INTRODUCTION

The World Health Organization expert Committee of Nursing defines public health nursing as a special field of nursing that combines the skills of nursing, public health and some phases of social assistance and functions as a part of the total public health program for the promotion of health, the improvement of the conditions in the social and physical environment, rehabilitation of illness and disability. Family is the basic unit of a society. So a healthy family contributes to a healthy community. For all Filipinos, they get their support and strength and motivation from their family. So they view family as a center and inspiration for their lives. Family is composed of a father, mother and children. Since the family is the basic unit of the society, it is the indicator of heath in the community. A healthy family means a healthy community. A sick family would lead to a sick community. Each family is really vital in the community health nursing. Familys success mirrors in the community. It is the basic unit of the community, a most important unit of all mankind. It is the core around which great nations are built. It is the foundation of any great society. A family performs two major functions, which is reproduction and socialization, they are of many things, but most of all, a family is a group of human beings working to build something beautiful and lasting. A family is a colony of heaven right here on earth. Part of our role, as a health provider is to promote health and prevent illness of the family. There are various factors that affect health. All factors must be considered in order to provide holistic care to the family, thus promoting physical, emotional, and spiritual welfare.

This study of nursing practice in the community utilizes a number of processes to respond the health needs and problems of clients; manage health programs and resources; and influence decisions that affect the delivery of health services. Home visits and family interactions were initiated to identify nursing problems of the family. Eventually nursing interventions were identified and rendered appropriately. So basically, the nursing process is being utilized. This study analyzes the interplay of the different factors that affect the familys health. However, the study is limited depending on the information being disclosed by the family members and other sources and based on the objective aspects as the family is being observed and monitored. Through constant interaction, the factors that affect the family health were identified and appropriate interventions were done utilizing the nursing process. As a student nurse, it is our goal to promote health, to impart what we have learned in school about health and wellness and to empower the community people to maximize their abilities to achieve an optimum well being. My interaction with the family has helped me to appreciate the essence of community health nursing. They played a special part for us to become an effective health care provider. In one way or the other I have helped them and in turn they have enriched my learning. I am indeed grateful for their understanding and their cooperation.

Spotmap

FAMILY PROFILE
family Head of the Family: Name Relation to Head Birth Date Educational Attainment
Occupation

Name of the Father Birthday Age Address Occupation Citizenship Religion Civil status Income Educational Attainment Allergies Temperature Pulse Rate Respiratory Rate Blood Pressure Height Weight

: Mr. Solomon Yaez : December 17, 1950 : 58 yrs. old : Zone 3 Brgy. Baikingon, Cagayan de Oro City : Farmer : Filipino : Born Again Christian : Married : P 5000/ 3 months : High School Level : Known for Food Allergies (driedfish, Ginamos) : 37.2 C : 84 Bpm : 22 cpm : 100/70 mmHg : 54 : 55 kgs.

Name of the Mother Birthday Age Address Occupation Citizenship Religion Civil status Income

: Mrs. AbvelinaYaez : February 11, 1954 : 56 yrs. old : Zone 3 Brgy. Baikingon, Cagayan de Oro City : Housewife : Filipino : Born Again Christian : Married : Not Applicable

Educational Attainment Allergies Temperature Pulse Rate Respiratory Rate Blood Pressure Height Weight

: High School Level : No Known for Food and Drugs Allergy : 36.5C : 78bpm : 19 cpm : 110/70mmHg : 52 : 52 kgs

Children
Name of the Child Gender Birthday Age Address Occupation Citizenship Religion Civil status Income Educational Attainment Allergies : Grace Yaez : Female : December 28, 1987 : 22 yrs. old : Zone 3 Brgy. Baikingon, Cagayan de Oro City : Not Applicable : Filipino : Born Again Christian : Single : Not Applicable : High School Graduate : No Known food and drugs allergies

Health History
The Head of the Family, a resident of zone 7 bulua and a ordinary electrician wgo earns P 6000 a month. Hasnt encountered any health problems nor receive any blood for the past few years. He has only minor health problems such as headache, cough, and colds which were just relieved by ordinary over-the-counter medicines. According to the mother she gave birth to her children in a normal spontaneous vaginal delivery (NSVD).Both of them, the mother and father, have no history of any heredo-familial disease. They also dont drink liquors and doesnt smoke and has no common food or drug allergies.Fortunately, their children have not experienced any serious illnesses for the past months aside from the usual cough, colds, fever and completed all the needed immunization. In general the unsanitary condition of their home and surroundings and the kind of lifestyle they have can contribute to the health problem they have such as the itchiness of his feet, drainage system, and improper garbage disposal.

Present Health Status

The overall condition of family is fine. It can be described as intermediate. The children were normal. Theyre performing well in their different fields of activities. They are healthy which can be seen clearly through their physical aspect of self. Their weight and height is proportional to their age and is proper especially that they are in their puberty stage. While on the other hand, the couple exhibit and intermediate status. Most of the members of the family do not experience present illness except the youngest she experiences cough and colds. She has also a wound on her feet related to poor sanitary

environment. This can be related to financial constraints and due to lack of knowledge in utilizing proper waste management and drainage. So far, the family did not experience surgical operations in the past. Home and Environment Home  General sanitary condition: y Internal Environment: Unsafe y External Environment: Unsafe Ownership: Owned Construction material used: Wood Number of rooms used for sleeping: 1 Rooms

   Water Supply    

Drinking water:usually by mineral water Source: Public Distance from the house: 500 meters from the house Storage: Container with cover

Drainage System: Open drainage Kitchen y Cooking facility: Gas Stove/Dirty Kitchen

Waste Disposal y Garbage Disposal y Container: Open y Method of Disposal: Open Burning y Toilet Type: Water sealed type y General sanitary condition: Unsafe Domestic Animals: None Community in General y y y y Housing congestion: Partial Recreation facilities: None Type of Health Care Facility: Primary Distance of house from the nearest Health care facility: 400meters

Family Coping Index

5-Competence Area Physical Independence 3-Moderate Competence 1-No Competence Rate Justification 5 Each individual of the members of the family could perform their daily activities. Therapeutic Competence 3 The family could not have a well source of medical assistance because of financial circumstance, but whenever one of the members in the family got sick, they go to the health center to have check up and ask for medication. Knowledge of Health Condition 3 The family has some general knowledge about their health condition. Application of Principles of General 5 The family is able to apply the Hygiene principles of general hygiene for they take a bath daily. Health attitudes 3 The family believes in the science of medicine, but sometimes they practice the traditional method. Emotional Competence 5 Based on the mothers statement, they seldom had an argument with her husband since when problem arises, they try to remain calm and talk about it. After all, they carry their family through mutual responsibilities. The children also quarrel sometimes but can be resolved easily. Family Living 5 Although, the family experiences conflicts, yet they are able to cope with those and maintain their good relationship. Physical Environment 3 Mrs. Yaez is much concern in their environment she sweeps the nearby area and their children are able to manage to work out her household chores.
Use of Community Facilities 3 The familys accessibility to health care is good. They do not resist health care management. However, due to financial constraints they cannot comply with the prescribed medications.

Name: Vital Signs: Ms. Pulse: bpm BP: mmHg Temp: C

Height:

Weight: kgs.

EENT [] impaired vision [ ] blind [ ] pain [ ] redden [ ] drainage [ ] gums [ ] hard of hearing [ ] deaf [ ] burning [ ] edema [ ] lesion [ ] teeth Assess eyes, ears, nose throat for abnormality [ ] no problem RESP [ ] asymmetric [ ] tachypnea [ ] apnea [ ] rales [] cough [ ] barrel chest [ ] bradypnea [ ] shallow [ ] rhonchi [ ] sputum [ ] diminished [ ] dyspnea [ ] orthopnea [ ] labored [ ] wheezing [ ] pain [ ] cyanotic Assess resp. rate, rhythm, depth, pattern, breath sounds, comfort [x] no problem CARDIO VASCULAR [ ] arrhythmia [ ] tachycardia [ ]numbness [ ] diminished pulses [ ] edema [ ] fatigue [ ] irregular [ ] bradycardia [ ] murmur [ ] tingling [ ] absent pulses [ ] pain Assess heart sounds, rate rhythm, pulse, blood Pressure, circ., fluid retention, comfort [ x ] no problem GASTRO INTESTINAL TRACT [ ] obese [ ] distention [ ] mass [ ] dysphagia [ ] rigidity [ ] pain Assess abdomen, bowel habits, swallowing bowel sounds, comfort [x] no problem GENITO URINARY and GYNE [] pain [ ] urine color [ ] vaginal bleeding [ ] hematuria [ ] discharge [ ] nocturia Assess urine frequency, control, color, odor, comfort/ Gyn-bleeding discharge [ x] no problem NEURO [ ] paralysis [ ] stuporus [ ] unsteady [ ] seizure [ ] lethargic [ ] comatose [ ] vertigo [ ] treamors [ ] confused [ ] vision [ ] grip Assess motor function, sensation, LOC, strength, grip, gait, coordination, orientation, speech [ x] no problem MUSCULOSKELETAL and SKIN: [ ] appliance [ ] stiffness [ x ] itching [ ] petechiae [ ] hot [ ] drainage [ ] prosthesis [ ] swelling [ ] lesion [ ] poor turgor [ ] cool [ ] deformity [x] wound [ ] rash [ ] skin color [ ] flushed [ ] atrophy [ ] pain [ ] ecchymosis [ ] diaphoretic [ ] moist Assess mobility, motion gait, alignment, joint function Skin color, texture, turgor, integrity [] no problem

Name: Mr. Vital Signs: Pulse: bpm

BP: mmHg Temp: C

Height:

Weight: kgs.

EENT [] impaired vision [ ] blind [ ] pain [ ] redden [ ] drainage [ ] gums [ ] hard of hearing [ ] deaf [ ] burning [ ] edema [ ] lesion [ ] teeth Assess eyes, ears, nose throat for abnormality [x] no problem RESP [ ] asymmetric [ ] tachypnea [ ] apnea [ ] rales [] cough [ ] barrel chest [ ] bradypnea [ ] shallow [ ] rhonchi [ ] sputum [ ] diminished [ ] dyspnea [ ] orthopnea [ ] labored [ ] wheezing [ ] pain [ ] cyanotic Assess resp. rate, rhythm, depth, pattern, breath sounds, comfort [x] no problem CARDIO VASCULAR [ ] arrhythmia [ ] tachycardia [ ]numbness [ ] diminished pulses [ ] edema [ ] fatigue [ ] irregular [ ] bradycardia [ ] murmur [ ] tingling [ ] absent pulses [ ] pain Assess heart sounds, rate rhythm, pulse, blood Pressure, circ., fluid retention, comfort [ x ] no problem GASTRO INTESTINAL TRACT [ ] obese [ ] distention [ ] mass [ ] dysphagia [ ] rigidity [ ] pain Assess abdomen, bowel habits, swallowing bowel sounds, comfort [x] no problem GENITO URINARY and GYNE [] pain [ ] urine color [ ] vaginal bleeding [ ] hematuria [ ] discharge [ ] nocturia Assess urine frequency, control, color, odor, comfort/ Gyn-bleeding discharge [ x] no problem NEURO [ ] paralysis [ ] stuporus [ ] unsteady [ ] seizure [ ] lethargic [ ] comatose [ ] vertigo [ ] treamors [ ] confused [ ] vision [ ] grip Assess motor function, sensation, LOC, strength, grip, gait, coordination, orientation, speech [ x] no problem MUSCULOSKELETAL and SKIN: [ ] appliance [ ] stiffness [ ] itching [ ] petechiae [ ] hot [ ] drainage [ ] prosthesis [ ] swelling [ ] lesion [ ] poor turgor [ ] cool [ ] deformity [ ] wound [ ] rash [ ] skin color [ ] flushed [ ] atrophy [ ] pain [ ] ecchymosis [ ] diaphoretic [ ] moist Assess mobility, motion gait, alignment, joint function Skin color, texture, turgor, integrity [x] no problem

Dry skin Dirty fingernails

Dirty feet

Name: Vital Signs: Pulse: bpm

BP: mmHg Temp: C

Height:

Weight: kgs.

EENT [] impaired vision [ ] blind [ ] pain [ ] redden [ ] drainage [ ] gums [ ] hard of hearing [ ] deaf [ ] burning [ ] edema [ ] lesion [ ] teeth Assess eyes, ears, nose throat for abnormality [x] no problem RESP [ ] asymmetric [ ] tachypnea [ ] apnea [ ] rales [x] cough [ ] barrel chest [ ] bradypnea [ ] shallow [ ] rhonchi [ ] sputum [ ] diminished [ ] dyspnea [ ] orthopnea [ ] labored [ ] wheezing [ ] pain [ ] cyanotic Assess resp. rate, rhythm, depth, pattern, breath sounds, comfort [ ] no problem CARDIO VASCULAR [ ] arrhythmia [ ] tachycardia [ ]numbness [ ] diminished pulses [ ] edema [ ] fatigue [ ] irregular [ ] bradycardia [ ] murmur [ ] tingling [ ] absent pulses [ ] pain Assess heart sounds, rate rhythm, pulse, blood Pressure, circ., fluid retention, comfort [ x ] no problem GASTRO INTESTINAL TRACT [ ] obese [ ] distention [ ] mass [ ] dysphagia [ ] rigidity [ ] pain Assess abdomen, bowel habits, swallowing bowel sounds, comfort [x] no problem GENITO URINARY and GYNE [] pain [ ] urine color [ ] vaginal bleeding [ ] hematuria [ ] discharge [ ] nocturia Assess urine frequency, control, color, odor, comfort/ Gyn-bleeding discharge [ x] no problem NEURO [ ] paralysis [ ] stuporus [ ] unsteady [ ] seizure [ ] lethargic [ ] comatose [ ] vertigo [ ] treamors [ ] confused [ ] vision [ ] grip Assess motor function, sensation, LOC, strength, grip, gait, coordination, orientation, speech [ x] no problem MUSCULOSKELETAL and SKIN: [ ] appliance [ ] stiffness [ x ] itching [ ] petechiae [ ] hot [ ] drainage [ ] prosthesis [ ] swelling [ ] lesion [ ] poor turgor [ ] cool [ ] deformity [ ] wound [x] rash [ ] skin color [ ] flushed [ ] atrophy [ ] pain [ ] ecchymosis [ ] diaphoretic [ ] moist Assess mobility, motion gait, alignment, joint function Skin color, texture, turgor, integrity [] no problem

Rashes

Evaluation:
Community Health Nursing has been a part of every student nurses life. It is a nurses duty to bring to the people the health programs of the government. To provide immediate health care to the community peoples health problems before going to the higher health care facilities. Prevention is our primary task so it is our duty to do every means in order to educate the people. The home visits gave me an opportunity to provide care to the family, we were able to provide the family the care that were needed by them as well as provide health teachings that may enhance their skills and knowledge in promoting health and preventing illness. This also provided me to interact and immerse myself to the condition the family and to the extent of the community situation. Even if active participation was not so enhanced by the family towards community involvement because but this did not barred us from providing care to them and actout necessary intervention towards positive outcome.