Chapter VI TYPOLOGY OF NURSING PROBLEMS This chapter presents the identified family nursing problems that are presently

occurring or may occur in the family. These problems reflect the familys inability to perform certain aspects of health tasks.

Cues/Data Their house is constructed with walls made of bamboo tied together and covered with a thatched roof using nipa leaves. There are parts of the house without walls which Mrs. P admitted that when it rains heavily, water enters. They have a small terrace infront of the house made also with bamboo and other types of wood. In order to get into the terrace and the bedroom, one must climb

FAMILY NURSING PROBLEMS I. Presence of Health Threats; broken stairs, fire and fall hazards. II. Inability to provide a home environment, which is conducive to health maintenance and personal development due to: a) Inadequate financial

resources; b) Lack or inadequate

knowledge of preventive measures; and

c)

Lack or inadequate

knowledge in carrying out measures to improve home

an improvised three-step stairs made of wood by which Mrs. P admitted that it could be dangerous for their children. The father, Mr. P, drinks alcoholic beverages in moderation which Mr. P claimed to be more than 2 glasses of alcoholic beverage including tuba in a month. Mr. P admitted that he do this only as a form of relaxation from work or stress and it is also a way for him to get along or socialize with other people as well. There are other water containers outside their house with no covers and could be a possible breeding sites of vectors of diseases. Mrs. P said that there are mosquitoes and flies present in their place. They store their food only in a short period of time since they

environment.

I.Unhealthy lifestyle: alcohol drinking as a health threat. II. Inability to make decisions with respect to taking appropriate health action due to: a)Low salience of the problem; b)Lack/or inadequate insights as to alter native courses of action open to them; and c)Fear of consequences, especially social consequences. I. Poor environmental condition and sanitation (e.g., presence of breeding or resting sites of vectors or diseases, improper garbage disposal, lack of drainage system) as a health threat. II. 1. Inability to make decisions with respect to taking appropriate health
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consume it immediately after purchase or harvest. When there are leftovers, they keep it inside a lunchbox with a cover. Their utensils are placed in a plastic container with no cover which are all exposed to air. They make use of their dirty kitchen for cooking. They utilize wood and gas to produce fire. The source of their water comes from a pipe system which they consider their own. Mrs. P claimed that they do not boil their water before drinking which they store in gallons with covers and are not cleaned properly. They take a bath and wash their clothes in a water facility approximately ten (10) meters away from their house. The type of toilet facility they have is pit privy which use in order

action due to low salience of the problem. 2. Inability to provide a home environment, which is conducive to health maintenance and personal development due to: a) Lack of or inadequate

knowledge on preventive measures; b) Lack of or inadequate

knowledge in carrying out measure to improve home environment; and c) Lack of or inadequate

knowledge in the importance of hygiene and sanitation.

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for them to urinate and defecate which is located approximately five (5) meters away from their house. It only has walls because they were not able to construct it with roof. The family do not have a drainage system. The water which they use from washing their dishes is thrown directly on the ground outside the house. They are used to burn their garbage. Their garbage container has no cover and they do not practice recycling. The breadwinners of the family are Mr. P, Mrs. P, and P1 who both contribute to the familys income. Mr. P works as a farmer I. Insufficient family income as a health threat. II. 1. Inability to make decisions with respect to taking appropriate health

in a farm located 150 meters away action due to: from their house while Mrs. P and P1 works as maintenance worker at Fiscal Jamoras Octagon. Their estimated monthly income is a) Low salience of the problem; and b) Lack of or inadequate knowledge of community
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P3,000. The income is allocated for food, clothing, gas, tuition, and allowances. The ones responsible in budgeting or how the money will be spent is the couple. Mr. and Mrs. P already had decided that as much as possible, they will avoid borrowing money from other people unless there will come a time that their income would be insufficient and they will be needing a sum of money in a case of a health concern or of an emergency. Mrs. P claimed that sometimes, their food is not adequate for six (6) household members especially the rice. She also admitted that there are times when they could not have meriendas or dinner at night. Other basic necessities such as clothing and shelter

resources for care, specially cost constraints or economic/financial inaccessibility. 2. Inability to provide adequate nursing care to the sick member of the family due to: a) Lack or inadequate knowledge about the disease/health condition; b) Lack of or inadequate knowledge about the nature and extent of nursing care needed; c) Lack of knowledge and skill in carrying out necessary treatment/ procedure/ care; and d) Inadequate family resources for care, specifically financial constraints. 3. Failure to utilize community resource for health care due to fear of financial consequences of action.

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seemed to be met since as Mrs. P claimed, Wala man na sila nagainarte labi nang sa ukay-ukay mi magpalit ug sul-ubon nila. Maski wala pud mi kuryente kay dili makaabot diria, makaagwanta man sila.

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