The list of health conditions or problems ranked according to

priorities:

Problem Score

1. Arthritis as a health deficit 4

(Rheumatoid Arthritis)

2. Hypertension as a health deficit 4

3. Altered thought process as a 4

health deficit

4. Accident hazards

4a.Improperly kept pointed and 3 2/3

sharp objects and pesticides

4b. “Marupok na galba: and 3 2/3

improperly covered well as fall
hazards

5. Poor Environmental Sanitation 3 2/3

5a.Presence of breeding and

resting sites of vectors of disease

5b.Improper/Unsanitary garbage 3 2/3

disposal

5c.Improper drainage system 3 2/3

6. Unhealthy lifestyle and

personal habits and practices
3 2/3
6a.. Eating raw meat and fish

6b. Cigarette smoking 3 1/6

6c. Self-medication 2 2/3

 HEALTH FAMILY GOAL OF OBJECTIVES OF INTERVENTION METHOD RESOURCES
PROBLEM NURSING CARE CARE MEASURES OF REQUIRED
PROBLEMS NURSE-
FAMILY
CONTACT

1. Arthritis as Inability to After nursing After the nursing • Educate patient as Home Visit • Material
a health provide intervention, intervention, Mr. well as other family resources:
deficit adequate Mr.Bonifacio Bonifacio as well members about • Photocopy of
nursing care to will have a as other family arthritis, its nature, information about
(Rheumatoid the family lesser attacks members will : complications and arthritis and its
arthritis) member who of arthritis management. management
has arthritis w/in 5 months • Be including diet and
due to: but complete knowledgeable • Tell the patient that medications
healing is about arthritis, he should seek for
• Lack of quite hard to son they could medical consultation • Time and effort of
adequate attain because take for proper the student nurse
knowledg somehow the appropriate assessment, and family
e about disease is action management and members.
the hereditary. regarding the prescription of
disease patient’s medications. • Financial resource:
arthritis, condition Small amount of
its nature, • Instruct the patient money spent in
complicati • Understand the to discontinue self photocopying and
ons, benefits of medicating himself money spent for
prognosis proper medical and explain that transportation of
and consultation harm self medication the student nurse.
managem and the benefit and take in
ent. of the care medications as
needed. prescribed.
• Inadequat
 e • Perform • Advise patients to
knowledg necessary limit or restrict
e of the measures in taking in meat
nature the care and organs, wine, salmon
and management and sardines and
extent of of the disease. gravy as well as
the health He will seek beans and legumes,
care proper medical explain to him that
needed. consultation these things could
and will stop precipitate the
• Inadequat taking OTC attacks of his
e family drugs or stop arthritis.
resources self medication
for care and will take • Encourage the
specificall prescribed patient to take rest
y due to drugs as during or after
financial prescribed. attacks of arthritis
constraint and tell him not to go
s • Control or limit to work anymore
taking in foods during these times.
and other • Educate the patient
habits that about the benefits of
After nursing could having simple Home Visit
intervention, aggravate the regular exercise and
2. Hypertensi Mr. Bonifacio attacks of encourage him to do • Material
onas a and Mrs. arthritis. so. resources:
health Leticia will Pamphlets about
deficit have minimize the disease and its
or reduce rise After nursing • Advise the patients management and
in blood intervention the to visit their RHU at money spent in
Inability to least twice or thrice printing and
pressure in 2 couple will:
provide a month although researching it.
months and
adequate • Have lesser they dint experience
they will be
nursing care to signs and symptoms
knowledgeabl times of rising • .Time and effort of
the family of hypertension, for
e enough the student nurse
members who about the blood pressure. proper assessment and family
are disease and and management members.
hypertensive the proper • Visit the RHU
due to: management at least twice/ • Tell the patients that • Financial resource:
or care thrice a month if in case they are at Expenses in
• Lack of (independent) for check-up, home and they researching and
adequate to the assessment of experience sings and printing the
knowledg patients. blood pressure symptoms of pamphlets and for
e about or either hypertension, they the transportation
the consult a should ask the of the student
disease doctor for a nearest person who nurse.
hypertensi check-up and knows to assess the
on, its proper blood pressure and
nature, prescription of knows independent
complicati medication management before
ons, appropriate to going to the RHU or
prognosis their condition. hospital because
and their residence is
managem • Take quite far from these
ent. medications as health facilities.
prescribed by
• Inadequat medical • Instruct patient to
e family practitioners seek for medical
resources- consultations on
financial • Be able to have hospital for further
constraint dietary assessment,
s modifications management and
by avoiding or prescription of
• Lack of restricting medications.
necessary foods w/c could • Tell the patient about
equipmen precipitate the the consequences
ts for the rise in blood and harm of taking
independe pressure OTC drugs or self
nt care medication and
needed • Mr. Bonifacio
advise them to take
such as will stop
BP smoking drugs only as
apparatus gradually prescribed
and lack • Teach the client to
of skill in • Have a regular avoid or restrict too
performin exercise or much salt in the
g the care simple work diet(too much salty
needed. out activities foods)
• Teach the client to
• Be
avoid high fat and
knowledgeable
high cholesterol
about the
containing foods
disease
such as meat(fats),
process, its
sinanglaw, shrimps,
possible
lobster, crabs and
complications
dairy products w/c
so they could
are rich in fats and
have the care
explain to them that
needed
these foods could
accordingly
cause rise in blood
pressure in taken in
excess.
• Encourage them to
have balanced diet
that they should not
totally stop taking in
meat products and
but they should limit
specially those w/
other foods high in
fats and cholesterol
because anything in
excess is not good as
well as anything
deficient is also not
good.
• Encourage them also
to take in fruits and
vegetables such as
apple, papaya,
oranges, and other
fruits and also green
leafy vegetables.
• Advise patient to
increase intake of
potassium rich foods
such as banana,
broccoli because
when there is
enough potassium in
the body sodium w/c
causes increase in BP
will be low in
amount.
• Educate to reduce
stress or avoid
stressful situations
because it could also
trigger the rise in
blood pressure.
• Advise patients to
have regular
exercise or simple
daily work outs such
as walking, jogging,
cycling and
stretching most
specially in the
morning.
• Instruct patients that
 whenever they
experience signs and
symptoms of
hypertension, they Home Visit
should take their
medications as
prescribed and take
3. Altered After the rest and not to go to
thought nursing work anymore.
process intervention, • Time and effort of
• Explain to the
the family will the student nurse
patients as well as to
take and family
other family
necessary members.
members about
measures and • Financial resource:
hypertension, its
health actions nature, transportation of
regarding Ate complications, and the student nurse.
1.Inability to Imelda’s
make independent care
condition management, for
decisions with within 4 them to know what
respect to months.
taking appropriate action to
appropriate take.
health action • Let them have
about the After the nursing pamphlets or written
condition of intervention, the materials that
Ate Imelda due patient as well as contain details about
to: the family will: hypertension and its
management and
• Failure to • Seek for discuss it w/ the
comprehen medical patients and also w/
d the consultation or other family
nature and either consult a members.
scope of specialist
the problem • Educate the family
• Understand the about mental health
• Conflicting scope and and the and help
 opinions nature of the them understand the
among condition so condition of the
family they could patient.
members decide what
on what appropriate • Relate patient’s
action to action to take condition with
take. someone who has
• Provide the the same condition,
• Fear of needed care to tell the family how it
consequenc the patient was diagnosed until
es specially accordingly it was managed and
social treated so the family
feedbacks could comprehend
and easier the benefits of
emotional health consultation.
effects of
health • Convince the family
action to to seek for medical
the patient consultation and tell
and also them the benefit of
with the doing this is to:
whole
o Proper diagnosis
family
of the disease or
2. Inability to condition so
provide appropriate
adequate nursing care and
nursing care to medical
the patient management
due to and treatment
inadequate will be done
family
o Prevent
resources
specifically development of
financial the condition
into a severe
matters. mental disorder

3.Failure to • Enumerate
utilize consequences, risk
community or harm to the
resources for patient, other family
health care members and to
due to feeling other people if the
of alienation or patient’s condition is
lack of support not given immediate
from action like the
community. following:

o The patient
could harm or
hurt herself as
well as other
people

o The patient’s
condition could
develop to a
severe mental
disorder.

o The patient
could burn their
house specially
that she is left
alone at home
cooking

o She could drink

improperly kept
pesticides and
be wounded by
 improperly kept
sharp materials

• Tell the family that

she shouldn’t be left
alone at home,
somebody should
accompany her.

• Educate the family

about the proper
care for the patient:

o Understand her
as often as
possible and let
her feel a real
familial love,
care and Home Visit
affection.
4. Accident
Hazards o Do not treat her
as a different
4a.Improperly
individual or as • Human Resources:
kept pointed
an outcast but Time and effort of
and sharp
rather guide her the student nurse
objects and
in her daily and family
pesticides After nursing routine. members.
intervention,
within a o Don’t let her feel • Financial resource:
month, the that she’s alone. transportation of
family will the student nurse.
take • Instruct family not to
necessary let her play w/
measures in children specially
keeping their when no adult is
 environment watching over them,
safe from she could possibly
accident and hurt them.
hazards from
improperly • Tell the family that
kept pointed they will instruct
objects and children that they
1. Inability to pesticides After nursing should not tease her
recognize the intervention, the or shout against her
presence of family will: cause that may be
the problem the reason for her to
due to lack of • Properly kept hurt them.
adequate sharp objects
knowledge and pesticides • Tell the family that
about the on the when it is comes to
harm of having appropriate and their financial
an organized intended places. incapability that
environment hinders them to seek
and on safety • Know the for medical
of proper consequences consultation, tell
storage of and possible them that there are
pointed harm of agencies that offer
objects and improperly kept support just like this
pesticides. sharp and case or they should
2. Inability to pointed objects ask help to the local
provide a safe as well as government.
environment pesticides. Home Visit
w/c is
conducive to • Educate the family
health about the possible
maintenance harm, hazard and
4b. “Marupok and personal consequences of • Human Resources:
na galba: and development improperly kept sharp Time and effort of
improperly due to: and pointed objects as the student nurse
covered well • Failure to well as pesticides and family
as fall hazards see the such as they could members.
benefits of cause accidents,
an After nursing wounds when they • Financial resource:
organized intervention, step on the improperly transportation of
environme within 1 ½ kept knives, scythe the student nurse.
nt. month, the and nails that could
• Lack of family will cause tetanus w/c is
knowledge take so dangerous and
about necessary poison not only to the
preventive measures in family but also to
measures keeping their other people.
of environment
accidents safe from • Tell them that
and harm accident and considering Ate
fall hazards. Imelda’s condition,
she could possibly
drink the pesticides Home Visit
5. Poor After nursing and poison her that
environme intervention, the may possibly cause
ntal family will: her death.
sanitation • Teach the family to
• Be aware of store pesticides on a • Human Resources:
5a.Presence of the harm of closed area; if Time and effort of
breeding and Inability to possible it will be
their “marupok the student nurse
resting sites of provide a safe locked or unknown to
na galba” and and family
vectors of environment Ate Imelda and
improperly members.
diseases w/c is unreachable by
covered well
conducive to children because • Financial resource:
health After the • Replace their transportation of
sometimes their
maintenance nursing “galba or sim” the student nurse.
grandchildren visit
and personal intervention, and provide an them.
development the family will appropriate • Teach the family that
due to: decide the cover to the they should properly
• Failure to appropriate or well. keep sharp and
see the needed
pointed objects such
 benefits of actions to • Utilize or as knives, scythe,
an eliminate the recycle existing nails and others also
organized breeding and materials w/c in cabinets or
environme resting sites of are still safe to containers.
nt. vector of use in solving
• Lack of diseases this problem to • Educate the family
knowledge within 2 save money that having these
about months. prone to fall hazards
preventive areas or materials win
measures After the nursing their environment is
of intervention, the really a health threat
accidents family will: to them especially to
and harm their safety.
• Know the
benefits of • Encourage them to
cleaning the replace or fix the
environment “galda or sim” as soon
and eradicating as human and
Inability to material resources are
the breeding
provide a available to prevent
and resting sites
home accidents.
of vector
environment • Tell the family that
diseases.
which is although their well is
• Can enumerate
conducive to covered, it is not well
the various ways
health fixed, tell them that
on how to
maintenance they should cover it w/
eradicate the
and personal woods properly nailed
breeding and
development and secured w/in the
resting areas of
due to: opening of the well.
vector of
• Failure to
diseases such as
see benefits
rodents,
of proper
mosquitoes and
sanitation
flies.
and a clean
a. Select the
environment.
appropriate
• Inadequate
 knowledge of method to be
the use in avoiding
importance the harmful
of sanitation effects of • Educate the family
• Inadequate rodents, about the benefits of
knowledge of mosquitoes and having a clean
preventive flies. environment free from
measures. numerous breeding Home Visit
and resting sites of
vectors of diseases.
• Tell the family that
resting and breeding
sites of mosquitoes,
flies and rodents are
5b.Improper • Human Resources:
present w/in their
garbage Time and effort of
environment that may
disposal the student nurse
bring different
diseases to the family and family
such as malaria, members.
dengue, diarrheal • Financial resource:
diseases, thyphoid transportation of
fever and etc.
After the the student nurse.
• Tell or help the family
nursing locate breeding or
intervention, resting sites of
the family will mosquitoes, rodents
decide on the and flies for them to
appropriate or know or help them
needed plan target to clean these
and actions to areas.
be able to • Tell or help the family
improve their to remove galloons,
sanitation and open containers,
will be able to drums and old basins
dispose their where rain water
 garbage (stagnant water) will
properly be contained and
within 2 could be possibly
months. breeding sites of
After the nursing mosquitoes and if
intervention, the there is no stagnant
family will : water rodents could
1. Inability to • Be also breed w/in those
recognize knowledgeable areas. Instruct also
presence of about the the family to burn or
problem due different place old “dayami” in Home Visit
to lack of methods of the compost fit that
knowledge ways disposal could be used as
about the risky w/c are safe and organic fertilizer so
effects of proper and able not for mosquitoes
having an to select what and rodents to stay
improper method they will there.
garbage use. • Tell the family that • Human Resources:
disposal • Be able to the manure of their Time and effort of
2.Inability to know the animals should be the student nurse
provide a harmful effects dried under the heat and family
5c.Improper home of improper of the sun to be used members.
drainage environment garbage as an organic fertilizer
system which is disposal. instead of being dup • Financial resource:
conducive to in one area on the transportation of
health front side of their the student nurse.
maintenance house, still moist and
and personal wet that causes flies
development to be numerous w/in
due to: their environment.
• Failure to • Educate the family
see benefits After nursing that they should clean
of garbage intervention, their surroundings
disposal the family will always and do all of
• Inadequate take the measures sited
 knowledge of necessary above to eradicate
the measures to vectors of different
importance have a proper diseases and to
proper waste and sanitary reduce occurrence
disposal drainage different diseases.
system within
2 months. • Teach the family not
to burn their garbage
especially plastics and
educate them that
doing this so may
cause air pollution and
may possibly
After the nursing contribute global Home visit.
intervention, the warning w/c is
family will: dangerous to our
• Able to plan the health.
1. Inability to appropriate • Tell the family that
recognize drainage for they should dig a pit
6. Unhealthy presence of them to be use; that will serve as their
lifestyle problem due • Have an dumping site of
and to insufficient • Human Resources:
appropriate and garbage
personal knowledge Time and effort of
safe drainage • Instruct the family to
habits and about the the student nurse
system situate their dumping
practices dangerous and family
• Be able to site on an area quite
effects of members.
recognize the far from their house.
having an harmful effects • If possible, educate
6a. Eating raw improper • Financial resource:
of improper the family to transportation of
meat and fish drainage drainage segregate their waste the student nurse.
system. system. according to
biodegradable and
2. Inability to non- biodegradable
provide a ones and instruct Home visit.
home them that they should
environment place the
 which is biodegradable
conducive to garbages like leaves,
health papers, weeds
maintenance “dayami” and others
After the
and personal in the compost pit and
nursing
development could be use as • Material
intervention,
due to: organic fertilizer while resources:
the family will
• Failure to on the other hand, tell Pamphlets about
properly
see benefits them that the non- the smoking and its
decide as to
of garbage biodegradable management and
take healthy
disposal materials such as money spent in
and nutritious
6b.Cigarette • Inadequate plastic bottles, old printing and
foods abd be
smoking knowledge of bottles and tin cans researching it.
able to
the should be set aside f
prepare and
importance or it can be recycled • .Time and effort of
handle foods
proper waste or sold. the student nurse
properly
disposal within 1 ½ and family
• Tell the family that members.
month.
having an open
drainage system is not • Financial resource:
proper and unsanitary Expenses in
After the nursing
and additionally it is researching and
intervention, the
not safe to their printing the
family will:
health pamphlets and for
• Be
• Instruct the family to the transportation
knowledgeable
Inability to After the not to throw left over of the student
that eating raw
recognize the nursing foods on their nurse.
meat and fish
presence of intervention, drainage area to
is not healthy
the problem Mr. Bonifacio lessen flies and other
• Be vectors of diseases to
due to lack of will take knowledgeable accumulate on that
adequate alternative of the possible area.
knowledge ways to stop effect of their
about the smoking • Encourage the patient
practice
harm or bad within 3 that they should dig a
effects of • Stop or avoid hole in the ground
eating raw months. taking in raw where the tube w/c is
meat and fish meat and fish connected to the
to their health and be able to lavatory will be placed
cook them so that the flow of
properly water, other materials
and fluids will be blind
or sanitary.

After the nursing

intervention, Mr.
Bonifacio will:
1. Inability to • Start to stop
recognize the smoking until he
presence of will get rid of it
the problem totally and
due to lack of perform
adequate alternative ways
knowledge to help him in
about the stopping and
harmful effects doing again his
of smoking. practice
2. Inability to • Know the
make harmful effects
decisions with of smoking to
respect to him as well as to • Instruct the family to
taking his family avoid or if possible to
appropriate member stop eating raw meat
health action and fish.
due to low • Educate the family
salience of the that by eating raw
problem. meat and fish they
could possibly
acquire different
diseases such
parasitism and
 diaarrheal diseases
• Teach them to
prepare their foods
properly by washing
them well and
cooking them well to
kill the possible
microorganisms
within that food
material.

• Educate the patient

and other family
members about
smoking by providing
a pamphlet about Home visit.
smoking
w/emphasizes the
harmful effects of
smoking to health.
• Tell the patient that
his practice is not only
dangerous to his
health but also to his
family members and
other people who will
• Human Resources:
inhale the smoke.
Time and effort of
6c. Self- • Teach the patient of
the student nurse
medication the alternative ways
and family
to help him stop
members.
smoking such as:
o Slowly reduce of • Financial resource:
cigarettes per transportation of
day until he has the student nurse.
stopped
 completely.
o Drink plenty of
water and eat
fruits and
vegetables. Take
plenty of
vitamins and
minerals.
Carrots, apples,
singkamas,
chewing gum,
After the and candies are
nursing good munching
intervention, foods to replace
Mr.Bonifacio the feel of a
will stop self cigarette in the
medicating mouth. .
himself and o Take naps, warm
will take baths or showers
necessary during intensive
measures as cravings to
to take smoke.
prescribed o Tell friends and
medications family that you
within 2 have stopped
months. smoking. This
will make you
feel
embarrassed
After the nursing when they catch
intervention, you smoking.
Mr.Bonifacio will: o Change
1. Inability to • Be aware that activities or
recognize self medication habits that are
the is not safe to associated with
 presence of his health. smoking. For
the problem • Seek for medical instance, find
due to lack consultation for other ways to
of adequate proper finish a meal
knowledge prescription of without
about the medication smoking. Go out
possible • Stop self for a walk, go to
harm or medicating a place where
bad effects himself and smoking is
of self taking OTC prohibited.
medication. drugs o Go away or
2. Inability to • Take avoid places and
make medications for people that will
decisions w/ his disease as cause
respect to prescribed temptation to
taking smoke again.
appropriate o Tell the patient
health that if the above
action to ways are not yet
take due to: effective, there
• Low is another way
salience called the
of the Nicotine
problem Replacement
• Lack of Therapy (NRT)
resource wherein a
s in smoker who
terms of stops smoking is
financial given small
matters amounts of
nicotine over a
period of six
weeks or more
to reduce
withdrawal
 signs. The
nicotine is given
. either as
chewing gum.
patch, nasal
spray or
cigarette-like
inhaler but
emphasize that
before using this
method the
patient should
consult a
physician about
NRT.

• Educate the patient

that self medication
is not safe to health
especially in
existence of 2 or
more disease
conditions and
emphasize to the
patient that it is still
be the safest to take
prescribed
medications.
• Instruct the patient to
stop self medication
and to seek for
medical consultation
for proper
prescription of
medication.
• Encourage them to
utilize existing
resources so he
could afford to have
medical consultation
and to finance
medications that will
be prescribed.