the Pinlac familly

Family No: 1 Name if the head of the Family: Mariano Pinlac Address: Brgy.178 Pulo Area Pasay City Lists of Health Problems Malnutrition Nature of the Problem - Health Deficit

Colds and Cough

- Health Deficit

High Level of Cholesterol

- Health Deficit

Poor Environmental Sanitation

- Health Threat

Incomplete Immunization

-Health Threat

Family No: 2 Name if the head of the Family: Reynato B. Rivera Address: Brgy. 178 Pulo Area Pasay City Lists of Health Problems Cold and Persistent Cough Nature of the Problem - Health Deficit

Cigarette Smoking

- Health Threat

Poor environmental sanitation

- Health Threat

Fire Hazard Unsanitary Waste Disposal

- Foreseeable Crisis - Human Threat

Family No: 3 Name if the head of the Family: Eduardo Fenol Address: Brgy. 178 Pulo Area Pasay City Lists of Health Problems Poor Environmental Sanitation Lack of Financial History Colds and Persistent Cough Fire Hazard Alcohol Drinking Nature of the Problem - Health Threat - Foreseeable Crisis - Health Deficit - Foreseeable Crisis - Foreseeable Crisis

Family No: 4 Name if the head of the Family: Antonio Capilitan Address: Brgy. 178 Pulo Area Pasay City Lists of Health Problems Poor Environmental Sanitation Nature of the Problem - Health Threat

Fire Hazard Poor Lighting and Ventilation

- Foreseeable Crisis - Foreseeable Crisis - Foreseeable Crisis - Health Deficit

Unsanitary Food Handling Persistent Cough

Family No: 5 Name if the head of the Family: Mark Beltran Address: Lists of Health Problems Persistent Cough Nature of the Problem - Health Deficit

Polycystic Ovaries

- Health Deficit

Poor Lighting and Ventilation

- Foreseeable Crisis - Health Threat

Poor Environmental Sanitation

Fire Hazard

- Foreseeable Crisis

Family No. 1 Problem No. 1 (Malnutrition) Criteria 1. Nature of the problem

Head of the Family: Mariano Pinlac

Standard Health deficit

Score 3

Computation 3/3 x 1

Actual Score 1

Justification It is a health deficit. The problem can easily be modified since the resources are available Cases can be prevented if the family would follow suggestions of proper eating (nutritious yet inexpensive food). Yet, the environment as a factor in malnutrition also needs improvement. It is not a recognized problem.

1.

Modifiability of the problem Preventive potential

Modifiable

2/2 x 2

1.

Moderate

1/3 x 1

1/3

1.

Salience of the problem

Not a problem

0/2 x 1

TOTAL: 3 1/3

Family No. 1

Head of the Family: Mariano Pinlac

Problem No. 2 (Cold and Persistent Cough) Criteria 1. 1. 1. Nature of the problem Modifiability of the problem Preventive potential Salience of the problem Standard Health deficit 3 Removable Moderate Does not need immediate attention 2 1 1 3/3 x 1 2/2 x 2 1/3 x 1 1/1 x 1 1 2 1/3 1 Score Computation Actual Score Justification It is a health deficit. The problem can easily be removed since the resources are affordable Cough and cold can be prevented if the family would follow proper rest and diet, which is essential for the immune system of the family (helps in protecting the family from colds virus) . The family disregards it as something simple not needing immediate attention.

1.

TOTAL:

4 1/3

Family No. 1 Head of the Family: Mariano Pinlac Problem No. 3 (High Level of Cholesterol) Criteria Standard Score

Computation

Actual Score

Justification

1.

Nature of the problem

Health deficit 3 3/3 x 1 1

1.

Modifiability of the problem

Removable

2/2 x 2

1.

Preventive potential

Moderate

1/3 x 1

1/3

1.

Salience of the problem

Need Immediate Attention

2/1 x 1

High Cholesterol level is considered a health deficit. The problem can easily be removed since the resources and restraints are available. Cases can be prevented if the family would follow suggestions of proper eating and decrease amount of high level cholesterol/fats foods. The family recognizes it as a factor that needs immediate attention due to the fact that they eat only cooked foods of vegetables and fish which are very low in fats.

TOTAL:

5 1/3

Family No. 1 Head of the Family: Mariano Pinlac Problem No. 4 (Poor Environmental Sanitation) Criteria Standard Score 1. Nature of the Health Threat problem 2 1. Modifiability of the problem Modifiable 1 1. Preventive potential Moderate 1 1. Salience of the problem Does not need immediate attention 1

Computation 2/3 x 1 1/2 x 2 1/3 x 1 1/1 x 1

Actual Score 2/3 1 1/3 1

Justification It is a health threat. The problem can easily be modified since the resources are available, even in their own homes, cleaning equipments are available and throwing garbage in the right way can help modify this health problem. Cases can be prevented if the family would follow suggestions of sanitary ways of cleaning and proper sanitary ways of preparing foods. Although the environment lacks cleanliness and has poor sanitation the family does not recognize it as a problem, giving it no immediate attention.

TOTAL:

Family No. 1 Head of the Family: Mariano Pinlac Problem No. 5 (Incomplete Immunization) Criteria Standard Score Computation Actual Score Justification

1.

Nature of the problem

Health Threat 2 2/3 x 1 2/3

1.

Modifiability of the problem

Modifiable

1/2 x 2

1.

Preventive potential

Moderate

1/3 x 1

1/3

1.

Salience of the problem

Does not need immediate attention

1/1 x 1

It is considered a health threat for the fact that incomplete immunization can lead to high risk of diseases. The problem can easily be modified since the resources and the health center are available. Cases can be prevented if the family would follow the suggestions given to them by the health care center and by the students of getting complete immunizations. The family does not regard it as a problem and does not give it immediate attention.

TOTAL:

Family No. 2 Head of the Family: : Reynato Rivera Problem No. 1 (Cold and Persistent Cough) Criteria Standard Score

Computation

Actual Score

Justification

1.

Nature of the problem

Health deficit 3 3/3 x 1 1

1.

Modifiability of the problem

Removable

2/2 x 2

1.

Preventive potential

Moderate

1/3 x 1

1/3

1.

Salience of the problem

Needs immediate attention

1/1 x 1

It is a health deficit. The problem can easily be removed since the resources are affordable Cases can be prevented if the family would follow suggestions of proper eating nutritious food and intake of correct vitamins. The family disregards it as something simple although the problem needs immediate attention

TOTAL:

4 1/3

Family No. 2 Head of the Family: Reynato Rivera Problem No. 2 (Cigarette Smoking) Criteria Standard Score

Computation

Actual Score

Justification

1.

Nature of the problem

Health Threat 2 2/3 x 1 2/3

1.

Modifiability of the problem

Removable

2/2 x 2

1.

Preventive potential

High

3/3 x 1

1.

Salience of the problem

Does not need immediate attention

1/1 x 1

It is a health threat. The cases are removable since resources are available, health teachings are given, and interventions are feasible. The problem can be removed by reducing or minimizing the smoking.. The family recognizes it as a problem. It does not seem the problem as needing immediate action.

TOTAL:

4 2/3

Family No. 2

Head of the Family: Reynato Rivera

Problem No. 3 (Poor Environmental Sanitation) Criteria Standard

Score

Computation

Actual Score

Justification

1.

Nature of the problem

Health Threat 2 2/3 x 1 2/3

1.

Modifiability of the problem

Modifiable

1/2 x 2

1.

Preventive potential

Moderate

1/3 x 1

1/3

1.

Salience of the problem

Does not need immediate attention

1/1 x 1

It is a health threat. The problem can easily be modified since the resources are available. Cases can be prevented if the family would follow suggestions of sanitary ways of cleaning and proper sanitary ways of preparing foods. Although the environment lacks cleanliness and has poor sanitation the family does not recognize it as a problem, giving it no immediate attention.

TOTAL:

Family No. 2 Problem No. 4(Fire Hazard) Criteria

Head of the Family: Reynato Rivera

Standard

Score

Computation

Actual Score

Justification

1.

Nature of the problem

Health Threat 2 2/3 x 1 2/3

1.

Modifiability of the problem

Modifiable

1/2 x 2

1.

Preventive potential

Moderate

1/3 x 1

1/3

It is a health threat. The problem can be modified since resources are available. It can be prevented by changing the housing materials. The family does not recognize it as a problem. The problem does not need immediate attention.

1.

Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

Family No. 2

Head of the Family: Reynato Rivera

Problem No. 5(Unsanitary Waste Disposal) Criteria Standard Score Computation Actual Score Justification

1.

Nature of the problem

Health Threat 2 2/3 x 1 2/3

1.

Modifiability of the problem

Modifiable

1/2 x 2

1.

Preventive potential

High

2/3 x 1

2/3

1.

Salience of the problem

Does not need immediate attention

1/1 x 1

It is a health threat. The case is modifiable with since resources are available. It can be prevented with correct teaching of simple waste placement and sanitary disposal methods. The family does not recognize it as a problem. The problem does not need immediate action.

TOTAL:

3 1/4

Family No.3

Head of the Family: Eduardo Fenol

Problem No. 1 (Poor Environmental Sanitation) Criteria Standard Score Computation Actual Score Justification

1.

Nature of the problem

Health Threat 2 2/3 x 1 2/3

1.

Modifiability of the problem

Modifiable

1/2 x 2

1.

Preventive potential

Moderate

1/3 x 1

1/3

1.

Salience of the problem

Does not need immediate attention

1/1 x 1

It is a health threat. The problem can easily be modified since the resources are available. Cases can be prevented if the family would follow suggestions of sanitary ways of cleaning and proper sanitary ways of preparing foods. Although the environment lacks cleanliness and has poor sanitation the family does not recognize it as a problem, giving it no immediate attention.

TOTAL:

Family No.3

Head of the Family: Eduardo Fenol

Problem No. 2 (Lack of Financial Income) Criteria Standard Score Computation Actual Score Justification

1.

Nature of the problem

Foreseeable Crisis 1 1/3 x 1 1/3

1.

Modifiability of the problem

Removable

2/2 x 2

1.

Preventive potential

High

2/3 x 1

2/3

It is a foreseeable crisis. The problem can be modified with available attainment of higher education and budgeting. Cases can be prevented by budgeting. The family recognizes the problem. The does not need immediate attention.

1.

Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

Family No.3

Head of the Family: Eduardo Fenol

Problem No. 3(Cold and Persistent Cough) Criteria Standard Score Computation Actual Score Justification

1.

Nature of the problem

Health Deficit 3 3/3 x 1 1

1.

Modifiability of the problem

Removable

2/2 x 2

1.

Preventive potential

High

2/3 x 1

2/3

1.

Salience of the problem

Does not need immediate attention

1/1 x 1

It is a health deficit. The problem can easily be removed since the resources are affordable Cases can be prevented if the family would follow suggestions of proper eating nutritious food and intake of correct vitamins. The family disregards it as something simple although the problem needs immediate

TOTAL:

4 2/3

Family No.3 Problem No. 4(Fire Hazard) Criteria

Head of the Family: Eduardo Fenol

Standard

Score

Computation

Actual Score

Justification

1.

Nature of the problem

Foreseeable Crisis 1 1/3 x 1 1/3

1.

Modifiability of the problem

Partially

1/2 x 2

1.

Preventive potential

High

2/3 x 1

2/3

It is a health threat. The problem can be modified since resources are available. It can be prevented by changing the housing materials. The family does not recognize it as a problem. The problem does not need immediate attention.

1.

Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

Family No.3 Problem No. 5(Alcohol Drinking) Criteria

Head of the Family: Eduardo Fenol

Standard

Score

Computation

Actual Score

Justification

1.

Nature of the problem

Health Threat 2 2/3 x 1 2/3

1.

Modifiability of the problem

Removable

2/2 x 2

1.

Preventive potential

Moderate

1/3 x 1

1/3

1.

Salience of the problem

Does not need immediate attention

1/1 x 1

It is a health threat. The problem can be modified since resources and health teachings are available. It can be prevented by limiting, reducing, or minimizing the amount of alcohol intake. The family does not recognize it as a problem. The problem does not need immediate action.

TOTAL:

Family No. 4

Head of the Family: Antonio Capilitan

Problem No. 1 (Poor Environmental Sanitation) Criteria Standard Score Computation Actual Score Justification

1.

Nature of the problem

Health Threat 2 2/3 x 1 2/3

1.

Modifiability of the problem

Modifiable

1/2 x 2

1.

Preventive potential

Moderate

1/3 x 1

1/3

1.

Salience of the problem

Does not need immediate attention

1/1 x 1

It is a health threat. The problem can easily be modified since the resources are available. Cases can be prevented if the family would follow suggestions of sanitary ways of cleaning and proper sanitary ways of preparing foods. Although the environment lacks cleanliness and has poor sanitation the family does not recognize it as a problem, giving it no immediate attention

TOTAL:

Family No. 4 Problem No. 2(Fire Hazard) Criteria

Head of the Family: Antonio Capilitan

Standard

Score

Computation

Actual Score

Justification

1.

Nature of the problem

Foreseeable Crisis 1 1/3 x 1 1/3

1.

Modifiability of the problem

Partially

1/2 x 2

1.

Preventive potential

High

2/3 x 1

2/3

It is a health threat. The problem can be modified since resources are available. It can be prevented by changing the housing materials. The family does not recognize it as a problem. The problem does not need immediate attention.

1.

Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

Family No. 4

Head of the Family: Antonio Capilitan

Problem No. 3(Poor Light and Ventilation) Criteria Standard Score Computation Actual Score Justification

1.

Nature of the problem

Foreseeable Crisis 1 1/3 x 1 1/3

1.

Modifiability of the problem

Removable

2/2 x 2

1.

Preventive potential

High

2/3 x 1

2/3

1.

Salience of the problem

Does not need immediate attention

1/1 x 1

It is a health threat. The family does not have adequate resources to solve the problem however students can give suggestions and conduct health teaching The problem on poor ventilation and lightning can be adequate by students giving suggestion of more windows or lightening electrical. The family recognizes the problem but does not need to give it immediate action.

TOTAL:

Family No. 4

Head of the Family: Antonio Capilitan

Problem No. 4(Unsanitary Food HAndling) Criteria Standard Score Computation Actual Score Justification

1.

Nature of the problem

Foreseeable Crisis 1 1/3 x 1 1/3

1.

Modifiability of the problem

Removable

2/2 x 2

1.

Preventive potential

High

2/3 x 1

2/3

1.

Salience of the problem

Does not need immediate attention

1/1 x 1

It is a foreseeable crisis. The problem can be modified with the available resources. It can be easily prevented just by following suggestions on sanitary handling and management of foods. The family does not see it as a problem. The problem does not need immediate attention

TOTAL:

Family No. 4 Problem No. 5(Persistent Cough) Criteria

Head of the Family: Antonio Capilitan

Standard

Score

Computation

Actual Score

Justification

1.

Nature of the problem

Health Deficit 1 1/3 x 1 1/3

1.

Modifiability of the problem

Removable

2/2 x 2

1.

Preventive potential

High

2/3 x 1

2/3

1.

Salience of the problem

Does not need immediate attention

1/1 x 1

It is a health deficit. The problem can easily be removed since the resources are affordable Cases can be prevented if the family would follow suggestions of proper eating nutritious food and intake of correct vitamins. The family disregards it as something simple although the problem needs immediate

TOTAL:

Family No. 5 Problem No. 1 (Persistent Cough) Criteria

Head of the Family: Mark Beltran

Standard

Score

Computation

Actual Score

Justification

1.

Nature of the problem

Health Deficit 3 3/3 x 1 1

1.

Modifiability of the problem

Partially

1/2 x 2

1.

Preventive potential

Moderate

1/3 x 1

1/3

1.

Salience of the problem

Does not need immediate attention

1/1 x 1

It is a health deficit. The problem can easily be removed since the resources are affordable Cases can be prevented if the family would follow suggestions of proper eating nutritious food and intake of correct vitamins. The family disregards it as something simple although the problem needs immediate

TOTAL:

3 1/3

Family No. 5 Problem No. 2(Polycystic Ovaries) Criteria

Head of the Family: Mark Beltran

Standard

Score

Computation

Actual Score

Justification

1.

Nature of the problem

Health Deficit

3/3 x 1

1.

Modifiability of the problem

Modifiable

1/2 x 2

1.

Preventive potential

Moderate

1/3 x 1

1/3

1.

Salience of the problem

Not a Problem

0/1 x 1

Polycystic Ovaries is a health deficit. This deficit can be modified because medications are suggested especially to avoid complications. It is moderately preventive since patient s lack knowledge of when this problem starts to occur. The Beltran family does not consider this as a problem; in fact they are more than happy that they don t have any children.

TOTAL:

2 2/3

Family No. 5

Head of the Family: Mark Beltran

Problem No. 3(Poor Lighting and Ventilation) Criteria Standard Score Computation Actual Score Justification

1.

Nature of the problem

Foreseeable Crisis

1/3 x 1

1/3

1.

Modifiability of the problem

Removable

2/2 x 2

1.

Preventive potential

High

2/3 x 1

2/3

It is a foreseeable crisis. The problem can be modified with. Poor Ventilation and lighting can be remove via opening new windows for the house, but the family does not take it as a health problem.

1.

Salience of the problem

Does Not Need Immediate Attention

1/1 x 1

TOTAL:

Family No. 5

Head of the Family: Mark Beltran

Problem No. 4(Poor Environmental Sanitation) Criteria Standard Score Computation Actual Score Justification

1.

Nature of the problem

Foreseeable Crisis

1 1/3 x 1

1/3

1.

Modifiability of the problem

Removable

2/2 x 2

1.

Preventive potential

High

2/3 x 1

2/3

1.

Salience of the problem

Does Not Need Immediate Attention

1/1 x 1

It is a health threat. The problem can easily be modified since the resources are available. Cases can be prevented if the family would follow suggestions of sanitary ways of cleaning and proper sanitary ways of preparing foods. Although the environment lacks cleanliness and has poor sanitation the family does not recognize it as a problem, giving it no immediate attention.

TOTAL:

Family No. 5 Problem No. 5(Fire Hazard) Criteria

Head of the Family: Mark Beltran

Standard

Score

Computation

Actual Score

Justification

1.

Nature of the problem

Foreseeable Crisis 1 1/3 x 1 1/3

1.

Modifiability of the problem

Partially

1/2 x 2

1.

Preventive potential

High

2/3 x 1

2/3

It is a health threat. The problem can be modified since resources are available. It can be prevented by changing the housing materials. The family does not recognize it as a problem. The problem does not need immediate attention

1.

Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL: 3

According to Priorty

Ranking Health Problems of Family Pinlac PRIORITY 1st PROBLEM High Level Cholesterol SCORE 5 2/3

2nd

Cold and Persistent Cough Malnutrition

4 2/3

3rd

3 2/3

4th

Poor Environmental Sanitation Incomplete Immunization

3 1/4

5th

3 1/4

Ranking Health Problems of Family Rivera

PRIORITY 1st 2nd 3rd 4th 5th

PROBLEM Cigarette Smoking Cold and Persistent Cough Unsanitary Waste Disposal Poor Environmental Sanitation Fire Hazard

SCORE 4 2/3 4 1/3 3 1/4 3 3

Ranking Health Problems of Family Fenol PRIORITY 1st 2nd 3rd 4th 5th PROBLEM Colds and Persistent Cough Lack of Financial History Alcohol Drinking Poor Environmental Sanitation Fire Hazard SCORE 4 2/3 4 4 3 3

Ranking Health Problems of Family Capilitan PRIORITY 1st 2nd 3rd 4th 5th PROBLEM Poor Lighting and Ventilation Unsanitary Food Handling Persistent Cough Poor Environmental Sanitation Fire Hazard SCORE 4 4 4 3 3

Ranking Health Problems of Family Beltran PRIORITY 1st 2nd 3rd 4th 5th PROBLEM Poor Lighting and Ventilation Poor Environmental Sanitation Persistent Cough Fire Hazard Polycystic Ovaries SCORE 4 4 3 1/3 3 2 2/3

Family Name 1 2 3 4 5 Pinlac Rivera Fenol Capilitan Beltran

Problem High Level of Cholesterol Cigarette Smoking Colds and Persistent Cough Poor Lighting and Ventilation Poor Environmental Sanitation

Score 5 2/3 4 2/3 4 2/3 4 4

Family Name 1. Pinlac

Level of Functioning Maturity or Ideal Family

1. Rivera

Adulthood or Family with Solution

1. Fenol

Maturity or Ideal Family

Justification High level of cholesterol, Cough and cold, Malnutrition, Poor environmental sanitation, Incomplete immunization. Inadequate housing, Fire hazard, Lack of food storage, Presence of breeding sites of vector diseases. Cigarette smoking, Cold and cough, poor environmental sanitation, Fire hazard, Unsanitary disposal, Lack of storage facility, Presence of breeding sites of vector diseases. Cold and persistent cough, Poor environmental sanitation, Lack of financial history, Fire hazard, Alcohol drinking, Cigarette smoking, Improper garbage disposal, Lack of storage facility, Presence of breeding sites of vector diseases. Poor environmental sanitation, Fire hazard, Poor lighting and ventilation, Unsanitary food handling, Persistent cough, Lack of storage facility, Presence of breeding sites of vector diseases. Persistent cough, Poor lighting and ventilation, Poor environmental sanitation, Fire hazard, Polycystic ovaries, Lack of storage facility, Presence of breeding sites of vector diseases.

1. Capilitan

Maturity or Ideal Family

1. Beltran

Adulthood or Family with Solution

HEALTH PROBLEMS High Level Cholesterol

FAMILY NURSING PROBLEMS First Level Assessment Second Level Assessment 1. Potential for enhanced capability for health 1. Inability to recognize the presence of maintenance/ health management the condition due to denial of its existence or severity as a result of consequences of diagnosis of problem, specifically emotional/psychological issues/concerns. 1. Inability to recognize existence of a problem 1. Inability to make decisions with respect to taking appropriate health action due to inadequate knowledge as to alternative sources of action. Inability to recognize the presence of the condition due to lack of or inadequate knowledge. Inability to recognize the presence of the condition or problem due to: physical consequences

Cold and Persistent Cough

Malnutrition

1.

Potential for enhanced capability for healthy lifestyle 1. e.g nutrition, diet Poor home/environmental conditions/sanitation specify: Lack of food storage Presence of breeding sites of vector diseases Improper garbage disposal Improper drainage system Air pollution Presence of risk factors of specific disease( e.g. lifestyle diseases, metabolic syndrome) Threat of cross infection from a communicable disease case 1.

Poor Environmental Sanitation 1. y y y y y Incomplete Immunization

1.

y y

Inability to make decisions with respect of taking appropriate health actions due to: Low salience of the problem Failure to comprehend the nature/magnitude of the problem

FAMILY STRUCTURE, CHARACTERISTICS and DYNAMICS

Civil Status Religion Married Married Single Single Single Single Single Single RC RC RC RC RC RC RC RC

Educational Attainment High School Graduate High School Graduate College Level Elementary Level Elementary Level Vocational High School Level Not Applicable for 3-5y/o High School Graduate

Occupation Fabricator Employed Unemployed Student Student Student Bindery Employed Student Student

Relationship to the Head of the Family Head of the Family Wife Son Daughter Daughter Sibling Son daughter

Widow

RC

Un-employed

Parent

The Pinlac Family was an extended family consisting of the father, Mr. Mariano Pinlac who is working as a fabricator, Mrs. Elizabeth M. Pinlac, a full time housewife, their children, John Russel Pinlac, a college student, Liza Marie Pinlac and Jana Mae Pinlac who are both in elementary. They also live with Mr. Pinlac s sister Ms. Evange Pinlac who is working at a bindery and her children John Carlo Pinlac a high school student and Francine Ropeta a 4 y/o child and their mother Fermina Garcia Pinlac a widow who has a high cholesterol level. The Pinlac family experiences a slight difficulty in decision making because they live in a single house and are nine in there; although they consider the opinions of each member of the family they still experience a little difficulty in doing so the family has a healthy communication among its members and have an interactive relationship with each other, although conflict is present at times regarding trivial matters but they made it a point to talk with one another to promote a good and open relationship. The father along with his sister provides the daily necessities of the family while the mother and sometimes with the help of the children and her sister-inlaw takes care of the house and her aged mother-in-law who was diagnosed with fatty liver. All members of the family are Roman Catholic. To show their dedication they never fail to go to church every Sunday, to give thanks and praises for all the blessings God had given them.

Amount

Expenditure

2000

Foods

1000

Electricity

2005.5

Water

1000

Transportation

794.5

Savings

6800

TOTAL

In 2009 a family composing of 8 members should have P 11, 227 budgets monthly and each member should have a budget of 369 per person. Mr.Pinlac earns 400 pesos a day from his work as a fabricator at a construction and along with his sister who is also earning her own money by working as a book binder. The sister is contributing a great amount of it in the familys expenditures .So all in all the Pinlac Family does not fall below the poverty line, so they can provide the necessities of the family.

The Pinlac family lives in a compound-like place in Pasay city, with the relatives of the father at Brgy. 178 Pulo Area Pasay City. They have a bungalow type home, owned by the family, and are made up of concrete and wood. The house has no bedroom, has one bathroom which was located near the kitchen and is always kept clean by Mrs. Pinlac and they have a kitchen and a small family area which is just enough for their living space. The house receives enough sunlight from the sun through their door and their two windows. The laundry area is outside the house with the jugs and drums or the containers for the collection of water. Although they can consume the collected water within a day still this could be a possible breeding site of Dengue, also they only throw their garbages in an unclosed plastic bag and to be collected only in the morning by the garbage collector. They keep their excess food only in the table by placing a cover on it or putting it in a topper ware. The Pinlacs water supply comes from NAWASA, in which they use it for cooking and other household supplies, also they uses the water as a drinking water.

Though their neighbourhood has a kind and warm feeling and is also safe the area is a bit unclean. The communitys walk way and houses are so close to each other with a minimum amount of space. The walk way is most of the time muddy and filthy because the families do their washing right outside their front doors. The water goes to the main walk way making it dirty and muddy. The children play there and sometimes where young girls and boys urinate in the middle of the walk way. There are many domestic animals lurking around the community. Some cats walking into other houses as if they were just visiting. Many roosters are tied to the side of their front doors and some dogs lurking around as well. These animals excrete their waste on the walk ways where all the neighbours do their laundry and sometimes where they wash their dishes. During raining season, since the walk ways floor is not levelled and has some uneven areas and holes water collects in certain areas giving way to breeding sites for mosquitoes which might have dengue. Trash with mud and excretions from both humans and animals make the pathway unsanitary. . Never to forget the contaminated/unsafe river flowing from a different area of Pasay, also carrying human stools and different garbages from other areas or houses in Pasay living near the river, just in front of their house.

HEALTH STATUS of EACH MEMBER of the FAMILY

Member of the Household

Height

Weight

BMI

Medical and Nursing History

Mariano Pinlac

57

145 lbs

Normal

None

Nutritional Assessment Dietary History Eating habits and practices Fish, Vegetables and 3 x a day Fish Fish, Vegetables and Fish Fish, Vegetables and Fish Fish, Vegetables and Fish Fish, Vegetables and Fish Fish, Vegetables and Fish Fish, Vegetables and Fish Fish, Vegetables and Fish Fish, Vegetables and Fish

Elizabeth Pinlac

51

125 lbs.

Normal

None

3 x a day

John Russel Pinlac Liza Marie Pinlac

53

144 lbs.

OverNourished Normal

None Fever, Cough & Runny Nose Fever, Cough & Runny Nose

3 x a day

43

77 lbs.

3 x a day

Jane Mae Pinlac

37

51 lbs.

UnderNourished OverNourished OverNourished UnderNourished Normal

3 x a day

Evange Pinlac

52

140 lbs.

None

3 x a day

John Carlo Pinlac

411

95 lbs.

None Fever, Cough & Runny Nose

3 x a day

Francine Ropeta

34

29 lbs.

3 x a day

Fermina Garcia Pinlac

410

100 lbs.

High Level of Cholesterol

3 x a day

The Pinlac family has no history of any hereditary diseases or any diseases of such, only Mr. Pinlacs father was remembered to die out of Peptic Ulcer, having to define the family as not eating adequately or what is not right for them, also his mother has a high level of cholesterol which proves the fact that they are not eating the proper nutrition. Through the past week the children had experienced cold and cough and was asked to drink Carbocistein as for their medication, none was admitted to the hospital.

VALUES, HABITS, PRACTICES on HEALTH PROMOTION, MAINTENANCE and DISEASE PREVENTION

Member of the Household Mariano Pinlac Elizabeth Pinlac

Immunization status of family members Complete Complete

Healthy Lifestyle Practices Carries heavy equipment at the site Household works Basketball 2 x a week Playing outside the house Playing outside the house Household works Carrying containers of water Playing outside the house Light household works

John Russel Complete Pinlac Liza Marie Pinlac Complete Jane Mae Pinlac Evange Pinlac John Pinlac Francine Pinlac Fermina Pinlac Complete Complete Complete Incomplete (BCG) Complete

ADEQUACY OF:
Member of the Household Rest/Sleep Exercise/Activities Use of protective measures Helmet, Jacket, Gloves Mariano Pinlac Elizabeth Pinlac 4-5 hours 6-8 hours 8 hours 24/7 Sun Glasses, Uses slippers when stepping out of the house, & umbrella when raining. Uses rubber shoes when playing, does hand washing before eating Listening to the radio, Tending to her children, Nap. Relaxation and other management activities Sleeping, Drinking,

John Russel Pinlac

6-8 hours

1-3 hours

Basketball, Surfing the internet, Rest/Sleep

Liza Marie Pinlac

6-8 hours

Jane Mae Pinlac

6-8 hours

Uses slippers when stepping outside the 3 hours depending on the house, also an umbrella when raining. Playing, Resting weather and her playmates Uses shoes/slippers when stepping 1-3 hours depending on Playing, Resting/Sleeping outside the house and umbrella when it her playmates and how starts raining or even when the sun is too long she still wants to high play. 5-8 hours Uses handkerchief when wiping her face, has an umbrella for sunny days and rainy Sleeping and caring for her mother. once. Uses shoes/slippers when stepping outside Uses slippers/shoes when going outside and an umbrella when it is raining.

Evange Pinlac

4-5 hours

John Carlo Pinlac Francine Ropeta

6-8 hours

6-8 hours Fermina Garcia Pinlac 6-8 hours

1 hour depending on his free time Depending on how long the elderly allows her to play. 3-4 hours, she can no longer do strenuous activities due to old age.

He plays with his friends around the same age as his. Uses slippers when going outside to play. Playing and sleeping.

Uses slippers when going outside and inside the house.

Sleeping and Listening to the radio.

All family members had completed their immunization only for Francine who is now four years old and still has not received her BCG. Through the teachings of the health center about their health and how to properly take care of one-self in which they had applied.

HEALTH PROBLEM

FAMILY NURSING PROBLEMS

GOAL OF CARE

OBJECTIVES OF CARE

INTERVENTION PLAN Nursing Intervention Method of NurseFamily Contact Resources Required -Visual Aids -Student Nurses time and effort

1.Poor Environmental Sanitation

Inability to provide a home environment conducive to health maintenance and personal development due to lack of knowledge of the importance of hygiene and sanitation, lack of skills in carrying out measures to improve home environment

After 1-2 hours of the student nurse client interaction, the family will effectively promote and maintain an environment conducive to health, and will start disposing the garbage in the proper way

After the interaction between the family and student nurse the family should be able to: 1. Demonstrate effective cleaning in their environment by segregating the garbage before throwing it. 2. Give Importance on a clean environment. 3. Know the effects of an unsanitary environment

- Emphasized the -Home Visit importance of -Health Teachings cleaning and sanitizing. - Enumerated the proper techniques on keeping surroundings clean; through using proper method of garbage disposal. - Discussed techniques and methods used in cleaning and sanitizing -Discussed the possible health threats when garbage is not properly disposed. -

HEALTH PROBLEM

FAMILY NURSING PROBLEMS

GOAL OF CARE

OBJECTIVES OF CARE

INTERVENTION PLAN Nursing Intervention Method of Nurse-Family Contact

Discussed: - the implications of the signs and symptoms of malnourished child (moon faced, often experience diarrheal.) the consequences of malnourishment 2. Give some health teaching focusing on the basic nutrition and proper food handling. 3. Discuss the importance of the food rich in: - Carbohydrates (e.g. rice, corn, wheat) -Protein (e.g. dairy food, legumes, nuts) -Lipids (e.g. animal fats, vegetable fats) -Vitamins and Minerals -Water 4. Recommended recipe cheats that can help children in eating unwanted food. 5. Educated the necessary food intake in undernourished children and necessary lessening of food intake for the over nourished members -Home visit during the community exposure -Health teachings during the assembly

Resources Required
-Visual Aids -Quality Time of the student and effort of the nurse and the family especially the mother.

2. Malnutrition

-Inability to recognize the presence of malnourishment due to lack of awareness. - Inability to take proper action due to failure to comprehend the nature, magnitude and scope of the problem. -lack of knowledge regarding the health condition.

After the intervention the families nutritional condition especially the children is expected to improve after 6 months.

After Nursing Intervention the family should: -Be able to plan and prepare balance meals for the family members within a specified budget or allowance. -Be able to improve the quantity and quality of foods serve in the family.

AHEALTH PROBLEM

FAMILY NURSING PROBLEMS

GOAL OF CARE

OBJECTIVES OF CARE

INTERVENTION PLAN Nursing Intervention -Assessed the familys degree of perception with concern to the immunization. -Discuseds the significance of completing the immunization schedules of the children. -Encouraged the family to actively visit the health center during scheduled immunization. -Included health teachings to protect the health of the family. -Encouraged the family that the health center is offering free immunization. Method of NurseFamily Contact -Home visit during community exposure -Health Teaching one on one Resources Required -Visual Aids of what is to expect from a child who have not completed his/her immunization. -Immunization program of the health center.

3. Incomplete Immunization

Inability to recognize the presence of health threat due to lack of knowledge about the problem

After the nursing interventions, the family should be able to determine the importance of having complete immunization, the mother should feel encouraged, rather than threatened to take her child to the health center to have her immunized.

After the nursing interventions, the family should be able to: -Determine the importance of a complete immunization. -Enumerate the possible illness that can occur due to incomplete vaccination. -Follow-up the vaccine of the child. -Give specific attention and time to the schedule of the childs immunization. -Understand the advantages of having complete immunization.

HEALTH PROBLEM

FAMILY NURSING PROBLEMS

GOAL OF CARE

OBJECTIVES OF CARE

Nursing Intervention - Established Rapport - Educated about the problem and its management. - Enumerate to the family the danger signs they needed to watch-out. -Recommended the family to have a formal check-up at the health center and not just to do self medication. -Discussed the different ways to prevent having cold and cough by drinking vit. C and increasing in citrus foods.

INTERVENTION PLAN Method of NurseFamily Contact -Home visit during the exposure - One on One Health Teaching

Resources Required -Visual Aids -Time and effort of the student as well as the family.

4. Cold and Persistent Cough

Inability to manage the condition due to the lack of knowledge regarding its management.

After the nursing intervention the family should be able to be equipped with the necessary knowledge they need in dealing with the problem.

After nursing intervention the family should be able to: -Identify the causes and effects of the problem -Identify the appropriate intervention for the problem -Enumerate the danger signs they need to watch for: -Sleepiness or difficult to wake up. - Convulsions

HEALTH PROBLEM

FAMILY NURSING PROBLEMS Inability to make decisions with respect to taking appropriate health action due to: -Failure to comprehend the nature, magnitude/scope of the problem. -Low Salience of the Problem.

GOAL OF CARE

OBJECTIVES OF CARE After the nursing intervention the family should be able to: -Identify the causes of the problem and its effects. -Identify the appropriate intervention to the problem that would not affect the health of the children.

Nursing Intervention -Educate the family on the right management of the problem, also the proper nutrition. -Enumerate the possible dangers of this problem. -Educate the family on correct meal planning. - Educated the family on the risk of high cholesterol level if the not taken care of (e.g. increased risk in Coronary Heart Disease.) -Educated the family of proper exercise that could also help the patient/grandmoth er in lowering her cholesterol level.

INTERVENTION PLAN Method of NurseFamily Contact -Home visit during community exposure -One on One health teaching

Resources Required -Visual Aids (especially pictures of severe high cholesterol patient) -Time and effort of the family and the student nurse.

5. High Level of Cholesterol -Excessive intake of certain nutrients

After the nursing intervention the family should have the knowledge of the causes and effects of the problem, especially when dealing with it.