Republic of the Philippines

University of Northern Philippines

Tamag, Vigan City

College of Nursing

A FAMILY CASE STUDY

In partial fulfillment
of the Requirements in
Community Health Nursing

Submitted to:
Mrs. Maureen Angelica G. Florendo, RN

Submitted by:
Goldwyn Adversalo
BSN III-AMARYLLIS

July 19, 2010

INTRODUCTION

1
 Community is a group of people sharing common geographic boundaries and

a common shared interest or purpose. It is also where we can find individual, family,

children, elderly and a population group.

In a community we can find a lot of families and a lot of problems also.

Problems like diseases which are categorized by communicable and non-

communicable, so a nurse has to make an action to prevent the problems they

might be encountering. Knowing that not all people in a certain community are

financially capable and educated. Large number of people has a low level education.

Problems are often unidentified because they lack knowledge about the signs,

symptoms, the nature and treatment of a particular diseases.

So Community Health Nurse makes action to educate people by helping them

identify their needs, identify problems in their family and render their service.

Nurses in the community often give helth teachings, preventive measures and

enhances the people’s knowledge about health promotion and disease prevention.

This case study is focused on one of the family in Barangay 7, Pagburnayan

Vigan City Particularly in Block A. The Rapada family is the one involved in this case

study. We will be encountering health threats as well as health deficit and

forseeable crisis present in their family.

OBJECTIVES

• To help the family attain a wellness state

• To establish a good rapport to the family to gain their trust for them to share

with me the information needed for this case study

• To identify health threats, health deficit, and stress points present in their

family

• To enhance their knowledge about health promotion and disease prevention

• To make a family nursing care plan appropriate for their problems

2
FAMILY MEMBERS AND CHARACTERISTICS

NAME RELATIO AG SE CIVIL EDUCATIONA OCCUPATION RELIGI

N E X STAT L ON
US ATTAINMENT
A. HEAD 39 M M COLLEGE JAR MAKER RC
RUBEN UNDERGRADU
RAPADA ATE

ANALYN WIFE 40 F M ELEMENTARY LAUNDRYWOM RC

RAPADA GRADUATE AN

RON POSTERS 20 M S ELEMENTARY JAR MAKER RC

ALD ON UNDERGRADU
PALECP ATE
EC
MAR SON 13 M S ELEMENTARY RC
K UNDERGRADU
ANTHO ATE
NY
RAPADA
RUBIL DAUGHTE 11 F CHILD - RC
YN R
RAPADA
MARY DAUGHTE 6 F CHILD - - RC
ANN R
RAPADA

SHIE DAUGHTE 3 F CHILD - - RC

LA MAE R
RAPADA

CHAR DAUGHTE 1 F CHILD - - RC

LENE R 9/1
RAPADA 2
B. HEAD 22 F S - NONE RC
REYNAL
YN
PELECP
EC
REXE SON 1 M CHILD - - RC
L 3/1
MARK 3
PELECP
EC
C. HEAD 34 F S - LAUNDRYWOM RC
ANNA AN
BEL
CORTEL

3
FAMILY STRUCTURE, CHARACTERISTICS AND DYNAMICS

In Barangay Parburnayan, Vigan City particularly, there live a family

headed by Mr. Ruben Rapada, 39 yrs old. He is married tto Mrs. Analyn, 40

yrs old. They are blessed with 5 children. Eldest is Mark anthony 13 yrs old,

next is rubilyn 11 yrs old, then mary ann 6 yrs old, then shiela mae 3 yrs old

and the yougest is charlene 1 9/12 yr old. But Mrs. Annalyn had 3 children

before she got married to Mr. Ruben. Her eldest is Reynalyn a 22 year old

single mother, gave birth to a healthy son named Rexel mark. Next is Ronald

20 years old and currently working as a jar maker. And also together living

with them is Ms. Annabel Cortel, 34 years old and a laundry woman.

They are an extended family, they live together in one house. They

have a good family rerationship, they do help each others in many matters

like financial matters but sometimes conflicts cannot be avoided but they

make sure of it that they do fix their conflicts as soon as they can.

Mang Ruben as the head of the family decides especially in matters of

health care.They are an extended family that’s why sometimes there are

conflicts that cannot be avoided among the family members like matters of

everyday financial isssues.

4
SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS

Family’s monthly income

NAME INCOME

RUBEN RAPADA 3,000.00

ANALYN RAPADA 500.00

ANNABEL CORTEL 500.00

TOTAL 4,000.00

MONTHLY EXPENSES

Electicity 350.00
Water 350.00
Foods 2000.00
Allowance of children 800.00
Groceries and other expenses 500.00
TOTAL 4,000.00

5
 Mang Ruben’s Income as a jar maker is not enough for their family though

Manang Analyn and Manang Annabel works as a laundry woman, they dont have a

stable job. They are just waiting for people to demand their service. Mang Ruben is

the one deciding about money matters and how should be spent. He wishes to give

his housemates a better life but since he weren’t able to finish his studies, it is

imposible so they are just sharing what they have and what can he provide in their

everyday life. Also Manang Annalyn and Annabel finished Elementary Level only.

All of the members of the family are Roman Catholic.They dont often go to

church for a mass, they only go if there is a special ocassion like birthday, christmas

and new year. They are not affiliated into any other groups, they are Ilocano.

6
HOME ENVIRONMENT

4m

Room of Ate Reynalyn,

Manang Annabel and Rexel
Mark

Room of
5m C
Manong
a Ruben,
b
i Manang
n
e Analyn and
t
D D
their children

Dinning Area
D

Kitchen

Bathro
om 7
 CR

The family lives into a four by five meters house made up of light

materials like woods, hallowblocks and cemented flooring, they have a

ground as the flooring in the kitchen. They only have 1 bedroom but 2

beds.Manang Analyn and Manong Ruben together with their childrens

occupies the first bed. Manang Annabel and Reynalyn together with Reel

Mark sleeps in the second bed which is located in the living room. They have

a small living room and they also use it as dining area and sleeping place for

Ronald and Mark Anthony . There is a presence of breeding sites and resting

sites of mosquitoes and flies. There are also accident hazards present in their

house as observed by loose stair going up the comfort room, fragile windows,

and scattered kitchen utensils like spoon, pork, copping board and knife. It is

also fire hazardous because of earthened stove is situated just beside their

wall. They usually store their foods in a covered plate placed on top of the

table. They used kettle and casserole in cooking their food. They also use

woods and coal in cooking. Their clothes are just hanging around at the

inside of their house. They get their water supply in NAWASA. They used

karamba, waterjag and bottled container in storing their water. They drink

water directly without boiling. They have a water sealed toilet. They usually

packed their garbage in an open receptacle and dispose in the garbage

dump in their block. Sometimes they burn their garbage infront of their

house ofr even at the side of their house. They have a blind drainage system

with an unsanitary condition because of the presence of molds and worms.

8
 The family lives in a cogested neighborhood as evidenced by the

number of the houses around them. They have a lack of knowledge about

social and health facilities. They also use cellphone as a mean of

communication and listen to radio for other news and informations. They

dont own any transport vehicle but uses trycicle as mean of transportation.

They dont have any health facility like first aid kit inside their house.

HEALTH STATUS OF EACH MEMBER

Rexel mark always suffer from fever, colds and cough as verbalized by

her mother. They often practice self treatment. They only go to doctor,s if

they cannot tolerate what they feel anymore.Also the immunization status

are not complete. Manang Annable and Analyn are risk for Hypertension

because of their body built. BP were taken during home visits and recorded

as follows 130/80mmHg for Manang Annabel and 130/70mmhg for Manang

Analyn. Immunization status card were not present and according to the

mother it is misplaced. All other member of the family rarely experincing

illnesses and if there is they do only suffer from cough, fever and common

colds.

VALUES, HABITS AND PRACTICES ON HEALTH

PROMOTION, MAINTENANCE AND DISEASE PREVENTION.

IMMUNIZATION STATUS

Name BCG DPT HEP B OPV MEASLE

S
REXEL X X X (-) (-)
9
 MARK

CHARLEN X X X X (-)
E

LEGEND:

X- completed

(-)-uncompleted

BP MONITORING

NAME JULY 6,2010 JULY 12,2010

Analyn 130/90 130/90
Annabel 130/80 130/80

The family has an inadequate knowledge with regards to their healthy

lifestyle as evidenced by they just eating whatever they have, they dont

even limit their meats and also they eat noddles and canned foods. During

night time, they use mosquito net as a protective measure from

mosquitoes.They use sleepers wherever they as as a proctection for their

feet. They do use katol in driving away mosquitoes.They have a good sleep

pattern eventhough they dont have adequate living space they still have a

enough rest and sleep. They usually treat common illness such as cold,

cough and fever with over the counter drugs like paracetamol and pain

relievers. Babies are not fully immunized.They have adequate clothing.

10
 FIRST LEVEL ASSESSMENT

I. PRESENCE OF WELNESS STATE

Ate Reynalyn knows the importance of breast feeding and she is

ready to enhance the wellness state even if they lack resources

particularly money, she still have the desire for the improvement of

her baby.

II. PRESENCE OF HEALTH THREATS

The family lives in a 4 by 5 meter house of light materials

situated in a congested area as observed by the number of houses around

theirs. There is a threat in accident hazards as evidenced by poor foundation

and structure of the house, fragile windows, walls covered by a galvanized

roof or plywoods and galvanized roofs. The utensils like knife and metal

tubings are improperly kept. The light stucture of the house may add as a

threat of fire hazards as well as the earthened stove. There is an unhealthful

eating and nutritional habits due to inufficient food intake both in quality and

11
quantity. They lack food storage and sometimes the basin used for washing

clothes are also used in covering their foods. A health threat due to

unsanitary food handling and preparation because of the scattered kitchen

utensils and the sanitation of the area. Unpleasant environment due to

scattered personal belongings like clothes are not properly kept.They also

practices self medicationwhich is a form of unhealthy lifestyle practice.

A health threat may increase with the presence of breeding on resting

sites of vectors of diseases like cross infections from communicable diseases

from dogs, mosquitoes and even flies. The unsanitary garbage disposal is

also a health threat to the family . Burning their garbage in the backyard may

contribute to air pollution. They have a poor lighting and ventilation as

evidenced by only 1 electrifan is used inside the house and 1 flourescent

lamp lights the entire house.

Intrapersonal conflicts is a stresss-provoking factor that may cause to

health threat because it my lead to family disunity due to self oriented

behavior of members nd financial matters. And aprehence of this may lead to

failure in maintaining the wellnes state.

III. PRESENCE OF HEALTH DEFICIT

Rexel and all other children in the family are not fully immunized so

they are at risk for easily acquiring such diseases that is not prevented

becase of incomplete immunization status. And also Manang Annabel and

Analyn are at high risk for Hypertension because of their lifestyle like they

dont limit their meats, taking food rich in sodium and because of their body

built.

12
IV. PRESENCE OF STRESS POINTS AND FORSEEABLE CRISIS

Marriage is considered as a stress point of the family wherein Ate

reynalyn is not married but she has a child. Ate Reynalyn doesn’t have work

to support the needs of her son, lack of job is also considered as a stress

provoking factor because her son might not be able to finish his studies.

SECOND LEVEL ASSESSMENT

INABILITY TO RECOGNIZE THE PRESENCE OF THE

PROBLEM DUE TO:

The family lack knowledge because they werent able to finish their
studies, most of them reached only the elementary level.

INABILITY TO MAKE DECISIONS WITH RESPECT TO

TAKING APPROPRIATE HEALTH ACTIONS DUE TO:

The family fail to comprehend the nature of conditions, lack of

knowledge as to alternative causes of action open to them and conflicting
opinions among the family members regarding actions to take with
regards to money matters.

13
INABILITY TO PROVIDE ADEQUATE NURSING CARE TO
THE SICK DUE TO:

The family has inadequate knowledge about disease condition, its

nature, complications and management because of inadequate kowledge
as evidenced by praciticing self medication. And also because of
inadequate family resources for care as evidenced by no first aid kit and
even a thermometer present in their house.

INABILITY TO PROVIDE HOME ENVIRONMENT CONDUCIVE

TO HEALTH MAINTENANCE AND PERSONAL
DEVELOPMENT DUE TO:

Inadequate family resources specifically limited fiancial resources as

evidenced by loose structure/foundation of the house. Inadequate
knowledge of importance of hygiene and sanitation as evidenced by
unsanitary environment that may cause breeding or resting sites of
vectors of diseases.

FAILURE TO UTILIZE COMMUNITY RESOURCES FOR

HEALTH CARE DUE TO:

Inadequate knowledge of community resources for health care and lack

of family resources specifically financial resources.

CUES

IMPROPER HYGIENE

 Clothes are hanging inside TECHNIQUES

there house >INABILITY TO PROVIDE HOME

ENVIRONMENT CONDUCIVE TO

14
 They dont often wash their HEALTH MAINTENANCE AND

hands when eating PERSONAL DEVELOPMENT DUE TO:

 Inadequate family resources

 The water being used in
specially financial constraints
takig a bath has algae
and physical resources
 The water containers are
 Lack of kowledge of
okey but e are not sure if its
importance of hygiene and
safe inside
sanitation

 Lack of skill on carrying out

measures to improve home

environment

IMPROPER GARBAGE DISPOSAL

 They often burn their >INABILITY TO PROVIDE HOME

garbage infront or ENVIRONMENT CONDUCIVE TO

sometimes at the side of HEALTH MAINTENANCE AND

their house PERSONAL DEVELOPMENT DUE TO:

 Lack of kowledge of
 They usually packed their
importance of hygiene and
garbage in an open
sanitation
receptacle and dispose the

garbage dump in their blocks  Lack of skill on carrying out

measures to improve home

environment

UNSANITARY FOOD HANDLING

 Kitchen utensils are being INABITY TO MAKE DECISIONS WITH

scattered in the kitchen like RESPECT TO TAKING APPROPRIATE

spoon, pork, chopping board, HEALTH ACTION DUE TO:

and knife.  Failure to comprehend the

15
 They store their water in a nature/ magnitude of the

bottle containers, waterjag, condition

and even jars which they use

 Low salience of the problem
in washing and cooking their

foods

SELF MEDICATION AS HEALTH

 The family verbalized that THREAT

they dont often go to the INABILITY TO PROVIDE ADEQUATE

hospital when one member NURSING CARE TO THE SICK

of the family is sick MEMBER OF THE FAMILY DUE TO:

 Lack of knowledge and skill in

 They just take medications
carrying out necessary
without doctors prescription
interventions/ care
as claimed by the family

 Inadequate knowledge about

 They treat common illnesses
child child development and
like cough, fever, and
care
common colds by taking

unprescribed drugs.

POOR ENVIRONMENTAL

 The family lives in a SANITATION

cogected neighborhood >INABILITY TO PROVIDE HOME

ENVIRONMENT CONDUCIVE TO
 The flooring of their kitchen
HEALTH MAINTENANCE AND
is uncemented
PERSONAL DEVELOPMENT DUE TO:
 The comfort room is situated
 Failure to see the benefits of
beside the house, it is made
invesment in home
up of light materials like
environment improvement
galvanized roof, woods and

16
 piece of cloth  Inadequate family resources

specially financial constraints

 The environment is dirty

INADEQUATE LIVING SPACE

 They live in a 4 x 5 meter >INABILITY TO PROVIDE HOME

house made of light ENVIRONMENT CONDUCIVE TO

materials like galvanized HEALTH MAINTENANCE AND

roof, woods and hallowblocks PERSONAL DEVELOPMENT DUE TO:

 Inadequate family resources

 The living room functions as
specifically financial
a sleeping area and dining
constraints and limited
room
physical resources
 The houses consist of 1

room and 2 beds

TYPOLOGY OF THE NURSING HEALTH PROBLEMS

IN THE FAMILY NURSING PRACTICE

17
1. UNSANITARY FOOD HANDLING

PROBLEM COMPUTATIO ACTUAL JUSTIFICATION

N SCORE

NATURE 2/3*1 0.67 Unsanitary food handling is a

health threat because this
will bring the family into
harm when not solve

MODIFIABILI 2/2*2 2 The resources and the

TY interventions needed to solve
the problem are available to
the family

PREVENTIVE 3/3*1 1 The possible effect of

POTENTIAL unsanitary food handling may
be prevented if they will
practice the right way of
handling foods

SALIENCE ½ 0.5 The family identified it as a

problem not needing
immidiate attention because
they dont even rocognize the
presence of this problem

TOTAL SCORE 4.17

2. IMPROPER HYGIENE TECHNIQUE

18
 PROBLEM COMPUTATIO ACTUAL JUSTIFICATION

N SCORE

NATURE 2/3*1 0.67 Improper hygiene technique

is a theat to the family
because of the possible effect
that might happen if they
continue to practice this

MODIFIABILI 2/2*2 2 The nuse is present to share

TY and educate the family the
interventions needed to
eradicate this problem

PREVENTIVE 3/3*1 1 Practicing proper hygiene

POTENTIAL technique is a way of
preventing this problem

SALIENCE 2/2 1 This problem needs

immidiate attention to
prevent occurence of
diseases that can be
acquired if they continue to
practice this problem.
TOTAL SCORE 4.67

3. INADEQUATE IMMUNIZATION STATUS OF THE CHILD

19
 PROBLEM COMPUTATIO ACTUAL JUSTIFICATION

N SCORE

NATURE 2/3*1 0.67 It is a health threat because

it may bring possible illness
for the child

MODIFIABILI 1/2*2 1 The resources and the

TY interventions needed to solve
the problem are not available
to the family

PREVENTIVE 2/3*1 0.67 The family lack knowledge

POTENTIAL about the importance of
having their child be
immunized, this can be
prevented if the family is
knowledgable enough, the
Rural Health Unit is just a half
kilometer away from the
house
SALIENCE 2/2 1 This problems needs
immmidiate attention
because its not too late to
educate the mother

TOTAL SCORE 3.34

4. IMPROPER GARBAGE DISPOSAL

20
 PROBLEM COMPUTATIO ACTUAL JUSTIFICATION

N SCORE

NATURE 2/3*1 0.67 Improper garbage disposal is

a threat to the family and
even their nieghbors

MODIFIABILI 2/2*2 2 The nurse is available, he/she

TY can share the konowledge
that is neede for the family to
understand the importance of
preventing the bigger effect
of the identified problem

PREVENTIVE 3/3*1 1 The possible effect of

POTENTIAL improper garbage disposal
may be prevented if they will
practice the right way of
disposing their garbage

SALIENCE 2/2 1 It is a problem needing

immidiate attention because
it can affect the coomunity
not the family alone

TOTAL SCORE 4.67

5. INADEQUATE LIVING SPACE

21
 PROBLEM COMPUTATIO ACTUAL JUSTIFICATION

N SCORE

NATURE 2/3*1 0.67 It is a health threat that does

not demad immediate action
because of lack of family
resources, it is inadequate

MODIFIABILI 1/2*2 2 Increasing the living space

TY will require quite financial
expenditure. The family’s
resources are presently not
adequate considering other
problems; however,
furnitures can be arranged to
allow more space
PREVENTIVE 3/3*1 1 Increasing the living space
POTENTIAL will: provide bigger space to
allow adequate movements
when perfoming housework
and joint recreation, leisure
or play

SALIENCE - - -

TOTAL SCORE 2.67

6. ENVIRONMENT SANITATION

22
 PROBLEM COMPUTATIO ACTUAL JUSTIFICATION

N SCORE

NATURE 2/3*1 0.67 It is a health that demand

immediate action because it
is not conducive for the
family and also the
neighborhood

MODIFIABILI 2/2*2 1 The problem is easily

TY modifiable since the nurse’s
resources are available ; he
can help the family in mking
or taking actions that are
needed to improve the
environmental sanitation

PREVENTIVE 3/3*1 1 The problem is highly

POTENTIAL preventable if the family is
willing to cooperate and
listen to the nurse

SALIENCE 0/2 0 It is not a feltproblem

TOTAL SCORE 2.67

7. UNHEALTHY LIFESTYLE PRACTICE- SELF MEDICATION

23
 PROBLEM COMPUTATIO ACTUAL JUSTIFICATION

N SCORE

NATURE 2/3*1 0.67 It is a health threat that

needs immediate action
because of the harmful
effects of drugs specially if
taken without prescription

MODIFIABILI 2/2*2 2 Knowledge of the nurse and

TY interventions are available to
solve this problem

PREVENTIVE 3/3*1 1 Self medication can be

POTENTIAL explained by the nurse, its
harmful effectsso it is a
problem that can be
prevented

SALIENCE 0/2 0 They dont percieve it as a

problem

TOTAL SCORE 4

PRIORITIZATION
24
 PROBLEM SCORE

IMPROPER HYGIENE 4.67

TECHNIQUE
IMPROPER GARBAGE 4.67

DISPOSAL
UNSANITARY FOOD 4.17

HANDLING
SELF MEDICATION 4

INADEQUATE 3.34

IMMUNIZATION STATUS

POOR ENVIRONMENTAL 2.67

SANITATION

INADEQUATE LIVING 2.67

SPACE

25
 HEALTH FAMILY GOAL OF CARE OBJECTIVES OF NURSING INTERVENTIONS
PROBLEM NURSING CARE NURSING METHOD OF RESOURCES
PROBLEMS INTERVENTIONS NURSE-FAMILY REQUIRED
CONTACT
IMPROPER • Inability to • After After nursing • Assess the Home visit Home visits
provide home nursing interventions the degree of
HYGIENE family will: Discussion
environment interventions, awareness with
TECHNIQUE coducive to the family will regards to the
health and be able to a. Include existing problem Demonstration
maintenance identify proper by interviewing
due to improper hygienic handwashing the family Time and effort of
hygiene measures such techniques the nurse nd
techniques as proper b. Enumerate • Discuss the family members.
handwashong the health importance of
and its problems that hygiene in their
significants will possibly health like
cause spread preventin of such
of infection diseases that can
c. Identify be acquired if
ways on how they will not
to maintain practice proper
hygiene hygiene
d. Gain techniques
understanding
about the
importance of • Enourage them
proper to wash their
hygiene in hands before
activities of eating because if
daily living they wont mouth
is an entry of
microorganisms
that may harm
their health

26
• Discuss
potential health
problems that
could arise like
infection

27
 HEALTH FAMILY GOAL OF CARE OBJECTIVES OF NURSING INTERVENTIONS
PROBLEM NURSING CARE
NURSING METHOD OF RESOURCES
PROBLEMS
INTERVENTIONS NURSE-FAMILY REQUIRED
CONTACT
INADEQUATE • Inability to •After nursing After nursing •Assess the family’s HOME VISIT HOME VISIT
recognize the interventions, the interventions the degree of
IMMUNIZATI the family will: ASSESSMENT
presence of family will be able perception with
ON OF THE health threat due determine the concerns to the
CHILD to lack of importance of a.determine the immunization of DISCUSSION
knowledge about having complete importance of children by means
the conditon immunization complete of interview
immunization •Discuss with he
b.enumerate family the
posssible illness significance of
that can occur completing the
due to in immunization
complete schedules for their
vaccination children like it will
c.follow-up prevent the child
vaccine of the from fatal diseases
children •Encourage the
d.give the family to actively
specific visit RHU’s during
attention to the scheduled
schedules of immunizations for
child them to have an
immunization idea what
immunization
should their child
will take

28
 HEALTH FAMILY GOAL OF CARE OBJECTIVES OF NURSING INTERVENTIONS
PROBLEM NURSING CARE
NURSING METHOD OF RESOURCES
PROBLEMS
INTERVENTIONS NURSE-FAMILY REQUIRED
CONTACT
UNSANITARY • Inability to • After After nursing • Assess the HOME VISIT HOME VISITS
decide about nursing interventions, the family’s level of
GARBAGE family will be able ASSESSMENT
taking interventions, understanding
DISPOSAL appropriate the family will to: with regard to the
actions due to be able to problem by asking DISCUSSION
failure to determine the a.identify the some questions
comprehend importance of different ways on • Assess the TIME AND EFFORT
the natue and practicing proper disposal of surrrounding and OF THE NURSE
scope of the proper garbage the house of the AND THE AMILY
problems. methods on family like
waste disposal b.enumerate the identifying what
proper techniques is the reason of
on keeping the the occurence o
surrroundings the problem
clean and through • Demonstrate
using proper methods of proper
method of waste garbage disposal
disposal like correct way of
burning,
c.advantages of separating bio
proper waste and non
disposal biodegradable
waste
d.recognize the • Explore with the
possible effects of family the
garbage burning advantages and
disadvantages of
different methods
of waste disposal
like:
• Burning

29
 • composting

HEALTH FAMILY GOAL OF CARE OBJECTIVES OF NURSING INTERVENTIONS

PROBLEM NURSING CARE NURSING METHOD OF RESOURCES
PROBLEMS INTERVENTIONS NURSE-FAMILY REQUIRED
CONTACT
IMPROPER • Inability to • After After nursing • Assess the HOME VISIT HOME VISITS
decide about nursing interventions, the family the way
FOOD family will be able DISCUSSION
taking interventions, they prepare food
HANDLING appropriate the family will to: by observing
actions due to be able to them and TIME AND EFFORT
failure to practice a.recognize the interviewing them OF THE NURSE
comprehend proper ways risk factors that • Discuss woth AND THE FAMILY
the identified on handling will conribute to the family the MEMBERS
problem as a food and the identified health problems
health threat recognize the problems that may occur if
importance of this problem will
food handling b.identify te perisist like
different a. Food
measures to poisoning
prevent the b. Ingestion of
arousal of the risk microorganism
factors of the s
problem • Teach the
family to do
c.determine the proper
importance of handwashng and
preparing and encourage them
handling the food to perform it

30
 properly before and after
handling foods
d.practice and • Instruct them to
apply the store food in a
techniques of food clean place like in
handling and the table but they
preparation must see to it
that they will
cover it well

HEALTH FAMILY GOAL OF CARE OBJECTIVES OF NURSING INTERVENTIONS

PROBLEM NURSING CARE NURSING METHOD OF RESOURCES
PROBLEMS INTERVENTIONS NURSE-FAMILY REQUIRED
CONTACT
SELF • Inability to • After After nursing • Discuss with the HOME VISITS HOME VISITS
provide nursing interventions, the family the
MEDICATION family will be able DISCUSSION
adequate interventions, importance of
nursing care to the family will to: taking prescribed
the sick be able to drugs. TIME AND EFORT
member of the practice a. Know the a. Prescribed OF THE NURSE
family because healthy harmful effects drugs are safe AND THE FAMILY
of lack of lifestyle of self to use MEMBERS
knowledge in practice by medication b. It will not
carrying the not taking harm the
skills needed unprescribed b. Know what patient
drugs and drugs can do if c. You will be
know the taken sure that the
dangers of it unprescribed drug you are
taking is safe

• Discuss the
c. Determine the danger of taking
importance of unprescribed

31
 taking drugs
prescribed a.It may harm the
drugs rather patient
than self b. May
medicatiom sometimes
cause death
c.May cause
toxicity

• Teach the
family to consult
the doctor
frequently well or
unwell, with or
without symptoms

HEALTH FAMILY GOAL OF CARE OBJECTIVES OF NURSING INTERVENTIONS

PROBLEM NURSING CARE
PROBLEMS

NURSING METHOD OF RESOURCES

INTERVENTIONS NURSE-FAMILY REQUIRED
CONTACT
INADEQUAT • Inability to • After After nursing • Discuss the HOME VISIT HOME VISITS
provide home nursing interventions, the worth of having a
E LIVING family will be able DISCUSSION
environment interventions, enough space for
SPACE conducive to the family will to: living
health be able to • Teach the TIME aND EFORT
maintenance know the a.recognize the family on how to OF THE NURSE
due to importance of importance of make their house AND THE FAMILY
indequate having an having an more spacious MEMBERS

32
 family adequate adequate living like
resources space and its space a. Buy only
specially benefits thinhs that are
limited b.The benefits of needed to
financial having a maximize the
resources adequate living space of their
space house
b. Buy space
c. How to make limiting
their house furnitures
spacious c. Fix or arrange
without furnitures that
wasting would
money for maximize the
construction house space

HEALTH PROBLEM FAMILY GOAL OF CARE OBJECTIVES OF NURSING INTERVENTIONS

NURSING CARE NURSING METHOD OF RESOURCES
PROBLEMS INTERVENTIONS NURSE-FAMILY REQUIRED
CONTACT
POOR • Inability to • After After nursing • Broaden the HOME VISIT HOME VISITS
provide home nursing interventions, the knowledge of the
ENVIRONMEN family will be able DISCUSSION
and interventions, family on the
TAL environment the family will to: benefits of a

33
SANITATION conducive to be able to sanitary TIME AND EFFORT
health learn the a.know the environment like: OF THE NURSE
maintenance necessary importance of • If the AND THE FAMILY
due to failure measures to good environment environment is MEMBERS
to see of the make their and it will prevent clean the lesser
investment in environment them in acquiring the possibility of
home environ conducive to diseases easily acquiring disease
improvement health is.
b. see the benefit • Less vectors of
of having a good diseases will be
environmental present in the
conditon and house like
sanitation mosquitoes, flies
and rats
c.Learn to make
the environment • Discuss ways on
a conducive for how to provide a
health home that is
coducive to
health like:

a.Make a habit in
cleaning the
surroundings
b. Always make
the surroundings
clean
c. work hand in
hand in clening
the surooundings

34
35
The surroundings of the Rapada Family Taking the Blood Pressure of Manang Analyn

The room of Manong Ruben and Manang Annalyn

36
Front of the house of the Rapada Family The Room of Ate Reynalyn, Manang Annabel and Rexel

Mark Only 1 fan ventilates the house

The Kitchen of the Family The Dinning Area of the family

The Bathroom of the Family

37
The bottles as water containers and plates The unsanitary Environment of the family

Inside of the family’s bathroom

38