Name R. Malanyaon J. Malanyaon G. Malanyaon R.

Malanyaon

Educational Attainment High School Graduate High School Graduate Elementary (Grade 3) N/A

C. Home and Environment Housing (Nipa Hut) Adequacy of living space The house has no flooring and bedroom, small space for intended for dining and living room. Sleeping Arrangement Lying on the floor at rest time (night time) Resting sites of vectors of diseases Less risk of diseases coming from mosquitoes, roaches, flies, and rodents because of the drainage system is closed. Also the way they dispose their garbage is through burning, and it is done at the back of their house. Another thing ism they use mosquito nets to prevent mosquito and cockroach bites. d. Presence of accidents hazards - Burning site at the back of the house, nipa hut is prone to cause fire - Child of the head of the family together with the other children within the compound walks barefooted. a. b. c. -

II. Health Threats A. Head of the family drinks alcohol beverages and smoke occasionally. He may acquire liver cirrhosis and lung cancer. B. Sharing toilet with other household in the compound can cause contamination of ecoli, salmonella, etc. that may lead to diarrhea and other diseases. C. Accident hazards - Burning site at the back of their house can cause a fire hazard because nipa hut is a perfect conductor of fire. - Community deep well is also a risk factor, children playing within the compound might fall and drown. - No flooring, worms are harbouring in a moist area (soil), and children are susceptible in acquiring diseases, such as diarrhea due to ascarus. D. Poor home/Environmental condition/ Sanitation - Lack of spaces for resting moment of each family member. E. Unhealthy lifestyle and personal habits - Head of the family is drinking alcohol and smoking. - Child in the family is walking barefooted. III. Health Deficits A. Illness status regardless of whether it is diagnosed or not. - The 2nd child who has asthma attacks before and has convulsion when his fever reaches 40 Celsius. IV. Presence of foreseeable crisis A. Entrance at school. - First child is a grade 3 student. B. Loss of job - The head of the family is not permanent on his construction job.

2nd Level Assessment Cues/Data y 2nd child which is 1 year and 3 months old had asthma before and convulsion when his fever reaches 40Celsius. Family Nursing Problem I. Inability to recognize the presence of the condition or problem due to: a. Lack of knowledge/inadequate knowledge regarding true nature of the disease due to the educational background of the parents. Nature severity, complication and management of the disease condition

The head of the family and the wife are both high school graduate.

Family consult first the herbolarios and hilots if there are sick in the family member

II.

Inability to make decision with respect to taking appropriate actions due to: b. Lack of trust or confidence in the heath personnel or agency

Family income; 1000 and up. It depends if the head of the family had work in construction. House is made of nipa the house has no flooring the space is intended for dining and living room. All things are confined in small space upon entering the house. Share toilet facilities with other household in the compound. Children walk barefooted.

III.

Inability to provide adequate nursing care to the sick or vulnerable member of the family due to: c. Inadequate sources for care specially financial constraint.

IV.

There were papers and clothes all over the space of the house.

Inability to provide a home environment conducive to health maintenance due to: d. Lack knowledge/inadequate knowledge about importance of hygiene and sanitation. e. Failure to see the benefits of home and environment improvement. f. Lack of skill in carrying out measures to improve home and environment.

Scoring Child has asthma Criteria 1. Nature of the problem 2. Modifiability of the problem Computation 3/3 x 1 Actual Score 1 Justification It is a health deficit and requires more attention. The parents have lack of knowledge regarding to the nature of the problem. And can t provide decision making because they are dependent to herbolarios. Asthma can be prevented if the family consult first the medical health team in their community. Not perceived as a problem because the family has lack of knowledge about it.

1/2 x 2

3. Preventive potential

3/3 x 1

4. Salience of the problem

0/2 x 1

Total Score Possible loss of job of the father Criteria 1. Nature of the problem Computation 1/3 x 1

Actual Score 0.33

2. Modifiability of the problem

1/2 x 2

3. Preventive potential

3/3 x 1

Justification The family will encounter much poverty and they are prone to diseases because they will focus on their basic necessities. Partially modifiable because they can still earn for a living in another way. He can still find a job easily if he has determination to pursue and lessen his vices.

4. Salience of the problem

0/2 x 1

It needs immediate attention because if he loses his job he will not able to supply the basic necessities of his family

Total Score Vices of the father Criteria 1. Nature of the problem 2. Modifiability of the problem Computation 2/3 x 1

2.33

Actual Score 0.66

1/2 x 2

3. Preventive potential

3/3 x 1

4. Salience of the problem

0/2 x 1

Justification It is a health deficit and requires more attention. The vices of the father is partially modifiable. If the father is determined to change his attitude and lifestyle regarding to his vices. It s hard to quit smoking. The vices can be prevented if the father will persevere stop doing it. The family does not recognize it as a problem because the father accept it as a form of relaxation after stress.

Total Score

2.66

Accident Hazards Criteria 1. Nature of the problem 2. Modifiability of the problem Computation 2/3 x 1 1/2 x 1 Actual Score 0.66 1 Justification It is a health threat Accident hazards are partially modifiable because it may require time for them to improve their flooring and structure of their house due to financial expenditures. It can be prevented by providing a healthy environment to the family and free from harmful objects It is not perceived as a problem because the health of the child has not yet given a remedy

3. Preventive potential

3/3 x 1

4. Salience of the problem

1/2 x 1

0.5

Total Score

3.16

Family Nursing Care Plan

Healt h Probl em Family nursing problem Goals of care Objectives of care Intervention plan Metho Resources Required ds of nursefamily contac t Home 1. Human visit Resources - The and time of Clinic the Visit family and the nurse to care for the sick. 2. Financial expenses of the family and the nurse 3. Material resources - Visual aids about the precaut ionary measur es when asthma attacks happen s.

Nursing Interventi ons

Child Asth ma

Inability to recognize the presence of the condition or problem due to Lack of knowledge/inad equate knowledge regarding true nature of the disease due to the educational background of the parents. Nature severity, complication and management of the disease condition

After nursing interventi on. Asthma can be prevente d from reoccurri ng.

After nursing 1. Discu intervention the ss family will: with a. The the family coupl will know e and the explai cause n to and the effect of family asthma the b. Enumera cours te the e of various actio way of n that maintaini shoul ng d be healthy take environ in ment. caring c. Will for know the the benefits asth in matic consultin child g medical 2. Provi de practitio infor ner matio rather n than the about herbolari the os or consu hilots ltatio n hours of the nurse in

baran gay cente r.

Health Problem

Family nursing problem

Goals of care

Objectives of care

Nursing Interventi ons

Possible loss of job of the father after the construc tion work at the church

Inability to recognize the presence of the condition or problem due to Lack of knowledge/inad equate knowledge regarding true nature of the disease due to the educational background of the parents. Nature severity, complication and management of the disease condition

After the nursing interven tion the head of the family will find a job.

After nursing interventi on the couple will a. Know the import ance of job. b. enume rate ways on how to emplo y a job and how to earn money .

1. Discus s with the coupl e the cours e of action that they will take in resolv ing the loss of job. 2. Analy ze the disad vanta ges and advan tages of havin ga job. 3. Provi de infor matio

Intervention plan Meth Resources Required ods of nursefamily conta ct Home 1. Human Resources visit - The time and effort of the family to listen and support the father 2. Financial expenses. - Transportati on of the father

n for any job fare that is happe ning.