conditions. They have knowledge regarding their health status.

KNOWLEDGE IN HEALTH

includes health condition (concerned with the particular health condition that is the occasion of care) 3 The Mother knows when a member of the household is sick. She knows the signs and symptoms of the common diseases that a family may have.

APPLICATION OF PRINCIPLES

includes of general hygiene, family nutrition and adequate rest and relaxation. 3 The family members know how to conduct and observe proper hygiene. The mother and sometimes the daughter prepare foods such as green-leafy vegetables and meat.

HEALTH ATTITUDE

the way the family feels about health care in general. 3 The family views health care as the capability to promote health.

EMOTIONAL COMPETENCE

maturity and integrity with which the members of the family are able to meet usual stresses and problems of life and to plan for a happy and fruitful living. 3 The family was able to handle and manage the problems that came into their lives. They were able to cope up with stress and other problems in the environment and in the family.

FAMILY LIVING

how well the family member gets along with another in an interpersonal relationship. 3 The members of the family get along with each other very well. They help each other to achieve common goals. Theres no problem occurring regarding their interpersonal relationship.

PHYSICAL ENVIRONMENT

home, community and the work environment 1 The family belongs in a community with non cooperative neighbourhood. They are not helping with each other.

USE OF COMMUNITY

degree of the family use and awareness of available community facilities for health education and welfare to physician. 3 The family is aware of the health programs that the barangay health center is rendering to the people in the community.

CUESHEALTH

PROBLEMFAMILY NURSING PROBLEMGOAL OF CAREOBJECTIVES OF CARENURSING INTERVENTIONMETHOD OF NURSE FAMILY CONTACTRESOURCES REQUIREDEVALUATION

Subjective:

Medyo hugaw gyud ang among

palibot

as verbalized by the mother/wife

Objective:

House

surrounded by murky and stagnant water

Flooding often

occurs during

rainy seasons

Presence of

flies and

mosquitoes

Flying the house.

Subjective:

Gamay raman ang

Kita sa akong bana

verbalized by

the mother

Objective:

Father earns

7,000Php/month

( Absence of basic

necessities and other materials

for first aidEnvironm-

ental sanitation

as health

threat

Low family

income as

foreseeable

cirisis.Inability to

maintain

sanitary

environment

due to

environmental

condition such

as flooding of

water in these

areas.

Inability to

control insects

and vermin due

to lack of

knowledge on

importance of

eradicating

them.

Inability to

make decisions

with respect to

taking

appropriate

health action

and inability to decide which

action to take

from among a

list of

alternatives.After nursing

intervention,

the family will be able to recognize the importance of

keeping

environment

clean and

sanitary and

appreciate the effects.

At the end of

nursing

interventions

the family will find enough

resources that could sustain

family health

needs.After nursing

intervention,

the family will be able to:

identify

causes or root of problem

regarding

environmental

sanitation

Will be able to keep and maintain a sanitary

environment

conducive for

Health.

will be able to eradicate or

minimize

presence of

insects and

vermin on

surroundings

especially in

the house.

At the end of

nursing

interventions

the family will

be able to

identify ways

to utilize family

income wisely

and earn

money for

health

civilization.1. Discussed with the family the importance of keeping

environment clean and sanitary.

2. Explained to the family that keeping

environment

conducive for health helps in the disease prevention.

3. Encouraged /

advised to screen

windows and doors to prevent / avoid insects such as mosquitoes

and flies to enter the house and advised to kill roaches and other

insects.

4. Encouraged to

properly segregate

and dispose garbage according to kind, and practice it religiously for health promotion

and disease

preventive measures.

5. Made the family aware of the risks and effects of not keeping

environment sanitary.

1. Discussed to

the family the

importance of

finding additional

ways to earn

money.

2. Explained to

the family to learn

to prioritize needs

of the family.

3. Educated the

family to

minimize

unnecessary

spending.

4. Teaches to

practice proper

budgeting of their

income

5. Emphasized to

include in their

budget the

money neededHome Visit

Home visitMaterial

resources:

Visual aids

Time and effort

aids and

transportation

of the student

nurse.

Expenses for

teaching aids

Material

resources:

Visual aids,

examples of food

stuffs for

demonstrating

preparation of

low-cost menus,

for cooking

demonstrations.

Time and effort

aids and

transportation of the nurse.

Expenses for

teaching aids and

transportation of the nurse.After the nursing

intervention, the family was able to:

1. Practiced of

keeping

environment or

surroundings clean and sanitary.

2. eradicates /

control of insects,

vermins, and

rodents (if any).

At the end of

nursing

interventions, the family was able to identify some ways to utilize their income and was able to understand

the proper way of spending or saving even just a little

amount of money

everyday.

X. SCHEMATIC PRESENTATION OF THE FAMILY CARE PROBLEM

XI. ACTUAL IMPLEMENTATION

ACTUAL IMPLEMENTATION

Day 1

Orientation PhaseOn the very first day of duty in the community, we need to find our own patient and at the same time choosing our family care study patient that will be visited and assessed. Basically, we have to follow on the criteria given to us that will qualify a family to be our respective patients. If we are to base on the problems the family has, the community has less problems that concerns on health related areas since more of the identified dilemmas were environmentally traces.

Despite of this fact, we patiently took the time in finding our patients that can be of help to us and we can be a help to them as well as a change agent or an educator in their humiliating health conditions. So, as we have tried to move on and grabbed some learning that skilfully enhances our knowledge in close contact to people and showing them of how to be a people to people, we were able to select the family based on their needs. Through this manner, prioritization is being practiced and sharpened.

As finally decided, We able to choose the patient that bests seek our support in their living. Most likely, the need to establish rapport and gauging their interest and participation is our main goal at this moment of time. Determination of their effort to participate and sincerest approval to our presence is also a great deal to be cleared and promoted throughout the entire visit that we are to take with them.

As we begin this contact with them, we initiatively took the step to have personal contact; we visit them in their households and take some part of their time. We took the step in taking their data, which in this way, collection of data is performing the procedures that will be more sharpened as the more we do it.DAY 2

Working Phase

In our 2nd day we do the pahina with the help of some of the community members in District 2, Isla, Canitoan, even though some community members were not cooperative during the pahina somehow all senses were being improved to find flaws and comprehend the application of learned theories in actual setting by doing health teachings and giving guidelines to be followed by them. This task took us responsible to what we could bring to the family in so many ways we can as student nurses. This activity is believed to take a closer connection to the family that applications of needed activities require thorough study to prevent errors and faulty nursing practices. The building of trust may be noticed in time towards the end of the actual performances. In response to their short responses, we believe that this has captured and enlightened their function as a human of their own. Helping them enrich their lives calls a sense of responsibility and accountability to their selves.

Everyone wish to help our family clients, addressing their needs and giving them care to what they wish. It is our chance to share our knowledge through giving health teachings and imparting information for their own benefits. Most likely, our tasks as student nurses are primarily focused on the basic areas to be implanted to them in action and words. This may be appreciated once the taught knowledge will be applied and inhibited. We gladly thank our patients in giving their time and may they be able to find their position in life as a person.

XII. REFERRAL AND FOLLOW UP

The family was advice and encourage to have a regular check up to the Barangay Clinic, health center or Hospital. This is to determine if some members of the family is sick and to easily prevent diseases. And they should also follow the advices or instructions that was given by the health provider.

XIII.EVALUATION

Although some short comings were not thoroughly anticipated during the care of the family as well as referral was not very successful due to the unavailability of the family members to be referred.

Still we were able to care to the concerned family. There were no difficulties encountered as to the family members attitude because they were participative and accommodating throughout the care rendered to them. Furthermore, as of other aspects was difficult to plan because it was not anticipated, such mentioned difficulty was encountered with the father of the family because of his unavailability during the process of care.We give them some health tips that were emphasized to the concerned family, these were discussed as to anticipate the care of the individual and the family as a whole.

XIV. BIBLIOGRAPHY

Maglaya, A., & Earnshaw , R., Nursing Practice in the Community.

Community Health Nursing by DOH

Kozier, et al. Fundamentals of Nursing. Singapore: Pearson Education Asia Ltd.,2004

www.wikipedia.com/family www.nursingcrib.com/fcp

DOCUMENTATION:

IX. FAMILY CARE PLAN

INTERVIEWING OUR CLIENT

SPOT MAPPING

GROUP C5 =)