Professional Documents
Culture Documents
Care Plan
Tracy D. Demata
Corazon Theresa S. Gomez
Carla Angelique N. Padua
The Prioritized
Health Problems
The list of health condition or
problems ranked according to
priorities is presented:
Proble
Problem
Date
m#
Identified
Identified
Presence of breeding
February 3,
sites of vectors of
2014
Score
4.16
diseases:
mosquitoes, flies
Improper garbage
February 3,
disposal
2014
Accident Hazards:
February 3,
Fall Hazards
2014
4.16
3.66
Proble
Problem
Date
Score
m#
Identified
Identified
Inadequate food
February 3, 2014
3.66
February 3, 2014
3.66
February 4, 2014
3.66
intake both in
quality and
5
quantity
Accident Hazards:
Pointed/Sharp
Objects
Accident Hazards:
Fire Hazards
Probl
Problem
Date
Score
em #
Identified
Identified
Forseeable crisis
February 4, 2014
2.99
February 4, 2014
2.66
February 4, 2014
2.16
situation: Additional
member in the
household
8
Improper drainage
system
Inadequate Living
Space
Criteria
1. Nature of
Problem
2. Modifiability
of the
Problem
Computation
2/3x1
2/2x2
Actual
Score
Justification
0.66
3. Preventive
Potential
3/3x1
If this problem is
addressed by the family,
complications may be
prevented such as
acquiring communicable
diseases such as dengue,
malaria, etc.
4. Salience of
the Problem
1/2x1
0.5
Total Score
4.16
Criteria
1. Nature of
Problem
2. Modifiability
of the
Problem
Computa
tion
2/3x1
Actual
Score
0.66
2/2x2
Justification
This problem is considered
a health threat where the
family is at risk for acquiring
diseases from improper
disposal of their garbage as
evidenced
Problem is easily modified
because of available such
resources as sacks for
garbage segregation. Health
teachings can help family
decide to take appropriate
action
regarding
the
problem.
Criteria
Computa
tion
Actual
Score
Justification
3. Preventive
Potential
3/3x1
4. Salience of
the Problem
1/2x1
0.5
Total Score
4.16
2. Modifiability
of the
Problem
Computation
2/3x1
2/2x2
Actual
Score
0.66
Justification
This
problem
is
considered a health
threat in which family
can acquire injuries,
which could hinder
their performance of
daily living.
Resources
are
available
in
the
environment such as
woods
and
interventions
are
feasible.
Criteria
Computation
Actual
Score
Justification
3. Preventive
Potential
3/3x1
Injuries
can
be
minimized
if
this
hazard is eliminated.
4. Salience of
the Problem
0/2x1
Total Score
3.66
Problem Identified: Inadequate food
intake both in quality and quantity
Criteria
1. Nature of
Problem
2. Modifiability
of the
Problem
Computati
on
2/3x1
Actual
Score
0.66
2/2x2
Justification
Criteria
Computation
3. Preventive
Potential
3/3x1
4. Salience of
the Problem
0/2x1
Total Score
Actual
Justification
Score
1
The possibility of acquiring
illness from inadequate
food intake can be
prevented if interventions
are done.
3.66
2. Modifiability
of the
Problem
Computation
2/3x1
2/2x2
Actual
Score
0.66
Justification
This
problem
is
considered
a
health
threat in which family can
acquire
injury, which
could
hinder
their
performance of daily
living, if not intervene
properly.
Resources are available
and interventions are
feasible. The student
nurses could provide the
family teachings about
importance of safety.
Criteria
Computation
Actual
Score
Justification
3. Preventive
Potential
3/3x1
The possibility of
acquiring injuries can be
prevented if
interventions are done
4. Salience of
the Problem
0/2x1
Total Score
3.66
Problem Identified:
Presence of breeding sites of vectors of diseases:
mosquitoes and flies
Date Identified:
February 3, 2014
Subjective Cues:
maglagot lage mi kay daghan kaayo lamok diri sa amo,
unya ang mga manok manulod sa among balay unya
bisag asa ra mangiti.
Objective Cues:
Flies and mosquitoes are present during home visitation.
Nursing Intervention
Rationale
Nursing Intervention
Rationale
net.
Nursing Intervention
9. Give family health
teachings about the
advantages if problem is
intervened.
Rationale
To encourage family to
promote sanitation.
Resources Required:
Home visits
Assessment
Health teachings
Time and effort by the family members and the
student nurse
Evaluation:
Goal met. After 2 home visitations and 4 hours
of nursing interventions the family recognize
the causes of breeding sites and the
importance of proper sanitation. And was seen
to be throwing the open canned goods in the
trash instead of placing it at the dirty kitchen.
Subjective Cues:
sunogon ra man namo among basura kay la man mi lain kalabugan.
Unya wala bayay truck na mukuha sa among mga basura diri.
Objective Cues:
Their way of disposing their garbage is by burning it.
They used a broken basin as their makeshift trashcan placed outside
their house.
Some garbage such as canned goods are left at their dirty kitchen.
Trashes are seen a few feet away from their house.
Nursing Intervention
1. Assess the familys
level of understanding
regarding the
identified problem.
2. Asses the surrounding
and the house of the
family.
3. Provide information
regarding the ways on
proper waste disposal.
4. Involve the family in
planning and making of
the garbage bins.
5. Emphasize the
importance of
practicing proper
garbage disposal with
the family.
Rationale
determine
the
To
cognitive level of the
family and acknowledge
their perceptions about
the problem.
to facilitate in making
the appropriate actions
of the family.
for the family to learn
proper ways of waste
management.
to gain family
participation
the
family
to
for
initiate
lifestyle
modifications.
Nursing Intervention
Rationale
may
cause
burning
unfavourable effects to the
health
of
the
family
especially to the children.
clean
home
maintaining
environment prevents presence
of vectors thus preventing
illnesses and diseases.
Resources Required:
Home visits
Assessment
Health teachings
Time and effort by the family members and the student nurse
Nails
Woods
Sacks
Evaluation:
Goal met. After 3 home visitations and 4 hours of
nursing interventions the family was able to recognize
ways of disposing their garbage such as segregating it
as verbalized by Mrs M. Kung maglabog mi ug basura
maam amo nang ilahi ang malata ug di- malata. Ug
amo na lang ilubong ang mga malata nga basura.
Problem Identified:
Accident Hazards: Fall Hazards
Date Identified:
February 3, 2014
Subjective Cues:
wala man pud mahalog diha sa among atabay kay magbantay man
mi, bantayan man sad namo ang bata para dili mahulog. Tabunan
man sad namo ug planggana.
Objective Cues:
Presence of a well 1 meter away from the front door;
Artesian well without cover most of the time;
Washbasin was used as a cover for the well;
Goal of Care:
Within 2 home visits and 4 hours of nursing interventions, the
family will be able to identify the importance of maintaining a
safe environment for the family to reduce the risk for falls.
Nursing Intervention
Rationale
Assess
the
family
concerning their practices
on how they intervene the
situation.
3. Ask the family members
concerns about the
interventions they had
done and suggested to be
done.
4. Provide health teachings
regarding the importance
of maintaining a safe
environment;
5. Discuss with the family
the possible risk factors
that will result
Nursing Intervention
6. Include the family in
planning and keeping the
home safe.
7.
Rationale
To gain family
participation.
independently intervene
Resources Required:
Home visits
Assessment
Health teachings
Time and effort by the family members and the student nurse
Nails, hammer and bamboo sticks
Evaluation:
February 3, 2014
Subjective Cues:
Objective Cues:
Goal of Care:
Within 4 hours of nursing interventions, the family will be
able to comprehend the magnitude of problem and
perform ways to promote healthy food intake.
Nursing Intervention
Rationale
Nursing Intervention
Rationale
6.Provide relevant
-for the family to identify
information about the
the benefits of eating
nutritional benefits from healthy foods.
the food being prepared;
7. Explore with the family
ways of improving eating
habits;
8. Discuss the possible
consequences that may
result if problem will
continue.
9. Include the family in
planning for a healthy
meal;
10. Provide information
regarding the ways on
having a healthy eating
habits;
Resources Required:
Home visits
Assessment
Health teachings
Cooking demonstration
Cooking materials
Time and effort by the family members and the student
nurse
Evaluation:
Problem Identified:
Accident Hazards: Pointed/Sharp Objects
Date Identified:
February 3, 2014
Subjective Cues:
Usahay lage pud kay dula dulaan ra ba pud na sa bata.
Objective Cues:
Sharp and pointed objects (kitchen utensils) such as knife are
improperly kept and within reach by the child
Grandchild L was seen playing with a knife
Goal of Care:
Within 3 home visitations and 4 hours of nursing interventions the
family will be able to acknowledge the presence of problem and
take actions to eradicate the problem.
Nursing Intervention
1. Assess the familys
knowledge regarding the
existing problem
Rationale
-to determine if the family
has perceived this as a
problem
Nursing Intervention
Rationale
Nursing Intervention
Rationale
Resources Required:
Home visits
Assessment
Health teachings
Human resourcesa
Financial resources
Time and effort by the family members and the student
nurse
Evaluation: