family care study c5
TRANSCRIPT
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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
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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 eachmembers 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. OBJECTIVE
At the end of two (2) weeks of Community Health Exposure at Zone 2, Barangay
Canitoan, we would be able to:
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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.
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II. SPOT MAP
DISTRICT 2, ISLA, CANITOAN, CAGAYAN DE ORO CIT
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III. FAMILY PROFILE
HEAD OF THE FAMILY
Name: Trinido Yamit
Age: 38 yrs. old
B-day: May 28, 1973
Sex: male
Nationality: Filipino
Address: District 2, Isla Canitoan, Cagayan De Oro City
Religion: Roman Catholic
Occupation: Hollow Block Maker
Income: P5000 / monthEducational Attainment: Elementary Level
Positioning in the family: Father
Drinking: Beer and Tanduay Occasionally
Allergies: 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 oppurtunity
Respiratory rate:
Temperature:
Height:
Weight:
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Name: Myerna Yamit
Age: 32 yrs. old
B-day: February 1, 1979
Sex: female
Nationality: Filipino
Address: District 2, Isla Canitoan, Cagayan De Oro City
Religion: Roman Catholic
Occupation: Housewife/ Manicurista
Income: P 2000
Educational Attainment: High School level
Positioning 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.
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Name: Benjie Yamit
Age: 16 yrs. old
B-day: September 17, 1995
Sex: Male
Nationality: Filipino
Address: District 2, Isla Canitoan, Cagayan De Oro City
Religion: Roman Catholic
Occupation: NONE / Student
Income: NONE
Educational Attainment: High School
Positioning in the family: Eldest Son
Drinking: 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:
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Name: Sheila Mae Yamit
Age: 11 yrs old
B-day: April 25, 2000
Sex: Female
Nationality: Filipino
Address: District 2, Isla Canitoan, Cagayan De Oro City
Religion: Roman Catholic
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:
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Name: Esteven Yamit
Age: 3 years old
B-day: November 6, 2011
Sex: Male
Nationality: Filipino
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 kgs
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IV. 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:
NAME BENJIE SHEILA MAE ESTEVEN
BCG FINISHED FINISHED FINISHED
HEP-B1 FINISHED FINISHED FINISHED
HEP-B2 FINISHED FINISHED FINISHED
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NAME BENJIE SHEILA MAE ESTEVEN
HEP-B3 FINISHED FINISHED FINISHED
DPT1 FINISHED FINISHED FINISHED
DPT2 FINISHED FINISHED FINISHED
DPT3 FINISHED FINISHED FINISHED
OPV1 FINISHED FINISHED FINISHED
OPV2 FINISHED FINISHED FINISHED
OPV3 FINISHED FINISHED FINISHED
MEASLES FINISHED FINISHED FINISHED
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.
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V. PRESENT HEALTH STATUSNURSING SYSTEM REVIEW CHARTName: Myerna Yamit Date: September 12, 2011
Vital signs:
Pulse: 65bpm 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
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NURSING ASSESSMENT 2
SUBJECTIVE OBJECTIVE
COMMUNICATION:
[ ] Hearing loss comments: ok raman ako
[ ] Visual changes ng pandungog [x] DeniedVerbalized by the pt.
[ ] glasses [ ] language
[ ] contract lenses [ ] hearing aideR L
Pupil size: 3-4 mm [ ] speech difficulties
Reaction pupils equally rounded reaction tolights 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 [ ] iiregularAnkle edema :
Carotid radial dorsal pedis femoral
R : + + + +L : + + + +
Comments: all pulse are palpable.
NUTRIRION:Diet
[ ] N [ ] V comments: maayo manCharacteristic pod ko magkaona, basta
[ ] recent appetite in lang naa mi makaonWeight, 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 [ ] urgencyRemedies [ ] dysuria
NONE [ ] hematuria
Date of last BM [ ] incontinence
none [ ] polyuria[ ] diarrhea [ ] foly in place
Character [x] denied
Comments Bowel sounds
Bowel sounds normoactive
Presence With Abdominal Distentionin normal limit Present [ ] yes [x] noUrine ( color, consistency
Odor) yellow.
Moderate and aromatic
* if foley bag catheter is
In place
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SUBJECTIVE 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: forgotten
Briefly describe the patients ability to followtreatments ( 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 andoriented to live, space, person, and participates
when asked.
[ ] gait [x] walker [ ] care [ ] other
[ ] steady [ ] unsteadySensory and motor losses in face or extremities
No sensory and motor losses in face or
extremeties
[ ] ROM limitations: she has no problemregarding ROM
COMFORT/ SLEEP/ AWAKE:[ ] pain comments: makatulog( location) frequency man ko ug tarungRemedies 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:housewifeMembers 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 mobileor phone no.
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NURSING SYSTEM REVIEW CHART
Name: Date: September 12, 2011
Vital signs:
Pulse: 134 bpm BP: refused Temp:36C Height:61 cm Weight: 13 kg
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[ ] 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
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VI. NURSING CARE PLAN
Name of Patient: Myerna Yamit
CUES NURSING DX OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
S>dry lang ako
paminaw sa ko panitkay wala pa pud konaligoas verbalized by thept.
O> the pt. manifestedthe ff.
scratching
Risk for Impaired skinintegrity r/t dry skin
After 1 hr of nursingintervention, The
client and theSO shall haveverbalizedunderstanding ofindividual factorsthat contribute topossibility of skinintegrity impairmentand takes steps tocorrect the situation.
>Establish rapport
>Monitor VS.
>Note age and sex
>Assess mood,abilities, and personalstyles.
>Provide healthteachings regardingtheimportance ofmaintaining an intactand moist skin.
>Teach the pt. to give
the client a balance,andnutritious foodespeciallyfoods rich in Iron andvitamin C
>To gain the client>To obtain data for
comparison.>to evaluatedegree/source of riskinherent in theindividual situation.>to evaluate pt.sattitude which maycontribute to skinbreakdown.>To increase the ptknowledge thus,prevention of skinbreakdown is realizedand taken intoconsideration by thept.> To improve clients
The client shall haveverbalized
understanding ofindividual factorsthat contribute topossibility of skinintegrity impairmentand takes steps tocorrect thesituation.
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Name of Patiet: Esteven Yamit
S>wla pa na siya maligomao cgurogapangatol
as verbalized by themother of the pt.
O> the pt. manifestedthe ff.
scratching
Risk for Impaired skinintegrity r/t dry skin
After 1 hr of nursingintervention, Theclient and theSO shall have
verbalizedunderstanding ofindividual factorsthat contribute topossibility of skinintegrity impairmentand takes steps tocorrect the situation.
>Establish rapport
>Monitor VS.
>Note age and sex
>Assess mood,abilities, and personalstyles.
>Provide healthteachings regardingtheimportance ofmaintaining an intactand moist skin.
>Teach the pt. to givethe client a balance,and
nutritious foodespeciallyfoods rich in Iron andvitamin C
>To gain the client>To obtain data forcomparison.>to evaluate
degree/source of riskinherent in theindividual situation.>to evaluate pt.sattitude which maycontribute to skinbreakdown.>To increase the ptknowledge thus,prevention of skinbreakdown is realizedand taken intoconsideration by thept.> To improve clients
The client shall haveverbalizedunderstanding ofindividual factors
that contribute topossibility of skinintegrity impairmentand takes steps tocorrect thesituation.
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Child
Mr. Trinodo was also not present during the interview and some of the children of Mr. &Mrs Yamit was not present during the interview except to their youngest child Esteven.
VII: LABORATORY RESULTS
none
VIII. HOME AND ENVIRONMENT
HOME
A. General sanitary condition:B. Ownership: ( ) owned ( ) rented ( ) rent freeC. construction materials used: ( ) light ( ) mixed ( ) strongD. numbers of rooms used for sleeping: 2E. lighting facilities: ( ) electricity ( ) kerosene ( ) othersF. general sanitary condition: unsanitary
WATER SUPPLY
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A. Drinking waterSource : ( ) private ( ) publicDistance from the house:
Storage: ( ) none, direct from the faucet
( ) container with cover( ) container without cover( ) others
KITCHEN:
A. cooking facility: ( ) electric stove ( ) gas stove ( ) firewood/charcoal
DRAINAGE:
drainage facility: ( ) none () open drainage ( ) blind/ close drainage
WASTE DISPOSAL:
A. Garbage disposal1. Container : ( ) covered ( ) open ( ) none2. Method of disposal: ( ) opening dumping ( ) open burning
( ) compost pit
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B. Toilet1. type
( ) pit privy ( ) pail system
( ) flush type ( ) antipolo system( ) water- sealed ( ) none
DOMESTIC ANIMALS:
KIND NUMBER PLACE KEPT
COW 2 Tied 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
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AREA RATE JUSTIFICATION
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 haveknowledge 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
3
The members of the family get along
with each other very well. They help
each other to achieve common goals.
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relationship. 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.
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CUES HEALTH
PROBLEM
FAMILY NURSING
PROBLEM
GOAL OF CARE OBJECTIVES OF
CARE
NURSING
INTERVENTION
METHOD
OF NURSE
FAMILY
CONTACT
RESOURCES
REQUIRED
EVALUATION
Subjective:Medyohugaw gyud
ang amongpalibotas verbalizedby themother/wife
Objective: Housesurroundedby murkyand stagnantwater Floodingoftenoccursduringrainyseasons
Presenceofflies andmosquitoesflying thehouse.
Environm-ental
sanitationas healththreat
Inability tomaintainsanitary
environmentdue toenvironmentalcondition suchas flooding ofwater in theseareas.Inability tocontrol insectsand vermin dueto lack ofknowledge onimportance oferadicatingthem.
After nursingintervention,the family will
be able torecognize theimportance ofkeepingenvironmentclean andsanitary andappreciatethe effects.
After nursingintervention,the family will
be able to: identifycauses or rootof problemregardingenvironmentalsanitation Will be able tokeep andmaintain asanitaryenvironmentconducive forHealth. will be able toeradicate orminimize
presence ofinsects andvermin onsurroundingsespecially inthe house.
1. Discussed with thefamily the importanceof keepingenvironment cleanand sanitary.2. Explained to thefamily that keepingenvironmentconducive for healthhelps in the diseaseprevention.3. Encouraged /advised to screenwindows and doors toprevent / avoidinsects such asmosquitoesand flies to enter thehouse and advised tokill roaches and otherinsects.4. Encouraged toproperly segregateand dispose garbage
according to kind, andpractice it religiouslyfor health promotionand diseasepreventive measures.5. Made the familyaware of the risks andeffects of not keepingenvironment sanitary.
Home
Visit
Materialresources:
Visual aidsTime and effortaids andtransportationof the studentnurse.
Expenses forteaching aids
After thenursingintervention, th
family was ablto:1. Practiced ofkeepingenvironment osurroundingsclean andsanitary.2. eradicates /control ofinsects,vermins, androdents (if any
IX. FAMILY CARE PLAN
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Subjective: Gamayraman angKita saakongbana
verbalizedbythe motherObjective: Fatherearns7,000Php/month
Absenceof basicnecessitiesand othermaterialsfor first aid
Lowfamilyincomeasforeseeablecirisis.
Inability tomake decisionswith respect totakingappropriatehealth actionand inability to
decide whichaction to takefrom among alist ofalternatives.
At the end ofnursinginterventionsthe family willfind enoughresourcesthat could
sustainfamily healthneeds.
At the end ofnursinginterventionsthe family willbe able toidentify waysto utilize family
income wiselyand earnmoney forhealthcivilization.
1. Discussed tothe family theimportance offinding additionalways to earnmoney.
2. Explained tothe family to learnto prioritize needsof the family.3. Educated thefamily tominimizeunnecessaryspending.4. Teaches topractice properbudgeting of theirincome5. Emphasized toinclude in theirbudget themoney needed
Home visit Materialresources:Visual aids,examples of foodstuffs fordemonstratingpreparation of
low-cost menus,for cookingdemonstrations.Time and effortaids andtransportation ofthe nurse.Expenses forteaching aids andtransportation ofthe nurse.
At the end ofnursinginterventions,the family wasable to identifysome ways toutilize their
income andwas able tounderstandthe proper wayof spending orsaving even jua littleamount ofmoneyeveryday.
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X. SCHEMATIC PRESENTATION OF THE FAMILY CARE PROBLEM
XI. ACTUAL IMPLEMENTATION
ACTUAL IMPLEMENTATIONDay 1
Orientation Phase
On 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
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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 PhaseIn 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.
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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 theBarangay 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.
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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
http://www.wikipedia.com/familyhttp://www.wikipedia.com/family -
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DOCUMENTATION:
GROUP C5 =)
SPOT MAPPING
INTERVIEWING OUR CLIENT