Biographical Data

Table of Contents

I. Introduction

II. Acknowledgement

III. Biographical Data

A. Family Structure and Characteristics

B. Biological and Socio-cultural Factors

C. Environmental Factors

D. Health and Medical History

E. Type of Family Structure

IV. Activities of Daily Living

A. Sleeping Pattern

B. Eating Pattern

C. Leisure Time Activities

V. First Level of Assessment

VI. Second Level of Assessment

VII. Scales of Ranking Family Health Problems

VIII. Ranking OF the Identified Health Problems

IX. Cues and Data

X. Family Nursing Care Plan

XI. Learning Experience

XII. Conclusion

I. Introduction

As health advocates in the society, we are obliged to maintain or restore the optimum health of the people within the community and that aim we have as actively participating student nurses of this generation, we adhere to the problems of our family, which is the basic unit of the society and the most important component of our country.

We met the family for the first time last January 15, 2010 at San Roque Seaside, Lapasan, Cagayan de Oro City. Their geographical location is readily accessible because you don’t to ride a “trisikad” in order for you to locate the place; instead, we took a walk in order for to reach the place.

The Head of the Family is Mr. Eusebio Agbong, a 48 year old original resident of Barangay Lapasan. He is living together with his wife, Mrs. Flordeliza Agbong, 39 year old native from Talakag, Bukidnon and his five children. The head of the Family is a security guard from the Sagittarius Agency and currently working at Gusa, Mindanao Tracking Corporation and earns at approximately Php 7,000 per month regardless with the expenses at home and daily needs. The husband seldom drinks and smoke because of his night duty shift while Flordeliza is a plain housewife who’s focus is to take care of the children especially their youngest son who always acquires such illnesses.

As the real aim of the nursing profession, which is to give care to the people, takes place, we took it as a stepping stone in helping the family in making them realize the essence of a simple yet healthy life through many ways of living. We are also responsible for giving our family the importance of prioritizing such health problems whether a health deficit or threat in order to give specific actions for us, together with the cooperation of the family, to achieve, solve, reduce and/or completely eliminate the different kinds of problems through establishing a good foundation of prioritizing actions and care to promote, prevent or keep the family away from the occurrence of various diseases.

II. Acknowledgement

As health providers of this society, we ought to give our all in order to help the people in this community achieve their main goal--- the health yet joyful life.

A big and unending thanks to our Clinical Instructor, Ms. Doreen Grace Contreras, RN, who brought our ideas and our clinical experiences into more productive yet helpful to all the people in the community because through hr fun-filled way of teaching, we are able to inculcate in our minds and most especially to our hearts the importance of helping family in a certain community to achieve their optimum health which is predominantly the aim of this project. She enhanced our capabilities in giving care to the people who needed the most out of it.

In addition, we can’t also forget the endless effort of the Health Care provider residing at San Juan Lapasan Health Center as well as to the Barangay Health Workers and most especially to the Public Health Nurse of the Barangay, MR. Rex Ranile, RN, who taught us how to give importance to the families especially to those indigent people.

The said action will never be attained without the courage and selfless effort of my group mates: Lyra, Riezel, Crystal, Irish, Hannah and Jairus, who took this challenge seriously and did it without any hesitations to help a family who needed much care from us trough the sleepless nights that we had, and the money, time, and effort that we exerted, shared and sacrificed, the project became possible that I can say, it all worth it.

We would never forget the big help of our Almighty God, the creator of all living and non-living things and who provided all the resources that we need in order to give the necessary care to our chosen family. He miraculously made things possible through giving us knowledge, the abilities and the resources that we need. He helped us in many ways and we undoubtly appreciate it and we give Him all our praises.

In accordance to the vision of the Department of Health in the Philippines: “The Leader of Health in all Filipinos in the Philippines”, we, in the least that we did, contributed to its vision through giving our willingness and determination to devout ourselves in giving care to our Filipino countrymen and someday, as we go on with our chosen profession, we will be able to give care also to all the people in the world not just Filipinos regardless with their gender, creed, color and race. Because through this vision that is within us, we would be able to help in the progress of the over-all health of our country and to the world.

III. Biographical Data

NURSING ASSESSMENT: QUESTIONAIRRE AND DATA SHEET

A. FAMILY STRUCTURE AND CHARACTERISTICS

HEAD OF THE FAMILY

AGBONG EUSEBIO 48

Last Name First Name Age

ADDRESS:

SEASIDE SAN ROQUE, LAPASAN, CAGAYAN DE ORO CITY

MEMBERS OF THE FAMILY

NAME AGE SEX CIVIL

STATUS

POSITION

IN THE

FAMILY

RELATIONSHIP

TO THE FAMILY

PLACE OF

RESIDENCE

Flordeliza

Agbong

39 F Married Wife Wife Seaside, San

Roque,

Lapazan

Marlon

Agbong

18 M Single Eldest Son Son Seaside, San

Roque,

Lapazan

Candy

Agbong

17 F Single 2nd child Daughter Seaside, San

Roque,

Lapazan

Cindy

Agbong

16 F Single 3rd child Daughter Seaside, San

Roque,

Lapazan

Mary Jane

Agbong

8 F Single 4th child Daughter Seaside, San

Roque,

Lapazan

Aldren

Agbong

2 Single 5th child Son Seaside, San

Roque,

Lapazan

B. BIOLOGICAL AND SOCIO-CULTURAL FACTORS

1. What is the family’s source of income?

The family’s source of income is from the husband only. The

husband works as a security guard at Gusa, Mindanao Tracking

Corporation from the Sagittarius Agency. He works about an

average of 8 hours/day. His monthly income averages Php 7,000

per month.

2. What is their ethnic background? Their religious affiliation?

When it comes to their ethnic background, the husband is purely

Kagay-anon while the wife is from Talakag, Bukidnon. They are

currently residing at San Roque Seaside, Lapasan Cagayan de Oro

City. The rest of the members of the family speak Visayan. They

are “Philippinista” but their first born son separately goes to church

at United Christian Church of the Philippines (UCCP).

3. Who are the family’s significant others? What roles do they play in the

family’s life?

The family’s significant others are their in-laws, siblings of the

husband and their children who lived next to their home. The role of

their significant others is to help them in times of need just like

emotional and most especially during financial problems.

4. Does the family participate in the activities of the community? If yes

what are these activities. If no, what are the reasons why they do not

participate?

Yes, family participates in the activities of the community like

feeding programs; outreach programs and community clean up of

the environment.

C. ENVIRONMENTAL FACTORS

1. Housing

a. Is the family’s living space adequate for their number?

The family’s living space is inadequate for their number. It has one

room in near their kitchen for the couple and small portion upstairs

for their five children. All the children sleep together in one room

including the 2 year old boy.

b. Is their furniture adequate for them? Is it enough for their needs?

The family’s furniture is enough for their needs. They have one

table, small cabinet for their TV and DVD and small sofa for their

visitors but their kitchen utensils do not sustain their needs.

c. Are their insects and rodents in their house?

Their house has a plenty of insects such as flies, rats, ants,

especially mosquitoes. Mosquitoes are present day and night. Rats

is as big as small cats but they don’t do any precautionary

measures in order to eliminate or even reduce these rodents.

d. Are their accident hazards in and around the house? If yes, please

enumerate.

The house is made of light materials. They cooked their foods

inside the house using liquefied petroleum gas (LPG) but

sometimes if they ran out of LPG, they used to cook their food

inside the house using the “kahoy” located in the ground beside the

wall. This can cause fire and considered as hazardous to well being

of all the members of the family. The wirings are too close to each

other that might result to a short circuit that will eventually lead to fir

The house is always affected by flood due to its location and

structure since their house is not elevated, thus, causes the water

to go inside and flood their things inside.

e. What are their cooking utensils? What is their storage?

Their cooking utensils include only of one small frying pan and pots.

They use plastic ware for their food. They don’t have enough

storage for their utensils because some utensils are just place in

the anywhere. In addition, they have poor food storage because

they don’t have the refrigerator, thus, their food must be all

consumed in order for the food not to become spoiled.

f. What is their water supply? Where is the source? Is it potable?

They do not have their own water supply. The source of their

drinking water is from the Cagayan de Oro Water District (COWD),

government own free for the residents in their place. They wake up

early and gather some water and store it in the plastic container,

which is slightly dirty.

g. What is their toilet facility? What is its condition? Is it sanitary?

The family does have a toilet of their own but it somewhat

unsanitary. It is open and located at the corner of their kitchen

beside the unprotected stairs. It is water –sealed type of toilet with

black dirt surrounded on it. The only barrier to their toilet from the

other parts of the house is the bathroom curtains only, thus, when

someone defecates, all the family members will know because they

can smell the not-so-fragrant smell.

h. What is the type of their garbage and refuse disposal system? Is it

sanitary?

They use sack for their garbage, which is collected by the garbage

truck every Tuesday. It has no cover and the flies are all around but

as we go on with our assessment we found out that there are

scattered trashes at the back of their house situated beside the

toilet.

i. Describe their drainage system. Is it sanitary?

The drainage system is closely sealed but still it is smelly and

unsanitary since they do not have the willingness to clean their

drainage.

2. What type of neighborhood does the family belong to? Describe.

The type of their neighborhood is like squatter’s area. They belong

in a low-income level family. It is noisy, crowded and cannot

accessed by vehicles especially fire trucks.

3. Are their social and health facilities in the neighborhood? If yes, please

enumerate and describe each?

In terms of their social facilities, they have basketball court 30

meters away from their house. They also have a Catholic Church in

the area. As to health facilities, there is a health center which is

approximately 45 meters away from their house

4. What is the family’s mean of communication and transportation?

The family has a television and a radio as a means of

communication. His oldest son has a cell phone for emergency

cases. Their means of transportation are jeepneys and trisikads.

D. HEALTH AND MEDICAL HISTORY

1. Medical and health history of each family member.

The children of the Agbong Family already completed their

immunization as evidenced by immunization record situated at the

San Roque Health Center that was provided by the Barangay

Health Worker (BHW). Vaccines given were one dose of BCG, 3

doses of OPV, 3 doses of Hepa B, 1 dose of measles. The

youngest son of the family, Aldren experienced hospitalization

during the year 2008 because of diarrhea. There is no further

passed hospitalization experienced by the children of the said

family. Currently, Aldren is suffering from diarrhea but they did not

consult yet any doctors because according to the mother it is not

yet severe and the child is still responding effectively.

2. Value placed on disease prevention.

a. Are the children immunized? What is their immunization status?

All of the five children were fully immunized because they availed

the immunization program implemented by the government through

their Barangay Health Center.

Here is the summary of the immunizations received by the children

of the said family:

Child’s DPT BCG OPV Hepatitis B Measles

Name

Marlon

Agbong

Candy

Agbong

Cindy

Agbong

Mary Jane

Agbong

Aldren

Agbong

b. Does the family utilize other preventive actions? If yes, what are

they?

The family does not have other preventive actions.

3. What is the family’s source of medication?

The family’s source of medication is from their health center. These

medications include paracetamol (biogesic) and amoxicillin. If and

when that one of their family members will get severe illness they

often borrow money with the siblings of the husband.

4. What are their perception of the role of the health professional and their

services? What are their expectations of the services of the community

health? Nurse?

They have high respect for the health professionals. They were

contented with the free services given by the health workers since

they were treated very well regardless of their economic status.

5. Do they have previous experience with the health professionals? If yes,

were they satisfied with the results?

Yes, They have previous experience with the health professionals.

It was when they consulted at the health center and their youngest

son was hospitalized in NMMC. So far all health professionals they

have encountered treated them well. They were satisfied of the

services.

E. TYPE OF FAMILY STRUCTURE

Patriarchal Extended Matriarchal

Single Parent Nuclear Alternate Family

1. Dominant family members in terms of decision making, especially in

health care.

The husband and wife often share the obligation of making

decisions relative to health care. The father predominantly makes

the decision regarding with the activities of the family. But when it

comes to caring the sick family member it is the mother who take

good care of them.

2. Describe the general family relationship.

As what we have observed, the family has a good, harmonious

relationship. The husband does not have any vices but drinks

occasionally like during fiestas and birthdays. The husband is

responsible enough to provide the family’s needs while the wife is

taking good care of their children.

IV. Activities for Daily Living

A. SLEEPING PATTERN

1. Are there hours for retiring and getting up?

All of the family members wake up at 5 am because they have their

own chores to do and they prepare themselves for school.

2. Do the family nap during the day?

Only the mother and her youngest son can nap during the day

because the husband is working while the rest are at school. They

usually nap at around 2 pm of the day after house hold chores and

after watching noon time show.

3. Do the members of the family sleep together?

The couple sleep together in their bed beside the kitchen while the

children sleeps together also in the other room upstairs.

B. EATING PATTERN

1. How many meals do the family have each day?

The family can eat three meals a day. Their meals usually consist

of vegetables, sardines and dried fish. They eat snacks sometimes

during afternoon. But sometimes when they are out of budget, they

take their meals twice only.

2. Does anyone of the family appear over weight or under weight? Who

they are?

Members Age Weight Height BMI Classification

Eusebio (father) 48 61 kg 160 cm 23.82 Normal

Flordeliza (wife) 39 52kg 158 cm 20.82 Normal

Marlon 18 48kg 157cm 19.47 Normal

Candy 17 39kg 155cm 16.23 Underweight

Cindy 12 26 kg 138cm 13.65 Underweight

Mary Jane 8 24 kg 133cm 13.56 Underweight

Aldren 2 10kg 82 82cm 14.87 underweight

C. LEISURE TIME ACTIVITIES

1. How does each member spend his/ her leisure hours? Is the leisure

time appropriate for the sex and age group of the individual?

The father does not have leisure time because he is at work and

when if it’s his off day he spent it by resting in the house. He leaves

early for work and went home late. The mother does not also have

leisure time because she’s so busy doing laundry and giving care to

the children.

2. Does any member have an all- consuming hobby? If yes, What affects

does this on the family.

Any of the family does not have any all- consuming hobbies

because they prioritized their work rather than their hobbies.

3. Does the family have any joint activity for leisure? What is it? How often

do they do this limited activity?

The family’s joint activity includes attending church during Sundays

and sometimes they go to the bench for fun.

V. FIRST LEVEL OF ASSESSMENT

I. Presence of Health threats, Health deficits, Foreseeable crisis/ stress

points of the family.

A. Health Threats (Color the applicable vertical scrolls)

Family history of hereditary diseases

Specify disease/s: Hypertension

Family size beyond family resources

Threats of cross-infection from a communicable disease

Specify disease/s: cough and colds, fever

Inappropriate immunization status especially of children:

Poor environmental situation

Inadequate living space

Inadequate personal belongings/utensils

Lack of food storage

Polluted water supply

Presence of breeding places of insects and rodents

Improper refuse disposal

Improper drainage system

Poor ventilation and lightning

Noise pollution

Unsanitary food handling and preparation

Others, please specify: ____________________________

Inherent personality characteristics

Short temper


Inappropriate role consumption

Child assuming mother’s role


Accident hazards

Broken stairs

Pointed sharp objects

Poison and medicines improperly kept

Fire hazards

Fall hazards

Others, please specify: Unprotected stairs

Nutritional

Inadequate food intake both in quality and quantity

Excessive intake of certain nutrients

Faulty eating habits

Others, please specify: ______________________

Stress provoking factors

Strained marital relationship

Immature parents

Interpersonal conflicts between family members


Personal habits/practices

Excessive smoking

Walking barefooted

Eating raw fish and meat

Poor personal hygiene

Self-medicated


Health history that may precipitate the occurrence of a health

problem

Specify: Hypertension

Family disunity

Self-oriented behaviour

Unresolved conflicts

Intolerable disagreements


B. Health Deficits (Enumerable and discuss briefly)

Malnutrition – The children shows signs and symptoms of

malnutrition (underweight, poor skin integrity)

Diarrhea – one their children shows impending characteristics

of diarrhea that predisposes him in dehydration that may alter

the normal functioning of his body. Some of the manifestation

are frequent defecation in just one day and watery stool.

C. Stress points/foreseeable crisis situations

VI. SECOND LEVEL OF ASSESSMENT

I. Inability to recognize the presence of a problem due to:

Ignorance of facts

Fear of consequences of diagnosis of problem

Social (Stigma, loss of respect of peer/significant

others)

Economic (Cost)

Physical/Psychological

Attitude/Philosophy in life

II. Inability to make decisions with respect to taking appropriate health

actions due to: (Color applicable horizontal boxes)

Failure to comprehend the nature, magnitude or scope of the

problem

Low salience of the problem

Feeling of confusion and resignation brought about by failure

to breakdown problems into manageable units of attack

Lack of knowledge/insight as to alternative course of action

open to them

Inability to decide which action to take among the list of

alternatives

Conflicting opinion among members regarding action to take

Ignorance of community resources for health care

Fear of consequences of action

Social

Economic

Physical/Psychological

Negative attitude toward the health problem

Lack of trust/confidence in health personnel/agency

Misconception of erroneous information about proposed

course/s of action

Inability of appropriate resources of care

Pregnancy, labor, puerperium

Parenthood

Additional member of the family

Abortion

Entrance at school

Adolescence

Loss of job

Death of a member

Illegitimacy

Resettlement in a new community


Physical (location)

Cost

III. Inability to provide nursing care to the sick, disabled, or dependent

member of the family due to: (Color the applicable horizontal scrolls)

Ignorance of the facts about the disease/health condition

(Nature, severity, complications, prognosis, and management)

Ignorance of the nature and extent of the nursing care needed

Lack of necessary facilities (equipment and supplies) for care

Lack of knowledge and skill in carrying out the necessary

treatment/procedure/care

Inadequate resources for care

Responsible family member

Financial

Physical resources (e.g. isolation room)

Failure to see benefits (especially long term ones) of

investments in home environment improvement

Present of physical/psychological conflicts

Identify crisis/psychological conflicts

Jealousy/rivalry

Guilt feelings


Ignorance of preventive measures

Attitude/philosophy on life

Family disunity

Self-oriented behavior of members

Intolerable disagreements

Lack of support to members in crisis


IV. Inability to utilize community resources for health due to: (Put Color

Green to the applicable horizontal scrolls)

Ignorance of lack of awareness of community resources for

health care

Failure to perceive benefits of health care/services

Lack of trust/confidence in health agency/personnel

Previous unpleasant experience with health worker

Fear of consequences of action

Physical/psychological

Financial

Social

Unavailability of required care/services

Inaccessibility of required care/services

Cost

Physical

Inadequate family services

Manpower

Financial

Feelings of alienation/lack of support form from the

community

Attitude/philosophy in life:

Whatever Happens, Let it be.

VII. SCALES FOR RANKING FAMILY HEALTH

PROBLEMS(According to priorities)

1. UNSANITARY TOILET

CRITERIA COMPU-

TATION

ACTUAL

WEIGHT

JUSTIFICATION

Nature of the

Problem

2/3 (1) .67 It is classified as health threat.

Modifiability

of the

Problem

2/2 (2) 2 There is a greater chance of

modifying this problem.

Preventive

Potential

3/3 (1) 1 Communicable diseases will be

prevented if this problem will be

managed well.

Salience 1/2 (1) .5 It is identified by the family as a

problem but they uttered that it

doesn’t need an immediate

attention.

TOTAL 4.17

2. PRESENCE OF BREEDING PLACES OF INSECTS AND RODENTS

CRITERIA COMPU-

TATION

ACTUAL

WEIGHT

JUSTIFICATION

Nature of the

Problem

2/3 (1) .67 The existing problem is

categorized as a health threat to

the members of the family.

Modifiability

of the

Problem

2/2 (2) 2 Modifiability of the problem is

possible because there are lots of

ways to prevent the occurrence of

such diseases.

Preventive 3/3 (1) 1 Prevention of communicable

Potential diseases is easily achieved

through proper precautionary

measurement and most especially

by cleaning their surroundings.

Salience 1/2 (1) .5 They knew that the problem is

existing problem but does not

require immediate actions.

TOTAL 4.17

3. MALNUTRITION

CRITERIA COMPU-

TATION

ACTUAL

WEIGHT

JUSTIFICATION

Nature of the

Problem

3/3 (1) 1 The problem identified is classified

as health threat.

Modifiability

of the

Problem

2/2 (2) 2 Modifying this problem is possible

through effective ways in achieving

the ideal BMI.

Preventive

Potential

3/3 (1) 1 The emergence of various diseases

may be prevented if each of the

family members if the existing

problem is given an attention.

Salience 0/2 (1) 0 None of the family members knew

that some of them were

malnourished.

TOTAL 4

4. IMPROPER GARBAGE DISPOSAL

CRITERIA COMPU-

TATION

ACTUAL

WEIGHT

JUSTIFICATION

Nature of the

Problem

2/3 (1) .67 Characterized as a health deficit.

Modifiability

of the

Problem

2/2 (2) 2 Preventive measurements are

readily available in order to put

action to this problem.

Preventive

Potential

2/3 (1) .67 The possibility of the spread of

many infections is readily

available.

Salience 1/2 (1) .5 They have knowledge about the

problem but according to the

mother it doesn’t require urgent

actions.

TOTAL 3.84

5. FAMILY HISTORY OF SPECIFIC CONDITION (HYPERTENSION)

CRITERIA COMPU-

TATION

ACTUAL

WEIGHT

JUSTIFICATION

Nature of the

Problem

1/3 (1) .33 Classified as Health threat

Modifiability

of the

Problem

2/2 (2) 2 Problem is modifiable through a

healthy lifestyle.

Preventive

Potential

3/3 (1) 1 Problem like hypertension can be

prevented if this problem given

action.

Salience 1/2 (1) .5 They knew that they have a family

history of hypertension but they

uttered that it doesn’t need

immediate action.

TOTAL 3.83

6. INADEQUATE LIVING SPACE

CRITERIA COMPU-

TATION

ACTUAL

WEIGHT

JUSTIFICATION

Nature of the

Problem

2/3 (1) .67 It classified as health threat.

Modifiability

of the

Problem

1/2 (2) 1 Cannot be easily solved due to

financial problem.

Preventive

Potential

3/3 (1) 1 Spread of disease can be

minimized if this problem is given

attention.

Salience 1/2 (1) .5 It is a felt problem but doesn’t need

immediate attention.

TOTAL 3.17

7. ACCIDENTAL HAZARDS

CRITERIA COMPU-

TATION

ACTUAL

WEIGHT

JUSTIFICATION

Nature of the

Problem

2/3 (1) .67 Considered as a health threat.

Modifiability

of the

Problem

1/2 (2) 1 It is modifiable because the family

has the option to transfer and fixed

the wirings to a safer place.

Preventive

Potential

2/3 (1) .67 Accident can be prevented if

problem is felt and proper action is

implemented.

Salience 1/2 (1) .5 They knew that the problem is

existing but according mother it

does not require immediate action.

TOTAL 2.84

8. FAMILY BEYOND WHAT FAMILY RESOURCES CAN ADEQUATELY

PROVIDE

CRITERIA COMPU-

TATION

ACTUAL

WEIGHT

JUSTIFICATION

Nature of the

Problem

2/3 (1) .67 Considered as health threat.

Modifiability

of the

Problem

1/2 (2) 1 It is not modifiable since the father

is the only one working and his

monthly salary is only php 7000

Preventive

Potential

2/3 (1) .67 Health problems will be given

attention if both parents are

working.

Salience 1/2 (1) .5 Felt problem but not given prompt

attention

TOTAL 2.84

9. LACK OF FOOD STORAGE FACILITIES

CRITERIA COMPU-

TATION

ACTUAL

WEIGHT

JUSTIFICATION

Nature of the

Problem

2/3 (1) .67 Classified as health threat

Modifiability

of the

Problem

1/2 (2) 1 Family income is not enough to

buy more for food storage.

Preventive

Potential

3/3 (1) 1 Food contamination can be

prevented if there is adequate food

storage.

Salience 0/2 (1) 0 It is not felt as a problem.

TOTAL 2.67

10. INADEQUATE PERSONAL BELONGINGS UTENSILS

CRITERIA COMPU-

TATION

ACTUAL

WEIGHT

JUSTIFICATION

Nature of the

Problem

2/3 (1) .67 Considered as health threat

Modifiability

of the

Problem

1/2 (2) 1 Family’s income is not enough to

buy more utensils.

Preventive

Potential

3/3 (1) 1 Spreading of disease can be

prevented if members has each

own utensils

Salience 0/2 (1) 0 It is not felt problem.

TOTAL 2.67

VIII. RANKING OF THE 10 FAMILY HEALTH

PROBLEMS

RANK SCORE FAMILY HEALTH PROBLEMS

1 4.17 UNSANITARY TOILET

4.17 PRESENCE OF BREEDING PLACES OF INSECTS AND

RODENTS

2 4 MALNUTRITION

3 3.84 IMPROPER GARBAGE DISPOSAL

4 3.83 FAMILY HISTORY OF SPECIFIC CONDITION

(HYPERTENSION)

5 3.17 INADEQUATE LIVING SPACE

6 2.84 ACCIDENTAL HAZARDS

2.84 FAMILY BEYOND WHAT FAMILY RESOURCES CAN

ADEQUATELY PROVIDE

7 2.67 LACK OF FOOD STORAGE FACILITIES

2.67 INADEQUATE PERSONAL BELONGINGS UTENSILS

IX. CUES AND DATA

CUES AND DATA FAMILY NURSING PROBLEMS

Subjective:

“ usahay ikaduha rami maka kaon

sa usa ka adlaw, usahay pod gani

dili mi maka kaon og tarong kay

wala mi sud-an, kan-on nalang

amoang kaonon” as verbalized by

the mother Flordeliza.

Objective:

The following are the malnourished

members of the family:

Flordeliza, 39 years old,

weighing 52kg, 158cm height.

Candy, 17 years old, weighing

39kg, 155cm height.

Cindy, 12 years old, weighing

26kg, 138cm height.

Aldren, 2 years old, weighing

10kg, 82cm height, big

stomach.

Malnutrition

A. Inability to recognize the

presence of a problem due to:

Fear of consequences of

diagnosis of problem as

inadequate financial

expenditure.

B. Inability to make decisions with

respect in taking appropriate health

actions due to:

Failure to comprehend the

nature, magnitude or scope of

the problem

Lack of knowledge/ insight as

to alternative courses of

actions open to them

Low salience of the problem

Inability to decide which

action to take among the list

of alternatives


action financially

Inaccessibilty of appropriate

resources of care financially

C. Inability to provide adequate

nursing care to at risk member of

the family due to:

Ignorance of the facts about

the health condition; child

development and child care

Lack of necessary facilities

for care

Lack of knowledge and skill in

carrying out the necessary

care

Inadequate family resources

for care

Subjective:

“wala paman na nahuman,

temporary lang man na among

gihimo nga CR” as verbalized by the

father Eusebio.

Objective:

Dirty toilet bowl, no cover

stinky odor

Unsanitary Toilet



Ignorance of the facts


diagnosis of problem as

inadequate financial

expenditure.

Attitudes/philosophy in life



actions due to:

Failure to comprehend the

nature, magnitude or

scope of the problem

Lack of knowledge/

insight as to alternative

courses of actions open to

them

Inability to decide which

action to take among the

list of alternatives


action financially

Inaccessibilty of

appropriate resources of

care financially

C. Inabilty to provide a home

environment which conducive to

health maintenance and personal

development due to:

Inadequate family

resources financially

Failure to see benefits of

investment in home

environment improvement

Ignorance of importance of

hygiene and sanitation

Lack of skill in carrying out

measures to improve home

environment

Attitude

Subjective:

“ daghan kaayo lamok among balay

daghan pod ilaga” as verbalized by

the mother.

Objective:

Poorly ventilated

Dimly lighted

House is messy and

Presence of breeding places of

insects and rodents




diagnosis of problem about

lack os space to organize

things

disoriented

Presence of rats in the house

as observed

Mosquito flying and biting as

observed.



actions due to:

Inaccessibilty of appropriate

resources of care physically

C. Inabilty to provide a home

environment which conducive to

health maintenance and personal

development due to:

Inadequate family resources

for care like location

Failure to see benefits of

investment in home

environment improvement

Ignorance of importance of

hygiene and sanitation

Lack of skill in carrying out

measures to improve home

environment

Attitude

XI. LEARNING EXPERIENCE

As we are doing our project, first we thought of doing it for the sake

of complying to our RLE30 requirements but as we go on with our

Assessment with the family, we realize the importance of this project and

how it will touch the lives of the people whom we will b helping. From that

day one, we are doing our project vigorously with interest in our minds and

most especially in our hearts not just for the compliance of our project but

also to help the family in achieving their optimum health.

Meeting different kinds of people tests our patience and our ability to

socialize with them. It also measures on how we should response to their

needs as a health care provider. My group mates and I observed that the

people of that community craves for medical help and you can see straight

to their eyes their hunger for any form of medical help. For that, I realized

that the people needs a big help from medical personnel and the

government must impose more programs like this that reaching families

especially to the rural areas and to those people who are indigent and

couldn’t afford to secure their health care needs. As a group, we are so

happy that in the least that we did. We helped some of the people living in

the community to ease the hunger that they felt for many years through

checking their Blood Pressure and giving away essential health teachings

o how to improve a healthy yet productive lifestyle.

Experiencing those thrills during our rotation becomes an eye-

opener to all of us that tells all of us that the people need us, as healthcare

providers in this society, to ease the pain they are suffering from and to

achieve their ideal health into the maximum level.

XII. CONCLUSION

The main problems in our group are malnutrition, presence of

insects and rodents and unsanitary toilet. We taught the family how to

avoid these problems like eating the right food, how to clean their toilet and

how to keep rodents away from the house. We learned that our family

didn’t think that these are big problems which they are. It is important to

notice these problems to prevent bigger problems from occurring

especially that they have younger children.

Therefore, we as a group helped the family to better understand why

these are health threats and health deficits. We gave them health teachings

to give them information regarding the problem at hand. We learned as a

group that it is important to know our family and level to them to help them

understand better. In these ways, we rendered service to our family and

somehow helped them from their problems.

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