FCP 103 BAIKINGON

7/25/2019 FCP 103 BAIKINGON

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I. INTRODUCTION

A. Overview

Community health nursing is important, aside from being a specialized field of

nursing practice. Community health nursing is one of the two major fields of nursing in

the Philippines; the other is in the hospital. Community nursing practice means different

things to different nurses, that is, for many, it emphasize the setting of practice; which in

other term, it is a nursing practice outside the hospital.

Community health nurse has different clients and these include the individual,

family, population group and community itself. Family as one of the client the very

important social institution that performs two major functionsreproduction and

socialization. t is generally considered as the basic unit of care in the community health

nursing for many reasons. t may contribute !nowingly or un!nowingly to the

development of health and nursing problems of its members. t also performs health

promoting, health maintaining and disease"preventing activities. n many cases, it is the

family that provides unfailing nursing care particularly to the chronically"ill members.

#mong the many family, it serves of prime importance is the role of the family

plays in providing emotional support and security to its members through love,

acceptance, concern and nurturing. $his affective component holds families together,

gives family members a sense of belonging, and develops a sense of !inship. $his is

accomplished by meeting the basic needs of its members% food, clothing, shelter and

provision of physically safe environment re&uire s!ills, !nowledge and economic

resources. n nursing profession, nurses consider the health of the family as a unit in

addition to the health of the individual family members.


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B. OBJECTIVES of the STUDY

$his care study provides goals or objectives which serve as an instrument in

comprehensively assessing the patient's health status and present condition. t also

focuses on the following aims%

(now the disease process)ow the environment affects such problem that a family is e*periencingPromote healthmpart !nowledge about health and wellness+mpower the family to ma*imize their abilities to achieve an optimum well being.

$he interaction with the family has helped students to appreciate the essence of

community health nursing. $hey played a special part for students to become an

effective health care provider.

C. SCOPE and LIITATION of the STUDY

n our community e*posure at -one , /ai!ingon, Cagayan de ro City,

the students chose among those households of which they have assessed needs to be

prioritized for care. )ome visits and family interactions were initiated to identify nursing

problems of the family.

$his study analyzes the interplay of the different factors that affect the family's

health status. )owever, the study is limited depending on the information being

disclosed by the family members and other sources and based on the objective aspects

as the family is being observed and monitored. $hrough constant interaction, the factors

that affect the family health were identified and appropriate interventions were done

utilizing the nursing process.

D. SI!N"ICANCE of the STUDY


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$he family care study was intended to provide information regarding the health

hazards, health deficits and health threats the family encountered. $hrough this study,

!nowledge and information about maintenance that is being imparted to them may be

able to ma*imized and prevent elements that would threaten their health.

E. SPOT AP

$he $aclindo family resides in -one , /ai!ingon, Cagayan de ro City. t is

appro*imately 0 !ilometers away from 1iceo de Cagayan 2niversity. t can either be

reached by ta!ing a private vehicle or by commuting3ta!ing a /ai!ingon route jeepney

at jeepney"stop located at Cogon and it cost 45php per person. t will ta!e about 65

minutes ride before reaching /ai!ingon if our point of reference is from 1iceo de

Cagayan 2niversity. f we are going to commute from the school going to 1egaspi's

7esidence, we are going to ride a hired"P28 going to /ai!ingon which cost 95php

student fare bac! and forth. $he road in going to /ai!ingon is moderately roc!y and

sometimes it's muddy and slippery during rainy season, but upon reaching the -ones in

/ai!ingon, it is already cemented. 2pon reaching zone , at the right end corner of the

road, you can see the house of :ana family, you will see at the corner a billiard table

and many people usually stays in there.


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II. #EALT# #ISTORYA. "AILY PRO"ILE

e$%er &

Na$e' r. 7onnel $aclindo

Ro(e' )usband

A)e'04 years old

Birthda*'9??

Addre++'/ai!ingon, Cagayan de ro City

#ei)ht'='4 inches

Ed,-ationa( Attain$ent'@econd year level, /@ Criminology

Re(i)ion'7oman CatholicO--,ation' >, >9?9

Addre++' -one , /ai!ingon, Cagayan de ro City

#ei)ht'= ft

0ei)ht'=9.6!g

Ed,-ationa( Attain$ent'Bocational, Culinary

Re(i)ion'7oman CatholicO--,ation'none

"ood and Dr,) A((er)ie+' Ao !nown and drug allergies

e$%er 1


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Na$e'#dela :ana

Ro(e' other of #deline :ana

A)e'4= years old

Birthda*'#pril >=, >9

Addre++' -one , /ai!ingon, Cagayan de ro City

Ed,-ationa( Attain$ent'

Re(i)ion'7oman Catholic

O--,ation')ousewife

In-o$e'none


e$%er 2

Na$e'#imee :ana

Ro(e' @ister"in"law of r. $aclindo

A)e'>= years old

Birthdate'#pril 00, >99

Addre++'-one , /ai!ingon, Cagayan de ro City

Ed,-ationa( Attain$ent'4thyear level


O--,ation'none

In-o$e'none


e$%er 3


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Na$e' rish :ana

Ro(e' @ister"in"law of r. $aclindo

A)e'>6 years old

Birthdate'#pril 00, >999


Ed,-ationa( Attain$ent'0nd year level


O--,ation'none

In-o$e'none


e$%er 4

Na$e'#udric! #hron $aclindo

Ro(e' son

A)e'> year old

Birthdate' Aovember 0, 05>>


Ed,-ationa( Attain$ent'A3#


O--,ation'A3#

In-o$e'A3#


B. "AILY #EALT# #ISTORY

Na$e' r. Ta-(indo5 R.


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n our first visit, we were not able to assess r. $aclindo since he was at wor! then.

/ut upon interviewing s. #deline :ana, she said that his husband is a cigarette smo!er

and an alcoholic drin!er. )e had no !nown illness bac! then aside from fever, cough

and colds. Dhenever he does not feel well, he medicates himself with /ioflu, Aeozep

and #la*an. Ao maternal and paternal history of hereditary disease.

Na$e' +. Yana5 Ade(ine

s. #deline claimed that she did not ac&uire any major illnesses aside from

minor symptoms such as headache, cough, fever and colds but was managed with

home medications bac! then. @he has heredofamilial disease of hypertension. @he had

a normal delivery in her >stchild and now she is months pregnant.

Na$e' r+. Ade(a Yana

on our interview, we were not able to assess rs. #ccording to s. #deline, her

mother delivered all of them through A@B< with no complications. @he has a

heredofamilial disease of hypertension and she only does self medication whenever she

does not feel well.

Na$e' +. Ai$ee Yana

s. #imee completed her immunizations at the /arangay )ealth Center and she

haven't ac&uired any major illness aside from headaches, colds and fever. @he had her

chic!en po* when she was ? years old.

Na$e' +. Iri+h Yana

s. rish also completed her immunization at the /arangay Center. @he had

never e*perienced any major illness and whenever she's not feeling well, she would just

ta!e $C medicines given by her mother. @he had her menarche when she was 9

years old.

Na$e' A,dri-6 Ahron Ta-(indo


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Completed his immunization at the /arangay )ealth Center and he had not

incurred any major illness. 2pon our interview, he has colds and cough and it has been

already 6 wee!s.

C. PRESENT #EALT# STATUS

IUNI7ATION

S-hed,(e Ta-(indo5 A,dri-6 Ahron

BC!

#eB&

#eB/

#eB1

DPT&

DPT/

DPT1

OPV&

OPV/

OPV1

ea+(e+

First level of assessment has been performed on the 4 members of the family during the 6

home visitations which cover the period starting Aovember 0"0 and 0. De

only met the wife because the husband has wor! and the other family members are at school.

$he only one left is the pregnant woman and her son who is still sleeping.

st

baby was still = months old.

Dith regards to their family planning, they are not using any family planning. #ll members

of the family have no !nown drug and food allergies.


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Dith regards to the !ind of food they eat, they seldom eat meat, their viand, if there's any,

was mostly canned goods, noodles and vegetables.

stassessment, the following data were gathered%

Na$e Te$era

t,re

P,(+e Re+irator*

rate

B(ood

Pre++,re

0ei)ht

#deline :ana 6.0 EC ?0bpm 05 cpm 9535 mm)g =9.6!g

#udric! #hron $aclindo 6.4 EC 9?bpm 0=cpm Ao bp cuff

available

9 !g

III. DEVELOPENTAL DATA

7obert )avighurst believes that learning is basic to life and that people continue

to learn throughout life. )e describes growth and development as occurring during si*

stages, each associated with from si* to ten tas!s to be learned.

)avighurst promoted the concepts of developmental tas!s in the >9=5s. #

developmental tas! is a tas! that arises at or about a certain period in the life of an

individual, successful achievement of which leads to his happiness and to success with

later tas!s, while failure leads to unhappiness in the individual, disapproval by society,

and difficulty with the later tas!s.

#ccording to )avighurst, in the infancy and early childhood, the developmental

tas!s of this level are% learning to wal!, learning to ta!e solid foods, learning to tal!,

learning to control the elimination of body wastes, learning se* differences and se*ual

modesty, achieving psychologic stability, forming simple concepts of social and physical

reality, learning to relate emotionally to parents, siblings and other people, and learning

to distinguish right from wrong and developing a conscience.

#ccording to +ric!son, the developmental tas! for infant is trust versus mistrust Gother

terms might be learning confidence or learning to loveH. nfants whose needs are met

and realized their discomforts are &uic!ly removed. nfants, who are cuddled, fondled,

played with and tal!ed to come to view the world as a safe place and people as helpful


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and dependable. )owever, when the care is inconsistent, inade&uate, and rejecting, it

fosters basic mistrust. nfants become fearful and suspicious of the world and of people.

$hey will carry this attitude through later stages of development. @uch children will be

Istuc!J emotionally at this stage even though they continue to grow and develop in other

ways.

Fortunately, because not all children achieved developmental tas! readily, each

tas! need not be resolved once and for all the first time it arises. $he problem of trust

versus mistrust, for e*ample, is not resolved forever during the first year of life, but

arises again at each successive stage of development. Children who enter school with a

sense of mistrust may come to trust a teacher who ta!es the trouble to ma!e him or her

trustworthy. Kiven this second chance, children who come through infancy with a vital

sense of trust intact may still have a sense of mistrust activated at a later stage if their

parents are divorced or separated under unpleasant circumstances.

+ric!son envisions life as a se&uence of levels of achievement. +ach stage

signals a tas! that must be achieved. $he resolution of the tas! can be complete, partial,

or unsuccessful. +ric!son believes that the greater the tas! achievement, the healthier

the personality of the person, failure to achieve a tas! influence the persons ability to

achieve the ne*t tas!. $hese developmental tas!s can be viewed as a series of crises,

and successful resolution of these crises is supportive to the person's ego. Failure to

resolve the crises is damaging to the ego. #fter attaining one stage, the person may fall

bac! and need to approach it again. #s nurses, we should be aware that environment is

highly influential in development. De can enhance people as well as infant's

development by being aware of their development stage, by providing opportunities. For

the individual to resolve his or her developmental tas!, and by helping the person

develop coping s!ills relative to stresses e*perienced at a certain level of growth and

development particularly, the infant stage

Krowing up is a comple* phenomenon because of the many interrelated facets involved.

People do not merely grow taller and heavier as they get older, maturing also involves

growth in their ability to perform s!ills, to thin!, to relate to people, and to trust or have

confidence in them.


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Krowth is generally used to denote an increase in physical size or a &uantitative change

while development is used to indicate an increase in s!ill or the ability to function and to

denote a &ualitative change. aturation is another word for development.


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:oung adulthood is the time when people are most capable of forming new concepts

and shifting their thin!ing in order to solve problems. stborn and in ta!ing care also of the baby

inside her womb.

:oh(%er)8+ Theor* of ora( Deve(o$ent

7onnel $aclindo and #deline :ana are now in the post"conventional level of moral

development. #t this time, the person is able to separate self from the e*pectations and rules of

others and to define morality in terms of personal principles. Dhen individuals perceive a

conflict with society's rules or laws, they judge according to their own principles. Domen often

define moral problems in terms of obligation to care and to avoid hurt.

#avi)h,r+t8+ Theor* of Deve(o$ent

$he couple who are young adults, have already selected each other, which is one of the

important developments of this stage in life. $hey are learning to live with each other, start their

own family, and rear their children properly. $hey manage their home, as parents of their

children.

IV. DESCRIPTION O" #OE AND ENVIRONENT


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"ACTORS DESCRIPTION SI!NI"ICANCE

T*e of ho,+e ade of bamboo and wood

with cement foundation

Can be a source of accident

hazards

So,r-e of e(e-tri-it* +lectrical Connection t gives them light at night

and power connection toother appliances such as $B

and 7adio

Di+tan-e of +o,r-e of

water

Common source of water is

from Icommon faucetJ


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V. "AILY COPIN! INDE


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$he purpose of the family coping inde* is to provide basis for estimating the

nursing needs of a particular family. t also helps nursing students to organize and plan

nursing care with precision so that care given is tailored to fit the particular family

situation.

1egend%

>" Ao competence6" oderate competence=" Complete competence

AREA @C#1+ 82@$FC#$APh*+i-a( Indeenden-e 6 #lthough the family can

ta!e care of themselves,

not all family members are

physically fit.Therae,ti- Co$eten-e 6 $he family was able to ta!e

specific maintenance

medications but not at all

times and they do not !now

how to properly prepare

herbal medicines:now(ed)e of hea(th

-ondition

= $he family !nows their

illnesses and ways on how

to minimize or prevent it in

any wayA(i-ation of rin-i(e+

of !enera( #*)iene

6 $here are times that the

family fails to apply general

principles in hygiene. $he

lac! of water supply causes

the family not to observe

hand hygiene all the time.#ea(th Attit,de+ = (nows the importance of


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having a good health. $he

family displays a full effort

to recognize need for

medical care.

E$otiona( Co$eten-e = $he family was able to deal

problems with courage. $he

family does not let poverty

become the reason for

them to give up."a$i(* Livin) = $hey have a good

relationship with each other.Ph*+i-a( Environ$ent 0 $he house is in poor

condition. $he family has

inade&uate living space.

Dindows are not screened

and foods are not properly

!ept and stored.U+e of Co$$,nit*

"a-i(itie+

4 $he family uses the

community facilities and

!nows appropriate person

to go to in terms of health

emergencies, but

sometimes they do not avail

some of the )ealth Centers

offer


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VI. SC#EATIC DIA!RA O" T#E "AILY #EALT# PROBLE

$he mother visits thehealth center as needed

for chec!"up and for

prenatal

2nsafe water source

for coo!ing

mproper waste

disposal

$he health center is

accessible about

>05 meters away

from their house.

Foreseeable crisis% $he income of the father

is not enough to provide the basic needs of

the family.

Financially unstable

@i* family members in the

family

$he mother

is a plain

housewife

and is

pregnant

r. $aclindo, has

resources on

providing the

needs of his

family but not in

all the members

of the house,

including

#deline's mother

and sister


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P):@C#1K+A+$C

BIOLO!ICAL

ENVIRONENTAL

Aoise

pollution2nsafe

water

source

Ao connection

of sin! into the

drainage

Ao proper

drainage

mproper

garbage

disposal

#ea(th Defi-it' Cough and fever

for 0 wee!s.

#ea(th Threat'mproper garbage

disposal, no drainage, presence

of breeding grounds of insects

and flies that may cause illness.

@usceptible for transmission of microorganisms


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VII. ANATOY AND P#YSIOLO!Y

UPPER RESPIRATORY TRACT

7espiration is defined in two ways. n common usage, respiration refers to the

act of breathing, or inhaling and e*haling. /iologically spea!ing, respiration strictly

means the upta!e of o*ygen by an organism, its use in the tissues, and the release of

carbon dio*ide. /y either definition, respiration has two main functions% to supply the

cells of the body with the o*ygen needed for metabolism and to remove carbon dio*ide

formed as a waste product from metabolism. $his lesson describes the components of

the upper respiratory tract.


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$he upper respiratory tract conducts air from outside the body to the

lower respiratory tract and helps protect the body from irritating

substances. $he upper respiratory tract consists of the following

structures%

$he nasal cavity, mouth, pharyn*, piglottis, laryn*, and upper trachea; the

oesophagus leads to the digestive tract. ne of the features of both the upper and lower

respiratory tracts is the mucociliary apparatus that protects the airways from irritating

substances, and is composed of the ciliated cells and mucus"producing glands in the

nasal epithelium. $he glands produce a layer of mucus that traps unwanted particles as

they are inhaled. $hese are swept toward the posterior pharyn*, from where they are

swallowed, spat out, sneezed, or blown out. #ir passes through each of the structures of

the upper respiratory tract on its way to the lower

respiratory tract. Dhen a person at rest inhales, air enters via the nose and mouth. $he

nasal cavity filters, warms, and humidifies air. $he pharyn* or throat is a tube li!e

structure that connects the bac! of the nasal cavity and mouth to the laryn*, a

passageway for air, and the esophagus, a passageway for food. $he pharyn* serves as

a common hallway for the respiratory and digestive tracts, allowing both air and food to

pass through before entering the appropriate passageways. $he pharyn* contains a

specialised flap"li!e structure called the epiglottis that lowers over the laryn* to prevent

the inhalation of food and li&uid into the lower respiratory tract. $he

laryn*, or voice bo*, is a uni&ue structure that contains the vocal cords, which are

essential for human speech. @mall and triangular in shape, the laryn* e*tends from the

epiglottis to the trachea.


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$he laryn* helps control movement of the epiglottis. n addition, the laryn* has

specialised muscular folds that close it off and also prevent food, foreign objects, and

secretions such as saliva from entering the lower respiratory tract.

LOWER RESPIRATORY TRACT

$he lower respiratory tract begins with the trachea, which is just

below the laryn*. $he trachea, or windpipe, is a hollow, fle*ible, but sturdy air tube that

contains C"shaped cartilage in its walls. $he inner portion of the trachea is called the

lumen.

$he first branching point of the respiratory tree occurs at the lower end of thetrachea, which divides into two larger airways of the lower respiratory tract called the

right bronchus and left bronchus. $he wall of each bronchus contains substantial

amounts of cartilage that help !eep the airway open. +ach bronchus enters a lung at a

site called the hilum. $he bronchi branch se&uentially into secondary bronchi and

tertiary bronchi.

$he tertiary bronchi branch into the bronchioles. $he bronchioles branch several

times until they arrive at the terminal bronchioles, each of which subse&uently branches

into two or more respiratory bronchioles.

$he respiratory bronchiole leads into alveolar ducts and alveoli. $he alveoli are

bubble"li!e, elastic, thin"walled structures that are responsible for the lungs' most vital

function% the e*change of o*ygen and carbon dio*ide.

+ach structure of the lower respiratory tract, beginning with the

trachea, divides into smaller branches. $his branching pattern occurs multiple times,

creating multiple branches. n this way, the lower respiratory tract

resembles an Iupside"downJ tree that begins with one trachea Itrun!J and ends with


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more than 0=5 million alveoli IleavesJ. /ecause of this resemblance, the

lower respiratory tract is often referred to as the respiratory tree.

IV.PATHOPHYSIOLOGY

Physical examination may

detect tachypnea and signs of

consolidation, such as crackleswith bronchial breath sounds.

Typical symptoms include

cough, fever, and sputumproduction

Irritation ofmultiplies

alveoli

Penetrate the sterile lower

respiratory tract (lungs)

oss e!ectiveness of

defense mechanism

"ctivation of defense

#rganisms enter the

respiratory tract

%treptococcus pneumoniae

Predisposing

factors

&ontributing factor

'acteria


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VIII. DRU! STUDY

!eneri- Na$e of ordered

dr,)

Paracetamol

Brand Na$e $empra

Date Ordered February >=, 0559

C(a++ifi-ation Aon"opioid analgesic;antipyretic

Do+e;"re=,en-*;Ro,te 6ml & 4h

e-hani+$ of A-tion Produces analgesic effect by bloc!ing pain impulses, by inhibiting

prostaglandins or pain receptors sensitizers; may relieve fever by acting

in hypothalamic heat regulating center

Se-ifi- Indi-ation For mild pain and fever

Contraindi-ation $o patient's going long"term therapy for chronic noncongestive angle"

closure glaucoma; hyponatremia; hypo!alemia; hepatic impairment;

adrenal gland failure' hypechloremic acidosis

Side Effe-t+;To9i- Effe-t+ Confusion; anore*ia; aplastic anemia; rash; renal calculi

N,r+in) Pre-a,tion 7eport signs of F3+ imbalance

Brand Na$e @albutamol

Date Ordered Aovember >9, 05>0

C(a++ifi-ation /ronchodilator

Do+e;"re=,en-*;Ro,te =ml , / URINARY AND !YNEL M pain L M urine L M color L M vaginal bleedingL M hematuria L M discharge L M nucturiaL M assess urine fre&uency, control, color, odor, comfortL M gyne bleeding L M discharge L*M no problemNENEURO'

L M paralysis L M stuporus L M unsteady L M seizureL M lethargic L M comatose L M vertigo L M treamorsL M confused L M vision L M gripL M assess motor, function, sensation, 1C, strengthL M grip, gait, coordination, speech L*M no problemUSCULOS:ELETAL and S:IN'L M appliance L M stiffness L M itching L M petechieL*M hot L M drainage L M prosthesis L M swellingL M lesion L M poor turgor L M cool L M flushedL M wound L * M pain L M ecchymosis L M diaphoretic moistL M assess mobility, motion gait, alignment, joint functionL M s!in color, te*ture, turgor, integrity L M no problem

graviduteru

s*

weeks

straie

back

pain

J.wala manJ, as

verbalized by the client


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$()ge"'ti%":

# % d)&pnea# % &m("ing 'i&(r)

# % c(g'

# % denied

e&p. # - % reglar # % irreglarDe&cribe: 4'e paien 'a& reglar re&pirai(n (f

20 cpm.

: &)mmerical lng e-pan&i(n

: &)mmerical lng e-pan&i(nCi&u*'ti%":

# % c'e& pain C(mmen&:

# % leg pain

# % nmbne&& (f

e-remiie - % denied

Hear ')'m # - % reglar # % irreglar

An"le dema :

l&e Car. ad. D em 82bpm

82bpm

C(mmen&: all pl&e& are palpable+f applicable

Nutiti%":

Die: Die a& (leraed# % 9 # % C(mmen&:

C'aracer# % recen c'ange in

;eig', appeie

# % &;all(;ing

difficl)# - % denied

# % denre& # - % n(ne

ll arial ;i' aien?- da)

# % rgenc) # % d)&ria

# % 'emaria

# % c(n&ipai(n # % inc(ninenceremed) n(ne # % p(l)ria

Dae (f a& @ # % f(le) in place

Dec. 25, 2012 #-% denied

# % diarr'ea c'aracer:n(ne

C(mmen&: @(;el (nd&:

9(rm(aci*e

Abd(minal Di&eni(n re&en # % )e& #- % n(


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# % ('er

# - % denied

# % m(i& # % c)an(ic

ra&'e&, lcer&, decbi& Bde&cribe &ie, l(cai(n,drainage

9( ('er alerai(n in &"in inegri)

ACTIVITY/ SA+ETY:

# % c(n*l&i(n C(mmen&:# % diine& %limied m(i(n

(f E(in&

imiai(n in

Abili) (

# % amblae# % ba'e &elf

# % ('er

#-% denied

# % FC and (rienai(n: aien i& (riened (per&(n, place, ime and dae.

Gai: # % ;al"er # % cane # % ('er

# % &ead) # % n&ead)# % &en&(r) and m((r l(&&e& in face

(r e-remiie& 9/A

# % F limiai(n&: aien can m(*e alle-remiie&

C$M+$RT/S,EEP/AWA-E:# - % pain C(mmen&:Bl(cai(n, freenc),

remedie&

# % n(cria# % &leep difficlie&

# % denied

# % facial grimace# % garding

# % ('er &ign& (f pain:

9/A# % &iderail relea&e f(rm &igned B60 )ear&

9/A

C$PING:

ember& (f H(&e'(ld: 5

(& pp(ri*e er&(n: '&band

Fb&er*ed n(n>*erbal be'a*i(r:

n(ne

Jdili man, maayo

man a!ong

panglawasJ, as

verbalized by the

client

Jsa!it ang a!o li!od

panagsa.J as

verbalized by client


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IV. NURSING SYSTEM REVIEW CHART

NAME: Adric" A'r(n 4aclind( DATE:December 27, 2012

V/S

HR:!8 bpm BP: n( bp cff a*ailable : 25cpm Temp: 37.? +C Weight: !"g

An #$% i& placed in 'e area (f abn(rmali). C(mmen a 'e &pace pr(*ided. +ndicae 'e l(cai(n (f'e pr(blem in 'e figre &ing #$%.

B. Nu!i"g

A!!e!!me"t II

SUB#ECTIVE $B#ECTIVE

C%mmu"i&'ti%":

# % 'earing l(&& C(mmen&:# % *i&al c'ange&

# - % denied

# % gla&&e& # % langage % c(nac len& # % 'earing aid

pil ie: 2mm # % &peec' difficlie&eaci(n: pil& eall) r(nd and reaced (

lig' acc(mm(dai(n.

EEEENT'L M impaired vision L M blindL M pain redden L M drainageL M gums L M hard of hearing L M deafL M burning L M edema L M lesion teethL M assess eyes ears noseL M throat for abnormality L*M no problemRERESP'

L M asymmetric L M tachypnea L M barrel chestL M apnea L M rales L * M coughL M bradypnea L M shallow L M rhonchiL*M sputum L M diminished L M dyspneaL M orthopnea L M labored L M wheezingL M pain L M cyanoticL M assess resp. rate, rhythm, pulse bloodL M breath sounds, comfort L * M no problemCACARDIOVASCULAR'L M arrhythmia L M tachycardia L MnumbnessL M diminished pulses L M edema L M fatigueL M irregular L M bradycardia L M mur murL M tingling L M absent pulses L M pain

#ssess heart sounds, rate rhythm, pulse, blood

Pressure, circ., fluid retention, comfortL*M L * Mno problem!A!ASTROINTESTINAL TRACT'L M obese L M distention L M massL M dyspagea L M rigidity L M painL M assess abdomen, bowel habits, swallowingL M bowel sounds, comfort L*M no problem!E!ENITO > URINARY AND !YNEL M pain L M urine L M color L M vaginal bleedingL M hematuria L M discharge L M nucturiaL M assess urine fre&uency, control, color, odor, comfortL M gyne bleeding L M discharge L*M no problemNENEURO'

L M paralysis L M stuporus L M unsteady L M seizureL M lethargic L M comatose L M vertigo L M treamorsL M confused L M vision L M gripL M assess motor, function, sensation, 1C, strengthL M grip, gait, coordination, speech L*M no problemUUSCULOS:ELETAL and S:IN'L M appliance L M stiffness L M itching L M petechieL*M hot L M drainage L M prosthesis L M swellingL M lesion L M poor turgor L M cool L M flushedL M wound L M pain L M ecchymosis L M diaphoretic moistL M assess mobility, motion gait, alignment, joint functionL M s!in color, te*ture, turgor, integrity L * M no problem

cough

fever

dry

skin

Jnormal manJ as

verbalized by the

mother


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$()ge"'ti%":

# % d)&pnea# % &m("ing 'i&(r)

n(ne

# - % c(g'

# % denied

e&p. # % reglar # % irreglarDe&cribe: 4'e paien 'a& irreglar re&pirai(n

(f 25 cpm.

: &)mmerical lng e-pan&i(n

: &)mmerical lng e-pan&i(nCi&u*'ti%":

# % c'e& pain C(mmen&:

# % leg pain

# % nmbne&& (f

e-remiie - % denied

Hear ')'m # % reglar # % irreglar

An"le dema :

l&e Car. ad. D em !8bpm

!8bpm

C(mmen&: all pl&e& are palpable+f applicable

Nutiti%":

Die: Die a& (leraed# % 9 # % C(mmen&:

C'aracer# % recen c'ange in

;eig', appeie

# % &;all(;ing

difficl)# - % denied

# % denre& # - % n(ne

ll arial ;i' aien5-da)

# % rgenc) # % d)&ria

# % 'emaria

# % c(n&ipai(n # % inc(ninenceremed) n(ne # % p(l)ria

Dae (f a& @ # % f(le) in place

Dec. 26,2012 # -% denied

# % diarr'ea c'aracer: n(ne

C(mmen&: @(;el (nd&:

9(rm(aci*e

Abd(minal Di&eni(n re&en # % )e& #- % n(


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# - % denied ra&'e&, lcer&, decbi& Bde&cribe &ie, l(cai(n,

drainage9( ('er alerai(n in &"in inegri)

ACTIVITY/ SA+ETY:

# % c(n*l&i(n C(mmen&:

# % diine& %limied m(i(n

(f E(in&

imiai(n in

Abili) (

# % amblae# % ba'e &elf

# % ('er

#-% denied

# % FC and (rienai(n: aien i& (riened (

per&(n, place, ime and dae.

Gai: # % ;al"er # % cane # % ('er

# % &ead) # % n&ead)# % &en&(r) and m((r l(&&e& in face

(r e-remiie& 9/A

# % F limiai(n&: aien can m(*e alle-remiie&

C$M+$RT/S,EEP/AWA-E:

# % pain C(mmen&:Bl(cai(n, freenc),remedie&

# % n(cria

# - % &leep difficlie % denied

# % facial grimace# % garding# % ('er &ign& (f pain:

n(ne

# % &iderail relea&e f(rm &igned B60 )ear& 9/A

C$PING:

ember& (f H(&e'(ld: 5

(& pp(ri*e er&(n: m('er

Fb&er*ed n(n>*erbal be'a*i(r:

n(ne

Jga cge lang sya ug

hila!J, as verbalized

by the mother

Jgalisod sya tulog

tungod saiya ubo. Jas

verbalized by mother


31/51

IV.


32/51

III. 3

4

a

k

u

h

a

m

i

ug

ili

m

n

o

n

n

g

a

tu

bi

g

sa

w

at

r

di

st

ri

ct

5

I-. as

v

er

o

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e

c

o

g

n

i

6

et

h

e

p

r

e

s

e

n

c

e

o

f

t

h

e

c

o

n

d

it

i

o

n

o

nu

tes

,

th

e

fa

mil

y

wil

lbe

abl

e

to7

a. 8ecogni6e theimportance ofhaving asterili6eddrinkingwater.

b. 2numerate

illnessesthat maygain fromdrinkingunsteri1li6edwater.

c. %howreadinesstoimprovethe wayof living.

&e

+.#

a. Importance ofdrinkingsterili6edwater.

b. 9iseasesthat may

ac:uiredbydrinkingunsterili6ed water.

c. %terili6ation ofdrinkingwater.

III.

I-.

-.

n

of

th

e

stu

de

nt

nu

rse

.

-III.

I. 1

Ti

me

an

d

e!

ort

of

th

e

stude

nt

nu

rse

an

d

fa

mil

y

me

tes

,

go

al

wa

s

me

t7

the

famil

y

wa

s

abl

e

to

ap

pre

cia

te

the

im

po

rta

nc

e

of

dri

nki

ng

the

ste

rili

6e


33/51

b

al

i6

e

d

b

y

"

v

an

c

e

;

a

-.

XXVI. O

bj

e

c

!"

e#

-II. 1

.


48/51

CCIII.


49/51

family care study. ur C. helped us in finding our patient since she was

familiar in the area and she already as!ed the /)D. @o what we did, we

introduced ourselves and we then started as!ing &uestions. De were able to

assess a pregnant woman and a child 5"= years old. De immediately

assessed the family members including the baby and unfortunately the

mother and the child were the only ones that we had assessed since the

father is at wor! and the siblings of the client is at school.

CC


50/51

CCNN. De were than!ful to the family since they accepted us without any

hesitations and they entertained us. $hey answered our &uestions and they listen for

discussion with regards to imparting of information which really matters to them.

CC9>=(ozier, /arbara et. #l. Fundamental of Aursing. thedition. Pp. >95">90rong, 0">7eyala, 8ean P. et. #l. Community )ealth Aursing @ervices in the Philippines. 9 th

edition, pp. =0"=4

CCNN. Debliography

http%33www.unilab.com.ph3consumer3productsdetails.aspQeeeR6>

http%33www.brianmac.co.u!3physiol.htm

http%33en.wi!ipedia.org3wi!i3)umanmusculos!eletalsystem

CCNN.

CC


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CC

FCP 103 BAIKINGON

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Transcript of FCP 103 BAIKINGON