Ateneo de Davao University

Jacinto St., Davao City

School of Nursing

Community Health Nursing

Requirements
ARAS
Family Nursing Care Plan

Submitted to:
Maam Cynthia Jane G. Villanueva, RN, MN
Clinical Instructor

Submitted by:
Meriel Louise Anne J. Villamil
BSN 3A Group 2

November 16, 2015

Reflective Exemplar
Date: November 12, 2015
Area: Lower Arroyo Compound Barangay 74A Matina Crossing
What did I do today?
Today, our circle time is 6:30 in the morning at the school. We had our
paraphernalia checked and also our attendance. We left the school at 7:40 in the morning
and upon arriving at the community our clinical instructors talked to the barangay health
workers and helped us in finding our patients. I got assigned to a 74 years old patient with
hypertension that he claimed upon the initial interview. But when I checked his vital
signs, his blood pressure was within the normal range, I also interviewed him about his
past health history and I discovered that he had a mild stroke 3 years ago. I also
interviewed for the initial data base but I only got little information because of lack of
time.
What did I learn?
My patient had a mild stroke 3 years ago and rarely has his health a check-up. His
wife died on a stroke that was caused by hypertension. So I learned that even though we
are healthy or doesnt experience any serious illnesses as of the moment, we should still
have ourselves checked regularly, most importantly when we know that we had a history
of a serious health condition. In the case of my patient, he had a mild stroke 3 years ago
although he rarely goes to the health center to have a check-up to know or update his
health status.
What do I need to do now?
For the next following days, I will closely monitor my patients blood pressure
and health and well-being as much as I can, I will also try my best to encourage my
patient to go to the health center in the barangay to have a regular check-up.

Reflective Exemplar

Date: November 13 14, 2015

Area: Lower Arroyo Compound Barangay 74A Matina Crossing
What did I do today?
For the last 2 days of our first community health nursing exposure, our circle time
is 7 oclock in the morning and we all directly headed to the Barangay Hall of Matina
Crossing. After we are all complete and everyone has arrived, we went to our clients
house. My client welcomed me and the first thing I did was to ask how they are (my
client and his family). Then, I checked my clients vital signs and his blood pressure was
a little too high so I asked him to take a deep breath and just relax, also I told him that I
will check his blood pressure again before I leave. Thereafter, we resumed to our
interview and also asked some information for my initial data base and for the family
coping index too. After checking the next blood pressure, I was relieved to tell him that it
was now within the normal range again.
I also checked my clients blood sugar using the blood glucose meter. I conducted
the fasting blood sugar test, which I asked my client the other day to not eat nor drink
anything starting at 12 midnight up to 8 oclock in the morning. Firstly, I confirmed if my
client hasnt eaten yet and I then prepared the lancet and put it into the lancing device.
After that, I cleaned my clients fingertip where I will prick later with a cotton ball
soaked in alcohol, in a circular motion, while my group mate prepared the test strip by
putting it to the blood glucose meter. When the fingertip is already dry milked it to get
more blood to the tip, and I told my client that I will go for it already, then after it was
pricked I wiped the first drop of blood, and after the next blood came out I laid the blood
glucose meter for the blood to go into the test trip. After it was complete, I put dry cotton
to the pricked fingertip to stop the blood, and showed the result to my client. Fortunately,
his blood sugar level was within the normal range.
What did I learn?
I learned that even though establishing rapport is hard at first, if it goes well,
everything that will follow is going to be smooth and it easy much easier to connect with
your patient. Because of the trust that is build, there will be a very good interaction
between the student nurse and his/her patient.
What do I need to do now?
For the second week of exposure, I will still continue to have my home visits to
my client, and also still continue to instill my teaching plan. I will also start to encourage
my client to join our culminating activity on our last day in the community.

Family Nursing Care Plan

Clients Name: Romeo Richa, Sr.
Age: 74 years old

Health
Problem
Presence of
stress points:
Death of a
member

Family
Nursing
Problem

Failure
to
utilize
community
resources for
health
care
due to:
Subjective: Negative
Sugod
attitude/
namatay
philosophy
akong
in life which
asawa wala
hinders
nako
effective/ma
nagaagto sa
ximum
health
utilization
center, kay
of
sa
una
community
kami man
resources
ng
duha
for
health
magpachec
care
k-up,

Intervention Plan
Method of
Resources
Goal of Care Objectives of
Nursing
Family
Required
Care
Interventions
Nurse
Contact
After nursing After 5 days of 1 Facilitate
Home Time
and
intervention,
nursing
development of
visits
effort of the
the
family interventions,
a
trusting
student
will be able the client and
relationship
nurse.
to eradicate as well as the
with
patient
Money
for
the presence family will be
and/or family.
transportati
Trust
is
of unwanted able to:
on of the
necessary
sites
of a Discuss
student
before
vectors
reality
of
nurse.
patient
causing
losses.
Teaching plan
b
Use
and/or
diseases and
nondestructi
family can
therefore will
ve coping
feel free to
maintain
a
mechanism.
open
home
personal
environment c Discuss
positive and
lines
of
conducive to
negative
communicati
health
aspects of
on with the
the loss
hospice team
and address

Evaluation

(Partial
Evaluation)
After 3 days
of
nursing
interventions,
the client and
as well as the
family:
a Havent yet
able
to
discuss
reality of
losses.
(Pending)
b Already
able to use
nondestruct
ive coping
mechanism

karong
wala
na
siya,
wa
nakoy
gana
muagto pa
didto. As
verbalized
by
the
client.
Verbalizes
feelings of
heaviness,
and
sadness.
Objective:
Frequent
sighing
Talking about
the
deceased or
loss a lo
Inability to
concentrate
or focus

sensitive
issues.
2 Provide open,
nonjudgmental
environment.
Use therapeutic
communication
skills of active
listening,
affirmation,
and so on.
Promotes
and
encourages
realistic
dialogue
about
feelings and
concerns.
3 Actively listen
to the patient
and
familys
expressions of
grief do not
offer your own
opinions
or
interrupt.
Listening
and spending
time with the

Goal Met.
Already
able
to
discuss
positive
and
negative
aspects of
the
loss.
Goal Met.

 Weariness
and fatigue,
even with
enough
sleep

patient and
family can
be one of the
most helpful
things that
the nurse can
do for the
patient and
their family.
4 Encourage
verbalization of
thoughts and/or
concerns and
accept
expressions of
sadness, anger,
rejection.
Acknowledge
normality
of
these feelings.
Patient may
feel
supported in
expression
of feelings
by
the
understandin
g that deep
and
often

conflicting
emotions are
normal and
experienced
by others in
this difficult
situation
5 Be aware of
mood swings,
hostility, and
other acting-out
behavior. Set
limits
on
inappropriate
behavior,
redirect negativ
e thinking.
Indicators of
ineffective
coping and
need
for
additional
interventions
. Preventing
destructive
actions
enables
patient
to
maintain

control and
sense of selfesteem.
6 Respect
the
patients
beliefs.
Respecting
the patients
beliefs
promotes
trust
and
connectedne
ss.
7 Allow
the
patient privacy
and a quiet
place
for
prayer.
Prayer
improves
clinical
outcomes
and provides
a sense of
spirituality
and
wellbeing.
8 Assist
the
patient
in
exploring

reasons
for
living
and
promote hope.
Instilling
hope helps to
promote
spiritual
well-being.
9 emphasize the
need for family
members
to
obtain adequate
rest
and
nutrition and to
identify
and
utilize
stress
management
techniques
So that they
are
better
able
to
emotionally
and
physically
deal with the
changes that
are
being
experienced,
10 If bereavement
services
are

available in the
facility, refer
the family to
these services.
The use of
trained
bereavement
facilitators
can result in
improved
outcomes
and ability to
deal
effectively
with grief for
family
members/lov
ed ones.